16.130 - Sick and Injured Persons

Effective Date: 05/07/2019

1. Employees Assist Sick & Injured Persons

Employees assisting a sick and/or injured person will attempt to determine the nature and cause of the person’s injury or illness, provide first aid, and initiate Emergency Medical Services (EMS) as needed. Once initiated, the Department will not cancel EMS.

Employees will follow their training and this manual section, and standing orders provided by Medic One when applying CPR, the AED, and/or Naloxone.

2. Officers Respond to Reports of a Heart Attack and Provide CPR/AED as Needed

CPR/AED Standing Orders

3. Officers May Use Nasal Naloxone at a Scene Where, Based on Their Training and Experience, They Reasonably Believe That a Subject is in an Opioid-Induced Overdose

4. Officers Provide Information to Medical Personnel

Officers will provide SFD personnel, hospital staff or other medical transport personnel the names of all the officers that assisted with the person’s care.

Note: This information is used to notify involved officers of possible exposure to pathogens discovered on further medical examination of the treated person.

Medical facilities will notify the Employment Services Lieutenant of any possible infectious exposures to officers. (See 3.040 – Airborne Pathogens Control & 3.045 - Bloodborne Pathogens Exposure Control.)

5. Employees Cooperate with the Seattle Fire Department/Medic One (SFD)

Employees provide care to sick or injured people until transferring care to SFD.

Employees will remain on the scene to assist SFD.

6. Officers Report Their Use of First-Aid, CPR, the AED, and/or Nasal Naloxone

Officers will obtain the names and addresses of witnesses to the medical emergency when available, practical and safe to do so.

Officers will update the call on the MDC with the victim’s name, witness names and the names of responding SFD personnel when:

- Responding to a dispatched call to assist a sick or injured person

- When first-aid is provided

- When responding to a report of sudden cardiac arrest

- When transporting a sick or injured person in a Department vehicle

Officers will complete a Report when:

- The injury or illness is caused by a criminal act

- The injury or illness involves city property

- CPR, the AED, and/or Nasal Naloxone is used. (See 16.130-TSK-1 Employees Reporting the Use of an AED and 16.130-TSK-2  Using Nasal Naloxone.)

7. Officers May Transport Sick or Injured Persons in a Department Vehicle

Officers may use a Department vehicle to transport a sick or injured person if, in the officer’s opinion, the transport will save the person’s life and SFD or other medical transport is unavailable.

8. The Quartermaster Unit Will Maintain the Department Nasal Naloxone and Will Distribute it to the Stationmasters

When Nasal Naloxone is used, the stationmaster will issue the officer a new kit.

9. Officers Inspect the AEDs in Patrol Vehicles at the Start of their Shift

If the AED is displaying a flashing red or solid “X” in the service window, the officer will remove the AED from service and notify the stationmaster.

The stationmaster will contact the Quartermaster Unit to arrange for a replacement.

10. Officers Must Carry Nasal Naloxone Kits in One of Three Ways

Officers will carry their kits in one of these manners:

- Cargo pants pocket

- On their duty belt or vest carrier in a pouch or carrier that will secure the device

- Secured in a patrol vehicle or mountain bike bag

At the end of shift, officers will secure their kits.

16.130-TSK-1 Using Nasal Naloxone

Before or immediately after using Nasal Naloxone, the officer:

1. Verifies with Communications that SFD is en route.

After using Nasal Naloxone, the officer:

2. Advises Communications that they used Nasal Naloxone.

3. Monitors the subject until SFD arrives.

4. Provides basic life support care, per training.

5. Informs SFD personnel of the use of Nasal Naloxone.

6. Disposes of the used kit in a sharps container.

7. Completes a Report.

8. Forwards the Report, via Alert Packet, to the Department Safety Officer (Officer Steve Redmond.)

Standing Orders for Use of Nasal Naloxone

These Standing Orders provide guidelines and authorize a properly qualified Seattle Police Department or Criminal Justice Employee to use Nasal Naloxone on a subject who is reasonably believed to be suffering an opioid-induced overdose.

These orders were issued on March 15th, 2016 and remain in effect until modified or rescinded by the Medical Director of Seattle Medic One.

The Department Safety Officer oversees the Nasal Naloxone program and works with the Department lead EMT.

Upon encountering the patient:

1. Establish patient unresponsiveness.

2. Discover signs of opioid overdose (behavior, paraphernalia, witness statements.)

3. Activate the EMS System (CALL FOR MEDICS).

4. Administer Nasal Naloxone to the patient in accordance with training.

5. Notify SPD Communications that Naloxone has been administered.

6. Provide basic life support care, per training.

Upon arrival of Fire Department/Medic One:

Patient care is the responsibility of the Fire Department.

- Officer may assist as needed.

Provide a verbal report of findings and actions to Fire Department member in charge.