Hospital Emergency Departments

The Active Shooter – What’s the Right Response? Run Out or Lock Down?

Posted on May 18, 2013 10:35 am by Caroline Ramsey-Hamilton Comment

I got to sit in on a security group discussion yesterday. It includes both security directors and local law enforcement and It was interesting to see how both groups approached the active shooter scenario differently. Which way is the best? Is there a best?

For law enforcement officers at both the state, city and county level, they want all doors to be unlocked so that all the occupants of a facility, or a hospital, can get out and run for safety as quickly as possible. They say that means more people will survive, not get shot, and it works with the natural human reaction to run away from danger.

Some of the active shooter experts in the room said that active shooter situations should be treated like fire drills, because people are used to fire drills, and they know what to do, because they practice fire drills more frequently than active shooter drills.

For the Security Directors, especially of hospitals, they wanted to be able to lock down if there was an active shooter call in their facility. They felt that there were problems in evacuating quickly, and some were concerned about leaving bed-ridden patients behind while the clinical staff run out of the building. So they advocated locking down all doors instantly.

While the heated discussion continued for almost three hours – at the end there was no “BEST” solution. Each Security Director or Manager will have to decide for themselves which approach is right for their organization. The important thing is to think it through in advance, prepare people in advance, and take advantage of the great materials that are available to help organizations prepared.

Get more information including videos, training materials, on line courses and more at
http://www.dhs.gov/active-shooter-preparedness.

Will the Risk of the Sequester Affect Security Budgets in 2013?

Posted on February 26, 2013 9:59 am by Caroline Ramsey-Hamilton Comment

Every time the TV is on, every anchor is crying about the dreaded Sequester.

Will it have an impact on security budgets? I have seen security budgets, especially for the facilities security departments, swing from almost unlimited budgets after 2001, to bare bones in 2009 and 2010, and thought they were trending back up for 2013.

Now, with the uncertainty about what a Sequester actually is, (please note my use of the capital “S”), how will it affect our security departments?

Obviously, the most obvious casualty are the government contractors who’s contracts may be arbitrarily cut, and civilian managers of federal programs will see lost days and furloughs.

The trickle-down effect will probably extend to state, county and municipal governments, too. So that means it’s even more important to start budgeting new security controls so that the most important get the funding!

One of the themes we go over in our webinar programs is how important it is to create a COST JUSTIFICATION and Return on Investment information so that you can create a business case for every control you need to improve security.

And one more thought on the Sequester – we often see an increase in crime, white collar crime and fraud when things are unsettled and people aren’t sure what’s going to happen next.

Maybe it’s a good time to do another risk assessment? Maybe the Sequester is the next new Threat!

Tags:
Security budget
Sequester
threat assessments
Threat sources

Holding Hurricane Sandy Survivors Hostage to House In-Fighting

Posted on January 2, 2013 5:18 pm by Caroline Ramsey-Hamilton Comment

Many, including Chris Christie, and Peter King, are shocked and dismayed when the relief vote for New York and New Jersey was postponed until the new Congress assembles later this week.

The U.S. has historically had a great reputation for jumping in AS A WHOLE COUNTRY to help the victims and survivors whose lives and businesses have been ravaged and, in some cases, destroyed. Many world leaders have commented on how the USA always pulls together in these emergencies.

According to the House, that’s no longer true.

The decision to take a budget fight to this level is NOT good politics. These people, most of them property owners AND registered voters, are going into winter without the basic necessities, with houses that have not been repaired, with streets not repaired. Sixty-eight days AFTER the disaster, these people cannot wait two more days, they can’t wait one more day.

A big country like the United States of America cannot hold its head up in the world, if we can’t help our own brothers and sisters who suffer these terrible events.

If this happened in New Orleans, I think you can imagine what the talking points would be.

As a group concerned about safety and security, we should be writing our congressmen and senators and tell them to stop playing games with federal disaster relief.

April is Workplace Violence Awareness Month

Posted on April 10, 2012 6:11 pm by Caroline Ramsey-Hamilton Comment

The American Association of Workplace Violence Prevention (www.aawvp.org) has designated April 2012 as official Workplace Violence Awareness Month!

You can celebrate in your office by suggesting ways to reduce workplace violence in your own environment. At AAWVP, they stress that workplace violence also happens to you, not just at work, but at the late-night grocery store or convenience store, in the hospital where you’re visiting your father, and even in your own home.

As part of the awareness raising event, the Association has invited me to participate in a special webinars about workplace violence at 2:00 pm Eastern Time, on April 18th.

You can join us by registering at http://tinyurl.com/85e33h8

Preview of the Webinar on Workplace Violence Prevention

Posted on March 27, 2012 5:28 pm by Caroline Ramsey-Hamilton Comment

Companies often don’t think about preventing workplace violence until there is an incident that affects them, or a company similar to them, or geographically close. As soon as something happens close to home, they want to get serious and do something about it right away.

Workplace violence prevention is actually a process that, like in quantum physics, when we talked about the observed particle, just putting management’s attention on the potential problem will start the prevention process.

A good place to start is with adjusting and updating your policies. Perhaps your policy is outdated, or hasn’t been publicized in your organization. Time to dust it off and make sure it includes these critical elements:

1. It says: We have a total no-weapons policy in this company.

2. Employees are REQUIRED to report any potential, or even suspected workplace violence situations or incidents.

3. There is an approved company form which every employee has electronically, to use
if necessary.

4. Every employee has to attend a violence prevention training course, or active shooter drill, or both, annually.

The policy is the first step. Next, the policy has to be approved by the management or by the Board, and then sent to every employee, along with an affirmation agreement that they sign saying they read the policy and understand it.

More tomorrow… or attend our special workplace violence webinar. You can sign up at:

http://t.co/rKBuoDgt

Man Wants to Commit Suicide at Hospital to Donate his Organs!

Posted on March 6, 2012 8:29 am by Caroline Ramsey-Hamilton Comment

Suicidal Man Triggers an Evacuation in Denton, Texas.

The emergency department at Texas Health Presbyterian Hospital was evacuated after an armed man threatened to shoot himself in the hospital’s parking lot, as reported in a newspaper article. The man had sent suicidal messages to his ex-wife. She contacted police, who in turn began tracking the man’s cell phone. He was found in his vehicle, which was parked in front of the hospital’s ED. Police cleared the ED while they negotiated with him for about 45 minutes. The man told police he chose the hospital because he wanted to donate his organs after he killed himsel

17-year old imposter does CPR on patient in Kissimee, FL

Posted on March 5, 2012 7:28 pm by Caroline Ramsey-Hamilton Comment

Security measures in place are being questioned in Kissimmee, Florida at Osceola Regional Medical Center after clerk passes as a physicians assistant!

Hospital security procedures, including staff screening practices at Osceola Regional Medical Center, are getting a second look after a 17-year-old passed himself off as a physician’s assistant and took part in several exams and procedures, including doing CPR on a patient. The Orlando Sentinel reported that hospital management is reviewing its practices to ensure a similar incident doesn’t occur. The youth was able to secure a hospital ID badge from the human resources department by claiming to need a new one because the surgical practice at which he worked had changed names. In fact, the youth was employed part time as a billing clerk at a doctor’s office. When confronted by staff, the youth said he was working undercover for the sheriff’s department, so they would be unable to check his employment records

Severe Tornados and Why We Need to Stay Prepared

Posted on March 2, 2012 6:23 pm by Caroline Ramsey-Hamilton Comment

The damage and destruction from the path of a tornado is incredible – and only matched by the sad stories of the survivors, if they are lucky enough to survive.

If there’s one thing that social media has improved – it is the ability of an individual in an affected area to get detailed updated by the minute on a smartphone or over the internet.

The old early warning systems were set up for radio, that was in the days when everyone listened to radios. I do listen to the radio for maybe 5 minutes a day, in the car, just long enough to put in the CD or connect my ipod. So the Twitter accounts and iphone-smartphone apps from CNN, the National Weather Service, Weatherbug and dozens more really help to keep people informed.

I often hear news anchors lament the over-availability of information these days, but I think the more access we get to this kind of information and other kinds of info is absolutely a wonderful thing for society and for most people!

If you do live in a tornado-, hurricane- or other disaster-likely area, the Weatherbug app is one of the best because you can set it to actually chirp if severe weather threatens.

As far as risk reduction – being able to protect yourself against major weather events is one of the threats you can more easily eliminate or at least manage.

Are there mor

“Although the average number of April tornadoes steadily increased from 74 a year in the 1950s to 163 a year in the 2000s, nearly all of the increase is of the least powerful tornadoes that may touch down briefly without causing much damage. That suggests better reporting is largely responsible for the increase.

There are, on average, 1,300 tornadoes each year in the United States, which have caused an average of 65 deaths annually in recent years.

The number of tornadoes rated from EF1 to EF5 on the enhanced Fujita scale, used to measure tornado strength, has stayed relatively constant for the past half century at about 500 annually. But in that time the number of confirmed EF0 tornadoes has steadily increased to more than 800 a year from less than 100 a year, said Harold Brooks, a research meteorologist at the National Severe Storms Laboratory. ”

Another Look at OSHA & Workplace Violence

Posted on February 1, 2012 7:45 pm by Caroline Ramsey-Hamilton Comment

I just finished reading a new book called HALT THE VIOLENCE, written and edited by Patricia Biles and her Alliance Against Workplace Violence group. Here are some of my thoughts on it, if your organization has been evaluating workplace violence issues:

Here’s my review and why I think you should get it (Amazon) and take a look – it’s a short read — less than 150 pages.

I like the insider perspective on how to prevent violence in the workplace. Patricia Biles was a former OSHA (U.S Occupational Safety and Health Administration) employee and their guru on violence issues. Her work with industry groups and individuals has given her rare insight on the subject of stopping the epidemic of violence, and she gives practical solutions that employers and individuals can use to halt the violence.

The book covers the escalation of violence in the workplace and how OSHA reacted to the problem, which came to the forefront in 1989. She identifies the groups most affected by violent events at work, including nurses, healthcare workers, taxi drivers, convenience stores, and late night retail establishments in particular.

As well as covering a complete history of the issue, she also weaves together input from other experts who specialize in aspects of the overall workplace violence problem, including the problem of violence in hospitals, the increased incidents of bullying in the workplace, the importance of early intervention and practical strategies for diffusing angy, aggressive individuals.

The important of risk management procedures, such as performing regular threat assessments is identified as one of the few ways to identify individuals who may pose a threat, although the authors point out that both the Virginia Tech shooter and Jared Loughner, the diagnosed schizophrenic who shot Gabby Giffords, her staff, and innocent bystanders in Tucson, were both examined, and had psychological profiles which stated they were ‘unlikely’ to be a threat to others.

Specific violence-prone workplaces are also identified and specific recommendations given for hospitals, home health and social workers, and educational institutions such as schools, colleges and universities.

In some ways, this is an insider’s book because it gives you the behind-the-headlines details, not only of major workplace violence incidents, but also a look at what it takes to create new laws and encourage congress and federal agencies to recognize the problem and take concrete steps to ‘halt the violence’!

All in all, this is a very insightful and practical look at a problem that affects every workplace and every person who goes to work and counts on returning home in the same condition. Employers will want to implement the suggestions in the book on how to reduce violence in individual organizations, and it also offers a valuable perspective on how to comply with new OSHA standards and they continue to evolve their approach to this critical issue.

Why Violence in Hospitals is Increasing

Posted on January 9, 2012 5:13 pm by Caroline Ramsey-Hamilton Comment

Why Violence in Hospitals is Increasing

Violence is not a concept that people usually associate with hospitals. For years, hospitals have been seen as almost a sanctuary of care for the sick and wounded in our society. However, the perception of hospitals has been changing over the last fifteen years due to a variety of factors.

Doctors are no longer thought of as “Gods”. This means they are
are more easily blamed when a patient’s condition deteriorates.
Hospitals are now regarded as businesses. This perception has been
been aggravated by television in shows like a recent “60 Minutes”, as well as
by the effects of the recession on jobs and the loss of health insurance.
Lack of respect and resources (funding) for hospital security departments
      Rather than being seen as a crucial protection for the hospital staff and
      patients, many security departments are chronically underfunded and used
      for a variety of non- security functions, such as making bank deposits for
      the hospital gift shop.
ASIS Security Association issued it’s industry guidelines for Workplace
   Violence Prevention in September 2011, in conjunction with the SHRM – the
    Society for Human Resources Management to address this issue.

The federal government issued a guidance document for dealing with violence issues in healthcare,   OSHA 3148.01R, 2004, Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers.

To Learn more: join my webinar on Thursday, January 12th at 12 noon Eastern time by
Clicking on this link: https://www2.gotomeeting.com/register/835835290.

Risk and Security LLC

Risk Assessments, Training and More