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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Astoria’s instruction is to call 911 regardless. There are liability issues that might apply to the city. The ambulance carries legal forms that indicate the person refused assistance and Medix personnel have the medical training to document the situation accurately. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Once staff followed procedure and called “regardless” when a woman suddenly turned white in the face and began to faint. Later, we learned it had been a sudden, life threatening situation – the staff, who may have been uncomfortable making the call, literally saved her life. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>(I would also add that my spouse is a trained EMT. He tells me they want the call because they never truly know what is happening, like a heart attack perhaps, until they assess the patient. He also advises me to keep an eye on bathrooms and to be generally aware if someone has been in one awhile – people who feel ill can seek them out for privacy.) <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Jane Tucker, MS<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Director, Astoria Public Library<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>450 Tenth Street<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Astoria, Oregon 97103<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'>503.325.7323<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'><a href="http://www.astorialibrary.org/"><span style='color:blue'>www.astorialibrary.org</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'><a href="mailto:jtucker@astoria.or.us"><span style='color:blue'>jtucker@astoria.or.us</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Libs-Or [mailto:libs-or-bounces@listsmart.osl.state.or.us] <b>On Behalf Of </b>Carol Dinges<br><b>Sent:</b> Sunday, November 15, 2015 9:41 PM<br><b>To:</b> Kirsten Brodbeck-Kenney<br><b>Cc:</b> libs-or@listsmart.osl.state.or.us<br><b>Subject:</b> Re: [Libs-Or] when to call 911 for medical intervention when patron says no<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal>We, too, have been told to call 911 regardless of whether the patron wants us to if there's reason to believe it might be needed - otherwise, we could be held liable if the patron did, in fact, need medical help. They can tell the EMT's to take a hike, but there will be a record of that if needed in the future.<br><br>Carol Dinges <o:p></o:p></p><div><p class=MsoNormal>Library Director<o:p></o:p></p></div></div><div><p class=MsoNormal style='margin-bottom:12.0pt'><br>On Nov 15, 2015, at 1:11 PM, Kirsten Brodbeck-Kenney <<a href="mailto:kbrodbeck-kenney@lincolncity.org">kbrodbeck-kenney@lincolncity.org</a>> wrote:<o:p></o:p></p></div><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><div><div id="GroupWiseSection_1447621900000_kbrodbeck-kenney@lincolncity.org_34A482E0159F0000B064FE20A80C1B6E_"><div><p class=MsoNormal>We recently had a staff first aid/CPR training, and what we were told is that if the patron is refusing medical intervention but there are concerns that it might be life-threatening, we should call 911 anyway and let them know that the individual is refusing transport, but we've observed x, y, and z and think they need medical intervention.<o:p></o:p></p></div><p class=MsoNormal style='margin-bottom:3.75pt'><br><br><span style='font-size:10.0pt'><o:p></o:p></span></p><div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>Kirsten Brodbeck-Kenney, MLIS</span><span style='font-size:10.0pt'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>Library Director</span><span style='font-size:10.0pt'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>Driftwood Public Library</span><span style='font-size:10.0pt'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>801 SW Hwy 101, #201</span><span style='font-size:10.0pt'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>Lincoln City, OR 97367</span><span style='font-size:10.0pt'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>541-996-1251 (desk)</span><span style='font-size:10.0pt'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>541-996-1262 (fax)</span><span style='font-size:10.0pt'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:3.75pt'><span style='font-size:10.0pt'><a href="http://www.driftwoodlib.org/"><span style='font-family:"Tahoma","sans-serif"'>www.driftwoodlib.org</span></a><o:p></o:p></span></p></div></div><p class=MsoNormal> <o:p></o:p></p><div id="GroupWiseSection_1447532329000_mcole@ci.oregon-city.or.us"><p class=MsoNormal><span class=groupwisereplyheader>>>> Maureen Cole <<a href="mailto:mcole@ci.oregon-city.or.us">mcole@ci.oregon-city.or.us</a>> 11/14/2015 12:18 PM >>></span><o:p></o:p></p><div><div><div><p class=MsoNormal>Hi everyone:<o:p></o:p></p></div><div><p class=MsoNormal>Yesterday we had a situation in which a person, with a scary but according to her non-life-threatening medical condition, had what appeared to be a seizure; however, she requested that we not call an ambulance. That request went out the window when she appeared to be having trouble breathing. But it raised the very real question-when do you call for medical assistance against a patron’s wishes? <o:p></o:p></p></div><div><p class=MsoNormal> <o:p></o:p></p></div><div><p class=MsoNormal>Obviously, we all have to make judgement calls based on the information at hand. In addition to the person with the medical need, we have to think about the rest of the library. But, in your experience do you have any wisdom that helps quide you when this comes up? I believe all medical personnel would say call them immediately; what are your thoughts as a library employee charged with the safety of all patrons?<o:p></o:p></p></div><div><p class=MsoNormal> <o:p></o:p></p></div><div><p class=MsoNormal>Thanks for your collective wisdom and feedback. Have a great weekend!<o:p></o:p></p></div><div><p class=MsoNormal>Mo<o:p></o:p></p></div><div><p class=MsoNormal> <o:p></o:p></p></div><div><p class=MsoNormal>Maureen Cole<o:p></o:p></p></div><div><p class=MsoNormal><a href="mailto:mcole@orcity.org"><span style='color:#0563C1'>mcole@orcity.org</span></a><o:p></o:p></p></div><div><p class=MsoNormal>Library Director<o:p></o:p></p></div><div><p class=MsoNormal>Oregon City Public Library<o:p></o:p></p></div><div><p class=MsoNormal>606 John Adams St.<o:p></o:p></p></div><div><p class=MsoNormal>Oregon City, Oregon 97045<o:p></o:p></p></div><div><p class=MsoNormal>503-657-8269 ext. 1010 Direct phone<o:p></o:p></p></div><div><p class=MsoNormal>503-657-3702 fax<o:p></o:p></p></div><div><p class=MsoNormal>Website: <a href="http://www.orcity.org/library"><span style='color:#0563C1'>www.orcity.org/library</span></a><o:p></o:p></p></div><div><p class=MsoNormal>Follow us on: <a href="https://www.facebook.com/oregoncitylibrary">Facebook!</a><o:p></o:p></p></div><div><p class=MsoNormal>Subscribe to our <a href="http://orcity.us5.list-manage.com/subscribe?u=271f21539981149d9f0576ba6&id=38181f8585">email newsletter</a>!<o:p></o:p></p></div><div><p class=MsoNormal>PUBLIC RECORDS LAW DISCLOSURE: This e-mail is subject to the State Retention Schedule and may be made available to the public.<o:p></o:p></p></div><div><p class=MsoNormal><img border=0 width=107 height=108 id="Picture_x0020_1" src="cid:image001.jpg@01D12066.ACEB2660" alt="Library square logo SMALL"><o:p></o:p></p></div><div><p class=MsoNormal> <o:p></o:p></p></div></div><div><p class=MsoNormal>If this is an unsolicited spam message, please click this link to report it: <a href="http://gwava.lincolncity.org:49285/contents/spamreport.shtml?rptid=343317&srvid=195s08f">Report Spam</a> <o:p></o:p></p></div></div></div></div></div></blockquote><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><div><p class=MsoNormal>_____________________________________________________<br>Libs-Or mailing list<br><a href="mailto:Libs-Or@listsmart.osl.state.or.us">Libs-Or@listsmart.osl.state.or.us</a><br><a href="http://listsmart.osl.state.or.us/mailman/listinfo/libs-or">http://listsmart.osl.state.or.us/mailman/listinfo/libs-or</a><br>Hosted by the Oregon State Library. The Library is not responsible for content.<br>Questions related to message content should be directed to list owner(s) or the sender of the message, by phone or email.<br>Technical questions? Call 503-378-8800.<o:p></o:p></p></div></blockquote></div></body></html>