hostage or barricade incident irg

8/9/2019 Hostage or Barricade Incident Irg

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Incident Response Guide: Hostage orBarricade Incident

Mission

To safely manage an incident involving a person with a weapon who has taken one ormore hostages or has barricaded themselves within the hospital.

DirectionsRead this entire response guide and review the Hospital Incident anagement Team!ctivation chart."se this response guide as a checklist to ensure all tasks are addressed and completed.

Objectives #nsure the safety of patients$ sta%$ and visitors

aintain communications with sta%$ patients$ visitors$ and the media

&oordinate response$ release of information$ and ongoing operations with law

enforcement 'rovide behavioral health support and stress management services to patients$ sta%$

and visitors Return to normal operations as (uickly as possible

Incident Response Guide ) Hostage or Barricade Incident 'age *


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Immediate Response (0 – 2 hours)

Section OfcerTim

e

ction Initi

a!s

"ommand

Incident

"ommander

&on+rm a hostage or barricade incident

has occurred.

!ctivate #mergency ,perations 'lan$

Hostage or Barricade Incident 'lan$-ockdown 'lan$ Hospital Incident

anagement Team$ and Hospital

&ommand &enter.

otify the hospital &hief #/ecutive ,0cer$

Board of 1irectors$ and other appropriate

internal and e/ternal o0cials of situation

status.

otify law enforcement and provide

details of the event.

2uspend or postpone nonessentialservices.

#stablish a liaison role with law

enforcement upon their arrival.

#stablish operational periods$ ob3ectives$

and regular brie+ng schedule. &onsider

the use of an Incident !ction 'lan 4uick

2tart for initial documentation of the

incident.

#ub!ic

In$ormation

Ofcer

1esignate and establish a media staging

area in coordination with law enforcement

and the Incident &ommander.

#stablish contact with media and inform

them of the media staging area5 provide

brie+ngs as directed.

1evelop information release for media5

work with law enforcement on details to

be released5 ensure families of impacted

patients and sta% are aware prior to

release of information.

'rovide approved messages as directed$

utili6e social media to disseminate

information to patients$ sta%$ families$ and

stakeholders.

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onitor media outlets for updates on the

incident and possible impacts on the

hospital. &ommunicate information via

regular brie+ngs to 2ection &hiefs and

Incident &ommander.

%iaison Ofcer

otify community partners in accordance

with local policies and procedures 8e.g.$

consider local #mergency ,perations&enter$ other area Hospitals$ local

emergency medical services$ and

healthcare coalition coordinator9$ to

determine incident details$ community

status$ estimates of casualties$ and

establish contacts for re(uesting supplies$

e(uipment$ or personnel not available in

the facility.

-iaise with law enforcement as applicable

Sa$et& Ofcer

&omplete HI&2 7*! to assign$ direct$ and

ensure safety actions are adhered to and

completed.

Immediate Response (0 – 2 hours)

Section'ranchnit Tim

e

ction Initi

a!s

Operations

Section "hie$ Refer to the ;ob !ction 2heet for

appropriate tasks.

Medica! "are

'ranch

Director

!ctivate behavioral health services and

deploy to needed areas.

!ctivate hospital diversion5 notify

emergency medical services authority and

ambulance providers.

Identify evacuation priorities and transfer

re(uirements.

Securit&

'ranchDirector

!ctivate staging area for law enforcement.

#vacuate the area immediatelysurrounding the incident site.

Incident Response Guide ) Hostage or Barricade Incident 'age


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2ecure the hospital and campus.

1irect all persons trying to leave the

hospital or campus to a designated

safe holding area. &oordinate movement with law

enforcement.

'rovide noti+cation of all persons

including patients$ visitors$ and

vendors who may be arriving5

coordinate with 'ublic Information

,0cer.

!ctivate -aw #nforcement Interface "nit

-eader position to coordinate with

responding law enforcement agencies.

'rovide key information to law

enforcement$ including:

#/isting restraining orders

#mployee or patient information

=itness information

!ctivation of plans

&ampus and hospital blueprints

2urveillance camera footage

!ny other information re(uested

'rovide interoperable communications to

law enforcement. 'rovide law enforcement

with communications to contact 2ecurity

Branch 1irector or -aw #nforcement

Interface "nit -eader.

%a*

+n$orcement

Inter$ace nit

%eader

'rovide law enforcement with surveillance

camera footage$ hospital maps$ blueprints$

master keys$ card access$ search grids$

and other data as re(uested.

#!annin,

Section "hie$

#stablish operational periods$ incident

ob3ectives$ and the Incident !ction 'lan in

collaboration with the Incident

&ommander.Situation nit

%eaderInitiate tracking of patients$ sta%$ and

visitors5 provide tracking data to law

enforcement in coordination with the

2ecurity Branch 1irector or -aw

#nforcement Interface "nit -eader.

Incident Response Guide ) Hostage or Barricade Incident 'age >


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Documentatio

n nit %eader

Gather critical information$ policies

activated$ blueprints$ search grids$ and

other critical data for inclusion in the

Incident !ction 'lan.

%o,istics

Section "hie$

!ctivate the 2upport Branch to provide the

logistical needs of the hospital sta% and

law enforcement personnel.

Support

'ranch

Director

Gather information on planned or

e/pected deliveries or pickups for the day5

provide information to 2ecurity Branch or

-aw #nforcement Interface "nit -eader.

otify operators of planned deliveries or

pickups of the need to postpone or

reschedule.

-inance

dministration


appropriate tasks.

"ost nit%eader

#nsure documentation of activities$events$ cancellations$ etc.$ for tracking of

+nancial loss and impact.

Intermediate Response (2 – .2 hours)

Section OfcerTim

e

ction Initi

a!s

"ommand

Incident

"ommander

&ontinue to assess the impact of the

event on clinical and nonclinical

operations5 consider additionalcancellations or postponements.

#ub!ic

In$ormation

Ofcer

&ontinue media brie+ngs and updates as

directed5 work within the ;oint Information

&enter$ if available. &ontinue to provide

approved messaging to media$ patients$

visitors$ and sta%.

%iaison Ofcer

aintain communications with local

o0cials and hospitals to provide updated

situational assessment and impact on

continued operations.

Sa$et& Ofcer

&onduct ongoing analysis of response

actions for safety5 implement corrective

actions and update HI&2 7*!.

Intermediate Response (2 – .2 hours)



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e

ction Initi

a!s

Operations

Section "hie$ Reassess evacuations and the need for

e/tended evacuation to maintain safety.

Medica! "are

'ranch

Director

&ontinue clinical and nonclinical

operations under current restrictions in

movement and entry to hospital campus.

'rovide ongoing behavioral health services

to all impacted persons.

#atient -ami!&

ssistance

'ranch

Director

#stablish a patient information center in

collaboration with -iaison ,0cer. 'rovide

support to families of patients as needed

#!annin,

Section "hie$

'repare the Incident !ction 'lan for the

ne/t operational period5 engage all

sections to provide updates in sta0ng and

alterations in strategies and tactics.

Resources nit

%eaderInitiate sta% and e(uipment tracking.

Situation nit

%eader

"pdate and revise the status boards$

Incident !ction 'lan$ and other

documentation tools.

&ontinue patient and bed tracking

%o,istics


appropriate tasks.

Support

'ranch

Director

#nsure ongoing access to necessary

supplies and e(uipment to support any

relocated services.

!ssess the impact of postponed or

rescheduled deliveries and pickups on

clinical and nonclinical operations5 provide

information to the 'lanning 2ection for

documentation and revision of the

Incident !ction 'lan.

&onsider activation of the labor pool based

on current and pro3ected manpower

needs5 consider sta0ng for oncoming

shifts if the campus remains in lockdown.

-inance

dministratio

n


appropriate tasks.

Time nit

%eader Track hours associated with the

emergency response.

Incident Response Guide ) Hostage or Barricade Incident 'age ?


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"ost nit

%eader

Identify all costs related to infrastructure

repair if damages occur during the

incident.

Track costs and e/penditures of the

response5 include estimates of lost

revenue.

+/tended Response (,reater than .2 hours)

Section OfcerTim

e

ction Initi

a!s

"ommand

Incident

"ommander

&ontinue to monitor and assess the

response actions by the hospital and law

enforcement.

&ontinue the collaboration with law

enforcement.

#ub!ic

In$ormation

Ofcer

&ontinue scheduled brie+ngs andnoti+cations to patients$ families$

stakeholders$ and media within a ;oint

Information &enter.

!ddress social media issues as warranted5

use social media for messaging as

situation dictates.

Sa$et& Ofcer

&ontinue monitoring the response to

ensure the safety of patients$ sta%$

visitors$ and response partners.

Incident Response Guide ) Hostage or Barricade Incident 'age @


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+/tended Response (,reater than .2 hours)


e

ction Initi

a!s

Operations


appropriate tasks.

Medica! "are

'ranch

Director

Review all canceled appointments and

procedures. 1etermine the ability to

reschedule as well as resources needed to

e/pand services$ if necessary.

&ontact patients whose care was

postponed5 determine their clinical status

and the timeframe necessary for

evaluation.

Securit&

'ranch

Director

Identify the necessary sta0ng to maintain

enhanced security response and campus

lockdown.

#!annin,

Section "hie$

#nsure that updated information and

intelligence is incorporated into the

Incident !ction 'lan. #nsure the

1emobili6ation 'lan is being readied.

Demobi!iation

nit %eader

Identify issues and necessary actions to

return to normal operations$ ensuring all

cancellations and postponements are

included.

%o,istics

Section "hie$ Refer to the ;ob !ction 2heet forappropriate tasks.

Support

'ranch

Director

&ontinue to pro3ect impact of postponed

deliveries and pickups on clinical and

nonclinical operations.

=ork with the ,perations 2ection to

identify necessary supplies and e(uipment

for routine operations and any e/pansion

of operations to restore postponed

appointments and procedures.

-inancedministratio

n

Section "hie$ &ontinue to assess the +nancial impact ofthe response.

#rocurement

nit %eader=ork with the -ogistics 2ection to

determine the need to ac(uire supplies

from nontraditional vendors if deliveries

cannot be rescheduled.

Incident Response Guide ) Hostage or Barricade Incident 'age A


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"ost nit

%eader

1etermine the cost of the impact of

cancelled or postponed services$

deliveries$ etc.



10/15

Demobi!iationS&stem Recover&

Section OfcerTim

e

ction Initi

a!s

"ommand

Incident

"ommander

&on+rm with law enforcement that the

hostage or barricade incident is resolved.

#nsure that all patients$ sta%$ and visitors

are noti+ed of the status of the incident.

&ommunicate to all &ommand and

General 2ta% that the incident is resolved.

Begin to identify personnel and activities

for demobili6ation.

#ub!icIn$ormation

Ofcer

2chedule media brie+ng5 work within the

;oint Information &enter and law

enforcement.

1etermine appropriate personnel toaddress media5 coordinate hospital and

law enforcement speakers.

"se social media to notify patients$ sta%$

visitors$ and stakeholders that incident is

resolved.

%iaison Ofcer

otify all local hospitals$ response

partners$ and stakeholders that incident is

resolved.

Sa$et& Ofcer

#nsure that any operational response

changes undertaken to provide for thesafety of patients$ sta%$ visitors$ and

response partners are returned to normal

operations. "pdate the HI&2 7*!.

Demobi!iationS&stem Recover&


e

ction Initi

a!s

Operations Section "hie$ Initiate activities to restore normal

operations5 work with the 'lanning2ection to identify activities that were

altered for restoration to normal.

Incident Response Guide ) Hostage or Barricade Incident 'age *C


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Restore visiting hours if suspended5

determine the need to e/pand normal

hours and ensure behavioral health

services are available as needed for

patients and visitors.

Medica! "are

'ranch

Director

!rrange for the transfer of patients from

alternate cares site back to reopened

patient care areas.

Reschedule canceled surgeries$

procedures$ and outpatient appointments.

Repatriate transferred patients$ if

applicable.

Securit&

'ranch

Director

1emobili6e the hospital lockdown as

directed.

#atient -ami!&

ssistance'ranch

Director

#nsure the debrie+ng of$ and support for$

families of a%ected patients.

#!annin,

Section "hie$

Dinali6e and distribute the 1emobili6ation

'lan.

&onduct debrie+ngs and hotwash with:

&ommand 2ta% and section personnel

!dministrative personnel

!ll sta%

!ll volunteers

=rite an !fter !ction Report and

&orrective !ction and Improvement 'lan

for submission to the Incident

&ommander$ including:

2ummary of the incident

2ummary of actions taken

!ctions that went well

!ctions that could be improved

Recommendations for future response

actions

Documentation

nit %eader#nsure that all documentation produced

during the response and recovery is

correlated and available for after action

review.

Incident Response Guide ) Hostage or Barricade Incident 'age **


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'repare a summary of the status and

location of all incident patients$ sta%$ and

e(uipment. !fter approval by the Incident

&ommander$ distribute it to appropriate

e/ternal agencies.

Demobi!iation

nit %eader

=ork with all sections to ensure that

postponed or altered services are

identi+ed and addressed.

&omplete the 1emobili6ation 'lan and

distribute it as per policy.

%o,istics

Section "hie$ Inventory all Hospital &ommand &enter

and hospital supplies and replenish as

necessary$ appropriate$ and available.

Support

'ranch

Director

'rovide su0cient space for law

enforcement to interview impacted

patients and sta% in coordination with the

2ecurity Branch 1irector or -aw

#nforcement Interface "nit -eader.

#nsure behavioral health services are

made available to sta%.

#nsure all a%ected personnel are

debriefed.

Reschedule all canceled deliveries and

pickups5 notify the 'lanning and

,perations 2ections of any delays that

may impact services.

=ork with the Dinance 2ection to procureadditional supplies and e(uipment$

activate emergency contracts or use

noncontract vendors$ as needed.

-inance

dministratio

n


appropriate tasks.

"ompensation

"!aims nit%eader

&oordinate with Risk anagement for

additional insurance and documentation

needs$ including photographs of damage$

etc.

#nsure claims related to the event are

addressed and investigated5 report all

claims to Incident &ommander and other

hospital services per policy.

"ost nit

%eader

&omplete an assessment of all costs

incurred during the response$ the loss of

revenue$ and the costs of recovery.

Incident Response Guide ) Hostage or Barricade Incident 'age *7


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Documents and Too!s

+mer,enc& Operations #!an1 inc!udin,

Hostage or Barricade Incident 'lan

2helterEinE'lace 'lan

#vacuation 'lan

-ockdown 'lan

#mployee Health monitoring and treatment 'lan 2urge 'lan

Triage 'lan

'atient$ sta%$ and e(uipment tracking procedures

Business &ontinuity 'lan

Behavioral Health 2upport 'lan

!lternate &are 2ite 'lan

2ecurity 'lan

Risk &ommunication 'lan

Interoperable &ommunications 'lan

1emobili6ation 'lan

1ischarge policy #mergency procurement policy

-orms1 inc!udin,

HI&2 Incident !ction 'lan 8I!'9 4uick 2tart

HI&2 7CC ) Incident !ction 'lan 8I!'9 &over 2heet

HI&2 7C* ) Incident Brie+ng

HI&2 7C7 ) Incident ,b3ectives

HI&2 7C< ) ,rgani6ation !ssignment -ist

HI&2 7C! ) &ommunications -ist

HI&2 7*> ) !ctivity -og

HI&2 7*! ) Incident !ction 'lan 8I!'9 2afety !nalysis HI&2 77* ) 1emobili6ation &hecklist

HI&2 7* ) Dacility 2ystem 2tatus Report

HI&2 7< ) Folunteer Registration

HI&2 7> ) 1isaster Fictim'atient Tracking

HI&2 7 ) aster 'atient #vacuation Tracking

;ob !ction 2heets

2ecurity !ccess &ontrol 2ystem

2ecurity &losed &ircuit Television 8&&TF9 2ystem

Hospital and campus oor plans$ maps$ and blueprints

Televisionradiointernet to monitor news

Telephonecell phonesatellite phoneinternetamateur radio7Eway radio for communication

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Hospital Incident anagement Team !ctivation: Hostage or BarricadeIncident

#osition Immedi

ate

Intermedi

ate

+/ten

ded

Recover&

Incident "ommander 'ublic Information ,0cer -iaison ,0cer 2afety ,0cer

Operations Section "hie$ edical &are Branch 1irector 2ecurity Branch 1irector -aw #nforcement Interface "nit

-eader

'atient Damily !ssistanceBranch 1ir.

#!annin, Section "hie$ Resources "nit -eader 2ituation "nit -eader 1ocumentation "nit -eader 1emobili6ation "nit -eader

%o,istics Section "hie$ 2upport Branch 1irector

-inance dministration

Section "hie$

Time "nit -eader 'rocurement "nit -eader &ompensation&laims "nit

-eader

&ost "nit -eader
