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Il Cook County Hospital Policy and Procedure July 2006

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Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 8 of 32 PageID #:2678

Exhibit 3

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 9 of 32 PageID #:2679
.-

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---:---.----------:----.---------:-------,

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----- - -

EXTERNAL OPERATIONS
Transportation
K-9:

.

Policy No.
EO 32

EFFECTiVE DATE

-

25 July 2006
RELATED G.O.
UNIT/
DIVISIONAL
PROCEDURE

HOSPJTAL POLICY
AND PROCEDURE

12.2
PAGE

I

OF 9

It is the policy of External Operations to ensure that the health care needs of hospitalized inmates
(detainees) are met in a humane matter. External Operations shall protect the rights and privleges
of the inmates (detainees) mandated into it's custody.

II. Purpose

t

- - - - --�-�-�
-

Constant visual surveillance of inmate (detainee) is required and maintained at all times. At no
--tnrreis-al!tinma e-(-detairreetto-b-e-leftu:nate
t rrded-u.nderanrci'rcumstrorce-s:-'f-herebyproviding- safety for the hospital personnel, citizens of Cook County and the inrilate (detainee).

III. Definitions
1. High Risk Inmate (Detainee)- The Sheriffs Office shall designate all detainees as HSR
who are transported, housed or otherwise located outside of the
CCDOC complex.

IV. Procedures
A. Restraints
1. All handcuffs and leg irons are to be securely attached and double locked

2. Restraining is to be done in a manner that will not unduly interfere with medical
procedures and/or tests.

3. Leg irons and handcuffs will secure the inmates (detainees) to the bed frame when the
inmate (detainee) is not ambulating, being transported, being tested, in therapy or using the
hospitals restroom facilities. Handcuffs will be covered with the blue box and waist chain
secured to the bed frame.

Plaintiffs' Exhibit 3

Page 1

-

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 10 of 32 PageID #:2680
.---�---��----�---.--�

EXTERNAL OPERATIONS
Transportation
K-9,

E FFECTIVE DATE

Policy No.
E 0-32

25 July 2006

RELATED G.O.

UNIT/
DIVISIONAL
PROCEDURE

HOSPITAL POLICY
AND PROCEDURE

12 2
.

PAGE 2 OF 9
EXCEPTIONS
I.

When court order prohibits their use.

2. When written order from a licensed physician prohibits restraining ft>r a valid
medical reason(s). These orders must be specific as the amount of time a restraint is to be removed and from which limb. These orders must be review and re­
written by the physician every 48hours. Copies are to be forwarded to the
-----

Superintendent of External Operations for approval.
-----,...,B-:-7\:amiSSIOn

------ ----

---

I. All non-emergency admissions from the Cook County Department of Corrections
are required to have the following paperwork: a completed pre-admission form, a
current transfer summary, any pertinent medical records, classification summary
and departmental photo identification card.

2. Take all relevant paperwork to the patient's admissions office of the hospital.
3. Inmates (Detainees) pre-scheduled for admission will be taken to their pre-designated
place accompanied by an External Operations Officer. The Officer is to remain with
the inmate (detainee) until a "face-to-face" relief is made.
4. Inmates (Detainees) are to be completely searched prior to admission.

5. Inmates (Detainees) are to be dressed and are to remain dressed in hospital attire for
the duration to their hospital stay.

C. Main Operating Room

1. The External Operations Officer is to notify the surgical team that patient is an inmate

(detainee) and that a visual surveillance must be kept at all times.
The inmate (detainee) must be in view of the Officer at all times.

2.
3. The External Operations Officer is to follow all hospital policies that do not con­
flict with departmental security rules and regulations. All conflicts between hos­
pital policy and that of CCDOC policies and procedures are to be immediately re­
ported to an External Operations Medical Unit supervisor.
4. The supervisor is to attempt to reconcile the matter as promptly as possible.
D.

Labor and Delivery Room

I. In accordance with Illinois Statute

730 ILCS 125/I7.5 (Pregnant Female Prisoners)

NO handcuffs, leg irons or waist chains shall be used on a female inmate (detainee)
who is in labor, this includes while being transported to the medical facility.

2. A female, External Operations Officer is to be assigned to the pregnant inmate
(detainee) whenever possible.

Plaintiffs' Exhibit 3

Page 2

--

-

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 11 of 32 PageID #:2681

EXTERNAL OPERATIONS
K-9�
Transportation

�-

,
•,

E FFECTIVE DATE
25 July 2006
RELATED G.O.

·,oo�,.
-�
�
o o�
..

Policy No.
EO -32

UNIT/
DIVISIONAL
PROCEDURE

z
...

- - ,,.·
(I 1 W 0

HOSPITAL POLICY
AND PROCEDURE

12.2

PAGE 3 OF 9
3. The External Operations Officer is to remain no further than outside the delivery
room door once the pregnant irunate (detainee) enters the room.
4.

The External Operations Officer will follow all hospital policies that do not
conflict with maintaining the security of and preventing the escape of the in­
mate (detainee).

E.

Hospital Irunate (Detainee) Takeovers
1.

Upon notification from the R.C.D.C. division of the Department of Corrections
of a hospitalized inmate(detainee) to be mandated to CCDOC, the Chief of Security

-f------------=T.ofc
fi e personnen13eat no. 3200) will assign ana contact---arlExtemal OperatwnsOfncer:-- - This Officer will be given all pertinent information (name and I.D. no.; charge(s);
bail amount; next court date; name of arresting Jaw enforcement agency and that
Officer's name and badge no.; the hospital's name (locations if necessary) and room no.;
irunate's (detainee's) ailment or reason for hospitalization.

2. The assigned Officer is not to relieve the arresting agency or take possession of the in­
mate (detainee) until after an R.C.D.C. Officer has photographed and fingerprinted the
irunate (detainee). Then the assigned Officer is to follow all applicable procedures once
a photograph of the inmate (detainee) is obtained from the R.C.D.C. Officer.

3. If the arresting law enforcement agency Officer is not present at the hospital upon the
assigned Officer's arrival, the assigned Officer is to immediately contact the Chief of
Security office (Beat no.
4.

3200) to notifY the Shift Commander.

The assigned Officer is to immediately contact the Chief of Security office (Beat no.

3200)

if upon the completion of the R.C.D.C. Officer there has not been a transport unit present

F.

with a leg iron and blue box. The transport unit should also take fhe photograph from the
assigned Officer to the Departmental Medical Unit Office at John Stroger Hospital.
Hospital Inmate (Detainee) Discharges

I. Upon notification from the medical service coordinator or the charge nurse that the neces­
sary paper work is ready for the irunate's (detainee's) discharge from the hospital to the
Cook County Department of Corrections the assigned Officer will advise the Department
Medical Unit Office. When making notification to the Medica) Unit Security office of the
irunate's (detainee's) discharge, under

no

circumstances is the inmate (detainee) to be left

unattended. If need be, handcuff and apply leg irons to the inmate (detainee) and escort
irunate (detainee) to the nearest hospital telephone to make notification.

2. Remove the restraints from the inmate (detainee) only after the arrival of the transporting
unit Officers and allow the inmate to dress.

Plaintiffs' Exhibit 3

Page 3

--

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 12 of 32 PageID #:2682

EXTERNAL OPERATIONS
Transportation
K-9,

Policy No.
EO- 32

EFFECTIVE DATE
25 Jul)r 2006
RELATED G.O.

UNIT/
DIVISIONAL
PROCEDURE

HOSPITAL POLICY
AND PROCEDURE

12.2
PAGE 4

OF 9

3. The transporting unit Officers will conduct a complete search of the inmate (detainee) prior
to leaving the hospital room.

4. The inmate (detainee) wiil then be handcuffed. Leg irons and waist chain will also be
applied by the transporting unit Officers.

5. The transporting unit Officers are to notifY the Chief of Security office (Beat no. 3200)
of their departure from the hospital and their arrival to the Cook County Department
of Corrections.

6. The transporting unit Officers will return directly to Cermak Health Services with the
a-oc
_ u
_
inmate (detainee), discharge papers, prescription(s) (ifany)and any other medIc�a-.1-�
�me-n- --tation.
EXCEPTION

l. lf the inmate (detainee) has personal property; the transporting unit Officers will go
directly to R.C.D.C. There the personal property is to be properly inventoried before
going to Cermak.

2. lf the inmate'� (detainee's) only photograph is an instant snap shot, then the trans­
porting unit Officer will go directly to R.C.D.C. There the inmate will be properly
photographed before going to Cermak.
G. Medical Unit Security Office

The Medical Unit Security office for the Department of Corrections is located in the John
H. Stroger, Jr. Hospital

I 51 floor across from clinic C . It is to be staffed at all times (24 hours
(I) Correctional Officer and at least one ( I) supervisor of a

a day). The office will have one

Correctional Sergeant or above in rank.
Duties of Officer Assigned to the Desk:

1. Monitor all persons entering and exiting the Medical Unit Security office.
2. Maintain all logbooks of all the events that happen during the course of your tour of
3.

4.

duty. Account for all keys and equipment assigned to the office.
Log the movement of all ho�pitalized inmates (detainees) in appropriate logbook.
Write visitor passes (where applicable) and log all visitor information (name, address,
relationship, type of I. D. and no.) in appropriate book. Fill out appropriate logbook
for
.

official (attorney, clergy, public official , etc. ) visitors as well.

5. NotifY the assigned Officer of impending visitation, whenever possible.

6.

Monitor the radio (Band no. DOC Ex-Ops) and act as dispatcher for all External Operations
hospital traffic.

Plaintiffs' Exhibit 3

Page 4

a

·

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 13 of 32 PageID #:2683

EXTERNAL OPERATIONS
Transportation
K-9,

Policy No.

. EFFECTIVE DATE

E0-32
25 July 2006
RELATED G. O.

UNIT/
DIVISIONAL
PROCEDURE

HOSPITAL POLICY
AND PROCEDURE

12.2
PAGE

5 OF 9

7. Log all Officer's medical call-ins of all relevant hospital assignments for the relieving
shift.
Ensure that all logbooks pertaining to your tour of duty are completely filled-out and

8.

signed by the supervisor on duty at the end of shift along, with any other paperwork.

9. Ensure that the inner door leading to the office is secured at all times while detainees are
present.

I 0. Ensure that the designated restroom is the only restroom utilized by detainees that are
----

---- -

discharged
or fantus returns. The restroom must be searched before and after the detainee
r.rrse�i
---------

11. Ensure that the designated restroom is searched prior to the beginning of each shift.
12. Perform any other duties as directed by the External Operations Medical Unit
Supervisor.

In the event of an ESCAPE:

I. Notify the hospital security to secure all exits.

2. Notify all CCDOC personnel, on duty, at the hospital of the escape and provide
them with detailed information of the inmate.

3. Immediately notify the Chief of Security office (Beat no. 3200) of the escape and
provide the following information:

a. Name and J.D. no. of the escaped irimate (detainee)
b. A full physical description (age, race, height, weight, hair and eye color, etc.)
of inmate (detainee) who escaped
c. Clothing description of escaped inmate (detainee)
d. Time and place of escape, also give direction of escape (if known)
e.

Inmate's (Detainee's) medical condition

Duties of the Supervisor(s)
1. Conduct roll call (visual uniform inspection) and give the Officers their assignments

(inmate (detainee) name, room no., movement/test expected, etc.).

2. Make three (3) daily rounds at the hospital(s) assigned, obtaining a signature of the
appropriate Officers each time on the hospital rounds sheet.

3. Ensure that all Officers assigned to a hospital a assigned a lunch relief (if not, make
4.

sure reason is documented) on the hospital lunch relief schedule.
Always maintain radio contact with the Medical Unit Security office when outside of
office.

5. Ensure that the Chief of Security office (Beat no. 3200) is kept informed of the
6.

current inmate (detainee) hospital count.
Notify the Chief of Security office (Beat no.

Plaintiffs' Exhibit 3

3200) immediately upon the demise

Page 5

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 14 of 32 PageID #:2684
1

EXTERNAL OPERATIONS
K-9·,
Transportation

Policy No.

EFFECTIVE DATE

E0-32
25 July 2006

RELATED G.O.

,oo ..

_o'�'"o,

c
,

�-

.

11 IN 0

•,-

UNIT/

:z
..

DIVISIONAL

, ..·

PROCEDURE

HOSPITAL POLICY
AND PROCEDURE

12.2

PAGE

7.
8.

6

OF

9

of a hospitalized inmate.
Act as a liaison between CCDOC and the hospital administration
Ensure all paper work and logbook(s) are completely filled-out by the Officer assigned
to the desk. All paperwork and logbook(s) are to have your signature at the end of

9.

shift where appropriate.
Perform any other duties as directed by External Operations Shift Commander.

Duties of the Movement Officer
---------

1.

�.

3.

4.

Check and verify authorizations of all appointments before any movement takes place.

All Irtrhates (Qefainees) are ro-oe·searcfledfurcuntratand.

All iiunates (detainees) are to be handcuffed /blue box covers with waist chains and leg
irons applied prior to movement.
All inmates (detainees) that are confined to a bed are to be moved by the hospital
transporter and escorted by the movement officer (the inmate (detainee) is to restrained

5.
6.

7.
8,

to the bed frame by leg irons and handcuffs /blue box covers with waist chains).
Notify the Medical Unit Security office prior to movement and again upon arrival
to destination.
Ensure that tpe most direct route to the destination is taken without stopping.
Secure the designated area upon arrival.
Upon completion of the assignment(s) given, return to the medical unit security office
and await further directive from the Medical Unit Security Supervisor.

Duties of Officers assigned to inmates (detainees)

1.

2.
3.

Officers are not to handle or possess hospital supplies or equipment.
Officers are to provide security for the hospital personnel and inmate (detainee) alike.
Officers are to maintain the inmate's (detainee's) right to privacy as related to their
medical condition and reason for incarceration.

4. Officers will be assigned a Garrett Hand Wand to assist in conducting searches of
items accessible .to the inmate (detainee),

the room and bed/area of the inmate (detainee)

at the beginning of their tour of duty, after movement from the area, and after any outside
visitation. All medical staff with photo identification will be allowed access into
detainees room without being hand wanded. All medical staff without photo identification

5.

will be challenged to provide photo identification.
Officers will not allow any unauthorized person(s) in the room or in close proximity
of the inmate (detainee) unless the person identifies him/her self as a visitor. The
visitor will submit to visitor protocol and it must be the correct visiting day.

6. Officers will not allow visitors to. have any type of physical contact with the inmate

Plaintiffs' Exhibit 3

Page 6

-

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 15 of 32 PageID #:2685

EXTERNAL OPERATIONS
K-9�
Transportation

Policy No.

EFFECTIVE DATE

E0-32
25 July

2006
RELATED G.O.
UNIT/
DIVISIONAL
PROCEDURE

7.

HOSPITAL POLICY
AND PROCEDURE

12.2

PAGE 7 of 9

Officers will submit a disciplinary report to a Medical Unit Security Supervisor when
inmate (detainee) violates the rules and regulations of either the CCDOC, the hospital
or the hospitalized inmate (detainee) information sheet.

8.
9.

Officers will adhere to all hospital policies that are not in conflict with the policies of
CCDOC or this hospital policy and procedure.
Officers will maintain a professional and courteous demeanor at all times with the
inmates (detainees), hospital personnel and visitors.

In the event of
-

an

ESCAPE

1.

Immediately notifY the Medical Unit Security office providing as much detail as

2.

Begin searching for the inmate (detainee) monitoring your radio and keeping in

--------possibf".

----

-----�---·-- �--- --�-�· ----

--

constant contact with the Medical Unit Security office.

3.
H.

Complete all reports prior to being relieved or the end of your tour of duty.

Visitation
1.

2.

Inmate (Detainee) visitation hours will coincide with that established by the hos­
pital and as written into policy.
Inmate (Detainee) visitation days are as follows:
Wedn�sdays only at John H. Stroger, Jr. Hospital
Thursdays only at all other hospitals in the county of Cook.

EXCEPTION
a.
b.

Attorney, Clergy and Public Officials may be permitted to visit any day of the week.
Attorney visits are permitted at bedside. The Officer shall move far enough away to
allow for verbal privacy, yet maintaining a constant visual throughout the visit. This
is done to provide for the maximum feasible privacy between attorney and client.

I.

Program Services

1.

2.

3.

Correctional Rehabilitation Workers (CRW) are transported to hospital(s) twice a, week.

The CRW's will provide paper, pen, pencil and I or "write-outs" for those inmates
(detainees) in need as well as upon request.

High Risk Inmates (Detainees) will only have access to utilize these items unrestrained
during the CRW's visit.

J.

Court Dates

All inmates ate to go to court as ordered unless advised by the medical personnel that being

transported might in some way be a health hazard or interfere with treatment or therapy.

-----Plaintiffs' Exhibit 3
Page 7

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 16 of 32 PageID #:2686
,--.-- ·
·

.

.

EXTERNAL OPERATIONS
Transportation
K-9·,

Po1icy No.

EFFE.CTIVE DATE

E0-32
25 JuJy 2006
RELATED G. O.

UNIT/
DIVISIONAL
PROCEDURE

K.

HOSPITAL POLICY
AND PROCEDURE

12. 2

PAGE 8 of 9

Inmate (Detainee) telephone usage
1.

L.

High Risk inmates (detainees) are permitted to use the telephone once in a
after the first 48 hours of hospitalization as written into policy.

48

hour period,

Inmate ( Detainee) Responsibilities
1. Inmates (Detainee) are to be held accountable for their behavior. All violations
of the C C DOC rules and regulations as well as those in the "Hospitalized Inmate

L.

(Detainee) Information Sheet" are to be documented on a disciplinary report.

1 ne omy personal p-roperty inmates (detainees[shirttiJealtowe-dl"o�ake-unh"e·�---------­

hospital are legal papers, prescription eyeglasses and/or contact lens, dentures
or other mail correspondence.

3.

4.

5.
6.

Inmates (Detainees) are not allowed to possess any metal or glass objects.
Inmates (Detainees) are not allowed under any circumstances to receive gifts.
The only food, drink or the like allowed is that provided by the hospital for all
patients with the same or similar ailments.
'
Inmates (Detainees) are not allowed to receive or possess currency or money orders.
EXC E PTION
Inmates (Detainees) hospitalized at Oak Forest Hospital are allowed to have funds
in an account (see Oak Forest Hospital addendum).

7.

Inmates ( Detainees) are not allowed to be photographed; video taped or sound recorded
unless authorized by the Superintendent of Extemal Operations (This does not include the
photographing by the CCDOC/R.C. D.C. for identification purposes.

8.

When medically permitted, inmates (detainees) will be allowed to use the hospital
restroom facilities. This will only take place when escorted and continually monitored

by an External Operations Officer (gender appropriate).

Plaintiffs' Exhibit 3

Page 8

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 17 of 32 PageID #:2687
l

EXTERNAL OPERATIONS

K-9:

Transportation

Policy No.

EFFECTIVE DATE

E0-32
25

RELATED G. O.

,oo�

_o'�roc:
�-

.c

,

·,t 1,., o'

UNIT/

z

.
"'

DIVISIONAL

-

..

PROCEDURE

July 2006
12.2

HOSPITAL POLICY
AND PROCEDURE

PAGE 9
9.

OF

9

The only time HSR inmates (detainee) are to have their leg irons removed from the bed
frame is if they are medically permitted to use the hospital restroom facilities, to use
the telephone or for medical treatment/therapy; Handcuffs are only to removed from
these inmates (detainees) during the one ( 1) hour designated for meal time per s hift.

I 0.

Only televisions and radios provided by the hospital for patient use will be permitted
for the inmates' (detainee's) use as well.

-r---------- ------ -�- ----------�-- ---�-- ----

11. Fantus Detainees
Fantus detainees transported to Stroger Hospital for treatment will be brought directly
to Stroger Hospital security office and secured. ·The packet will be brought to the appr­
opriate department for Fantus treatment and the detainee will remain in the Stroger
Office. The clinic will call when they are ready to provide the detainee with their
treatment. This procedure will help us maintain a high level of security and should
not be deviated.

Smoking is prohibited by Cook County Department of C orrections personnel and
those mandated into the custody of the CCDOC while in county facilities.

Superintendent of External Operations

Plaintiffs' Exhibit 3

D ate

Page 9

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Exhibit 4

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 19 of 32 PageID #:2689

rI_,-,

External Operations,
K-Nine Trans ortation, ERT

POlicy
Policy 32

Effective Date
October 200g
2008
Related G.
G, 0, 9A4

Hospital Policy and Procedure

Page 1 ofS
of8

I. Policy
It is the policy of External Operations/Transportation/ERT
Operations/'rransportation!ERT to ensure that the health care needs of

, hospitalized detainees are met in a humane matter. External OperationslTransportation/ERT
Operations/Transportation!ERT shall
protect the rights and privileges of the detainees mandated into .its custody.

II. Purpose
Constant visual surveillance of detainee is required and maintained at all times. At no time is a
detainee to be left unattended under any circumstances. Thereby providing safety for the hospital
personnel, citizens of Cook County and the detainee.

III. Ddinitions
L High Risk (HR) -The
- The Sheriff's Office shall designate all detainees as High Risk who are
transported, housed or otherwise located outside of the Cook County
Department of Corrections complex.
IV. Procedures
Policy 71 will be followed to move detainee to hospital (High Risk and Extreme High Risk Escorts).
If a detainee is admitted to the hospital or is being treated in the Emergence Room the detainee is to
be secured to bed in the following manner:
A. Restraints

1.' Handcuffs wiU
wil1 be applied to one wrist preferably to the wrist that has no medication
admirustered to, Handcuff will be double looked including cuff not being used, Blue box
\''trapped around bed franle
fran1e (not to
and chain will be applied to handcuff. Chain will be ,"'rapped
be attached to hand rails of bed or to part of bed !hat
that can be broken off) and padlocked
secured. A reasonable amount of chain slack, which does not present a danger to the
ann movement.
Officer, will be allowed for arm
·'
2. Leg Shackles; one Leg shackle ·w:ill
'w:ill be Il.pplie~
applie~ to the opposite ankle (key hole toward
foot) to the wrist that is restrained. Other leg shackle is to be attached to a sturdy part of
bed leg shackles are also to be double locked,
locked.
3. Restraining is to be done in a manner that will not unduly interfere with medical
procedures and/or tests.

Plaintiffs' Exhibit 4

Page 1

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 20 of 32 PageID #:2690

I Policy 32

Hospital Policy and Procedure'

Page 2 ofS]
ars]

4. Handcuffs, shackles blue box, chain and padlock will be standard oolicv
policY for all detainees
dev1ses may be used, Supervisor will be contacted if other
at hospitals. Other restraining deVIses
resmunmg measure must be used e,g. leather restraints. Supervisor will inform Chief or
restr!unmg
Superintendent of External Operations of change both written and verbally.
v,.ill notate who approved restraint in use or
5. Documentation that is kept with detainee ",ill
removal of restraints. This information is to be printed clearly to include: Officers name,
Supervisor name, date and time followed by a signature.
6, Standard restraints will be applied as soon as reasonably possible, Officer(s) assigned to
6.
a detainee that does not have standard restraints and they have used reasonable judgment
and they believe detainee should be in standard restraint, Supervisor will be contacted
and detainee reevaluated for restraint use.
7. If detainee is to be ambulated, transported or tested, supervisor will assign two officers
to perform task. Detainee is still to be restrained ether with handcuffS or leg shackles or
other approved restraining devise.
this security measure so they
8. Officers and Supervisors will inform hospital personnel of
oftrus
are aware that detainee wil!
will not move out of bed without two officers present. Hospitai
personnel will also be informed that they must provide us with a schedule of medical
events with at least 24-hour notice in order not to delay detainee treatment(s).
treatrnent(s).
9. Officer(s) must use reasonable judgment and practice sound security measures
during Life Threatening Situations. Officer(s) will not hinder life 5llVing
5!lving treatment
to detainee from medical personnel Officer will contact their supervisor as soon as
of actions they had to take during medical situation with
possible to inform r)f
detainee.
detainee and condition of detainee,
I 0, Supervisor will send addition staff if needed and will contact Chief on duty or
10.
Superintendent of External Operations and inform of situation. (Incident
(InCident report will be
completed),
gi.ven a bedpan by medical personnel to relieve themselves.
11. Detainees are to be given
Detainees are not permitted to leave bed unless authorized to do so.
B. Admission
I , All non-emergency admissions from the Cook County Department of Corrections are
I.
required to have the following paperwork: a completed pre-admission form,
[onn, a current
transfer summary, any pertinent medical records, classification summary and
departmental photo identification card.
2. Take ail relevant paperwork to the patient's admissions office of the hospital.
2,
3. Detainee(s) pre-scheduled for admission will be taken to their pre-designated place
accompanied by an External Operations Officer.
4, The Officer is to remain with the detainee until
4.
L1ntil a "face-to-face" relief is made.
made..,
5, Detainee(s) are to be completely searched prior to admission.
6. Detainee(s)
Detainee(s) are to be dressed and are to remain dressed in hospital attire for the duration
of their hospital stay.

Plaintiffs' Exhibit 4

Page 2

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 21 of 32 PageID #:2691
Poljcy and Procedure
Hospital Policy

I Policy 32

Page 3 of8 I

C. Main Operating Room
1. The External Operations Officer is to notify the surgical team that patient is a detainee
visual surveillance must be kept at all times.
and that a visua.l
2. The inmate (detainee) must be in view oflhe Officer at all times.
3. The External Operations Officer is to follow all hospital policies that do not conflict
with departmental security rules and regulations. All conflicts between hospital policy
and that of CCDOC policies and procedures are to be immediately reported to an
External Operations Medical Unit supervisor.
4. The supervisor is to attempt to reconcile the matter as promptly as possible.
D. Labor and Delivery Room
7.5 (Pregnant
1. In accordance with Illinois Statute 730 ILCS 125/J
1251J7.5
(pregnant Female Prisoners) NO
«hall be used on a female inmate (detainee) who is
handcuffs, leg irons or waist chains "hall
in labor, this includes while being transported to the medical facility.
2, A female, External Operations Officer is to be assigned to the pregnant inmate
(detainee) whenever possible.
3. The External Operations Officer is to remain no further than outside the delivery
one<' the pregnant inmate (detainee) enters the room.
room door one""
4. The External Operations Officer will follow all hospital policies that do not
conflict with maintaining the security of and preventing the escape of the in
mate (detainee).

E. Hospital Inmate (Detainee) Takeovers
l. Upon notification from the R.C.D.C. division of the Department of Corrections
1.
of a hospitalized inmate (detainee) to be mandated to CCDOC, the Chief of Security
office personnel (Beat no. 3200) will assign and contact an External Operations Officer.
This Officer will be given all pertinent information (name and I.D. no.; charge(s); bail
amount; next court date; name of arresting law enforcement agency and that Officer's
name and badge no.; the hospital's name (locations if necessary) and room no.; inmate's
.
(detainee's) ailment or reason for hospitalization.
2. The assigned Officer is not to relieve the arresting agency or take possession of the in
mate (detainee) until after an R.C.D.C. Officer has photographed and fingerprinted the
inmate (detainee). Then the assigned Officer is to follow all applicable procedures once
a photograph of the inmate (detainee) is obtained from the R.C.D.C. Officer.
3. If the arresting law enforcement agency Officer is not present at the hospital upon the
assigned Officer's arrival, the assigned Officer is to immediately contact the Chief of
Security office (Beat no. 3200) to notifY the Shift Commander.
4. The assigned Officer is to immediately contact the Chief of Security office (Beat no.
3200) if upon the completion of the RC.D.C. Officer there has not been a transport unit
present \",ith
\Vith a kg iron and blue box. The transport unit should also take the photograph
from the assigned Officer to the Departmental Medical Unit Office at John Stroger
Hospital.
Plaintiffs' Exhibit 4

Page 3

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 22 of 32 PageID #:2692

Hospital Policy and Procedure

Page 4 oU
of3

F. Hospital Inmate (Detainee) Discharges
F,
I,
1. Upon notification from the medical service coordinator or the charge nurse that the
necessary paper work is ready for the inmate's (detainee's) discharge from the hospital
to the Cook County Department of Corrections the assigned Officer will advise the
Office. When making notification to the Medical Ullit
U!lit
Department Medical Unit Office,
Security office of the inmate's (detainee's) discharge, under no circumstances is the
inmate (detainee) to be left unattended. If need be, handcuff and apply leg irons to the
inmate (detainee) and escort irunate (detainee) to the nearest hospital telephone to make
notification,
notification.
2. Remove the restraints from the inmate (detainee) only after the arrival of the
2,
dress.
transporting unit Officers and allow the inmate to dress,
3,
3. The transporting unit Officers will conduct a complete search of the inmate (detainee)
prior to leaving the hospital room.
4,
4. The inmate (detainee) will then be handcuffed,
handcuffed. The transporting unit Officers will also
apply leg irons and waist chaln,
chain.
5. The transporting unit Officer(s) is to notify the Chief of Security office (Beat no,
no. 3200)
of their departure from the hospital and their arrival to the Cook County Department of
Corrections.
6. The transporting unit Officers will return directly to Cermak Health Services with the
6,
irunate (detainee), discharge papers, prescription(s) (if any) and any other medical
documentation.
documentation,
EXCEPTION

1 If the inmate (detainee) has personal property, the transporting unit Officers will go
directly to KC.D,C.
R.C.D.C. There the personal property is to be properly inventoried before
going to Cermak.
2,
2. Inhe
Ifthe inmate's (detaipee'
(detaiuee' s) only photograph is an instant snap shot, then the transporting
unit Officer will go directly to ReD,C.
R.C.D.C. There the inmate will be properly
photographed before going to Cermak.
G. Medical Unit Security Office
ofCorrectionsis
Correctionsis located in the John
The Medical Unit Security office for the Department of
H. Stroger, Jr,
H,
Jr. ;Hospital
H"ospital 1st floor across from clinic C. It is to be staffed at all times (24
hours iiia day). The office will have one (1) Correctional Officer and at least one (I)
supervisor of IIa Correctional Sergeant or above in rank.
rank,
Duties of Officer Assigned to the Desk:
I,
2.
. 2,

office .
Monitor all persons entering and exiting the Medical Unit Security office,
Maintain all logbooks of all the events that happen during the,
the.course
course of your tour of
duty, Account for all keys and equipment assigned to the office,
office.
3. LogExhibit
3,
the movement
of all hospitalized inrrtates (detainees) in appropriate logbook. Page 4
Plaintiffs'
4

I

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 23 of 32 PageID #:2693

i Policy 32

Page 5 0[8
of8 I/

Hospital Policy and Procedure

4. Write visitor passes (where applicable) and log all visitor information (name, address
relationship, type ofLD. and no.) in appropriate book. Fill out appropriate logbook for
official (attorney, clergy, public official, etc.) visitors as well,
welL
5. NotifY the assigned Officer of impending visitation, whenever possible.
6. Monitor the radio (Band no. DOC Ex-Ops) and act as dispatcher for all External Operations
hospital traffic.
7. Log all Officers' medical call-ins of all relevant hospital assignments for the relieving
shift
8. Ensure that all logbooks pertaining to your tour of duty are completely filled-out a signed by
the supervisor on duty at the end of shift along, with any other paperwork.
9. Ensure that the inner door leading to the office is secured at all times While
while detainees are
present.
10. Ensure that the designated restroom is the only restroom utilized by detainees that are
discharged or Pantus
Fantus returns. 1he
the restroom must be searched before and after the detainee
uses it.
11.
!I. Ensure that the designated restroom is searched prior to the beginning of each shift,
shift.
12.
12, Perform any other duties as directed by the External Operations Medical Unit
Supervisor.
ln
In the event of an
all ESCAPE:
I. Notiry the hospital security to secure all exits.
2. Notiry all CCDOC personnel, on duty, at the hospital of the escape and provide
them with detailed information of the inmate.
3. Immediately notifY the Chief of Security office (Beat no. 3200) of the escape and
provide the following information:

a. Name and CJMIS number of the escaped inmate (detainee)
b. A full physical description (age, race, height, weight, hair and eye color, etc.) of

inmate (detainee) who escaped
c. Clothing description of escaped inmate (detainee)
d. Time and place of escape, also give direction of escape (if known)
e. Inmate's (Detainee's) medlcai condition
Duties of the Supervisor(s)
1. Conduct roU
roll call (visual uniform inspection) and give the Officers their assignments

(inmate (detainee) name, room no., movement/test expected, etc.).
2. Make three (3) daily rounds at the hospital(s)
hospitaJ(s) assigned, obtaining a signature of the
appropriate Officers each time on the hospital rounds sheet.
3. Ensure that all Officers assigned to a hospital a assigned a lunch
IUlJch relief (if not, make
sure reason is documented) on the hospital lunch relief schedule.
4. Always maintain radio contact with the Medical Unit Security office when outside of
office.
5. Ensure that the Chief of Security office (Beat no. 3200) is kept informed of the
current inmate (detainee) hospital count.
6. NotifY the Chief of Security office (Beat
(Beat!l1o.
;no. 3200) immediately upon the demise
of a hospitalized i
inmate.
n m a t e . ' ;·;·'

Plaintiffs' Exhibit 4

Page 5

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 24 of 32 PageID #:2694
I Policy 32

Hospital Policy aod
aDd Procedure

Page 6 of8

7. Act as a liaison between CCDOC and the hospital administration
8. El15ure
E11sure all paper work and logbook(s) are completely filled-out by the Officer assigned
[0
ro the desk All paperwork and logbook(s) are to have your signature at the end of
shift where appropriate.
9. Perform any other duties as directed by External Operations Shift Commander.
Duties ofrhe Movement Officer

I. Check and verify authorizations of all appointments before any movement takes place.
2. All inmates (detainees) are to be searched for contraband.
3. All inmates (detail:lees)
/bJue box covers with waist chains and leg
(detai1:1ees) are to be handcuffed /blue
irons applied prior to movement.
4. All inmates (detainees) that are confined to a bed are to be moved by the hospital
transporter and escorted by the movement officer (the inmate (detainee) is to restrained
to the bed frame by leg irons and handcuffs !blue box covers with waist chains).
5, NotifY
Notif)' the Medical Unit Security office prior to movement and again upon arrival
to destination.
6. Ensure that the most direct route to the destination is taken without stopping.
7. Secure the designated area upon arrival.
8. Upon completion of the assignment(s) given, return
retum to the medical tlnit
nnit seclll'ity office
and await further directive from the Medical Unit Security Supervisor,
Supervisor.
Duties of Officers assigned to inmates (detainees)
I.
2.
3.
4.

5.

6.
6,
7.

8.
9.

Officers are not to h<l.lldle
h<l.l1dle or possess hospital supplies or equipment.
Officers
are
to
provide
security for the hospital personnel and inmate (detainee) alike.
OfficerS
Officers are to maintain the inmate's (detainee's) right to privacy as related to their
medical condition and reason for incarceration.
Wfl!ld to assist in conducting searches of
Officers will be assigned a Garrett Hand Wfllld
items accessible to the inmate ((detainee),
detainee), the room and bed/area of the inmate (detainee)
at the beginning of their tour of duty, after movement from
frQm the area, and after any outside
\v:ith photo identification will be allowed access into
visitation. All medical staff \vith
>v:ithout being hand wanded. All medical staff without photo identification
detainees room "vithout
will be challenged to provide photo identification.
Officers will not allow any unauthorized person(s) in the room or in close proximity
of the inmate ((detainee)
detainee) unless the person identifies him/her self as a visitor. The
visitor will submit to visitor protocol and it must be the correct visiting day.
not allow visitors to have any type of physical contact with the inmate
Officers will no!
Officers will submit a disciplinary report to a Medical Unit Security Supervisor when
inmate (detainee) violates the rules <l.lld
<l.I1d regulations of either the CCDOC, the hospital
or the hospitalized inmate ((detainee)
detainee) information
infonnation sheet.
Officers will adhere to all hospital policies that are not in conflict with the policies of
CCDOC or this hospital policy and procedure.
times with the
Officers will maintain a professional and courteous demeanor at all limes
inmates (detainees), hospital personnel and visitors.

Plaintiffs' Exhibit 4

Page 6

I

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 25 of 32 PageID #:2695

I Policy 32

Hospital Policy and Procedure

of!i'
Page 7 ofli'

In the event of an ESCAPE

1. Immediately notify th" Medical Unit Security office providing as much detail as
po$sible.
pO$sible.
2. Begin searching for the inmate (detainee) monitoring your radio and keeping in
constant contact with the Medical Unit Security office.
3. Complete all reports prior to being relieved or the end of your tour of duty.

H. Visitation
I. Inmate (Detainee) visitation hours will coincide with that established by the hospital and as
v1ritten into policy.
viritten
2. Inmate (Detainee) visitation days are as follows:
Wednesdays only at John H. Stroger, Jr. Hospital Thursdays only at all orher hospitals in the
county of Cook.
EXCEPTION
a.
!I.

Attorney, Clergy and Public Officials may be permitted to visit any day of the week.
b.. Attorney visits are permitted at bedside. The Officer shall move far enough away to
allow for verbal privacy, yet maintaining a constant visual throughout the visit. This
is done to provide for the maximum feasible privacy between attorney and client.
L Program Services

Rehabilitation Workers (CRW) are transported ro hospitai(s) twice a week.
J;;;orrectional RehabilitationWorkers
22. 1'he CRW's will provide paper, peiJ,
pen, pencil and I/ or "v,'!'ite-outs"
"""'1'ite-outs" for those inmates
(detainees) in need as well as upon request.
will only have access to utilize these items unrestrained
3. High Risk Inmates (Detainees) wiII
during the CRW's visit.
L

J. Court Dates
1.
All inmates are to go to court as ordered unless advised by the medical personnel that being
transported might in some way be a health hazard or interfere with treatment or therapy.
K. Inmate (Detainee) telephone usage
I. High Risk inmates (detainees) are permitted to use the telephone once in a48 hour period,
1.
houro of hospitalization as written into policy.
after the first 48 hours

Plaintiffs' Exhibit 4

Page 7

I

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 26 of 32 PageID #:2696
Page8ofSI
Page80fSI

Hospiral Policy lllld Procedure

L. Inmate (Detainee) Responsibilities
!.
I. Inmates (Detainee) are to be held accountable for their behavior. All violations
of the CCDOC rules and regulations as well as those in the "Hospitalized Inmate
(Detainee) Information Sheet" is to be documented on a disciplinary report
2. The only personal property inmates (detainees) shall be allowed to take to the
hospital are legal papers, prescription eyeglasses and/or contact lens, dentures
or other mail correspondence.
Irunates (Detainees) are not allowed to possess any metal or glass objects.
3. Inmates
Irunates (Detainees) are not allowed under any circumst<U1ces
circumstances to receive gifts.
4. Inmates
5. The only food, drink or the like allowed is that provided by the hospital for all
'patients with the same or similar ailments.
.Patients
6. lmnates
Inmates (Detainees) are not allowed to receive or possess currency or money orders.
EXCEPTION
Inmate$ (Detainees) hospitalized at Oak Forest Hospital are allowed to have funds
in an account (see Oak Forest Hospital addendum).
m'e not allowed to be photographed, video taped or sound recorded
7. lrunates
Inmates (Detainees) ate
unless authorized by the Superintendent ·of
'of External Operations (This does not include the
photographing by the CCDOCJR.C.D.C. for identification purposes.
&. When medically permitted,
S.
pennitted, inmates (detainees) will be allowed to use the hospital
restroom facilities,
facilities. This will only take place when escorted and continually monitored
by an External Operations Officer (gender appropriate).
9. The only time HSR inmates (detainee) are to have their leg irons removed from the bed
frame is if they are medically permitted
pennitted to use the hospital restroom facilities, to use
H<U1dcuffs are only to removed from
the telephone or for medical treatment/therapy, Handcuffs
these inmates (detainees) during the one (1) hour designated for meal time per shift.
permitted
10. Only televisions and radios provided by the hospital for patient use will be pennitted
(detainee's) use as well,
well.
for the inmates' (detainee'S)

M. Fantus Detainees
Stroger
F<U1tus detainees transported to Stroger Hospital for treatment will be brought directly to Streger
Fantus
dapartment
Hospital security office and secured. The packet will be brought to the appropriate department
vvill call
for Fantus treatment and the detainee will remain in the Stroger Office. The clinic vl'ill
provide the detainee with their treatment. This procedure will help us
when they are ready to provide
maintain a high level of security and should not be deviated.
Smoking is prohibited by Cook County Department of Corrections personnel and
SmOking
tbe CCDOC while in county facilities.
those mandated into the custody of the

Superintendent of External Operations

Plaintiffs' Exhibit 4

/0-15-<CJ?
/o-/s-()?
Date

Page 8

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 27 of 32 PageID #:2697

Exhibit 5

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 28 of 32 PageID #:2698
S heriffs Office

ISSU
ISSUANCE
ANCE DATIl
DATE

EffECTIVE DATE

NO,

COO
C OOl{
l{ COU1\'TI',
C OUNTY.ILLlNm
ILLlN01Ss

SHERll'F'S ORDER
SHERIFF'S

10

SECURITY SPECIAL SrrUA
SEClffiITY
s rrUA TIONS,
PREGNANT ARRESTEES I

J.
I.

sS

PURPOSE
Ibe purpose of
ofthis'ordcr
this' order is (0
to establish
establ ish approved methods for the usc
use of restraints on
pregna nt subjecL<;.
pregnant
subjects.

II.
IT.

POLl
CY
POLlCY
It istllC
is the pol
policy
icy of llie
the Cook County Sheriff's Officethanhe
O ffice that:the u s~ ''6f
d freStr{tints
rc str~in ts on pregriant
pregnant
c.ustody who require iIl
subjects in custody
i:n edical
edical attention/transport
atrcntimillnllsport for the purpose
purpOse of delivering a
baby is strictly prohibited
prohib ited.. During routine movement
movemen,t of
ofpre@antsubjects
pregnant subjects \.;ho
\vho are liot
not in
-labor,
labor, the
the ,use of restraints will be limited to handcuffing'
handcuffing in front of the body for
transportation outside of secure
seeUre areas.
areas:
.

ENCLOSURE

ill.
Ill.

Pregnant Subject Medical Incident fom1 (FCN-3XMAR,1
(FCN-3XMAR.1 0)

IV.

'AUTHOtUTY
'AUTHOIU1'Y
Couoty 1ail
County
Jail Act (730 ILCS ·125/17.5)
125/17.5) Pregnant
Pregnaot feO:.aJe
fe~,al e prisoners.

Notwithstanding-any other
s~tutei directi
directive,
when a pf:~gn
pregnant
'Notwit!lsranding'a~y
oth~ ~tatutei
ve, ~r .administrative
adlllinistrative regulation,
re~ulation, When
ant.

femalc .p
:prisoner
risoner is 6rought
~rought to
to an ·hosPi4ll.from
'hospitai:from 'a C91lllty
~OW1ty jail
J~il for t.P.
tJi,~~ ·p~J.(po~e
pu!po~c of
c;:{dclivCflng
delivering 'hii
h ~r
baby, [fa
ifo handcuffs',
handcuffs. s.hackles,
s.hackJes, qr
Qr restraints
restr.lints of~y kind in;:iy
In~y bei.t~eP
beiJ.~~ , qurjn'
4U1:.tn·g,hcf
g.hcr 'transpc{rt...tb
t ransp6hIb a
medical
med
ical fac
faciiliiy.for
lity.fo\' thy
tht; pUrpo~e of deliveringher.
deliveruig -her..ba"bY,
baOY. rJuder
U'n~e·r ri~'
ric,s;irClutt'stap~s
cirCtu:Q'st:api;es 'm~1
'in~1 Ieg
:irons
.irons or sh<\cklcs or waist
\vaist shackles
s hackles be used On
"On <illy
&nY pregriant
pregnant f~liiale
f~I.Ii.:ile 'prjsoll·ef"\vlio·
·p.rjso,ier"wIio·is:i1J
is 'i.n lauor.
!aoor.

pregnant

roqm;.a

U p.on the pregnant f~ml;lle
r's entrito
'ho~pit,i~1I·I· d6liV~
"..
Up.on
f~m~te p~isone.
p~isoner's
entry:to .~ie
ie:ho~pit.
d6IiV~ TOClm, .3 CO~lty
C~H~llty .
.correct,ioual
offlcer !flllst
must be poste~
posted. immed!~t~l.r.
imrnediat~ly.ol!tsi_
d~ the
Tlie$l:teriff
correct,ional officer
ou~ ig.~
~e .9-e:1ivery
d~li v~ry ro:ojll.
r<?,om. T~e
'SJ:teriff t;ll}-s~
~l1 \lS,1
.-proyide
provide for
fo r adequate personnel.
personnel,. to
to 1n00jitodiJe'
1ll00jitor the" -pr~gn<ylt
pr¢gha,nt feiUlue
female pri!>ofl.c'r'
p-n!>Oilc'r:dd u~i[]
Ll~ingg her transport
lJ'anspolt
~to
'to and
aud
fro~.
ffom.
tlJ
Ul
e
hospita"
hospita'
l
,
and
~.urin:g her stay at ,the
~~rillg
.the
hospi
hospital
tal
.
,
.'
-'
:
'
..
, .

v.
v.

DEFINITIONS
DEFINTHONS
For tJle
the PUrPOS9
p urpose of th
this
is order, the
th1;: _foJlowing~efU1it19ps
foll owing· ~ erU1jqci~l s will
wil l appfy;
avpfy;''
.

A.

....

.<

Subject -'
any arrest~e.
,qf1he Cook
- ·any
arresi~e. detainee, or iritnate' j~ the :CliStody'
;Ctistoa/Qf1he
Co~k Cbunty
C~uuty ·.·. ::',
Sheriff's
'
,'
Sheriff' s Office,

uunate in

,

Plaintiffs' Exhibit 5

Page 1

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 29 of 32 PageID #:2699

SaGO
SO GO 11.5.30.0

B.

Pregnant subject- any individual in the custody of the Cook County Sheriff's
Sheri ff's Office
who is verified by med
medical
ical personnel to be pregnant. A female
fe male subject
subject' who claims 10
be pregnant wi
willll be considered pregnant wltil
until verificat
verification
ion by med
m ed ical personnel.
personnel,

c.

Pregnant subject in
ill labor - any
allY indiv idual in
i.n tile custody
c ustody ohhe
of the Cook Counry
County
Sheri ff's Office who cla ims to be in labor or giv ing birth, appears
Sheriff's
ap~ars to be in labor, or
personnel to be in labor.
who is verified by medical per.;onnel

Technical note: For
For,purposes
purposes of this policy,
pol icy, medical personnel will consider 'labor'
' Jabor'
to include aany
llY medical
medical cond ition in which a Woman is
il> brought to die
dIe hospital for t.he
the
purpose of
of del
delivering
ivering her baby_
baby. These situations
situati.ons include; induction
induc ti on of labor,
prodroma l labor, pre-tcnn
pre-tern} Jabor, prelabor rupture of memhranes, the three
t.hree stages o f
prodromal
active labor.
labor, uterine hemorrhage d
during
uring the third trimesletrimeste-r of preg.nancy, ami
and
ry including pre-operative preparation.
delivery
caesarian delive

VI.

D.

in dividual recognized
recogniud or licensed by the Siale of Illinois as
Med ical personnelpersonnel ~ any ·individual
nurse, physician, physician assistant, paramedic, or other emergency medical
a nllrse,
technician.

E.

Non-pregnancy related medical distress -nny
- any condition n<;lt
nQt [elated to pregnancy,
which requires
requ ires immediate medical
medica l attention.

F.

Restraints
Restrain
ts - handcuffs,
handcu ffs, Icg
leg shackles, v.'oist
waist shackles, flex
flcx cuffs, etc.

RESPONSIBILlTfES
RESPONSmILITmS
A.

Jr is the responsib
responsibiility
lity of Sheriff's Officc emp
employees:
loyees:
To ensure that restraints are
arc not used on
Oil a pregnant subject requiring medical
medic:!l
delivering
attention/transport for the ppurpose
urpose of del
ivering a baby.
.

I.

.J

Toinfoml
To inform medical p~rsonllel
persoll1lel ~hat
~:h atofficers
officers are required
iequi~d by
l;1y law.
Jaw. t9
~P rcn~ove
ren~ove .
restraints at
restraiuts
a t the onset O
oftlle
f tllC subject's labor proces~. Officers are
are requlrcq
required to
td
requ·est
req u·est that m edical persotUlei
persolUlei advise
adv ise them
thcm wfien
wilen die
th~ subjcct
subject is «in·
~'in· ·labor".
labor". ·

2.
2.

B.

,

.

:S
'S upervisors
upcrvisors must
m ust aallow
llow for an adequate number of o
officers
ffi cers ttoo prov
provide
ide s~cll.6ty
s~ u.J;"i ty (or
~or a
<l
s ubj ect in labor, and this will include accounting
accoUnting for ·the
the ssubj~ct's
ubje;c.t ' s risk ~iassi(ic;:atjon
hlasis ifj!?~tio~..
·subject
.

c.
'.

,

It is the responsibility
responsibil ity of CermafHeahh
Cerm ak Health Services, upori
upon verification of pregnilncy,
pregnancy, 10
identify all pregnant
prel:,'11an t s ubjects in [he
the jail i!lfomlation
i..!lfOmlation system
systel~l by po·
postiog
s ting a ;"ued
;"ned i·c·
i·c·lll
I.,] .
a lert in lMA
alert
I.MACS:
CS:
I

.c.

. VIT.
VU.

PROCEDURES
A.

Notification
Notifi
cati on~eporting
.'~lR.eporting

When a subject displays symptoms
sym ptoms or
of medical d istress or lal.?.or,
lal;l.or, the reSjiOllping
re~pon9ing
shall;:
.
officer shall
.

~' .
• ;: !,

. 2.

Plaintiffs' Exhibit 5

Page 2

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 30 of 32 PageID #:2700
SOGO
SOG O 11.5.30.
11.5.30.U0

I.

ensure medical attention is provided.

2.

notify immed
immediate
iate supervisor to convey the [allowing
(ollowing informati
information
on :
a.

l 1Iai
l Iat med ical personnel
personn el have been contacted.

b.

TIle subject
subject''ss status as:
I.

su bject in labor
Jabor (required-to
(required·to remove all restTaints)
restraints) or,

I I.
11.

pregnantl s ubject in non-pregna
prcgn::m
non-pregnancy
ncy related
re lated medi cal d ist ress
body)..
(subject w ill be handcuffed ill front of the body)

c.

C un"cnt
urrent location.

d.
d.

Any special security/high risk factors.
fa ctors.

3.

call the Departmen t of Worilen's
Women's Justice Services
SClVices (DWl S) Security Office
located
locati!d in
ill Division
D ivision 17 at (773) 869-6
869-6793
793 and
llJ1d notify th e sergeant on duty of
the
U1C i.nfonllation
i.nfomlat ion listed in section VII,
v.n, Subsection A i, a-d.

4.

docul uent the incident using the Pregnant Subjest
document
Subje.s;t Medical Incident
Inc ident F
Fonn
onn..
This foml
fonn must
m ust be completed wllcnevcr
wllcncvcr a pregnallt
pregllapt s ubj ect requires
requ ires
transportation for immediate medical aUelition.
att ention. Upon completion, the
Pregnant Subject Medical Incident
IJlcideot Fon
Fonll
n must be imm
im med
ed iately fOr.':-'arded
fo~' arded to
the Department
Deprut ll1ent of WOlUen's
Women's Justice
J ustice Services.
Services,

B .,

Seclirity

J,
J.

R Olltine
o utille movemcnt
mov ement outside of secure arcas
areas

an,.

A pregnant ssubject
ubject \\vill
....W be restrained
hruidc
uffs
_,_,
restrai.ned wjth the use of han
dcuffs
secured ill [Tont of the body for the
Ule ptirposc
purpose ofroutin.e m.9
n19vemcnr
Vemcllt
outside
of secure
areas, Pregnant ssubjey~
ubjectS may
ffl'<d
9uts
ide of
se~ure areas,
lU~y ilOl:
i~o~ .bb~·
~ iJ.a.p.49Li
h.an9~~ ftl'1d
i>ch
ffed
to
an~fhci'
slIbjec~
or
b~"
r'
e
st:
bch i ud thei
theirr backs, 'be handel!
handcuffed
anoiher
~albject,
or'
be
re
sfraioed'
.,
'.
..
.~aioed'
, . .
with waist
waist or
s hac kl~s,
. ' . , ' , ' .' . '.:",.:' .
with
or leg
leg shackles.

of

'

b,
b.

A pregnant subject, while han dc
dcuffed
tlffed in fron t of
ofth.
th,c body, for
routi ne purposes will be transported
routine
tra nsported either
c,ithcr b;V:
b;r:
I.

Q
qne
ne officer ill
in a sq
squad
uad car equipped w ith a security barrie r
(i.e.
'cage
c
ar
')
or;
.
(i.e,
car')

II.

two officers in a squad
wiQl an
MO
sqund with
~v i lh no security
se~urity barrier, Wi'll
o ffi cer sealed direc
offi
directly
tly bth
bthind
iJ1d the drivcr:
drjvcr:'~
'~ ~cal
~cat all(~
alJ(~ t1 ~c
pregnant subj ect w i!1
ill he
ue seatec,!
seateq diIl.;ct
direct ly
lY behindthe
behind the '
UIlOccllpied
U1I Occ~lpied fro
fron.t
n,t passenger's scat. '1~le
11e fr~
fr~lIt
nt paSSe~lj;Cr
passe.n gcr se!lt
seflt

3

Plaintiffs' Exhibit 5

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Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 31 of 32 PageID #:2701
SO GO 115.30.0
wil! be l!-'
l ~n
!ft vacant as an officer safety
slifety p recaution. Addilion:ll
Additioml
security, when
\vhe n assigned,
ass igned, wi!]
wi!! fo llow
ll ow in a separate vehicle.
Non~pregllaJlcy
Non~pregllarlcy

22..

relalt:d medical
rcJatt:d
medical distress

ref,'llllllt subj ect ill nOll-pregnancy
nou-pregnancy related medical distress will be
A ppref,'THlI1t
restrained with the use of handcuffs secured in fTOnt
fTOnt" o f tile body or secured
to a hospital
hospital bed [nunc
fra me for the purpose of movement.

3.

Subject in labo r

au..

If a pregnant s ubject is cla
c laiming
iming that 'she is ill
in labor and is in ao
an
isolated secure area (i
(i.e.
.e. bac k of 11 squad caf
car equ ipped with a security
securit),
barrier, aalone
lo ne in ;ltl cell), restra ints w
wiillll be re
remo
moved
ved..

b.

If a preg
pregnant
nant s ubject is cla im ing that she in labor
labo r and
<mu is not in all
an
iso lated secure area (i.e.
( i.e. day
dayroom
room with other subjects,
s ubjects, holding
ho ld iJ;lg cell
with oother
with
ther subjects, in a cell with a ceJlmate),
ccHmate), the o ffi cer wil.]
\V iI.] call
ca ll for
extru
security, remove the restra
restraints,
ims, and clear thc
the arca
area of any
an.y
e xtra sccqrity,
subjects
ivilians (i.c.
(i.e. rClu
retum
Ol other
ot.her subjects to th eir cells, move
subjec ts or ccivilians
other subj ects to an a lternate .secure
.secu re area).

c.

DWlS will be notified immediately and will dispatch a DW.J
D WJSS officer
either·to the current
either'to
c urrent locat
Iocat ion of
oflhe
tile subject, or tto
o the med
m edical
ical center
where she is trnnspOI1ed
transported.. Transport
Transpon of the subject is n
not
Ol the
responsib ility of DWJS
responsibility
DWlS .,

r

·d.
d.

Upon arrival
arriva f of medical
medicaJ personnel, the officer will inquire if th
thee
subject
subj~t is in labor.
Jabor. If
If it is unclear if shc is in labor
Jabor a t th
this
is point,
poi.nt,
restraints wi ll not be used. If
Ifriled
nlcd ical personnel'
pc rsonn cl" indicate
i.npicate: Ihc
thc subject
is not
/lot in labor
la bor thcll
thcn thc
the pregnant s ubject w ill be restra
restrained
ined with the
LIse
use of handcuffs secured
sec ured in front of tile
the body.

e.
c.

Ollce o~-scene,
Once
o ~ -sce ne, the DW IS
JS offi
officer
cer wil!
will manage
m anage the use
US~ of restraints
and direct·
direct offi cers in providi
p'roviding
ng security for th
t.h e s ubject. Officers
offi,;c!"s arc
defer ·to Ihe
who ha<;
the DWJS
DWJS officer, Who
ha', training specific to pregnant
to defer'to
subj ects.
ect'S,
.'
.subj

f.

Uponn arrival at the hospital, a minimum
mi.nimum of one
o.ne of the tran
t;ran sporting
Upo
officers will rem
remain
ain wi
with
th the DWlS offiyer
o ffi~ eT to pr:ovide
provide sec
security_
urity. A
supervisor w ill decide which
whieh of the lnmspo
~allspo rrtin
tingg officers .svil!
wil! remam
remain
with tlJ
witb
thee DWJS officer, or ifadditiona!
i[additional officers·
o ffi cers' wi
will
ll re main fo
forr
'security
' security p
purposes.
urposes.

-.
g.

to

a p Officer
y pon arrival at the hospital
~ospiraJ delivery room,
room , ap
iJffice~ (pre~crabJy
(pre~er&lbly _
fe mnlc)-nmst provide security for the su
femalc)-omst
s ubject
bject ahd
,~hd be posted
d iscreetly !lear
ncar the head of the subject' s bcd
bed .

4

Plaintiffs' Exhibit 5

Page 4

Case: 1:08-cv-06946 Document #: 219-1 Filed: 06/15/11 Page 32 of 32 PageID #:2702

saGO
SO GO 11.5.3U.O
11.5.3 U. 0
POSt
Post Jabor

4.

3.
:to

may
011 the s
ubject after the
Restraints Ill
ay be used if necessary on
subject
th e
labor/childbearing process has been completed
com pleted for
fo r the duration of
labor/childbc:tring
hospital.
her sta),
stay at the hosp
iLaI.

I.
I.

II.
II.

RestrainiS
o fhandc
uffing or securing the subject
Restra;ms will
wi!! consist.
consist of
handcuffil\g
fram e.
to (he hospital bed fTame.
j::Ollfincs of the hospita l
Movement wi ll be restric ted to the confines
room.

Ill.
IL !.

5.

A prcgnum
prcgnall! subject
subjec t who is c harged with or who ha!i
has been
convicted of
cOllvicted
o f any homicide charge
c ha rge (first
(fi rst or second
secolld dcgrct:
Illurder,
nslaughte
r, reckless homicide) wi
will
IllIJfc!cr, involuntury
invo luntary ma
mansl
aughter,
ll
restrained
IC labo
lab"o r/childbc.arin.g
be restra
ined at all times after dthe
r/childbc.aring process
bas been
comp leted..
been completed

hb .

The use ofl eg shackles
shac kles is pprohibited
rohibited during the
after labor.

cc..

D W JS
officer will
w ill remain with
Both the transporting officer and the DWJ
S officcr
th e subj
subject
ect for lile
the duration of
of the
lhe hospital
hosp.ital visit, unless
un lcss rel
relie
ieff o
officer's
ffi cers
are assigned.
.

d.

H andcuffs w
Handcuffs
will
ill be used for transport at the
tbc end
e nd of lhc
the hospital v isit.
isit

t\
t' lJQ
.....o

week period

Exceptions

,
~

<I.
a.

th e rare inslrulce
instrulcc when :m
3.0 officer believes
dIal dIe
regnant
Tn the
pelicycs .llllH
Ule ppregna
nt subject
subj ect
th e DWJS
may hmn herself or others, the DWl S officer will advise the
thj ~ conoc!!l
o n of med
ica l
supervisor
s upervisor and wi ll bring tlu!i
conocfP (0 tIle ·~t~~n..ti
·~t~~n..tion
medical
ider ap
pli~alion of
o f restrt~ilHS
personnel, who will cons
consider
appli~alion
restr~ilHs on clinical
grounds.

to

,
b.

~f an
all

pregn p.n ("Subjeet
ible risk
officer believes that the pregnpn
t'subject poseli
poses a cred
credible
o f escape,
esca pe, the
Thee
of
UIC DWJ S officer wi ll contact the DWJS supervi sor. Th
DWl S supervisor will
w ill commu!licate
comm Uflk8.te w
ith. the transporting officer's
DWJS
with
regard ing the assignment of
ad~ i tion,!1
ti ont!1 o
officer"(s)
supervisor regarding
of addi
fficer(s) to
provide necessary security
security..

vrn.. API'LiCAUrLITY
AP))LI'Ct\.Uf.LITY ·
vW.
By ~:)rder
p'rder o(
O( tlle
tJ1C Sheriff of
o f Cook County, tll
tJlis
is Sheriff'
Sheriff'ss O rder
rde r appl
appli,os
i.cs 10
1"0 all,
al J~ applicable CCSO
and must
mllst be strictly
stric tly observed,
obscrved . AllY
AllY confljcts
con fli cts witI}
with e~i
e~ i 5t
5tin
i n g directives shall
shall be

c mpl
lllpl oye~s
oy~~s

res9lvcd :in
res91vcd
-in "-fu
favor
vor of th
this
is Sheriffs
Sheri ff's O
Order.
rder.

5

(

Plaintiffs' Exhibit 5

Page 5

 

 

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