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Security Procedures Manual Albany Health Campus

Date of Last Review: July 2017 Date Next Review: July 2019

Effective: 19 July 2017

WACHS GREAT SOUTHERN Albany Health Campus

Security Procedures Manual

Section One ..................................................................................... 1

1.1 Introduction ...................................................................................... 1

1.1.1 Mission ............................................................................................................. 1

1.1.2 Security Role .................................................................................................... 1

1.2 Functions .......................................................................................... 1

1.3 Standards .......................................................................................... 1

1.4 Structure ........................................................................................... 1

1.5 Security Policies and Procedures ................................................... 1

1.6 Objectives ......................................................................................... 2

1.7 Area of Responsibility ...................................................................... 2

1.8 Seniority ............................................................................................ 2

1.9 Dress ................................................................................................. 2

1.10 Jewellery ........................................................................................ 2

1.11 Smoking ......................................................................................... 3

1.12 Leave .............................................................................................. 3

1.12.1 Reporting Sick............................................................................................... 3

1.12.2 Leave of Absence ......................................................................................... 3

1.13 Confidentiality ................................................................................ 3

1.14 Media Enquiries ............................................................................. 4

1.15 Security Office – Standard Operating Procedure (Day Shift) ..... 4

1.16 Security Office – Standard Operating Procedure (Afternoon Shift) 5

Section Two - Standard Operating Procedures (SOP’s) ............. 6

2.1 KPIs (Key Performance Indicators) ................................................. 6

2.2 Reports (Incident / Occurrence) ...................................................... 6

2.3 Security Breaches ............................................................................ 6

2.4 Reports (Theft) .................................................................................. 6

2.5 Thefts Committed by Staff ............................................................... 6

2.6 Threats Committed by Non Staff ..................................................... 7

2.7 Reports (Lost Property) ................................................................... 7

Security Procedures Manual - Albany Health Campus

Date of Last Review: July 2017 Date Next Review: July 2019

2.8 AHC – Disposal of Property ............................................................. 8

2.9 Disturbances – Agitated Patients/Clients/Visitors ......................... 9

2.10 Urgent Calls for Assistance .......................................................... 9

2.11 Incidents to Security Staff Involving Blood and Body Fluids ..... 9

2.12 Surveillance Camera System (CCTV) ....................................... 10

2.13 Procedure for the Release of Security Camera Vision. ............. 10

2.14 Code Red (Fire) ............................................................................ 10

2.15 Code Black/Duress ...................................................................... 11

2.16 Use of Mechanical Restraints (Handcuffs) & Oleoresin Capsicum Foam (OCF) ........................................................................... 12

Section Three - Patients ............................................................... 14

3.1 Missing Patients / Persons ............................................................ 14

3.2 Interviewing Patients ...................................................................... 15

3.3 Interviewing Patients - (Security Presence IMH) .......................... 15

3.4 Prisoners as Patients ..................................................................... 15

3.5 Patients Property (Weapons) ......................................................... 15

3.6 Patients Property (Suspected illegal Substances) ....................... 16

3.7 Searching Of Patients / Patients Belongings & Property ............ 16

3.7.1 Procedure - (Patient’s Person) ....................................................................... 17

3.7.2 Procedure - (Person’s Belongings) ................................................................ 17

3.7.3 Return of Property .......................................................................................... 17

Section Four - Legal Matters ....................................................... 18

Date of Last Review: July 2017 Page 1 of 22 Date Next Review: July 2019

Effective: < Insert Date >

WACHS GREAT SOUTHERN Albany Health Campus

Section One

1.1 Introduction

1.1.1 Mission To provide high quality Security Service through the effective and efficient use of available resources and to create a secure working environment for all staff and visitors within the site.

1.1.2 Security Role Security Officers form an essential component of the overall security service provided at Albany Health Campus (AHC). AHC Security Department’s primary role is to provide an effective and efficient Security Service to meet the needs of all health care providers. Users of the campus are entitled to an optimum service delivered by people who continually strive to improve that service, whilst interacting with all persons on the campus site.

1.2 Functions The functions of the Security Department are to: provide a safe and secure environment for staff, patients and visitors at the

campus prevent crime and protect all property belonging to all tenants of the campus control the registration and movement of vehicles around the campus when

necessary contribute to campus wide safety through the delivery of education. For

example: fire, evacuation and fire warden training.

1.3 Standards At all times Security Officers are to conduct them-selves in a professional

and ethical manner. Adheres to WA Health MP 0031/16 Code of Conduct and Security Officers

Code of Conduct.

1.4 Structure The Security Section forms part of the Operations Department. Security Officers report to the Operations Manager who reports to the Regional Director.

1.5 Security Policies and Procedures These policies and procedures set out the processes to be followed in a variety of situations in which Security Officers are to be involved. It is not possible to provide a policy to cover every situation that a Security Officer will face in the execution of his/her duties on a daily basis, and there will also be some areas not covered. In such instances the Security Officer is to seek guidance from the appropriate staff. WACHS Key Control Procedure WACHS Access Control Procedure WACHS Staff Identification Procedure WACHS Video Surveillance Policy

http://www.health.wa.gov.au/circularsnew/circular.cfm?Circ_ID=13337

https://healthpoint.hdwa.health.wa.gov.au/policies/_layouts/DocIdRedir.aspx?ID=TS4KSNFPVEZQ-89-1527






1.6 Objectives The objectives of the Security Department are to: provide an effective protection service for patients and visitors along with a

safe working environment for staff within AHC prevent the theft of property belonging to AHC and its associated tenants prevent the theft of property belonging to patients, staff and visitors provide an appropriate and immediate response to all requests for

assistance liaise with Police and other law enforcement agencies maintain a comprehensive record of all incidents occurring within the AHC

environs provide monthly up-dates on security trends to the security committee advise the Operations Manager, or the Nurse Manager out of hours, of any

serious incidents immediately assist in the management of security issues that arise in the event of any

external disaster, bomb threat, or fire emergency.

1.7 Area of Responsibility Security Officers responsibility is only within the confines of AHC and boundaries. Any incidents observed off site are to be reported to the Police. Security Officers are not to become involved with police matters off site.

1.8 Seniority All security officers are deemed to be equal in seniority and as such have no direct role over other officers. The scope of the role is to be subject to officer’s confidence and previous experience. It is expected that security officers liaise and consult with the Nurse Manager.

1.9 Dress All security officers are required to wear the standard issued uniform whilst on duty. As the security department is often the first contact the public may have with the campus it is imperative a good impression is projected, therefore uniforms are to be kept neat and tidy. Black shoes or boots are to be worn with the uniform. There may be times where the wearing of the issued uniform is not practical and a variation may be required, this will be at the direction of the Operations Manager. All Security Officers are to report for duty in an appropriate and professional manner. Due to Occupational Health and Safety it is a requirement that Security Officers will wear hi-viz vests when conducting duties in the open. This especially relates to hours after sunset.

1.10 Jewellery Duty of care requires that Security Officers are not permitted to wear rings

that have obvious protuberances likely to cause injury. Wedding bands are acceptable.

Ear rings are not permitted. Neck chains or bracelets are not to be worn whilst on duty. A watch may be worn as it is considered an essential part of the Security

Officers equipment.



1.11 Smoking Albany Health Campus is a smoke free environment. Security Officers may smoke on their allotted breaks however this may only be conducted outside the boundary of the campus.

1.12 Leave Security Officers are to ensure that gaps do not occur in the security roster due to two or more Security Officer’s taking leave at the same time. As the Security Department is small within Albany Health Campus Security Officers are to, to the best of their ability, liaise as a team to co-ordinate their leave so as to cause least disruption to security coverage and to the safety and protection of staff, patients and visitors to Albany Health Campus. Any leave of an urgent nature, that coincides with another Security Officer’s leave is to be authorised through the Operations Manager.

1.12.1 Reporting Sick Security Officers who are reporting sick are to advise the Duty Security Officer as soon as possible so that all relevant stakeholders can be advised there may be a period of no security coverage.

1.12.2 Leave of Absence Due to unusual or exceptional circumstances a Security Officer may have cause to request leave during a shift period. In these situations a request to the Operations Manager should be made for emergency leave. Out of normal office hours a request is to be made to the Nurse Manager. These situations may be defined as the Security Officer: is required to take urgent leave due to a family crisis, or suffers an injury in the workplace or becomes ill whilst on duty and is

incapable of continuing the shift. The Operations Managers Personal Assistant is to be advised of any shift changes or alterations to a Security Officer’s normal duty for the purpose of adjusting the roster in the RoStar database.

1.13 Confidentiality Members of the security team have a legal and moral obligation to respect and protect the confidentiality of all information, including patient’s information, situations within the Albany Health Campus and internal operations of the security department. It is the security officer’s responsibility to maintain absolute confidentiality at all times. Any failure by a security officer to adhere to the above will result in disciplinary action being taken against them.



1.14 Media Enquiries Under No circumstances are security officers to make any statements to the Media on matters pertaining to Security Operations, the Health Campus or individual persons. Enquiries are to be directed to the Operations Manager in the first instance or, if the enquiry is out of normal working hours it is to be directed to the Nurse Manager.

1.15 Security Office – Standard Operating Procedure (Day Shift)

Daily Routine – 06:00 – 17:00 (normal shift period 11 hours) 06:00 – 16:00 (short shift)

Whilst it is not intended for security officers to form any set routine in their daily activities it is necessary for each individual to carry out external perimeter and internal rounds and provide a high profile security presence during their period of duty. The following is indicative of, but not restricted to, the duties a security officer is expected to cover during his/her shift. (As only one officer is rostered on at any one time, except for overlap periods, tasks are to be adjusted to suit the situation. The duty security officer is to be flexible in his/her prioritising of tasks). This procedure does not override the Security Officer Job Description Form (JDF) but is to be viewed as an adjunct to that document. 06:00 hours Commence Duty – bring computer and camera screens on-line. Check communications log and security diary for any incidents or directives from

previous shift. Contact Nurse Manager (NM) to advise him/her that the shift has commenced

and establish if any incidents have occurred that require security attention. Contact duty orderly and establish if any incidents have occurred during the

night shift that would require security attention. Visit the Emergency Department (ED), High Dependency Unit (HDU) and

Inpatient Mental Health Unit (IMHU) and establish that all areas are secure. Check the return tag box at main reception for any returned security cards. Any

returned cards are to be signed off in accordance with security office SOP’s. High profile internal and external patrols are to be conducted by Security

Officers throughout the shift period. Security Officers are to pay particular attention to car parks and the main

entrance of the campus. Carry out any tasks as directed by either the Operations Manager (OM) or duty

Nurse Manager. Physically respond to all code black/duress alarms. Carry out any general security tasks as may arise from time to time. Ensure all incidents/tasks/investigations are logged in the Security Diary and

any immediate notices, incomplete tasks or any other matter likely to affect the on-coming shift are noted in the communications log.

17:00 hours (16:00 hours - short shift) – End shift.



1.16 Security Office – Standard Operating Procedure (Afternoon Shift) Afternoon Routine – 15:00 – 02:00 (normal shift period 11 hours) 14:00 – 24:00 (short shift period 10 hours)

As with the day shift, security officers are not to set any predictable routine regarding their duties however, it is expected that certain tasks are to be carried out during the shift period. A high profile security presence, coupled with physical security checks of campus assets, is to be carried out throughout the shift period.

As with the Day Shift the following procedures are indicative of, but not restricted to the duties a Security Officer (SO) is expected to complete during his/her duty period.

This procedure does not override the Security Officer Job Description Format (JDF) but is to be viewed as an adjunct to that document 14:00 hours / 15:00 hours (Two (2) hour overlap period) - Commence duty. Liaise with Day Shift Security Officer – ensure hand over is received and any

relevant information regarding incidents or potential situations that may require further attention or action by the afternoon shift is understood and carried out.

Security Officers are not to form any pattern or predictable route when conducting rounds of external or internal areas of the campus.

Upon close of business (Administration Day) a complete external security patrol is to be conducted by the Afternoon shift SO. Whilst it is preferable to conduct this set of rounds during daylight hours it may not always be practicable due to other pending tasks, however, the first external patrol is to include all engineering buildings and vehicles along with fire exit doors, Blood Bank and Population Health buildings.

High profile internal rounds are to be conducted randomly during the shift period paying particular attention to the Emergency Department and Mental Health Unit. All other areas and wards are to be visited during this time.

Physically respond to all code black/duress alarms. Physically respond to all fire alarms. Work in conjunction with the Nurse Manager and carry out any tasks that he/she

may direct from time to time. Carry out any general security tasks that may arise in a timely manner. Ensure all incidents/tasks/investigations are logged in the Security Diary and

any Security Incident Reports are completed. Any incomplete tasks or incidents likely to impact the on-coming shift are to be noted in the Communications Log.

As the security office is not cleaned by hotel services cleanliness is to be maintained by the security staff. Whilst a high standard of cleanliness is to be maintained at all times the duty SO is to ensure the office is cleaned thoroughly on the last shift of their cycle.

02:00 hours (24:00 hours short shift) – End shift.



Section Two - Standard Operating Procedures (SOP’s)

2.1 KPIs (Key Performance Indicators) Security officers are to submit monthly security profiles to the AHC Emergency and Security meetings

Profiles to include monthly audits: Duress. Code Blacks. Presence Required. Physical Restraints. Injury to Staff and Third Parties. Thefts Damage to Property. Complaints and Complements.

2.2 Reports (Incident / Occurrence) All reports generated from the Security Office are to be considered confidential and as such are not to be communicated to any unauthorised person. In addition to maintaining the Security Diary, security officers are required to submit details of any incidents or occurrences that are considered of specific importance. These reports are to be completed prior to the end of the security officer’s shift. In all incidents requiring a report two (2) copies are to be generated. One (1) copy is to be kept on file and the other is to be forwarded to the OSH Manager for incorporation of security statistics. Any incidents of a serious nature are to be reported to the Operations Manager as soon as practicable followed by a full written report. In the event of a situation arising out of hours the Nurse Manager is to be advised of the situation. Reports are to contain factual, clear and concise details of the event. Security Officers are not to offer opinions regarding such events unless specifically requested by management. Under no circumstances is any information resulting from an investigation or occurrence to be divulged to a member of the media or any other unauthorised person.

2.3 Security Breaches An entry is to be made in the running diary detailing the breach i.e. date, time, place etc. A Security Breach Report Form is to be forwarded to the person in charge of the area/department involved. Repeated breaches are to be brought to the attention of the Operations Manager.

2.4 Reports (Theft) Any theft of WA Health property is to be reported immediately to the Operations Manager, or out of hours, the Nurse Manager, and a full investigation commenced. Depending upon the severity of the incident the Police may need to be involved. Security is to cooperate fully with the Police in this instance.

2.5 Thefts Committed by Staff Where a staff member is apprehended stealing hospital property, the matter is to be dealt with in accordance with standard award disciplinary procedures. Circumstances of unauthorised removal of hospital property suggest that an offence might have been committed, under the criminal code the matter is to be referred to the Operations Manager for possible referral to the Police.



2.6 Threats Committed by Non Staff If a Security Officer apprehends a member of the public stealing within the hospital ground or buildings the matter is to be reported to the Police, at the Security Officers discretion, and the Operations Manager advised as soon as possible. Out of normal hours the Nurse Manager is to be informed and a full report is to be submitted as soon as practicable. Loss of personal property is to initially be investigated by the security officer. It is the responsibility of the individual to notify the Police if necessary. Upon receipt of a complaint of theft the security officer is to interview the person who suffered the loss as soon as possible. A detailed report is to be produced and the following information obtained: Full name and address of the complainant. Work area. Times and date/s of offence. Detailed description of the property. Estimated value of the property. A detailed description of any suspects. Name, address & telephone numbers of any witnesses.

If the Police become involved the following is to also be obtained: Name and personal number of the Attending Police Officer The Police Officers station locality. Offence report number. Any details of enquiries carried out in relation to the report by either Security

or Police. Security is to advise the complainant of any results that come from the investigation.

2.7 Reports (Lost Property) Upon receiving a report of lost property the Security Officer is to attend and interview the person making the complaint. The following information is to be obtained and entered into the report. The owner of the item. Estimated age of the item. Estimated value. A detailed description. When and where it was last seen. Whether the item is covered by insurance.

Security Officers are not, under any circumstances, to advise the person making the complaint of lost property that Albany Health Campus will or will not reimburse the cost of the item/s. Any enquiries regarding compensation for the loss, theft or damage to property is to be directed to the Operations Manager in the first instance. Due to limited storage facilities available to Security Staff only property with a monetary value attached is to be collected e.g. watches, jewellery etc. All items are to be recorded in the property register and be assigned a number this may then be used in any future dealings with a claimant. If a security officer becomes aware that an item has been stolen a full investigation is to be conducted to ascertain the circumstances of the theft. The Operations manager is to be kept fully informed of any such investigation.



If cash is involved the security officer is to count the cash in front of the person handing it in, document the total cash on hand, seal it inside an envelope and have the person countersign the documentation confirming the cash amount is correct. Any property handed to security is to be documented as fully as possible keeping in mind the following. Name and address of person handing in the item. Telephone details of person. Time and date handed in. Location where item was found.

Every effort should be made to locate the owner of the property. If the owner is found and proof of ownership is established the property is to be released to the owner. The following information is to be recorded in the property register upon release of any item. Name of person receiving the property. Address of the person receiving the property. Persons contact details e.g. mobile/home phone numbers, home address

etc. Date item/s released to owner.

When describing items of jewellery, security officers are not to state the item is ‘gold’, ‘silver’ or diamonds etc., but is to be described as follows. Gold - Yellow Metal Silver - White Metal Diamonds - Clear Stones.

All property is to be kept for a minimum of three (3) months. On the completion of the mandatory time line the property is to be disposed of as per Albany Health Campus Disposal of Property procedure.

2.8 AHC – Disposal of Property All property handed into Security is to be fully documented in the lost property book and then stored in the safe. Every effort is to be made to locate the owner/s of the property prior to its disposal. Only property with a monetary value is to be accepted by security i.e. watches, rings, jewellery etc. All lost property is to be retained by Security for a period of not less than three (3) months. The following procedure is to be adopted regarding the disposal of any property from AHC. A notice of intention to dispose of lost property is to be lodged with the local newspaper advising the public of the intention of AHC to dispose of the property. This is to include an end date for retrieval of items. The same notice is to be displayed in prominent positions around the campus. The Police are to be notified of the intention to dispose of lost property for cross reference purposes with their lost property register. Upon reaching the end date the property is to be disposed of. Any proceeds from the sale of the property are to be deposited in Great Southern Bequests and Donations account. Security Officers are not to claim any item that has been handed in, regardless if he/she is the finder.



Suggested entry for local newspaper regarding Lost Property.

Lost Property Albany Health Campus Security advises that a number of items have been handed into the security office. If you wish to claim an item you consider was lost while you were on hospital property please contact a member of the Security Team at the hospital. You must be able to present a full description of the item you lost and, provided this was handed into the security office, this can be returned to you. Contact – Security Office, Albany Health Campus, on (08) 98928287. Items unclaimed after - ……………………………. Will be disposed of.

2.9 Disturbances – Agitated Patients/Clients/Visitors On receiving a complaint of a disturbance, security is to respond to the call as quickly as possible and approach with caution. They are to assess the situation and if possible deal with the person concerned. Security may at their own discretion call upon other staff or call the Police if considered necessary. Security Officers are to, when dealing with disorderly and or violent persons, ensure their own safety and the safety of persons in the vicinity is not jeopardised. Details of the incident are to be fully documented in a security report and a copy forwarded to the Operations Manager and OSH. One (1) is to be kept on file. A violent disturbance is when a person uses either verbal or physical violence towards someone. Any incident which necessitates security physically touching someone is to be classified as a violent disturbance.

2.10 Urgent Calls for Assistance

Any calls for assistance are to be considered high priority and actioned accordingly. The Security Officers personal safety is to be considered paramount when dealing with any situation. If the Security Officer has any doubt or reason for concern regarding a situation he is to call for backup in the first instance.

2.11 Incidents to Security Staff Involving Blood and Body Fluids Needle stick /Cuts/Abrasions or any other injuries where broken skin is evident. As soon as possible the following procedure is to be adopted: If the incident involves any of the above, gently wash the area with soap and

water. If there has been contamination of pre-existing cuts or abrasions, gently

wash the area with soap and water. If eye or mucous membrane contamination occurs gently wash the area with

copious amounts of water. Report to the ED to receive medical attention, involve infection control at the

earliest possible convenience. Complete an Accident/Incident risk form as well as workers compensation

form and ensure that the completed forms are forwarded to the Operations Manager for action.



2.12 Surveillance Camera System (CCTV) 2.12.2 Introduction

a) Security Staff are to be fully aware of all Federal, State or Health Department Regulations relating to the use of the video surveillance systems used within AHC. Copies are available in the Security Office.

b) Security Staff are also to be aware of the procedures in place for the release of vision from the security camera system.

2.12.3 General a) The use of the Security Camera System (SCS) for personal gain or

entertainment is strictly prohibited. Section 5.4 of the National Code of practice states, “Such actions contravene the law and the operator may be liable for prosecution”.

b) The SCS employed at AHC is only one tool the Security Officers (SO’s) have to assist them in their daily tasks. SO’s are to be proactive in their role.

c) Any information or processes relating to the use of, or retrieval of vision from the SCS is strictly confidential. Any breaches may result in disciplinary action being taken against the individual.

d) Only authorised SO’s are to view the cameras on the SCS during the course of their duty. The SCS is to be minimised or “blued out” prior to any unauthorised person being allowed entry to the security office. This also applies if the SO is required to leave the security office in a one-up situation.

e) Security imagery may only be released upon request using the specified form. All forms are to be filed and retained for a period of no less than twelve (12) months, after this time the forms are to be archived for a further period of no less than a twelve (12) months.

2.13 Procedure for the Release of Security Camera Vision. 1. Requester to fill out ‘Request to view/obtain Security Camera Footage’ Form,

(SO1). This form is to be filled out legibly and signed by the requester, all fields to be completed.

2. The form is then to be approved or declined by the Operations Manager or, out of hours, by the Nurse Manager.

3. Vision requested may only then be viewed by the requester. 4. The SO1 is to be filed in the security office for audit. Should it be required a

copy of the SO1 may be attached to any incident report or Investigation pertaining to the request.

2.14 Code Red (Fire) Security Officers (SO’s) are to assume the role of Deputy Chief Fire Warden during a fire situation. They are to assist the Chief Fire Warden (CFW) in the Fire Control Room and if necessary assume control in the event the CFW is unavailable. The SO is to always assume the activation of the fire alarm is a real event and to proceed accordingly.

2.14.1 Procedure On the notification of a fire, either by phone or pager, the SO is to immediately respond to the Fire Control Room (FCR) situated next to the security office. The keys for the FCR are situated in the security office.



2.14.2 Actions Open both fire control panel doors.

2.14.3 Left Control Panel Turn key to manual Press ‘Master Reset’ Press ‘Buzzer/Mute’ button

2.14.4 Right Control Panel Press ‘External Bell Isolate’ Press ‘Warning System Isolate’ Press ‘Acknowledge’ From the readout panel ascertain which zone(s) and sensor (s) have

been activated. Dispatch runner to give “eyes on ground” assessment back to FCR.

On left hand panel press ‘All PA’ wait for all PA’s to come online then read from script inside panel to inform all staff, visitors and patients of the situation. Press ‘Cancel’. (All PA’s will come off line)

If the CFW is in attendance carry out any tasks as per instructions. Wait for Fire Brigade to give the Stand Down order.

Once stand down has been ordered press ’All PA’ and advise staff, visitors and patients that the situation has been resolved and to stand down and resume normal duties.

2.15 Code Black/Duress The safety of staff, patients and visitors is a priority for security during a Code Black or Duress situation however the Security Officer (SO) is to maintain his or her own personal safety in the first instance. Security is the first responder to calls for Code Black/Duress along with the general response team. SO’s are to ensure all calls for assistance are given the highest priority. Calls for assistance are to be investigated even in a false alarm situation.

2.15.1 Procedure Upon arrival at the incident the SO is to liaise with the senior clinical person

present and assess the situation. As much information is to be obtained (without breaking patient confidentiality) regarding the patients situation e.g.: are they violent, aggressive, compliant, drug or alcohol affected etc.

The SO is to take the lead role in any restraint or take down situation in consultation with the senior clinician present.

Only enough force as is reasonable is to be applied to the person and they are to be released as soon as practicable.

SO’s are to remain in the immediate area until the situation has been stabilised / resolved. It is not the SO’s role to “baby sit” a patient.

The SO may remain in the vicinity to monitor the situation however it is the responsibility of clinical staff to maintain a watch on the patient.

A full report is to be submitted including all aspects of the SO’s role in the situation also the name of the patient / person involved and of any witnesses.



2.16 Use of Mechanical Restraints (Handcuffs) & Oleoresin Capsicum Foam (OCF) 2.16.1 Background

Albany Health Campus complies with the WA Health Operational Circular OP 1821/04 Prevention of Workplace Aggression and Violence which defines a Zero tolerance to aggressive behaviour. Medical conditions need to be considered within these parameters. Section 2.16 and 2.17 pertain to the use of Oleoresin Capsicum Foam (OCF) and Handcuffs by security officers employed at Albany Health Campus. Security Officers must have completed a recognised training course in the use of OCF and Handcuffs. These procedures do not supersede the WA Mental Health Act 2014 or any Standard Operating Procedures (SOP’s) currently in use at Albany Health Campus. All Security Officers are to be conversant with the following legal requirements in the use of OCF and Handcuffs: WA Criminal Investigations Act 2006 WA Weapons Act 1999 WA Criminal Code Act 1913

Security Officers are to be aware that the use of restraints and OCF are a last resort measure. Only when all other forms of dealing with an offender have been exhausted can security officers resort to the use of handcuffs and OCF to protect themselves, staff or visitors.

2.16.2 Oleoresin Capsicum Foam (OCF) Only Security Officers who have received accredited training may carry and use OCF for “the express purpose of defending themselves or others they may be protecting”.

OCF is never to be used as a warning. (i) The use of OCF is only to be deployed as a last resort when all other

methods of dealing with an aggressor have been exhausted, or physical restraint of the offender would pose a danger to the Security Officer, staff or other members of the public.

(ii) Security Officers need to take into account the level of force being used by the aggressor and the nature of the environment prior to deploying OCF. OCF does not atomise as with other Capsicum sprays however its use in a clinical area will require consideration before it is deployed.

(iii) Security Officers are not to initiate the use of OCF from a third party under any circumstances. The decision to use OCF is to be made solely by the Security Officer.

(iv) Any person who has been sprayed with OCF is to be treated in the Emergency Department (ED) as soon as practicable after the incident. Should this option not be available to the Security Officer within a reasonable period of time only cold water is to be used to wash the foam from the aggressors face or clothing.

http://www.health.wa.gov.au/circularsnew/circular.cfm?Circ_ID=11807

https://www.slp.wa.gov.au/legislation/statutes.nsf/main_mrtitle_13537_homepage.html

https://www.slp.wa.gov.au/legislation/statutes.nsf/law_a146588.html





(v) A comprehensive report is to be forwarded to the Operations Manager (OM), or the Duty Nurse Manager out of hours including a copy to the OM, as soon as practicable after the incident and in any case within twenty four hours of the incident occurring

(vi) A full de-brief is to be conducted by management and the Security Officer involved as soon as practicable after the event to ensure all possible information is obtained should the situation require investigation by a higher authority.

2.16.3 Mechanical Restraints (Handcuffs)

A Security Officer is not to initiate the application of handcuffs via a third party. The decision to use handcuffs will be the sole responsibility of the Security Officer who applies the restraint.

(i) The decision to initiate the use of handcuffs can only be made by Security Officers who have completed the required competency based training through a registered training organisation (RTO).

(ii) Handcuffs are to be used as a last resort after all other means of negotiation and de-escalation have been exhausted. Security Officers are to be mindful of the guidelines pertaining to the “powers of arrest” and “use of reasonable force” before initiating the use of restraints.

(iii) The Police department are to be informed as soon as practicable regarding the restraint of an offender and what offence they have committed.

(iv) Handcuffs are only to be applied to an offenders wrists either in front or the back of that person.

(v) Offenders are never to be handcuffed to a Security Officer, vehicle or fixture.

(vi) Duty of care for the offender must be maintained at all times. Where practicable to do so the person is to be placed in the seated position on the floor with consideration given to positional asphyxia.

(vii) The offender must be monitored at all times by the Security Officer until they can be handed over to Police. The wellbeing of the offender is the sole responsibility of the Security Officer in his or her custody.

(viii) The Security Officer who applies the handcuffs is responsible for completing a detailed report, including witness statements, to the Operations Manager, or Nurse Manager out of hours, as soon as practicable after the incident and in any case within twenty four hours.

References: WA Weapons Act 1999 WA Criminal Code Act 1913





Section Three - Patients Security Officers may be called upon to restrain patients or prevent patients leaving the hospital. In all cases Security Officers are to be aware of their responsibilities to themselves, to staff and the patient concerned. Security Officers are to provide assistance where it is considered there is imminent danger to themselves, staff or other persons, or that a patient may cause damage to equipment or surrounding fixtures. These actions are to only be undertaken in consultation with medical staff or if the Security Officer believes there is no other alternative. The legal power to restrain is found under Section 243 of the WA Criminal Code Act 1913, which states: “It is lawful for any person to use such force as is reasonably necessary in order to prevent a person whom he believes, on reasonable grounds, to be mentally impaired from doing violence to any person or property” Security Officers are reminded that patients are free to leave the hospital at any time unless they have been formed under Section 1 of the WA Mental Health Act 2014 Any action taken against a patient for the purpose of restraint or violent incident is to be fully noted in an Incident Report. It is also to be noted, by medical staff, in the patient’s notes. In terms of Indemnification, provision arises in the Attachment to Public Sector Commissioner’s Circular 2009-15: Guidelines relevant to Ministers and Officers involved in Legal Proceedings “in the ordinary course, government employees will on an ex gratia basis be indemnified in respect of litigation arising out of conduct in the course of their employment unless the conduct giving rise to the relevant claim is of such a nature as not to justify indemnification. As a discretionary policy backed by the State Government there is effectively no limit on the dollar amount of cover provided”.

3.1 Missing Patients / Persons Upon notification of a missing person/patient, security is to obtain as much information as possible regarding their dress, when last seen, current state of mind and whether or not they may be a danger to themselves or others. If a search is required it is to be carried out methodically taking into account the above information. Security may enlist the help of other staff in the search of the area with Security coordinating the activity. In the event of the patient not being found the initiating ward/area are to be advised of the situation. If the patient is found the patients nurse are to be requested to assist in the return of the patient to the ward. Security Officers are to keep in mind that patients, other than those under the WA Mental Health Act 2014, are free to leave the hospital at any time and security have no legal authority to forcibly return them to the hospital.



https://publicsector.wa.gov.au/document/guidelines-relevant-ministers-and-officers-involved-legal-proceedings

https://publicsector.wa.gov.au/document/guidelines-relevant-ministers-and-officers-involved-legal-proceedings





3.2 Interviewing Patients It may be necessary for Security Officers to interview patients regarding various matters from time to time. In this event the Security Officer is to liaise with the nurse coordinator or the nurse responsible for the direct care of the patient to ensure there are no circumstances that may prevent such an interview proceeding. If a female is to be interviewed by a male Security Officer a female member of staff is to be present for the duration of the interview process.

3.3 Interviewing Patients - Security Presence Inpatient Mental Health (IMH) There may be occasions where risk assessment identifies the need for security staff to be present during patient interviews. During these times the AHC Security team may be called to attend. In these instances security officers are to be mindful of the privacy and confidentiality of the patient concerned. Security is to liaise with the medical staff as to the risk involved with the patient and where the interview is to be conducted. This will ensure the security team remain at a discreet distance but are able to respond quickly. Should there be any requirement for restraint or containment it is to be in keeping with the WA Mental Health Act 2014, Emergency Psychiatric Treatment. On all occasions where security is present at an interview an Incident Report form is to be completed by the Security Officers present.

3.4 Prisoners as Patients From time to time, prisoners may present for emergency, inpatient or other services at Albany Health Campus. The Department of Corrective Services and its Custodial Officers are, at all times, legally responsible for and in control of the prisoner while the prisoner is visiting or receiving care at the health campus, with normal prison regulations applicable. The Department of Corrective Services determines the granting of all privileges. These conditions also apply to persons accessing emergency treatment while under WA police escort (under arrest) The WACHS Care of Prisoners Policy outlines policy and procedure for the handling of prisoners presenting to AHC.

3.5 Patients Property (Weapons) The following procedure is to be adopted when dealing with a situation concerning weapons. A person in possession of a weapon is not to be permitted to enter the hospital

until the weapon has been surrendered As a rule it will be the Security Officer’s responsibility to ask the person to

surrender the weapon, however, if the medical/nursing staff feel they have a rapport with the person they may request the weapon. This is to be done as quietly and inconspicuously as possible.

In the event a person refuses to hand over the weapon security are to request the person to leave the hospital or call the Police.





If the weapon is deemed prohibited or controlled under the WA Weapons Act 1999 it should be handed to Police as soon as possible. The weapon is to be secured in the Security Office until this can be achieved.

− Note: If the weapon is believed to have been used in the commission of an offence or where it is likely that it may be used at a later date in the commission of an offence the Police are to be notified.

If a person is armed and aggressive/violent, it may be necessary to clear the area. This decision will be made in consultation with medical staff, the Police are to be notified and the situation contained until their arrival.

− Note: The term ‘weapon’ will normally refer to a fire-arm or knife, however, this interpretation may be extended to any item that is being used in a threatening manner i.e. syringe, baseball bat, screwdriver etc.

3.6 Patients Property (Suspected illegal Substances) Security may be confronted with illegal substances being brought into the hospital. In these circumstances security is to search the patient’s belongings in accordance with ‘Search Procedures’. Depending on the outcome of the search it may be necessary to involve the Police. All illegal substances or suspected illegal substances resulting from a search or being handed into security are to be secured in the Security Office, logged in the property register and noted in the security log. These items are to be handed to Police as soon as possible, normal handover protocols are to apply. If Security is advised by medical staff that a patient has a suspected substance in a bed side locker they are to conduct a thorough search of the locker. If an illegal substance is found security are to ascertain if the substance belongs to the patient. The substance is to be secured in an envelope and sealed the Security Officer and a witness should both sign across the seal. It is then to be secured in the Security Office until handed to the Police. Should a Security Officer be handed a suspected illegal substance by someone other than a patient the above procedure is to be followed. Also ensure that they obtain the details of the finder and where the substance was found.

3.7 Searching Of Patients / Patients Belongings & Property (If a search is to be conducted on a mental health patient the WA Mental Health Act 2014 applies).

It may be necessary for security officers to search a person or person’s belongings during the course of their duties. In such circumstance the following procedures are to be followed. If there is reasonable concern that a patient or person entering the hospital may be in possession of items considered a danger to themselves or others, a search of that patient or belongings may be undertaken. At all times any such search is to be conducted in the least intrusive manner possible Gloves are always to be worn during a search of a person or their belongings. Cavity searches are never to be performed by security. A female is never to be searched by a male security officer. The personal

belongings of a female may be searched with a witness present. Strip searches of female or male persons are not to be conducted by security Consider the issues of gender, sexuality, religion, culture etc. during the

course of any search. All searches carried out by security are to be in the presence of a witness –

preferably a member of staff.







3.7.1 Procedure - (Patient’s Person) Use gloves. Explain why the search is being conducted. It is always preferable to conduct a search with the consent and cooperation of

the person in question, however if the patient refuses to comply with the request the assistance of Police may be required.

Always explain to the person involved the reason why the search has been requested.

Consider the persons modesty and dignity, only conduct the search in an area away from public view.

Adopt the least intrusive method for this procedure. Unnecessary touching of the person should be avoided. Ask the person if they have any items on themselves or in their belongings

that may be considered dangerous or not permitted in the hospital. Ask the person to remove any items from their pockets. (Never place your

hands in their pockets). Get the person to run their own fingers through their hair. Be methodical with a pat down, commence from their head and move down to

their feet. Always have a witness during the procedure. Should it be necessary ask the person to show you the contents of their

mouth. Reassure the person throughout the procedure. Be professional and courteous in your dealings with the person.

3.7.2 Procedure - (Person’s Belongings) Use Gloves. Explain why the search is being conducted and seek their permission to

conduct the search. Never place hands into bags, always ask the person to remove the items from

the bag/purse etc. Any items that are considered a danger are to be separated and retained by

Security. If the item is considered “controlled” it may be necessary to inform the Police regarding the outcome of the search.

3.7.3 Return of Property Any items taken from a person must be returned upon discharge with the exception of illegal items. Depending on the classification of these items it may be necessary to hand them to the Police.

A full written report is to be completed where either a voluntary or involuntary search has been conducted. When a security officer conducts a search of a mental health patient only the appropriate mental health forms are to be used for recording the search. For all other instances the general security report is to be used. Information for the report is to include but is not restricted to the following: Date, time, location of search. Who requested the search? Any outcomes from the search, including “nil result”. Name of witness. Any other information that may be of relevance.

Reference: WA Mental Health Act 2014 section 162




Section Four - Legal Matters

Whilst it is not expected that Security Officers have comprehensive knowledge of the WA Criminal Code Act 1913 it is a requirement to have an understanding of the more common ‘Acts’ that they may encounter in the course of their duties. A copy of all the relevant ‘Acts’ are located in the Security Office. All security officers are to sign the acknowledgement sheet stating they have read and understand the Acts.

These Acts include but are not restricted to the following:

Stealing – Section 371 Sub-Section 1 of the WA Criminal Code Act 1913 Assault – Sections 222 and 313 of the WA Criminal Code Act 1913 Prevention of the Commission of an Offence – Sections 243 and 251 of the WA

Criminal Code Act 1913 Prevention of Entry and Removal of Persons from Property – Section 254 of

the WA Criminal Code Act 1913 Unlawfully Remaining on Premises – WA Criminal Code Act 1913 Powers of Arrest – (Arrest without Warrant) - WA Criminal Investigations Act 2006

Contact: Security Officer (G. Briggs) and J. Arnold (Facilities Management) Directorate: Operations TRIM Record # ED-CO-17-44790

Version: 1.00 Date Published: 19 July 2017









https://www.slp.wa.gov.au/legislation/statutes.nsf/law_a146588.html

This information is available in alternative formats for a person with a disability. Copyright to this material is vested in the State of Western Australia unless otherwise indicated. Apart from any fair dealing for the purposes of private study, research, criticism or review, as permitted under the provisions of the Copyright Act 1968, no part may be reproduced or re-used for any purposes whatsoever without written permission of the State of Western Australia.

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