IAHSS EXAM 2023 COMPLETED!!
Schedule I Substances
LSD, Herion, and Methaqulone
Schedule II Substances
Morphine, Fentanyl, cocaine, methadone, and meperidine (Demerol)
Schedule III Substances
Anabolic Steroids, Codeine, combinations with Hydrocodone, or Oxycodone (the pain medications OxyCon...
IAHSS EXAM 2023 COMPLETED!!
Schedule I Substances
LSD, Herion, and Methaqulone
Schedule II Substances
Morphine, Fentanyl, cocaine, methadone, and meperidine (Demerol)
Schedule III Substances
Anabolic Steroids, Codeine, combinations with Hydrocodone, or Oxycodone (the pain
medications OxyContin, Percodan, Vicodin, and Percocet, Tussionex Suspension
cough syrup, and paregoric.
Schedule IV Substances
Darvon, Valium, Xanax, and Phenobarbital.
Schedule V Substances
Cough medications with codeine, and diarrhea medications, combining diphenoxylate
and atropine.
Fire Triangle
Fuel, Heat, Oxygen
Seven Signs of Terrorism
1. 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
1. 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
1. 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
1. 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
1. 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
1. 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.
,1. 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
1. 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
Civil 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
Freedom of assembly is the individual right to come together with other individuals to
collectively express, promote, pursue, and defend common interests.
Civil Disorder
Civil 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
1. To protect the perimeter of the facility. 2. To ensure clear access for emergency
vehicles, employees, patients, visitors , and deliveries.
Response Plan
Needed 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
1. 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
This 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
1. Access Control, 2. Presenting Identification, 3. Inspections, 4. Protecting Security-
Sensitive Areas. 5. Adequate Security Staffing.
OSHA's strategies to prevent workplace violence
Policy; Commitment; Patient History; Training; Employee Participation; Reporting; Alert
System; Plan; Law enforcement Participation; Protection; Counseling; Legal Actions.
Risk Identifying for workplace violence
Particular departments; Activities; Workstations; and Time of Day
Measurable Indicators for workplace violence
Prior Incidents; Employee Surveys; Independent Reviewers.
, Facilitating De-escalation in regards to workplace violence
Listening, empathy, and collaboration.
Some Facts on WPV's
Workplace 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
Policy, Commitment, Patient History, Training, Employee Participation, Reporting, Alert
System, Plan, Law Enforcement, Protection, Counseling, Legal Actions.
WPV Measurable Indicators
Prior Incidents, Employee Surveys, and Independent Reviewers.
WPV program has two key goals
1. Communicate the philosophy of the origination in dealing with workplace violence
2. Prepare healthcare workers to respond safely.
Who should receive WPV training
All staff should receive basic training on wpv prevention and procedures to follow when
a WPV has occurred.
Benefits of WPV Prevention Program
More serious forms of violence will be less likely to occur
Expensive and embarrassing incidents may be avoided
A safer and more motivated workforce will emerge.
Hostage Situations
Hostage situations occur when one or more people are held against their will, with
release contingent upon certain demands being satisfied.
Two main hostage situations
1. Pre-meditated, 2. Reactionary.
Pre-meditated hostage situation
An individual or group develops and implements a specific plan. They wish to use
hostages to promote a cause or elicit another response result, such as to obtain money
or some degree of notoriety.
Reactionary hostage situation
Reactionary hostage situations are generally not engineered with great detail. Rather,
they are a response of desperation. A reactionary hostage situation can occur in
response to an unsuccessful crime attempt. The hostage taker believes that taking a
hostage will ultimately result in a more favorable outcome.
High risk Areas for hostage taking
Obstetrics, Emergency Department, Pharmacy, and Administration.
Felonies
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