Robert HASLAR, Appellant, v. Charles MEGERMAN, in His Official Capacity as Director of the Jackson County, Missouri, Department of Corrections; and Jackson County, Missouri, Appellees.
No. 96-1810.
United States Court of Appeals, Eighth Circuit.
Submitted Nov. 22, 1996. Decided Jan. 6, 1997.
104 F.3d 178
Catherine Dorothy, argued, Kansas City, MO, for appellees.
Before McMILLIAN and MORRIS SHEPPARD ARNOLD, Circuit Judges, and BOGUE,1 District Judge.
MORRIS SHEPPARD ARNOLD, Circuit Judge.
Robert Haslar challenged the Jackson County Detention Center’s policy of shackling pre-trial detainees while they receive medical attention, and the district court2 granted summary judgment to the defendants. We affirm.
I.
Because this appeal follows a grant of summary judgment to the defendants, we state the evidence in a light most favorable to the plaintiff. While awaiting trial for burglary and theft in the Jackson County Detention Center (“JCDC”), Robert Haslar was admitted to Truman Medical Center (“TMC”) for renal failure. During the first few days of Haslar’s stay, he was virtually comatose. Pursuant to JCDC policy, an officer guarded Haslar at all times, and his legs were shackled and chained to his bed. As was customary, TMC nurses wrapped Haslar’s legs with gauze to reduce chafing and abrasions. At the beginning of each eight-hour shift, JCDC
Haslar’s medical problems caused his legs to become extremely swollen, and at one point the shackles themselves were barely visible. When Haslar complained on several occasions that his feet hurt and that the shackles were too tight, the guards neither checked the restraints nor called a nurse to examine Haslar. Haslar’s mother also complained several times that his shackles were too tight; after one request that the guards either loosen or remove the shackles, the guards answered that they had done the best they could and that they could remove the restraints only if Haslar died. Haslar could not walk when he left TMC to return to JCDC, and he suffers permanent leg damage. As a result, Haslar must continue treatment for his pain.
By not consulting a doctor about Haslar’s complaints, the guards’ responses to the complaints departed from JCDC’s standard practice. If an inmate complains about the shackles, it is customary for the guard either to check the tightness of the restraints personally or to call a nurse to examine them. If the shackles are too tight, the guard may loosen them without permission from a jail supervisor. If a medical doctor determines that removal of the shackles is medically necessary, as might well have been the case here had a doctor been consulted, the guard requests permission from the shift administrator at the jail to remove the shackles and restrain the inmate in another manner. Although final authority rests with the shift administrator, such requests are routinely granted.
Haslar brought this action under
II.
Our analysis begins with the recognition that liability under
Haslar first asserts that JCDC’s policy constitutes a deliberate indifference to medical needs. We disagree. Admitting pre-trial detainees to a hospital concretely demonstrates a deliberate concern for their medical well-being, and not an indifference. The practices used when shackling JCDC inmates at TMC, moreover, contain several safeguards that, when followed, minimize the possibility of physical harm to the inmate. To prevent chafing and abrasions, nurses wrap inmates’ legs in gauze. To ensure that the shackles are not too tight, guards are instructed to check them at the beginning of each eight-hour shift by inserting a finger between the inmate and the restraints. Double-lock shackles are used to prevent inadvertent tightening. If an inmate complains of pain from the shackles, the guard is either to check them personally, or call a nurse or doctor to do so. If the restraints are too tight, the guard is to loosen them. Finally, the guard is to request permission from the shift administrator at the jail to remove the shackles and use another means of restraint if a doctor determines that shackles cannot be used without harming the inmate, as might well have been the case here. Without commenting on whether the defendants’ officers’ failure to follow some or all of these policies, if there was such a failure, would reflect an indifference to Haslar’s medical needs in this instance, we disagree that the policy itself does.
Bell, 441 U.S. at 520, 99 S.Ct. at 1861, governs our consideration of Haslar’s claim that the policy constitutes punishment in violation of the
III.
The failure, if any, of Haslar’s guards to follow JCDC policy cannot be the basis for imposing
