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)

 Managers/Directors

 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 :

Phone: 720-321-0120

 Kim Vowell, Safety Manager



 Larry Bowers, Security Program Manager


Phone: 720-321-1675