01-03 Appendix A – Medical Advisory Notes Flashcards
Member Safety
A. When attending a scene where the risk of contact with blood or body fluids exists, members shall exercise extreme caution and use universal precautions. These include, but are not limited to wearing of ———
(nitrile), using waterless ——– wash or hand wipes, and using a disposable one–way air ——–for mouth to mouth respiration. Hand —— is the most important infection control measure for the prevention of self and——– (See Procedures 08–06 and 08–07 for further information regarding decontamination.)
disposable examination gloves
antiseptic
valve
washing
cross contamination.
Member Safety
B. Where it is suspected or known that a person is a carrier of an air–borne transmitted disease such as tuberculosis members
shall when at a police station, place the person in an area where adequate ——–exists. Members shall not place a person suspected or known to have tuberculosis or other air–borne transmitted communicable diseases in areas with little or no ventilation, such as ——–rooms
should wear surgical ——– when in close contact with the person and when transporting the person to a police station or other location. Where possible, the infected person should also be asked to wear a surgical mask when in close contact with other individuals. If surgical masks are not available or the infected person refuses to wear a mask, members shall transport the person as the —— occupant of a compartment of a prisoner transport vehicle, or, if not available, with a ——- of the police vehicle open.
ventilation
interview
masks
sole
window
Prisoner Safety
C. During the booking process, the Officer in Charge is required to evaluate the mental and physical condition of the individual. As part of that evaluation, it is incumbent upon the Officer in Charge to be aware of any ———– or drug the prisoner has taken prior to arrest (legal, prescription or otherwise). Based on the information received, the Officer
in Charge should make further inquiries regarding the —— of drug, time and amount taken, whether the individual is a frequent user, and the ——— of the individual. The decision as to whether to send an individual to the hospital should be made based on the Officer in Charge’s ———-of the circumstances.
medication
type
physical state
assessment
Prisoner Safety
The Officer in Charge shall inform prisoners of the risk of not ——the consumption of prescribed or non– prescribed substances.
Where a prisoner appears ill, shows symptoms of distress or adverse reaction, or reports any of these symptoms, as a result of drug use, or for any other reason, further medical advice shall be sought and/or the prisoner shall be transported to the hospital for a medical examination.
Officers should consider the possibility that an illness may be drug related and be mindful that, under certain circumstances, a prisoner may have unknowingly consumed a drug. [e.g. GHB (————- slipped in a drink]
disclosing
Gamma Hydroxybutyrate)
Prisoner Safety
Where a prisoner has, or is suspected of having taken a drug or other controlled substance prior to arrest but shows no outward signs or symptoms of distress or adverse reaction, the Officer in Charge shall make further ——–in order to determine whether further medical treatment is required
inquiries
Prisoner Safety
When considering the need for further medical attention, the Officer in Charge should be cognisant of some circumstances which may impact on the health of the individual
where a drug that is not designed to be ——has been swallowed by an individual (i.e. for the purpose of concealing or transporting), or held in the mouth in such a way that the drug is ——- (e.g.no wrapper, or damaged wrapper)
where the individual cannot, declines or —– to recall what substances (whether prescribed or non–prescribed), ——, or when the substances were taken
where the quantity of drugs taken suggests a possible ——- (i.e. more than prescribed)
where any drug has been taken in conjunction with ———
where the individual is acting irrationally or aggressively, appears ill, is ——— of pains, nausea, etc.,
or reports feeling ——–than other times when they have taken the same drug
where cocaine has been used by the person, and the person has had to be physically restrained, or has ——themself physically (e.g. foot pursuit, struggle, etc.)
where the prisoner exhibits an ——— change in behaviour (e.g. becomes aggressive, lethargic, sleepy, etc.)
swallowed
exposed
fails
quantity
overdose
alcohol
complaining
differently
exerted
unexplained
Prisoner Safety
The following services are available at no cost to assist the Officer in Charge in making a determination as to whether
a prisoner is in need of further medical treatment. These services may be used where the Officer in Charge requires further information (e.g. effects of drug interaction) to complete their assessment of the individual
———- (1–866–797–0000, TTY 1–866–797–0007) – provides quick easy access to a qualified health professional (registered nurse) who can assess the symptoms of the prisoner and offer advice as
to whether the individual is in need of immediate hospital care. Depending on the number of people making use of this service, a representative may have to return your call. When leaving a message, for
faster service, ensure you identify yourself as a police officer seeking advice regarding a prisoner who has taken a drug prior to arrest.
Telehealth Ontario
Prisoner Safety
————— – SickKids Hospital (416–813–5900 or 1–800–268–9017,
TTY 416–597–0215 or 1–877–750–2233) – can provide information regarding drug interactions, and potential overdose information. If the concern to be addressed deals only with an interaction or potential
———-, call this service directly; otherwise contact Telehealth Ontario first.
When there is a delay in receiving the required information from the above mentioned services, the prisoner shall be continuously monitored until the information requested is received and the Officer in Charge has made a final determination whether to accept the individual at the police facility.
Ontario Regional Poison Information Centre
overdose
Prisoner Safety
Any person who has or is suspected of having taken a drug prior to being arrested, and is accepted at a police facility shall be monitored more closely, and the results of those checks recorded, until such time as the Officer in Charge is satisfied that the individual is not at risk. Individuals who have taken hard drugs such as cocaine, heroin, etc., shall be
monitored more closely for at least ——— from the time when the drug was taken.
If at any time, the prisoner’s condition changes, or there is a concern regarding the health of the person, members shall notify the Officer in Charge who shall re–evaluate their condition.
three (3) hours
Prisoner Safety
D. Individuals with —— or suicidal tendencies shall be lodged in a separate cell whenever practicable and their behaviour closely monitored.
E. Prisoners housed in divisional cells or lock–ups should be placed ———-each other where possible. This can provide an opportunity for one prisoner to give early warning of illness, suicide, or self–injury involving another prisoner.
F. If a prisoner becomes unconscious, or is in distress from illness, injury, intoxication, or reaction to drugs, the person shall be removed to the nearest hospital for examination and treatment. Under no circumstances will an ——— person be admitted to a police cell or lock–up.
violent
opposite
unconscious
Prisoner Safety
G. Unexpected deaths of intoxicated individuals may occur as a result of a condition called obstructive sleep ———.
The consumption of alcohol or alcohol in combination with central nervous system ——— (e.g. narcotics, barbiturates, etc.) can frequently produce a deep sleep accompanied by loud snoring.
Snoring is not an indicator of ———-. It indicates only that a person is breathing. Individuals who are intoxicated or who exhibit very loud or disrupted snoring must be closely monitored and ——— frequently in order to determine if their state of sobriety is improving over time.
apnea
depressants
consciousness
awakened
Prisoner Safety
H. Alcohol Withdrawal Syndrome (AWS) is characterized by physical and mental symptoms that can occur after a person discontinues consuming high doses of alcohol. Symptoms of AWS may appear within —– to ——
hours after a person’s last consumption of alcohol. AWS more commonly affects those with a history of ——– and/or those who have experienced problems with alcohol withdrawal in the past.
Symptoms can depend upon the amount of alcohol consumed, frequency of consumption, and the ——— of consumption prior to discontinuance. Determining a “——” as to a person’s last consumption of alcohol is
important in assessing the onset of AWS.
six (6) to twelve (12)
alcoholism
duration
time-stamp
Prisoner Safety Mild = NOT ASS
Symptoms can range from mild to severe and include:
Mild Symptoms
t———— (trembling or quivering)
a———
s———– disturbance (insomnia)
s———– (diaphoresis)
over responsive r——- (hyperreflexia)
n———-
Mild symptoms can occur within——— hours after discontinuance and should subside within ———- hours.
tremors (trembling or quivering)
anxiety
sleep disturbance (insomnia)
sweating (diaphoresis)
over responsive reflexes (hyperreflexia)
nausea/vomiting
Mild symptoms can occur within twenty four (24) hours after discontinuance and should subside within forty eight (48)
hours.
twenty four (24)
forty eight (48)
Prisoner Safety moderate = A RIB
Moderate Symptoms
i————— Mild Symptoms
r———— (tachypnea)
r———— (tachycardia)
a————–
Moderate symptoms can occur within ———- to ———-after discontinuance and should subside within————–.
intensified Mild Symptoms
rapid breathing (tachypnea)
racing heart rate (tachycardia)
agitation
twenty four (24) to thirty six (36) hours
forty eight (48) hrs
Prisoner Safety SEVERE - HI SAD
Severe Symptoms
severely i——————–
h———-
s——–
d———-
a—————— (hyperthermia)
severely intensified Mild and/or Moderate Symptoms
hallucinations
seizures
disorientation
abnormally high fever (hyperthermia)
