Post on 04-Jan-2016
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SPECIAL FEATURES OF HOSPITAL SECURITY
Col J H Mayne, CPP
CLOSING THE BARN DOOR AFTER THE HORSE HAS BOLTED
STATING THE OBVIOUS
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!
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.
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.
SECURITY OF A HOSPITAL
• 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
HOSPITAL SECURITY
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……
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
HOSPITAL SECURITY
• Create Your Plan!
– Internal Disaster Plan
– External Disaster Plan
– Lock Down Plan
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.
HOSPITAL SECURITYExternal Disaster Plan:-Mitigation:-Conduct an annual hazard/security and safety vulnerability analysis.Utilize the Hospital Incident Report as a yard stickMaintain active participation with Local Emergency Organisations (Fire/Police
Departments)
PreparednessMaintain 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. ResponseInitiation
Announcement
Response-Shut down the entrances
Recovery: Same as Internal Plan
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??)
LOCK DOWNMitigation
1. Plan within the hospital & with State & local authorities for threatening situations.2. Maintain effective communications on potentially violent individuals or high profile
cases to our facility.3. Provide training and equipment to better prepare the hospital for an event.
Preparedness1. Train staff in awareness and recognition of potentially violent situations.2. Provide hands on staff assistance training to control physically violent situation. 3. Utilize door locking and personal surveillance techniques.
Response1. The decision to lockdown will be based on current events.
2. Staff appointed as security will obtain the master key ring and will physically walk the exterior of the building locking and checking each door.
3. Doors to the lockdown area will be closed/locked and staffed designated personnel.
Recovery1. The hospital or lockdown area will resume normal operations on end of threat.2. Communication of the “ All Clear” will be to all departments.3. Provide for physical and psychosocial needs of patients and staff with hospital.
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.
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.
HOSPITAL SECURITY:
Electronics AidRFID: Access Control. Asset tracking. Tracking of patient with their medicine. Infant care. Billing.
CCTVMonitoring
Historical
Force Multiplier.
Electronic alarm.Early warning
Mass Communication
Access Control Entry/Exits
WHY CCTV??
A detained doctor has confessed playing the role of facilitator in four suicide attacks in Lahore, sources said on Monday.
Properly Selected
Well trained
High standard of personal hygiene
Good appearance
Professional – abreast with current security trends
Must recognize key staff
Good communication skills
STAFF REQUISITES
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
ADDITIONAL AREAS OF CONCERN
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
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
TRAINING REQUIREMENTS
Basic Security Training
General security training
Dealing with people
Code of conduct
Effective Communication
Fire prevention and control
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
NOT THE END
Just the beginning –everyday is an instructor for honing our skills
in security Enhancement
PLEASE DO NOT DO THIS