BOP Program Statement 6010.06 § 15

The HSA, CD, or designee will develop and follow a standard written plan specific to their

institution to provide 24-hour emergency medical, dental, and mental health care. Reference

Program Statement Patient Care. The plan will address the following:

 On-site emergency first aid and crisis intervention.

 Emergency on-call procedures for hours that health care providers are not on-site.

 Emergency evacuation of the inmate from the institution.

 Use of an emergency medical vehicle.

 Use of one or more designated hospital emergency rooms or other appropriate facilities.

 Emergency on-call physician, dentist, and mental health professional services when the

6010.06 9/3/2026 PROPERTY OF US GOVERNMENT 19

emergency health facility is not located in a nearby community.

 Security procedures provided for the immediate transfer of an inmate when appropriate.

 Use of Telehealth Emergency/Triage service when available.

a. Emergency Equipment. The HSA or designee approves and periodically reevaluates the

contents, number, and locations of emergency response equipment, including crash carts, go-bags, stretchers, gurneys, backboards, AEDs, naloxone. The HSA or designee will establish

standard procedures for monthly inspections of all AEDs and other mechanical equipment such

as battery-operated gurneys and is responsible for maintenance and supplies in accordance with

the manufacturer’s recommendations. The plan for periodic reevaluation, contents, locations, and

maintenance will be detailed in the required Institution Supplement described in Section 1(b).

b. Training: Mass Casualty Exercises. The HSU will conduct two emergency mass casualty

exercises per year, ideally in conjunction with the institution’s scheduled major emergency drills.

These exercises will be critiqued to identify deficiencies and opportunities to improve responses

to emergencies. The exercises must include multiple victims having a variety of injuries and

requiring a range of clinical skills that simulate the response needed in a real-life disaster. The

HSA or designee will develop and maintain summary documentation that outlines the scenario,

participants, critique of actions and appropriateness of emergency care, discussion points,

corrective action plan. The HSA or designee will also maintain documentation evaluating the

effectiveness of any corrective action improvement activities and evidence of sustained

improvements.

At MRCs, compliance with current accreditation standards will be considered sufficient to meet

the above requirements.