CAPITAL PUNISHMENT (DEATH BY LETHAL INJECTION) Division 024 291-024-0081 IV/Medical Team Procedures (1) Selection and Training

of IV/Medical Team: (a)The Superintendent or designee will obtain the services of at least two qualified medical professionals to prepare and insert intravenous lines in the condemned inmate for purposes of carrying out the inmates death sentence via lethal injection. The Superintendent or designee will also obtain the services of an additional qualified medical professional to supervise the IV team and oversee the IV procedure, and assist the Superintendent. The Superintendent or designee shall ensure that all members of the IV/medical team are licensed, have proper training and experience in the preparation and insertion of IVs, and that team members pass a criminal background check. (b) The Superintendent or designee shall ensure that IV/medical team members participate in training with ODOC staff to prepare team members to carry out their respective duties in an execution. (2) Lethal Injection Procedures: (a) Prior to the date of the execution, the IV/medical team will evaluate the condemned inmate in order to identify suitable veins for insertion of IVs for infusion of the lethal chemicals. (b) On the date of the scheduled execution, the Superintendent or designee will direct the removal of the lethal chemicals and other medical supplies from secure storage for use in carrying out the execution. Upon reporting to the Penitentiary on the date of the scheduled execution, the IV/medical team will inventory and insure that necessary medical supplies are on site, and prepare the syringes containing the lethal chemicals. Each syringe will be labeled with the name of the drug it contains and the name of the condemned inmate. The syringes will be numbered in order they are to be administered. (c) When directed by the Superintendent or designee, the IV team will prepare and insert two intravenous catheters into a peripheral vein located in each of the condemned inmates arms, and hook up the inmate to the heart monitor. The IV team will monitor and ensure the proper functioning of the IVs by slow infusion of normal saline. If only one functioning IV site is established or if no functioning site is established after protracted attempts, the Superintendent or designee will direct the IV team to suspend further action, and direct the supervising qualified medical professional to evaluate the inmate to determine whether different peripheral functioning infusion site should be attempted or a cut-down procedure is necessary. In the event that the IV/medical team is unable to establish at least one functioning IV site after protracted efforts, the Superintendent will order a halt to the execution proceedings, and direct the IV/medical team to cease their efforts and remove the IVs from the condemned inmate. (d) In carrying out their respective duties the IV/medical team will seek to ensure that no unnecessary pain or suffering is caused to the condemned inmate by the IV procedures. (e) Upon establishing at least one functioning IV site, the Superintendents shall order the executioner to begin the administration of the lethal chemicals by intravenous infusion in the following order: ultra-shortacting barbiturate; chemical paralytic agent; and potassium chloride. (f) The Superintendent will observe a minimum waiting period starting from the time of infusion of the ultrashort acting barbiturate before ordering the infusion of the chemical paralytic agent and potassium chloride; if pentobarbital is used the Superintendent will observe a minimum waiting period of five minutes from the start of the infusion of the pentobarbital. (g) Following infusion of the ultra-short-barbiturate, the Superintendent will monitor the inmate through appropriate procedures under the supervision of the supervising qualified medical professional to determine Temp effective 11/17/11 DIV 024 Page 1 of 2

that the condemned inmate is nonresponsive before starting infusion of the chemical paralytic agent and potassium chloride. Such procedures shall include seeking a voluntary auditory response from the condemned inmate, and if no response, testing the condemned inmate's involuntary ocular response by brushing the condemned inmate's eyelashes. After waiting the minimum designated waiting period for the ultra-short-acting barbiturate to take effect, and upon determining that the condemned inmate is nonresponsive, the Superintendent will order the executioner to begin infusion of the chemical paralytic agent, to be followed by the potassium chloride, until all of the lethal chemicals have been infused. (3) Post-Execution Procedures: After the condemned inmate is pronounced dead by the supervising qualified medical professional, the Superintendent or designee will direct the IV team to enter the execution room and disconnect all tubing. All tubing will be placed with solution bags and will be removed by the Medical Examiner and/or funeral home. All items used by IV team will be placed in appropriate biohazard containers for disposal. The IV team will inventory and document all supplies and equipment used during the execution. Stat Auth: ORS 137.463, 137.473, 179.040, 423.020, 423.030, and 423.075 Stat Impl: ORS 137.463, 137.473, 179.040, 423.020, 423.030, and 423.075

Temp effective 11/17/11

DIV 024 Page 2 of 2