Case 4:92-cv-0011 O-RAE

Document 2256

Filed 12/28/2006

I

EFFECTIVE DATE

CFA REGION III ADMINISTRATION

OPERATING PROCEDURE

Page 1 of 4

NUMBER

12/22/2006

OP-CFA3-04.05.112

SUPERCEDES

NEW
AUTHORITY

PD-04.05.112, Managing Disruptive
Prisoners; USDC-ES Case#: 4:92-cv-11 0,
Hadix v. Johnson
ACA STANDARDS

4-4190; 4-419
SUBJECT

Managing Prisoners In Need Of Mechanical Restraints, in Hadix
Facilities

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4

APPLICATION:

Southern Michigan Correctional Facility (JMF)
Parnall Correctional Facility (SMT)
Charles Egeler Reception & Guidance Center (RGC)

OBJECTIVE:

To establish the proper procedure for handling a prisoner, when staff have determined that
his in-cell behavior warrants the use of mechanical restraints.

AUDITING:

The CFA 3 Regional Administrative Assistant has responsibility for ensuring that this
procedure is complete and accurate. This responsibility includes: 1) ensuring that the
procedure complies with all applicable Department administrative rules, policies, DaMs and
procedures; 2) reviewing the procedure at the time of annual review; 3) submitting draft
revisions when the procedure needs updating; and, 4) auditing staff compliance.

FORMSI
RETENTION:
RELATED
POLICIESI
PROCEDURES:

DEFINITIONS:

INFORMAnON:

None

PD-04.05.110, Use of Force (EXEMPT)
PD-04.05.112, Managing Disruptive Prisoners (EXEMPT)
PD-05.01.140, Prisoner Placement and Transfer

A.

Mechanical Restraints - Any device or instrument utilized to limit, restrict, or hold
patients under control, which inhibits freedom of physical movement. Mechanical
restraints include leather or metal restraints applied to wrist(s), ankle(s), waist, chest or
head.

B.

Medical Service Provider (MSP) - Any credentialed Physician, Physician Assistant, or
Nurse Practitioner approved to practice in the Duane Waters Health Center.

The use of in-cell mechanical restraints is prohibited at the Southern Michigan, Charles E.
Egeler, and Parnall Correctional Facilities.
If mechanical restraints are necessary to prevent a prisoner who is in a cell from causing
significant damage to state property and/or from self-injury, staff should take immediate steps
to ensure the physical safety of the prisoner. If mechanical restraints are required, he must
be physically removed from the cell following application of restraints, pending transfer to
Duane L. Waters Health Center (DWH).
Staff may utilize the proper application of mechanical restraints outside of a prisoner's cell to
control or secure a situation, or to prevent the prisoner from harming himself or others. The
prisoner may not be placed in a cell, however, while remaining in restraints.

EXHIBIT

This operating procedure is intended to outline what steps staff will take when a prisoner's incell behavior reaches a point where mechanical restraints are deemed necessary in order to
safely manage the prisoner.

Case 4:92-cv-00110-RAE

DOCUMENT TYPE

EFECTIVE DATE

OPERATING PROCEDURE

12/22/2006

Document 2256

Filed 12/28/2006

Page 2 of 4

FA3-04.05.112

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PROCEDURE:
DOES WHAT

Determination of Need
Shift Commander
(RGC/JMF/SMT)

1.

Determines that a prisoner's in-cell behavior can not be safely managed or controlled
without the utilization of mechanical restraints.

Custody Staff

2.

Takes immediate steps to ensure the prisoner's physical safety, while immediately
facilitating a timely transfer to DWH.

Shift Commander
(RGC/JMF/SMT)

3.

Contacts their On-Site or On-Call Duty Administrator immediately, to obtain
authorization to move the prisoner to the Duane L. Waters Health Center (DWH) for
evaluation.
If Approved by On-Site or On-Call Duty Administrator

Shift Commander
(JMF/SMT)

4.

Notifies the RGC-Main Control Center of the impending move.

Shift Commander
(RGC)

5.

Notifies DWH Building Control that they will be receiving the prisoner, as soon as he
can be secured for transport.

Building Control
(DWH)

6.

Notifiesthe DWH House Supervisor and Emergency Room of the incoming transport.
(OR)
If Not Approved by On-Site or On-Call Duty Administrator

Shift Commander
(RGC/JMF/SMT)

7.

Follows the instructions for managing the prisoner from their On-Site or On-Call Duty
Administrator.

8.

Reassesses the situation as needed, and contacts their On-Site or On-Call Duty
Administrator for further direction.

Documentation for Movement
Shift Commander
(Sending Facility)

9.

Prepares the documentation necessary for transporting the prisoner to DWH.

10.

Ensures that the prisoner's cell is secured immediately upon his removal from the cell,
and that his property is inventoried, packed-up and secured for storage as soon as
possible thereafter, in accordance with the facility's operating procedures. This includes
logging the pack-up disposition in the housing unit log book.

Arrangement of Transport - JMF/RGC
Building Controll
House Supervisor
(DWH)

11.

Notifies the DWH Emergency Room to dispatch the mini-ambulance to the prisoner's
facility and housing unit for transport.
(OR)

Shift Commander
(JMF/RGC)

12.

Arranges to transport the prisoner directly to DWH south gate.

Case 4:92-cv-00110-RAE

DOCUMENT TYPE

Document 2256

TIVE DATE

OPERATING PROCEDURE

2/2006

Filed 12/28/2006

Page 3 of 4

NMBER

OP-CFA3-04.05.112

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PROCEDURE: (Cont'd)
DOES WHAT
Arrangement of Transport - SMT
Building Controll
House Supervisor
(DWH)

13.

Notifies the DWH Emergency Room to dispatch the state ambulance to the prisoner's
facility and housing unit for transport.
(OR)

Shift Commander
(SMT)

14.

Arranges to transport the prisoner directly to DWH east gate.

Evaluation of Need for Restraints at DWH
DWH Staff
(at DWH)

15.

Evaluates the prisoner for the initiation or application of restraints, according to OPDWH-03.04.100 Y - Medical Use of Physical Restraints - Inpatient.

Release from Restraints - Return to Facility
Medical Service
Provider (MSP)

16.

Determines that the prisoner can be safely managed at his originating facility, without
restraints.

DWH Staff

17.

Arranges for the prisoner's discharge, as directed by the MSP.
(OR)

MSP/Mental Health
18.
Service Provider

RGC/DWH Staff

19.

Transfer Coordinator
(Sending Facility)
20.

DWH Staff
(at DWH)

21.

RGC/DWH Staff

22.

Shift Commander &
On-Site/On-Duty
Administrator
(Sending Facility) 23.

Identifies the prisoner's need for alternate placement and arranges for admission.
During Weekdays & Normal Business Hours
Informs the Sending Facility Transfer Coordinator that the prisoner will be transferred.

Discusses the need for alternate placement with Classification Division staff, in Central
Office CFA.

Retains the prisoner at DWH until the necessary alternate placements plans are made
and the prisoner can be transferred, or as directed by the MSP.
During Weekends or After Normal Business Hours
Informs the Sending Facility Shift Commander that the prisoner will be transferred.

Contacts the Shift Commander & On-Site/On-Duty Administrator at a receiving facility,
and arranges for the prisoner's transportation and transfer.

Case 4:92-cv-0011 O-RAE

Document 2256

Filed 12/28/2006

DOCUMENT TYPE

EFECTIVE DATE

NMBER

OPERATING PROCEDURE

12/22/2006

OP-CFA3-04.05.112

APPROVED BY:

Page 4 of 4

PAGE

g'lgrfattfre fo'fl''1#Hel'i;

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12/19/2006

Barbara Bock, Regional Prison Administrator

Date

Duncan Howard, Regional Health Administrator

Date

12/19/2006

PREPARED BY:

R Cole Bouck, Administrative Assistant, CFA Region III Administration