Journal of healthcare protection management : publication of the International Association for Hospital Security最新文献

This new study by HSS offirearm discharge data in hospitals over the last 10 years reveals that these events have occurred in all states but one, in both urban and rural locations, and in a variety of hos- pitals by size. The number of in- stances has continued to increase, the study finds, confirming the es- calation of violence in healthcare settings. These findings suggest that hospitals of all sizes and lo- cales are at risk of a firearm dis- charge, the authors report, and should consider this exposure in their assessment of security risk and mitigation planning.

The new CMS Final Rule on Emer- gency Preparedness will be a major change for hospitals and many other types of healthcare providers, the authors claim. One of the most im- portant changes for hospitals will be the requirement to do the Security Risk Assessments and matching Emergency Plans for each separate facility, every year, instead of only doing a consolidated risk assess- ment on all facilities in one report. Failure to comply could have a major and disastrous economic im- pact on a hospital or other health care facility. In this article they pro- vide information and access to re- sources for complying.

The authors describe the issue of workplace violence in hospitals, a New Jersey state law and regula- tions regarding workplace vio- lence in healthcare, and some innovative strategies that are being utilized to help reduce the occurrence and risk of violence. The authors also discuss compli- ance with the New Jersey regula- tions.

In dealing with any type of emergency event, large or small, healthcare leaders should start with ensuring proper safety and security measures are in place, the author says, adding that a starting point should be an evaluation of the security pro- gram, the security profession- als at your site and their training. In this article, he de- lineates how security should be involved in all aspects of emergency situations.

With providing support for pa- tients with mental health chal- lenges growing as a priority almost daily, according to the author, the need to create a quality mental health patient 24/7 watch program has be- come essentialfor security planner In this article he dis- cusses the building of a watch team, best practices for watch team operation, and the key ingredients that make for a quality support program.

Following attendance by hos- pital security officers at a law enforcement active shooter training course, the author conducted nine quarterly drills at a vacant hospital involving security, outside law enforce- ment, medical staff and other employees. Drills were also conducted at the hospital ' off- campus locations. In this arti- cle he details the lessons learned from the drills.

A critical issue facing all health- care employees is the number of patients dependent on themfor safety and security at all times. Not only must employees learn to survive an active shooter or other violent situation, they also have a moral and ethical obliga- tion to protect others, the author maintains. In this article, she de- scribes the kind of effective train- ing and preparedness that can make a difference.

The increased number of be- havioral health patients in our hospitals whose needs are fre- quently met by caregivers without sufficient behavioral healthcare experience or training, has made it difficult to manage the disruptive be- haviors of seriously ill behav- ioral health patients. How do we meet the need, stay within a reasonable budget, and in- crease safety and confidence in our caregivers? The answer according to the author, is the Behavioral Response team (BRT). In this article, he de- scribes how to develop the team, the roles of its members, and how it responds to a crisis situation.

In their article in the last issue of the Journal, the authors reported on their health system's decision to equip their security officers with Narcan, the nasal-spray form of naloxone, and train them to use the drug to revive patients and non-patients overdosed with heroin or other life-threatening opioids. The decision, they said, was prompted with an increase in individ- uals who may come to the hospital ' 32 buildings and over 130 offsitefa- cilities to "shoot up" themselves. In this follow-up report, they describe what has happened in the seven months since the policy was begun-- how many times Narcan was utilized; what happened during such incidents; lessons learned; and how comfortable security officers are with this new re- sponsibility.

In this comprehensive guide to workplace violence in health- care, the author describes in detail an effective multi-tiered training program that ad- dresses the entire spectrum of workplace violence related be- haviors. Through such prepa- ration, assessment, and education, he says, the health- care professional can reduce the incidence and/or severity of workplace violence issues.