Joint Appendix Vol — Bucklew v. Precythe, 139 S. Ct. 306 (2018) (No. 17-8151)

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No. 17-8161

In THE

Supreme Court of the United States

RUSSELL BUCKLEW,

Petitioner,

Vv.

ANNE PRECYTHE, et al.,

Respondents.

On Writ of Certiorari to the United States

Court of Appeals for the Eighth Circuit

JOINT APPENDIX—-VOLUME II OF II

ROBERT N. HOCHMAN *

RAECHEL J. BIMMERLE

D. JOHN SAUER *

JOSHUA M. DIVINE

LAWRENCE P. FOGEL JULIE MARIE BLAKE

STEVEN J. HOROWITZ PETER T. REED

KELLY J. HUGGINS MICHAEL JOSEPH SPILLANE

SUZANNE NOTTON OFFICE OF THE ATTORNEY

MATTHEW J. SALDANA GENERAL

HEATHER B. SULTANIAN Supreme Court Building

SIDLEY AUSTIN LLP 207 West High St.

One South Dearborn St. P.O. Box 899

Chicago, IL, 60603 Jefferson City, MO 65102

(312) 853-7000 (573) 751-3321

rhochman@sidley.com john.sauer@ago.mo.gov

CHERYL A. PILATE

MORGAN PILATE LLC

926 Cherry St.

Kansas City MO 64106

(816) 471-6694

Counsel for Petitioners Counsel for Respondents

* Counsels of Record

ae

PETITON FOR CERTIORARI FILED MARCH 15, 2018

CERTIORARI GRANTED APRIL 30, 2018

TABLE OF CONTENTS

Page

Volume One

United States District Court Of The West-

ern District of Missouri, No. 4:14-cv-08000-

BP, Relevant Docket Entries........................ ]

United States Court Of Appeals, Eighth

Circuit, No. 17-3052, Relevant Docket En-

IT cectinnsiistiahasemestitnctesinasien intieieseitmenianitarnatagsins 18

First Amended Complaint, Bucklew ov.

Precythe, No. 14-08000 (W.D. Mo. Apr. 4,

IIIT inssusadanestttiesicineetntaniiensantibndsieeemtnees 24

Second Amended Complaint, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. May 1,

NE ncsasensiidsiningnatansnncepnenmnsamnegnimessneens 25

Order Granting Plaintiff Leave to Amend

Complaint, Bucklew v. Precythe, No. 14-

08000 (W.D. Mo. June 16, 2015)................... 27

Order Directing Plaintiff to File Fourth

Amended Complaint, Bucklew v. Precythe,

No. 14-08000 (W.D. Mo. Sept. 21, 2015)

SOTIIIIIIIt Westhinictcinitleltipcicuhiceiindabinaiseiecindetaisinctacdninmmeedmnicdes 30

Fourth Amended Complaint, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. Oct. 13,

STEIN Sccreidasidahhcsidnisatdainiiagdindadapmodhaimasiineanenineineans 42

ii

Exhibit 1, Declaration of Dr. Joel B. Zivot,

Fourth Amended Complaint, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. Oct. 13,

Ee

Exhibit 2, Declaration of Dr. Gregory A.

Jamroz, Fourth Amended Complaint,

Bucklew v. Precythe, No. 14-08000 (W.D.

Mo. Oct. 13, 2015) (excerpt) ................0000000++

Exhibit 6, Photographs of Gas Chamber,

Fourth Amended Complaint, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. Oct. 13,

SA Pe a

Order and Opinion Granting in Part De-

fendants’ Motion to Dismiss, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. Jan. 29,

CRESS ea ne SESE eee Sacer

Order Regarding Scope of Discovery, Buck-

lew v. Precythe, No. 14-08000 (W.D. Mo.

P&E

Plaintiffs Motion for Leave to File Ex Parte

and Under Seal an Exhibit in Support of

Plaintiffs Reply Brief in Support of His

Motion to Compel, Bucklew v. Precythe, No.

14-08000 (W.D. Mo. Apr. 5, 2017).................

Order Denying Motion to File Document

Under Seal, Bucklew v. Precythe, No. 14-

08000 (W.D. Mo. Apr. 6, 2017)......................

92

93

95

97

116

127

Exhibit 1, Deposition of Dr. Joel B. Zivot

with Exhibits, part 1, to Suggestions in

Support of Motion for Summary Judgment,

Bucklew v. Precythe, No. 14-08000 (W.D.

Mo. Apr. 10, 2017) (excerpts)........................ 132

Exhibit 2, Medical Article, to Suggestions

in Support of Motion for Summary Judg-

ment, Bucklew v. Precythe, No. 14-08000

(W.D. Mo. Apr. 10, 2017) (excerpts).............. 261

Exhibit 3, Deposition of Dr. Joseph F.

Antognini, to Suggestions in Support of

Motion for Summary Judgment, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. Apr. 10,

Sarat sikcisisiaidiieiiateaiiieipiettahbtadehiabailnclslniigeteitianatamipeiadibeniiiisadi 274

Volume Two

Exhibit 4, Deposition of Matthew

Briesacher, to Suggestions in Support of

Motion for Summary Judgment, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. Apr. 10,

2017) (redacted) (excerpts)............................ A474

Exhibit 5, Deposition of Dave Dormire, to

Suggestions in Support of Motion for

Summary Judgment, Bucklew v. Precythe,

No. 14-08000 (W.D. Mo. Apr. 10, 2017) (re-

ciicientsiniiinibcitssniitenniarusiatimacnicen 508

Exhibit 6, Deposition of George Lombardi,

to Suggestions in Support of Motion for

Summary Judgment, Bucklew v. Precythe,

No. 14-08000 (W.D. Mo. Apr. 10, 2017) (re-

I eiiteeicdeisnncensienviinienenticnninmeninn 534

iv

Exhibit 7, Deposition of Anne Precythe, to

Suggestions in Support of Motion for

Summary Judgment, Bucklew v. Precythe,

No. 14-08000 (W.D. Mo. Apr. 10, 2017) (re-

Exhibit 8, Deposition of Troy Steele, to

Suggestions in Support of Motion for

Summary Judgment, Bucklew v. Precythe,

No. 14-08000 (W.D. Mo. Apr. 10, 2017) (re-

I icicnrcicihcinnieninnicnsinticeetiideanmiiiattend

Exhibit 10, Deposition of Dr. William

McKinney, to Suggestions in Support of

Motion for Summary Judgment, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. Apr. 10,

IE dctetneititisetcntncncnscccnantacnionstanines

Exhibit 11, Plaintiffs Motion to Appoint

Medical Expert, to Suggestions in Support

of Motion for Summary Judgment, Bucklew

v. Precythe, No. 14-08000 (W.D. Mo. Apr.

a SET siierrcdiicensssnikeninnntesssiitbanseinitiens

Order Granting in Part and Denying in

Part Plaintiffs Motion to Compel, Bucklew

v. Precythe, No. 14-08000 (W.D. Mo. Apr.

TI A JT ar ee

Exhibit 4, Pre-Execution Summary of Med-

ical History, to Motion to Seal Document,

Bucklew v. Precythe, No. 14-08000 (W.D.

Ss RE Bas EET iciecnnttiniatanceoweniiicdatdnaianiauiettes

602

631

656

Vv

Exhibit 5, Excerpt of Prison File, Medical

Accountability Record, to Motion to Seal

Document, Bucklew v. Precythe, No. 14-

08000 (W.D. Mo. May 15, 2017)....................

Exhibit 6, Excerpt of Medical Record His-

tory, to Motion to Seal Document, Bucklew

v. Precythe, No. 14-08000 (W.D. Mo. May

RRS Se ie ee

Exhibit 11, Oklahoma House Bill HB1879,

Fiscal Analysis, to Motion to Seal Docu-

ment, Bucklew v. Precythe, No. 14-08000

* & Sf, ee

Exhibit 12, Oklahoma Multicounty Grand

Jury Report, to Motion to Seal Document,

Bucklew v. Precythe, No. 14-08000 (W.D.

Mo. May 15, 2017) (excerpt)..........................

Exhibit 13, Oklahoma Death Penalty Re-

view Commission Report, to Motion to Seal

Document, Bucklew v. Precythe, No. 14-

08000 (W.D. Mo. May 15, 2017) (excerpt) ....

Exhibit 14, Supplemental Interrogatory

Responses of George Lombardi, to Motion

to Seal Document, Bucklew v. Precythe, No.

14-08000 (W.D. Mo. May 15, 2017) (ex-

aihneiinniictndatiidanediitidiansaiiciiiiintattintainiaisdinais

Exhibit 15, Report of Louisiana Depart-

ment of Public Safety, to Motion to Seal

Document, Bucklew v. Precythe, No. 14-

08000 (W.D. Mo. May 15, 2017)....................

693

694

698

711

vi

Plaintiffs Motion for Leave to File Sup-

plement to Plaintiffs Suggestions in Oppo-

sition, Bucklew v. Precythe, No. 14-08000

(W.D. Mo. May 15, 2017).......................000.000- 811

Order Denying Plaintiff's Motion for Leave

to File Supplemental Suggestions in Oppo-

sition, Bucklew v. Precythe, No. 14-08000

(W.D. Mo. May 16, 2017).......0...cccccccccecceeeeeees 816

Order and Opinion Granting Defendants’

Motion for Summary Judgment, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. June 15,

IIIT nencestiesendidediadanntitatdiententaitiiinnbidabnbemeda: 817

Order Denying Plaintiffs Request for Ac-

cess to Depositions Taken in Other Cases,

Bucklew v. Precythe, No. 14-08000 (W.D.

Bile, Sealer 1G, GBB FD ececsececcccccccacsscevovesccseceseeres 833

Plaintiffs Notice of Filing Discovery Dis-

pute Summaries, Bucklew v. Precythe, No.

14-08000 (W.D. Mo. July 28, 2017)............... 836

Order and Opinion Denying Plaintiffs Mo-

tion to Alter or Amend Judgment, Bucklew

v. Precythe, No. 14-08000 (W.D. Mo. Aug.

Be BIE eiecsiceesideieciericisttinnaciiateniuatienensaecindaciats 842

Appellant's Opening Brief, Bucklew ov.

Precythe, No. 17-3052 (8th Cir. Dec. 1,

REESE ESE cee 848

Appellant's Reply Brief, Bucklew ov.

Precythe, No. 17-3052 (8th Cir. Jan. 18,

EL en 852

vii

Opinion, Bucklew v. Precythe, No. 17-3052

a

Exhibit, Affidavit of Alana Boyles, in Re-

sponse in Opposition to Motion for Stay,

Bucklew v. Precythe, No. 17-3052 (8th Cir.

ee

Order Denying Rehearing and Rehearing

En Banc, Bucklew v. Precythe, No. 17-3052

Sy Ey COU Bs IEEE cccccccecunacscavecessensseevess

Order Denying Motion for Stay, Bucklew v.

Precythe, No. 17-3052 (8th Cir. Mar. 15,

III oth conrdcicidiebastcteiedehdintnadademadiiiiadnaiinidehianinintneniate

Volume Three (Under Seal)

Exhibit 1, Procedure for Execution, to Mo-

tion to Seal Document, Bucklew v. Precy-

the, No. 14-08000 (W.D. Mo. May 15,

Transcript of Teleconference, Bucklew v.

Precythe, No. 14-08000 (W.D. Mo. July 24,

ee ehichanhicdeineshteicedidincetldeiatiheiah car telniesiseitiaimtetiamatmatianis

854

882

884

887

889

474

{1} U.S. DISTRICT COURT

WESTERN DISTRICT OF MISSOURI

(KANSAS CITY)

CIVIL DOCKET FOR CASE #: 4-14-cv-08000-BP

RUSSELL BUCKLEW,

Plaintiff,

vs.

GEORGE LOMBARDI, et al.,

Defendants.

DEPOSITION OF MATTHEW BRIESACHER

Taken on behalf of the Plaintiff

January 25, 2017

(28) Q. Who did you consult in revising the open

protocol?

A. I’m not sure that | consulted with anyone.

Consult is a difficult word. Can you be more specific?

Q. When revising the open protocol did you work

with other people?

A. I created a draft and then | talked to some

people about that draft but prior to creating that draft

I didn’t have specific conversations about what to put

in it,

Q. What sources of information did you take into

consideration when revising the open protocol?

475

MS. COULTER: I’m going to object to this line of

questioning. It exceeds the scope of discovery. The court

specifically disallowed questions regarding develop-

ment adaptation of current protocol.

Q. (BY MR. FOGEL) Matt, if you could look at

paragraph A of the open protocol, it says execution

team members.

A. I see that paragraph.

Q. Did you draft that paragraph?

A. Yes.

[29] Q. And you see the first sentence, the execution

team consists of department employees and contracted

medical personnel including a physician, nurse and

pharmacist?

A. I see that sentence.

Q. Why did you include contracted medical person-

nel including a physician, nurse and pharmacist?

A. I believe that language was carried over from

the previous protocol.

Q. In your opinion why was it important to keep

that in the execution protocol?

A. To provide clarity on who could be considered a

member of the execution team.

q@. and why was it important to have medical

personnel us part of the execution team?

A. I believe we were under a court order to — I don’t

know if it was explicitly a court order but I know there

had been guidance from the courts that Missouri

executions needed to have medical personnel present.

476

Q. Do you think it’s important for medical person-

nel to be present in an execution?

A. Ido.

Q. Why is it important to have medical [30] person-

nel present at an execution?

A. To make sure that the execution runs smoothly

and properly.

Q. When you say smoothly and properly, what do

you mean?

A. That the — I don’t know how to expand upon

that really. I think it speaks for itself.

Q. Smoothly and I believe the word you used

smoothly and properly?

A. Uh-huh.

Q. That there are no unexpected occurrences.

Would that fall within your definition of smoothly and

properly?

A. Yes. And I guess I can try and explain a little

bit more.

Q. Sure.

A. Some of the events that are necessary to carry

out an execution by lethal injection such as inserting

an intravenous line, I think it would be the best prac-

tice to have somebody with training and experience in

doing something like that. Drawing syringes, medica-

tions, that would be something that somebody with

medical training and experience would he better

suited at than a lay [31] person. So just out of an

abundance of caution it’s probably best to have some-

body there with that kind of experience.

Q. Did you attend medical school?

477

No, I did not.

Do you have any formal! medical education?

No, I do nut.

Did you consult with any medical! professionals

in drafting the execution protocol?

MS. COULTER: Objection, goes to the development

of the protocol which is excluded by the court’s discov-

ery order.

Q. (BY MR. FOGEL) If you look at section B,

preparation of chemicals, and it says in number 1,

syringes one and two five grams of pentobarbital.

Do you understand what pentobarbital is?

A. Yes.

Q. What is pentobarbital?

A. It’s a medication. I think its primary purpose is

anti-seizure medication.

Q. And is that the chemical that’s used, the sole

chemical that is used during an execution?

[32] A. Yes.

Q. And that is the chemical that very succinctly

causes death?

A. Yes.

Q. When I say very succinctly in causing death,

that’s what I mean, paraphrasing that, in that experi-

ence.

A. That’s what we use it for.

Q. Why does the current protocol use five grams of

pentobarbital?

prep

478

A. That was the amount approved by the depart-

ment director.

Q. In proposing the use of five grams of pentobarbi-

tal did you consider its effect on someone who suffers

from cavernous hemangioma?

A. No. I did not.

Q. Do you know if anybody did?

A. At the time that it was drafted, I don’t. I have

no knowledge that anybody did.

Q. Do you have any knowledge of whether anyone

has conducted a study to evaluate the effects of pento-

barbital on someone with cavernous hemangioma?

A. [Im not aware of any study, or if one has been

conducted.

[33] Q. Do you know if anyone has looked at — any

other states to see if they — excuse me — strike that.

Has anyone looked at any other states that uses

pentobarbital to see if they've executed someone using

pentobarbital that suffers from cavernous hemangioma?

A. I’m not aware of anyone.

Q. Are you aware of any states that have executed

someone with cavernous hemangioma?

A. I don’t know whether any state has or has not.

Q. Uave you looked into that question at any point

in your capacity as the director of corrections, in the

Department of Corrections until present?

A. No, Ido not recall ever looking into that.

Q. If you turn to the second page of the open

protocol. Do you see the section that says monitoring

of prisoner?

479

A. Yes, I see that section.

Q@. And the number | says, the sentence at number

| says the gurney shall be positioned so that medical

personnel can observe the prisoner’s [34] face directly

or with the aid of a mirror.

Do you see that sentence?

A. Ido see that sentence.

Q. Why was it important for the medical personne!

to be able to observe the patient’s face directly?

A. That language was carried over from a previous

protocol so I’m not sure why it was originally inserted.

@. Do you have an opinion as to why, or it would

be important for medical personnel to observe that

prisoner's face?

A. My opinion, yes, it would be important

Q. Why — I’m sorry. Go ahead.

A. So that medical personnel could discern

whether or not the prisoner was suffering any unusual

distress.

Q. Have you ever attended an execution?

A. I have been on site for an execution but I have

not been visually in a place where I could visually

observe.

Q. Do you know where the medical personne!

stand in relation to the individual who is being

executed?

[35] A. Yes, I do.

480

Q. Do they have line of sight, unobstructed line of

sight to the offender?

A. I believe so, yes.

Q. I just want to make sure I understood what you

said a few moments ago. You have never personally

been in the room or in an area where you can actually

witness the execution itself, is that correct?

A. That is correct

@. But you are otherwise | think as you said on

site?

\ Correct

i41| execution team takes responsibility for the

offender don’t change from their normal duties as the

medical unit, so whatever responsibilities they would

have to any other offender they would have to that

offender

@. The non-execution team medical members

, Uh-huh

q are you aware ol ary policies or protocols that

pertain to whether they can or cannot be involved in

the execution of an inmate?

481

A. I don’t recall if it is in the contract with that

organization or if it’s a policy or procedure. But they

are — they are excluded from participating in the

execution process.

Q. Right. So I’m just trying to reconcile that with

what you were just describing in which they might, |

believe you said provide some sort of medical attention.

A. Uh-huh.

Q. If they’re excluded from the execution process

by policy, and we can look at the policy if you want, but

if they are excluded from the execution process by

policy, then how or why can they provide medical

attention to the inmate?

|42| A. Well, for instan

entire .

ou asked me throw h the

Let’s say at 7 o'clock in the morning the

offender slipped and fell and hit his head. our regular

medical unit would be responsible for providing what-

ever medical care that offender would need from that

slip and fall. They’re not providing any kind of medical

care to prepare for the execution, to further the execu-

tion, anything related to it but they have a responsibility,

you know.

Q. Sure. But they’re not evaluating the inmate to

determine whether he suffers from any specific condi-

tions that might lead to complications during the

execution process.

A. Correct.

Q. That is outside of their responsibilities, is that

correct?

A. That’s correct.

482

Q. So then focusing exclusively on the medical

component of the execution team. Prior to the execu-

tion do they check the inmate’s airways to see if they’re

having difficult breathing?

A. I don’t know.

[43] Q. Aside from administering any additional

prescriptions that the inmate might require as part of

his daily dose, is there any cther evaluation that the

inedical component of the execution team undertakes

that you’re aware of?

A. There is a review of the offenders medical

history that I’m aware of and then there’s, like I men-

tioned, the physical observation, and it is my

understanding under the current practice those are

the only two things that occur.

Q. Okay. Looking at the open protocol that you

have in front of you.

A. Uh-huh.

Q. Is there anything in the open protocol, and take

your time to review it, that speaks to any observation

or medical review — strike that.

Is there anything in the open protocol in front of you

that speaks to any evaluation that the medical compo-

nent of the execution team is supposed to undertake

prior to the execution?

A. No. There is nothing in the open protocol dis-

cussing whether there will or will not be an evaluation

of the offender prior to the [44] execution.

Q. Are the execution team members required or

expected to follow the execution protocol?

A. They are expected to follow the execution

protocol.

483

Q. Why is it important for them to follow the

execution protocol?

A. This is the protocol that the department has

adopted to execute an offender and it’s important that

they follow the department’s directions.

Q. And not stray from the protocol?

A. Not without permission.

Q. Are you aware of any studies that were under-

taken to evaluate the effect of pentobarbital on the

whole body?

A. Not that I recall.

Q. Are you aware of any side effects of pento-

barbital on the whole body?

A. Not specifically, no.

Q. And of course I mean with the exception of

causing death?

A. Correct.

Q. I just want to make sure we're clear. [45] Yeah.

Do you know of any other states in the United States

use pentobarbital?

A. Yes, I do.

Q. How do you know that information?

A. I researched. I guess let me clarify. I have not

since leaving the position of general counsel. I don’t

track this issue nearly as much as I used to, but I know

that other states have in the past used pentobarbital

and I know that from researching the methods of other

states in that role.

Q. Why did you review the methods of other states?

484

A. One was to prepare the protocol for the Missouri

Department of Corrections and then I continued to

monitor what other states were doing in that role in

case I was asked by the director or anybody else, you

know, status of how we compared to other states.

Q. Ofall the states that you looked into did they al!

use some means of lethal injection for execution?

A. The states that I looked into, yes.

Q. Are you aware of any states that do [46] not use

lethal injection?

A. I know there are states that have options for

lethal injection or some other method as an option. I’m

not aware of any state that lethal injection is not at

least an option.

Q. What other options are available at the states

that you've looked into?

A. I want to say one of the states still has a firing

squad, I think one state still technically on the books

has the electric chair as an option. I think one state

may technically still have hanging as an option but

may have come out and said they won’t use it. But now

I’m really stretching my memory.

Q. Sure. I believe you mentioned lethal gas as one

of the options?

A. I’m not aware —

Q. Sorry. maybe you didn’t mention lethal gas.

Are you aware of any other states that use lethal gas

as a means of execution?

A. I’m not aware of any state that has adopted

lethal gas as a current method of execution.

485

Q. Are you aware of states that have it [47] where

it’s legally allowed as a means of execution?

A. I think there are states that have statutes that

would allow it but I’m not aware of any state that has

a protocol to use it. Missouri being an example of that.

Q. So is Missouri legally allowed to use lethal gas?

A. The statute in Missouri says that the director

can pick a protocol that’s either lethal injection or

lethal gas.

Q. Does Missouri have a lethal gas protocol?

A. No. Not that I’m aware of.

Q. When you were asked to draft or revise the

lethal injection protocol, were you asked to either draft

or revise a lethal gas protocol?

A. I was specifically told letha! injection.

Q. Just want to make sure that you’re answering

the question I’m asking. Were you also asked to look

into either drafting or revising a lethal gas protocol?

A. No one asked me to do that.

Q. Have you ever drafted a lethal gas [48] protocol?

A. No, I have not.

Q. Are you aware of anyone else who was asked to

draft a lethal gas protocol?

A. Not at Missouri.

Q. You’re aware of someone outside the state of

Missouri who was asked to draft a lethal gas protocol?

A. Iknow there were two states who were asked to

research that subject. I don’t know if they drafted

protocols or not.

486

Q. Do you know what states those were?

A. Louisiana and Oklahoma.

Q. Do you know why those states drafted a lethal

gas protocol?

A. As|Isaid I don’t know that they drafted protocol.

Q. I’m sorry. I apologize. Thank you for clarifying.

Do you know why they looked into drafting a lethal

gas protocol?

A. I don’t recall specifically. I think it was either

the direction of a governor or legislature.

Q. Are you aware of anybody in the [49] Depart-

ment of Corrections or otherwise works for the state of

Missouri currently or formerly who has undertaken

any efforts to draft a lethal gas protocol?

A. To my knowledge nobody in the Department of

Corrections has taken efforts to draft a lethal gas

protocol.

Q. What about outside the Department of

Corrections?

A. Not that I’m aware of. And I guess to be clear,

I’m not aware of the department asking anybody to do

that.

Q. Have you ever spoken to legislators about

adopting lethal gas’

A. IThave not.

Q. Do you know if any individuals in the

Department of Corrections have spoken to legislators

about adopting lethal gas?

A. Not that I recall.

Q. Does Missouri have a gas chamber?

487

A. Nota functioning one.

Q. Can you be a little bit —- so when you say not a

functioning one, what do you mean by that?

A. The old Missouri state penitentiary (50) had a

gas chamber and Missouri used to use lethal gas. |

believe the state still technically owns the property

and I’m not sure if that property's been leased to the

city of Jefferson or not but I know the old chamber

which is no longer functioning is part of a tour of the

old Missouri state penitentiary.

Q. Is the old Missouri state penitentiary a museum

now?

A. Yes.

Q. So the old gas chamber is part of the tour of the

museum?

A. I believe so.

Q. Do you know how much it would cost to conduct

an execution by gas?

A. No.

Q. Do you know how much it costs to conduct an

execution by lethal injection?

A. No.

Q. Do you know if anyone’s undertaken any studies

to determine the costs to conduct an execution by

either gas or lethal injection?

A. I don’t know that anybody’s done a study but |

know the department could calculate what they pay

for an execution by lethal injection.

151] Q. Could the department also calculate how

much it costs to do an execution by gas?

488

A. No.

Q. Why couldn’t the department do that?

A. There are too many unknown variables about

what an execution by gas would entail so it would be

impossible to figure that cost out.

Q. Has the department ever tried to figure that

out?

A. Not to my knowledge.

Q. And what variables are you referring to when

you say there would be too many variables?

A. Well, witho protocol we wouldn’t know even

basic things, like the cost of the gas, the cost of

equipment to administer the gas, the cost of whatever

facility would be necessary to construct or modify to

conduct the execution there. We wouldn’t know the

number of staff members needed to conduct the execu-

tion and then based on where that execution occurred

the number of staff members necessary for safety of

the — and security of the location. And those are just

off the top of my head. There may be others.

Q. Sure. But to your knowledge has the Depart-

ment of Corrections, let’s take Missouri in [52!

general, ever looked into answering those questions?

A. Not to my knowledge.

Q. Do you know if it’s possible that you would not

need an actual gas chamber or facility but execution

by gas could be conducted using a gas mask?

A. I’m not sure. I don’t have the expertise to tell

you whether or not an actual chamber is needed or if

it would be sufficient to do it by mask.

489

Q. Do you have the expertise to determine how to

execute someone by lethal injection?

A. Personally, no.

Q. How did you develop the expertise or at least

the appropriate level of skills to draft the protocol, or

to revise the protocol for the lethal injection?

MS. COULTER: I’m going to object to any questions

regarding the development of the current protocol. It

is prohibited by the discovery order.

MR. FOGEL: I think it’s relevant because at this

moment were probing the [53] feasibility of using

lethal gas and the witness has testified that he does

not have the expertise or did not have the expertise

when he was in the position at the Department of

Corrections to be able to answer those types of ques-

tions. Yet if the witness can still develop a protocol on

lethal injection, I think it’s fair to probe why he has

the certain set of skills to do it for one means of

execution but not the other.

MS. COULTER: I think you can ask about what

skills he may have — I understand where you're going

but I think you can go head and limit it to asking him

what skills he has that allowed him to participate in

the drafting but I don’t think you can get into how —

who he may have consulted with in forming the policy.

If that makes any sense.

MR. FOGEL: So let me ask a question this way and

then you let me know if it’s permissible or not.

MS. COULTER: Okay.

Q. (BY MR. FOGEL) Did you have at the time that

you were asked to revise the lethal injection execution

protocol, did you already have sufficient knowledge to

revise the protocol at that [54] point in time?

490

A. At the time I was asked, no, | did not.

Q. Did you develop knowledge or we'll even say

sufficient expertise in order to be qualified to revise

the lethal injection open protocol?

A. After I was asked to revise the protocol I devel-

oped the knowledge I believed was necessary to present

the draft that I presented.

Q. Have you ever attempted to acquire similar

knowledge in order to develop a lethal gas protocol?

A. I have thought about it but I have not

undertaken the kind of efforts that I did for the lethal

injection protocol.

Q. What did you think about when, as you just

said, what were you thinking about?

A. As I mentioned before Missouri statute allows

lethal injection and lethal gas, so I did a little bit of

research so that I could become familiar with what

that could mean or could entail. I read a few articles

that were available theorizing how an execution by

lethal gas would be both feasible and legal. And then

at that point I [55] kind of hit a wall. Those articles

were more theoretical and I didn’t know where to go

from there on how to draft a protocol and since it was

more just having a working knowledge of what that

would be, I didn’t really dig deeper.

Q. Was this approximately in 2013?

A. It would have been over the course of time,

between 2013 and 2000 — while I was general counsel.

Q. And was this, the review of these articles, or

would it be fair to say, is it okay if | call it research,

would that accurately describe?

A Yes, I’m okay with that,

491

Q. So did you undertake this research relating to

lethal gas in connection with your responsibilities of

A. I’m not sure I can agree with that. I felt as the

general counsel it was my responsibility to be at least

familiar with the legal methods of execution. You

know, I mentioned I did that for lethal gas because it

was in the Missouri statute but I also researched other

methods in other states, that’s how I know that firing

squad is legal in one state. So I wanted a [56] working

knowledge so as general counsel if I was asked what

are other states doing I could somewhat answer that

question or very quickly know the resources that I

could go to to answer those questions.

Q. You mentioned that you quote, hit a wall when

you were researching lethal gas. Can you expand on

what you mean by that?

A. There are a number of factors to write a protocol

that I — the research available was not sufficient to

answer to me and given the difference between lethal

gas, you know, the articles I read were transitioning

from, for lack of a better word, poison gases that were

used historically to more inert gases. You know, I read

articles that proposed various gases but I didn’t even

know what kind of expert I would need to go to to tell

me which inert gas would work more effectively or less

effectively.

Delivery methods, there wasn’t really any discus-

sion on the research that I found about as we talked

about before. Would you need an actual chamber or

would some kind of face mask or gas mask be suffi-

cient. If it was, what were the requirements of that.

[57] I knew that because we were doing this on — in

a workplace, there would be OSHA guidelines. So I

492

tried to look, if you’re using some kind of toxic or

hazardous gas material, what the requirements for

venting the rooms and those kind of things. And

execution by lethal gas falls outside the — I’m sorry,

I shouldn’t be sarcastic, but execution, this kind of

situation didn’t seem to comply with the regulations,

or be contemplated by the regulations of OSHA, so |

didn’t know who would I go to about that.

I wouldn’t know the quantity or the concentration

of the gas. Again, the articles were theoretical and |

wouldn’t know what kind of expert to go to or what

kind of person to go to to answer those questions. You

know, which gas is better. If 1 use a gas, what quantity

or quality I would need to use. How long it would take

and then the safety of the environment around it. How

to best administrate and then also to protect for the

individuals who are witnessing the execution.

Q. So you did not know the answers to those

questions?

A. I didn’t know the answer to those questions and

I didn’t know how to go to find [58] answers to those

questions.

Q. So it’s fair to say you did not consult anyone else

in trying to determine the answers to those questions?

A. I talked generally. We have a health and safety

unit and I mentioned the OSHA regulations. I gener-

ally talked to them, you know, where would be the

guidance on, if you were introducing a lethal gas into

the workplace about ventilation and things, so they

directed me there. But like I said, | wouldn’t know who

to talk to. It didn’t seem to fall in any specific expertise.

493

Q. And because you couldn’t find somebody with

that specific expertise to answer those questions those

questions generally remained unanswered?

A. I had not been directed to do anything more

than that. Like I said, it was just me thinking person-

ally so that I could be prepared, so, I mean to be

candid, no, I didn’t go out and try to find answers to

those questions.

Q. Did you report — I don’t want to say findings,

because it sounds like you didn’t necessarily make any

findings, but did you report that you had undertaken

this research and had these [59] questions to the

director of the Department of Corrections?

A. No, I didn’t. I didn’t provide any specific detailed

report on my information to the director.

Q. Did you provide any update on your research to

any of your other supervisors?

A. No. Nobody had asked me to do that research. I

had taken it upon myself.

Q. And aside from that research that you just

discussed, have you undertaken any — did you under-

take any other efforts to evaluate the feasibility of

using lethal gas in the state of Missouri?

A. I don’t recall anything other than what I have

just discussed.

Q. Am I correct that you were undertaking this

work when you were general counsel of the Department

of Corrections?

A. That’s correct.

Q. And in 2014 you were no longer the general

counsel, is that right?

494

A. 2000 — yes, that’s correct.

Q. Did you share any of this information with the

individual who succeeded you?

{60} A. Yes. I think we discussed generally lethal

gas. I’m not sure the level of detail but it would have

been some detail.

Q. Why did you discuss lethal gas with your

successor?

A. He was taking my role and I felt that the

general counsel for the Department of Corrections

should have some knowledge especially of a method

that was listed in the statute, so I kind of explained to

him what I had done and the walls that I had hit.

Q. What else did you and — who is the individual

that followed you as the general counsel?

A. Richard Williams.

Q. What else did you and Mr. Williams discuss

regarding lethal gas?

A. That would have been it. It would not have been

a — well, I take — I don’t recall when this lawsuit was

filed so there may have been a discussion that Mr.

Bucklew was alleging or requesting lethal gas. That

would have been the only other conversation.

Q. So you discussed it in connection with your

conversations with Mr. Williams relating [61] to Mr.

Bucklew’s lawsuit?

A. To the litigation.

Q. And it was — because it was your understanding

that Mr. Bucklew was alleging that lethal injection

would pose a significant harm to his health in violation

of his 8th Amendment rights, is that correct?

495

A. That is my understanding of his allegations.

Q. Okay. And did you have that conversation with

Mr. Williams because you were considering whether

lethal gas was a viable alternative?

A. No.

Q. Is that because you just did not know whether

lethal gas could be a viable alternative?

A. No. That conversation was about the litigation,

that it had been filed, you know, a review of che

litigation.

Q. After you became deputy general counsel did

you do any other investigation or research relating to

lethal gas?

A. I may have read some articles about, I men-

tioned those two states, and again timelines are

difficult, but those two states doing reports [62] or

studies. So I may have read news articles about them

but I didn’t do — and in this sense I wouldn’t agree with

the word research.

Q. I’m sorry?

A. When I became —

Q. You would not agree with the word research.

Fair enough. Okay.

Do you know if Mr. Williams or anybody else within

the general counsel’s office of the Department of

Corrections did any research or general looking into

the possibility of lethal gas?

A. I don’t have any specific knowledge and Mr.

Williams would have been the only one in my opinion

who would have had a role in that in that as the

general counsel, so I don’t know if he did or didn’t. I

496

don’t think anybody else in the legal unit. They would

not have done it in connection with their job. I cannot

speculate about their personal life.

Q. The materials that you uncovered through the

course of your research on lethal gas, what did do you

with them? Strike that.

Do you still have the materials that you uncovered

from your research on lethal gas?

A. No, Ido not.

[63] Q. What did you do with them?

A. I don’t recall to be honest.

Q. Did you give them to Mr. Williams?

A. I don’t think I did.

Q. Did you hold on to them at the time that you

became deputy general counsel?

A. Maybe for a period of time. But like I said, I

don’t recall what happened to them.

Q. Did you keep a hard copy file of the information

you gathered on lethal gas?

A. I may have saved or I may have printed one

article or two and it may have been saved, maybe as

more intentional sounding, I may have retained that

for a period of time.

Q. Right. Did you keep any electronic files?

A. No.

Q. You mentioned that there are variables relating

to lethal gas that remain unknown to you, is that

right?

A. That’s correct.

497

Q. And to your knowledge nobody within the

Department of Corrections or under the state of

Missouri has ever tried to answer those variables or

unknowns?

[64] A. That’s correct.

Q. Did you ever reach the conclusion that lethal

gas was not a feasible option within the state of

Mi 9

A. With the resources I had available to me I would

say that it wasn’t a feasible option.

Q. And what was the basis for that opinion or

conclusion?

A. As I said, I think there were just a number of

variables that I’m not sure that we had the resources

to answer. And as | said, I kind of thinking it through

didn’t even know where to go to get those answers.

Q. So you didn’t know the answers to those ques-

tions, yet you concluded that it would not be a feasible

option because you didn’t know the answer to those

questions?

A. Because we didn’t have the resources to answer

those questions, that’s kind of where I was at.

Q. Matt, I'm showing you a document that’s

marked as Plaintiffs Exhibit 9. If you can just take a

moment to review that.

A. (Reviewing document.) Okay. I've reviewed

this.

*> *

[73] means of execution?

A. Yes.

498

Q. Do you know if the Department of Corrections

has a set of factors or considerations in

whether a means of execution is a viable or feasible

alternative?

A. I’m not sure I understand that question.

Q. Probably because its a poorly worded question.

What factors does the department — strike that.

What factors does the Department of Corrections

take into consideration in determining whether a

different means of execution is feasible?

A. I don’t know.

Q. Are you aware of any set factors or procedures

that the Department of Corrections has in evaluating

whether an alternative means of execution is feasible?

A. No, no formal ones.

Q. No formal commission or committee of individ-

uals that are dedicated to evaluating them?

A. No, the ultimate say is the director of the

department so I don’t know if he had any set [74]

factors. I'm not aware of anything in writing, not

aware of any policy or procedure.

Q. The director of the Department of Corrections

has final say on what is —- what means of execution are

used, is that correct?

A. That’s correct.

Q. Okay. And so he would have the final say in

determining whether lethal gas is a feasible means of

execution, correct?

A. Correct.

499

Q. Did you discuss any of your quote research or

looking into lethal gas with the director of the Depart-

ment of Corrections?

A. Not in any specifics.

Q. Did you discuss it at all?

A. Once or twice we mentioned lethal — or I men-

tioned lethal gas was an option and we probably

briefed him on the litigation by Mr. Bucklew and he

emphatically expressed to us that lethal gas was not

something he wanted to do.

Q. I’m just looking back and reading the tran-

script, the rough transcript. It says once or twice you

mentioned lethal gas was an option.

A. Uh-huh.

Q. Could you explain to me what you said [75] to

the director when describing lethal gas as a potential

option?

A. I think I would have said — I shouldn’t say what

it says. I think what I recall saying, the conversation |

remember mosi vividly is that Mr. Bucklew had or we

anticipated he was going to propose a method of lethal

gas. So we reminded the director that lethal gas was

authorized by the statute and he made it clear that he

didn’t want us to pursue that.

Q. Is that why you stopped looking in to why lethal

gas was a feasible alternative?

A. No.

Q. Would you have had authority to continue

looking into the possibility of lethal gas as an alterna-

tive had the director not told you not to look into it?

500

MR SPILLANE: I’m going to object to the question.

I think it assumes facts not in evidence. I don’t think

he said the director told him not to look into it. I think

he said the director told him they were oot going to do

it.

MR. FOGEL: Can we go back and look at the answer

the witness gave?

(WHEREUPON, A DISCUSSION WAS HELD OFF

THE RECORD)

[76] Q. (BY MR. FOGEL) He made it clear to us that

he didn’t want us to pursue that. What do you mean

then by what the director told you he didn’t want you

to pursue that?

MS. COULTER: I’m going to object at this point. It’s

going into attorney-client privilege if he was acting as

legal counsel to the director.

MR. FOGEL: Are you instructing the witness not to

answer the question?

MS. COULTER: Yes.

Q. (BY MR. FOGEL) Okay. Aside from that con-

versation did you have any other conversations with

the director regarding the use of lethal gas?

A. I may have had one or two others or one or two

total. I don’t recall the specific number.

Q. Did you tell the director that lethal gas was not

a feasible option?

MS. COULTER: Objection, attorney-client privilege.

Q. (BY MR. FOGEL) Just so it’s clear for the

record, you’re instructing the witness not to answer

the question?

501

{77] MS. COULTER: Unless he wants to answer but

my advice to you would be not to answer.

THE WITNESS: I’m going to follow the advice of my

legal counsel.

Q. (BY MR. FOGEL) Was this a privileged commu-

nication — who else was present for this communication

with the director?

A. I believe the general — I think one of the conver-

sations happened when I was the deputy general

counsel and the general counsel would have been pre-

sent in the room but that would have been it.

Q. And the other conversation?

A. Would have been as general counsel so it would

have been just me.

Just you and the director?

And the director.

Nobody else was present for the conversation?

Correct.

I think as we've established both lethal gas and

lethal injection are allowed by law under Missouri

statute, correct?

A. Correct.

Q. Do you believe that the Department of [78]

Corrections has an obligation to explore the viability

of lethal gas as a means of execution?

A. No.

Q. Do you know when the last time the state of

Missouri tested the gas chamber before it went into

retirement for use as part of the tour?

A. No, I don’t.

Oro Ppe

502

Q. Do you know the results of the last time it was

tested?

A. No, I don’t.

Q. If it was determined that lethal injection was

not a viable option for means of execution, what would

the state of Missouri do?

MS. COULTER: Objection, calls for speculation.

Q. (BY MR. FOGEL) Do you know what the state

of Missouri would do if lethal injection was determined

not a viable option for a specific inmate?

A. No, I don’t know.

Q. Did you make — at the time of Mr. Bucklew’s

litigation in 2014, or at any other point in your

capacity as working in the general counsel’s office at

the Department of Corrections, did you make the

recommendation that the Department [79] of Correc-

tions explore the possibility of lethal gas?

MR. SPILLANE: Excuse me. I’m going to object on

privilege. You said in his capacity as general counsel

what recommendation did he make? I’m objecting

based on attorney-client privilege.

Sue?

MS. BONOIST: Yeah, well, I agree. | was starting to

talk and Mike jumped in.

A. I’m going to follow the advice of counsel.

Q. (BY MR. FOGEL) Sure.

Outside of your capacity as other deputy general

counsel, general counsel or legal counsel, did you ever

make the recommendation that the Department of

Corrections should consider exploring the viability of

lethal gas as a viable alterative?

503

A. No.

Q. Are you aware of anybody else ever making that

recommendation?

A. I'm not aware of anybody making that recom-

mendation.

Q. Based on your experience do you think the

Department of Corrections is capable of [80] undertak-

ing an investigation into whether lethal gas is a viable

alternative?

MS. COULTER: Objection, speculation.

A. Your question is whether the department is —

Q. (BY MR. FOGEL) Capable of undertaking

investigation to determine whether viable gas is a

viable alternative — excuse me, whether lethal gas is a

viable alternative.

A. I guess I would say yes, the department is

capable of initiating, undergoing an investigation if it

so chose to do so.

Q. But as far as you’re aware to date the depart-

ment has chosen not to do so?

A. It has not done so.

Q. Do you know if it has chosen not to do so?

MS. COULTER: Objection. I think the basis for his

answer would be based on privileged conversations.

Q. (BY MR. FOGEL) Is that correct, that your

basis for knowing that would be based on privileged

conversations?

A. The only conversations | would have had

regarding that were in my role as either deputy (81)

general counsel or general counsel.

504

Q. So the answer is yes, it would be based on

privileged conversations?

A. Yes.

Q. Okay. And I’m not interested in probing your

privileged communications.

To your knowledge, though, you are not aware of

anyone undertaking any further research or otherwise

looking into the prior information you gathered on

lethal gas, is that correct?

A. That’s correct.

MR FOGEL: Why don’t we take a short break?

(WHEREUPON. A RECESS WAS TAKEN BY THE

PARTIES)

Q (BY MR FOGEL) Matt, before we took a break

we were talking a little bit about, you know, I’m using

the term research here as we previously discussed, to

describe the looking into you did regarding lethal gas

as a possible means of execution. And one of the things

you mentioned or I guess kind of the walls, part of the

wall that you ran into is that you did not know how

much gas should be used.

Was one of the questions also what [82] type of gas

to be used?

A. Correct.

Q. And fair to say you did not figure out an answer

to arrive at an answer to either question, is that right?

A. That’s correct.

Q. At the time that you were drafting, or when

you were about to start revising, I should say for the

first time the lethal injection protocol, did you how

much pentobarbital should be used, just pentobarbital

505

generally? Did you know that pentobarbital should be

used?

A. The first time I redrafted was under propofol.

Q. Okay.

A. And the answer to your question on that one

was yes.

Q. Yes, you knew pentobarbital should be used?

A. Yes, given the nature of the changes I knew

what drug and how much. I wasn’t tasked to change

that portion of the protecol.

Q. Got it. So did someone tell you that were going

to use pentobarbital?

A. No.

183] Q. How did you find out or how did you make a

determination to revise protocol to use pentobarbital?

A. I was tasked with revising the protocol. I made

the recommendation of pentobarbital.

MS. COULTER: And I'm going to object to any

questions on this line of inquiry because it does talk

about the development of protocol which is excluded

from the discovery order.

MR. FOGEL: Yes, but this — well, let me ask another

question and maybe we can maybe revisit that

Q. (BY MR. FOGEL) How did you know how much

pentobarbital to put in to the revised protocol?

A. That number came from protocols that had been

used in other states.

506

Q. So you undertook some research or investiga-

tion to determine what would be the appropriate

amount of pentobarbital to include?

A. Yes.

Q. Did you ever undertake any research or

investigation to determine how much gas should

possibly be used in a lethal gas execution?

[84] A. No. there was no research available to

answer that question.

Q. You also mentioned that you did not know

whether OSHA would apply to lethal gas, is that

correct?

A. That’s correct.

Q. Does OSHA apply to lethal injection?

A. Not that I'm aware.

Q. You do not know if it does not and you also do

not know if it does, one way or the other?

A. And I guess I should say too that one of the —

one of the areas, you know. I don’t know either — first,

sorry.

Q. Sure.

A. To answer your question, no, I don’t know either

way. But one of the articles that I read that proposed

lethal injection, or lethal gas as a feasible method was

from deaths that occurred on the workplace and

accidental deaths that occurred on the workplace and

that’s where I got the idea of OSHA regulations

providing a guideline or a framework for those who

would be witness to the execution by lethal gas.

Q. Did you undertake any other research [85]

beyond that relating to the OSHA guidelines?

507

A. No.

Q. Is either the open or closed protocol designed

such that it can be customized to an inmate’s specific

condition?

A. Yes.

Q. How is the open protocol designed so it can be

customized to an inmate’s specific condition?

A. You said or.

Q. Sure.

A. The open protocol is not designed to be

customized.

Q. How was the closed protocol designed to be

customized to an individual’s specific condition?

A. Each time that there’s a scheduled execution for

an inmate that is reviewed and customized as needed.

As long as it doesn’t conflict with the open protocol.

Q. Do you know how the closed protocol would be

modified for someone who suffers from cavernous

hemangioma?

A. No, I don’t know.

Q. Are there any protocols in place if

** *

508

(1) U.S. DISTRICT COURT

WESTERN DISTRICT OF MISSOURI

(KANSAS CITY)

Civil Docket for Case #: 4-14-cv-08000-BP

RUSELL BUCKLEW,

vs.

GEORGE LOMBARDI, et al.,

Defendants.

DEPOSITION OF DAVE DORMIRE

Taken on behalf of the Plaintiff

January 24, 2017

[14] Center?

A. Yes.

Q. Commonly known I think as the ERDCC, is that

right?

A. Yes.

Q. And who is that?

A. Troy Steele.

Q. And what’s your understanding of Mr. Steele’s

position?

A. He has similar responsibilities that I have as

warden. He’s in charge of that prison, he’s in charge of

509

the safety and security and responsible to the staff and

the offenders.

Q. How often would you say you interact with Mr.

Steele?

A. Not on a regular basis, maybe only two, three,

four times a month in addition to a site visit now and

then.

Q. Who do you report to?

A. Il report to the director of the department.

Q. And that was formerly Mr. Lombardi. correct?

A. Yes.

Q. And then it is now Anne Precythe?

[15] A. That’s correct.

Q. And what’s your understanding of the director

of the department’s role?

A. The director is over all the departments, over all

the divisions, has ultimate responsibilities over the

department.

Q. And have you interacted with Ms. Precythe

since she took on her new role?

A. Some, yes.

Q. And what have those interactions been related

to?

A. Meeting with her, she visited, we went to Bonne

Terre yesterday to show her that institution.

Q. Do you have any medical training?

A. No.

Q. Did you ever attend medical school?

510

No.

Are you a chemist?

No.

A biologist?

No.

Q. Does the state of Missouri have an execution

protocol?

A. Yes.

116] Q. And what is your understanding of an

execution protocol?

A. My description of it is that it’s a plan for how an

execution is to be carried out.

Q. And why does the state of Missouri have an

execution protocol?

A. We, I believe we need a formalized plan to make

sure we’re following the procedures the way, consist-

ently each time.

So that’s Plaintiffs Exhibit 5.

(Reviewing document).

Do you recognize that document?

Yes.

Can you describe what that document is?

It is Missouri Department of Corrections prepa-

ration and administration of chemicals for lethal

injection.

Q. Is that commonly referred to as the open

protocol?

A. I believe so, yeah.

re a

POP OPS

511

Q. What’s your involvement in execution by lethal

injection?

A. My rule during the execution is to brief the state

witnesses and stay with the state [17] witnesses

during the execution.

Q. Is that it?

A. That’s, I meet, I have some responsibilities to

make sure that the institutional operation, the non-

medical, medical members are there. I meet with them,

I head up the execution. I make payment on behalf of

the department to the medical members at the time.

Q. You mentioned that you meet with the execu

tion team members in advance.

A. Yes.

Q. What’s the purpose of that meeting?

A. lam, I’m there just overseeing the operation to

make sure everything is in place and everything’s in

order.

Q. Can I elaborate that, on that a little bit more?

So what are you looking at that’s in order? Is it the

chemicals, or?

A. It is everything in, that we have to do in

preparation for an execution to make sure everyone’s

in place, that the institutional operations are proceed-

ing as they should.

Q. By everything do you mean the execution team

members or is it broader than that?

A. A little bit broader than that. I’m

* *

[22]

512

Q. You mentioned that the warden also is involved

in the execution although not part of the execution

team, correct?

A. Correct

Q. And are you referring to the warden of the

ERDCC?

A. Yes.

Q. And what is your understanding of the warden’s

responsibilities during an execution?

A. When directed to proceed he reads the warrant

and directs the execution to proceed. Once given

direction from the director of the [23] department.

Q. You also mentioned the deputy warden. Also of

the ERDCC?

A. Yes.

Q. And what is the deputy warden’s role?

A. Operational. In charge of ensuring that the

victims and states and offender witnesses are moved

and kept separate and all of those sort of things.

(MARKED PLAINTIFF'S EXHIBIT NO. 12)

Q. (BY MS. NOTTON) Are you familiar with this

document?

A. Yes.

Q. Can you describe what it is?

A. This is a document to the non-medical members

of the team indicating they’re to use this notation

NM1, 2, 3, 4 to protect their identity.

Q. So these are the letters that tell the execution

team members what their pseudonyms are.

513

A. That’s correct.

Q. Okay. Can you turn to the second page? That

letter is a letter to team member NM2, is that correct?

A. Yes.

[24] Q. In your response to Interrogatory number 9

you don’t identify an NM2.

A. Correct.

Q. Is NM2 no longer part of the execution team?

A. That’s correct.

Q. Do you know what role NM2 played?

A. NM2 would have been a non-medical team

member at one point.

Q. Turning back to your affidavit, which I believe

is Plaintiffs Exhibit 7. In that affidavit you indicate

that the Department no longer uses Methylene blue,

is that correct?

A. That’s correct.

Q. In paragraph 4 you say the DOC hos not used

Methylene blue in any execution since January of

2014. Correct?

A. Correct.

Q. You go on to say that the DOC has the intention

of doing so in the future. Is that accurate?

A. Yes.

Q. They do intend to use Methylene blue in the

future?

A. No. I should have said no intention.

[25] Q. So to be clear the DOC has no intention of

using Methylene blue in the future.

514

A. Yeah. We have no intention of using it in the

future.

Q. Thank you. You can put that document aside.

A. Okay.

Q. Turning back to the open protocol which is

Plaintiffs Exhibit 5. This indicates that pentobarbital

is the drug used in the lethal injection process, is that

correct?

A. Yes.

Q. Is that the only drug used?

A. Yes.

Q. Do you know the effects of pentobarbital on the

human body?

A. Ihave no medical training but I've observed the

five grams of pentobarbital cause death.

Q. Do you know why it calls for five grams of

pentobarbital?

A. Five grams, no. I don’t know how that was

determined to be the amount.

Q. Do you know why it calls for two syringes?

[26] A. I believe it’s based on the quantity and the

size of the syringes.

Q. If pentobarbital is not available does the Depart-

ment have any backup plans or protocols in place?

A. No.

Q. The protocol indicates that medical personnel

put IV lines into the prisoner, is that correct?

A. That’s correct.

515

Q. Before inserting any of the IV lines do you know

if the medical personnel check an inmate’s airways?

A. lam not present during that, no. I don’t know.

Q. Okay. So you don’t know if they check blood

pressure?

A. I don’t.

Q. Or anything else.

A. Ido not.

Q. If an execution team member is not able to find

a strong enough vein to insert the line into is there a

protocol in place for that?

A. Under, in these lines it talks about the, some

options in there. They may insert a [27] primary and

it says or central venous line and it indicates other

options to that.

Q. Have you ever observed an execution where

they had trouble inserting the IV?

A. No.

Q. So to your knowledge none of the prior execu-

tions in Missouri have encountered any difficulty with

that.

A. I’m not present during | at process.

Q. Are you aware of any side effects to pentobar-

bital?

A. No.

Q. The protocol talks to the monitoring of a pris-

oner during an execution. What is your understanding

of the purpose of that monitoring?

A. They have an EKG machine and direct observa-

tion, I believe the purpose is to, for medical personnel

516

to access to make sure it is going according to the

protocol.

Q. Do you know what the medical personnel are

looking for as they monitor?

A. Not in detail, no.

Q. Is anyone else responsible for monitoring the

prisoner?

A. Non-medical staff are watching as [28] well,

but. The primary responsibilities for monitoring would

be the medical staff.

Q. The protocol suggests that the staff, the inmate

is positioned so the medical personnel can observe the

prisoner's face directly. Why do you think it focuses on

the face?

A. I don’t know.

Q. The protocol indicates that the first five grams

of pentobarbital is injected and then following a suffi-

cient amount of time for death to occur medical personnel

examine the prisoner. And that’s in section E. What

would you say is a sufficient amount of time for death

to occur?

A. From my observation with state witnesses it

occurs at about seven minutes where they go and check.

Q. In section F of the open protocol it discusses the

sequence of chemicals and chemical log. Are you

familiar with those documents?

A. Yes.

Q. Are you involved with those documents in any

way?

vA ‘ i} +4 COiTi« ICA

director of the department signing those w!

they come back after an [29] execution

A That's correct

518

Q. And the inmate has the option of taking a

sedative, is that correct?

A. Yes.

Q. And when is that sedative offered to the inmate,

do you know?

A. About. I'm going to say something like four

hours before the execution and then with the state-

ment the offender can ask for a sedative any time

following that.

Q. Are they able to ask for it up until execution?

A. They are.

Q. Would there be any reason why an inmate

would be given a sedative without them wanting it?

A. I can see a scenario. I'm not aware of any

situation. If an offender were potentially out of control

I could see that scenario but that [31] hasn’t occurred.

Q. And then finally lists Lidocaine. What is

A. That is. I believe that is a, something that they

use when they’re setting the IV. I don’t believe, it’s not

considered a controlled chemical or anything but it’s

something they use when they set the IV.

Q. And is it topical or do they inject it, do you

know?

A. Ido not know.

Q. And to your knowledge are any other chemicals

or drugs involved in the execution process at all?

A. Not in the process, no.

519

Q. So the open protocol suggests that any irregu-

larities should be noted on the sequence of chemicals

or the chemical log. What does that mean?

A. That would, to my mind that would mean that

something other than five grams were utilized for

pentobarbital or something like that.

Q. Have you ever seen one of these documents have

A. No.

[32] Q. Is there a protocol in place for an instance

where there is an irregularity?

A. Other protocol says that it’s notated if there is

one.

Q. And nothing further is done after that.

A. Idon’t know that I understand your question.

Q. Sure. Let me rephrase.

So if an irregularity was noted are there subsequent

steps than taken after that or is it just a notation that’s

made?

A. We have not had that situation so it would be

hard for me to tell you when nothing would occur or

whether we would react and do something. It would

depend on what occurred.

Q. Okay. So to your knowledge there's nothing,

there’s no steps or a specific protocol in place for that.

A. For what is your question?

Q. For dealing with any irregularities.

A. I believe we would react. The reason for us to

review is to see if there were and to report those.

Q. Okay. So once you receive the sequence of

emicals and chemical log what do you do with the:

, | Ok at then yen them and send th

.

34]

Q. And the gurney is set up so that the inmat«

ng flat that rrect

rt "

ai itil Ley ; econa tive PrAtin

) What about if the prisoner

pr ive wel ’ | cs ’ r tr

,

¥ vA : | DY ’

’ ’

’

’ a

; vw

{ aea

’ ’

Q. And when does that occur?

(37| Q. Is that for a particular execution the

t occurred

i

AS nNAaAVe Various Tul

AL |

ow often does that occu!

it occurs BR was th first time we've had

| one for quite a while because weve had, afte!

xecutions we don’t do a full run-through if we've h

xecution recently

Q) And that run-through a

a planned a that or

v,

« NC yT i ¥

urt

MS NO'TTON: Pertfec

(WHEREUPON A RECESS WAS TAKEN BY TH!

PARTLES)

[38] A. Okay

.) Hlave vou seen this document before

524

A. It is used to inform the medical staff of the

execution of any conditions the offender might have.

Q. And who fills this out?

A. Our medical director at central office. Delouis

Williams.

Q. And you said it was Delouis?

A. Delouis Williams, yes.

Q. And where does Delouis Williams get that infor-

mation from?

A. She gets it from his case file.

Q. Okay. And when is this usually filled out in

advance of an execution?

A. Generally two to three to four weeks ahead of

an execution.

Q. Are there any other medical evaluations that

are done prior to an execution?

A. This is the only one I’m aware of.

[39] Q. Do you know if inmates are evaluated in any

other way prior to an execution?

A. I know that mental health does a report.

Q. Is that it?

A. As far as evaluation, yes, I believe so.

Q. Are you involved in approving an execution in

any way?

A. In which?

Q. Are you involved in approving an execution in

any way?

A. No.

525

Q. Are any steps taken to prepare a prisoner for

execution?

A. We offer obviously mental health counseling, we

offer chaplaincy services, thing like that. I don’t know,

we have a case worker that’s assigned to assist. I don’t

know exactly what your question is.

Q. Is there a process in place to determine if an

individual is competent to be executed, medically or

otherwise?

A. I believe that’s the purpose of the mental health

evaluation that’s submitted.

[40] Q. Does the physician on the execution team

ever evaluate the inmate prior to an execution?

A. I don’t know what the term evaluate would

mean. Obviously [J is the one placing the IV so |

don’t know what procedure and what [J does just prior

to that.

Q. Okay. Does (J interact with the inmate

before the actual execution day?

A. Before the day? No.

Q. Okay.

You've observed executions before, correct?

A. Yes.

Q. Now many times would you say?

A. All the ones that have occurred since I’ve been

director so that’s, I don’t know how many that number

is. 17. 18. I don’t know the number. Something like

that.

Q. Where are you normally observing these execu-

tions from?

526

A. From the state witness room.

Q. And can you describe where that is in relation

to the execution room?

A. It is one of three rooms that [41] surrounds that

room where the offender is on the gurney. One is state

witnesses, one is victim’s witnesses and one is his

witnesses.

Q. And are you behind glass or a door?

A. We’re behind glass, yes.

Q. Is anyone generally in the execution room with

the inmate during an execution?

A. No.

Q. Turning to your answer to Interrogatory

number 3. I believe you answered that all executions

using pentobarbital have been rapid and painless, is

that correct?

A. That is correct. I don’t see it in that — oh, yes.

That is correct. Yeah.

Q. What would you consider to be rapid?

A. As I stated earlier the offender is seemingly

unconscious within a few seconds and each time the

medical staff have gone in he has been deceased at

about seven minutes, seven or eight minutes.

Q. And is your basis for that strictly your own

personal observation?

A. Yes.

Q. You also indicate it’s painless. What's your

basis for that?

[42] A. I see no movement, no reaction from the

offender.

527

Q. And outside of your personal observations do

you base that on anything else?

A. No.

Q. Do you know what cavernous hemangioma is?

A. No.

Q. Are you aware that Mr. Bucklew has tumors in

his airway?

A. Only if it’s on that medical sheet.

Q. To your knowledge have you ever had an inmate

with cavernous hemangioma?

A. To my knowledge, no.

Q. Have you ever had any inmates on death row

who were prone to hemorrhaging or choking?

A. I don’t know. I’m not aware of any.

Q. Do you know if the department’s ever researched

whether a person with cavernous hemangioma can be

safely euthanized or executed?

A. I don’t know that.

Q. Do you know how Mr. Bucklew’s condition has

been monitored?

A. I know that we have medical staff in [43] every

facility that monitor all medical conditions.

Q. Will any special steps be taken in the days or

weeks leading up to an execution to monitor his condi-

tion?

A. I don’t know the answer to that. I know medical

staff will tell us if they believe there’s any issues they

have with his condition but I’m not aware of anything

that will occur right now.

528

Q. Have you ever had an execution stopped or

delayed because, for medical reasons?

A. I know Offender Bucklew was scheduled for an

execution and I know under appeal it was stayed. But

I don’t know whether it was due to legal processes or

his medical, I don’t know the rationale that was used

to stay it.

Q. Outside of Mr. Bucklew’s case though are you

aware of any?

A. No.

Q. Are the execution team members aware of each

inmate’s medical conditions, assuming they have any?

A. Yes.

Q. And how are they made aware?

A. I bring them that document that shows [44] the

medical issues that have been identified.

Q. The one page pre-execution medical summary?

A. Yes.

Q. Anything else?

A. No.

Q. Do you know if the protocol will be customized

in any way for a condition like Mr. Bucklew’s?

A. Ihave no reason to believe it would be.

Q. How does signoff for an execution work, do you

know?

A. Say that term again.

Q. Signoff for an execution, so who signs off on the

execution?

A. Idon’t know what that term means.

529

Q. Sure. Let me rephrase.

What is the process for approving an execution to go

forward?

A. I know that the director of the department is

charged with making sure there are no stays in place

and they stay in communication with the governor's

office, with the attorney general’s office to make sure

there are no stays or other [45] reason that would hold

up the execution. If there are none then the director

gives the directive to proceed.

Q. Is lethal injection the only manner allowed

under Missouri Jaw to inflict the punishment of death?

A. No.

Q. What else is allowed?

A. The statute refers to lethal gas.

Q. Does the state of Missouri have a lethal gas

protocol?

A. No.

Q. Why not?

A. We don’t have a method or a gas chamber right

now.

Q. Do you know why not?

A. We have an execution protocol that has been

rapid and painless so that’s what we've utilized.

Q. Are you aware of the DOC or the state conduct-

ing any evaluations into the use of lethal gas?

A. No.

Q. If lethal, the lethal injection protocol was not a

viable option for an execution

530

* * *

[50] grievance is a segment and the appeal is a

segment. Each one has a timeline.

Q. And you indicated earlier that on the appeal

process you’re just looking to make sure those, the

timing was followed and whatever protocols or policies

are in place were followed, is that correct?

A. I indicated on medical grievances, as a warden

that’s what I’m looking for is to make sure those are

followed because I’m not making a medical response

as a warden. I’m signing off that the health services

administrator is signing those responses, I am signing

those grievances but not as a person that is making a

medical opinion or anything.

Q. Okay. So if an inmate were to bring the same

grievance again, and let’s say there was a different

policy in place, would that change the evaluation

process?

A. The timelines?

Q. The timeline or how it’s evaluated on appeal.

A. Our policy is, says how many days each segment

which I’m describing is to occur. That doesn’t change

unless it’s considered an [51] emergency grievance

then it is sped up because it’s considered an emergency

grievance.

Q. And what do you generally consider an emer-

gency grievance?

A. In my opinion that’s something that would

immediately affect someone’s life.

Q. Okay.

MS. NOTTON: That’s all of our questions.

531

MS. COULTER: I've got a couple of questions for

you.

EXAMINATION

QUESTIONS BY MS. COULTER:

Q. You had talked about the gurney that the

offender is strapped to prior to the execution.

A. Yes.

Q. Do you know if the angle of the gurney is

adjustable?

A. I believe it is. | know it’s not a fixed gurney as

far as attached to the building or anything, it’s

movable, but I believe it is, it cam be moved, changed.

Q. So the head of the gurney could be raised?

A. That’s my belief. If it can’t be I [52] know we can

get one that does.

Q. If the anesthesiologist were to decide that it

would be in the best medical interest of the offender to

adjust the gurney would the anesthesiologist have the

freedom to do that?

A. Yes.

Q. We had talked a little bit about the Methylene

blue dye that had been used previously.

A. Yes.

Q. Why isn’t that used anymore?

A. The pharmacy we were using would no longer

sell it us.

Q. Why is that?

A. They feared exposure and media attention that

would hurt their business.

532

Q. Do you currently use any dye?

A. No.

Q. In the execution of Mr. Bucklew would you

anticipate any dye at all would be used?

A. No.

Q. You also indicated that valium is not used

anymore. Why is that?

A. Again, our pharmacy no longer is willing to

provide that.

Q. And why is that?

[53] A. Again, fear of exposure and fear of media

attention.

Q. Do you use any kind of pharmaceutical as a

sedative in place of the valium?

No.

What about the versed, is versed still used?

No, we don’t have versed either. Same reason.

Do you use anything in place of the versed?

Pardon?

Q. Is anything used in place of versed as a

sedative?

A. We have some benadry| that is used for anxiety,

that is what we use if they’re showing anxiety.

The only other issue we would have is if he was, if

he, mental health and him decided he needed some-

thing more then we would have to potentially go to our

contract provider to get something.

Q. And have someone from the Corizon to pre-

scribe a sedative?

POP P

533

A. Yes.

[54] Q. And the use of a sedative is optional to the

inmate, is that correct?

A. Yes.

Q. We had talked about the medical history that’s

provided to M3 prior to the execution. Can M3 receive

additional medical! information if he or she believes it’s

required?

A. Yes.

Q. You had also talked about the process for

informal resolution requests and grievances. Is there

any change in that policy if it is a condemned inmate,

a death sentenced inmate?

A. Not to my knowledge.

MS. COULTER: I don’t have any more questions.

MS. NOTTON: No more questions.

MS. COULTER: You have the right to review a

transcript of your deposition and check it for error, not

error in content but error, transcription errors and

then sign it or you can trust that everything’s been

transcribed accurately and waive your signature.

A. Ill rely on my attorney.

MS. COULTER: So are you choosing to waive your

signature?

(55) A. Okay.

(Whereupon, the deposition concluded at 3:15 p.m.)

534

[1] U.S. DISTRICT COURT

WESTERN DISTRICT OF MISSOURI

(KANSAS CITY)

Civil Docket for Case #: 4-14-cv-08000-BP

RUSELL BUCKLEW

Plaintiff,

vs.

GEORGE LOMBARDI, ET AL.,

Defendants.

VIDEO DEPOSITION OF GEORGE LOMBARDI

Taken on behalf of the Plaintiff

January 24, 2017

[18] Adult Institutions and in 1986 I became director

of the Division of Adult Institutions and remained in

that capacity until I retired in 2005. After I retired

in 2005 I did consultant work with the facility for

committed youth in Washington D.C. for about three

years and then in 2009 I was appointed director of the

Department of Corrections by Governor Nixon until |

retired on January the 10th of this year.

Q. Are you currently employed?

A. lam not.

Q. So thank you very much for that comprehensive

summary and I just have some followup questions

regarding some of the positions that you described.

rere,

Can you generally describe your responsibilities

when you were the program coordinator, I believe yo

said it was the Renz Prison Farm?

A. Yes. Actually there were groups of inmates at

that time who were denied parole hut were flattening

out the time as we used to call it which meant that

they were denied parole but they still, you know

they’re finishing their time, at that time it was sever

twelfths, in other words

[32]

Q@. Are you always present for th actu

execution?

\ Yes

iY Are you required DY law to be present

4. I’m not sure what the law says about that but

im anyway so it doesn’t make any difference. Or was

Q. You mentioned that you served in this role as

director of Department of Corrections until January

LOth, 2017 when you retired?

\ Correct

Q@. Why did you retire from that rok

MS. COULTER: Objectio: t exceeds the scop

crv d scovery order

536

MR. FOGEL: What part exceeds it —

Why don’t we just go of the record for a moment?

(66] your understanding that this protocol would be

used for upcoming executions?

A. I don’t know that, as I said I am no longer the

director so I can’t predict what the future is regard to

that.

Q. Understood. Just asking for your under-

standing as of January 10th, 2017, that this would be

protocol that would be used for executions.

A. That was the protocol that was in place on

January the 10th.

Q. Thank you.

A. Predicting the future is not something I can do.

Q. Thank you.

To your knowledge from October 18th, 2013, which

is the revision date, to present, were there any

executions performed using this protocol?

A. Yes.

Q. Do you recall approximately how many?

A. I believe there was like 19.

Q. And to your knowledge this was the protocol

that was used for the most recent execution in the

state of Missouri.

A. Yes. For all the executions from the [67] 13th

through the last one. From October ‘13 to the last

execution.

Q. So Id like to ask some questions — strike that.

537

I want to focus on the first section here, Execution

Team Members, and I just want to state at the outset

to be clear, I’m not asking for the names of the team

members, I’m just asking for their position titles and

their functions and I believe that’s consistent with

Judge Phillips’ discovery orde ’.

MS. COULTER: I agree.

MR. FOGEL: Thank you.

Q. (BY MR. FOGEL) And the first sentence under

Section A, execution team members, it says the

execution team consists of department employees and

contracted medical personnel including a physician,

nurse and pharmacist.

Do you see where I’m reading Mr. Lombardi?

A. Yes.

Q. First beginning with department employees.

Which department employees are involved, are on the

execution team? Again just talking about the titles,

not their names.

[68] MS. COULTER: I’m going to object in that |

don’t know that he can answer and talk about the

department without asking, without disclosing their

names. I mean I don’t know the answer to the question

that you’re asking but in the event that it would

disclose or lead to the discovery of their identity I

object.

MR. SPILLANE: May be I can be of assistance. Are

you asking what the designations of the employees are

such as NM1, NM2, so forth?

MR. FOGEL: That’s a fair point.

538

Q. (BY MR. FOGEL) So you're referring to

Mr. Lombardi’s interrogatory response identified

individuals —

MR. SPILLANE: Are you asking what their code

names are basically?

MR. FOGEL: Well, why don’t we look at the

interrogatory.

MS. COULTER: If you know which number that is.

MR. FOGEL: I think it’s Exhibit 4.

MS. COULTER: There’s a very brief list.

A. Okay.

Q. (BY MR. FOGEL) And I’m looking at [69] this

response to Interrogatory 9.

A. Yes.

Q. And at the top of that page it says pursuant to

this court’s order defendant provides the following

general information regarding DOC’s, Department of

Corrections, current execution team members, and it

lists a number of positions. Do you see where I’m

looking?

A. Ido.

Q. And to your knowledge does this listing of

individuals correspond with that first sentence that I

read on the open protocol?

A. Yes.

Q. Department employees, contracted medical per-

sonnel including a physician, nurse and pharmacist?

A. Yes.

Q. Then it goes on to say that an execution team

also consists of anyone selected by the department

539

director who provides support for the administration

of lethal chemicals, including individuals who pre-

scribe, compound, prepare or otherwise supply the

chemicals for use in a lethal injection procedure.

Are there any other individuals.

174] Q. And of course you have familiarity with

where the individual is being executed is physically

located.

A. Correct.

Q. Thank you.

And going back to Section A under Execution Team

Members of the open protocol it identifies contracted

medical personnel including a physician, nurse and

pharmacist. Are there any other medical personnel

besides from a physician, nurse and pharmacist who

would be present?

A. Medical personnel?

Q. Correct.

A. No.

Q. And let’s just speak very generally about why to

your understanding would a physician be present?

A. Say again.

Q. Why would a physician be present?

A. Because he’s the person that examines the

individual, prepares the chemicals, it stands on its

face exactly what that person does in the protocol.

Q. And could you direct me where in the protocol

you're pointing to?

[75] A. Yes. Part B. part C, part D.

540

Q. So those sections all refer to medical personnel

in general.

A. Yes.

Q. My question was specifically regarding the phy-

sician. To the extent you understand the differences

in the roles between the physician, the nurse and

the pharmacist, I’m just asking you to explain what

specifically each role does.

A. The physician does B, C and D.

Q. And what about the nurse?

A. The nurse stands by for assistance.

And can perform B, C and D as well.

Q. And the pharmacist?

A. What about them?

Q. What role does the pharmacist handle during

the course of executions?

A. Pharmacist supplies the pentobarbital.

Q. So skipping down to section B, preparation of

chemicals. Do you see that section Mr. Lombardi?

A. Ido.

Q. And do you see B(1) talks about [76] syringes I

and 2?

A. Uh-huh. Yes.

Q. Do you know why there are five grams of

pentobarbital?

A. Because that’s the amount that will make, that

will be powerful enough to ensure that the person is

deceased according to the physician.

541

Q. And if you look down at Number 3 it also asks

for, it mentions five additional grams of pentobarbital.

What is your understanding of why there are five

additional grams of pentobarbital?

A. Ifin fact, to ensure that the person is deceased.

If in fact they have not passed then there’s a second

possibility of adding additional, and that’s what that’s

for.

Q. Do you know what the effects of pentobarbital

are on the human body?

A. I know this amount of pentobarbital kills a

person.

Q. Do have you any understanding beyond that as

to the effects of pentobarbital?

A. No.

Q. Are you aware of any side effects from

pentobarbital?

A. Im sorry?

{77] Q. Are you aware of any side effects from

pentobarbital?

A. No.

Q. If pentobarbital is not available, are there any

backup chemicals —

A. Say again.

Q. If pentobarbital is not available are there any

chemicals that are used in its place?

A. We have not had that issue.

Q. So pentobarbital is the only chemical that is

used for lethal injections in the State of Missouri, is

that correct?

542

A. As of when I left on January the 10th.

Q. Okay. Looking down at Section C, the intrave-

nous lines. Do you see that on the open protocol?

A. Yep.

Q. And it says medical personnel shall determine

the most appropriate locations for intravenous or IV

lines.

Is this the same medical personnel that’s referred to

above under execution team members?

A. Correct.

[78] Q. What is the point — and it goes on to discuss

a primary IV line and secondary IV line. Do you know

the point of having both a primary and a secondary

line?

A. To ensure that there’s an adequate amount of

chemical inserted.

Q. So the chemical goes through both IV lines?

A. Right.

Q. Does the chemical go through both lines

simultaneously?

A. I don’t even know that.

Q. Okay. Have you ever encountered a scenario

where the medical persornel could not insert an IV

line into the individual?

A. No.

Q. Lower on in that paragraph it says medical

personnel may insert the primary IV line as a periph-

eral line or as a central venous line, it goes on to say

providing they have appropriate training, education

and experience for that procedure.

543

What do you understand that to mean when it says

appropriate training, education and experience?

{79| A. I think it stands on its face. Just simply that

they know how to do that procedure.

Q. Have you an experience where medical

personnel were not experienced, did not have the

training, education and experience for that procedure?

A. Never.

Q. Why is it important for medical personnel to

have appropriate training, education and experience?

A. To ensure that the process is carried out

successfully.

Q. And when you say successfully you mean that

the individual dies.

A. Correct.

Q. Before inserting the IV lines does any medical

personnel check the individual’s airways?

A. I don’t know that.

Q. Do they check blood pressure?

A. I don’t know that.

Q. Before inserting the IV lines do they to your

knowledge do any other check of the heart rate or any

other —

A. The heart rate is monitored.

[80] Q. It’s an EKG?

A. Right.

Q. Are there any other evaluations the medical

personnel does immediately before they introduce the

IV lines into the individual?

544

A. I’m not aware.

Q. So we were talking a little bit earlier about the

monitoring of the prisoner and I believe that’s

addressed at Section B of the open protocol, that’s the

page ending in 920, or excuse me, 020. Do you see that

at the top of the page?

A. Yes.

Q. And number 1 says the gurney shall be

positioned so that medical personnel can observe the

prisoner’s face directly or with the aid of a mirror.

What is a gurney?

A. It’s the hospital bed.

Q. And is the individual situated on the gurney

during the execution?

A. Yes.

Q. And how are they situated on that gurney? Are

they sitting —

A. They’re laying down on the gurney.

Q. So they’re laying flat on the gurney.

[81] A. Yes.

Q. Is the gurney horizontal?

A. What do you mean horizontal?

Q. Is it, and I'll represent for the record that I’m

using my hand to indicate a horizontal straight line.

A. Yes. It’s not vertical, yes, it’s horizontal.

Q. Is the gurney at all adjustable, in terms of could

they adjust the angle?

A. I don’t know.

545

Q. In your experience have all executions taken

place where the gurney is lying flat?

A. Yes.

Q. If an individual had a specific condition that

made it uncomfortable or painful for them to lay in a

flat position do you know if a gurney can be adjusted

such that they wouldn't be lying flat?

A. I don't.

Q. Do you know at what point in the execution

process the individual is strapped — are they strapped

to a gurney?

A. Yes.

[90] A. Yes.

Q. But when you said the director you're referring

to yourself, correct?

A. Yes.

Q. So in your judgment what would be an

appropriate amount of time of waiting —

A. I would listen to what the physician had to say

about the need.

Q. Do you have an independent opinion of what

would be a sufficient amount of time?

A. No.

Q. Going down to E(5) where it says at the

conclusion of the process and after a sufficient time for

death to have occurred medical personne! shall

evaluate the prisoner to confirm death.

Similar question, what is your understanding of a

sufficient time for death to have occurred”

546

A. The heart monitor being flatlined is the way in

which the physician makes that determination.

Q. In your judgment what do you think constitutes

a sufficient time for death to have occurred?

(91) A. Say that again.

Q. Is 10 minutes a sufficient amount of time for

death to have occurred?

A. I leave that up to the physician to share that,

what {J thinks.

Q. Do you have an opinion as to what a sufficient

time for death to occur is?

A. No. As I said, it has never occurred that we had

to use a second group of drugs.

Q. I understand.

A. Ever.

Q. Just asking generally about what you deter-

mine to be a sufficient amount of time.

A. Right.

Q. Skip down to section F and particularly F(4). It’s

the last sentence that begins if any irregularities are

noted.

A. Yes.

Q. And it goes on to say that DAI, I believe that’s

the director of adult institutions.

A. Correct.

Q. Division director shall promptly determine

whether there were any deviations from this protocol

and shall report his findings to the department

director.

547

[92] A. Correct.

Q. What irregularities would be noted during an

execution?

A. There have never been.

Q. That wasn’t my question. My question is what

irregularities is this referring to?

A. It would be hypothetical for me to guess what

that would be and I’m not going to do that.

Q. If somebody had, if the [TV was not properly

inserted, excuse me. If the administration of the

intravenous lines into the individual’s [V — excuse me,

strike that.

If the [Vs were not properly inserted would you

consider that an irregularity?

A. Ultimately it would have to be or otherwise it

wouldn’t be a successful execution, so that seems

irrelevant.

Q. That was my question. My question is what do

you understand irregularities to mean?

A. Idon’t know because it never has occurred, but

that’s the answer I have. Period.

Q. Under the protocol what happens if

irregularities are reported to you?

A. The DAI director should report to me [93} as the

department director.

Q. And then what do you do with that information?

A. I would keep it, we would have it in that

recorded data that the chemical log and so forth. Never

happens, so I've never had to do it.

548

Q. Am I correct then in your testimony, your

testimony is in your experience you've not experienced

or seen any irregularities?

A. Never.

Q. Do you, to your knowledge are there any

protocols in the event that an irregularity does arise?

A. Say again.

Q. Are there any protocols in the event an

irregularity arises during the execution?

A. This is the protocol.

Q. So what is your understanding if an irregularity

arises, what protocol does the execution team follow?

A. They know whatever the irregularity was, DAI

director reports it to the director.

Q. But I'm talking about at that very moment in

time.

Let me be more specific. If the [94] inmate responds

negatively to the drugs, the pentobarbital or one of the

sedatives, what protocols are in place to address that?

A. It’s never happened, I don’t anticipate it hap-

pening so I don’t have it. I don’t have an answer to that

because it’s never happened and I don’t anticipate it

happening.

Q. That’s a little bit different than the question I’m

asking, but just to be clear is your answer then that

you’re not aware of what protocols would be in place in

that situation?

A. Well, I think it goes back to if in fact the first

set of, if the first injection of the drug in some way did

not in fact render the individual deceased then an

549

irregularity would be yes, we ought to do the second

and that would be the irregularity.

Q. Sure. And the irregularity in that circumstance

is the individual did not die right away at some point

after five grams were administered and then you

administered the second five grams of pentobarbital.

A. Correct.

Q. So my question is in a circumstance where the

individual reacts negatively to the drugs [95] that are

administered, negatively not being they don’t die, just

there’s some adverse health reaction, what protocols

are in place to deal with that situation?

A. It has never happened, we don’t have a protocol

for it. I don’t anticipate it ever happening.

Q. What if a prisoner begins convulsing during the

execution process?

A. It’s never happened and it won’t happen, I don’t

believe. This is a powerful drug that is injected, if not

the first time the second time and there’s just no way

a person could live through that. According to my —

Q. My question is not necessarily whether they live

or die, I’m just talking about their reaction to the drug.

A. I have nothing for you in that answer. Nothing.

Q. You’re not aware of any protocols.

A. Nothing.

Q. If the individual starts choking during the

administration of the chemicals, are you aware of any

protocols in place to deal with —

A. That’s never happened and no, we [96] don’t

have anything. I would rely on the physician to deal

with that issue.

550

Q. You’re not aware of any protocol to deal with it?

A. No.

Q. If a vein blows during the course of the

administration you’re not aware of any protocols in

place to deal with that?

A. No.

Q. Who makes the determination to stop an

execution?

A. The only thing that stops an execution is if

there’s a stay that occurs.

Q. Aside from the stay are there any protocols in

place to stop an execution?

A. Absolutely not.

Q. So we talked about some medical personnel who

are present for the executions, correct?

A. Yes.

Q. Are you aware of a protocol for the non-

anticipation by health services staff members?

A. Say again.

Q. The protocol titled — rather than test your

memory why don’t I show you the document.

197] (MARKED PLAINTIFF'S EXHIBIT NO. 8)

Q. (BY MR. FOGEL) Mr. Lombardi, if you could

take a moment just to review that document.

A. (Reviewing document). Okay.

Q. Are you familiar with this document?

A. No, not — vaguely. Not my policy, it’s the DAI’s

policy.

551

Q. Okay. And that’s the director of adult

institutions?

A. Right.

Q. And I'll represent to you this is a document that

was produced to us by defendants in connection with

this litigation and just focusing on the line where it

says purpose, it says this procedure has been

developed to ensure health services staff members do

not participate in offender executions.

Are you familiar with that policy?

A. Generally, yes.

Q. Could you explain what that policy is?

A. Yeah. That means people that work for us in

health services will not be involved in it.

Q. And when you say us are you saying

* *

[118] Q. Prior to Mr. Bucklew’s scheduled execution

in 2014 are you aware of any special steps that were

taken in the days or weeks leading up to the execution

to monitor his condition?

A. I don’t know that.

Q. You don’t recall whether that happened one way

or the other?

I don’t. Exactly.

Do you know what a DNR is?

Say again.

A DNR. Do you know what that is?

Yes. Do not resuscitate.

And what does that mean, or what is a DNR?

O©rpDpPpop

552

A. An individual or a family member for somebody

that’s incapacitated indicates that no extraordinary

measures to keep a person alive when they are in fact,

have an illness of such grievous content that they’re

going to pass away.

Q. Is part of the protocol prior to an execution to

give an inmate an option to sign a DNR?

A. Not to my knowledge.

Q. Do inmates sign DNRs?

A. Yes.

[119] Q. They do?

A. Yes. Who is in charge of — strike that.

To your knowledge did Mr. Bucklew sign a DNR?

A. Ihave no idea.

Q. Does the Department of Corrections force

inmates to sign DNRs?

A. No.

Q. Is lethal injection the only manner allowed

under Missouri law to inflict the punishment of death?

A. No, the statute also indicates gas could be used.

Q. Any other manners besides gas and lethal

injection?

A. No.

Q. Does the state of Missouri have a lethal gas

protocol?

A. Does not.

Q. Do you know why it does not?

A. Because we have pentobarbital as the use.

553

Q. Can you explain why the use of pentobarbital

means that the state should not have [120] a lethal gas

protocol?

A. The lethal gas protocol, the lethal gas situation

is very controversial, no other state has used it to my

knowledge. I do have some knowledge of the old gas

chamber, when the first individual was to be executed

we put smoke in the gas chamber and it all came out

and would have killed everybody present. It is a very

volatile and difficult situation and we would never

consider it, especially when we have pentobarbital

which works rapidly and easily.

Q. Does the state of Missouri have a gas chamber?

A. No. Not anymore.

Q. When was the last time somebody was executed

by gas?

A. Idon’t know, the 30s.

Q. Has the state of Missouri to your knowledge

decreed a lethal gas protocol at any time?

A. Absolutely not.

Q. Has the State of Missouri investigated whether

it should adopt a lethal gas protocol?

A. Whether what?

[121] Q. They evaluated whether it should adopt a

lethal gas protocol?

A. No.

Q. Why is the state taking the position that lethal

gas is not feasible?

A. I think I shared that with you just a moment

ago. Because it’s dangerous, nobody’s ever used it and

554

our own experience in the first execution in terms of

testing the chamber indicated that everybody present

would have been killed. So it was not used for the first

execution either.

Q. When you say the first execution what are you

referring to?

A. Imean in modern times, I’m talking about since

the death penalty became constitutional again and

that was Tiny Mercer was the inmate and he was in

fact executed by lethal injection.

Q. Do you recall what year that was, or

approximately?

A. No. It’s available though.

Q. Okay. And is it your testimony that the state of

Missouri tested using lethal gas as an option at that

point in time?

A. We tested the chamber.

Q. The chamber.

[122] A. Yes.

Q. And the outcome of that test was that lethal

gases would leak out through the chamber.

A. Correct.

Q. Did the state of Missouri evaluate — let me back

up.

Is that the only reason why the State of Missouri

does not use the gas chamber?

A. No. Because there’s another alternative with

lethal injection which works safer, quicker, so that was

the option.

555

Q. Has the state of Missouri to your knowledge

looked into properly sealing the gas chamber such that

any gas would not leak out outside the gas chamber?

A. No.

Q. Does that gas chamber still exist today?

A. Yeah, I think parts of it are in the old

penitentiary.

Q. Is the old penitentiary, I’m sorry if I’m asking an

obvious question —

A. Missouri State Penitentiary which is no longer

part of the Department of Corrections.

Q. What is used in that building today?

[123] A. I'm sorry?

Q. What is that building used for today?

A. Tours.

Q. Are there any other gas chambers in the state

of Missouri?

A. Ihave no idea but I don’t think so.

Q. Maybe I should be a little bit more clear. Any

gas chambers in any state facilities throughout the

state of Missouri to your knowledge?

A. Oh, no. Absolutely not.

Q. Does the state of Missouri have a protocol in

place in the event that it is determined that lethal

injection is not a viable form of execution?

A. No.

Q. To your knowledge what would happen in that

circumstance?

A. Say again?

556

Q. Ifit was determined for some reason that lethal

injection was not a proper, or viable means to execute

somebody what would happen in that circumstance?

A. That’s a hypothetical and I have no idea, I’m not

going to answer that.

Q. Has the Department of Corrections [124]

explored the possibility of alternative forms of

execution?

A. No.

Q. Does the state of Missouri look to other states

for guidance in its execution protocol?

A. On the contrary, states have looked to us for

protocol possibilities.

Q. But bas the state of Missouri to your knowledge

looked to other states for guidance on its execution

protocol?

A. No.

(MARKED PLAINTIFF'S EXHIBIT NO. 9)

Q. (BY MR. FOGEL) Mr. Lombardi, I’m showing

you a document, I’m sorry, you’ve just been handed a

document that’s been marked Plaintiffs Exhibit 9.

Just take a moment to review the document and

familiarize yourself with it.

A. Okay.

Q. Are you familiar with this document?

A. lam not.

Q. Do you know what a Fiscal Estimate Worksheet

?

A.

is

Nope.

557

Q. You see in the top right there’s a [125] bill

number and it says HB, as in boy, 2082?

A. Yes.

Q. Do what you know that means, or refers to?

A. I would assume it means House Bill 2082,

whatever that is.

Q. Do you know what House Bill 2082 is?

A. No.

Q. Does the Department of Corrections at the

time that you left your role as director, does the

Department of Corrections have authority to consider

alternative means of execution?

A. Say that again.

Q. Does the Department of Corrections have the

authority to consider alternative means of execution

beyond lethal injection?

A. No.

Have a what again?

Q. Does it have authority to consider alternative

means of execution?

MS. COULTER: [Ill object to the form of the

question. I think it’s vague in terms of you don’t know

from whom the authority would come, if that makes

any sense.

*_ * *

[130] Q. You don’t know what the state would do?

A. Idon’t know.

Q. Do you know how much it costs to execute

somebody by lethal injection?

558

A. I don’t have that figure off the top of my head

but it is available.

Q. When you say it’s available —

A. I mean there are figures —

Q. There are figures out there.

A. That question has been asked by members of

the general assembly and the Department has had to

provide that information.

Q. It’s publicly known, okay. Do you know the cost

of lethal injection as it relates to cost for lethal gas

execution?

A. Ofcourse not. I have no idea.

Q. I have no further questions at the moment for

you.

A. Thank you.

MS. COULTER: I don’t have any questions. I think

he’ll waive signature.

MR. FOGEL: That’s fine. And pursuant to our

discussions this transcript will remain confidential —

highly confidential for [131] certainly the next 10 days

and then we will confer within that process.

MR. SPILLANE: The way I define it it’s not 10 days

from now but 10 days after receipt.

MR. FOGEL: Thank you for clarifying and then

after receipt —

MS. COULTER: We were kind of talking about, if

you all are requesting a draft we would determine the

rest as in the receipt of the final deposition. I mean

that’s how we would interpret it. Just want to make

sure there’s no ambiguity there.

559

MR. FOGEL: We're in agreement.

With that I think we’re done. Mr. Lombardi thank

you very much for your time.

VIDEOGRAPHER: It’s 12:41. We're off the record at

the end of our tenth media and the conclusion of our

|1) IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF MISSOURI

No. 4:14-CV-8000-BP

HIGHLY CONFIDENTIAL

RUSSELL BUCKLEW,

Plaintiff

vs.

GEORGE LOMBARDI, et.ai.,

Defendants.

DEPOSITION OF ANNE PRECYTHE

TAKEN ON BEHALF OF THE PLAINTIFF

February 22, 2017

ANNE PRECYTHE,

of lawful age, produced, sworn and examined on behalf

of the PLAINTIFF, deposes and says:

(The deposition began at 9 a.m.)

EXAMINATION

QUESTIONS BY MS. NOTTON:

Q Good morning. Thank you for being here this

morning.

561

I am Susan Notton with Sidley Austin. This is my

colleague, Reachel Bimmerle, and we represent the

Plaintiff in this matter, Mr. Russell Bucklew.

If Defense counsel wouldn’t mind introducing?

MS. COULTER: Caroline Coulter on behalf of the

Defendants.

MR. HANSON: David Hanson on behalf of the

Defendants.

MR. SPILLANE: Mike Spillane on behalf of the

Defendants.

[7] BY MS. NOTTON:

Q. And if you wouldn't mind introducing yourself

on the record also, please?

A Anne Precythe, Director of Corrections, State of

Mi ;

Q Thank you.

I'm going to hand you a document this has been

marked as Plaintiffs Exhibit 31. Are you familiar with

this document?

A No.

Q Well, I will represent to you that this is a

deposition notice and that you are here today pursuant

to that notice, is my understanding.

MS. COULTER: Our office would have accepted

service on her behalf, so she may not have seen it

before.

BY MS. NOTTON:

Q_ Have you been deposed before?

A No.

562

Q Okay. Well, I guess I will give you some ground

rules then. So, throughout today’s deposition I’m going

to assume that you understand what I’m asking you,

unless you tell me otherwise.

A Okay.

Q_ So, if you need me to clarify anything, please,

just let me know.

I will wait to ask another question till you’re done

[8] answering. If you don’t mind not answering till I’m

done asking the questions, so we can have a clean

record.

And then, please, also try to always give a verbal

response so that the court reporter can get it on the

record.

And we can always take a break if you need to so,

please, just let us know.

What did you do to prepare for today’s deposition?

A Met with Caroline and Mike on Thursday

morning.

Q Okay. How long did you meet with them for?

A Twenty minutes.

Q Okay. Have you met with anyone else in

preparation for the deposition?

A No.

Q_ Have you spoken to anyone else besides counsel,

such as Mr. Bucklew?

A No.

Q How about any of Mr. Bucklew’s treating

physicians?

A No.

563

Q. Any of the other Defendants?

A No.

Q Okay. Did you review any documents?

A No.

Have you reviewed any transcripts from other

depositions?

A No.

19] Q Any other preparation?

A No.

Q Have you reviewed the complaint in this case?

A No.

Q You indicated that you've never done a

deposition before. Have you ever testified at a hearing?

A Yes.

Q_ Can you describe that?

A_ I was a probation/parole officer in the State

of North Carolina, so I testified in many probation

violation hearings, parole violation hearings. And then

I also testified as Director For Community Corrections

in North Carolina at the administrative office of the

hearings O-A-H office, the administration hearings, in

personnel matters.

Q Have you ever been a defendant in a lawsuit

before?

A No.

Q Have you ever been subject to any formal/

informal complaints related to your work with inmates?

A No.

©

564

Q_ Any complaints whatsoever during your time

with the North Carolina Prison System?

A No.

Q_ And how about so far as director here?

A No.

Q Can you walk me through your education after

high [10] school?

A_ I completed four years at the University of

North Carolina in Wilmington and received a bachelor

of arts degree in psychology.

Q And you were appointed Director of the

Missouri DOC in January; is that correct?

A Correct.

Q_ And what did you do prior to your appointment?

A I was Director For Community Corrections,

which is probation and parole, in the State of North

Carolina.

Q And can you describe, generally, what your

responsibilities were in that role?

A So, my responsibilities were overseeing the

2600 staff that handled supervision of 100,000 offend-

ers in the communities of North Carolina that were

under jurisdiction from the courts and the parole

board. So, I did not have direct responsibilities in

prisons.

Q Have you ever had direct responsibilities in the

prisons before your current role?

A No.

Q Were you also appointed to the National

Institute of Corrections and Advisory Board?

565

A Yes.

Q Can you describe what is that?

A I served as the community corrections person on

that [11] particular board. And we would meet once,

maybe twice a year, to discuss national issues as they

related to juvenile jails, adult prisons, community

corrections and just the national trends, the national

movements about what went on in those different

entities.

Q_ Are you still involved in that?

A lam.

Q_ And how long do you expect that to last for?

A I have no idea.

Q Okay. You are currently director of the Missouri

DOC, correct?

A Correct.

Q Can you describe your responsibilities as

director?

A My responsibilities as director are to oversee

the Director for Adult Institutions, as well as the

operations that happen within our prison system, the

personnel aspects that go along with running a depart-

ment, as well as the legal aspects. It’s overseeing all of

the operations and having an impact on the probation

and parole processes that happen in working in

conjunction with the parole board.

Q_ Have you changed the reporting structure at all

since arriving?

AI have named a deputy director, Matt Sterm,

and that’s the only change I’ve made at this point.

Q

566

Do you anticipate making any other changes to

the [12] reporting structure?

> OP LProOor>lPr>O>L >>

g

;

Q

A

Q

Yes.

Do you have a sense of what those will be?

No.

Do you have any medical training?

No.

Have you ever attended medical school?

No.

Are you a chemist?

I am not.

A biologist?

I am not. That’s why I as psychology major.

Does North Carolina have the death penalty?

We do.

Is it still in use?

There’s been a moratorium in place since, |

, 2006.

Do you know if they use lethal injection?

They do.

Do you know if they use any other methods of

execution?

A

Q

I do not.

Were you ever involved in the execution process

in North Carolina?

A

I was not.

567

Q Are you aware of any complications with

executions in [13] North Carolina?

A lam not.

Q. Are you aware of any executions ever needing to

be halted in North Carolina?

A lam not.

Q Does the State of Missouri have an execution

protocol?

A Yes.

Q What is your understanding of an execution

protocol?

A What, specifically, are you asking? What the

process is?

Q Or just what you think its purpose is?

A Are you asking what is the purpose of the — an

execution?

Q Ofan execution protocol.

A It’s to make sure that there’s a uniform, con-

sistent process. So, that it’s administered properly and

safely and humanely each and every time.

Q Okay. Do you know what an open portion

protocol is?

A No.

Q_ How about a closed portion protocol?

A No, I think I have heard those words, but

without looking back at notes or something, I don’t

recall exactly what those were.

Q Are you familiar with Missouri Execution

Protocol?

568

A Yes.

114] Q [ll hand you a document. I’ve handed you

what’s been previously marked as Plaintiffs Exhibit 5.

A Uh-huh.

Q Have you seen this document before?

A Yes.

Q Can you, generally, describe what it is?

A It describes who’s a part of the execution team,

how the chemicals are prepared, the medical proce-

dure that is established for doing the IV, and then how

the process is — the actual execution procedure itself

from the time that the chemicals are administered.

Q If you look at the bottom on the second page

there’s a date; what is that date?

A October 18, 2013.

Q_ And to your knowledge is this the most current

protocol?

A Yes.

Q. Are you familiar —

A Wait just a minute.

Yes.

Q Are you familiar with what drugs are used

during an execution in Missouri?

A Yes.

Q What are those drugs?

A Phenobarbital.

[15] Q Is that it?

A And saline.

569

Q Is that it?

A To my knowledge, yes.

Q_ Do you know what effect phenobarbital has on

the human body?

A Stops the heart and the — no.

Q It’s okay if you don’t know. That’s fine.

A _Let’s just say no.

Q_ Okay. Are you aware of any studies considering

how phenobarbital might affect people differently?

A No.

Q_ Are you aware of any side effects of phenobar-

bital?

A No.

Q If phenobarbital is not available, do you know

whether the DOC has any other protocols in place for

that?

A No.

Q Do you know what the DOC would do in that

instance?

A No.

Q To your knowledge is this the protocol that

Missouri intends to use for upcoming executions?

A Yes.

Q Do you know whether executions have been

performed using this protocol?

A Yes.

[16] Q And about how many?

A_ I don’t know.

570

More than five, would you think?

Yes.

More than ten?

I don’t know. I haven’t been here in Missouri, so

I can’t speak to prior executions.

Q Understood.

Was it used in the most recent execution?

A Yes.

Q_ And when was that?

A January 31, 2017.

Q_ And were you director at that time?

A

Q

> © > ©

I was.

Is that the first execution you experienced here

in Missouri?

A Yes.

Q Is that the only one that you’ve experienced so

far?

A Yes.

Q Are you aware of any executions since this

protocol was put in place that did not follow it?

A No.

Q Without providing any names or identifying

information, can you, generally, describe the composi-

tion of the execution team?

117] A Its made up of about 50 members of

employees within the Department of Corrections.

Q And can you, generally, describe the functions

of the different members of the execution team?

of]

A They — it’s an extremely detailed process. They

range from patrolling the facility to responding to pro

testers, to parking, to parking for the state’s witnesses,

the victim’s witnesses, or excuse me, state’s witnesses,

the — yeah, the victim’s family, and then the offender's

family and separating people, staying with those three

groups the entire time to facilitate the movement of

the officials during the process.

It consists of members that are with the offender

during the entire process. It’s a very it’s a very

detailed process that — I mean, it takes a large number

of people to make sure that everything runs as

planned

Q Understood

Do you know whether there are any medical team

members on the execution team?

A There are

Q@ Do you know about how many?

A Two

@ And are they in the execution room during an

execution?

A What do you consider the execution room?

[18]

- 76)

Pia

Q And do you know what the function of the

medical team members are?

A Yes

@ Can you describe that’

A One of them is to monitor the machine that th.

inmate is hooked up to and then one is to administer

the IV

@ And what is the purpose of monitoring?

A ‘To check the vitals of the inmate during the

procedure and to ensure that the IV is established

safely

Q On the first page of the open portion protocol it

talks about how the department director can decide

who's on the [19] execution team. In the very first

paragraph

A Okay

@ Do you anticipate making any changes to the

execution team for upcoming executions?

A Not at this time

Q@ On the second page it discusses the process of

njecting the phenobarbital and the saline solution

under Section E. And in the fourth paragraph there

573

it says that the inmate will be checked following a

sufficient amount of time for death to occur. What do

you interpret that to mean?

A Five minutes.

Q_ Exactly five minutes?

A From the time that the — | know what the

protocol is and its five minutes from the time that the

initial solution is administered.

Q Okay. On the very bottom of that same page,

under Section F, paragraph four, it talks about a

sequence of chemicals and chemicals log. Do you see

that?

A Uh-huh.

Q_siIt also notes that there — the possibility of an

irregularity being on one of those forms. Do you see

that?

A Yes.

Q What do you understand an irregularity to be?

A_ I don’t know.

Q.siI’ve handed what’s been previously marked

20 A co

with this document?

A No.

Q Have you ever —

A Oh, not this document.

MS. COULTER: If she could have a minute. Look

through the pages.

THE WITNESS: Okay. So, this is the document that

lays out the execution process, the team and what

pody 8 responsi

n familiar with this

BY MS. NOTTON:

Q Do you know who would make that decision

A No, that’s the court process. No

Q Are there any circumstances under which you

might be prepared to halt an execution?

A No, unless there were issues in the facility

something came to light that was, | mean, needed to

stop the process. | mean, then you have to make that

decision, but if there are no [22] legitimate reasons to

stop, we wouldn’t stop the process.

Q Do you know what might cause a delay in ths

preparation process?

A It could be that there was trouble establishing

the IV line in the — in the inmate.

My understanding is if inmates are known to be

drug users their [V might not be stable. | mean, their

veins may not be stable. So, | mean, it, again, dealing

with people, you don’t know exactly what could

possibly come up. So, you have to be prepared to

respond accordingly

Q@ Have you seen or heard of that occurring under

this protocol before?

576

A The only protocol that I'm aware of is that

in incidences in the past if it’s a regular drug user

the veins — the typical veins have been difficult, but

there’s — they have always been able to establish the

[V, it might have just taken longer than normal, that’s

the only thing that I’ve heard.

Q Do you know whether it’s possible to alter the

protocol in any way?

A For who to alter the protocol?

Q How about for you to alter the protocol!”

Q Do you foresee making any changes to the

protocol that would impact upcoming executions?

A No.

Q_sIf you could turn to page 62, please.

Earlier you indicated that phenobarbital and a

saline solution were used during the execution; is that

correct?

A Uh-huh.

Q Are you familiar with the dvucument you're

looking at on page 62?

A sI’ve not seen it before.

Q Okay. Its titled chemical log. And it notes

phenobarbital at the top. Do you see that?

A Oh-huh, I do.

577

Q And then it also notes Valium underneath that

Do you see that?

A Ido

Q@ Do you know if Valium is used during an

execution?

A No, I don’t

Q You don’t know?

A The only use that I’m — I think Valium is used

if the [24] person previously had requested or wanted

a sedative prior to the time leading up to the actual

execution.

Q Okay. What about Versed, the next chemical!

listed?

A Im not familiar with that

Q Okay. And how about lidocaine?

A That’s one that I had heard in the past may be

had used, but I’m not familiar with that.

Q@ Okay. So, to your knowledge it’s only pheno

barbital and a saline solution that are used during the

execution and then the possibility of a sedative; is that

correct?

A That is correct.

a es

Q Do you know whether they would give an

inmate a sedative without the sedative being requested?

A What?

Q Let me try again

Do you know whether an inmate might be given

sedative even if the inmate doesn’t ask for it?

\ No

Q@ You indicated earlier that an inmate is

monitored by the execution team medical members; is

that correct, during

|25| A Correct.

Eee

Q Okay. Are there nonmedical members of the

execution team?

A Yes

@ Do you know what their role is?

A Yes. So, remember the execution team consists

1f about 60 people

Q Right. So, let’s narrow that a little bit

A Okay.

579

a oe

Q Okay. Anything else that you know of?

A (Indicated no.)

Q Do you know whether inmates are evaluated in

any way [26] prior to an execution?

A I know there’s a mental evaluation prior to, and

that’s the one that I’m iamiliar with.

@ Can you describe that for me?

A No.

Q Do you know whether you're involved in that

process at all?

A I send the letter to the governor’s staff to let him

know that the inmate is competent and able, that there

are no mental health deficiencies that would prohibit.

Q And what would you look at to inform that

decision?

A The reports that were given to us by the facility

staff, who evaluate the inmate.

Q_ And can you describe a little bit the facility staff

that you’re referring to?

A No.

Q Do you know at all whether it would be medical

staff or nonmedical staff?

A Yes. I didn’t know we could be that broad. It

would be medical staff and psychological staff, mental

health evaluators.

Q And do you know whether that would be the

medical execution team members that would do that

or would it be the general treating physicians?

580

A | would assume it would be the general treating

|27) physicians in the facilities, because the offender is

not at the actual location where the execution takes

place until a matter of days beforehand. So, it would

be at whatever facility they were currently housed.

Q_ So, then would it be fair to say that that evalua-

tion is done more than just a couple days in advance?

A Yes.

Q Do you know whether there’s a process in place

to prepare a prisoner for execution?

A Ido not know for a fact that there is. I cannot

describe what that would be.

Q Do you know whether an inmate is evaluated

medically before an execution to determine whether

they’re fit?

A Ido not know.

Q_ If you could turn to page 58. It doesn’t actually

have a 58 on it, but it’s between 57 and 59.

A Oh, okay.

Q Have you seen this document before?

A Ihave not.

Q. At the top it says a pre-execution summary of

medical history; is that correct?

A Yes.

Q_ Do you know what something like this might be

used for?

A Yes.

Q Can you describe that?

581

[28] A It appears to me it would be used to deter-

mine someone’s medical history prior to an execution,

since its included in an execution packet.

Q Do you know whether this is given to the

execution team?

A I would think that it is.

Q Okay. Do you know who might fill it out?

A Ido not. I would think that it would be filled out

prior to him getting to — I guess, my thought process

here is that it’s two different processes. There’s a

process leading up to when he goes to the facility for

the execution, but I do not necessarily consider what

is happening there part of the execution team, because

the execution team to me is isolated to the specific

incident. So maybe I’m not following some of this.

So, this would all be part of the packet. So, yes, it

would seem to me that this would be completed by

physicians at the facility where the inmate is currently

located prior to being moved to the facility where the

execution will take place.

Q Okay. Do you know whether the general,

treating physicians are able to participate in an execu-

tion?

A They do not.

Q Okay. But they can still fill out this form, to

your knowledge?

A I would say that they’re the ones who fill this

out. I’m not familiar with anybody at the prison where

the execution [29] occurs filling out this form. I have

no knowledge of that.

Q Okay. So, is it fair to say then that you don’t

know who would fill out this form?

582

A I would agree with that.

Q Okay. And is it also fair to say that you are not

sure who would get this form?

A_ | am good with that too.

Q_ Do you know if any additional evaluations are

performed prior to an execution?

A Idonot.

Q Prior to an execution, so before the protocol

would be initiated, do you know who’s involved in an

inmate’s medical care?

A_ I do not have the specifics on that.

Q Would that be Corizon staff members, to your

knowledge?

A Yes.

Q Do you know whether the Corizon staff

members are facility specific?

A Ido not.

Q_ So, for example, would the same doctors provide

care at Potosi as at the ERDCC?

A Ido not know.

Q Okay. Do you know at what point the execution

protocol is considered to be started such that the medi-

cal or treating physicians would no longer be involved

in an inmate’s care?

[30] A No.

Q_ Do you know whether the regular treating phy-

sicians would still provide care on the day of execution

at all?

A I don’t know.

583

Q Do you know whether there’s any restrictions

on sharing information between the regular Corizon

treating physicians and the execution team members?

A I don’t know.

Q Do you know when the last time an inmate sees

a doctor before an execution?

A No.

Q_ If you doubt an individual's competency to be

executed medically or otherwise, what would you do?

A I don’t know.

Q Is it fair to say that you don’t know whether the

execution — the medical members of the execution

team evaluate the inmate at all?

A Correct, that’s fair.

Q_ And you don’t know what information is given

to the medical members of the execution team?

A Ido not.

Q Do you know if they are allowed to ask for

additional information, if they want it?

A Ido not.

Q Do you know whether you would delay an

execution if a [31] medical team member asked for

additional information?

A Ido not.

Q What about if a medical team member thought

that a prisoner was not fit to be executed?

A I don’t — the med — I don’t know exactly how to

respond to that. The medical team members that are

there do not have enough information to make a

determination if somebody’s fit.

584

Q _ So, that determination is made in advance of

when the medical execution team members would see

the inmate; is that correct?

A I would assume so.

Q Do you know what cavernous hemangioma is?

A No.

QI will represent to you that it’s a condition

where blood vessels form benign tumors.

Mr. Bucklew suffers from this condition. Do you

know who Mr. Bucklew is?

A Ido not.

QI will represent to you that he is the Plaintiff in

this matter.

So, I will assume then that you have never seen Mr.

Bucklew?

A [have not.

Q Or spoken to him?

[32] A I have not.

Q Did you learn about Mr. Bucklew at some point?

A When I found out I was being deposed.

Q Are you aware that he has tumors in his

airway?

A_ Ido not.

Q_ Are you aware that he experiences bleeding?

A No.

Q_ Are you aware that he’s given medical supplies,

such as gauze, to deal with that bleeding?

A Nope.

585

Q Are you aware that the Defense’s expert has

concluded that he has a Mallampati four airway?

A No.

Q_ Do you know what that means?

A Ido not.

Q Do you know whether an inmate has ever had

this condition before?

A Ido not.

Q How about a death — an inmate on death row?

A Ido not.

Q Do you know if the department has ever

researched whether anyone with this condition has

been safely executed?

A Idonot.

Q Does the execution team know of Mr. Bucklew’s

condition?

133] A I do not know.

Q Do you intend ts make them aware of his

condition?

A Ido not.

Q_ Do you know whether the execution team will

be able to see Mr. Bucklew in advance of the execu-

tion?

A They would not. I do not.

Q You do not know or they would not see him in

advance?

A Who, specifically, are you talking about on the

execution team? Because it’s — I mean, there are a lot

586

of people involved. So who, specifically, are you talking

about?

Q_ So, my focus would be on the members that are

actually administering and involved in the room

during the execution and helping to carry it out.

A And none of those people will see any inmate

until the time of the execution.

Q So, they would not see an inmate until the

inmate was brought into the execution room and put

on the gurney; is that correct?

A Correct, yes.

Q And prior t that, they’re not provided any

information medically or otherwise?

A No.

Q Doyou know whether they’re provided anything

on the day of execution though?

A No.

134] Q And you don’t intend to provide them with

anything?

A Ido not.

Q So, you couldn’t tell them about his bleeding, for

example?

A It’s not — okay. I don’t know how that will be

handled.

Q Okay. Do you know whether the protocol can be

customized for a particular inmate?

A I’m — would — okay. So, I’ve been through one

execution and it was — it had no complications tied to

it in any way, shape or form. So, I do not know what

information would be provided to the team, based on

587

what medical implications may exist within an

inmate.

If that were to come, we would have to figure out

what are the — what is able to be done or not done. I

don’t know how we would respond to that until you

have a situation in front of you that an execution was

ordered to be carried out and then we'd have to figure

out what can be done.

So, I mean, you’re asking me questions that I don’t

know, because I don’t have a situation that I have had

to research and be a part of.

Q So, is it fair to say that you've never had to make

that judgment call before?

A Thank you. That is correct.

Q Prior to an execution, do you take any efforts

[35] personally to prepare yourself?

MS. COULTER: I’m going to object at this point

don’t know how that’s relevant and to me that’s very

vague. Prepare herself in what way?

BY MS. NOTTON:

Q_ Well, answer if you understand.

A I have a — I have a personal view of how I look

at that.

Q Can you describe that for me? Are you saying

like a personal belief or I’m trying to understand if —

what steps you might take to prepare for an execution?

A_ So, to me an execution from a Department of

Corrections standpoint is business. It is our job to

carry out the laws of the State of Missouri. If an

execution is ordered by the Supreme Court of Missouri

my job is to ensure that we do it in the most humane

588

way possible. And I have complete confidence in every

one of my staff members that are involved, as well as

medical staff in making determinations if it’s appro-

priate. And that is what we do. And to me it’s business

and that’s my job as Director of Corrections.

Q_ Understood.

If you are aware that you have an inmate scheduled

for execution that might have a unique medical condi-

tion, would you prepare in any other way?

A I think doing due diligence and working with

medical [36] staff and understanding everything around

the case that there is to understand, that would be the

additional preparation.

Q So, would that encompass something like

researching that unique medical condition?

A That’s not my job. I’m not a medical person. My

job is to carry out the laws of the State of Missouri.

Q Do you anticipate familiarizing yourself with

something like that though, if you were aware that an

inmate had a condition?

A I can’t speak to that.

Q Okay. Do you know if the protocol calls for any

specific steps to be taken if an inmate that is a unique

medical condition?

A | am not aware of that.

Q If an inmate were to hemorrhage during an

execution, is there a protocol in place for that?

A I don’t know.

Q Do you know what you would do?

A_ I don’t.

a leh,

Q How about if an inmate were to choke during

xecution, is there a protocol in place for that

A | don't know

Q Do you know what you would d

\ | don't

Q@ How about if an inmate were to start to bleed

luring an |37| execution, is there a protocol in plac:

for that?

A | don't know

Q Do you know what you would d

\ | don’t

Q@ How about .if in inmate’s vein were to becom:

omprised or to blow, is there a protocol in place for

that?

, Idon't know

Q@ Do you know what you would d

A | don’t

Q@ The closed protocol discusses the us

urtains. Are you familiar with that?

590

Q If an inmate were to start visibly bleed

,

ring in execution. would vou close the curta

would assumes ; :

se guest

: -

7

: ~N

,

:

4

: et y : sted ‘ a 13 ° tea eY hy

pie fT ina a nat ne w iid : \

horiza } L

591

[39] Q Do you know what type of tools would be used

for that?

A No.

Q Would you anticipate authorizing something

like that it you got a call?

A I would.

Q Okay.

A Yes.

Q_ Do you know whether execution team members

are allowed to opt out for any reason?

A They are.

Q Okay. And would you — and what would you do

if an execution team member wanted to opt out?

A I would allow it.

Q_ Do you require any run-throughs of the execu-

tion process in advance of an execution?

A Its not required, but it has been done in the

past. And we did one with this past — with Mr.

Christi

Q_ Do you expect to do that before each execution?

A Probably, until I’m comfortable with them.

Q_ And does that go through the current protocol,

start to finish?

A Yes.

Q And does it assume that the protocol will go

according to plan?

A_ It would be based on the — the situation that

was [40] presented to us.

592

Q Can you describe what that means?

A _ So, similar to your request, it would go — yes, it

would go as planned based on, yes, the issue and

anything that surrounding that particular execution,

it would go — the run-through would go as planned.

Q Just to make sure I’m understanding, so it

would go as planned, meaning it would assume that

the protocol would be able to run start to finish

without any issues?

A Correct.

Q Is lethal injection the only manner allowed

under Missouri law to inflict the punishment of death?

A To my knowledge, yes.

Q Do you know whether lethal gas is authorized

in Missouri?

A Idonot.

QI will represent to you that a Missouri statute

does authorize —

A Okay.

Q_ -— both lethal injection and lethal gas.

Does the State of Missouri have a lethal gas

protocol?

A Not to my knowledge.

Q_ Do you know if it ever had a lethal gas protocol?

A Ido not.

Q Are you aware of any other states having a

lethal gas [41] protocol?

A lam not.

593

Q Do you know whether the State of Missouri has

a gas chamber?

A Ido not.

Q_ Do you know approximately how much it costs

to execute an inmate?

A Ido not.

Q Can you ballpark it?

A I cannot.

Q When you became director, were you informed

about Missouri execution procedures?

A_ Not about their — when I became director, yes.

Q Okay. And was that focused only on lethal

injection?

A That was the process that was planned for that

one, yes.

Q_ For that one, meaning for the execution at the

end of January; is that correct?

A Lethal injection is the process used by the State

of Missouri and so, that’s what we’re doing.

Q_ Have you discussed whether lethal gas might be

an available option for an execution?

A Ihave not.

Q Do you know whether the state has rejected it

as an option?

[42] A I do not.

Q_ Are you aware of any studies conducted by the

state in to the viability of lethal gas as an option?

A lam not.

594

Q Is there a formal process in place for evaluating

whether an alternative means of execution might be

used?

A_ I don’t know.

Q Do you know how you would go about looking

into something like that?

A_ Not yet. I'd have to rely on my team to help me.

Q Have you ever looked into the possibility of

execution by lethal gas?

A Ihave not.

Q Do you know what factors the state might

consider in determining the viability of an alternative

means of execution?

A_ Idon'’t.

Q What is your impression of the feasibility of

lethal gas?

A I don’t have an impression.

Q Do you know what the State of Missouri would

do if lethal injection was considered not a viable option

for an execution?

A Idon’t.

Q Do you know whether the state has ever consid-

ered use of something other than a gas chamber?

[43] A I don’t.

Q How about something like a gas mask?

A_ I don’t — I don’t have any — I don’t.

MS. NOTION: Can we take one more quick short

break?

MS. COULTER: Sure.

595

(Recess. )

BY MS. NOTTON:

Q Okay. Just a couple more questions.

A Okay.

Q_ So that we’re clear, do you have the authority to

alter or customize the execution protocol in any way?

A_ Ido.

Q_ And can you explain that?

A As Director of Corrections I would rely on the

team that participates in the preparation for execution

to help determine if there were any alterations that

needed to be made.

Q_ And can you describe what type of altervtions

can be made?

A No, because I don’t know what alterations

would need to be made.

Q So-

A You asked if I could and I said I could. But I

can’t tell you how it would or why it would, because |

don’t have any reason to change it.

[44] Q I see.

So, to be clear, you would have the authority to

change anything in the execution protocol if you felt it

was needed to be changed?

A If I had been advised by my team that changes

needed to be made, I would have the authority to make

changes.

Q_ To any of che protocol itself?

596

A If I were advised by my team that changes

needed to be made, not knowing what any of that

might be, I have the authority to make changes to the

protocol.

Q_ So, let’s say phenobarbital wasn’t available,

would you have the authority, for example, to use a

different drug?

A I don’t know that.

Q How about if an inmate suffered from some

medical condition that made them prone to bleeding,

would you change the protocol in some way?

A _ I would have to be given information from

medical. I mean, that goes into understanding all that

goes behind the particular inmate that is preparing to

be executed. I mean, that’s all part of understanding

the case and what goes on behind it and if any altera-

tions needed to be made, but I would rely on my team

to provide me with the information.

Q So, in your mind what would you consider

alterations?

A I don’t know. I have no idea.

Q Do you know when you would make a decision

like that to [45] alter the execution protocol?

A No.

Q Do you know whether the inmate would be

informed if the execution protocol was altered?

A_ I don’t know.

MS. NOTTON: I have nothing else.

597

CROSS-EXAMINATION BY MS. COULTER:

Q Director, can you tell us, when did you start

with the Missouri Department of Corrections? Do you

know which date?

A I was confirmed January 10th.

Q Okay. And which year?

A 2017.

Q Thank you, Director.

And in your capacity as director you've participated

in only one execution?

A Correct.

Q. And that was the execution on January 31st of

2017?

A Correct.

Q_ And earlier we heard testimony regarding the

execution team. When you answered you described

what you had said was a large group of individuals,

was that your personal — that’s how you interpreted

execution team —

Q -—to mean?

Okay. Are you aware of the department’s protocol,

[46] which specifically defines execution team members?

A Yes.

Q Okay.

A lam now.

Q_ In your definition were you not intending to

expand execution team members as defined by the

policy?

598

A Expand, no.

Q Okay. And obviously, the executions take place

at a prison?

A Yes.

Q_ And prisons require staff?

A Yes.

Q_ And so, there are going to be other individuals

at the prison, beyond execution team members defined

by policy, that are still going to be participating in

some fashion; is that correct?

A Yes.

Q Okay. You were also discussing or we had also

asked questions regarding medical information relayed

to medical team members. Do you — do you now know

whether or not medical information is relayed to the

execution medical team members?

A Ido.

Q And is the offenders medical information

relayed to those medical team members?

A itis.

147] Q Okay. But you do not provide that infor-

mation; is that correct?

A Ido not.

Q Okay.

A No.

MS. COULTER: I don’t have anything further.

MS. NOTTON: I have a few additional questions.

599

REDIRECT-EXAMINATION BY MS. NOTTON:

Q Can you describe what your understanding of

execution team is now?

A Yes. The execution team is the core team, would

be the members in the room adjacent to the execution

chamber itself.

Q_ And does that — what does that team consist of?

So, no identifying information, but —

A Would consist of medical and nonmedical

employees.

Q Okay. And do you know about how many?

A Four people, to my knowledge.

Q You indicated that you now know that medical

information is relayed to the execution team; is that

correct?

A itis.

Q What medical information is relayed; do you

know?

A_ Ido not know, specifically. The medical history

form would be given to the one of the medical staff in

the room, but I’m not aware of the specific medical

information.

Q_ And are you referring to the form that we looked

at in [48] the closed protocol?

A On page 53.

Do you know who fills out that form?

I do not.

Do you know if anything else is given?

I do not.

> © > &

600

Q_ And earlier you indicated that if you were to

alter the protocol in any way you would rely on

information from your team. Were you referring to the

execution team?

A Yes.

MS. NOTTON: No further questions.

RECROSS-EXAMINATION BY MS. COULTER:

Q Director, if you could look at Plaintiff's Exhibit

5 in front of you. And if you could read that first

paragraph there?

A The execution team consists of department

employees and contracted medical personnel, includ-

ing a physician, nurse and pharmacist. The execution

team also consists of anyone selected by the depart-

ment director, who provides direct support for the

administration of lethal chemicals, including individu-

als who prescribed, compound, prepare or otherwise

supply the chemicals for use in the lethal injection

procedure.

Q Okay. And I know we have had a lot of, I guess,

questions today on the definition or your interpreta-

tion of the definition. Is this — let me ask: When you

had previously explained execution team members,

your belief is that it is [49] still consistent with the

protocol as defined by the execution protocol?

A Yes.

Q Okay. And that would include anyone who

would provide direct support for the administration of

the lethal chemicals —

A Yes.

Q -correct?

601

MS. COULTER: Ali right. I have no further

questions.

MS. NOTTON: Nothing else.

Deposition concluded at 10:40 a.m.

{1] IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF MISSOURI

No. 4:14-CV-8000-BP

HIGHLY CONFIDENTIAL

RUSSELL BUCKLEW,

DEPOSITION OF TROY STEELE

TAKEN ON BEHALF OF THE PLAINTIFF

February 21, 2017

[14] for about four years.

Q Can you walk me through the different posi-

tions you have had since becoming part of the Missouri

DOC?

A 1 was a correctional services trainee, which did

classification. And then that automatically transi-

tioned into a caseworker position. Then I went to a

functional unit manager and then promoted to deputy

warden and then to warden.

603

Q When you were promoted to deputy warden,

what facility was that at?

A It was at the Southeast Correctional Center in

Charleston, Missouri.

Q_ And how long 2go were you in that role?

A (No response.)

Q Awhile it seems?

A Yeah, I'm trying to think. Approximately 16

years ago maybe, 16, 17 years ago.

Q_ So, then it was sbout 16 years ago that you

became warden?

A Probably closer to 18 when | started in that

position.

Q_ And where were you warden at?

A I’ve been the warden at three facilities. Later |

was warden at the Southeast Correctional Center,

Potosi Correctional Center and current warden at

Eastern Regional Diagnostic Correctional Center.

[15] Q Were your responsibilities similar across the

three facilities?

A Yes.

Q Can you describe your role and responsibilities

as warden?

A It’s to, basically, be the overseer of all prison

receipes Prva enatins Frotpad =

and then to kind of be an ambassador to the commu-

nity.

Q_ And how long have you been warden at — can I

call it the ERDCC?

A Yeah.

604

How long have you been warden there?

Little over two years.

And how long were you warden at Potosi?

Approximately between four and five years.

So, then about ten years or so at the Southeast

Correctional Center, right?

A_ No. As, actually, as a warden | was there for

about another four to five years.

Q Okay. As warden at the ERDCC who do you

report to?

A The deputy director.

Q Of the entire DOC?

A No. The deputy director of the department of

adult institutions. Currently Alan Earls.

116] Q@ And what is your understanding of Mr. Earls’

role?

A To supervise a zone of the institutions. So, |

report the general operations of our institution to Mr.

Earls. And then he does a third of the state. He’s over

a series of institutions.

Q Can you talk me through some of the day-to-day

responsibilities that you do just to get a better sense of

what your job entails on a regular basis? Perhaps, it’s

not the same every day.

A In general, I would define it as a problem solver.

Q Okay.

A You have a lot of review that is necessary

through, you know, for grievances, transfers, outside

work release, you know, staff complaints, general infor-

mation. Then you have a guidance role where you're

©? Of ? ©

605

kind of the ambassador between central office or

Jefferson City and the institution. So everyday, you

know, I'll meet with particular staff on new policies,

new expectations or things that we need to do and then

general operations. I meet with my deputy wardens

and my executive staff every morning and we do an

exchange of information. So, any guidance or anything

that they need we discuss. And then answer a lot of

phone calls and a lot of letters, either from staff or

offenders or outside entities, etc. Pretty average day.

Q _ Do you interact at all with the director of the

DOC?

[17] A Very little.

Q What would the little interaction relate to?

A I see her or him, now it’s a her, during the

executive staff meetings they generally attend to give

us any instructions or announcements or anything.

And then specifically at ERDCC, due to the execution

protocol, they’re present for that. So, I see them there.

And then occasionally, they will make a tour of the

institution.

Q Uh-huh.

A But other than that, in just general announce-

ments, I don’t have a lot of one-on-one.

Q_ And Anne Precythe is the current director of the

DOC; is that correct?

A Yes, ma’am.

Q_ And what is your understanding of her role?

A Oh, her role is to supervise the entire

department, both, Department of Adult Institutions,

Department of Rehabilitative Services, the Human

Relations Department and then the probation and

606

parole services. So, she encompasses everything or the

supervision of everything.

Q_ Have there been any changes in your role since

Ms. Precythe took over?

A No.

Q Does the State of Missouri have an execution

protocol?

* * *

|22] about the composition, which is allowed under the

Court’s scope of discovery order, but getting into more

intricate details that have already been provided in

the documents, I’m going to object on any additional

questioning regarding the more intricate details of the

execution team and their rules and responsibility.

MS. NOTTON: My understanding is that we are

able to learn about the different roles of execution

team members and what they, generally, do. So, I

think it’s fair for us to ask about what the medical

team members might do during an execution.

MS. COULTER: So, I guess, maybe if we rephrase

the question just based on Mr. Steele’s personal

knowledge about what those team members may or

may not do, generally, | would be comfortable with

asking, but we'll just kind of take it on a question-by-

question basis.

MS. NOTTON: Okay.

BY MS. NOTTON:

Q_ So, to your knowledge what do the two medical

team members of the execution team do during the

execution?

607

, Generally, and I’m, again, | have no medical

training, okay; but through observation, there’s three

basic things that they do: They draw the chemical!

they set the IV line and pronounce the death

(23] Q@ And to your knowledge what do the two nor

medical team members do?

MS. COULTER: Again, just kind of limiting our

scope to just your general knowledge about what the

ee

THE WITNESS: They follow the rest of the protoco!

BY MS. NOTTON

Q) Are all of the execution team members present

for the execution?

MS. COULTER: I’m going to object on relevanc«

BY MS. NOTTON:

608

Q Okay. So, the medical team members are able

to observe the execution?

A Yes.

Q Are they responsible for monitoring the pris

oner during an execution to your knowledge?

MS. COULTER: Can you or I guess, I object to just

use or — on monitoring. Can you

MS. NOTTON: Let me rephrase

MS. COULTER: Thank you.

BY MS. NOTTON:

Q Are the medical team members, is part of their

responsibility, to your knowledge, to observe and

watch the prisoner during an execution?

A I don’t know the answer to that.

Q In your interrogatory responses when describ

ing the execution team you noted that the medical

team members oversee the administration of lethal

chemicals. What do you mean by oversee?

A My understanding, again, I’m uncomfortable

answering [25] that.

MS. COULTER: Okay. Maybe can we just take a

well, would you be comfortable if we just took a brief

minute so that I can ask him regarding his level of

comfort.

MS. NOTTON: Sure,

MS. COULTER: And we can discuss it a little bit

609

(Recess. )

(THE PREVIOUS QUESTION WAS READ BACK BY

THE COURT REPORTER.)

THE WITNESS: Okay. My understanding is that —

let me back up a little. Each person has their protocol

role and for the most part don’t get involved in the

other person’s role. Okay.

My understanding of the medical team, they draw

the chemicals and then they set the IV lines, and as |

discussed before, they pronounce the death. I’m not

aware of anything else, specifically, that I’m aware of

that they do other than those three things.

And it came to me just this second, they do, if we

offer a sedative earlier in the day, they do give us the

sedative to give to the offender or give the offender the

sedative, depending on what time it is.

BY MS. NOTTON:

Q Is it the offender that would request the

sedative?

A We-weask them, you know, they don’t have to

ask, we [26] ask them.

Q Would they have ever given a sedative to an

offender who didn’t ask for it?

A No.

Q Do you know what drug is used for the sedative?

MS. COULTER: You can answer, if you know.

THE WITNESS: Currently, it’s an oral Benadry].

BY MS. NOTTON:

Q And when do you, typically, ask the offender

whether they would want the sedative?

610

A There’s —I don’t have the protocol in front of me,

so I would want to, specifically, look at it. Well, I do.

Can I look at it?

Q Ofcourse.

A Yeah. Because there’s two points where — wait

a minute. Okay. We do it at 1:30 p.m. and that’s when

they offer — the operations officer advises the offender

that he can request a sedative at that time.

And then we also notify him that any time after that

point he can request a sedative. And then we, specifi-

cally, offer again at 5:20.

Q = This is all on the day of execution, correct?

A Yes. That’s with the execution scheduled for six

o'clock.

[27] Q The open portion protocol discusses how

medical personnel determine the most appropriate

locations for IV lines; is that correct?

A Yes.

Q Are you, generally, present when they’re

inserting the IV lines?

A Yes.

Q And how do they make that decision, do you

know, for where to place the IV?

A I don’t know.

Q Do you know whether they do a medical

evaluation of the inmate before inserting the IV line?

A’ No, I don’t know.

Q Have you ever observed a member of the

execution team have trouble inserting an IV line?

A Yes.

611

Q Can you describe that?

MS. COULTER: I’m going to ask for, I guess, a little

clarification, whether you mean trouble inserting the

IV line?

MS. NOTTON: I can try to rephrase.

BY MS. NOTTON:

Q You indicated that you've seen them have

trouble; what do you understand trouble to mean?

[28] A I’ve seen where they've had to try more than

once, because the initial site the IV did not, again, I’m

not a physician, but it didn’t work.

Q_ The protocol allows the medical team members

to insert multiple IV lines, if necessary; have you

observed that?

Yes.

Is that the norm to do multiple IV lines?

Yes, to do two, one in each side or each arm.

And they’re, generally, in the arm?

Generally.

Have you seen the IV inserted some place else?

I've seen attempts. I can’t remember if at the

end they were there or not, but I've seen attempts. And

then I’ve definitely seen on one occasion where we

couldn’t use the arms at all.

Q_ And where was the IV inserted then?

MS. COULTER: If you know you can answer the

question.

THE WITNESS: I don’t know, specifically, but we

did the technique which is called, and again, I’m not a

> O > Of > & >

Vi NOTTON

1} A I’ve seen it attempted, but | ca ré

I nded in the hand or if it ended in the

be yes, Dut | don't know for sures

" : ilf Lx | “ene ’

. i ’ +

¥ | 1¥ ii}

Q@ Have you seen an inmat

r way for an execution

, K ad Ww

p?* { | I LAIKS il i i |

i prisoners and states that the gurney shall

tioned so that medical personne! can observe tl!

‘ 4 rectly ir wit? a. ’ ry

Prisoners tact 1}

Troe ft hig ¥

tive

ul *

17| cell to the gurney. And then, you know

m in and you know, put him on the gurney

© And where is the gurney located?

, It’s — I don’t know what we call the room, bu

where the execution takes place. The w

ictually

i lot of rooms circling a room

that its set up its

Uh-huh

‘ Okay. Let's be hard to describe for her t

,'

write. But you have a room in the middle and on on:

side will be a window where his visitors will be. Then

there's another room where the victim visitors are

"hen there’s a room where the state visitors are. And

then the other part of the square is where, what I cal!

the operations room is. All right. Well adjacent to that

another room where the offender is held. And so

when they bring him in, you know, then we — I com:

n and watch them, you know, place him on the gurney

Q So, the gurney’s in the actual execution room

hamber?

A Yes, yes. So, he walks in and then lays on the

it’s more of a bed, and lays down on the bed and the:

they place the restraints.

() Can vou describe why that occurred f

;

Know.

A | don’t know the specific legal terms, but |!

know that there's been some holds or some somé

legal procedures or something that, and again, I’m not

legally trained, so I don’t know the appropriate terms

30, but I know that there’s been reasons that they hav«

said: Do not move the offender. We're waiting for som:

idjudication of some sort

@ So, it’s primarily for legal purpos

ill clear. essentially

Correct

»4| things that are not hers

@ Can you describe those, generally?

O1D

tio! i that vou not

Q And when you ment ed

rector about the sedativ: in

ike him aware or her aware that the sedat

¥ here » differs : rpose for na

Viv ] ; rstandings iT ri

. know, | notify them as part of the proto

N ffered. And then. you know nat W I

at ler that v ’

1 by »}

Ana the f ’

Lake it tnen ! ui tnem a 1 ul m that: Y

} ry 4 Ww nitialiv i te Lnen : re I

dow : , P : arf

, _ A A,

W i

} \ \

vould give us, you Know, any permissio! i

niy exception 1s i ve haited, Decause a iy wa

speak to the chapla So, | ve I

istnit at | ipial .

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] 1OW [

616

use one arm. We couldn't set a second arm, so we went

with one.

(Recess.)

BY MS. NOTTON:

Q So, you had talked about that you had seen a

cutdown used during an execution for finding a vein;

is that correct?

A Yes.

Q And do you know approximately how long it

took to do that cutdown?

[56] A No. I know that it took several minutes, you

know. We had to, you know, go in and there’s an actual

cutdown packet of materials —

Q Okay.

A - that’s available. And so, they had to go in and

they, you know, they got that, they brought it in and

you know, they were able to do it, you know. But you

know, how many minutes it took, I, honestly, I don’t

remember.

Q Okay. But you wouldn’t say it took like 15

minutes or something like that, would you, or do you

just not remember?

A I, honestly, don’t remember, you know. It was

more than a couple of minutes and it could have been

15, maybe more than that, I don’t think so, because it

went fairly quickly. But you know, that’s a whole,

again, I’m not a doctor, but that’s a whole procedure

that, I learned that night, is much more complicated

than what I thought. Again, I’m not a physician, but

it — it — it, you know, it took a little bit.

617

Q Those tools that you refer to, those were

available to the execution team; is that correct?

A Correct.

Q_ And so, these would be in the execution room or

near by [sic]?

A Yeah, it’s actually in that — not in the — I always

say operations room, but there’s, actually, a sealed

sanitary [57] packet with all of the materials needed

for that, that they just rip open and you know, can

place over the area and you know, the gloves, every-

thing is there for the — for the procedure.

Q_ Do you know what type of tools were used for

that, generally, not medical terms —

No.

— not needed?

No, not — not really.

Did you see like a scalpel or some sort of knife?

Yeah, it appeared. But I don’t, again, |, at the

time was talking with the offender so, you know, |

wasn’t concentrating on that part, you know.

Q Uh-huh.

A That’s — I kind of let the medical people do their

thing.

Q Uh-huh.

A And you know, I was, you know, talking to the

offender.

Q Do you know at what point the decision was

made to do the cutdown?

A Yes. The medical personnel told me that they

could not get a good IV in either arm. And so, I went

> © > © >

618

to the director and asked permission to go to the

cutdown format. And then was given permission, at

that time was Director Lombardi. So, I was given

permission and then went back in and told them that

we had [58] received permission and then they, you

know, did the procedure.

(Q So, the permission was from the director to do

that?

A Correct. Yes, ma’am.

Q_ And did the medical members of the execution

team perform that cutdown?

A Yes.

Q_ And do you know whether it was the doctor or

the nurse or both, perhaps?

MS. COULTER: I guess I’m going to object just on

relevancy at this point with the line of questioning.

It’s my understanding that the witness has already

testified that he wasn’t really sure what was neces-

it. | guess, to the extent that you know the — an answer

to that question, you can answer.

THE WITNESS: I know that they were both

working together. I think the primary person was the

BY MS. NOTION:

Qs And this was done on the inmate while he or she

was strapped to the gurney; is that correct?

A Yeah, to the bed.

Q@ Do you know whether any pain reliever was

offered to the inmate before the cutdown occurred?

619

A I know that they did the shot, because I heard

it, you [59] know. I heard him — normally in — well,

every execution, they give a little shot before they

place the IV so that they'll be less pain. And so, I’ve

heard on several — well, every occasion, I've heard the

medical personnel say: Hey, you’re going to get a little

stick here. We’re going to give you a little bit to numb,

but — and I heard that that night: Hey, there’s going to

be a little stick here and...

Q Would that be the lidocaine, do you think?

A 1-1 would be guessing. So, I would prefer not

to answer. I don’t know.

Q Okay. But outside of that shot, that it sounds

like is typically given —

A Yes.

Q -— you're not aware of them giving the inmate

anything else?

A They — I’m sure that they wouldn’t give him

anything else —

Q Okay.

A -— that would be — anything else would have to

go through the director —

Q Okay.

A -— for permission.

Q Could you describe, generally, how big the

execution room is?

{60] MS. COULTER: I’m going to object on rele-

vance. I don’t know how the size of the execution

chamber is relevant to the claims in the petition. And

I don’t know that — I know that obviously was not

explicitly listed in the Court’s order regarding the

HZU

cope of discovery. but to me this may fall int

ntricacies regarding the execution protoco!

MS. NOTTON: The size of room

MS. COULTER: Well

MS. NOTTON im tryu

byection

MS. COULTER: Well. I don’t know how it’s relevant

| don’t understand how the size of room is relevant to

uny of the claims, the surviving claim, that’s in the

petition. And like I said, I know that it wasn’t specifi

cally raised or addressed in the Court's order, that’s

the umbrella, | guess, that | would to me that it

would fall under

MS. NOTTON: I would like you to still

your primary objection is relevancy grounds

y Ye

answer

MS. COULTER: If you can — well, I’m trying to think

f there’s any — can | ask the witness: Is there any

safety or security reason that you would have regard

ing the size of the room? I know we've talked, generally

ibout the

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Joint Appendix Vol — Bucklew v. Precythe, 139 S. Ct. 306 (2018) (No. 17-8151) | Frix