Army Action Plan: Standard Operating Procedures for Medical Documentation and Reporting Procedures for Suspected Detainee Abuse

DETENTION HOSPITAL SOP NO: 007 GUANTANAMO BAY, CUBA
Title: MEDICAL DOCUMENTATION AND Page 1 of 3 REPORTING PROCEDURES FOR Effective Date: FEB 05 SUSPECTED DETAINEE ABUSE
Reviewed: 16 JUN 05
SCOPE: JOINT MEDICAL GROUP (JMG)
L BACKGROUND:
Detainees will be treated humanely. Verbal harassment, physical abuse, or any form of corporal punishment is prohibited.
H. DEFINITIONS
For the purpose of this instruction, the term provider refers to a licensed independent provider who is credentialed at U.S. Naval Hospital Guantanamo Bay, Cuba to practice as a Physician, Phrician's Assistant, Psychologist or Nurse Practitioner.
HI. POLICY:
Detention Hospital will intervene in and report any observed detainee abuse. Detention Hospital will report any incident of suspected detainee abuse uncovered during routine medical examinations.
IV. PROCEDURES:
Procedure for evidence of abuse, reports of abuse or detainee reports that they have beenabused.
A. The Hospital Corpsman or Nurse does an initial history and examination.
Findings will be objectively documented in the detainee's medical record.

B. The initial documentation in the detainee's health record will contain a detailed
account of the events surrounding the incident and will, at a minimum, include thefollowing elements:
1.
The location of the incident.

2.
The mechanism of injury.

3.
The time of the incident.

4.
A timed/dated detailed description of findings on the initial examination

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C. The Nurse on duty will notify the on-call provider of the complaint, allegation, or suspicion within one hour.
D. The on-call provider will examine the detainee within 4 hours. Appropriate studies will be ordered and processed within that time.
E. The provider will forward a summarized account of the incident to the Senior Medical Officer and the Detention Hospital Officer in Charge.
F. This information will subsequently be provided to the Joint Task Force (JTF) Surgeon and Commander, Joint Detention Operation's Group.
G. The JTF Surgeon will be responsible for notifying the Staff Judge Advocate as appropriate.
H. Photography for Documentation of Suspected Detainee Abuse.
1.
Visual documentation will be obtained as determined by the Senior Medical Officer and will be made part of.the medical record.

2.
Any photographs will be made part of the medical record.

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