| 6. STEPS FOLLOWING CEW DEPLOYMENT—MEDICAL | |||||||||||||||||
| Municipal Police Forces | Other Agencies | ||||||||||||||||
| Abbotsford | Central Saanich | Delta | Kitasoo | Nelson | New West | Oak Bay | Port Moody | Saanich | Stl'atl'imx Tribal Police | Transit Authority Police | Vancouver | Victoria | West Van | Corrections | RCMP | Sheriffs | |
| General protocol | |||||||||||||||||
| Officers should evaluate the need for medical attention as they would with any other use-of-force incident, as directed by department policy. (TI v.12, v.13, v.14) | √ | √ | √ | √ | √ | √ | √ | √ | √ | ||||||||
| Under all circumstances, the subject will be evaluated by EHS. | √ | √ | √ | ||||||||||||||
| Once the subject is restrained officers should evaluate the need for medical attention for the underlying chemical or mental conditions observed. (TI v.13, v.14) | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | ||||||
| Once the subject is restrained and controlled, they are placed in a seated position and evaluated by EHS. | √ | ||||||||||||||||
| When the CEW is used in the field, the controlled, compliant subject is to be sat upright whenever possible. | √ | √ | √ | ||||||||||||||
| If the subject is not moving or unconscious, they will be placed in the recovery position and a priority ambulance will be requested. | √ | √ | √ | ||||||||||||||
| Try to minimize the amount of time the subject stays on his/her stomach. | √ | ||||||||||||||||
| The ideal recovery position is left side down. | √ | ||||||||||||||||
| Once the subject is in custody, seek appropriate medical attention and point out puncture sites. | √ | ||||||||||||||||
| If a subject is hit in the eye with a probe, get immediate medical assistance. | √ | ||||||||||||||||
| At least one officer should accompany subject to the hospital and brief the paramedics on the situation and effects of the CEW. | √ | √ | √ | √ | |||||||||||||
| Probe removal | |||||||||||||||||
| TASER International advises each agency to establish its own policy on probe removal. (TI v.13, v.14) | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |||||||
| Included in training materials is a TASER International poll about how different jurisdictions in the United States deal with probe removal. In this study, | √ | √ | √ | √ | √ | √ | √ | √ | |||||||||
| 64% of departments allow officers to remove probes; 23% of departments require medics to remove probe; and 13% of departments require hospital care workers to remove probes. (TI v.13, v.14) | |||||||||||||||||
| Ensure that client is fully controlled prior to removing the probes. | √ | √ | √ | ||||||||||||||
| Treat probes that have penetrated the body as contaminated needles and use gloves. (TI v.12, v.13, v.14) | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |||
| Exercise care during probe removal by keeping your free hand clear of the probe area to ensure you do not scrape yourself with the contaminated barb. (TI v.12, v.13, v.14) | √ | √ | √ | √ | √ | √ | √ | √ | √ | ||||||||
| Grab the probe firmly and pull straight out in quick fashion, using your free hand as a brace. Follow with an alcohol or iodine swipe. (TI v.12, v.13, v.14) | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | ||||||
| Whoever removes the probe must check the probe body and insure that the probe is intact and that the straightened needle is still attached to the probe body. | √ | √ | √ | √ | √ | √ | √ | √ | |||||||||
| There have been reported cases in which the probe was removed from a body but the pin/straightened needle pulled free of the probe body and remained in the skin. | |||||||||||||||||
| Needle-nose pliers will be required to remove this to get a firm grip, or by hemostat, by EMS or hospital. (TI v.14) | |||||||||||||||||
| There have been reported incidents where the barbed tip broke off and only the small barb remained in the skin. In this instance, the barbed tip would behave | √ | √ | √ | √ | √ | ||||||||||||
| similar to a small metal splinter; however, removal by medical staff is still advised. (TI v.14) | |||||||||||||||||
| If the CEW was used in probe mode, a member currently certified in first aid may remove the probes. It is not necessary to have a medically trained person | √ | √ | √ | ||||||||||||||
| examine the individual, unless a probe is lodged in a sensitive part of the body, such as the eye or the groin, or the individual's physical condition warrants medical attention. | |||||||||||||||||
| If probes are located in a medically sensitive location (groin, eye, etc.) ALWAYS transport to hospital for removal by a medical doctor. | √ | ||||||||||||||||
| Probe disposal | |||||||||||||||||
| Use surgical gloves to “encase” the cartridge and probes. | √ | ||||||||||||||||
| Use spent cartridge for probe storage. | √ | √ | |||||||||||||||
| Properly dispose of probes in a sharps container. | √ | √ | |||||||||||||||
| Carefully place used probes sharp-tip first into either a sharps container or into the cartridge side wire pocket container, secure in place, and place in a secure | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | ||||||
| location where no one will accidentally touch probes (even after training exercises). (TI v.12, v.13, v. 14) | |||||||||||||||||