philadelphia police department directive 3 · 2020. 7. 17. · aed program coordinator and will...

PHILADELPHIA POLICE DEPARTMENT DIRECTIVE 3.14 Issued Date: 07-20-18 Effective Date: 07-20-18 Updated Date:

SUBJECT: HOSPITAL CASES ______________________________________________________________________________

INDEX

SECTION TITLE PAGE NUMBER

1 Policy 1

2 Procedure 1

3 Medical Treatment of Prisoner 3

4 Air Medical Services 4

Appendix “A” Accredited Trauma Centers and Trauma Receiving

Hospitals

Appendix “B” Automated External Defibrillator (AED)

Example Memorandum for Reporting AED Usage

Appendix “C” Protective Services for Older Adults

Appendix “D” Heat Emergencies

Appendix “E” Duty of Police Officer to Identify and Facilitate Medical

Care for Persons Found in Semi-Conscious or Unconscious

Condition as a result of Epilepsy, Diabetes or Other Illness

DIRECTIVE 3.14 - 1

PHILADELPHIA POLICE DEPARTMENT DIRECTIVE 3.14

Issued Date: 07-20-18 Effective Date: 07-20-18 Updated Date:

SUBJECT: HOSPITAL CASES ______________________________________________________________________________

1. POLICY

A. Police personnel will consider the assignment of a hospital case an emergency unless

advised otherwise by a medically competent person. First aid will be rendered and the

person transported to the nearest hospital. However, any person with a serious

penetrating wound or blunt trauma to the body will be transported to the nearest

accredited trauma center.

B. Police personnel assigned to radio patrol cars will, whenever possible, without

detriment to the person, handle hospital cases to ensure availability of emergency patrol

wagons for other assignments.

C. The Philadelphia Police Department will not dispatch police officers to the scene of

hospital cases when Fire/Rescue responds except in the following circumstances:

1. When requested by Fire Communications.

2. Hospital cases arising from criminal acts, auto accidents or any other instances in

which a police investigation /action is required.

______________________________________________________________________________

2. PROCEDURE

A. Police personnel will transport:

1. Persons suffering from a serious penetrating wound, (e.g., gunshot, stab wound,

and similar injuries of the head, neck, chest, abdomen, and groin) shall be

transported to the nearest accredited trauma center. Transportation of such cases

will not be delayed to await the arrival of Fire Department paramedics.

NOTE 1: Persons suffering from blunt trauma or a violent injury to the body

(e.g., closed trauma to the head or chest which may result from a motor

vehicle accident or a fall) should be transported to the nearest

accredited trauma center by Fire Department paramedics because of

the level of treatment that can be provided by the Fire Medics.

DIRECTIVE 3.14 - 2

NOTE 2: Refer to Directive 9.1, “Maintenance/Repair of Police Buildings/

Equipment and Decontamination of Police Personnel and Vehicles” for

the proper cleaning of vehicles contaminated by blood or other bodily

fluids.

2. Police/Fire personnel as follows:

a. On duty emergency - to appropriate treatment facility

b. On duty non-emergency - to closest Compensation Clinic

c. Off duty injury/illness - to appropriate treatment facility

B. Police personnel will:

1. Exercise safety precautions as per Directive 3.15, "Handling Exposure to

Communicable Diseases."

2. Permit family members or friends to accompany the person to the hospital.

3. Use handcuffs when transporting prisoners (unless otherwise directed by a

supervisor).

4. Ride in the rear of an Emergency Patrol Wagon with the person unless:

a. The person is a prisoner.

b. The injury/illness is not serious.

c. The person is accompanied by family or friend.

5. Notify Police Radio of type of injury and hospital destination.

6. After arriving at a trauma center with the victim of a serious penetrating

wound or a blunt trauma to the body, notify Police Radio Operations Desk and

Operations Room Supervisor of district of occurrence by phone with the pertinent

facts of the assignment.

a. Notify Detective Division Supervisor if the injury is undetermined, suspicious

or a crime has been committed.

7. Prepare a Complaint or Incident Report (75-48) on all hospital cases in compliance

with Directive 12.11, “Complaint or Incident Report.”

DIRECTIVE 3.14 - 3

C. Patrol Supervisor will:

1. Make the final determination for hospital cases requiring specialized treatment at a

hospital other than an accredited trauma center.

D. Police Radio will:

1. Notify Fire Department Paramedics to respond to serious injuries/illnesses.

2. Notify the receiving hospital of the person's condition and expected time of arrival.

E. Fire Department Paramedics will:

1. Respond to serious injuries/illnesses such as seizures chest pains, strokes,

overdoses, diabetic emergencies, unconsciousness, poisoning, broken bones, or

back injuries.

2. Assume full responsibility for the medical welfare of the person.

______________________________________________________________________________

3. MEDICAL TREATMENT OF PRISONER

A. When a prisoner is taken to an emergency facility, the transporting officer(s) will:

1. Give a brief description of the injury and the physician's name. If the prisoner

refuses medical treatment, request that the physician sign the 75-48.

a. Prior to removing a prisoner from the hospital, the transporting officers will

contact the pertinent Detective Division/Unit Supervisor for instructions.

b. The Operations Room Supervisor will ensure that a separate set of district

control numbers is requested for the hospital case. This set of district

control numbers will be in addition to those issued for the original incident.

c. The 75-48 will be coded “3017” (Hospital Case in Police Custody). The

district control number of the original incident will be placed in the

description of incident section of the hospital case 75-48.

d. The ORS will ensure that the Hospital Case Reporting Form, which is located

on the PPD intranet, is filled in completely

B. Distribution of the 75-48 for a prisoner receiving medical treatment:

Original…………. Reports Control and Review

Yellow Copy …… District File

DIRECTIVE 3.14 - 4

Pink Copy……….. To accompany the prisoner

C. Notification of Internal Affairs:

1. When the cause for the medical treatment results in death or a serious life

threatening injury, a supervisor will immediately notify his/her commanding

officer or Command Inspections Bureau (CIB) commander. That commander will

immediately notify Internal Affairs by phone. Police Radio will be notified on

the 12AM – 8AM tour or on weekends.

2. The Operations Room Supervisor (ORS) will also ensure that the Hospital Case

Reporting Form is filled in completely and accurately. (Located on the PPD’s

intranet homepage).

3. When the cause for the medical treatment results in only minor injury or a

complaint of pain, only the Hospital Case Reporting Form needs be completed, no

phone call to Internal Affairs is necessary.

______________________________________________________________________________

4. AIR MEDICAL SERVICES A. The use of air medical services will be at the sole discretion of the Philadelphia Fire

Department, EMS personnel. In the event that PFD personnel elect to utilize air

medical services, a Patrol Supervisor will be summoned to coordinate police operations

with PFD personnel.

______________________________________________________________________________

BY COMMAND OF THE POLICE COMMISSIONER ______________________________________________________________________________

DIRECTIVE 3.14 – 1 APPENDIX “A”


APPENDIX "A"

Issued Date: 07-20-18 Effective Date: 07-20-18 Updated Date: 07-16-20

SUBJECT: ACCREDITED TRAUMA CENTERS AND TRAUMA RECEIVING HOSPITALS ______________________________________________________________________________

1. POLICY A. The following hospitals have trauma treatment capabilities. When within 10 minutes of

transport time, transport the victim to the closest accredited trauma hospital

(*asterisked hospitals).

POLICE

HOSPITAL LOCATION DIVISION

*1 * Lankenau 100 E Lancaster Ave West (Lower Merion)

* Jefferson 11th & Walnut Sts. Central

** St. Christopher's Erie Ave. at Front St. East

* Temple 3400 North Broad St. East

* Einstein (Northern) Old York & Tabor Rds. Northwest

* Aria (Torresdale) Knights & Red Lion Rds. Northeast

** Children's Hospital 34th & Civic Center Blvd. Southwest

* Penn Presbyterian 38th St. & Powelton Ave Southwest

* Accredited trauma centers for adult and pediatric patients. (Note: Temple - adults only)

** Accredited trauma center for pediatric (16 years and under) patients only.

______________________________________________________________________________


FOOTNOTE GENERAL # DATE SENT REMARKS

*1 #1789 07-16-20 ADD/DELETIONS

DIRECTIVE 3.14 - 1 APPENDIX “B”


APPENDIX “B”


SUBJECT: AUTOMATED EXTERNAL DEFIBRILLATOR (AED) ______________________________________________________________________________

1. PURPOSE

A. To establish guidelines for the use of the Automated External Defibrillator (AED) by

members of the Philadelphia Police Department including placement of units, provider

training, documentation of use, equipment maintenance, interface with the Philadelphia

Fire Department Emergency Medical Services (PFD EMS), Medical Oversight and the

responsibility of the Philadelphia Police Department AED coordinator.

______________________________________________________________________________

2. POLICY

A. Sudden cardiac arrest is a major cause of death in the United States. A critical step in

treating victims in cardiac arrest is the delivery of an electrical shock

(defibrillation) to the heart with the use of an AED, when indicated. In an attempt to

reduce mortality from sudden cardiac arrest, members of this department, trained in

cardiopulmonary resuscitation (CPR) and the use of the AED, will follow the

guidelines established by the certifying agency.

B. AED providers will assess the circumstances and follow the AED protocol for

delivering shocks, as trained. An AED unit will not be used in any situation

precluding safe use such as the patient being immersed in water or lying on a metal

surface.

NOTE: Anytime an AED is applied to a patient, a Complaint or Incident Report

(75-48) for a hospital case will be prepared along with an AED Incident

Memorandum. (See example format). In the event that an AED is used

other than that assigned to the Philadelphia Police Department, officers will

abide by the reporting procedures pertinent to that device (e.g., Public

Access Device’s (PAD’s) such as those located at the Philadelphia

International Airport).

C. The placement of the Medtronic Physio-Control Life-Pak 1000 series AED will be at

fixed locations and secured inside the assigned AED wall cabinet in the Operations

Room of the districts and units where designated. Placement at other locations will be

determined on a case by case basis.


1. Each unit will contain two sets of electrodes, a First Responder Kit, and an

AED/CPR instructional card.

2. The AED Coordinator will be responsible for the replacement of the electrodes and

the First Responder Kit, after each use.

D. The Operations Room Supervisor/Detective Supervisor/Building Security Supervisor

will be responsible for checking the A.E.D. at the beginning of each tour of duty

ensuring that the LCD (liquid crystal display) “O.K.” indicator is displayed on the

handle of the unit.

E. In the event of a malfunctioning unit, the Advanced Training Unit (ATU) will be

notified via computer message for a replacement unit and/or repair of the unit.

F. The ATU will be notified via computer message anytime an AED is used and an

entry will be made on the district/unit’s Daily Complaint Summary (75-67). A copy of

the 75-48 and the AED incident memo will be picked up by ATU personnel.

G. The Operations Room Supervisor/Detective Supervisor/Building Security Supervisor

will have the overall responsibility for timely and appropriate AED usage, EMS

notification and departmental reporting.

______________________________________________________________________________

3. A.E.D. PROGRAM MEDICAL DIRECTOR

A. The medical oversight for the Philadelphia Police Department A.E.D. program will be

provided by the Philadelphia Fire Department’s EMS Medical Director.

______________________________________________________________________________

4. A.E.D. PROGRAM COORDINATOR

A. A member of the Training and Education Services Bureau will be assigned as the

AED Program Coordinator and will liaison with the AED Program Medical Director.

B. Responsibilities of the AED Coordinator will include assuring that the requirements

of the AED policy are met.


______________________________________________________________________________

5. REPORTING

A. It is the responsibility of the AED Coordinator to forward AED usage reports to the

PFD EMS Medical Director within five days of occurrence; this will include the AED

data printout. In addition, a quarterly report will be forwarded by the AED Coordinator

to the PFD EMS Medical Director, which will include a summary of AED usage, the

number of trained personnel, and any changes to the location of the AED program.

______________________________________________________________________________

6. TRAINING

A. Members are required to successfully complete initial AED training before using the

AED.

B. Members must undergo retraining on the use of the AED as required by the certifying

agency.

______________________________________________________________________________



EXAMPLE FORMAT P O L I C E

MEMORANDUM CITY OF PHILADELPHIA

DATE:

TO : AED Coordinator, Training and Education Services Bureau

FROM : P.O. xxxxx xxxxx # xxxx, District/Unit

SUBJECT : AED USAGE / DC#XX-XX-XXXXXX

1. Date and time of incident:

2. Location of incident:

3. Name of patient:

4. Age of patient:

5. Gender of patient:

6. Was EMS activated?

7. Was CPR initiated?

8. Was the patient transported to the hospital?

9. Which medic unit transported the patient?

10. To which hospital was the patient transported?

11. Did the AED restore the patient’s heartbeat?

12. Were there any problems in using the AED?

13. Summary of the incident:

Submitted,

______________________________

Name

Rank / Badge #

District/Unit

DIRECTIVE 3.14 - 1 APPENDIX “C”


APPENDIX “C”


SUBJECT: PROTECTIVE SERVICES FOR OLDER ADULTS ______________________________________________________________________________

1. BACKGROUND

A. The Older Adults Protective Services Act (Act 79) is designed to protect the abused,

neglected, exploited, and abandoned elderly in Pennsylvania. This Act gives the local

area agency on aging (Philadelphia Corporation for Aging) responsibility for

developing and maintaining a protective services plan for vulnerable older adults age

60 and above.

B. The Older Adults Protective Services Act (79) reads (in part):

“It is declared the policy of the Commonwealth of Pennsylvania that older adults who

lack the capacity to protect themselves and are at imminent risk of abuse, neglect,

exploitation or abandonment, shall have access to and be provided with services

necessary to protect their health, safety, and welfare. It is not the purpose of this Act to

place restrictions upon the personal liberty of incapacitated older adults, but this Act

should be liberally constructed to assure the availability of protective services to all

older adults in need of them. Such services shall safeguard the rights of incapacitated

older adults while protecting them from abuse, neglect, exploitation, and

abandonment.”

______________________________________________________________________________

2. POLICY

A. Whenever police personnel are aware of a person who is at least 60 years of age and is

at risk of abuse, neglect, exploitation or abandonment pursuant to the Protective

Services Act, the Philadelphia Corporation for Aging (PCA) will be contacted and

police assistance will be provided upon request.

1. The Philadelphia Corporation for Aging can be contacted at (215) xxx-xxxx on a

24-hour basis, and is located at 642 North Broad Street, Philadelphia, PA 19130.

There is always an investigator and supervisor on-call.


______________________________________________________________________________

3. PROCEDURE

A. Whenever an officer is made aware of a situation requiring PCA intervention where

self-neglect is evident, he/she will:

1. When necessary, take immediate police action.

EXAMPLE: Render first aid and notify the Fire Department for a Medic Unit to

have the complainant transported to the hospital.

2. Notify the Philadelphia Corporation for Aging.

3. Record on the Complaint or Incident Report (75-48) the person contacted, and the

time the call was made, in addition to the description of the incident.

4. The pink copy of the 75-48 will be forwarded to the district Victims Assistance

Officer (VAO) for information.

B. Whenever an officer is made aware of a situation requiring PCA intervention, where

abuse, neglect, or abandonment is evident, he/she will:

1. When necessary, take immediate police action.

2. Contact the detective division of occurrence.

3. Notify the Philadelphia Corporation for Aging.

4. Record on the 75-48: the person contacted, the time the call was made, and a

description of the incident.

5. Fax a copy of the 75-48 to the Crimes Against the Retired and Elderly Unit

(CARE) at (215) xxx-xxxx.

6. The pink copy of the 75-48 will be forwarded to the district VAO. Sexual assaults

will also be forwarded to the Special Victims Unit VAO.

C. Whenever the Police Department receives a request for assistance from the PCA, the

district VAO or the Crime Prevention Officer (CPO) will:

1. Accompany PCA personnel for protective services.

2. Notify a police supervisor whenever there is a potential for danger.

3. Record on the 75-48: the name of the PCA employee assisted, a description of the

incident, and any action taken.


4. Forward the pink copy of the 75-48 to the district VAO for information.

NOTE: District personnel will provide necessary services whenever the VAO or

CPO is unavailable.

______________________________________________________________________________


DIRECTIVE 3.14 - 1 APPENDIX “D”


APPENDIX “D”


SUBJECT: HEAT EMERGENCIES ______________________________________________________________________________

1. POLICY

A. This plan is designed to provide identification, outreach, and intervention to those most

at risk of heat stress. Age, chronic disease, housing, physical condition, substance

abuse, and medication usage are variables used to identify the most vulnerable

populations.

______________________________________________________________________________

2. PURPOSE

A. The Philadelphia Department of Public Health (DPH), Division of Health Promotion

has the lead responsibility for implementing and monitoring emergency summer heat

intervention and outreach activities. The Health Promotion Division will have primary

responsibility for over-seeing and responding to Summer Heat Emergency (SHE)

operational issues. The Philadelphia Police Department’s role in these situations are

limited.

______________________________________________________________________________

3. TARGET POPULATION

A. The Philadelphia and Pennsylvania Heat Wave Task Forces and the Centers for Disease

Control and Prevention have identified the following as risk factors which help identify

the target population:

1. Elderly

2. Chronic disease, particularly cardiovascular

3. People who are culturally, socially, or geographically isolated

4. People who live alone

5. Lack of increased fluid intake

6. High heat environment or increased physical activity

7. People who are homeless

8. People who do not speak English

9. People who cannot read

10. No air conditioning in the home

11. Not being able to care for oneself (infants left in wrong environment)

12. No time spent in air conditioning other than their home

13. No reduction in activity


14. Substance abuse and alcoholism

15. Maintaining normal activity level

B. The group most at risk is older people, living alone in non-air conditioned structures

and who have cardiovascular disease.

1. Heart disorders are often caused by the inability of the body to keep up with the

demands on its circulatory system and the resulting chemical imbalance caused by

too much sweating. The inner core of the body's temperature begins to rise and

heat related illnesses develop.

2. Since an older persons’ natural cooling system has been altered through the process

of aging, they are at greater risk. They are also more likely than the rest of the

population to be taking medications that alter the body's ability to cool down.

C. Children are also at risk because they produce more metabolic heat per pound of body

weight, perspire less and direct less blood flow to their proportionally greater surface

area than adults. Infants are more easily dehydrated and are not able to drink liquids on

their own. Additionally, every year children die because they are in an automobile with

the windows closed.

D. People with low incomes are often more vulnerable to heat illness because they have

reduced access to good housing, air conditioning, transportation, medical care, and

other supportive services. They are also unlikely to use fans or air conditioners, even

when they are available, because they feel they cannot afford higher utility bills.

______________________________________________________________________________

4. HOT WEATHER – HEAT HEALTH EMERGENCY

A. Whenever the National Weather Service notifies the Philadelphia Department of Public

Health (PDPH) that they are issuing a heat watch, warning, or advisory, the PDPH will

determine whether to issue a heat caution and whether to subsequently declare a heat

health emergency.

Heat Caution- is defined as an internal notice to City Agencies that potentially

dangerous hot weather is expected. A heat caution permits agencies such as the Office

of Homeless Services to begin preparations for dangerous heat conditions.

Heat Health Emergency- is a public declaration by the Department of Public Health

Commissioner of dangerous heat conditions. This declaration activates City resources

including the Office of Emergency Management, the Philadelphia Corporation for

Aging, neighborhood cooling centers, and the HeatLine.


HeatLine- Whenever a Heat Health Emergency is declared, the “HeatLine” (215-xxx-

xxxx) will be activated. The HeatLine is staffed by members of the Philadelphia

Corporation for Aging and is available to provide tips to residents on staying cool,

Locations and hours of the nearest cooling centers, and to provide referrals for further

assistance when indicated.

1. Activation of the “Heat Line.” When the Health Commissioner declares a Heat

Health Emergency, the Philadelphia Corporation for Aging (PCA) will activate the

Heat Line in conjunction with the Philadelphia Department of Public Health.

Heat Line staff will advise callers on how to avoid heat stress and refer those in

need of help to further assist them (telephone: 215-xxx-xxxx).

B. Whenever a Heat Health Emergency is declared, Police Radio will generate a computer

message to all districts/units advising that a “Code Red-Heat Emergency” has been

declared. This information will also be broadcast over J-Band.

C. Whenever a Heat Health Emergency has been declared, the following provisions will

be observed by police personnel.

1. Patrol personnel will periodically check on the well-being of at risk individuals

described in Section 3 of this appendix.

2. Individuals in need of, or requesting transportation will be transported to the

nearest hospital.

3. Police districts with air conditioning will open their facilities to citizens seeking a

cool environment. If a person seeks shelter at a police district, the Department of

Human Services (DHS) will be notified at (215) 686-7152 or 7153 to provide the

location of the nearest “cooling center.”

4. Requests for electric fans can be directed to the PCA Senior help line (business

hours only) at (215) 765-9040.

5. When patrol officers are not on an assignment, they will make visits to senior

citizens they know are living alone to check on their well-being.

6. Any death as a result of the heat emergency will be reported to the Philadelphia

Medical Examiner’s Office at (215) 685-7445.

7. In all cases where an officer encounters a young child left inside a vehicle in the

extreme heat and are unable to quickly remove the child, Fire Department Medics

and a patrol supervisor will be notified. DHS and Special Victims Unit will also be

contacted.


8. Notify the Philadelphia Water Department (PWD) of any illegally opened fire

hydrants.

______________________________________________________________________________


DIRECTIVE 3.14 - 1 APPENDIX “E”


APPENDIX “E”


SUBJECT: DUTY OF POLICE OFFICERS TO IDENTIFY AND FACILITATE MEDICAL CARE FOR PERSONS FOUND IN SEMI-CONSCIOUS OR UNCONSCIOUS CONDITION AS A RESULT OF EPILEPSY, DIABETES OR OTHER ILLNESS ______________________________________________________________________________

1. PURPOSE A. An act of the Pennsylvania General Assembly (35 P.S. § 10012) imposes certain

obligations on police officers and no duty on citizens in relation to the above.

______________________________________________________________________________

2. PROCEDURE

A. Persons found in semi-conscious or in an unconscious condition, and or exhibiting

symptoms due to epileptic or diabetic illness, shall immediately be transported to the

nearest hospital for treatment by a physician.

B. This action shall include the specific inferences outlined in Directive 5.6

“Intoxicated Persons in Police Custody” as well as requirements for “Hospital Cases”

specified in this directive.

1. One method by which the officer, supervisor or turnkey can make a determination

as to an individual’s condition is to check for an identification bracelet, card or tag

which contains the type of illness, person’s name, physician’s name, and

medication requirements. This information is either engraved, stamped or

imprinted thereon and may be in possession of the individual at the time of

occurrence.

C. Any person who willfully and knowingly falsifies such identification or deliberately

misrepresents an illness as described above, shall be guilty of a Misdemeanor of the

third degree, “Unsworn Falsification to Authorities” (18 Pa. C.S. § 4904) and upon

conviction thereof, shall be sentenced to pay a fine of not more than one thousand

dollars ($1,000) or to undergo imprisonment for not more than one (1) year or both.

______________________________________________________________________________


philadelphia police department directive 3 · 2020. 7. 17. · aed program coordinator and will...

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