SURVIVING AN ACTIVE SHOOTER/ACTIVE KILLING. Slide 1 of 11

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SURVIVING AN ACTIVE SHOOTER/ACTIVE KILLING Slide 1 of 11

The purpose of this learning module is to introduce employees to an established plan of action when confronted with an armed intruder, active shooter, or active killing encounter (i.e., Active Shooter). This information is applicable to employees on the main campus and at all off-site facilities. Slide 2 of 11

FMH utilizes the A.L.I.C.E. model for responding to an active shooter situation: Alert Lockdown Inform Counter Evacuate FMH will cooperate with all law enforcement agencies in the adoption of: Recommended employee training, to include situational strategies. This applies to the main FMH campus as well as all off-site facilities. Slide 3 of 11

ALERT - Staff is authorized to announce details of a situation. Employees should speak in plain English and refrain from using special codes. Information provided should be passed between all departments and locations and should contain as many specifics as possible. Use any and all available means of communication. It is critical for the alert to be made quickly and accurately! LOCKDOWN - Employees should NOT rely on door locks, which can be defeated. Employees should create a stronghold that cannot be breached. Slide 4 of 11

INFORM - FMH Main Campus: Primary - Employees should utilize any source of technology to provide real-time information to the FMH Communications Center (PBX)/ x3344 (240-566-3344). Secondary 911 Emergency Operator. All Off Site Locations: Primary - 911 Emergency Operator. Secondary - FMH Communications Center (PBX)/ x3344 (240-566-3344). COUNTER - Employees act to counter or interrupt the shooter s ability to acquire a target. These actions might include: creating noise creating distance utilizing continuous movement creating distractions, such as throwing objects This type of active resistance might be an option for the employee, based on a situation where evacuation is not an option. Slide 5 of 11

EVACUATE Unless prohibited by position or any other policy, employees have the authority to decide if they should evacuate. In the hospital setting this decision will need to be weighed according to patient care issues. Staff in an area being evacuated need to account for all staff, patients, and visitors known to be in an area, so no one is left behind. If there is a waiting room adjacent to your area, determine if any visitors are present and evacuate them with others, or move them to an area to be barricaded based on the scenario. Slide 6 of 11

Distinguish yourselves from the Active Shooter Remain calm and follow instructions, Drop any items in your hands (including bags and jackets) Raise your hands and spread your fingers Keep hands visible at all times Avoid quick movements towards officers Avoid pointing, screaming and yelling Do not ask questions when evacuating The first responding police officers are going to go directly to the shooter s location. Employees should provide care to any injured person to the extent possible. Employees should re-evaluate whether evacuation is now possible. Slide 7 of 11

The A.L.I.C.E. concept shall be followed at all off-site facilities as well. Off-site facilities are instructed to call 911first and then call the FMH PBX switchboard at x3344 (240-566-3344). When the PBX is notified of an active shooter incident at an off-site facility, they will call 911 to confirm that law enforcement is responding to the facility and gather as much information as possible. Slide 8 of 11

All employees, both on campus and off-site, will utilize the A.L.I.C.E. concept for responding to an Active Shooter situation. When calling 911 just dial 911. It is not necessary to dial 8 or 9 to get an outside line. Information to provide to a 911 operator and PBX, if possible: Location of Active Shooter Number of shooters Physical description of shooters Number and type of weapons shooter has Number of potential victims Slide 9 of 11

It is not uncommon for people confronted with a threat to first deny the possible danger rather than respond. Staff, visitors, and patients will react and respond based on his or her own instincts. During an active shooter incident, those present will rarely have all of the information they need to make a fully-informed decision about how to respond. Although there is no perfect response, safety is the top priority. Unit based training is a vital piece of any Active Shooter Response Plan. Become familiar with the plan associated with your workplace. For More Information: 1. Safety Guidelines for Armed Subjects, Indiana University Police - 2007 2. Incorporating Active Shooter Incident Planning into Health Care Facility Emergency Operations Plans, USDHHS/ ASPR 2014 3. www.youtube.com (search on: Active Shooter in a Hospital Setting ) Slide 10 of 11

When you are ready to take the test: 1. Return to the FMH internet page where you opened this course material 2. Click the link for the test (the test will appear on screen in Adobe Reader, in PDF format) 3. Print the test, then complete it and return it to your supervisor for grading Slide 11 of 11