See also: medic ethics guidelines.
- We do no harm. We work in buddy teams. We help people get to safe care areas before initiating care if possible. We monitor safety in and around care areas to reduce risk. We use the most conservative interventions possible and make every reasonable effort to safeguard patient health and well-being. If do-no-harm care is not possible, we default to calm, comfort, reassurance, and referral or transport to the best available care.
- We work within our professional (or lay) scopes of practice, limited by an assessment of what is situationally appropriate. We trust and respect the abilities of other medics. We do not impose ourselves when they are providing care. We respect all disciplines (nursing, medicine, herbalism, social work, pre-hospital care, etc.). Every medic team has, at mimimum, first response and first aid training equivalent to a 20-hour Street Medic or 16-hour Wilderness First Aid training. All new members work under supervision by experienced members. We explicitly inform patients of our qualifications and limitations.
- We obtain clear and explicit voluntary informed consent for physical contact, procedures, disclosures, and transport. We respect patients' rights to refuse touch, treatment, transport, or telling (of information learned during assessment/care). Medics who are mandatory reporters strive to warn patients before hearing reportable information and offer to transfer care to someone who can maintain confidence. In an emergency, if a patient is unable to consent due to loss of consciousness, we take only actions we believe essential to their wellbeing. We do not nonconsensually involve police/EMS in mental health emergency.
- We humanize situations that have been dehumanized by police, workplace exploitation, and social violence. We actively work to end sexism, racism, ableism, transphobia, classism, ageism, and other forms of discrimination and domination. We cultivate awareness of our privilege, provide concrete support to organizations led by members of front-line communities, and support each others' political education. We do not call police or private security, share patient information with them, or cooperate with investigations (beyond minimal cooperation required of manditory reporters). We actively work to stay welcoming, accessible, and trauma-informed, especially with people least likely to recieve humanizing care in medical settings.
- We actively protect the privacy and confidentiality of our patients. We do not allow photography, videography, audio recording, or any other non-private record of patient care.
- We practice exceptional sanitation and hygiene. During patient care we use body substance isolation (BSI) such as masks and gloves. We thoroughly wash and/or sanitize hands, surfaces, supplies and containers. We thoroughly wash or sanitize hands immediately after using the restroom or coughing, and immediately before touching medical supplies or patients. When sick, we do not act as medics.
- We ensure continuity of care. We do not leave patients or terminate care until it is completed, except to transfer care to a health worker of equal or greater qualification or to provide emergency care to another patient in dire need when no assistance is available. We refer patients to definitive care and advocate for them if appropriate.
- We organize ourselves horizontally, without institutional hierarchies of command, experience, ability, or level of involvement. Every medic has equal power in all decisions affecting them. We strive to practice trustworthy, fault-tolerant communication with our fellow medics and points of contact in protest organizations, including closed-loop communication, proactively taking personal responsibility for mistakes, problem-solving in a timely fashion, and post-incident debrief.
- The only roles of a marked medic are to build solidarity relationships, teach health and safety skills, and provide care for the injured or ill -- we do not attempt to direct the actions or personal choices of anyone for tactical or ideological purposes. We do not compromise our situational awareness while marked. Media and police try to split movements, but even after a protest has ended, we do not take public positions on the behavior or tactics of protesters. We redirect hostile attention to repression, injustices that provoked the protest, our own ethical principles, or a relevant vision of justice and peace. We know there are many paths to political victory.
- While working as medics, we present ourselves with a positive and calm attitude. Our interactions with patients, other medics, and passers-by are guided by trust, respect and solidarity. Those qualities are essential to our standing in the community. We build and maintain relationships in politicized circumstances, including with people whose actions cause us concern, or who seem isolated or at risk. We don't command; we ask. Patients are treated respectfully and spoken to or with, not at. We do not gossip about or pass judgement on patients.
- We are not politically neutral. We practice prefigurative politics, provide each other with political education, and participate in organized political action outside of our role as medics. Because we risk burnout, over-commitment, and exhaustion, we work to be attentive to and clear about our capabilities and deficiencies, and support each other with solidarity, goodwill, pacing, and care, including debrief.
- We respect each others' right to personal lives. We ask for identifying information from medics only to vet them or check that their qualifications are valid. We don't store personal information or share it unnecessarily. It is generally each medic's decision how much additional personal information they disclose to us privately or allow to be disclosed publicly.
- We do not use intoxicating substances while on duty. We do not tolerate the use of intoxicants, smoked tobacco, or vapes in medical spaces.
- We are capable of learning and improving our skills, and we make mistakes. Each of us remains accountable to guidance or correction. We receive input or critique respectfully, with good faith that our common goals are to serve politicized communities by preventing injury, rehumanizing hurt people, and providing the best care possible. We take collective responsibility for apologies and amends.
- We understand that when any of us is marked as a medic, they are considered to be on duty and accountable to these ethics. Should we wish to act outside these ethics, we remove all markings or other indications of our role as a medic beforehand. If any of us acts outside of these ethics, they may be held accountable by other medics or by protest or community organizations, and we may be held collectively accountable.
Note: These ethical commitments are based in part on the Occupy Wall Street Medics code of conduct (Oct 2011), which was based in part on the Common Ground Health Clinic points of unity (Aug 2005) and Athens Manifesto (Aug 2001).
More notes
How medical providers can help protesters:
Because they work outside of medical institutions, each action medical worker is personally responsible for establishing and maintaining appropriate clinical boundaries in the street.
A protest first aid team:
- Builds relationships as intensively with protesters as they can, through education and simple care (like cough drops).
- Has an ethical code, respects protester autonomy, and maintains high standards of consent, confidentiality, and humility.
- Makes a list of local resources in the area, and builds a referral network.
- Tries to develop relationships with street medics who have done this work for many years.
- Tries to get everyone on the team to take a 20-hour training with established street medics if one is offered that they can attend.