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Marilyn Hollier, CPP, CHPA, International Association for Healthcare Security and Safety; Director of Hospitals and Health Centers Security, University of Michigan Division of Public Safety and Security delivered this presentation at the 2013 Safe and Secure Hospital Conference. The comprehensive program addressed the following issues: Early intervention via early reporting of disruptive, aggressive, and bullying behaviour to minimise work place violence An innovative training model to help clinicians, security and policy makers respond to the problems of challenging behaviours Therapeutic sedation in the Emergency Department: Best practice in managing the highly agitated patient A systems approach to the prevention of Occupational Violence and Aggression (OVA) Contract management security: The change from in-house security to contract security Role of the Risk Based Approach throughout the design process Preventing and managing clinical aggression in the paediatric and youth health setting The roles, functions and training provided by the Mental Health Intervention Team (MHIT), New South Wales Police Force Interactions between Police, Health staff, Ambulance and Hospital Security and future directions A Legal Perspective: Prevention and management of violence in hospitals Code Grey responses - Are they legal? For more information about the annual event, please visit the conference website: http://www.healthcareconferences.com.au/safehospitals
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What If?
Gold Coast Airport Marathon started on Sept. 2 1979 with 124 runners for the full marathon. It has grown every year to include 28,000 runners in 2013. The Gold Coast Airport is the 5th busiest International Airport in Australia.
Marathon Route
Most likely target would be Start/Finish line due to
the concentration of people
Key Spectator gathering areas
124 race participants in 1979
28,000 race participants in 2013
30 countries
Countless Spectators
5,000 more runners than The Boston Marathon
9:30am to 10:00am largest group of runners crossing the finish line.
The Numbers
Race date July 5-6th 2014
What if 2 bombs go off by the finish line?
What Pre-Planning would you do?
11 Road Closures on Saturday
34 Road Closures on Sunday
Smaller Weekend Hospital Staff Shifts
Distance to Hospitals (Walking)
Panic
Confusion
Identifying unconscious victims with no ID
Relatives and Friends crowding waiting rooms
Relatives and Friends going to the wrong Hospitals
The Problems
What do you do?
Bombing Finish Line
Panic, Looking for Help
Mass Trauma
Transportation Chaos
Gold Coast Hospital closed in Sept 2013
Hospital Locations
Start/End of race
Gold Coast University Hospital
The Hospital is just over a mile from the optimal attack point.
New 750 bed Hospital (Best option for victims)
End of Race
Hospital
Gold Coast University Hospital
How do you handle it?
Will there be a mad rush to your Hospital?
Do you go on Lock-Down/Access control?
Do you screen everyone entering the Hospital ED?
How will you identify victims and connect family to victims and patients?
What if the Terrorist is an unidentified victim in your Emergency Department?
How will you handle the media? Dignitaries?
Recovery: address PTSD (Post Traumatic Stress Disorder)
Questions?