PD2005_293

Policy Directive

Department of Health, NSW73 Miller Street North Sydney NSW 2060

Locked Mail Bag 961 North Sydney NSW 2059Telephone (02) 9391 9000 Fax (02) 9391 9101

http://www.health.nsw.gov.au/policies/

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Safety and Security Release of the Health Facility Guideline -Working Draft

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Document Number PD2005_293

Publication date 27-Jan-2005

Functional Sub group Corporate Administration - Asset ManagementCorporate Administration - Security

Summary Purpose of document is to assist health facility planners and designers tominimise the risk of opportunities for violence and crime by the provisionof appropriate facilities, work spaces, building services and systems.

Author Branch Asset Management Services

Branch contact Richard Pye 9391 9452

Applies to Area Health Services/Chief Executive Governed Statutory HealthCorporation, Board Governed Statutory Health Corporations, AffiliatedHealth Organisations, NSW Dept of Health

Distributed to Public Health System, NSW Department of Health

Review date 27-Jan-2010

File No. 02/1249-2

Previous reference 2003/13

Issue date 27-Feb-2003

Status Active

Director-GeneralspaceCompliance with this policy directive is mandatory.

CIRCULAR

File No 02/1249-2 Circular No 2003/13 Issued 27 February 2003 Contact Richard Pye (02) 9391 9452

Asset and Procurement Management

Release of the Health Facility Guideline - Safety and Security, as a Working Draft. NSW Health is committed to providing a safe environment for its staff, clients and the public. Effective planning and design is required to minimise and, where possible, eliminate foreseeable risks associated with the facility design to staff and others. In July 2001 the NSW Minister for Health established the Taskforce on Prevention and Management of Violence in the Health Workplace. The objective of the Taskforce was to develop strategies for the prevention and management of violence in the health workplace. This Health Facility Guideline has been developed in response to the recommendations of the Taskforce and in consultation with the Security Infrastructure Working Group, a sub-group of the Taskforce. This Guideline expands the principles for a safe and secure workplace as outlined in the NSW Health Safety and Security Manual, 1998 (currently under review), Workplace Health and Safety; A Better Practice Guide (Circular 2001/22) and Effective Incident Response: A Framework for Prevention and Management in the Health Workplace (Circular 2002/19). This Guideline is complementary to these documents. In addition, this Guideline supports other violence prevention and management initiatives. This document should be utilised in the planning, design and construction of NSW Health Facilities. The Guideline is being released as a Working Draft for a period of twelve months. During this period Department of Health and Area Health Service staff who utilise the document are encouraged to comment. Comments should be forwarded to: Richard Pye, Director, Asset Management Services Phone: (02) 9391 9452 Fax: (02) 9391 9522 Email: [email protected] Robyn Kruk Director-General

Distributed in accordance with circular list(s):

A 13 B C 9 D E 73 Miller Street North Sydney NSW 2060 F G H I J Locked Mail Bag 961 North Sydney NSW 2059 K L M N P Telephone (02) 9391 9000 Facsimile (02) 9391 9101 In accordance with the provisions incorporated in the Accounts and Audit Determination, the Board of Directors, Chief Executive Officers and their equivalents, within a public health organisation, shall be held responsible for ensuring the observance of Departmental policy (including circulars and procedure manuals) as issued by the Minister and the Director-General of the Department of Health.

WORKING DRAFT Revision Date 03.10.02 Page 2 of 85

DESIGN SERIES (DS) HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PREPARED FOR: NSW HEALTH ASSET AND PROCUREMENT MANAGEMENT DIRECTORATE OCTOBER 2002

ACKNOWLEDGMENTS


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

CONTENTS 1.0 PRINCIPLES OF THIS GUIDELINE.................................................................6 1.1 INTRODUCTION...........................................................................................................6 1.2 PURPOSE AND SCOPE ..............................................................................................6 1.3 LEGISLATIVE RESPONSIBILITIES .............................................................................7 1.4 OPERATING POLICIES ...............................................................................................7 1.5 EMERGING TECHNOLOGY & CLINICAL WORK PRACTICES ..................................7 1.6 PLANNING ECONOMY ................................................................................................7 1.7 RECURRENT COSTS ..................................................................................................8

2.0 STRUCTURE OF THIS GUIDELINE ................................................................9 2.1 DEFINITION OF 'SAFETY AND SECURITY'................................................................9 2.2 ANALYSIS BY FUNCTIONAL AREAS..........................................................................9 2.3 RISK ANALYSIS AND RISK MANAGEMENT...............................................................9 2.4 CRIME PREVENTION THROUGH ENVIRONMENTAL DESIGN...............................10 2.5 ADDITIONAL INFORMATION ....................................................................................11 2.6 APPLICATION OF THE GUIDELINES........................................................................12

3.0 FUNCTIONAL AREAS...................................................................................13 3.1 ADMINISTRATION / ACCOUNTS ..............................................................................13 3.2 ADMINISTRATION / DISCHARGE AREA ..................................................................14 3.3 BIO-MEDICAL WORKSHOP ......................................................................................15 3.4 DIETETICS .................................................................................................................16 3.5 EMERGENCY .............................................................................................................17 3.6 CENTRAL STERILISING DEPARTMENT ..................................................................19 3.7 OPERATING THEATRES / RECOVERY DAY PROCEDURES .................................20 3.8 RENAL ........................................................................................................................21 3.9 KITCHEN ....................................................................................................................22 3.10 MATERNITY ...............................................................................................................23 3.11 MEDICAL IMAGING....................................................................................................24 3.12 MEDICAL RECORDS .................................................................................................25 3.13 PAEDIATRIC...............................................................................................................26 3.14 PHARMACY................................................................................................................27 3.15 PODIATRY..................................................................................................................28 3.16 REHABILITATION.......................................................................................................29 3.17 SOCIAL WORKER......................................................................................................30 3.18 STRESS TESTING .....................................................................................................31 3.19 OUTPATIENT AREA...................................................................................................32 3.20 ICU / CCU / HDU ........................................................................................................33 3.21 LIBRARY / EDUCATION.............................................................................................34 3.22 SURGICAL..................................................................................................................35 3.23 MAIN ENTRY..............................................................................................................36 3.24 WARDS.......................................................................................................................37 3.25 METHADONE CLINIC ................................................................................................38


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY 3.26 NEEDLE / SYRINGE EXCHANGE..............................................................................39 3.27 RETAIL AREA.............................................................................................................40 3.28 CARPARKING / EXTERNAL AREAS .........................................................................41 3.29 MORTUARY................................................................................................................42 3.30 DENTAL CLINIC .........................................................................................................43 3.31 PATHOLOGY..............................................................................................................44

4.0 CHECKLISTS.................................................................................................45 4.1 ADMINISTRATION / ACCOUNTS ..............................................................................46 4.2 ADMINISTRATION / DISCHARGE AREA ..................................................................47 4.3 BIO-MEDICAL WORKSHOP ......................................................................................48 4.4 DIETETICS .................................................................................................................49 4.5 EMERGENCY .............................................................................................................50 4.6 CENTRAL STERILISING DEPARTMENT ..................................................................52 4.7 OPERATING THEATRES / RECOVERY DAY PROCEDURES .................................53 4.8 RENAL ........................................................................................................................54 4.9 KITCHEN ....................................................................................................................55 4.10 MATERNITY ...............................................................................................................56 4.11 MEDICAL IMAGING....................................................................................................57 4.12 MEDICAL RECORDS .................................................................................................58 4.13 PAEDIATRIC...............................................................................................................59 4.14 PHARMACY................................................................................................................61 4.15 PODIATRY..................................................................................................................62 4.16 REHABILITATION.......................................................................................................63 4.17 SOCIAL WORKER......................................................................................................64 4.18 STRESS TESTING .....................................................................................................65 4.19 OUTPATIENT AREA...................................................................................................66 4.20 ICU / CCU / HDU ........................................................................................................67 4.21 LIBRARY / EDUCATION.............................................................................................69 4.22 SURGICAL..................................................................................................................70 4.23 MAIN ENTRY..............................................................................................................72 4.24 WARDS.......................................................................................................................74 4.25 METHADONE CLINIC ................................................................................................76 4.26 NEEDLE/SYRINGE EXCHANGE................................................................................77 4.27 RETAIL AREA.............................................................................................................78 4.28 CARPARKING ............................................................................................................79 4.29 MORTUARY................................................................................................................80 4.30 DENTAL CLINIC .........................................................................................................81 4.31 PATHOLOGY..............................................................................................................82 APPENDICES A. NSW Health Design and Technical Guidelines


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PRINCIPLES OF THIS GUIDELINE INTRODUCTION NSW Health is committed to providing a safe environment for its staff, clients and the public. However, unexpected and unusual incidents do happen in the workplace. Effective planning and design is required to minimise and, where possible, eliminate foreseeable risks associated with the facility design to staff and others. This Guideline expands the principles for a safe and secure workplace as outlined in both the Safety and Security Manual and Effective Incident Response: A Framework for Prevention and Management in the Health Workplace (Circular 2002/19). This Guideline is complementary to these two documents. In addition, this Guideline supports other violence prevention and management initiatives. This document should be utilised in the context that it is one of a series of Design and Technical Guidelines published by NSW Health to be utilised in the planning, design and construction of NSW Health Facilities. A full listing of current Guidelines is included in Appendix A. The requirements of this Guideline should be applied in conjunction with the requirements of all other Guidelines applicable to the Facility being addressed. PURPOSE AND SCOPE The purpose of this document is to assist health facility planners and designers to minimise the risk of opportunities for violence and crime by the provision of appropriate facilities, work spaces, building services and systems. This document is intended as a guideline to assist in the identification of potential areas of risk which must be addressed during the planning, design and construction phases of a health facility project. This Guideline has been prepared at a time when the issue of staff, client and visitor safety and security has become a major focus of the design process. The Guideline is therefore directed towards the achievement of a safe, functional and affordable solution to the planning and design of health buildings. The planning and design standards outlined in the Health Building Design Guidelines should be regarded as minimum standards. It is recognised that in a number of circumstances, departure from the Guideline will be necessary to meet operational requirements or to manage any unusual risks that might be specific to a particular circumstance or location. These "departures" will normally be subject to documented justification and the subsequent Departmental approval process.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY LEGISLATIVE RESPONSIBILITIES Employers under the NSW Occupational and Safety Act 2000 have a duty of care for the health and safety of all people in the workplace. This requires employers to: (a) Ensure premises controlled by the employer where people work are safe and

without risk to health; (b) Ensure that systems of work and the working environment are safe and without

risk to health; (c) Ensure that any equipment or substance provided for use by the employees at

work is safe and without risk to health when properly used; (d) Provide necessary information, instruction, training and supervision for the

health and safety of their employees; (e) Provide adequate facilities for the welfare of the employees at work; and (f) Ensure that people (other than employees) are not exposed to risks to their health

and safety in the workplace. In addition, there is a duty for employers to consult with their employees to enable employees to contribute to the making of decisions affecting their health, safety and welfare at work. Employees are required to cooperate with the employer in their efforts to comply with health and safety requirements. Employee cooperation ensures their own health and safety and the health and safety of others in the workplace. OPERATING POLICIES Operational Policies have a major impact upon the design requirements and, subsequently, capital and recurrent costs of health facilities. Planning and design teams should be constantly reviewing their design proposals with this in mind and be able to demonstrate that the capital and recurrent cost implications of proposed operational policies have been fully considered and evaluated and that the most cost-effective solutions are being proposed. EMERGING TECHNOLOGY & CLINICAL WORK PRACTICES In determining specific requirements and design, the impact of new technology and clinical work practices should be reviewed in relation to safety and security prior to adoption. PLANNING ECONOMY Facility design should ensure that the space allocation for safe and secure circulation within and between units is efficient and appropriate for the functional activities of the space, having regard to the allowance provisions defined in the relevant Health Building Guideline.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY RECURRENT COSTS "It has been estimated that recurrent costs (ie. running costs) over two years are equal to the initial capital expenditure. Design teams therefore have a responsibility always to be conscious of the operating costs as well as the capital cost implications of any decisions they make". Tim Clark, Kevin Croncher and Paul Stoddard, "Pointing the Way", The Health Journal, 26 January 1989, P105. Departmental policy requires that recurrent costs of new facility proposals are fully analysed and estimated at feasibility and master plan stages in the planning process, and then progressively refined as the project proceeds. It is critical that client groups and designers ensure that future facilities are sized for provision of only those services for which recurrent funds will be available under the Department's future funding and resource allocation projections. The issue of 'recurrent costs' should be considered in the context of the provision of an appropriately designed and constructed safe working environment in a health facility. That is, the safety and security issues should be addressed during the planning process and incorporated into the 'structure' of the facility. If the planning and design process follows the requirements of this Guideline and undertakes an appropriate level of consideration of safety and security issues, there should be no significant increase in recurrent costs. Designers and managers need to recognise that recurrent costs also include injuries to staff, patients or other, or damage to property that may arise from poor design. In the case of safety and security issues, this includes the direct and indirect costs associated with crime and violence.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY STRUCTURE OF THIS GUIDELINE DEFINITION OF 'SAFETY AND SECURITY' NSW Health is concerned with minimising risk in the public health care system, by the provision of a safe and secure environment for patients, staff and visitors. Therefore, the definition of "safety and security" for this Guideline specifically relates to the working environment. The "terms" for the preparation of this Guideline relates specifically to the health facility infrastructure through which effective design supports a safe and secure working environment and minimises the potential for violence in the workplace. Therefore, for the implementation of this Guideline, the term "safety and security" relates specifically to the provision of a safe and secure physical environment for health care workers, patients and visitors. This "physical environment" includes the infrastructure of the facility plus the building services operational systems to support that physical infrastructure. The definition also includes the provision of building services to support management of acts of violence, should they occur. ANALYSIS BY FUNCTIONAL AREAS This Guideline consists of an analysis of a 'Health Facility' undertaken on a "functional area" basis. That is, the analysis consists of assessments of generic individual Department within a Facility on the basis that the Department is a 'stand alone' Department. It is recognised that each Facility will not have all of the Departments included in this Guideline. Manager, Planners, Designers need only incorporate those Departments which are incorporated in their Facility. Notwithstanding the above, the design of a particular Department/Functional Area can only be partially determined in isolation from its actual location within the Facility and within its geographical location in the community. Therefore, in undertaking the risk analysis referenced in Section 2.3 below, users of this Guideline should take account of both Department location within the Facility, including external grounds and carparks, and the Facility location within its neighbourhood. RISK ANALYSIS AND RISK MANAGEMENT The basis of this Guideline is the implementation of an appropriate risk analysis of both the total Facility and the individual Health Units within the Facility. The risk analysis is to identify potential risks and potential areas of risk within the Facility. The identification of potential risk can be enhanced by coordination with the local Area Crime Prevention Officer from the NSW Police Service and, where applicable, input from personnel in the 'Safer by Design' program. NSW Police are able to provide statistical data and "local knowledge" through their involvement with other agencies and organisations. This coordination must occur during the preparation of


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY the Project Feasibility Plan and the Procurement Definition Plan to ensure all issues are adequately addressed and funded. Having identified and documented the relevant risks the planning process must then eliminate or minimise those risks by the application of risk management through suitable planning and design solutions. It is recognised that the theft of equipment, stores, goods, drugs, etc, is a 'generic' risk throughout the whole of the Facility. That is, that the opportunity to illegally remove these items may place staff in a position of potential risk. This risk is not identified in each individual Functional Area listed in the following Sections of the Guideline, but is rather regarded as an underlying issue to be addressed in each Functional Area. Of more significant consequence is the "generic risk" associated with client initiated violent incidents which occur within the workplace and which place the safety of staff, clients or the public at risk. To take account of workplace incidents the planning and design team must address the issues raised in the NSW Health document Effective Incident Response: A Framework For Prevention and Management in the Health Workplace, issued as Circular No. 2002/19, and the Safety and Security Manual. It is not intended that the contents of this Guideline will identify all risks in all facilities and users should not rely on this document to list all risks. Planners, designers and managers are expected to utilise this document as a generic base for undertaking a detailed risk analysis of their facility, taking into account the location and all of the circumstances that are appropriate to that facility. In undertaking the risk analysis and the risk management process, facility managers and planners should take into account the differences between remote/rural facilities and metropolitan facilities. Issues such as response times to violent events must be addressed not only by the facility design but also by operational policies. CRIME PREVENTION THROUGH ENVIRONMENTAL DESIGN Crime Prevention through Environmental Design (CPTED) is a situational crim prevention strategy that focuses on the design, planning and structure of cities and neighbourhoods. It aims to reduce opportunities for crime by employing design and place management principles that minimise the likelihood of essential crime ingredients from intersecting in time and space. CPTED is widely recognised as an important crime prevention tool. But like any tool, it must suit the job and be used in the right way to be effective. In 1993, the New South Wales Police Service developed the Community Safety Management Plan. The plan promoted interagency strategies that address social factors contributing to criminal behaviour, and a two-pronged situational crime prevention package known as the Safer by Design program. This latter program focuses on relationships between crime and the built environment.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY The proactive arm of Safer by Design is a cooperative initiative involving the NSW Police Service, several local councils, state government departments and private sector organisations. Principally, officers trained in Crime Prevention through Environmental Design (CPTED) are invited by consent authorities to review the safety and security implications of project designs, planning proposals or development applications. When reviewing larger developments, police, council planners and other qualified persons conduct formal crime risk assessments (known as Safer by Design Evaluations). The identification of potential risk can be enhanced by coordination with the local Area Crime Prevention Officer from the NSW Police Service and, where applicable, input from personnel in the 'Safer by Design' program. NSW Police are able to provide statistical data and "local knowledge" through their involvement with other agencies and organisations. This coordination must occur during the preparation of the Project Feasibility Plan and the Procurement Definition Plan to ensure all issues are adequately addressed and funded. ADDITIONAL INFORMATION This document should also be read in conjunction with the following: - The Process of Facility Planning, NSW Health Department, 1989. - Workplace Health and Safety - A Better Practice Guide, Circular 2001/22. - Effective Incident Response: A Framework for Prevention and Management in the

Health Workplace, Circular 2002/19. - NSW Health Safety and Security Manual, 1998. - Guide to the Delineation of Roles of Area Health Services and Hospitals, NSW

Health Department, 2nd edition, 1992. - Building Code of Australia. - NSW Police Service Crime Prevention Through Environmental Design (CPTED)

and Safer by Design crime prevention programs. - AS4485.1 - 1997, Security for health care facilities Part 1: General requirements. - AS4485.2 - 1997, Security for health care facilities Part 2: Procedures Guide. - NSW Occupational Health and Safety Act, 2000. - OHS Regulation, 2001. Whilst this document is primarily designed for the NSW health industry, it is also of use to wider range of users. To aid both those in the NSW sector as well as those from other states or overseas, there is some documentation of options or design considerations. These may either serve to more fully describe the base Health Building Guideline information or allow the user to adapt the information to their own use. Users of this Guideline should also refer to the Design Guideline DS 26, Mental health Facility Planning Guideline. This document specifically addresses the issues raised in this Guideline in respect of Mental Health Facilities.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY APPLICATION OF THE GUIDELINES RISKS AND CHECKLISTS This Guideline has been prepared in two sections: 1. Section 3.0 is a generic assessment of the potential risk to safety and security

by Functional Area/Department. This assessment is based on the function of the area and the consequent risk that may arise from those functions. For example, while Administration may in itself be seen as a low risk area, the fact that monies may be retained in this area may create a risk that needs to be defined through the risk analysis process.

As a consequence of the assessed generic risks, a number of potential

solutions are provided. 2. Section 4.0 is a "checklist" for each Functional Area/Department. The team of personnel responsible for the planning, design and construction of

a new or refurbished Facility will be responsible for the implementation and completion of the relevant checklists for their Facility.

However, the Facility Manager, the Project Director and the Design Consultant

are jointly responsible for the adequacy and appropriateness of the completed checklists and risk analysis and will sign-off on each checklist. The Design Consultant will include in the Scheme Design Report the signed-off checklists as a record of compliance with the requirements of this Guideline, Operational Policies, and other statutory requirements. The checklists should subsequently be utilised as an aide memoir by the project team for the subsequent planning, design and consultation processes.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY Functional AreasADMINISTRATION / ACCOUNTS GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. This area is used to facilitate / manage all the

Hospital Clinical and Support Areas. It contains confidential documents, which relate to the hospital and staff. Access by unauthorised person could lead to a breach in confidentiality.

1. Minimise entry and exit doors. Lockable main entry doors,

2. Receptionist to control access during "normal" working hours.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Hospital Employee Files 1. Staff records kept in secure area.

Key with Manager of area. 2. If any electronic files are produced,

locate in restricted area of hard drive. 2. Financial Records used by various Administration

personnel in this area 1. Financial records kept in secure

area. Key with Manager of area. 2. Personnel working on these must

return to secure area after use. 3. If any electronic files are produced,

locate in restricted area of hard drive. 3. Money 1. Keep cash to a minimum.

2. Limit number of staff with access. 3. Minimise locations where money

kept. 4. Petty cash draw/safe in secure area. 5. Use of strong rooms or safes, if

appropriate. 6. Money handling (eg, cash counting)

should be out of view of the public. 4. Meeting Room for use in tele-conferencing and

general meetings 1. Keep A/V equipment in lockable

cupboard. 2. Door to area to remain locked when

not in use. 5. Furniture fittings and equipment including

Computers and Office Equipment 1. Non-removable 'Asset No.' on all

equipment above a predetermined value. 2. Keep equipment in lockable area.

6. Staff personal effects 1. Provision for lockers in staff areas and lockable desk drawer to keep small personal effects.

7. Hospital personnel safety (after hours) 1. Staff working after hours to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY ADMINISTRATION / DISCHARGE AREA GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area for interview of patients prior to day of

surgery and on discharge. This involves interview with Booked Admissions.

1. Design safe interview rooms with counter or screen division of area with easy escape routes for staff.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Close contact with public being admitted to

hospital and relatives. 1. Fixed duress system attached to

every interview desk. 2. Minimise amount of relatives in

interview room by ensuring an adequate waiting area.

3. Provide rooms with an alternate means of egress for staff.

4. Design shape of interview rooms and location of desks, etc, in such a way that minimises risk to health personnel.

5. Provide storage and store items not in constant use that could be used as weapons. (Operational Policy).

6. Minimise furniture that can be used as a weapon, ie, picked up and thrown.

2. Confidentiality of Medical records. 1. Records stored in secure area. When not working on records staff must return to secure area or return to Medical Records Department.

2. If any electronic files are produced, locate in restricted area of hard drive.

3. Furniture fittings and equipment including Computers and Office Equipment

1. Non-removable 'Asset No.' on all equipment above a predetermined value.

2. Keep equipment in lockable area. 4. Hospital personnel safety (after hours) 1. Staff working after hours to have

knowledge of where the fixed duress system is located and/or use a mobile duress pendant.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY BIO-MEDICAL WORKSHOP GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area utilised for repair and maintenance of all bio-

medical equipment. 1.

ontrol access. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Staff security. 1. Access doors to be locked at all times

with key or card access provided to appropriate staff and monitoring system for personnel requiring access.

2. High Tech Equipment 1. Workshop lockable at all times when not staffed.



2. Keep equipment in lockable area. 4. Staff personal effects 1. Provision for lockers in staff areas and

lockable desk drawer to keep small personal effects.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY DIETETICS GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used for dieticians working within the Hospital

and outside in community. 1.

ontrol access to this area. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Staff security. 1. Access doors to be locked at all

times with key or card access provided to appropriate staff.

2. High Tech Equipment (if applicable) 2. Area lockable at all times when not staffed.



2. Keep equipment in lockable area. 4. Security of Medical records. 1. Records are stored in secure area.

When not working on records staff must return to lockable storage areas.


5. Close contact with public being admitted to hospital and relatives.

1. Fixed duress system attached to every interview desk.

2. Minimise numbers of relatives by ensuring an adequate waiting area.

3. Provide bench seating selected so that the personal space of waiting people is not invaded.

4. Provide rooms with an alternate means of egress for staff.






HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY EMERGENCY GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. 24 hours a day / 7 days per week access to this

Department. 1.

secure environment separating waiting from clinical areas.

2.ppropriately-sized waiting area including adequate vending machines, public telephones, toilet facilities including baby change facility, comfortable seating, etc.

3.inimise entry and exit doors with close observation of these doors.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Conflict with patients and relatives 1. Install CCTV with video playback in

security office where necessary, provide additional monitor in staff station.

2. Install CCTV on 'after hours' access points to allow clinical staff to monitor this area.

3. Provide video and/or intercom points to 'after hours' access points.

4. Provide staff with appropriate security barrier/screens including appropriate provisions for patient contact and document transfer.

5. Provide staff with access to both 'fixed' and 'mobile' duress systems.

6. Provide good visibility from staff areas into waiting areas.

7. E.D. waiting room should not have access to other areas of facility 'after-hours'. This should be controlled by security doors/barriers.

2. Access to Department 1. Control of patient/visitor access as above.

2. Provide alternate access/egress to Department for staff - not through Waiting area.

3. Manage Ambulance Entrance to prevent unauthorised access.

4. Access to treatment and staff areas possible only through key-card access system.

3. Patient Files 1. Personnel working on these files must return to secure area after use or return to Medical Records Department.

2. The provision of internal lockable post boxes to facilitate secure storage.


4. Furniture fittings and equipment including Computers, Office and Medical Equipment


2. Keep equipment in lockable area. 5. Mental Health patients 1. Concealed medical services panel

including electrical points behind the locked cabinet.



2. Alternate exit door for staff in case of emergency.

6. Presence of Police guns. 1. Provision of a gun safe in an appropriate location.

7. Drugs storage 1. Dangerous drug safe within the clean utility area.

8. Furniture in Waiting Area 1. Ensure seating, etc, is either permanently fixed or is of sufficient 'bulk' to prevent its use as a weapon, ie cannot be picked up and thrown.

2. Do not include furniture of fittings that may be utilised as weapons.

3. Provide bench seating selected so that the personal space of waiting people is not invaded.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY CENTRAL STERILISING DEPARTMENT GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Access to this area out of hours to retrieve sterile

goods to departments. 1.

ontrol access. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Staff security. 1. Access doors to be locked at all times

with key or card access provided to appropriate staff and monitoring system for personnel requiring access.

2. After hours usage with minimal staff within a remote location

1. Duress alarm. 2. Intercom system.



2. Keep equipment in lockable area. 4. Staff personal effects 1. Provision for lockers in staff areas

and lockable desk drawer to keep small personal effects.

5. Hospital personnel safety (after hours) 1. Staff working after hours to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY OPERATING THEATRES / RECOVERY DAY PROCEDURES GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. To receive and return patients after undergoing

surgery. 1.

inimise entry and exit doors and restricted area through to sterile areas.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Presence of drugs 1. Dangerous drug safe within the clean

utility area. 2. Staff security. 1. Access doors to be locked at all

times with key or card access provided to appropriate staff and monitoring system for personnel requiring access.



2. Keep equipment in lockable area. 4. Hospital personnel safety 1. Staff working in this area to have


2. Restrict/minimise access by relatives to recovery area.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY RENAL GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used to treat patients requiring dialysis. 1.

ontrol access to this area. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Furniture fittings and equipment including

Computers, Office and Medical Equipment 1. Non-removable 'Asset No.' on all


2. Patient medical records files 1. Personnel working on these records must return to secure area after use or return to Medical Records Department.



4. Hospital personnel safety 1. Staff working in this area to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.

2. Access doors to be locked at all times with key or card access provided to appropriate staff and monitoring system for personnel requiring access.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY KITCHEN GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Food preparation, handling and return of trays for

dishwashing in this area. 1.

ontrol access to this area. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Food storage 1. Lockable cool rooms and freezers

which comply with OHS requirements regarding confined spaces, access, and viewing panels.

2. Inventory of stock in and out. 2. Furniture fittings and equipment including




4. Staff Security 1. Access doors to be locked and monitoring system for personnel requiring access.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MATERNITY GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Pre-natal, birthing, post natal, mothers with sick

and well baby's nursery. 1.

inimise entry and exit doors to all areas with newborn babies, minimising the risk of illegal removal of babies.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors – includes risk of violence from

non-custodial, alcohol or drug affected parents/visitors.

1. Staff station at main entrance to allow staff to monitor access and egress.

2. Good visibility from staff station to nursery.

3. Minimise number of relatives/visitors admittance in the area by restricting number of relatives/visitors attending at any one time and/or restricting visiting hours to set times.

4. Implement appropriate specific security procedures in respect of the risk associated with illegal removal of babies.

5. If appropriate, install system in hallways to monitor all personnel entering wards.

6. Courtyards, where provided, to be securely screened/fenced and adequately monitored (from Staff Station, CCTV, etc.)

2. Illegal removal of babies 1. Minimise entry/exit doors. 2. Controlled access of entry/exit doors. 3. No external opening doors/windows. 4. All egress past staff station. 5. CCTV on entry/exit doors.

3. Patient files 1. Personnel working on these files must return to secure area after use or return to Medical Records Department.





2.eep equipment in lockable area.

6. Safety of Hospital personnel 1. Staff working in this area to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MEDICAL IMAGING GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area where outpatients and inpatients come for

treatment. 1.

ontrol access. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Furniture fittings and equipment including


equipment above a predetermined value. 2.

eep equipment in lockable area. 2. Patient files 1. Personnel working on these must

return to secure area after use or return to Medical Records Department.




2. Provide appropriate after-hours access and security, including secure access from all parts of the facility.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MEDICAL RECORDS GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area where patient records are maintained

including active and archival files. 1.

inimise entry and exit doors with lockable area at all time.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Patient files 1. Personnel working on these files

must return to secure area after use. 2. If any electronic files are produced,

locate in restricted area of hard drive. 2. Medico-legal files 1. Keep in lockable area with staff

access only. 3. Furniture fittings and equipment including


equipment above a predetermined value.. 2. Keep equipment in lockable area.


2. Provide appropriate after-hours access and security, including secure access from all parts of the facility.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PAEDIATRIC GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Ward area to house paediatric patients. 1. Control access. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Nurses station located at entrance to

monitor access and egress. 2. Good visibility from staff station to ward. 3. Minimise number of relatives/visitors

admittance in the area by restricting number of relatives/visitors attending at any one time and/or restricting visiting hours to set times.

4. Implement appropriate specific security procedures in respect of the risk associated with illegal removal of children.

5. Install appropriate surveillance system to monitor access to wards.

6. Courtyards, where provided, to be securely screened/fenced and adequately monitored (from Staff Station, CCTV, etc.).

7. Control access to play areas to restrict unsupervised activities.

2. Patient Files 1. Personnel working on these must return to secure area after use or return to Medical Records Department












HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PHARMACY GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry for personnel visiting or working within the

clinic. 1. CCTV monitoring of en2. Intercom on3. Use of reed switches on all external do

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Client / Visitor access 1. Client access to secure dispensing

counter but not to 'secure' areas utilised to store and dispense drugs.



2. Keep equipment3. Hospital personnel safety 1. Staff working in this area to have


2. Locked doors between dispensing areas and clients.

3. Dispensing Counter to be constructed to prevent unauthorised client entry/access.

4. Determine risk of hold-up/break-in and design facility to meet risk.


5. Drugs storage 1. Drugs safe to be located in area that can be monitored by staff.

2. Safes to comply with the Poisons Act in respect of secure storage provisions.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PODIATRY GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used to treat outpatients. 1.




eep equipment in lockable area. 2. Patient files 1. Personnel working on these files

must return to secure area after use or return to Medical Records Department.



4. Hospital Personnel Safety 1. Staff working in this area to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.

2. Locked doors between patient and work areas.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY REHABILITATION GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area to treat inpatient and outpatient 1.

ontrol access. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Patient files 1. Personnel working on these files

must return to secure area after use or return to Medical Records Department.


2. Furniture Fitting and Equipment including Computers, Office and Medical Equipment




4. Hospital Personnel Safety 1. Staff working in this area to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.

2. Locked doors between patient and work areas.

5. Patient "wandering" 1. Appropriate alarm system on doors and/or personal locater system.

6. Hydrotherapy Pools 1. More then one staff member to be always present to provide assistance.

2. Strategic location of fixed duress buttons to summon assistance.

3. Alternate means of egress.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY SOCIAL WORKER GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Interviews with inpatients and outpatients within an

office environment. 1.

ontrol access. 2.

ood visibility from offices. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Adequate waiting area. 2. Patient files 1. Personnel working on these files

must return to secure area after use or to the Medical Records Department.






2. Interview rooms to have suitable alternate means of egress for staff.






HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY STRESS TESTING GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Treatment and diagnostic area. 1.




eep equipment in lockable area. 2. Patient files 1. Personnel working on these must

return to secure area after use or to the Medical Records Department.




HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY OUTPATIENT AREA GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Treatment area. 1.

inimise entry and exit doors. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Patient files 1. Personnel working on these files

must return to secure area after use or return to the Medical Records Department.







2. Appropriately designed waiting area including, where possible:

- barrier between staff and patients, - bench seating, - ensure no loose fittings which can be

utilised as a weapon, - vending machines. 3. Design shape of interview rooms and

location of desks, etc, in such a way that minimises risk to health personnel.

4. Provide storage and store items not in constant use that could be used as weapons.




HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY ICU / CCU / HDU GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Ward area to house intensive care and coronary

care patients. 1.

inimise entry and exit doors. 2.

ecurity of entry via intercom and remote release button.

3.taff entry via keypad or swipe card, this being a separate entry from visitors / relatives.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Good visibility from staff station to

ward. 2. Manage relatives/visitors admittance

in the area by restricting visiting hours and/or number of visitors.

2. Patient files 1. Personnel working on these files must return to secure area after use or return to Medical Records Department

2.f any electronic files are produced, locate in restricted area of hard drive.






2. Provision of an adequate waiting area for relatives/visitors that may be in the area "out of hours". This area to be able to be secured and monitored by staff.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY LIBRARY / EDUCATION GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Study and education area for staff and hospital

personnel. 1.




eep equipment in lockable area. 2. Out of hours usage (if applicable) 1. Staff working after hours to have





HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY SURGICAL GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Ward area for surgical patients. 1.

inimise entry and exit doors. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Good visibility from staff station to

ward. 2. Minimise relatives / visitors

admittance in the area by restricting visiting hours.

2. Patient files 1. Personnel working on these files must return to secure area after use or return to Medical Records Department.

2.f any electronic files are produced, locate in restricted area of hard drive.

3. Furniture fittings equipment including Computers, Office and Medical Equipment






3. Provide storage and store items not in constant use that could be used as weapons.




HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MAIN ENTRY GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry by all relevant personnel visiting or working

within the Hospital. 1.

CTV with video playback. 2.

fter hours remote switch and intercom. 3.

se of reed switches on all external doors and swipe card entries.

4.ecurity personnel accommodated in this area to monitor all areas via TV monitor.

5.ontrol of access "after hours".

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Staff separated from public by an

appropriate screen with slit for document transfer, and appropriate voice transfer "system".






5. Cash Handling 1. Keep cash to a minimum. 2. Limit number of staff with access. 3. Minimise locations where money kept. 4. Petty cash draw/safe in secure area. 5. Use of strong rooms or safes, if

appropriate. 6. Money handling (eg, cash counting)

should be out of view of the public.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY WARDS GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry by all relevant personnel visiting or working

within the Hospital. 1. CCTV monitoring of Ward2. After hours remote switch a3. Use of reed switches on all exter

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Good visibility from staff station to

ward. 2. Manage relatives/visitors admittance

in the area by restricting visiting hours and/or number of visitors.











HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY METHADONE CLINIC GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry of personnel visiting or working within the

clinic. 1. CCTV monitoring of entry and exit

doorways. 2. Intercom on entry doors. 3. Use of reed switches on all external

doors and swipe card entry to staff areas.4. Public accessible spaces to be designed

to eliminate spaces conducive to illegal activity.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Client / Visitor access 1. Client access to Clinic but not to

'secure' areas utilised to store and dispense drugs.





2. Locked doors between Clinic dispensing areas and clients.

3. Interview rooms to have alternate means of staff egress.

4. Dispensing Counter to be constructed to prevent unauthorised client entry/access.

5. Waiting area furniture to be designed to be unlikely to be utilised as a weapon.





HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY NEEDLE / SYRINGE EXCHANGE GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry by all relevant personnel visiting or working

within the Hospital. 1. Determine most appropriate methodolo

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Client access 1. Provide secure environment for

exchange or procurement of clean injecting equipment.





2. Only authorised Needle/Syringe Program personnel to dispense clean injecting equipment and collect used needles and syringes.

3. Option of syringe dispensing machines.

4. Staff to be provided with appropriate 'sharps' containers / "Used" injecting equipment not to be touched by staff - clients to place in 'sharps' containers.

5. All staff to wear appropriate safety clothing/equipment.




HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY RETAIL AREA GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Access by all personnel visiting or working within

the Hospital. 1. CCTV monitoring of en2. No after ho

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Staff/Patient/Visitors access 1. Design to minimise opportunities for

people to loiter. 2. Furniture fittings and equipment 1. Where applicable, non-removable 'Asset

No.' on all equipment above a predetermined value.

2. Keep equipment in lockable area. 3. Public Telephone locations 1. Locate in a position that does not

allow people to use pretence of public phone utilisation to monitor retail area.

4. Hospital personnel safety 1. Where applicable, Staff working in this area to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.


2. 2. Do not include staff lockers/etc in areas accessible by Public.

6. Cash Management 1. Minimise cash in cash registers. 2. Drop-safe located in high-visibility area.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY CARPARKING / EXTERNAL AREAS GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Secure access for facility personnel from car to

security of the facility. 1. CCTV monitoring. 2. Carpark location in respect of staff

access doors. 3. Security. 4. Fencing. 5. Lighting. 6. Nominated staff parking.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Hospital personnel safety. 1. Provision of 'non-public'/staff parking

area adjacent to staff entrance/s. 2. Minimise, if possible, public access to

staff carparking areas. 3. Eliminate landscaping that could be

utilised as a place of concealment by personnel.

4. Ensure appropriate level of lighting at night.

5. Provide highly visible fixed duress alarm points.

6. Monitor carpark by CCTV.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MORTUARY GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area for temporary storage of deceased patients,

and the provision of viewing facilities for relatives. 1. Minimise entry and exit doors. 2. Security of Entry via intercom. 3. Separation of staff and visitor areas.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Manage relatives/visitors admittance to

the viewing area by restricting number of persons.

2. Separate viewing area from staff area by physical barrier.

3. Provision of an adequate waiting area for relatives/visitors that may be in the area "out-of-hours". This area to be able to be secured and monitored by staff.


3. Theft of patient personal effects 1. Provision of suitable secure area/ cabinet/etc for the storage of patient personal effects.

4. Staff personal effects 1. Provision of lockers in staff areas and lockable desk drawer to keep small personal effects.


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY DENTAL CLINIC GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used to provide dental treatment to patients. 1. Control access to this area. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Furniture fittings and equipment including



2. Patient medical records files 1. Personnel working on these records must return to secure area after use or return to Medical Records Department.


3. Drugs storage 1. Drug safe within the clean utility area or other appropriate area.

4. Hospital personnel safety 1. Provide suitable working area for patients, but prevent unauthorised access from waiting area to treatment area.

2. Restrict number of patients/relatives in treatment area.

3. Staff working in this area to have knowledge of where the fixed duress system is located and/or use a mobile duress pendant.

4. Access doors to be locked at all times with key or card access provided to appropriate staff and monitoring system for personnel requiring access.



HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PATHOLOGY 1. Access for personnel working in the area and

patients obtaining test results, etc. 1. Control access to patient reception area. 2. Use of reed switches on all external

doors and swipe card entry to staff areas. SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Patient access 1. Patient access to secure reception

counter but not to 'secure' areas utilised to undertake testing.



2. Keep equipment in lockable area. 3. Hospital personnel safety 1. Staff working in this area to have


2. Locked doors between reception counter and work area.

3. Reception Counter to be constructed to prevent unauthorised patient entry/access.





HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY Checklists


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY ADMINISTRATION / ACCOUNTS FACILITY: DEPARTMENT: Administration/Accounts

RISK ISSUE DESIGN RESPONSE

1. Do staff have access to both fixed and mobile duress systems ?

2. How is access to patient records restricted to staff entitled to that access ?

3. How is after hours access provided for staff ? 4. How are the offices secured during and after

hours ?

5. How is money secured ?

6. Are there lockable storage areas available for specialised equipment ?

7. Is lockable furniture provided for staff personal effects storage ?

8. Are money handling facilities secure and not in public view ?

DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF

Name: ………………..

Position: ………………..

Signature: ………………..

Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY ADMINISTRATION / DISCHARGE AREA FACILITY: DEPARTMENT: Administration/Discharge




3. How is after hours access provided for staff? 4. How are the offices secured during and after

hours?

6. How is money secured?

7. Are there lockable storage areas available for specialised equipment?

8. Is lockable furniture provided for staff personal effects storage?

9. Are interview rooms appropriately designed with specific reference to staff egress, furniture selection, furniture location, provision for storage of equipment, etc.


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY BIO-MEDICAL WORKSHOP FACILITY: DEPARTMENT: Bio-Medical Workshop

RISK ISSUE DESIGN RESPONSE 1. How are the offices secured during and after

hours ?


3. Is lockable furniture provided for storage of staff personal effects ?

4. How is access monitored ?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY DIETETICS FACILITY: DEPARTMENT: Dietetics




3. Is a system implemented to prevent theft of equipment, files, personal possessions, etc ?

4. How are the offices secured during and after hours?



Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY EMERGENCY FACILITY: DEPARTMENT: Emergency


1. Has a CCTV System been considered to monitor the waiting area and/or access to the public access points in the waiting area ?

2. How is 'after hours' access provided for patients and how is this access point monitored ?

3. Has a secure "barrier" been installed between staff and the waiting area to:

(a) monitor the waiting area; (b) provide staff contact with patients; (c) provide adequate visual and audible

communication; and (d) allow for document and item transfer.


5. Is access to patient records restricted to staff entitled to that access ?


7. How does the ED address assessment / treatment of potential Mental Health patients in the ED ?

8. Is a gun safe required and is it incorporated in the design ?

9. Are drug safes installed in accordance with current regulations ?

10. Is the waiting area furniture incapable of being utilised as a "weapon" ?

11. How is unauthorised access prevented from Ambulance entrance ?

12. Is there a means of access/egress for staff other than through the Waiting Area ?

13. How is after hours access provided for staff ?

14. How is this area secured during and after hours, and is access prevented to other areas of the facility after hours ?



17. Is appropriate bench seating provided for patients/visitors/relatives ?

18. If a TV is provided in waiting area, is it securely fixed and out of reach of visitors,



etc. ?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY CENTRAL STERILISING DEPARTMENT FACILITY: DEPARTMENT: Central Sterilising





4. How is after hours access provided to staff? 5. How is this area secured during and after

hours?


7. Is lockable furniture provided for storage of staff personal effects?



Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY OPERATING THEATRES / RECOVERY DAY PROCEDURES FACILITY: DEPARTMENT: Operating Theatres/ Recovery

Day Procedures






5. How is after hours access provided for staff? 6. How is this area secured during and after

hours?




10. How is access by relatives/visitors managed and monitored ?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY RENAL FACILITY: DEPARTMENT: Renal







6. How is after hours access provided for staff?

7. How is this area secured during and after hours?





Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY KITCHEN FACILITY: DEPARTMENT: Kitchen





hours?





Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MATERNITY FACILITY: DEPARTMENT: Maternity








hours?



10. How does this Department address the security of babies ?

11. What systems are utilised to monitor access to rooms/wards by patients/visitors ?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MEDICAL IMAGING FACILITY: DEPARTMENT: Medical Imaging







hours?



9. Has a secure waiting area been planned in this area that allows for the public to present at a counter, sign forms, wait and then receive photocopies of relevant records as requested?

10. How is after-hours access provided to staff and patients ?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MEDICAL RECORDS FACILITY: DEPARTMENT: Medical Records






hours?



8. How is after-hours access provided for staff, including access from all other areas of the facility ?

9. Has a secure waiting area been planned in this area that allows for the public to present at a counter, sign forms, wait and then receive photocopies of relevant records as requested?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PAEDIATRIC FACILITY: DEPARTMENT: Paediatric








hours?



10. What system has been implemented to prevent the illegal removal of children ?


12. What surveillance/monitoring system will be implemented to monitor access to rooms/wards ?




Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PHARMACY FACILITY: DEPARTMENT: Pharmacy


1. Has a secure "barrier" been installed between staff and the dispensing area to: (a) monitor the dispensing area; and

(b) provide staff contact with patients.




5. Are drug safes installed in accordance with current regulations and the Poisons Act ?

6. Is the dispensing area furniture incapable of being utilised as a "weapon" ?





11. Has the potential risk of hold-up and/or break-in been addressed in the design ?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PODIATRY FACILITY: DEPARTMENT: Podiatry



2. Is a system implemented to prevent theft of equipment, files, personal possessions, etc, ?

3. How is this area secured during and after hours ?





Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY REHABILITATION FACILITY: DEPARTMENT: Rehabilitation








7. Has a system been included to address 'patient wandering' ?


Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY SOCIAL WORKER FACILITY: DEPARTMENT: Social Worker




3. Do interview rooms provide for alternate forms of egress for staff ?

4. Has furniture in interview rooms been minimised, and selected as appropriate for this area ?




hours?





Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY STRESS TESTING FACILITY: DEPARTMENT: Stress Testing








Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY OUTPATIENT AREA FACILITY: DEPARTMENT: Outpatient Area








7. Is waiting area appropriately designed to include, where appropriate: - barrier between patients and staff, - appropriate seating for patients, - absence of loose fittings, - vending machines, - TV



Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY ICU / CCU / HDU FACILITY: DEPARTMENT: ICU / CCU / HDU




3. Has a secure "barrier" been installed between staff and the waiting area to: (a) monitor the waiting area; and








hours?






Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY LIBRARY / EDUCATION FACILITY: DEPARTMENT: Library / Education




3. If applicable, how is after hours access provided for staff?





Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY SURGICAL FACILITY: DEPARTMENT: Surgical




3. Has a secure "barrier" been installed between staff and the waiting area to:

(a) monitor the waiting area; and (b) provide staff contact with patients.







hours?







Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..

Name: ………………..



Date: ………………..


HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MAIN ENTRY FACILITY: DEPARTMENT: Main Entry




3. Has a secure "barrier" been installed between staff and the waiting area to: (a) monitor the waiting area; and (b) provide staff contact with patients/visitors.






9. How are the offices secured during and after hours?

10. How does money get secured?






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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY WARDS FACILITY: DEPARTMENT: Wards




3. Has a secure "barrier" been installed between staff and the waiting area to: (a) monitor the waiting area; and (b) provide staff contact with patients.








11. How is the security of patient's valuables managed?







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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY METHADONE CLINIC FACILITY: DEPARTMENT: Methadone Clinic

RISK ISSUE DESIGN RESPONSE 1. Has a secure "barrier" been installed between

staff and the waiting area to: (a) monitor the waiting area; and






6. Is the waiting area furniture unlikely to be utilised as a "weapon" ?

7. Where applicable, how is after hours access provided for staff?





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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY NEEDLE / SYRINGE EXCHANGE FACILITY: DEPARTMENT: Needles/Syringe Exchange

RISK ISSUE DESIGN RESPONSE 1. Has a secure "barrier" been installed between

staff and the waiting area to: (a) monitor the waiting area; and





5. Where applicable, are drug safes installed in accordance with current regulations ?


7. Where applicable, how is after hours access provided for staff?




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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY RETAIL AREA FACILITY: DEPARTMENT: Retail


1. How is this area monitored ?

2. Have public phones been positioned so that they cannot be utilised as an excuse to loiter and monitor retail area, eg, in a discrete area separate to the retail area ?

3. Do staff have access to appropriate (ie, fixed and/or mobile) duress systems ?

4. How is cash secured ?


6. Where appropriate, is lockable furniture provided for storage of staff personal effects?

7. How is cash managed to ensure minimum amounts of cash "on hand" ?

8. Are drop safes/teller machines in highly visible area ?


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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY CARPARKING FACILITY: DEPARTMENT: Carparking


1. How is safe/secure carparking provided for staff ?

2. Has the option of 'secure' parking for staff been considered ?

3. Has the option of nominated staff parking areas been considered for afternoon and night shift staff ?

4. Has landscaping in carparks been considered as potential areas of concealment for personnel ?

5. Is lighting adequate to fully illuminate all staff parking areas ?

6. Has CCTV been considered to monitor carpark ?

7. Is access to facility from carpark via a specific staff entrance (to eliminate potential of non-staff presence) ?


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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY MORTUARY FACILITY: DEPARTMENT: Mortuary


1. Has a waiting area been provided for relatives/visitors which can be secured and monitored by staff ?

2. Has a secure viewing area been provided that does not allow access by relatives/ visitors to staff areas ?

3. How is "after hours" access provided for relatives/visitors ?

4. Has a secure barrier been installed between staff and the waiting area to: a) monitor the waiting area; and b) provide staff contact with relatives/ visitors

?


6. Has a "secure area" been provided for the storage of patients' personal effects ?

7. How is after hours access provided for staff ?

8. Is the waiting area furniture incapable of being utilised as a 'weapon' ?

9. How is the area secured during and after hours ?

10. Are lockable storage areas available for specialised equipment ?



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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY DENTAL CLINIC FACILITY: DEPARTMENT: Dental Clinic











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HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY PATHOLOGY FACILITY: DEPARTMENT: Pathology


1. Has a secure "barrier" been installed between staff and the reception counter to: a) monitor the counter area; and b) provide staff contact with patients.




5. Are drug safes installed in accordance with current regulations and the Poisons Act ?

6. Is the reception area furniture incapable of being utilised as a "weapon" ?






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APPENDIX A SCHEDULE OF NSW HEALTH DESIGN AND TECHNICAL GUIDELINES

DS1 Process of Facility Planning (1993) DS2 Biomedical Engineering HBG-KIT (1992) DS3 Central Sterile Supply Unit MBG-KIT (1992) DS4 Community Health Unit HBG-KIT (1992) DS6 Design Considerations for Infection Control (1989) DS7 Emergency Unit HBG-KIT (1992) DS8 Engineering & Maintenance Unit HBG-KIT (1992) DS10 Standards for Hospital Planning Units – KIT (1992) DS12 Inpatient Assessment & Rehab. HBG-KIT (1992) DS13 Intensive Care / Coronary Care HBG-KIT (1992) DS14 Linen Handling Unit HBG0KIT (1992) DS15 Medical Imaging Unit HBG-KIT (1992) DS16 Medical / Surgical Inpatient Unit HBG-KIT (1992) DS17 Mortuary / Post Mortuary Unit HBG-KIT (1992) DS18 Obstetric Unit HBG-KIT (1992) DS19 Operating Suite / Day Procedures HBG-KIT (1992) DS20 Medical Records Unit HBG-KIT (1993) DS21 Pathology Unit HBG-KIT (1993) DS22 Paediatric Inpatient Unit HBG-KIT (1192) DS23 Pharmacy Unit HBG-KIT (1992) DS24 Post-occupancy Evaluations (1994) DS25 Day Oncology Unit HBG-KIT (1993) DS26 Mental Health Unit (2001) – Final Draft DS27 Rehabilitation / Day Hospital Unit HBG-KIT (1992) DS28 Drug & Alcohol Service HBG-KIT (1992) DS29 Stores Unit HBG-KIT (1992) DS31 Guideline for Furniture & Equipment Budgeting DS32 Improved Access for Health Care Facilities (1994) DS33 Process of Facility Planning Video (1995) DS34 Process of Facility Planning – Small Folder (1995) DS35 Rural Health Service Building Guidelines (2000) CD ROM

TS2 Signposting for Health Care Facilities (1994) TS3 Hospital Fire Manual 2nd Edition (1988) – HOSPLAN TS4 Hospital Fire Officer's Handbook (1987) – HOSPLAN TS5 Emergency Fire Procedures (1990) – HOSPLAN TS7 Floor Coverings for Health Care Buildings (1988) – HOSPLAN TS10 Std Procedures for Handling of Accountable Items TS11 Engineering Services Guidelines – KIT (1994) TS13 Cost Benchmarking Guidelines – KIT (1994) TS14 Managing Maintenance Guidelines (1994) TS15 Health Economic Appraisal Guidelines (1995) TS16 Reference Code for Conventional Cook Chill (1998) TS17 Reference Code for extended Shelf Life Cook Chill (1998) TS18 Asset Strategic Planning Guidelines (1996) TS19 Asset Strategic Planning Benchmark Support (1997) TS20 Reference Code for Cook Freeze (1998) TS21 Reference Code for Cook Serve (1998)

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