To establish effective policies and procedures for an ICE visit, consider developing/using the following for your institution:  

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• Algorithm: A quick-reference guide to post in clinical areas.  

• Summary Document: A concise overview for easy access (see Blue Cards).  

• Detailed Procedures: Comprehensive instructions with rationale.  

• FAQ Document: Answers for staff, integrating content from the algorithm and detailed procedures.  ​

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Key Components for Policies Supporting Patients:  

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• The facility will provide care to all patients, regardless of citizenship or immigration status.  

• Providers will ask about or document country of origin/documentation status only if clinically relevant. 

• Patient presence in the clinic and medical records will not be shared with law enforcement without proper warrants.  

• ICE encounters on institutional property should follow a structured response, similar to a medical emergency (e.g., code blue), with clearly assigned tasks and roles.  

• Define what areas are considered private/non-public property.  

• Staff are prohibited from allowing ICE officers to enter/search without proper authorization.  

• Provide a contact plan for on- and off-duty hours.  

• Train providers and staff in handling “Code Colds” (ICE-related emergencies).  ​​

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We have included is a sample protocol to follow if ICE or other law enforcement come to your health care institution. Key points:

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• Protect your most vulnerable patients and remember your right to remain silent.

• Refer all questions to your organization's designated representative (ideally someone well-versed in the law, such as Risk Management).  ​

• Each health center should develop their own protocol. You can print, customize and post "Blue Cards" in clinical spaces to remind everyone of what to do in case ICE or law enforcement shows up.​

• By practicing this protocol consistently - in the same way you might practice a code for an active threat -  you will know what to do if and when law enforcement presents at your health center.