1. Module 2Version Date: March 271 Hospital Security Module 2

2. Version Date: March 272 Hospital Security Do not figure out where to drive the bus and then get people to take it there. Instead, get the right people on the bus (and the wrong ones off the bus) and then figure out where to drive it!

3. Module 2Version Date: March 273 Hospital Security – WHO? Look at responsibilities –HVA –Internal Disaster Policy –External Disaster Policy –Lock Down Policy

4. Module 2Version Date: March 274 Hospital Security – WHO? Changing Environment –Larger facilities –Attaching clinics and physician offices –Outpatient facilities –Parking decks –Day Care centers –Disposable equipment –Computers –Personal information –Co-pay collection –………….

5. Module 2Version Date: March 275 Hospital Security WHO? –“Security is intended to reduce the probability of detrimental incidents, not to eliminate all risks. It is not static and can be viewed as a state or condition that fluctuates within a continuum. As environmental and human conditions change, so does the status of protection. It is this phenomenon that requires the constant reevaluation of any system of protection.” -Colling – Hospital Security

6. Module 2Version Date: March 276 Hospital Security WHO? –Remember, most security officers operate with no more authority than the ordinary citizen. They generally have the right to prevent or stop the commission of a criminal act.

7. Module 2Version Date: March 277 Hospital Security – WHO? Who do banks use? Who do convenience stores use? Everyone! Everything! Everyday!

8. Module 2Version Date: March 278 Hospital Security Consideration –Put it into everyone’s job description. List it as a competency or a behavioral standard or…. –Detail it in the job description of those who will take a specific role

9. Module 2Version Date: March 279 Hospital Security –Direct and Indirect Security Indirect functions: –Being aware of suspicious people and activity –Greeting and assisting visitors –Locking doors that do not need to be open –Monitoring what is in plain view –Complying with common security practices »Wearing name badges, parking correctly, not passing out keys and passwords

10. Module 2Version Date: March 2710 Hospital Security Do you use HICS? –Use committee to determine indirect assistance: Traffic Flow – entrances, lighting, signage Landscaping – boulders, hedgerows, lines of sight Pedestrian Traffic - 24/7 locked doors, furniture patterns Placement of physical features, activity and persons in a way to maximize visibility. Numbering of elevators and doors

11. Module 2Version Date: March 2711 Hospital Security –What is another name for what we just did? Crime Prevention / Target Hardening

12. Module 2Version Date: March 2712 Hospital Security These things reinforce the feeling of safety and security among employees and will make potential offenders uncomfortable. –The feeling of “my space” can inspire employees to approach or challenge the presence or behavior of someone. –People instinctively recognize boundaries and when they cross them.

13. Module 2Version Date: March 2713 Hospital Security – WHO? –Direct function “A nurse is the care recipient’s primary source of protection – a role supported by other caregivers, support personnel and in some cases by other security programs” -Security Issues, JCAHO

14. Module 2Version Date: March 2714 Hospital Security How would you feel if you had no training and were required to use JIT during a disaster situation? Legally where does your organization stand? Revisit WHEPP –“A successful security response is to include both pre-incident planning and plan implementation elements.”

15. Module 2Version Date: March 2715 Hospital Security Pre-planning should include choosing who! Pre-planning should include training! Pre-planning should create daily routines! –“Any security response to any emergency should be based on everyday security routines. When facilities develop complex emergency plans that differ from the routine handling of patients, confusion and inefficiency will result when the plan is activated.” -Colling, Hospital Security

16. Module 2Version Date: March 2716 Hospital Security Just In Time (JIT) Training –Still necessary –Specific to your facility –Considerations: Vest Key ring – with labeled keys Map Numbered stairs and doors Contact phone numbers Laminated JIT form Task / Return

17. Module 2Version Date: March 2717 Hospital Security –How do you determine specific needs for basic training efforts and details for the JAS?

18. Module 2Version Date: March 2718 Hospital Security Risk Assessment – Again, specific to your facility –KISS –Most likely Lock Down Parking lot control

19. Module 2Version Date: March 2719 Hospital Security Lockdown – Risk Assessment Considerations –Building capability –Who can call it –Who performs it –Training –Daily pattern

20. Module 2Version Date: March 2720 Hospital Security Lockdown – Risk Assessment Considerations –New lock sets –Labeled keys –Map –Numbered doors and elevators –Safety Representative JAS

21. Module 2Version Date: March 2721 Hospital Security Lockdown – Implementation –Called – immediate action –Daily pattern –JAS –In then out –Labeled keys –Map - laminated –Task/Return

22. Module 2Version Date: March 2722 Hospital Security Lockdown – Implementation –Identification issue –Tailgating – door knocking –Signage –Furniture patterns –Small facility advantage –Knox-box

23. Module 2Version Date: March 2723 Hospital Security Parking Lot Control – Risk Assessment –Property capabilities –Target hardening potential –Who can call it –Who performs it –Daily pattern – open areas

24. Module 2Version Date: March 2724 Hospital Security Parking Lot Control – Risk Assessment –Barricades – fleet vehicles – personal vehicles –Responding employees to park in specific areas –Map –Law Enforcement contact –Create JAS

25. Module 2Version Date: March 2725 Hospital Security Parking Lot Control – Implementation –Called – immediate action –Daily pattern –JAS –Map - laminated –Task/Return –Signage –Small facility advantage

26. Module 2Version Date: March 2726 Hospital Security Assistance with Risk Assessments –Attached sheets –Local Law Enforcement Crime Prevention Officer –Insurance Company –Local Emergency Planning Committee –Created Committee - GBHLPC

27. Module 2Version Date: March 2727 Hospital Security Small Facility Advantage –In healthcare, extensive ongoing training is conducted in virtually all departments: Nursing continuing education requirements CPR, PALS, ACLS, etc.. Pharmacy, Lab, Diagnostics Nutritional Services Environmental Services Administration, leadership ………….. –EXCEPT SECURITY

28. Module 2Version Date: March 2728 Hospital Security Small Facility Advantage –“Despite their good record for training personnel, hospital security professionals often hear that they need more security officers to do the job, not better trained security officers. The need for better trained officers is expressed far less frequently, even though it is one of the key ingredients in effectively and efficiently providing a high level of security. Ironically, although a trained security officer can be at least twice as productive as a well-intentioned untrained employee.” Colling – Hospital Security

29. Module 2Version Date: March 2729 Hospital Security Training and Education: –Process whereby an employee’s job behavior is modified –Ensures an understanding of concepts and principles –Enables job tasks to performed more efficiently –Provides an appreciation of the job function –It is not a time requirement, it is a goal of understanding

30. Module 2Version Date: March 2730 Hospital Security The primary function of any security system is to educate and motivate the first-line protection resource – the employee. The protection level of a medical care facility is directly related to the extent to which employees participate in the security effort.

31. Module 2Version Date: March 2731 Hospital Security Dealing With Difficult Customers Training Session

32. Module 2Version Date: March 2732 Hospital Security What do you need to do? –Do not figure out where to drive the bus and then get people to take it there. Instead, get the right people on the bus (and the wrong ones off the bus) and then figure out where to drive it!

33. Module 2Version Date: March 2733 Hospital Security What do you need to do? –Pick everyone Add it to job descriptions Give basic training –Pick specific people Add it to their job descriptions Educate –Conduct a risk assessment KISS –Target harden –Pre-plan

34. Module 2Version Date: March 2734 Hospital Security QUESTIONS