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Hospital Emergency Departments

Chicago Hospital Ordered to Pay More than $10 Million Dollars to a Female Doctor and 6 Nurses who Filed a Lawsuit for Two Separate Harassment Incidents Including Being Choked by a Doctor, and Another Doctor who installed a Toilet Cam in the Women’s Locker Room

Posted on November 2, 2018 1:30 pm by Caroline Ramsey-Hamilton Comment

RISKAlert  Report #1073                                      Sept. 19, 2018                                       Chicago, Illinois

The former employees of Advocate Illinois Masonic Medical Center in Chicago won a lawsuit against the
hospital after reporting that hospital doctors harassed them.  The Chicago Tribune reported that the hospital received
reports about violent incidents but did nothing.  The women accused the hospital of failing to act when violations of the hospital own written policies were reported and then ignored. 

$7 million of the total amount was awarded to Dr. Caroline Ryan, an anesthesiologist who was choked and
pushed by Dr. Stephen F. Laga, in 2013. The attack was witnessed by several hospital staff members
and also by patients.  Dr. Ryan was asked by hospital administration to drop her report against Laga, who
had a “long and documented” history of violent behavior, says the complaint.   Laga was never disciplined.

The following year, a hidden camera was found on the toilet (Potty Cam?) in the women’s locker room where
women changed clothes and used the restroom.  The camera was planted by Dr. Robert Weiss, an eye surgeon
at Illinois Masonic, who viewed and possibly shared the content. Weiss was arrested when the camera was
discovered. Although aware of his arrest, the hospital delayed suspending Weiss’ medical privileges.

The women’s complaint also pointed out that the hospital had ignored previous reports of inappropriate
sexual behavior from Weiss.  The six women were awarded $1.75 million for violations of their privacy and
an additional $2 million for punitive damages. “The jury was sending a clear message”, said the women’s
attorney, Jeffrey Kulwin.  He said he believes doctor misconduct has been tolerated because of the money the
doctors bring in to the hospitals.

“Today’s verdict against Advocate sends a strong message to Advocate, and employers everywhere,
that violence in the workplace cannot be tolerated, especially at a place as important as a hospital,”

LESSONS LEARNED:

1.  Having, and Enforcing a strong policy against workplace violence and harassment is a critical
     component of creating a safe workplace, no matter who is being violent against others!

2.  The hospital lost the lawsuit because they blatantly refused to enforce their OWN POLICIES! 

THANKS FOR READING THE RISKAlert Report©

For more information write to:  caroline@riskandsecurityllc.com
We provide the best Facility Risk Assessments, as well as Active Shooter Assessments, Training,
Workplace  Violence Assessments, and  & CMS All Hazards Risk Assessments, Facility Drills &  Training.

www.riskandsecurityllc.com                                                           www.caroline-hamilton.com

#RiskAssessment                                       #CMSImmediateJeopardy                                       #HospitalViolence



A Hospital Employee at Kadlec Regional Medical Center came back to the hospital on his day off, threatening to kill other employees and himself. Other violent attacks on staff have also occurred recently including choking of a nurse in the ICU!

Posted on October 24, 2018 11:22 am by Caroline Ramsey-Hamilton Comment

 

 

RISKAlert Report Updated: October 23, 2018                                                          Richland, Washington

A Hospital Employee at Kadlec Regional Medical Center came back to the hospital  on his day off, threatening to kill other employees and himself.  Other violent attacks n staff have also occurred recently including choking of a nurse in the ICU!

In a workplace violence incident on Oct. 18, 2018,  Kadlec employee Matt Ganz, 51, walked into the
hospital where he worked, on his day off and began talking to fellow co-workers about how he wanted to die by suicide and how he would kill others as well, said Lt. Chris Lee.

Several people called 911 to report seeing a man with a gun at the 270-bed hospital.  Richland police responded and were on the scene within a minute and a half. But Ganz was gone before Richland and Kennewick police along with deputies from the Benton County Sheriff’s Office finished searching the hospital.

Police continued to hunt for Ganz and officers finally found him about 40 minutes later on the 300 block of East Third Avenue drunk behind the wheel of his truck, police said.  He was booked into
the Benton County jail for making threats, for interfering with a health care facility and for driving
under the influence (DUI). 

Kadlec Regional has experienced other incidents including multiple staff members who were hurt by patients, and it highlights the problem of workplace violence in healthcare. In one incident, a patient in the ER hurt 3 nurses, a doctor, and a security officer.  In another recent case, a patient in Intensive Care choked a  nurse, as she was trying to change his IV.

The nurse in question posted these remarks on Facebook, “Let me tell you, having a strong individual’s hands around your neck, the inability to breathe, let alone call for help, to the point where you can’t see a thing and can only hear an emergency “staff assist” tone going off, is one of the absolutely gut-wrenching, most terrifying feelings anyone could ever imagine. It didn’t help that it was preceded with the words “I’m gonna kill you.”  Ashley Schade described in a Facebook post about the event that has now gone viral.

Both of those patients were charged with assault.

LESSONS LEARNED:

1.  Workplace Violence is still a major problem in healthcare, with most of the violent incidents
directed at nurses.  More needs to be done.

2.  Report every incident to management and increase staff  to avoid having nurses work alone.

THANKS FOR READING THE RISKAlert Report©

For more information and a free subscription:  write to:  caroline@riskandsecurityllc.com    We provide and certify the best Healthcare CMS All-Hazards Hospital & Healthcare  Facility Risk Assessments; Facilities Active Shooter Assessments,  Active Shooter Training and Tabletop Drills.



19-year old Teen Victim Sues Michigan Hospital After Being Punched in the Face in the Hospital’s Emergency Room

Posted on April 10, 2018 1:36 pm by Caroline Ramsey-Hamilton Comment

RISKAlert Report Updated:  April 10, 2018

A nineteen-year old woman is suing Beaumont Hospital in Dearborn, Michigan after she was injured by another patient in the hospital’s emergency room. The entire attack was caught on hospital security video.

The video showed the woman, who was wearing a hijab head scarf, had just started talking to the staff at the ER desk, when, with 5 seconds, an older man came up behind her and started to repeatedly punch her in the head. The man who attacked her, 57-year-old John Deliz, had been dropped off at the hospital by police, after leaving a group home.

Police records show he was warned about harassing others in the hospital lobby before the attack occurred, according to The Detroit News.  Deliz admitted in court that that he had been diagnosed with bipolar disorder and schizophrenia  and had not been taking his medications.

The hospital security staff immediately responded and restrained Deliz, who was subsequently arrested.

The lawsuit claims that “the hospital was aware of his condition as he was brought because he needed mental treatment. Instead of treating him, they discharged him into the ER waiting room,” her lawyer, Mr. Moughni told CBS. “Instead of giving him mental treatment, they put him back in the patient pool, thereby giving way to his attack.”
LESSONS LEARNED:

1.   Using the Emergency Room as a temporary holding area for behavioral health individuals
exposes the hospital to potential lawsuits and liability for any damage they might do.

2.   Behavioral health patients need to be isolated in a holding room and/or continuously supervised, and
not allowed to freely  circulate within the Emergency Room.

THANKS FOR READING THE RISKAlert Report©

For more information and more great content:  write to:  caroline@riskandsecurityllc.com
We provide the best Active Shooter and CMS Facility Risk Assessments, Drills & Training Programs
www.riskandsecurityllc.com   or   www.caroline-hamilton.com



Angry Florida Man Steals Hospital’s Ambulance and Drives Home After Waiting Two hours in the Hospital’s Emergency Department

Posted on March 15, 2018 10:35 am by Caroline Ramsey-Hamilton Comment

RISKAlert Report Updated:  March 14, 2018

   Ambulance thief, Danny Lee Konieczny, 60,  was drunk and suicidal when First Responders picked him
up after a neighbor called 911.    He was transported to The Villages Regional Hospital, where
he waited two hours in the Emergency Department without seeing a doctor.

Frustrated and angry, he decided to steal the ambulance to drive the 5.7 miles to his home,
according to the arrest affidavit!  He walked outside and stole a Sumter EMS Ambulance, which was
owned by Rural/Metro and equipped with a GPS tracking device.  Rural/Metro personnel were able
to see the theft of the ambulance on a live feed and so deputies followed the GPS to Konieczny’s home.

The suspect had parked the ambulance in the neighbor’s     
driveway, and then hid in the trunk of his car,  where
officers found him and arrested him.   Konieczny is now
facing a felony charge of grand theft of a motor vehicle
following the arrest by Lake County Sheriff’s deputies.

   “He was upset because he was just put in the hallway
to wait and was not being seen at the hospital,” the
deputy wrote in the arrest report.  The ambulance was
recovered intact and returned to Rural/Metro.


LESSONS LEARNED:

  1. Ambulance theft is relatively common but easy to prevent. Experts recommend
    making sure to turn off the engine and lock all ambulance doors.
  2. There are keypad systems that can be installed to prevent someone from driving away in
    an ambulance, when the engine has been left running.

THANKS FOR READING THE RISKAlert Report©

For more information and more great content:  write to:  caroline@riskandsecurityllc.com

We provide the best Active Shooter and CMS Facility Risk Assessments,
Active Shooter and Security- Safety and Compliance  training.

 www.riskandsecurityllc.com   or   www.caroline-hamilton.com



Shooting at University of Cincinnati Medical Center Ends in Suicide

Posted on January 22, 2018 10:04 pm by Caroline Ramsey-Hamilton Comment

“I thought he was going to kill everyone”, said the witness taking her child to Cincinnati Children’s
Hospital and Medical Center, before a 20-year-old shot and killed himself after shooting a University of
Cinncinnati Health security guard inside the UC psychiatric emergency services facility.

The man the witness saw was Isaiah Currie, 20, who eventually shot himself after shooting a UC Health security
guard inside the psychiatric emergency services facility on Burnet Avenue.

“He was focused. It was, ‘I’m here to do what I need to do and that’s it,'” she said. “I see him do this and
then drop (the gun) down and then I see the concrete come up, where the bullet had hit the concrete.
I thought he was on his way into the facility and I thought, ‘Oh, my god, he is going to kill everybody.'”

At this point, the witness called 911 to report the suspect. Authorities didn’t know where or how Currie
obtained the two handguns he carried into the lobby Wednesday at UC Medical Center’s Emergency Psychiatric
Services. Cincinnati Police Eliot Isaac said at news conference Thursday that one of the guns had been
reported stolen in Kentucky.

Currie, 20, who had a history of mental illness, shot the security officer twice in the torso, before turning the gun on himself. The officer was reported to be seriously injured.

LESSONS LEARNED:

1. Even when the witness saw the shooter advancing on the hospital, and called 911 – IT WAS ALREADY TOO LATE! Police could not get there in time to prevent the shooting. For an Emergency Psychiatric
facility, use of metal detectors is a MUST HAVE.

THANKS FOR READING THE RISKAlert Report

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#ActiveShooter #RISKAlerts #riskandsecurityllc

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HOSPITAL PATIENT WITH TWO KNIVES LEAVES TREATMENT ROOM ON THE 14TH FLOOR OF BARNES JEWISH HOSPITAL IN ST. LOUIS, AND WAS SHOT AND KILLED BY TWO SECURITY OFFICERS.

Posted on January 18, 2018 3:13 pm by Caroline Ramsey-Hamilton Comment

 

RISKAlert Report Updated:  Jan. 15, 2018

A 46-year old patient, identified as Andrew Merryman, was in a hospital treatment room with his wife on the 14th floor of the Center for Advanced Medicine at 10 a.m. Friday morning.

According to St. Louis Police Lt. Col. Rochelle D. Jones, Merryman pushed his way out of the om and pulled out two pocket knives, she said. As Merryman came down the hall, Jones called security and two officers responded.    Two officers arrived and ordered Merryman to drop the knives. He refused, so both officers fired their guns, killing him. He died at the scene.

Police commented that Mr. Merryman was suicidal and had been treated for depression. Lt. Col. Jones said the guards were being questioned by police as part of the investigation.

Kara Price Shannon, a spokeswoman for Barnes-Jewish Hospital, said police are handling the investigation and directed all questions to them.  “There is no threat to the public or our patients,” she told the Post-Dispatch shortly after the shooting.

 

LESSONS LEARNED:

  1.  All incoming patients in emotional distress, should be wanded with a metal detector as
    a condition of treatment.  Weapons can be returned as the patient leaves the hospital.

2.  A recent study by Johns Hopkins, discovered that most hospital shootings take
place in the Emergency Room (29%), and only 19% in a patient room.

 

THANKS FOR READING THE RISKAlert Report

For more information and more great content:
www.riskandsecurityllc.com or www.caroline-hamilton.com

#activeshooterhospital #hospitalsecurity #patientshot



RISKAlert Case Study #841 – Physician Shot & Killed in Metairie

Posted on March 27, 2016 3:10 pm by Caroline Ramsey-Hamilton Comment

Dateline:  March 25, 2016 – New Orleans, Louisiana

A local Doctor was shot and killed by a patient while he treated others in his office near East Jefferson General Hospital in New Orleans yesterday.

The 73-year old shooter walked into the doctor’s office, and killed the doctor with a single shot to the head.  He then ran out of the office and into a Wendy’s restaurant.  Jefferson Parish Sheriff’s Office deputies were nearby and they responded and chased the shooter into a nearby Wendy’s restaurant, where the shooter killed himself by putting the gun in his mouth and pulling the trigger.

The doctor, 75-year old Dr. Elbert Goodier, a urologist,  was treating patients at the time of the shooting.  Colleagues said that Dr. Goodier was a very kind and popular physician.  The shooter’s family said that the shooter had been treated by Dr. Goodier in the past.  While the shooter did not have a criminal background, his family said that he had suffered from mental illness in the past.

Dr. Goodier had practiced for 50 years in the New Orleans area, according to East Jefferson General Hospital.

According to Wendy’s employees, a woman was placing her order when
the shooter pulled the triggeWendysShooter-NOLAr as the deputies advanced on him.   The man’s body remained inside of Wendy’s more than an hour after the shootings. Yellow police tape cordoned off the parking lot and the hospital’s exit lanes. Some workers and patrons were also still in the building as of 4 p.m., speaking with
investigators. Outside, other workers, concerned relatives and onlookers watched.

This type of shooting, the Baby Boomer Shooter, is the second attack on a urologist, and one in an increasing number of seniors who attack their physicians.  Another shooter killed his urologist in Reno, Nevada and injured two others before taking his own life. The shooter said had struggled for 3 years with ailments resulting from a botched vasectomy, according to messages he posted on an online support group and a law enforcement investigation.


Lesson Learned :

While doctors have not been a target in the past, they have been shot and killed recently by patients unhappy with medical results.  All hospitals and medical offices should review their access controls systems, based on the increasing, and alarming rate of attacks on healthcare workers.

                    Stay Alert and make sure to subscribe to RISKAlerts
Sign Up at: caroline@riskandsecurityllc.com



Doctor Shot and Killed in Grudge Shooting Over “Mom”

Posted on January 25, 2015 9:53 am by Caroline Ramsey-Hamilton Comment

RISKAlert- Active Shooter   No. 625,   January 21, 2015, Boston, Mass.

Middle-Aged Shooter kills Cardiologist at Brigham and Women’s Hospital, and then Kills
Himself, in an apparent Grudge Shooting Because the Doctor had Operated on his Mother.

On Tuesday morning on Jan. 21, at 11 am, Stephen Pasceri, 55, walked into the Shapiro Center
at Brigham and Women’s Hospital, and asked to see cardiologist, Dr. Michael J. Davidson.  When
he saw Dr. Davidson, outside of an exam, he shot him twice, critically injuring him.

Dr. Davidson later died from his injuries. Pasceri then went to the 2nd floor and killed himself with a gunshot
to the head.  Later, it was discovered that Dr. Davidson had operated on Pasceri’s mother, Marguerite, and
she had died on November 15, 2014. Pasceri’s sister was quoted as saying, “He loved his mom, and he
loved her very much. He appeared to be handling her death well,” the sister said of her brother.

“Everything seemed to be going really well. I have no idea why he snapped like this.
He was a great guy. He took care of his family, he had a beautiful house and he has four
beautiful children. He was an upstanding citizen.”

The hospital locked down and rushed Dr. Davidson into surgery, but he died during the night from his injuries.
Brigham and Women’s Hospital’s COO said the hospital was one of the first to institute an active shooter
training program. The hospital does not use metal detectors.

Lessons Learned :    “A is for Access Control”

1.  Metal Detectors can be are a reliable tool to Prevent In-Hospital Shootings.

2.  Active Shooter Drills are NOT ENOUGH as these incidents unfold in just a few minutes.

3.  Installing ‘NO WEAPONS’ Signage at Entrances can be a deterrent to these first time shooters.

Despite having a good job, family, and a beautiful home, when confronted with a mid-life crisis, his mother’s
death, another middle-aged  shooter goes to a hospital and shoots the doctor, in a scenario that resembles
the Johns Hopkins shooting in 2010.   To protect staff and patients, hospitals will have to increase their
security protective measures, including use of metal detectors, no weapons signage and
situational awareness of the staff.

RISKAlerts is a publication of Risk & Security LLC.
To subscribe, write to: info@riskandsecurityllc.com



RISKAlert November, 2014 Updated Incident Planning for Healthcare Facilities

Posted on December 16, 2014 6:34 pm by Caroline Ramsey-Hamilton Comment

Incorporating Active Shooter Incident Planning into Health Care Facility Emergency Operations Plans

National preparedness efforts, including planning, are based on U.S. Presidential Policy Directive (PPD) 8: Preparedness, which was signed by the President in March 2011.  This updated  directive represents an “evolution” in understanding of national preparedness based on lessons learned from rom natural disasters like Hurricane Sandy, terrorist acts like the Boston Bombing and active shooter and other violent incidents.

Preparedness is centered in five areas: Prevention, Protection, Mitigation, Response, and Recovery. These concepts are applied to Health Care Facility (HCFs) Planning for active shooters and other violent incidents.

Emergency Operations Plans for Health Care Facilities (EOPs) should be living documents that are routinely reviewed and consider all types of hazards, including the possibility of an active shooter or terrorist incident. As law enforcement continues to draw lessons learned from actual emergencies, HCFs should incorporate those lessons learned into existing emergency plans or in newly created EOPs.

It advises a whole community approach that includes staff, patients, and visitors as well as individuals with access and functional needs. Examples of these populations include children, older adults, pregnant women, individuals with disabilities, etc.

The key concepts include not only familiar concepts like “Run-Hide-Fight” but also concepts on addressing a wider range of risks (threats), how to do drills, improvement of situational awareness activities, expanding the definitions of risks, how to do Psychological First Aid (PFA), and how to integrate these with HIPAA guidelines and Rules and the importance and role of Security in Emergency Operations Planning (EOPs).

Lesson  Learned :    Don’t Wait to Respond!

A 2005 investigation by the National Institute of Standards and Technology into the collapse of the World Trade Center towers on September 11, 2001, found that people close to the floors impacted waited longer to start evacuating than those on unaffected floors.   Similarly, during the Virginia Tech shooting, individuals on campus responded to the shooting with varying degrees of urgency. (ref:  Federal Building and Fire Safety Investigation of the World Trade Center Disaster: Occupant Behavior, Egress, and Emergency Communications.)

            Frequent Security Situational Awareness Training, and Active Shooter –
Disaster Drills can prevent this “frozen” phenomena and save lives in
a violent incident , a terrorist attack, or a disaster scenario.


RISKAlerts are publications of Risk & Security LLC



RiskAlert INCIDENT REPORT # 592 – Hospitals Not Ready for Ebola Cases

Posted on October 18, 2014 7:00 pm by Caroline Ramsey-Hamilton Comment

With the first confirmed case of an Ebola in the U.S., the largest U.S. organization of nurses warned that U.S. hospitals are far from ready for the Ebola outbreak, are sorely lacking in other disaster planning, and everyone needs to do more to stop Ebola.

The National Nurses United started surveying registered nurses three weeks ago, and interviewed 400 nurses in over 24 states. The results of the survey revealed:

  • More than 60 percent of RNs say their hospital is not prepared
    for the Ebola virus.
  • 80 percent say their hospital has not communicated to them any policy regarding
    potential admission of patients infected by Ebola    CNN-EbolaAlert
  • 85 percent say their hospital has not provided education on Ebola
  • 30 percent say their hospital has insufficient supplies of eye protection (face shields
    or side shields with goggles) and fluid resistant gowns     
  • 65 percent say their hospital fails to reduce the number of patients they must care
    for to accommodate caring for an “isolation” patient

LESSONS LEARNED:

  1. Hospital Security personnel can educate themselves on Ebola at www.cdc.gov/ebola.
  2. Security Managers should work with management to establish different pathways for patients in case Ebola shows up at your hospital.
  3. Extra barriers, tents, masks, biological waste containment, etc. should be purchased early before supplies are sold out.
  4. Security Departments should be Prepared to Direct Traffic, Condon Off Specific Areas, and Designate Pathways for both Ebola-patients and staff. And also non-Ebola staff members.
  5. Create procedures in case an Ebola patients walks into your Emergency Department!

National Nurses United is calling for, “NU is calling for:

All U.S. hospitals to immediately implement a full emergency preparedness plan for Ebola, or other disease outbreaks. That includes full training of hospital personnel along with proper protocols and training materials for responding to outbreaks, adequate supplies of all personal protective equipment, properly equipped isolation rooms to assure patient, visitor and staff safety, and sufficient staffing to supplement nurses and other health workers who need to care for patients in isolation.

                                   Help your Hospital Prepare for Possible Ebola Cases NOW!

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




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