Presentation Slides - Colorado Healthcare Associated Risk Managers


Lessons Learned During Implementation of an Active Shooter Policy

Current Trends

2010 there were 8 deaths and five hospitals were impacted by armed violent intruders

2011 there were 16 deaths and 5 hospitals impacted

2012 there were a staggering 36 deaths and 12 hospital impacted

In 70% of occurrences of an armed violent intruder in a healthcare setting, one person will be killed and three others shot

A Female in a healthcare setting who is being stalked is killed 90% of the time

Hamilton, J. (2013). Armed violent intruders: requiring a prescription for protection. Journal of Healthcare Protection


Researchers from Johns Hopkins University School of Medicine in

Baltimore reviewed data on more than 150 shootings that occurred in acute care hospitals between 2000 and 2011. The shootings resulted in 235 dead or injured victims.

Nearly 30 percent of the shootings occurred in emergency departments. About half of those incidents involved a police or security officer's gun that was either stolen to shoot victims or used by authorities to fire at an assailant

Recent Hospital Activities

What warning “Code” to use?

Many use “Code Silver”

Do not want to confuse with hospital lockdown

“Total Alert”

Development of written procedures on response activities

Collaboration with Emergency Responders

Run, Hide, Fight -YouTube video

DHS Handout

Employee Steps to take

Run, Fight, Hide

Emergency Phone Numbers

Telephone Operator

Incident Command

Hospital Supervisor

Emergency Department (divert status)


Media Relations

Perimeter Control

Response activities by Law Enforcement


Weapons Policy (Handguns, Tasers vs.


Educational Plan

Talking Points

Learn Module

Staff turnover

Quick Reference Guide Book

Badge Emergency Code Change

Tabletop drill

Functional drill

Senior level Leadership necessary to support active staff involvement in functional drills

Time away from daily activities

Public image of hospital

SWAT activities

Weapons with blank ammunition in use

Possible delay in opening

Lessons Learned

Accurate building plans available

Door numbering

Maps in key locations

Interface/communication with Police and SWAT

Escorted by Security

Security to interact with Incident Command Post and Hospital

Incident Command

Badge access to facility

Doors in Facility do not lock

Locking of elevators

Lessons Learned

CCTV Coverage

Operation of cameras

Perimeter to be established by law enforcement

Patient Services

Will hospital go on divert

Information to be placed on EMSystems

Care for the injured during the incident

Tactical SWAT EMS group

Security Officer in the Emergency Department

Working relationship with Local Responders

Monthly Emergency Preparedness meeting

Sub-station in Emergency Department

Accurate Building Plans exchanged ahead of time

DVD virtual tour 360 degrees of building requested

Technology in New Building

Tim Keenan, Administrative Director Support Services

Email : [email protected]

Phone: 720-321-0120

Kim Vowell, Safety Manager

Email: [email protected]


Larry Bowers, Security Program Manager

Email: [email protected]

Phone: 720-321-1675