Hospital Active Shooter

Two Nurses Stabbed on Easter Sunday in Different SoCal Hospitals

Posted on April 21, 2014 7:17 pm by Caroline Ramsey-Hamilton Comment

Dateline: April 21, 2014

Stabbing at Olive View – UCLA Medical Center

In the early morning hours of Easter Sunday morning, a nurse at Olive View-UCLA
Medical Center in Sylmar, California was critically hurt after being stabbed
multiple times.

Prior to the stabbing, deputies said the suspect had entered the hospital and
allegedly bypassed the weapons screening area. As the deputies searched
for the perpetrator, they heard a woman scream, and located the nurse, who was stabbed in both the upper
and lower torso. The nurse was transported for medical treatment in critical condition.

Torrance Hospital – Later at 9:20 am on Easter Sunday, Thomas Fredette walked
into Torrance Hospital, in the south Bay, and grabbed a nurse from behind and
stabbed her in the ear with a sharp object, according to Los Angeles County
Sheriff’s officials. Fredette faces charges of assault with a deadly weapon,
sheriff’s officials said. He is being held on $130,000 bail.

What We Learned:

Strong Access Controls at Hospital Entrances and Exits are the first line of
defense against injuries to hospital staff. Both events were random and
apparently unprovoked.

Nursing staff in particular, should receive adequate training in situational
awareness, which may be in conflict with their total focus on caring
for patients.

Double Check these critical Potential Controls:
Stronger Access Controls
Panic & Duress Alarms at Entry Points and on Nurses working late shifts
Better Weapons Screening

After Action report on LAX Shooting Recommends Risk Assessments

Posted on March 19, 2014 1:26 pm by Caroline Ramsey-Hamilton Comment

The Los Angeles World Airports (LAWA) released the long-anticipated After
Action Analysis on the LAX Active Shooter Incident in 2013.

The 83-page report was written by an independent consultant who analyzed
all aspects of the Shooting incident and includes a list of “Major Observations
and Recommendations.” The recommendations are “to provide focus for
LAWA’s efforts toward continuous improvement in it’s security and emergency
preparedness programs.

These areas were highlighted in the report as “7 priority observations that merit
special consideration.

Recommendation 1.1: Evolve the LAX Security Program to reflect a more
integrated assessment of security risk and provide for the ongoing development
and management of mitigation measures.

Recommendation 1.2: Based on the RISK ASSESSMENT and updated security
plan, consider the focus and structure of security functions to determine whether
realignment and integration are needed.

Recommendation 1.3: With the benefit of recent vulnerability and risk assessments,
take a risk-based approach to evaluating current security programs and explore
intelligent use of technology.”

Once again, doing frequent Security Risk Assessments and managing the security
program and enhancements to follow the recommendations of the Risk Assess-
ment are the first recommendations in the After Action Analysis of an Active
Shooter Incident.

In my experience, in most organizations, Facility Security Risk Assessments are
not conducted correctly, are not reported to senior management, and not used as a
tool to ADJUST AND FOCUS the security program based on RISK.

Why aren’t security risk assessments done more often?

1. People don’t have the right expertise to do a full risk assessment.

2. Security managers view Security Risk Assessments are too difficult
to undertake.

3. Law enforcement personnel still do not understand the concept of risk
assessments and instead, tend to rely on checklists of controls or
security elements, rather than integrating all the information to
create a true Risk-Based model for security.

The solution to this problem is to use affordable, easy to use software tools, like
the Risk-Pro Application for Facilties Security Assessment and their Risk-Pro
Application for Active Shooter Incident to simplify the process of doing more
frequent risk assessments and using them as a management tool to focus
security so it will be able to recommend the security enhancements that are
needed, and not only how MUCH to spend, but actually dictate the order
of necessary controls.

Far from being a boring, intellectual exercise, well done security risk
assessments can dramatically reduce the possibility of an active shooter
event, and also mitigate the many negative consequences that come
from such disruptive incidents.

RiskAlert Incident Report #473 – Hospital Admin Killed at Home

Posted on January 6, 2014 12:43 pm by Caroline Ramsey-Hamilton Comment

RiskAlert INCIDENT REPORT 473 – ACTIVE SHOOTER 12-27-2013

Oschner Hospital Administrator Shot to Death in his Home in Active Shooter Spree

Dateline: December 27, 2013 pm

A Louisiana man attacked his former in-laws, his current wife, and the Administrator of a hospital
where he’d worked, killing three and wounding three others before killing himself, authorities said.

The shooter, Ben Freeman, 38, was found late Thursday night in his car along a highway,
dead from a self-inflicted gunshot wound to the head.

The shootings happened at four locations in two parishes about 45 miles southwest of New Orleans
on Thursday. The first report came about 6:40 p.m., when Lafourche Parish Councilman Louis Phillip
Gouaux, who was shot in the throat, called 911 from his home in Lockport, Houma, La.

The suspect, Ben Freeman, 38, was the ex-husband of Gouaux’s daughter Jeanne, Lafourche Parish
Sheriff’s Office spokesman Brennan Matherne said in a news release.

Gouaux’s wife, Susan “Pixie” Gouaux, was dead when deputies arrived. Louis Phillip Gouaux and his
daughter, Andrea Gouaux, were injured and taken to Interim LSU Public Hospital in New Orleans.
Both were in critical but stable condition, Matherne said.

About 20 minutes later in Raceland, Ochsner St. Anne General Hospital Administrator Milton Bourgeois
was shot and killed at close range at his home. His wife, Ann Bourgeois, was shot in the leg, and taken
to the New Orleans hospital, where she was listed in stable condition. Raceland police said Bourgeois
was shot at close range and his wife was shot in the leg.

Freeman had been employed at three area hospitals over the last few years, including Oschner St. Anne Hospital, where Lafourche Parish Sheriff Craig Webre said he had been a registered nurse before he was fired in 2011. All three hospitals were put on lockdown for a while Thursday.

Freeman’s wife, Denise Taylor Freeman, was found dead in the couple’s home in Houma in Terrebonne Parish. Matherne said her cause of death was not immediately known.

RISKAlert is a publication of Risk & Security LLC at www.riskandsecurityllc.com.

Get Management’s Attention for Security – Shooter Kills the Hospital Administrator

Posted on January 6, 2014 12:14 pm by Caroline Ramsey-Hamilton Comment

Every Security Officer I’ve ever met has mentioned how difficult it can be to get funding for additional security! It is a never-ending mission, to get the budget for a security program that will truly protect an organization.

Hospitals are no exception. They have suffered their own financial problems and because security is not seen as a ‘clinical’ or ‘patient care’ issue, it is easy to take money from security and put it somewhere else.

But there’s one sure way to get management’s attention for Security — having a security incident. And if you don’t have one at your organization, high profile security incidents at other facilities will all grab management’s attention.

In my Risk-Pro Security Incident Report today, a shooter killed four, wounded three, and then killed himself. What was unusual about this incident was that the shooter went to the Hospital Administrator’s house and shot the administrator dead, and then shot his wife who was taken to an area hospital.

Most executives and administrators think about security as sort of an abstract concept, that doesn’t directly affect them. But it might, and by sending your management a copy of our Risk-Pro Incident Report, you’ll get their attention this time!

(Subscribe to the Risk-Pro Incident Report program by sending an email with the word SUBSCRIBE on it to info@riskandsecurityllc.com)

Joint Commission Reports on Shootings in Hospitals

Posted on November 12, 2013 2:08 pm by Caroline Ramsey-Hamilton Comment

Some of the most horrific shootings we see occur in hospitals. Because most people still think of hospitals as “places of refuge”, it is always a big shock when some kind of violence or shooting occurs in a hospital, especially gun violence.

With so many active shooter incidents in the US in recent months, the Joint Commission recently released information about the number of shootings in hospitals, and found that,

They analyzed a total of 154 hospitals shootings, which took place between 2000 and 2011. They found that 59% of the incidents took place inside the hospitals, and 41% took place outside on the hospital grounds.

Of the 59% of incident that happened INSIDE the hospital, not surprisingly, about 30% took place in the Emergency Department, and 19% in the patient rooms. We all remember the John Hopkins incident that occurred in a room where the shooter shot his mother’s doctor, and then locked the door and killed his mother and then committed suicide.

Of the 41% of incidents that took place outside, but on the hospital’s ground, 23% took place in the parking lot, which underscores how important it is to have a designated manager for the parking facilities. We have seen stories about a man in Tennessee who had a meth lab IN HIS CAR in the hospital parking garage, and the poor baby tossed off the roof of a parking garage.

The 154 hospital shootings resulted in a total of 235 people who were Injured or who died in the incident. The most common
victim was the perpetrator (shooter) and that accounted for 45% of the people injured or killed.

Another 20% of the victims were the hospital employees, including physicians (3%) and nurses (5%).

Another interesting highlight of the report, was that 50% of the shootings that took place in the

emergency departments were the result of the shooter taking the security officer’s gun!

The dramatic increase in Active Shooter incidents, including the Washington Navy Yard Shooting, the LAX
shooting and the Sparks middle school shooting all illustrate that the trend is moving toward more incidents per year, and more people dead or injured in each incident.

For example, from 2000 to 2004, there was, on average, only 3.8 active shooter incidents per year. Then,
from 2005 – 2010, the average number of incidents per year increased to 11 incidents a year, and from
2011 to 2013, it jumped again to an average of 17 incidents per year, which is over a 300% increase from 2000.The statistics clearly show the trend of increasing gun violence in our society, and until society can find a way to reverse
the trend, hospitals will be looking at the possibilities to stop the violence at the door to their emergency department.

Source for hospital shooting data: Hospital-Based Shootings in the United States: 2000 to 2011 by Gabor D. Kelen, MD, Christina L. Catlett, MD, Joshua G. Kubit, MD, Yu-Hsiang Hsieh, PhD