Idiot’s Rebuttal

There is nothing short of reckless disregard for and breakage of so many Jail policies and procedures by so many staff and leadership which underpin the discussion above and which are theoretically in place to protect inmates from the very kinds of wrongful actions of Jail personnel these laws are meant to prevent. The degree to which ADD personnel actions have not adhered to policy, procedure, common sense, or a simple common man sense of sensibility, to behave humanely is nothing short of astounding. The breadth and depth of this is powerful evidence of a severe ‘Pattern & Practice” backdrop. A ‘Pattern & Practice’ investigate is most certainly warranted. The redundancy below may feel bothersome, but keep this in mind: The P&P redundancy is intentional to emphasize P&P that is critical and that everyone knows it.

3-200: All Jail personnel…selected, retained…promoted on…the ability of the employee to perform the job. [[ deputies, jail leadership and jail nursing all failed to perform their job ]]

3-600: Contract Personnel: All contract personnel shall receive formal orientation to facility rules, security, and operational procedure, and shall conform to all applicable rules and regulations.

[[ nursing personnel did not follow Jail P&P (and the P&P for restraints by various correctional agencies having oversight over Jail ) with respect to initiating and continuing use of the restraint chair versus lesser force options, or minimizing the duration of its use, or threatening to extend its use, not responding for cries for help; wrongful documentation, etc ]]

4-100: Training: will include: Supervision of inmates; Signs of suicide risk; Suicide precautions; Use-of-Force regulations; Report writing; Rights and responsibilities of inmates; Interpersonal relations / counseling techniques; Communications skills. S.R.T. (Special response Team) will have… specialized training. [[ what’s the point of meeting training requirements like counseling techniques if they aren’t followed or enforced by staff and leadership personnel; or is mockery, taunting, disparaging, ridiculing, humiliating and arguing with someone mentally ill what is actually taught?]]

5-100: Jail shall comply with all information requests…comply with…laws and departmental directives…Requests…must be made in-person or by mail…

[Deputy G____s threw a fit and refused “I’m not going to interrupt my day just to make copies for him.” My request isn’t an interruption; it’s her job.]

[Note: be sure to get Confidential Data (court order required)]

5-400: Jail shall cooperate with other criminal justice and service agencies…

[[ only time will tell; they haven’t been too keen on cooperating with their victim; compare this with DoJ M_J_ comment “they aren’t required to share their information with us” [paraphrased] ]]

5-702: Jail shall ensure that the collection, recording, organization, processing and reporting of accurate inmate, operational and administrative records is maintained. [log, incident, medical reports are all full of major, critical, material, malicious inaccuracies – some I know of; some with clear incontrovertible evidence against what is written; and more some will come out of interrogation if conducted properly]

6-100: Jail shall maintain a 24-hour electronic communications system to provide for the safety of inmates, staff, and visitors…monitor and control all doors, cameras, and intercoms…

[the system was there; it prevented nothing with respect to providing inmate safety; it’s about staff & leadership, not electronics]

6-102: Jail shall maintain and operate a 24-hour control center for monitoring and coordinating the facility’s security, life safety, and communications systems.

[it’s good to maintain and operate a system; it’s better to actually use it for its stated purpose; it’s about staff & leadership, not electronics]]

6-300: Restraints: Jail staff shall use instruments of restraint only when necessary to prevent escape, bring an inmate safely under control, and/or protect the safety of the inmate, staff and security of the facility …Physical Force: Only the amount of force necessary for self-defense, protection of others… Instruments of Restraint: Devices used to restrict physical activity: handcuffs, leather and plastic wrist and ankle cuffs and belts, hobble restraints, leg irons and waist chains with lock boxes. Restraint Chair: The inmate is completely immobilized in a seated position…

[there were many, many options even with respect to restraints, not to mention the fact that simply listening to what I was telling them would have prevented the whole mess; a few minutes of reasonable discussion, which I was obviously in a state of mind for, with Jail , Jail leadership, Jail Nursing, or Jail Medical Staff would have proven that restraints weren’t even needed at all – maybe some observation of me to make sure, but that’s all that was needed ]

Rules: Restraints are never applied as punishment, as a disciplinary measure or a longer period than is strictly necessary…Instruments of restraint shall not be used except in the following circumstances: As a precaution against escape…For medical reasons…To prevent an inmate from injuring self or others…When transported…In house movement when necessary…

[ the restraint chair was used as punishment, discipline, an instrument to inflict severe unrelenting agony – it’s initial use wasn’t even justified per so many lesser force alternatives that are Jail P&P; it’s prolonged use certainly and absolutely wasn’t justified; being left intentionally and sadistically in agony wasn’t justified; not documenting reality while in the chair and when taken out of it wasn’t justified; refusing to call the Sheriff on-call detective and Crime Lab wasn’t justified; and not taking/documenting my statements…actually summarizing and characterizing them “nonsensical demands that could not be accommodated”…the entire mess wasn’t justifiable ]

Restraint Chair shall be used only under the approval of a supervisor…All S.R.T. members shall receive training in the use of and proper placement of inmates into the restraint chair…handcuffs shall be applied so as to allow circulation and must be double-locked…A Sergeant shall: instruct Deputies to document all relevant information on the inmate history in JMS and initiate a 15-minute log to check on the welfare of the inmate…monitor each inmate in a restraint chair to ensure that no inmate is restrained longer than necessary…inmate shall be allowed to eliminate wastes, obtain drinking water, and receive medication as required.

[ handcuffs and restraint straps were instead, intentionally, pre-meditatively, placed on my wrists specifically in order to cut off circulation, which they did very well; the sergeant or lieutenant in charge ensured that the nurse signed off on handcuff/strap safety early in the chairing process so that he or other staff avoided having the nurse have the last check…it sounds on the tape as if she may have actually been complicit in this…along with the deputy leadership ordered to not double-lock; monitoring to ensure minimal restraint duration was not in place; I suspect it was countermanded by leadership; even pain medication for anyone in the agony I was so obviously in would have been appropriate in any situation other than its intentional infliction ]

6-1201: H. Deadly Force – “Force which the actor uses with the purpose of causing, or which the actor should reasonably know creates a substantial risk of causing death or great bodily harm…

6-1201: I. Great Bodily Harm – “Bodily injury which causes a high probability of death, or which causes serious permanent disfigurement, or which causes a permanent or protracted loss or impairment of the function of any bodily member or organ or other serious bodily harm.

6-1201: J. Bodily Harm – “Physical pain or injury, illness or any impairment of physical condition.”

[per all 3 definitions aside from the 3+ hours of raw agony it should be noted that severe pain in and of itself can cause a human being to go into shock. My state of delirium, the hallucination, the fact that I didn’t urinate from Friday noon until 8:00pm Saturday at Abbott (kidneys were not producing urine), and that some blood markers consistent with pain and shock exist suggests substantial risk of serious injury or death – organ damage or even shock leading to death – something which is commonly protected against because of how easily people traumatized can slip into shock and die. Also, gangrene begins to set in after about 6 hours of blood flow being terminated – Nurse R_H_’s threat to keep me in the restraint chair seriously risked gangrene taking hold – risk of gangrene from blood flow termination is not rocket science; it’s something virtually everyone knows]

6-1202: F. All use of deadly force…compliance with Sheriff Rules and Regulations 2-200…to protect him or herself or another from death, great bodily harm or serious physical injury.

[ I posed no such risk to myself or anyone else; they didn’t use the chair to protect from injury; they used it to inflict it ]

6-1300: Reporting Incidents: written reports, submitted by all persons involved in an incident, which contains all pertinent facts and names of persons involved. Use of Force incidents will follow guidelines in Sheriff Rules and Regulations 2-200…Supervisor’s Report: include date and time notified, results of investigations, actions taken by the supervisor, recommendations and conclusion. First Person Statement: form completed by inmates and others who were in the general vicinity of an incident, to describe what they witnessed…Reports are not only circulated through Jail ; they are also subject to use by judges and attorneys in court trials and civil actions and by others unfamiliar with detention jargon. Therefore, reports must be concisely documented and free from personal expressions of opinions and emotions…all reports shall include names of all persons involved, date and time and nature of occurrence, actions taken, and by whom. Written reports are submitted…when any of the following occur: Use of physical force to control inmates. This includes documentation of any complaints (whether factual or false) made by any inmate…When inmate(s) remain in restraints at the end of the shift…Observation of any serious inmate health and/or safety issue previously unreported…all incidents of a special or serious nature which endanger the lives of staff or inmates…shall be reported in writing to the DOC within 10 days by the Facility Commander…and shall include: Serious injury or illness…Other serious disturbances. Security staff shall document emergency situations and unusual incidents: Document information on the Inmate’s Behavior Notes…Gather completed First Person Statement forms from inmates when instructed to by the incident supervisor…Complete an Incident report in JMS when instructed to by the incident supervisor…complete all reports no later than the conclusion of the shift…incident supervisor shall attach a Supervisor Report…shift Lieutenant shall approve all reports…In the event of a Use of Force incident: Health care staff shall be immediately summoned to medically evaluate and treat any injured inmate or staff…When injuries occur to either staff or inmates the Sheriff’s Crime Lab Unit shall be called to document the injuries on film. The incident supervisor shall conduct an initial investigation including interviewing witnesses and shall determine whether the victim wishes to press charges…The incident supervisor shall contact the Sheriff’s communications Division and ask that the on-call Detective be contacted…Copies of any incident reports regarding Use of Force incidents shall be forwarded to the Sheriff Use of Force Unit for review.

[ the sheer number, much less the level of egregious nature of pertinent facts left out, made up of out whole cloth and in direct conflict with reality would be unbelievable were it not so clear as day; watch the video – hear the audio – document the discrepancies; it’s all there plain as day; I am not aware of Lt. Blaha filing a report even though he was there – maybe he thought he was just smart enough to not get his hands dirty per documenting falsehoods in contrast with reality; documentation of my complaints (just the factual would have been fine) is virtually non-existent; apparently tortuous pain isn’t serious injury – I remember distinctly learning that pain is a biological mechanism to notify the body that there is injury, and that typically the degree of pain is a flag for and somewhat correlated with the degree of injury or the degree of risk of injury should the pain go unaddressed for too much time; my supposed behavior notes consisted of “breathing noted; inmate ok” mostly and far more than reality; I received no opportunity to complete a First Person Statement at any time; Lt. B_B_ approved all reports knowing of falsehoods; medical staff was at the removal from the restraint chair, but obviously Nurse Robert had no intention to evaluate, document or treat what had been done to me – he actually blamed me for what they did to me; threatened to keep me in the chair for complaining about having been tortured and for demanding police, photographs, etc.; obviously the Sheriff’s Crime Lab Unit was not called to document the injuries on film – just as I was screaming for; there was no initial investigation by the incident supervisor; I characterized (accurately) what was done to me as torture, criminal, crimes committed, etc. – no one allowed me to “press charges”; the on-call Detective was not called – I specifically asked/demanded to call the police; an on-call Detective would have been fine]

6-1400: Jail shall videotape uncooperative behavior of inmates when there is a high probability of violence or medical emergencies…all cell extractions shall be videotaped…ensure the video equipment is operating properly on a daily basis…note on incident report that the incident was videotaped. [I made a sarcastic comment about being sure not to lose their video tape just because there was nothing recorded that made me look bad. Interestingly, Jail claims the video camera did not work! Do I take that claim at face value? Ummm…No. Remember also that ADC claims that the camera which would have (did?!) record my discussion and raised hands/wrists during final release, thus documenting what they had done, was also not activated. Me thinks me sees a pattern here. Oh, re the video camera, per P&P it’s checked to be in working order every day]

6-1500: Shift Change: Jail staff shall remain informed of all pertinent information through the review of documentation and through verbal information exchange…[somehow my dozen statements about there being no need to restraint chair me, my cries for help from the torture became per Nurse R_H_ me being “adamant that I was going to hurt myself” and that “you did this to yourself”; also, when complaining to the night staff regarding having been tortured they had no interest in discussing it; described themselves as being a new shift so we need to just start over; so if they were informed during shift change the information/directive to them was to keep me bottled up – and absolutely not address what they had done to me during the previous shift]

6-1900: Well-Being Checks: Jail security staff shall conduct inmate well-being checks to ensure that the safety and welfare of the inmate is maintained…visual check of inmates to determine their welfare…Sheriff shall provide for the safety, security and supervision of inmates…all well-being checks shall be documented …shall be done at a minimum of every 30 minutes…more frequent…for inmates who are violent or mentally disordered…inmates communicating suicidal thoughts or displaying suicidal behavior shall be observed at a minimum of 15-minute intervals. Jail health care staff shall be summoned to assess the inmate and determine what type of observation the inmate requires…deputies shall enter…and cells to observe inmates…well-being checks shall be documented…as to…the behavior and general activity of the inmates.

[many fractional second visual checks – they didn’t just exactly ensure maintenance of my safety & well-being – they could hear my cries, sobs, pleas without even looking; virtually total non-responsiveness to my horrible pain and degenerating status (there were several statements about getting the nurse who almost never came); no one ever entered my cell to actually check on why I was in so much agony and correct it; documentation doesn’t mean much if it’s full of lies regarding my behavior/status and if no one acts on what they see and hear]

6-2300: Cell Extractions: Cell extractions have the potential to become unpredictable…resulting in inmate or staff injury and should only be used when immediate action is necessary or after all other available options have been tried and failed…All cell extractions shall be videotaped to help defend against litigation…the supervisor shall determine the severity of each situation and…determine if a cell extraction needs to be completed or if there are other alternatives available…any staff member aware of…an inmate acting in a self-injurious manner…shall verbally instruct the inmate to cease the activity. If the inmate does not comply with the verbal direction staff shall: Notify floor control to gain assistance…Monitor the situation…

Supervisors: determine the best plan of action…directing the inmate to cease their activity… continuing to monitor the inmate and document…Notify Jail nursing staff…Perform a cell extraction…Extraction Team: for any instance where force may be used the following minimum procedural requirements will be followed: A verbal cease order shall be given and the potential consequences for continued actions explained including warning the inmate that pepper spray may be deployed…if the inmate does not cease their behavior the team leader shall deploy pepper spray…

Post-Extraction: written reports from staff involved and any witnesses shall be filed prior to the end of the shift…these reports should include inmate statements if applicable…

[ no other options were tried and failed; cell extraction to restraint chair me was their only desire; the videotaping was either destroyed (my hunch) or it didn’t work in spite of the requirement to check for it to be in working order every day – maybe it’s appropriate to destroy it when the videotape wouldn’t help defend against litigation, but would actually corroborate complaints about criminal activity – but who am I to know?; no deputy verbally instructed me to stop; I was never given the opportunity to stop; actually I already had – but they didn’t care about that; there was no “if the inmate does not comply with the verbal direction” – they just ignored this concept in total; no supervisor directed me to cease the activity either – I had already ceased anyway – and there was no period of monitoring to note that it had ceased; regarding Extraction Team force the minimal requirements were not adhered to: no verbal cease order; no explanation of potential consequences; no pepper spray warning; nothing; just straight to the restraint chair…you can even hear one deputy’s obvious glee in the matter… ]

7-400: All crimes committed within the Jail shall be investigated on a case by case basis by the appropriate authority. Jail staff shall secure and preserve evidence when a crime is suspected.

[ crimes by Jail staff and nursing staff are not discluded from what I can tell; I demanded evidence be secured and preserved and documented, including demanding that others who maybe could have been objective be brought in to do so – all to no avail; one brave deputy started to ask about “the cop shop” ?? but he got shut down fast; I wonder if it was the same deputy who tried suggesting to leadership that I be talked to first before just being slammed into the restraint chair; was their one almost brave deputy? find him…he might tell the truth…]

7-401: Definitions: Crime: any act that violates federal law, state statute or local ordinance. Preliminary Investigation: Initial on-site evaluation and documentation of an incident by Jail supervisors. Evidence: Physical property that may be related to a crime and may implicate or exonerate a person of a crime.

[ they all just kind of avoided/ignored all this crime / law enforcement babble ]

7-402: Rules: If the violation committed constitutes a crime…shall refer the case to the Sheriff Detective Division for investigation for possible criminal charges. When an Jail staff member witnesses a crime committed within the Jail or when a crime is reported, they shall take whatever action is both reasonable and necessary to restore and maintain order…when an incident…is serious enough to warrant possible criminal charges, the Person-in-Charge shall be notified immediately.

[ as above the possible criminals didn’t think to call the Sheriff Detective for investigation and possible criminal charges against themselves or even against one another; it was just me reporting the crime; what do I matter versus the whole gang, you know, one of those conspiracy oriented things – they must have been thinking this rule was just for inmates committing crimes against inmates – this might require some clarification in the next Jail P&P manual ]

7-403.A: Procedure: Staff Responsibilities: Verbally instruct the violator(s) to cease the activity. Notify a security supervisor. Visually inspect the participants for injuries and summon the on-duty Nurse… protect the crime scene [ no one instructed the violators to cease not coming to my aid (I know…I know…double-negatives are a bit awkward, but in this case how else can you put it; no one visually inspected me for injuries and rarely summoned the nurse who typically only checked things out as thoroughly as a fractional second would allow; the crime scene was not protected – see I knew I was right to ask for that – didn’t even need to know it was in a manual]

7-403.B: Supervisor’s Responsibilities: Upon being notified of a crime…supervisor shall immediately report to the scene to direct the preliminary investigation…evaluate the situation…reviewing information given by persons involved…personal observation…if the incident appears to involve a misdemeanor crime, the security supervisor shall inform the victim of their right to press criminal charges…if the victim elects to press misdemeanor charges, the security supervisor shall contact the Sheriff Detective Division…if the victim chooses to press misdemeanor charges or if the incident appears to involve a felony or gross misdemeanor, the supervisor shall contact the on-call investigator from the Sheriff’s Detective Division immediately and follow their instructions. The supervisor shall also contact the Crime Lab personnel to photograph the crime scene…if the victim has been injured…the security supervisor shall ensure First Person Statements are completed by inmates involved and/or inmate witnesses. The supervisor may require reports from staff directly involved with the incident.

[ well, I was notifying the supervisor that was already on the scene of the crime so I can’t really blame him for not reporting to the scene – he was already there!; well, he probably did evaluate the situation – but not by reviewing information given by persons involved (well, not my information anyway) – it’s just that the conclusion of his evaluation was a bit self-serving; apparently my claims that this was torture, that torture is a crime, that this was a crime scene, were interpreted as being somewhat less than a misdemeanor – actually they dismissed the crime concept in total – I am so truly mystified as to why; but as a result the on-call investigator didn’t get to come and see; the Crime Lab didn’t get to take out their cameras; no First Person Statement was completed; wasn’t even started!]

7-403.C: Evidence: Maintain physical custody of the evidence. Notify the appropriate supervisor. Package and label the evidence per Sheriff Crime Lab Unite guidelines. Lock the evidence in an evidence locker.

[ I didn’t notice anything in here suggesting that this doesn’t apply to Jail staff and leadership or HCMC nurses – upon removal from the torture chair I specifically called it a crime scene; told them to keep the chair as evidence; asked for pictures/photos of my hands/wrists; asked for the police (mea culpa – apparently I should have known to ask specifically for the County Sheriff’s Office On-Call Investigator or Detective and the Sheriff Crime Lab); asked for an attorney; etc; no one advised me of any rights whatsoever; nobody documented any evidence whatsoever; nobody took or documented my or anyone else’s statements whatsoever; nobody did their job whatsoever; anything written was to avoid the truth; nobody gave a damn whatsoever…well, about me or the law I mean]

9-100: Jail shall ensure and facilitate reasonable inmate access to counsel and shall assist inmates in making confidential contact with attorneys.

[see above – ‘reasonable inmate access’ under these dire emergency circumstances would be immediate access as I requested to help facilitate/force immediate evidence gathering]

9-300: Inmates Rights to Protection: Jail shall protect inmates from personal abuse, corporal punishment, personal injury, disease…and harassment while providing safety, security and good Jail shall restrict the use of physical force used against inmates to…justifiable self-defense…and only the amount of force necessary shall be used. In no event shall physical force be justifiable as punishment…

[Jail staff and leadership as well as Jail medical staff missed the boat a bit here; maybe it’s hard to get into protective mindsets while being in perpetrator mindsets – group think anyone?]

9-900; Disabled Inmates (ADA): Inmates are considered disabled under ADA if they meet any of the following criteria: physical or mental impairment that substantially limits one or more major life activities…a record of such impairment…being regarded as having such will make every effort to process and house disabled inmates…and will try to provide accommodations that best serves the inmate’s needs. Inmates that are unable to perform basic life functions are not accepted at the ADD…these requirements are facilitated more effectively using trained medical staff at HCMC.

Medical Screening: Deputies will ask medical screening questions of each inmate…Medical screening will include identification and assessment of an individual’s disability to determine suitable holding arrangements…identify needs for special or immediate medical intervention…aid in housing classification for security, safety and inmate needs…any inmate identified as having a disability will be referred to the medical staff for further screening.

[ I have mental impairment that substantially limits one or more major life activities; I have a record of such impairment; I am regarded as having such impairment; no accommodation was considered other than the restraint chair…and honestly…that proved to be an uncomfortable accommodation… I even mentioned that to them once or twice, but they insisted that it was the perfect thing for me; I should not have been accepted at Jail ; mental health staff at County Hospital would have done me proud – I’m sure of it…I’ve been there; obvious visual indicators that I was mentally disabled were completely ignored]

10-100: Admissions/Booking: Intake control staff reviews…paperwork from the arresting officer…the process will include complete medical screening…appropriate intake holding based on perceived risk determined during medical screening and observation…complete photo image process… booking interview…fingerprints…opportunity to use telephone

Procedure: If there is any visual or verbal indication that the inmate requires medical attention the admissions deputy will summon the Intake Nurse for evaluation: if the nurse decides the inmate requires medical attention beyond what Jail staff can provide the inmate will not be accepted… all inmates will have a medical screening assessment: if the inmate has urgent needs to be further evaluated the Intake Nurse will immediately evaluate the inmate…

[ the officer’s paperwork and statement that I came from the hospital, that I was ‘just like that the whole time’, the hospital shirt; the hospital wrist band would have indicated that taking me in was an inappropriate risk; there were visual, verbal and written indications that I needed medical (medical includes mental) attention; the Intake Nurse was not summoned for evaluation so there was no nurse evaluation opportunity to not accept me ]

10-200: Booking Refusals: If at any time during the admissions process an inmate is assaultive and/or uncooperative, the inmate shall be…placed in a single occupancy room until the admissions process is possible…Intake Sergeant and Nurse shall be notified.

[I was neither assaultive nor uncooperative in booking …during booking I described to Deputy S_C_ (?) that I had been tortured and complained about it …he and another Jail person decided that that was ‘uncooperative’ even though I am supposed to be able to voice such concerns and halted booking…I actually thought they were supposed to respond appropriately (see 7-400 above) to an allegation of criminal behavior against me. Instead, they punished me with further detention. To the best of my knowledge the Intake Sergeant and Nurse were not notified, or if they were there wasn’t any evaluation of me by either of them – but then who wants to document injuries to inmates caused by staff…that’s not smart…]

11-100: Classification of Inmates: screen all inmates at the time of admission and during their stay.

Special Needs Inmates: inmate whose mental and/or physical condition requires special handling and treatment…includes…the emotionally disturbed…suspected mentally ill…chronically ill…disabled…special needs inmates shall be housed appropriately…

Mentally Ill: any person diagnosed as having a psychiatric or other disorder which substantially impairs their mental health and is recognized as being in need of treatment.

[ even if we ignored the lack of reasonable initial admission screening, what about the “during their stay” part; at our 3:45 interaction I told Nurse D_M_ I had come from riverside locked mental health unit (that might have been a good hint relative to “suspected mentally ill”) – special handling and treatment would have been appropriate and would have helped avoid this whole mess; that would have been nice ]

14-300: Release from Custody: Vulnerable Adult: Persons who are unable to protect themselves from harm due to the existence of a physical, mental, or emotional impairment…rendering them unable to provide for their own care, including food, shelter, clothing, health care or supervision.

[ my inability to protect myself from harm was obvious from the time I was crashed in the locked mental health unit; Fairview security – if they had actually dropped me at the curb I would have just laid there hoping I got picked up not knowing what to do relative to shelter, health care, etc.; my brain was crashed beyond even thinking of all this; much like how I couldn’t protect myself in the Jail ; I was totally incapable of getting the health care I needed; I ate nothing from Friday noon until Sunday in Abbott; food didn’t even cross my mind ]

14-302.G No release shall be processed until all pending actions, claims, or grievances have been arranged to be resolved.

[ I was released without any consideration for what was done to me or my claims in that regard; resolved? how about totally ignored by every single person on duty at all times? ]

14-302.I Prior to the release of a vulnerable adult the Jail Medical Staff shall be consulted and a decision shall be made regarding any special arrangements or notifications necessary in order to help ensure the welfare and safety of the inmate…

[no one notified anyone about anything regarding me; ensure welfare and safety; no one gave that a second thought…and I was in far worse shape when I left than when I got there due to what they did to me…torture will do that to you…I was in Abbott for 10 days; I was not safe to be in anything but an inpatient CD treatment program for 4 more weeks; Jail created a total mess of my mind…I’m still dealing with it…obsessive…fixated…rage…distrust…frequent inability to sleep; frequent nightmares; distracted; rumination; you name it, I’ve got it; not fun]

14-303: Procedure: release authorizer shall review all…paperwork…verify that all documentation is accurate and complete…ensure all release dispositions are accurate…all accompanying… paperwork and conditions are in compliance…

[my initial classification should have been Special Needs not Special Management or at the very least I should have been moved to Special Needs…correctly classifying me at intake or reasonably soon thereafter would likely have made all the difference in the world; as mentally ill as I was and as they knew and as severe an impact on me as the torture and other treatment had on my mental health, such that I had been and was at release clearly a Vulnerable Adult none of this came into play…within minutes of seeing and hearing me describe what was done to me my daughter knew enough to take me straight to Abbott Hospital ER due to my severely distraught, decompensated mental state. I was in Abbott for 10 days in order to recover sufficiently from the trauma I had experienced to go to a 4 week inpatient (not safe enough for outpatient) CD treatment. ]

17-200: Jail will provide all inmates with reasonable and equitable access to telephone facilities. All newly admitted inmates will be allowed to have reasonable access to a telephone during the booking process to contact their attorney, family…

[access to telephones was consistently described to me and many other inmates as not available until after booking; not during booking]

18-100: Health Care Resources: All inmates shall be provided with medically necessary health care services, including medical, psychiatric…emergency medical, psychiatric…services shall be available 24 hours/day. Final decisions regarding medical care shall rest with the designated responsible Physician.

Medically Necessary: Care without which the inmate could not be maintained without serious medical risk or significant reduction of the chance of repair after release or without significant pain or discomfort…in the Jail setting this is confined to urgent or emergent situations…the clinician shall have the final say on what is necessary treatment…health care staff…shall provide coverage for safe, sound health care, emergency first aid, and crisis intervention…provide for psychiatric evaluation of all inmates referred by the health care staff…all medical, psychiatric…involving medical judgment are the sole province of the responsible Physician…all policy and procedure related to security shall apply to all health care personnel…inmates who need health care beyond the resources available in the Jail , as determined by the responsible Physician, are transferred…to a facility where such care is available…emergency medical…psychiatric care shall be provided by County Hospital whenever possible.

[ I doubt that a responsible Physician was ever aware of my status; if he/she was then he/she couldn’t be classified as ‘responsible’; children have a better sense of responsibility than this team does; shock (from temporary organ failure all the way to death) and gangrene (loss of limb(s) are serious medical risks; the psychological trauma of torture, especially to one already suffering from severe mental illnesses, creates a serious medical risk; no psychiatric evaluation before, during or after the torture; safe and sound psychiatric care at County Hospital was not in this team’s plan; they were desirous of things completely antithetical to that – I would venture to think in terms of sadistic treatment being more on their minds…and I don’t think I’m venturing out very far on that limb…but go ahead…don’t take my word for it…check for yourself…]

18-200: Health Care Policies: To ensure…detainees in the Jail will receive appropriate health care. [cries of pain for 3+ hours went completely unheeded by jail, jail leadership and jail nursing personnel]

18-300: Health Care Personnel Requirements: __ State and Federal Practice Acts and rules of licensure… apply to health care staff in the Jail . The duties and responsibilities of such personnel are governed by written job descriptions approved by the health authority…to provide all inmates with quality medical…mental health, nursing and emergency services…health training…shall include: recognition of signs and symptoms and knowledge of action required in potential emergency situations…signs and symptoms of mental illness…procedures for inmate transfers to County Hospital for inpatient, emergency or psychiatric care.

[ I wouldn’t be inclined to use the word ‘quality’ // Board of Nursing might have some thoughts, and some choice words I hope, on how well Jail Nursing staff lived up to even minimum professional nursing standards…they didn’t]

18-900: Continuity of Care: Jail health care staff shall provide continuity of care from admission to discharge…including referral to community care when indicated.

[I should have been sent to County Hospital or some other hospital before admission, during admission, before being tortured, while being tortured, after being tortured, or upon release; didn’t happen]

18-1200: Notification of Next of Kin: Circumstances shall specify and govern the process by which the inmate’s designated next of kin are notified in the event of serious illness, injury or death.

[no opportunity to provide a designated next of kin was available until booking began at about 3am; well after the torture took place – np – Jail staff wasn’t about to call anyone anyway]

18-1400: Intake Medical Screening: systematic method of observation and interview to determine the state of an inmate’s health at intake…this process allows for an evaluation of the inmates overall health at intake…if the inmate is not cooperative during admission: the intake medical screening shall be postponed temporarily, but completed as soon as possible…the intake sergeant and the intake nurse shall be notified…medical screening shall…identify an inmate who has medical condition that may require medical attention…shall include medical…and mental health issues…health care staff shall identify any inmate requiring immediate medical or mental health care attention…intake medical screening shall include visual observations for mental status…intake nurse shall assess the medical disposition of referred inmates…intake sergeant shall be notified of needed emergent mental health or medical evaluation referrals to the ER at County Hospital.

[ I don’t know if the screening was systematic or not… I wasn’t mentally healthy enough to take his questions in or cooperate; in terms of ‘determining the state of an inmate’s health at intake’ it falls woefully short; if…and I think it’s a big if…the intake sergeant and/or intake nurse were notified so that this could have been done asap, they didn’t act on such notification]

18-1500: Inmate’s health complaints shall be acted upon daily by health care trained staff followed by triage and treatment by health care personnel…an inmate may access health care in intake by verbally notifying a member of security or health staff of medical need.

[I clearly had health complaints for 3+ hours of sheer agony; I clearly had health complaints from the torture I had endured when it was over; I clearly had complaints with night staff regarding the torture a mere few hours before; my health complaints were not acted on… well…other than to maintain…and by some… enjoy them…]

18-1800: Emergency Response: Jail shall provide 24 hour emergency medical…care for acute illnesses or unexpected health care needs…Emergency Care: medical…or mental health care of an acute illness or unexpected health care need that cannot be deferred until the next scheduled sick call…security and medical staff shall be trained to respond to health-related situations within 4-minute response time…training shall include…recognition of signs and symptoms and knowledge of action required in potential emergency situations…signs and symptoms of mental illness…emergency care shall be expedited by using radios…the appropriate medical…or psychiatric person on call shall be contacted for further advice…verbal orders shall be taken and documented…when…

[in theory, severe pain from handcuffs/restraint chair wrist straps would represent an unexpected health care need; among this team, maybe they were thinking that since they expected it, desired it even, it couldn’t be called unexpected so they thought medical care for the agony I was in would be inappropriate – it certainly would have interfered with their mission; normally pain, agony, pleas for help would be thought of as ‘cannot be deferred’, but in their collective mindset deferral was part of the plan; recognition of signs and symptoms was similarly twisted…instead of being the obvious calls to action they were instead part and parcel to the calls to inaction – he is showing signs and symptoms of pain…awesome…we’ve got him right where we want him…we can even laugh about it…mock it…disregard it…walk right on by it…]

18-2100: Inmates With Disabilities: person who has a physical or mental impairment that substantially limits one or more major life activities, a record of impairment or is regarded as having impairment… Special Needs Inmate…an inmate whose mental or physical condition requires reasonable accommodations and/or treatment by staff…Inmate Care Plan…an ongoing procedure to assure proper care and needs of those requiring care beyond those normally provided…

Procedure: inmates with a disability or special need will be referred to the health care staff and classification officer…during intake Jail will make reasonable accommodations for inmates with obvious special needs or disabilities…if a special need or disability is identified at a later time, it will be referred to health care staff and the Classification Officer…referrals will be made to the appropriate physician or psychiatrist if further evaluation is required…

[ I was an inmate with a severe mental health disability…pure and simple…and they knew it… “reasonable accommodations and/or treatment by staff” – that didn’t exactly come into play; as above…my special needs or disabilities were obvious to anyone not wanting to ignore them]

18-3200: Mental Health Care Screening & Referral: programs and services shall be available for inmates who display or have been diagnosed as having mental health problems…Mentally Ill: any person diagnosed as having a psychiatric or other disorder which substantially impairs his/her mental health and is recognized as being in need of treatment or supervision…Inmate In Crisis: a person suffering from emotional or mental instability rendering him/her dangerous to self or others… Emergency Treatment…treatment of any inmate who is a danger to self or others due to mental illness…Transportation Hold…a peace or health officer may take a person into custody and transport the person to a physician or treatment facility if the officer has reason to believe that the person is mentally ill…and in imminent danger of injuring self or others if not immediately restrained…this hold is in effect until the inmate is brought to the hospital and an examiner completes an evaluation…Mental Health Staff…persons with knowledge and qualifications to assess mental health status…to provide appropriate housing, services and treatment to inmates who display or have been diagnosed as having mental health problems…all inmates admitted to Jail shall have a medical screening…includes questions and observations to enable staff to identify mentally impaired inmates who have problems adapting to the detention setting or who may be a threat to themselves or others…after screening referrals for housing and/or treatment shall be made for the care of the mentally ill or significantly impaired inmates…an inmate who shows signs of serious mental illness may be placed in special management housing with a referral to see the Psychiatrist as soon as possible…be sent to County Hospital for immediate attention if their safety and security cannot be managed at Jail …when detention staff suspects an inmate is mentally ill, they shall contact the medical department who shall do an assessment and in turn may make a referral to a psychiatrist…all inmates have access to intake mental health screening, ongoing mental health assessment, emergency mental health care, or transfer to a more appropriate treatment facility… when the level of acuity is severe, the nursing staff shall contact the on-call Psychiatrist to determine need for a Crisis Intervention Center evaluation…

[ I fit the definition of Mentally Ill…I fit the definition of Inmate In Crisis…I fit the treatment need for Emergency Treatment…a Transportation Hold was appropriate…more than appropriate – they had not only reason to believe but knowledge that I was mentally ill – while untrue from my perspective, Jail staff & nursing stated, however wrongfully, that there was imminent danger of me hurting myself – and should have set up the Transport Hold and taken me to County Hospital. As above, multiple times, the medical/mental health screening was not done properly, and even if their reason, which is not anywhere stated verbally or in the record, that they put me in special management due to signs of serious mental illness there was no referral to the Psychiatrist asap…I wasn’t sent to County Hospital per my safety and security…while detention staff clearly had plenty of reason to suspect mental illness and the detention nurse was told of my mental illness no assessment or psychiatric referral was done. access to intake mental health screening, ongoing mental health screening, emergency mental health care and transfer to a more appropriate treatment facility was denied…and even when in their words the level of acuity was severe nursing staff did not call the on-call psychiatrist to determine need for Crisis Intervention Center evaluation ]

18-3300: Use of Restraint Chair for Medical or Psychiatric Purposes: Policy: a restraint chair shall be used as a last resort for inmates who present a danger to themselves or others. [Purpose]: to identify the conditions and obligations of the health care staff as related to inmates in a restraint chair. The goal is to remove the inmate as soon as possible…restraint chair use that is determined necessary for a medical reason shall be initiated by the medical staff. Medical staff shall refer to this policy for all matters concerning restraint chair use when determination for use has been initiated for medical reasons…a restraint chair is never applied as punishment or as a disciplinary measure…inmates should not be restrained in an unnatural position…appropriate restrains shall be used…a restraint chair shall be recommended by the health care staff for physical or mental health reasons and shall be coordinated with a security staff supervisor…a restraint chair shall be removed when the need to restrain no longer exists…the health care staff shall evaluate the inmate’s mental or physical status and make recommendations to the appropriate ADD Sergeant. Restraint removal shall be coordinated with a security staff supervisor.

Procedure: A health care staff shall recommend that an inmate requires restraints when the inmate is demonstrating behavior where it is reasonable to believe the inmate shall seriously harm themselves…medications shall be considered as an alternative to, or along with, restraints. The Jail on-call Psychiatrist at CIC can be consulted for a medication order…medications shall be given to inmates who consent to take medications…when an inmate is restrained for medical reasons a nurse and a sergeant shall be present and shall complete the following: after the inmate is placed in restraints the nurse shall check the inmates airway, the inmates mental status, the color, motion and sensation (CMS) of limbs and for other health reasons…the nurse shall inform the sergeant of any health considerations regarding the inmate…the sergeant shall initiate a 15-minute log by security personnel to check on the welfare of the inmate…the nurse shall check the inmate every 60 minutes and document checks for mental status, CMS, and other health considerations in the medical record…the inmate shall be evaluated hourly for release from restraints and when the nurse determines that restraint is no longer medically necessary the sergeant shall be notified…if the sergeant determines that an inmate requires ongoing restraint due to security concerns the nurse will so document in the medical record…health care staff does not participate in non-medical restraint of inmates except for monitoring their health status and communicating what they consider to be improper use of security restraints jeopardizing the health of an inmate to the Facility Commander…When an inmate is placed in medically necessary restraints an order shall be written in the inmate’s medical record and placed out for the ADD physician to sign within 24 hours. Inmates restrained for mental health reasons shall have their name placed on the psychiatrist board for the psychiatrist to review at the next visit.

[ the restraint chair was initiated and ordered by the nurse for medical/mental health reasons…it was not used as the last resort; it was used as the first resort…the goal to remove me asap was unmet to say the least…nurse staff either didn’t refer to this policy or referred to it and chose to ignore it…the restraint chair was used obviously for punishment and discipline; if it were solely medical/mental health it would have been handled far differently…appropriate restraint were not used – in the form of over-tight handcuffs and wrist straps, nursing staff “did coordination with” security supervisors…a more accurate term may be “did collude with”; the restraint chair was not removed when the need to restrain had obviously ended…not even close; nursing staff ignored my mental and physical status; medications were never considered as an alternate to or along with restraints (gosh…that might have dulled the pain…but again that doesn’t seem to have been part of the plan); the nurse protocol for checking me was only that of the too early check of my handcuffs/ wrist straps…the nurse did not check every 60 minutes – nor did they check for mental status, CMS (color, motion and sensation of limbs); health considerations such as raw agony, pleading for help were either not passed on from the nurse to sergeant or they were and he elected to ignore them, as well as instructing others to too (mho); the sergeant initiated a 15 minute log by security staff but my welfare doesn’t seem to have been the purpose; I was not evaluated every hour for release from the restraint chair…all indications and statements make it clear that that was never a consideration; any notification that may have been made to the sergeant that restraint was no longer necessary was not acted upon ]

18-3500: Right to Refuse Treatment: health care is rendered against an inmates will only in accordance with the law…informed consent is voluntary consent…to examination or a procedure after the inmate has been provided the facts as to the nature, consequences, risks and alternatives concerning the proposed action…the inmate may consent to or refuse treatment…the health services provider will keep a record of the consent or refusal…health care staff shall counsel inmates against refusals of treatment…inmates who may not be competent to make health care decisions shall be referred to the Jail psychiatrist for an evaluation or transferred to County Hospital for care…informed consent requirements will be waived in the event an emergency that requires immediate intervention to save the life of an inmate…

[ When the nurse arrived near 7:00 pm, I clearly had a right to refuse to let the nurse look at my arm and to direct her attention to my wrists; I did not provide informed or voluntary consent for her to look at the minor abrasion on my arm; the nurse and security staff physically forced my arm up clearly against my will for the nurse to look at; if they thought I was incompetent to make this refusal they should have referred me to the Jail psychiatrist for evaluation or transfer; a minor abrasion on one’s arm does not constitute a requirement for immediate life-saving intervention; I’m being picky here…the point is I needed and deserved to have the nurse document what the police officer had done to me ]

18-3600: Medical Records: a complete medical record shall be maintained for inmates to accurately document all health care services provided by health care staff throughout the period of detention…to assure accurate information and continuity of care as related to the inmates medical needs…medical records shall be available to and used for documentation by all health care practitioners in each clinical encounter with inmates…

Procedure: all complaints of illness or injury and the action taken shall be documented by the health care staff and maintained in the medical record…an inmates medical record shall include: a completed admission screening form…health assessment form…all findings, diagnosis, treatment and dispositions…consent and refusal forms…place, date and time of health encounters…health service reports such as mental health consultations…treatment plan…progress notes…discharge summary of hospitalizations…

[ medical record completeness and accuracy are amazingly lacking…beyond that there are also blatant falsehoods documented in the record; none of my complaints of physical injury or psychological trauma from the torture resulted in any appropriate action being taken in their regard; the medical record, like the Jail ’s, is grossly lacking in true and accurate findings]