Module 2Version Date: March 271 Hospital Security Module 2

Module 2 Version Date: March 27 1

Hospital SecurityHospital Security

Module 2Module 2



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!



– WHO?• Look at responsibilities

– HVA– Internal Disaster Policy– External Disaster Policy– Lock Down Policy



– 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– ………….



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



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.



– WHO?• Who do banks use?• Who do convenience stores use?

• Everyone!• Everything!• Everyday!



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



– 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



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



–What is another name for what we just did?• Crime Prevention / Target Hardening



• 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.



– 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



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.”



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



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



– How do you determine specific needs for basic training efforts and details for the JAS?



Risk Assessment – Again, specific to your facility– KISS– Most likely

• Lock Down• Parking lot control



Lockdown – Risk Assessment Considerations– Building capability– Who can call it– Who performs it– Training – Daily pattern



Lockdown – Risk Assessment Considerations– New lock sets– Labeled keys– Map– Numbered doors and elevators– Safety Representative JAS



Lockdown – Implementation– Called – immediate action– Daily pattern– JAS – In then out– Labeled keys– Map - laminated– Task/Return



Lockdown – Implementation– Identification issue– Tailgating – door knocking– Signage– Furniture patterns– Small facility advantage– Knox-box



Parking Lot Control – Risk Assessment– Property capabilities– Target hardening potential– Who can call it– Who performs it– Daily pattern – open areas



Parking Lot Control – Risk Assessment– Barricades – fleet vehicles – personal vehicles– Responding employees to park in specific areas– Map– Law Enforcement contact– Create JAS



Parking Lot Control – Implementation– Called – immediate action– Daily pattern– JAS – Map - laminated– Task/Return– Signage– Small facility advantage



Assistance with Risk Assessments– Attached sheets– Local Law Enforcement Crime Prevention Officer– Insurance Company– Local Emergency Planning Committee– Created Committee - GBHLPC



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



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



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



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.



Dealing With Difficult Customers

Training Session



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!



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



QUESTIONS

Documents

Module 2Version Date: March 271 Hospital Security Module 2