Summary and Analysis of the First 17 Medical Inspections of California Prisons

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Medical Component: Emergency Services Profile Page 1 of 2 Component Definition: The Emergency Services component examines how well the prison responded to medical emergencies. Specifically, we focused on “man down” or “woman down” situations. Further, questions determine the adequacy of medical and staff response to a “man down” or “woman down” emergency drill. Results in Brief: Most prisons performed relatively well in providing emergency services, with 12 exceeding the 75 percent minimum score for moderate adherence to policies and procedures and four coming close. However, SAC performed very poorly with a score of 48 percent. Further, half of the first responders in our emergency response drill failed to carry and use proper equipment and to properly perform cardiopulmonary resuscitation. In addition, most prisons’ Emergency Medical Response Review Committees were slow in performing their duties.

Key Statistics

• Component Average:...... 77% • Top Two Average:........... 90% • Range of Scores: . .. 90%-48% • Variation:........................ 42% • Number of Prisons with: High Adherence ................. 3 Moderate Adherence . ........ 9 Low Adherence . ................ 5

Chart 8: Emergency Services Scores by Institution, Sorted Highest to Lowest Score 100% 95% 90%

Institution Score

90% 86%

85%

Average Score = 77%

84%

Average Score = 77%Adherence = 75% Minimum Moderate

83% 80%

80%

78%

78%

78%

75%

77%

76% 73%

72%

72%

71%

65%

55% 48% 45%

35%

RJD CCC CMC LAC PVSPCCWF CIW

SQ

ASP CCI

CEN SCC CRC CMF HDSP DVI

SAC

This component includes 19 total questions, eight of which focus on actual “man down” or “woman down” occurrences and 11 of which focus on an emergency response drill.

Areas Requiring Significant Improvement Due to Scores of 60 Percent or Less Question 08.222

The findings of the prisons’ Emergency Medical Response Review Committee were not always adequately documented and completed within 30 days of the emergency situation. The average score for this question was only 24 percent, with nine prisons receiving zero percent.

Bureau of Audits and Investigations, Office of the Inspector General

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