1. Lessons Learned During Implementation of an Active Shooter Policy

2. 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

3.  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

4.  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

5.  Employee Steps to take  Run, Fight, Hide  Emergency Phone Numbers  Telephone Operator  Incident Command  Hospital Supervisor  Emergency Department (divert status)  Managers/Directors  Media Relations

6.  Perimeter Control  Response activities by Law Enforcement  Technology  Weapons Policy (Handguns, Tasers vs. Nothing)

7.  Educational Plan  Talking Points  Learn Module ▪ Staff turnover  Quick Reference Guide Book  Badge Emergency Code Change  Tabletop drill  Functional drill

8.  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

16.  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

17.  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

18.  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

19.  Tim Keenan, Administrative Director Support Services Email : timkeenan@centura.org Phone: 720-321-0120  Kim Vowell, Safety Manager Email: kimvowell@centura.org Phone:720-321-0134  Larry Bowers, Security Program Manager Email: larrybowers@centura.org Phone: 720-321-1675