21-03 Ambulance Calls and Arrests Procedure

Ambulance Calls and Arrests Taken to Hospitals

• Members may perform necessary first aid until relieved by medical personnel
• Members will request medical assistance from KCFD EMS when responding to opioid-related overdoses
• Members should treat all blood and bodily fluids as potential hazards and use barrier protection and ventilation devices
• Members will report all known and reasonably suspected on-duty exposures to communicable diseases

Situations Involving Unruly Crowds

• In situations that attract unruly crowds, police supervisors or commanders may request paramedics to evacuate the area with the patient
• Members will procure transportation for an individual to a medical facility when requested

Refusal of Medical Treatment

• Individuals not under arrest may refuse medical treatment from KCFD EMS, but members may force transportation if necessary
• Adult individuals under arrest may refuse medical treatment, but may be transported to a hospital if refusing medical attention poses a risk to their life
• Minors under arrest cannot refuse medical treatment without a parent or guardian present

Arrests and Medical Attention

• Members will accompany or escort all arrests to the hospital
• If an arrest needs medical attention while in a police facility, members will attempt to persuade them to receive treatment
• If an arrest still refuses treatment, they will be transported to the nearest hospital

Municipal Charges

• Members will complete a warrant application if a violator is unconscious, removed to a location outside Missouri, or seriously injured
• Members may issue a citation or summons to a conscious violator who has been transported to a hospital within Missouri

Priority Release of Arrests

• Individuals in custody for a citation, summons, or municipal warrant may be priority released when psychological/medical care is requested or required

State Statute Arrests and State Warrant Arrests

• Members will accompany or escort all state statute and state warrant arrests to the hospital
• Members will maintain security of the arrest until they are treated and released or admitted to the hospital
• If an arrest is admitted to the hospital, members will inform the hospital of the "Police Hold" and contact their supervisor to arrange for security

Security for Hospitalized Arrests

• Patrol Bureau personnel will provide security for state statute and state warrant arrests admitted to area hospitals
• Security of arrests will be the immediate responsibility of the arresting member and their supervisor
• Members will complete a Hospitalized Prisoner Information Sheet and a Hospitalized Prisoner Security Log

Desk Sergeant Responsibilities

• Desk sergeants will arrange for the immediate relief of the arresting member
• Desk sergeants will complete a Hospitalized Prisoner Information Sheet and a Hospitalized Prisoner Security Log
• Desk sergeants will update the guard duty schedule if an arrest requires extended hospitalization

Field Sergeant Responsibilities

• Field sergeants will periodically check on members assigned to hospital guard duty
• Field sergeants will ensure members are relieved on time and resolve conflicts with hospital staff

Coordinating Division Responsibilities

• Coordinating divisions will notify desk sergeants and investigative units when a prisoner has been released from the hospital
• Coordinating divisions will file the Hospitalized Prisoner Information Sheet and Hospitalized Prisoner Security Log

The KC Assessment and Triage Center

• The Crisis Center is a dedicated resource for all Department members
• KCFD EMS is authorized to transport to the Crisis Center if needed
• The Crisis Center accepts all voluntary detox and subjects in a mental health crisis, and subjects contemplating suicide

Injured Individuals

• When there are complaints or visible signs of physical injury, members will follow the guidelines for transportation and treatment
• Members will complete a Mental Health/Crisis Intervention Team Report and may be requested to fill out an Affidavit in Support of Application for Detention, Evaluation, and Treatment/Rehabilitation