SPECIAL FEATURES OF HOSPITAL SECURITY

1. SPECIAL FEATURES OF HOSPITAL SECURITY Col J H Mayne, CPP

2. CLOSING THE BARN DOOR AFTER THE HORSE HAS BOLTED

3. STATING THE OBVIOUS

4. Definition of Hospital • “A modern hospital is an institution which possesses adequate accommodation and well qualified and experienced personnel to provide service of curative, restorative and preventive character of the highest quality. • They are not in the business of manufacturing consumer goods, but for rendering critical services and are far more dependent upon their employees’ morale and commitment. • Employees in such institutions, including the security staff, who function as a buffer zone between the hospital staff the public. • Institutions which provide medical care are generally criticised more for the attitudes of their personnel than for the quality of the care they provide, which is often a source of security concern. Whose attitude is in the Show window?? The Security staff!

5. ASSETS OF A HOSPITAL • Patients • Specialised staff (doctors, nurses, technical assistants...) • High end equipment. • Medicines. • Relations of patients. • Visitors. • Morgue. • Vehicles. • Building and affiliated material.

6. AN ANATOMY OF HOSPITAL SECURITY • Hospital cannot afford a weak link in their security • “Murphy’s Law” is alive and well in the hospital setting • Patients and families evaluate hospitals not only for their level of clinical care, but also for the quality of security & safety provided • Hospitals are unique with characteristics setting them apart from other market segments. • Liability issues caused by negligent issues.

7. SECURITY OF A HOSPITAL

8. HOSPITAL SECURITY • First principal in Hospital Security Management: • YOYO! • Scene size is disproportional:- Be prepared! • Carlton Towers • 26/11 • Floods Bihar/Orissa/Assam/Karnataka • Delhi Riots • Train Accidents • Death of a Super Star

9. HOSPITAL SECURITY Events effecting hospital security can be naturally occurring, human related, technological or involve hazardous chemicals. • In disaster times health care workers automatically respond to their hospital to help • They typically cause parking problems • They typically do not know what door to enter through (rationale to maintain a standard lock schedule) • They do not know where to go so they go to the E.D. • They……

10. HOSPITAL SECURITY • As you see, there are security problems across the board that we have only touched on identifying and solving. • Where do we start? • Create Your Plan! • There are two types of people who believe in security plans. Those who know they are necessary for regulatory or compliance reasons, and those who know they will eventually be used. • Which are you? It makes a difference in the development of the plans

11. HOSPITAL SECURITY • Create Your Plan! • Internal Disaster Plan • External Disaster Plan • Lock Down Plan

12. HOSPITAL SECURITY • Internal Disaster Plan • Mitigation -Conduct annual Hazard Vulnerability analysis. -Conduct and resolve safety / security issues with the Risk Assessment Program. -Maintain working relationships with State and local emergency agencies. • Preparedness • Provide continuing disaster response training and awareness. • Maintain trained Emergency Response Units. • Participate in community-wide drills and conduct in-house drills per federal, state, local regulations and guidelines to assess preparedness • Response • Initiation - Anyone witnessing or receiving notification of an internal disaster • Announcement - When the decision is made to activate the internal disaster plan • Initial Response - Staff appointed to the Security function should lock down the hospital per the “lock down” policy. • Recovery • Psychosocial-Debriefing with all staff-doctors, management…… • Loss of Utilities- Take stock • Supplies and other needs- Immediate action to replenish.

13. HOSPITAL SECURITY External Disaster Plan:- Mitigation:- Conduct an annual hazard/security and safety vulnerability analysis. Utilize the Hospital Incident Report as a yard stick Maintain active participation with Local Emergency Organisations (Fire/Police Departments) Preparedness Maintain a reserve of supplies as necessary to provide for the potential loss of supply lines. Conduct organization wide drills to assess opportunities for improvement. Conduct staff training on preparedness. Response Initiation Announcement Response-Shut down the entrances Recovery: Same as Internal Plan

14. SPECIAL ASPECTS-SAFETY & SECURITY • Safety management is a very important aspect of planning in every form of infrastructure, and includes aspects of not only fire safety, but also security measures to militate against a whole range of unsafe encounters • Theft • Pilferage • Extortion-Touts and even Security • Abduction-babies • Riot • Natural calamities, • Sabotage, • Murder • Acts of terrorism. (Who terrorises??)

15. LOCK DOWN Mitigation • Plan within the hospital & with State & local authorities for threatening situations. • Maintain effective communications on potentially violent individuals or high profile cases to our facility. • Provide training and equipment to better prepare the hospital for an event. Preparedness • Train staff in awareness and recognition of potentially violent situations. • Provide hands on staff assistance training to control physically violent situation. • Utilize door locking and personal surveillance techniques. Response • The decision to lockdown will be based on current events. • Staff appointed as security will obtain the master key ring and will physically walk the exterior of the building locking and checking each door. • Doors to the lockdown area will be closed/locked and staffed designated personnel. Recovery • The hospital or lockdown area will resume normal operations on end of threat. • Communication of the “ AllClear” will be to all departments. • Provide for physical and psychosocial needs of patients and staff with hospital.

16. DEFINITION OF WORK:  • Develops and coordinates the implementation of programs for the detection and mitigation of life safety, occupational safety, infectious waste/hazardous materials and security hazards in the facility. • Develops or assists in the development of hospital policies, procedures and reporting mechanisms relating to life safety, occupational safety, environmental regulation, emergency response and physical plant security. • Functions as patient safety officer and coordinates the patient safety program. • Conducts regular and special safety and security inspections, drills and tests and monitors compliance with fire and building codes. • Oversees the timely investigation and reporting of patient/employee injuries, accidents. • Participates in the evaluation of purchases of safety and security equipment and supplies. • Provides technical guidance to hospital staff and local emergency response organizations on safety and hazardous materials issues.

17. REQUIRED COMPETENCIES • Knowledge of Central and State life safety, occupational safety, environmental and emergency. • Knowledge of modern principles and practices relating to life safety, occupational safety and environmental regulation. • Ability to develop, implement, coordinate and evaluate hospital safety and security programs. • Ability to develop and implement hospital safety and security policies, procedures and reporting mechanisms. • Ability to develop and coordinate employee orientation and education programs relating to hospital safety and security programs and policies. • Ability to conduct and evaluate safety and security inspections, drills and tests. • Ability to collect, analyze and report accident and incident data, to identify causal factors and trends and to recommend appropriate corrective actions. • Ability to communicate effective, orally and in writing.

18. HOSPITAL SECURITY: Electronics Aid RFID: • Access Control. • Asset tracking. • Tracking of patient with their medicine. • Infant care. • Billing. CCTV Monitoring Historical Force Multiplier. Electronic alarm. Early warning Mass Communication Access Control Entry/Exits

19. WHY CCTV?? A detained doctor has confessed playing the role of facilitator in four suicide attacks in Lahore, sources said on Monday.

20. STAFF REQUISITES • Properly Selected • Well trained • High standard of personal hygiene • Good appearance • Professional – abreast with current security trends • Must recognize key staff • Good communication skills

21. ADDITIONAL AREAS OF CONCERN • Use of poorly lighted area by drug abusers • Improper accounting of parking fee collection • Increased chances of employee dishonesty in shipping and receiving area – 24/7 monitoring and surveillance • Threat potential of biohazard waste – well planned storage and disposal is important • Gangsters and criminals undergoing treatment • VIPs admitted in hospitals

22. Suicides by patients undergoing psychiatric treatment and suffering from incurable diseases • Female patients in OPDs and female employees • Unauthorized sales of drugs to addicts • Illegal sex determination • Illegal termination of pregnancy/abortion – leads to death sometime . • Fire • Bomb Threat • Patients running away without making payment

23. Sale of infected / substandard blood • Touts offering help to patients to get their work done on priority at a cost • Recycling of used syringes and other equipments • Sale of spurious medicines • Strikes – paralyses the working of the hospital

24. TRAINING REQUIREMENTS Basic Security Training General security training Dealing with people Code of conduct Effective Communication Fire prevention and control

25. Specialized Training. Working of each department and their peculiarities. Dealing with patients and relatives of patients suffering from mental ailments and other dreaded diseases Radiological hazards and prevention Protection of female employees and patients Crisis intervention

26. NOT THE END Just the beginning –everyday is an instructor for honing our skills in security Enhancement PLEASE DO NOT DO THIS