Open Access Open Access  Restricted Access Subscription or Fee Access

Model “code silver” internal lockdown policy in response to active shooters

Scot Phelps, JD, MPH, Robert Russell, BS, Garrett Doering, MS

Abstract


Hospitals, even five years past the events of September 11, with their unguarded front doors and unlocked patient rooms have conspicuously failed to implement even basic security procedures to protect the society’s most vulnerable against violence. The degree of complacency is so great that even hospitals that have experienced shootings refuse to institute basic security measures such as metal detectors and identification checks. Over the six-month period, from June through December 2006, there were at least eight hospital shootings in the United States and Canada. This article outlines these shootings and presents a model “Code Silver” policy that hospitals can adopt to mitigate some of the risk of internal hospital shootings. Key concepts of the policy include training hospital staff to “shelter in place” during a violent event, marking locked doors, and having hospital security respond in an appropriate manner.


Keywords


hospital, physical security, policy, security, violence

Full Text:

PDF

References


Reference Manual to Mitigate Potential Terrorist Attacks Against Buildings. Available at: http://www.fema.gov/library/viewRecord.do?id=1559. Accessed January 2, 2007.

Manolatos T, Hughes J, Clock M: Murder-suicide probed as motive. San Diego Union Tribune. August 11, 2006. Available at: http://www.signonsandiego.com/uniontrib/20060811/news_7m11twodead.html. Accessed January 10, 2007.

Donovan L: Patient critical one day after hospital shooting. Chicago Sun-Times. June 22, 2006. Available at: http://www.findarticles.com/p/articles/mi_qn4155/is_20060622/ai_n16509755. Accessed January 10, 2007.

Violence. Occupational hazards in hospitals. National Institute for Occupational Safety and Health, 2002. Available at: http://www.cdc.gov/niosh/pdfs/2002-101.pdf. Accessed January 10, 2007.

HEICS Version 3. California Emergency Medical Services Agency. Available at: http://www.emsa.ca.gov/Dms2/heics3.htm. Accessed January 10, 2007.

NYC City Council Minutes of March 21, 2001. Available at: http://webdocs.nyccouncil.info/attachments/52071.htm. Accessed January 10, 2007.

VA Healthcare Network Upstate New York. A Message from VISN 2 Police Chiefs. Available at: http://www1.va.gov/visns/visn02/ms/police/index.html. Accessed January 10, 2007.

Standoff at suburban Chicago hospital ends, gunman fatally shot. USA Today. November 18, 2006. Available at: http://www.usatoday.com/news/nation/2006-11-18-ill-hospital_x.htm. http://www.examiner.com/a-408303~Patient_Dies_in_Ill__Hospital_Standoff.html. Accessed January 10, 2007.

Sheehan C, Wisniewski, R: Patient dies in hospital standoff. Man apparently shot by police after aiming gun in Aurora facility. Chicago Tribune. November 19, 2006. Available at: http:// www.chicagotribune.com/news/local/illinois/chi-ap-il-hospitalstandoff,1,7860245.story?coll=chi-newsap_il-hed. Accessed January 10, 2007.

Wang J: Gunfire at Mercy: Aurora man dead after hospital standoff. Aurora Beacon News. November 19, 2006. Available at: http://www.suburbanchicagonews.com/beaconnews/news/142024,2_1_AU19_MERCY_S1.article. Accessed January 10, 2007.

Morrison S: Shooting at Pulaski Hospital was suicide. The Roanoke Times. September 26, 2006. Available at: http://www.roanoke.com/news/nrv/wb/84426. Accessed January 10, 2007.

Ponto M: Updated: Man dies in hospital shooting. WREG-TV Memphis. September 8, 2006. Available at: http://www.wreg.com/Global/story.asp?S=5340562. Accessed January 10, 2007.

Elderly couple shot to death at BC hospital. CBC News. August 30, 2006. Available at: http://www.cbc.ca/canada/british-columbia/story/2006/08/29/penticton-shooting.html. Accessed January 10, 2007.

Montgomery Regional Hospital shooting incident. Town of Blacksburg, Virginia News Release. http://www.blacksburg.gov/enews/press_release/search.php. Accessed January 10, 2007.

Manolatos T, Hughes J, Clock M: Husband, ill wife die in hospital shooting. San Diego Union Tribune. August 11, 2006. Available at: http://www.signonsandiego.com/uniontrib/20060811/news_7m11twodead.html. Accessed January 10, 2007.

Rozek D: Man may be 2nd hospital suicide in month. Chicago Sun-Times. July 20, 2006. Available at: http://www.findarticles.com/p/articles/mi_qn4155/is_20060720/ai_n16675114. Accessed January 10, 2007.

Donovan L: Patient critical one day after hospital shooting. Chicago Sun-Times. June 22, 2006. Available at: http://www.findarticles.com/p/articles/mi_qn4155/is_20060622/ai_n16509755. Accessed January 10, 2007.




DOI: https://doi.org/10.5055/ajdm.2007.0023

Refbacks

  • There are currently no refbacks.