Outsider Threats of Violence:

Lessons Learned During Implementation of an Active Shooter Policy

Why Create a Active Shooter Policy?Current Trends

2010 there were 8 deaths and five hospitals were impacted by armed violent intruders

2011 there were 16 deaths and 5 hospitals impacted 2012 there were a staggering 36 deaths and 12 hospital

impacted In 70% of occurrences of an armed violent intruder in a

healthcare setting, one person will be killed and three others shot

A Female in a healthcare setting who is being stalked is killed 90% of the time ▪ Hamilton, J. (2013). Armed violent intruders: requiring a

prescription for protection. Journal of Healthcare Protection Management

Further Evidence Researchers from Johns Hopkins University School of

Medicine in Baltimore reviewed data on more than 150 shootings that occurred in acute care hospitals between 2000 and 2011. The shootings resulted in 235 dead or injured victims.

Nearly 30 percent of the shootings occurred in emergency departments. About half of those incidents involved a police or security officer's gun that was either stolen to shoot victims or used by authorities to fire at an assailant

Recent Hospital Activities

Information Gathering

What warning “Code” to use? Many use “Code Silver” Do not want to confuse with hospital lockdown “Total Alert”

Development of written procedures on response activities

Collaboration with Emergency Responders Run, Hide, Fight - YouTube video DHS Handout

Policy Components

Employee Steps to take Run, Fight, Hide

Emergency Phone Numbers Telephone Operator Incident Command

Hospital Supervisor Emergency Department (divert status) Managers/Directors Media Relations

Policy Components cont.

Perimeter Control Response activities by Law

Enforcement Technology Weapons Policy (Handguns, Tasers

vs. Nothing)

Policy Role Out

Educational Plan Talking Points Learn Module▪ Staff turnover

Quick Reference Guide Book Badge Emergency Code Change Tabletop drill Functional drill

Challenges - Active Shooter Drill Senior level Leadership necessary to

support active staff involvement in functional drills Time away from daily activities

Public image of hospital SWAT activities Weapons with blank ammunition in use

Possible delay in opening

Drill Experience

Drill Experience

Drill Experience

Drill Experience

Drill Experience

Drill Experience

Drill Experience

Active Shooter Drill

Lessons Learned Accurate building plans available▪ Door numbering▪ Maps in key locations

Interface/communication with Police and SWAT▪ Escorted by Security▪ Security to interact with Incident Command Post and

Hospital Incident Command Badge access to facility▪ Doors in Facility do not lock▪ Locking of elevators

Active Shooter Drill

Lessons Learned CCTV Coverage▪ Operation of cameras

Perimeter to be established by law enforcement

Patient Services▪ Will hospital go on divert▪ Information to be placed on EMSystems▪ Care for the injured during the incident▪ Tactical SWAT EMS group

Proactive Measures Security Officer in the Emergency Department

Working relationship with Local Responders Monthly Emergency Preparedness meeting Sub-station in Emergency Department

Accurate Building Plans exchanged ahead of time DVD virtual tour 360 degrees of building requested

Technology in New Building

Questions? Tim Keenan, Administrative Director Support

ServicesEmail : timkeenan@centura.orgPhone: 720-321-0120

Kim Vowell, Safety ManagerEmail: kimvowell@centura.orgPhone:720-321-0134

Larry Bowers, Security Program ManagerEmail: larrybowers@centura.orgPhone: 720-321-1675