Q&A
Council Member Sandy Nurse questions CHS on emergency contact reaffirmation procedures
1:50:58
·
139 sec
Council Member Sandy Nurse engages in a discussion with Chief Medical Officer Bipin Subedi about the procedures for reaffirming emergency contacts for incarcerated individuals. The conversation focuses on the challenges of maintaining up-to-date contact information and the potential for implementing a routine reaffirmation process during health evaluations.
- Nurse suggests incorporating a simple reaffirmation process during evaluations to ensure emergency contact information is current.
- Subedi explains the complexities involved, including clinical situations where contacting family members might be inappropriate.
- The discussion concludes with Subedi agreeing to look into the possibility of implementing such a protocol, pending further discussions with staff and leadership.
Sandy Nurse
1:50:58
Thank you.
1:50:58
I just had a wanted to clarify one point.
1:51:03
So in terms of what you were saying, I recognize what you're saying.
1:51:06
People might be in there for a long time, and maybe the nature of the relationships might have changed with people on their who were their emergency contacts.
1:51:14
Is there at any point during an evaluation process where a simple reaffirmation through questioning can can just say, yes.
1:51:25
This is still the person I would like to have contacted.
Bipin Subedi
1:51:29
I don't think it's kind of routinely built in the same way we obtain consents.
1:51:33
Initially, when someone comes in, I do think it's not just a matter of the individual.
1:51:38
Someone identifies to be to speak to, but also that, you know, it really depends on a clinical situation, you know, taking suicide attempts for example, the family member exchange with that family member or or emergency contact could have been involved in the circumstances that led to that suicide attempt.
1:51:55
So that's all information we wanna have.
1:51:57
We wanna discuss with the patient in real time and to make decisions from there.
1:52:01
So I think we wanna just consider all the factors and all the circumstances that may come up in reality.
Sandy Nurse
1:52:06
Okay.
1:52:08
In light of this hearing and maybe maybe there that you're saying this isn't rude teenly incorporated or it's not a protocol, is that something that you would wanna look at?
1:52:19
That suicide being one particular area about serious injury or minor injuries, it seems to me that someone treating a patient would just double check-in the intake process of a health evaluation.
1:52:35
Hey, is this still the person we should contact?
1:52:38
Should anything else go wrong here?
1:52:40
Like, are we still good to communicate to these folks?
1:52:43
And I I I'm just curious if this would be something you would be able to operationalize in a routine basis as a as a policy and a protocol.
Bipin Subedi
1:52:55
Yeah.
1:52:55
It's definitely something we can look into.
1:52:57
I think we'd have to discuss it with our staff and our leadership.
Sandy Nurse
1:53:00
Okay.
1:53:01
I'm gonna request that the if you could, in the follow-up, provide the data that the council member wrestler is asking for or an analysis of the data through the lens in which he is asking for.
1:53:13
For.
1:53:14
I'm gonna pass it to council member Stevens.
