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Active Shooter

Active Shooter. Lesions Learned from Urban Shield and Implications for all Workplace Settings . Active shooter Situations-Why Prepare?. Increase in number of events in US Risk exists for most any setting. 37% Business 34% Schools 17% Public Venue 12% Other Median number shot – 4

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Active Shooter

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  1. Active Shooter Lesions Learned from Urban Shield and Implications for all Workplace Settings

  2. Active shooter Situations-Why Prepare? Increase in number of events in US Risk exists for most any setting. 37% Business 34% Schools 17% Public Venue 12% Other Median number shot – 4 Median number of deaths -2 Source: Texas State University Advanced Law Enforcement Rapid Response Training

  3. Active shooter Situations-Why Prepare? Unpredictable in nature Lack of preparedness decreases changes of survival Lack of planning/preparedness may expose entity to lawsuits

  4. Building cannot be cleared • Bullets do not react well to some things in a hospital setting such as compressed cylinders (Prepare for Emergency Shutdown) • Weapons in close proximity of an MRI field could pose issues to Law Enforcement trying to clear an area and do not understand the power of the magnetic field Active shooter SITUATIONS-Why Prepare? (Hospital Specific)

  5. PREPAREDNESS AND RESPONSE

  6. Capital Area Trauma Regional Advisory Council (CATRAC) • Capital Area Council of Governments (CAPCOG) • City of Austin Homeland Security and Emergency Management • Cytel Group • City of Austin Fire Department • City of Austin Police Department • City of Austin EMS • City of Buda Police Department • Travis County Sheriff’s Department • FBI • 6th Civil Support Team (military) • TSA-O Regional Hospitals (CBRNE) • Seton Healthcare Family • Scott & White Hospital • St. David’s Partnership (St. David’s North, South and Georgetown medical centers (Tactical and CBRNE) • Department of State Health Services • Williamson County Health and Human Services Urban Shield Planning Team

  7. St. David’s North Austin Medical Center occurred in Labor and Delivery due to disgruntled boyfriend, escorted off the property. • Suspect returns with a rifle and hand gun. • Takes girlfriend and baby hostage and shoots several staff members Hospital Tactical Scenarios

  8. Scenario at St. David’s Georgetown Hospital based on actual event where a male forced his significant other to drive to hospital at knifepoint with a threat to kill her and her children if the baby she was carrying was not his • He had warrants for attempted murder of his Parole Officer and Weapons Violations Hospital Tactical Scenarios

  9. St. David’s South Austin Medical Center- Active shooter event with shooter barricaded in a room in an area under construction • Required a throw phone deployment, negotiations and resulting in a final breach • All three scenarios involved hospital security interaction with Law Enforcement teams • All facilities had staff as actors and administrative staff either took a direct role or acted as command staff.

  10. Integration of hospital security and tactical teams

  11. Preplanning Conduct assessment to determine vulnerability Identify multiple evacuation routes Designate Shelter Locations Designate point of contacts with knowledge of facility Have floor plans available for police If facility has badge readers, have available for police Practice active shooter drill with staff

  12. Cardiac Rehab Him Bio Med

  13. Understand Police Response No longer surround and contain. ALERT Teams respond to threat Will not stop to help wounded until shooter is out of action When told to get on the ground do so – they don’t know if you are good or bad. DO NOT RUN toward an officer. Alert Police as to any potential threats that exist in facility.

  14. We need a plan is to provide guidance in the event an individual is threatening to harm themselves or other people with a weapon. PURPOSE:

  15. Policy needs to acknowledge the potential for lethal violence in the work setting. Safety of patients, staff, visitors and customers is a primary concern. • When behavioral activity is beyond staff control and/or escalates to a hostage or active weapon/shooter situation, law enforcement will be contacted and assume command in dealing with the situation upon arrival. Law enforcement will be provided with blue prints of facility, video surveillance, “all access” badges/keys and any intelligence that business can provide. POLICY:

  16. Evacuate (Run): • If you work in an area that you are not responsible for patients, your first choice is to evacuate to safety. • If there is an accessible escape route, leave the area a quickly as possible. • Leave belongings behind. • Help or encourage others to escape also • Do not allow others to enter or return to the facility. • Keep your hands visible. • Follow the instructions of law enforcement personnel. • Do not attempt to move or care for victims. PROCEDURE: Staff

  17. Hide: • If escape is not possible, hide from perpetrator(s). • Close and lock your area (office, unit, department, etc.). • Stay out of view of assailant(s). • Try to hide behind objects that will provide protection from bullets (i.e. metal cabinets, fire doors, solid wooden desks, etc.) • Attempt to find locations which will not limit your options for movement. • Silence cell phone, TV’s, radios or other objects that emit sounds. • Darken the area (i.e. turn out lights, close blinds, turn off monitors) • If safe to do so, notify security or 911 of any activity you see. PROCEDURE: Staff

  18. Fight: • ONLY if you cannot run or hide and are confronted by the assailant, you may make the personal choice to fight. • Only as a last resort should you confront or challenge the aggressor. • If time allows, formulate a plan to best incapacitate the assailant. • If you are with others, communicate the plan to those that will help. • Find objects that may be used as weapons or shields. • NEVER choose to fight unless faced with imminent loss of life. PROCEDURE: Staff

  19. Risk Management Prospective Facility Legal Obligations Federal Requirements (OSHA) State Requirements Civil Requirements Post Active Shooter Lawsuits Lack of awareness Lack of documented plan Lack of training of staff

  20. No one can predict when they’ll be put into a life threatening situation…in light of recent events, it is necessary to review how to react should you encounter an aggressive person with a weapon, such as an active shooter. http://www.readyhoustontx.gov/videos/runhidefight-eng.m4v

  21. COURSE SUMMARY: In the event of an active aggressor with a weapon situation: Evacuate (Run) • Attempt to evacuate. • Have an escape route and plan • Leave your belongings • Keep your hands visible Hide • Find a place to hide • Block entry and lock doors • Remain quiet and silence your cell phone or pager Take Action (Fight) • As a last resort, try to incapacitate the shooter • Act with physical aggression Remember to always: • Take note of the two nearest exits in any facility you visit. • Be aware of your environment and any possible dangers. CALL 911 WHEN IT IS SAFE TO DO SO!

  22. http://www.dhs.gov/xlibrary/assets/active_shooter_booklet.pdfhttp://www.dhs.gov/xlibrary/assets/active_shooter_booklet.pdf http://www.dhs.gov/xlibrary/assets/active_shooter_pocket_card.pdf http://www.dhs.gov/xlibrary/assets/active_shooter_poster.pdf http://www.state.nj.us/education/schools/security/task/planning/ActiveShooterSafetyConsiderations.pdf • Ron Weaver, OTR, CPHRM Director of Risk Manager / EMC / Security • ronald.weaver@stdavids.com

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