I work with over 2200 inmates and have had the pleasure of meeting former Medical Directors from Illinois Corrections. There are multiple resources for standards related to Jail Standards based on the type of jail. I work in prison, so it's a bit different. One avenue might be to encourage the Sheriff to become ACA Certified. I agree with the above mention of having the MD/DO manage the situation with the Sheriff. I don't know about Illinois; however, most departments REQUIRE deputies to be trained and/or certified in Community First Aid and CPR. Having someone other than qualified medical staff determining access to healthcare is very dangerous water to tread. However, for the officers/deputies- they must have basic training in recognition of psychiatric disorders and major health care issues (such as asthma, diabetic emergency, cardio, seizures) Some jails have deputies who are paramedics or are close enough to the fire dept. to have paramedic/medic respond to assist in assessments. Review your job description and State Practice Acts (etc), to make sure you are not put in the position of breaking the law or being the one named in a lawsuit. Best of luck.