IAHSS
Schedule I Substances - ANSLSD, Herion, and Methaqulone
Schedule II Substances - ANSMorphine, Fentanyl, cocaine, methadone, and meperidine
(Demerol)
Schedule III Substances - ANSAnabolic Steroids, Codeine, combinations with Hydrocodone, or
Oxycodone (the pain medications OxyContin, Percodan, Vicodin, and Percocet, Tussionex
Suspension cough syrup, and paregoric.
Schedule IV Substances - ANSDarvon, Valium, Xanax, and Phenobarbital.
Schedule V Substances - ANSCough medications with codeine, and diarrhea medications,
combining diphenoxylate and atropine.
Fire Triangle - ANSFuel, Heat, Oxygen
Seven Signs of Terrorism - ANS1. Surveillance 2. Suspicious questioning, 3. Test of Security, 4.
Acquiring supplies and assets, 5. Suspicious people or activity, 6. Dry runs, 7. Deploying assets
and getting into positions.
Bomb Threat Plan: Basic Steps - ANS1. Take preventive measures, 2. Establish authority-via
Incident Command, 3. Gather as much information as possible as the threat is received, 4.
Search for the Bomb, 5. Evacuate, as appropriate, 6. Terminate response, 7. Document and
debrief.
Three main security preventive measures to deter those who would bring a bomb to your facility
- ANS1. Control access by locking sensitive areas (e.g. computer rooms, air handlers, boiler
rooms, telecommunication areas, and loading docks. 2. Use deterrents such as lighting, fences,
cameras, and detection devices. 3. Identify suspicious individuals and their behaviors.
Communication Do's and Don'ts during a bomb search - ANS1. Do use the existing telephone
system or 2. runners, but not with cell phones or two way radios. Don't use Cell phones or two
way radios because they can detonate the bomb.
Questions on the Telephone Bomb Threat Checklist - ANS1. When is the bomb going to
explode? 2. Where is the bomb? 3. What does it look like? 4. What kind of bomb is it? 5. What
will cause it to explode? 6. Why was the bomb placed? 7. Where are you calling from? 8. What
is your name? 9. What is your address? 10. Why are you calling me? 11. Why would you want
to hurt innocent people
,Emergency Operations Plan serves what 3 purposes - ANS1. Provides a written plan to guide
the facility's respose to the emergency. 2. Outlines the organizational structure for managing the
response. 3. Outlines how the organization will deal with 6 critical areas identified by the Joint
Commission.
Emergency Plan's 6 critical areas. - ANS1. Communications 2. Resources and assets 3.
security and safety 4. staff 5. Utilities 6. Patient Care
The Joint Commission requirements on exercises to the emergency plan - ANS1. At least 2
exercises must be completed a year. 2. One exercise per year must provide for an influx of
simulated patients. 3. One excercise per year must be participation in a community-wide
exercise. 4. One exercise per year must be an escalating event in which the community is not
able to support the healthcare facility. 5. An actual emergency response may be substitued for
an exercise.
Common Causes and Effects of Civil Disturbances - ANSCivil disturbance-also called civil
disorder or civil unrest-is a general term used by law enforcement to describe disturbances of a
group.
Freedom of Assembly - ANSFreedom of assembly is the individual right to come together with
other individuals to collectively express, promote, pursue, and defend common interests.
Civil Disorder - ANSCivil Disorder is a public disturbance by three or more people involving acts
of violence that cause immediate danger, damage, or injury to others or their property.
Security's Role during Civil Disturbance - ANS1. To protect the perimeter of the facility. 2. To
ensure clear access for emergency vehicles, employees, patients, visitors , and deliveries.
Response Plan - ANSNeeded to effectively manage and minimize the potential for negative
outcomes and developing the framework needed to respond to a civil disturbance.
Key Assumptions to Address in the Written Response Plan - ANS1. Disturbances will adversely
effect facility operations. 2. Access to the facility will affected: patients and employees will have
difficulty reaching the facility; delivery of supplies will be difficult. 3. Response by the police and
fire to the facility may be delayed and will likely be under-resourced at first. 4. Availability or
adequate staffing may be affected. 5. Facility-wide lockdown with restricted access will be
implemented. 6. Media will be present and may need to be controlled and managed in a
separate location. 7. Planning and coordination will be an ongoing activity based on the
changing nature of the incident. 8. Coordination with local agencies will occur, including law
enforcement and public safety agencies.
Security Management Plan - ANSThis plan typically outlines the hospital's response to civil
disturbances and references the full response plan within the Emergency Operation Plan (EOP)
, Strategies to Reduce Risk - ANS1. Access Control, 2. Presenting Identification, 3. Inspections,
4. Protecting Security-Sensitive Areas. 5. Adequate Security Staffing.
OSHA's strategies to prevent workplace violence - ANSPolicy; Commitment; Patient History;
Training; Employee Participation; Reporting; Alert System; Plan; Law enforcement Participation;
Protection; Counseling; Legal Actions.
Risk Identifying for workplace violence - ANSParticular departments; Activities; Workstations;
and Time of Day
Measurable Indicators for workplace violence - ANSPrior Incidents; Employee Surveys;
Independent Reviewers.
Facilitating De-escalation in regards to workplace violence - ANSListening, empathy, and
collaboration.
Some Facts on WPV's - ANSWorkplace violence affects an estimated 1.7 million US employees
directly and millions more indirectly each year.
Forty eight percent of all non-fatal assaults and violent acts in US workplaces occur in
healthcare settings.
The overall injury rate for nursing or personal care workers is 25 per 10,000 full time employees.
This rate is much higher than that of all private-sector injuries, which is only 2 per 10,000 full
time employees.
Forty-three percent of healthcare establishments report having employees affected by
workplace violence.
Preventing Workplace Violence - ANSPolicy, Commitment, Patient History, Training, Employee
Participation, Reporting, Alert System, Plan, Law Enforcement, Protection, Counseling, Legal
Actions.
WPV Measurable Indicators - ANSPrior Incidents, Employee Surveys, and Independent
Reviewers.
WPV program has two key goals - ANS1. Communicate the philosophy of the origination in
dealing with workplace violence
2. Prepare healthcare workers to respond safely.
Who should receive WPV training - ANSAll staff should receive basic training on wpv prevention
and procedures to follow when a WPV has occurred.
Benefits of WPV Prevention Program - ANSMore serious forms of violence will be less likely to
occur