SHOTS FIRED For Healthcare

SHOTS FIRED For Healthcare

Extreme Danger Gap The interval between the onset of violence and the arrival of first responders Anything you DO or DON T DO could have life-threatening consequences

Survival Mindset A protective shield comprised of: Awareness Preparation Rehearsal

Awareness Workplace violence can happen anywhere and to anyone Basic understanding of an active shooter situation Recognizing changes that may reflect a potential for a problem in the making

Preparation Look at your work environment through a survival lens Ask yourself the what-if questions Prepare mentally and emotionally to survive

Rehearsal Practice your plan Mentally & Physically walk through your what-if plan Reduces response time Builds confidence Serves as a survival inoculation Integrates your specific policies and procedures for responding to a critical incident

Trained vs. Untrained Typical Responses Trained Anxious Prepare Action Plan Commit to Act Untrained Panic Denial of Event Helplessness - Freeze

Response Measures ACCEPT Accept that a violent incident is occurring Recognize real gun fire sounds different than in movies Trust your intuition

Quickly, gauge what s occurring Continuous evaluation process Assess your options Get out? Escape? Hide? Protect? Who? Where? Confront the shooter? LAST RESORT! Response Measures ASSESS

Response Measures ACT Avoid Get out fast; don t wait for others to validate your decision Barricade Put anything you can in between you and the shooter Avoid places that might trap you or impede movement Fight Last Resort If escaping or hiding are not possible, neutralizing the shooter in some way may be your only option CONTROL HANDS Any action you take may be your only means of survival

Taking actions to disrupt the shooter s actions or incapacitate the shooter Throw things, yell, use improvised weapons Develop an action plan and work as a team Success requires a total team commitment Neutralizing the Threat

ALERT When you get out, immediately notify authorities What law enforcement needs to know Name, if known Number of assailants Description Location Number & type of weapons Response Measures

Defensive Actions If a code announcement is made over the PA about an active shooter, you must consider the following Are you alone? Are others nearby? Are they mobile? Can they help you and themselves? Are you near patient rooms? Are there rooms with inside door locks? Whatever actions you decide to take, help others to escape as you go You re a survivor protector Lisa Pryse, Division President Old Dominion Security Co.

Active shooter vs. Hostage Taker Active Shooter Typically an individual but groups also possible Operate in either close quarters or open environment Random or specific targets Armed individual who has used deadly force Has unrestricted access Hostage Taker Armed individual or group who may or may not use deadly force In most cases, access is restricted Wants to use people as leverage Realizes importance of keeping hostages alive Suffering from acute stress that disrupts ability to function normally

Active Shooter Active Shooter vs. Hostage Situation Differences Armed individual(s) who has used deadly force Continues to do so with unrestricted access Can involve: Single shooters, multiple shooters Close encounters, distant encounters Targeted individuals, random victims Single-room confrontations, mobile confrontations Situation not necessarily contained to a specific location No two situations alike Highly Dynamic CPPS 2011 Proprietary Information All rights reserved Do not copy, reproduce or distribute

Hostage Taker Active Shooter vs. Hostage Situation Differences Primary motive: Substantive Holds hostages to force fulfillment of demands Makes direct or implied threats to harm hostages Usually compensating for some type of loss Expressive Holds hostages to make some sort of statement Personal or Political Significant difference is containment of both offender(s) and victim(s) May or may not have used deadly force No two situations alike Highly Dynamic CPPS 2011 Proprietary Information All rights reserved Do not copy, reproduce or distribute

Law Enforcement Response Will not know if you are a threat Hands kill Raise your arms, spread your fingers, show your hands as you drop to the floor If officers enter a room where you are located Do not point at them or the shooter Do not scream or yell Be quiet and compliant Give them requested information on the shooter Number, Description, Location, Type of weapon

Hunterdon Healthcare Response The objective of this response plan is to provide guidance in the event that an active shooter event occurs at any Hunterdon Healthcare Facility. Our Plan is divided into 2 different sections: Hunterdon Medical Center Campus Procedures (Page 2 of the policy) Hunterdon Healthcare Satellite Facility Procedures (Page 6 of the policy) The Complete Active Shooter Response Plan in located in The Safety Manual in the Hunterdon Healthcare Policies within PolicyTech on the intranet.

Hunterdon Healthcare Response ACTIVE SHOOTER OVERHEAD PAGE CODES Lockdown Active Shooter: A Lockdown is when there is a threat or danger inside the building. The goal of a lockdown is to isolate the threat. During a lockdown staff should attempt to keep patients, visitors behind closed doors. If possible doors should be locked and lights turned off in rooms when possible. No one will be allowed to enter or exit the building during a lockdown. Lockout Active Shooter: A lockout is a situation where the threat is on the outside of the building. The goal of a lockout is to isolate the threat completely outside of the building. During a lockout all exterior doors to the facility will be secured and people will be kept in the building until the situation is secure. No one will be allowed to enter or exit the building during a lockdown. People will however be allowed to move freely through the interior of the building.

HUNTERDON MEDICAL CENTER CAMPUS PROCEDURES

Hunterdon Healthcare Response HUNTERDON MEDICAL CENTER CAMPUS PROCEDURES The first employee to identify an active shooter situation: Should call the hospital emergency number (444) and report the Lockdown/Lockout (with the location of the incident) and a description of the person(s) with the weapon, and type of weapon if known. Evacuate patients, visitors and staff if safe possible to a safe location (i.e. lockable door or outside the building).

Hunterdon Healthcare Response HUNTERDON MEDICAL CENTER CAMPUS PROCEDURES The hospital operator upon notification will: Overhead page Lockdown/Lockout Active shooter three times as well as launch a Lockdown/Lockout Alert message on the Everbridge mass notification system. Give all available information to the Security Officers via the All Call Channel on the Radio. Notify hospital Administration, or the Nursing Supervisor after hours.

Hunterdon Healthcare Response HUNTERDON MEDICAL CENTER CAMPUS PROCEDURES If an Active Shooter comes into the area where you are and enters your unit, office or meeting room, you should: Try to remain calm. Try not to do anything that will provoke the active shooter. If there is no possibility of escaping or hiding, only as a last resort when your life is in imminent danger should you make a personal choice to attempt to negotiate with or overpower the shooter If the active shooter(s) leaves the area, barricade the room or go to a safer location.

Hunterdon Healthcare Response HUNTERDON MEDICAL CENTER CAMPUS PROCEDURES At a location distant from the active shooter, such as on a different unit or floor; or you are not able to leave the area safely: Remain calm Warn other staff, visitors and patients to take immediate shelter Go to a room that can be locked or barricaded Lock and barricade doors or windows Turn off lights Close blinds Block windows Turn off radios or other devices that emit sound Keep yourself out of sight and take adequate cover/protection (i.e., concrete walls, thick desks, filing cabinets) Turn cell phones off, or silence the phone and turn off the vibrate function. Have one person call 911 and state: " Hunterdon Medical Center (give your exact location). We have an active shooter in the hospital, gunshots fired."

Hunterdon Healthcare Response HUNTERDON MEDICAL CENTER CAMPUS PROCEDURES If you are in an outside area and encounter an active shooter, you should: Try to remain calm. Move away from the active shooter or the sound of gunshot(s) and/or explosions(s). Look for appropriate locations for cover/protection (i.e., brick walls, retaining walls, parked vehicles, etc.) Call 911 and provide the information listed above.

HUNTERDON HEALTHCARE SATELLITE FACILITY PROCEDURES

Hunterdon Healthcare Response HUNTERDON HEALTHCARE SATELLITE FACILITY PROCEDURES The first employee to identify an active shooter situation: Should call 911 and report the Lockdown/Lockout (with the location of the incident) and a description of the person(s) with the weapon, and type of weapon if known to the 911 dispatcher. Evacuate patients, visitors and/or staff if safe to do so.

Hunterdon Healthcare Response HUNTERDON HEALTHCARE SATELLITE FACILITY PROCEDURES If possible in your facility you should overhead page the Lockdown/Lockout: Overhead page Lockdown/Lockout Active Shooter three times.

Hunterdon Healthcare Response HUNTERDON HEALTHCARE SATELLITE FACILITY PROCEDURES If an Active Shooter comes into the area where you are and enters your unit, office or meeting room, you should: Try to remain calm. Try not to do anything that will provoke the active shooter. If there is no possibility of escaping or hiding, only as a last resort when your life is in imminent danger should you make a personal choice to attempt to negotiate with or overpower the shooter If the active shooter(s) leaves the area, barricade the room or go to a safer location.

Hunterdon Healthcare Response HUNTERDON HEALTHCARE SATELLITE FACILITY PROCEDURES At a location distant from the active shooter, such as on a different unit or floor; or you are not able to leave the area safely: Remain calm Warn other staff, visitors and patients to take immediate shelter Go to a room that can be locked or barricaded Lock and barricade doors or windows Turn off lights Close blinds Block windows Turn off radios or other devices that emit sound Keep yourself out of sight and take adequate cover/protection (i.e., concrete walls, thick desks, filing cabinets) Turn cell phones off, or silence the phone and turn off the vibrate function. Have one person call 911 and give the name of your facility, its address, and your exact location in the building. Tell the dispatcher that you have an active shooter situation if the gunman is in the building.

Hunterdon Healthcare Response HUNTERDON HEALTHCARE SATELLITE FACILITY PROCEDURES If you are in an outside area and encounter an active shooter, you should: Try to remain calm. Move away from the active shooter or the sound of gunshot(s) and/or explosions(s). Look for appropriate locations for cover/protection (i.e., brick walls, retaining walls, parked vehicles, etc.) Call 911 and provide the information listed above.

Hunterdon Healthcare Training We also offer this same program as an in person Class at the Medical Center, to schedule yourself to attend an in person session please contact the Security Office Coordinator at 908-788-6156. If you have any questions, comments and/or concerns please contact: Christopher Hunt, Administrative Director of Safety & Security 908-788-2586 or via email at chunt@hhsnj.org James Burke, Security Supervisor 908-237-5438 or via email at jburke@hhsnj.org