TITLE: LAKE MILLS POLICE DEPARTMENT POLICY ISSUE DATE: 01/01/04 Investigating Deaths, Life Threatening Accidents and Critical Emergencies LAST UPDATE: 2/17/12 SECTION: Operational POLICY SOURCE: Chief of Police FILE NAME: DEATHINV TOTAL PAGES: 6 SPECIAL INSTRUCTIONS: Amends: I. 01/01/04, 01/13/09 PURPOSE The purpose of this policy is to establish guidelines for the investigation of deaths, lifethreatening accidents and critical medical emergencies where resuscitation efforts (CPR) or similar life sustaining efforts are initiated. II. POLICY It is the policy of the Lake Mills Police Department to thoroughly investigate each death that is brought to the attention of its members and to accurately document the details of the investigation in a written report. The report will follow standardized guidelines established in this document. III. DISCUSSION While the majority of the deaths are the result of natural causes, the possibility of foul play or an accidental cause must be investigated. To aid in making this determination, this policy identifies a number of key issues that officers should investigate and document in their report. IV. PROCEDURES A. Death Investigations 1. The Dispatch Center will assign an officer to investigate all deaths, lifethreatening accidents, and critical emergencies where resuscitation efforts (CPR) or similar life sustaining efforts are initiated. B. Investigations will follow one of three tracks: Major Case; General Death Investigation requiring the completion of an offense report and a checklist; and General Death Investigation not requiring an offense report or checklist. 1. The assigned officer is responsible for determining which track the death, lifethreatening accident, or critical emergency will follow. Issued: 01/01/04 DEATHINV Page: 2 a. When attempting to determine what level a crime, critical incident, or death should be investigated, the officer should try to determine if an act or omission of another caused the victim’s death, serious injury, or condition. b. The officer should also consider the guidelines listed below when evaluating a death. A negative response to any of these guidelines requires an investigation in accordance with the department’s Major Case Policy. 1) Was the victim’s age consistent with the medical emergency or apparent cause of death? 2) Was the victim’s medical history (i.e. current medication, recent medical care, or professional diagnosis) consistent with the medical emergency or apparent cause of death? 3) Was the death, critical medical emergency, or life-threatening accident a witnessed event and is the information provided by the witness(es) credible and consistent with the victim’s medical condition or accident. 2. A supervisor will be contacted if there is any question about what track a death investigation should follow. 3. Major Case Investigations- As a general rule, incidents requiring Major Case investigations include: a. Homicide b. Suicide c. Death of a child (under 18 yoa) d. Poisoning e. Accidental death (refer to TRAFACCINV Policy for traffic fatalities) f. Any death that is unexplained, unusual, or of suspicious circumstances g. Any death that results from a crime (aggravated assault, sexual assault, armed robbery, etc.) 4. General Death Investigations (Offense Report required and checklist) a. The supervisor is responsible for making sure the death is thoroughly investigated by the assigned officer or himself/herself. b. With the exception of those deaths described in Section 5, all investigations require the completion of an incident report and death investigation checklist (See Appendix) using the investigative guidelines and format contained herein. Issued: 01/01/04 5. DEATHINV Page: 3 c. The positive identification of the victim is imperative. The investigating officer should have a family member, relative, or credible friend confirm the identity of the victim. d. Photographs and documentation of the identity of the deceased person should be taken when the investigating officer is not able to confirm the identity of the victim. The assigned officer and supervisor will be responsible for determining if additional photographs of the victim or scene are necessary. General Death Investigation (No Offense Report or Checklist Required) a. b.. The assigned officer is responsible for reviewing the circumstances related to the death with the assigned their supervisor as indicated in (b). Generally, when a death is witnessed or discovered by a credible person and sections 1-3 of the following can be confirmed, a supervisor is not necessary to complete an offense report or complete a death investigation checklist. 1. Resuscitation efforts (CPR) are performed on the victim and the victim is transported to a hospital emergency room. NOTICE: The officer must contact the attending emergency room physician to verify that the death is from natural causes consistent with the victim’s age or medical condition. 2. The victim’s medical history (i.e. current medication, recent medical care, or professional diagnosis) is consistent with the medical emergency. 3. The victim’s age is consistent with the medical emergency. Examples of a death that do not require the notification of a supervisor: 4. When the deceased is in a hospice program and death results from the diagnosed illness. 5. When the deceased is a resident of a nursing home or other medical facility and the death is diagnosed as due to natural causes. 6. When the deceased is wearing a “Do Not Resuscitate” (DNR) bracelet and the documents supporting the DNR Order can be Issued: 01/01/04 DEATHINV Page: 4 reviewed (provided the death is due to natural causes). Coroner Notification: A. In all deaths requiring an investigation, the coroner shall be notified at the same time the supervisor is called to the scene so that a joint investigation may be undertaken. B. With the exception of traffic fatalities, the assigned supervisor will be responsible for notifying the coroner in all other deaths. C. When an Accident Investigation Team is assigned to investigate a traffic accident where a fatality has occurred, the coroner shall be notified at the same time as after the Accident Investigation Team members so that a joint investigation may be completed. D. Upon conclusion of the investigation, the taped narrative shall include the list of observations in Appendix A. This list shall appear in the report prior to the summary of the incident. Each item in the list shall appear in a separate paragraph under the corresponding heading. Kathleen Hansen Chief of Police Date: 02/17/12 Issued: 01/01/04 DEATHINV Page: 5 APPENDIX A 1. IDENTIFICATION OF DECEASED: Yes or no? If yes, how was identification accomplished. If no, how is it to be accomplished? 2. LOCATION OF BODY: Geographic location: inside or outside? If inside, where; i.e., living room, basement, foyer, lobby, etc. If outside, describe area. 3. POSITION OF BODY: Sitting, face down, face up, hanging, etc. 4. CLOTHING DESCRIPTION: Type, color, condition, partially clothed, fully clothed. 5. CONDITION OF BODY: Well preserved, decomposed, rigor mortis present, postmortem lividity marks present, color. 6. WOUNDS: Yes or no? If yes, location, type; e.g., gunshot, stab, laceration, blunt force. 7. WEAPONS PRESENT: Yes or no? If yes, type, description; e.g., gun or edged weapon, blunt instrument, gag, restraints. 8. EVIDENCE OF CRIME: Yes or no? If yes, type of crime; e.g., burglary, robbery, theft, arson, none. 9. CONDITION OF SURROUNDINGS: Orderly, untidy, disarray, odors present, interior and exterior lighting; special attention to condition of doors and windows; i.e., forced entry or signs of struggle. 10. WEATHER/TEMPERATURE: Outside and/or inside temperature, (actual temperature if available). General weather conditions. 11. MEDICATIONS PRESENT: Yes or no? If yes, type of prescription medications, medical history. 12. EVIDENCE OF ALCOHOL/DRUG ABUSE: Yes or no? If yes, type and amount of beverage/drug or presence of empty containers/paraphernalia. Issued: 01/01/04 DEATHINV Page: 6 13. EVIDENCE OF UNUSUAL SEXUAL PRACTICES: Yes or no? If yes, describe. 14. LAST CONTACT WITH DECEASED: Identify all people present at the time of death. (who, when, why) Did the deceased give any indication of depression? Were there any recent unusual comments, behavior, arguments, or threats? Did anybody leave before the police arrived? 15. NEXT OF KIN: Name, address, phone number, if contacted, death notification made by whom. 16. DATED MATERIAL: Mail, newspapers, deliveries, and collections. 17. EVIDENCE OF LAST FOOD PREPARATION: Where, type, meal completed? 18. DISPOSITION OF BODY: Morgue? Hospital? Funeral home? Name of coroner. 19 CORONER NOTIFIED: When? By whom? Time of arrival? 20. RESCUE OR AMBULANCE PERSONNEL: Identify rescue or ambulance service and personnel. Note observations of rescue personnel. 21. PROPERTY: Building secured, significant property or valuables secured or inventoried, by whom? Identify and secure motor vehicles. 22. INSURANCE: Life insurance; how much; beneficiaries. List the insurance companies and how long policy was in effect. 23. OTHER: Anything unusual, odd, unexplainable, or out of the ordinary. 24. SUMMARY OF THE INVESTIGATION: Officer's investigative narrative.