Healthcare Settings
A selection of references, training, and videos have been compiled below to assist personnel in healthcare environments with understanding how to prevent, prepare for, and respond to an active assailant incident. Those affiliated with healthcare settings are encouraged to utilize these resources for educational, informational, and planning purposes.
General Preparedness
R3 Report (Requirement, Rationale, Reference)
R3 Report | The Joint Commission
The R3 Report provides the rationale and references that The Joint Commission employs in the development of new requirements for workplace violence prevention standards
ASPR TRACIE – Mass Violence
https://asprtracie.hhs.gov/mass-violence
The United States Department of Health and Human Services Administration for Strategic Preparedness and Response’s Technical Resources, Assistance Center, and Information Exchange-developed resources can help our stakeholders prepare for, respond to, and help their communities recover from mass violence events. The page includes Mass Violence/Active Shooter Incident Tip Sheets and additional mass violence resources.
Joint Commission – Workplace Violence Prevention Resources
https://www.jointcommission.org/resources/patient-safety-topics/workplace-violence-prevention
This website provides a number of valuable sources of information from the Joint Commission enterprise and other organizations related to the topic of workplace violence in healthcare. The page includes resources from The Joint Commission, Federal Resources, State Resources, Professional Associations, and Other Resources.
Topic Collection: Active Shooter and Explosives
https://asprtracie.hhs.gov/technical-resources/30/active-shooter-and-explosives/0
ASPR TRACIE updated this Topic Collection in October 2021 to include recently released resources on lessons learned from actual incidents, guidance documents, research, and links to curriculum. These resources can help emergency medical professionals plan for and respond to the changing nature of mass shootings or explosive incidents.
OSHA Workplace Violence Guidelines for Healthcare and Social Services
https://www.osha.gov/sites/default/files/publications/osha3148.pdf
This guidance document provides an overview of workers’ rights under OSHA for healthcare workers, including inpatient and outpatient settings, and social services workers assisting with patients.
Planning Guidance & Best Practices
Mass Casualty Incident Response Toolkit
https://www.gnyha.org/wp-content/uploads/2019/04/MCI_Toolkit_digital.pdf
The Greater New York Hospital Association create guidance for hospitals to help them prepare and train for mass casualty incidents. This toolkit details emerging best practices from intentional attacks that occurred in the United States and internationally. The toolkit includes suggested preparedness and response actions for the many clinical and non-clinical departments that would be involved in an MCI response.
Active Shooter Planning and Response: Learn How to Survive a Shooting Event in a Healthcare Setting
Active shooter planning and response in a healthcare setting — FBI
Developed by the Healthcare & Public Health Sector Coordinating Council, this is an in-depth look at the four (4) phases of emergency management: mitigation, preparedness, response, and recovery. This document offers step-by-step guidance to assist healthcare facilities in active shooter planning and response.
Incorporating Shooter Incident Planning into Health Care Facility Emergency Operations Plans
http://www.phe.gov/preparedness/planning/Documents/active-shooter-planning-eop2014.pdf
This document is primarily designed to encourage facilities to consider how to better prepare for an active shooter incident. Though hospitals and many other Health Care Facilities (HCFs) have emergency operations plans (EOPs), this document provides emergency planners, disaster committees, executive leadership, and others involved in emergency operations planning with detailed discussions of unique issues faced in an HCF.
The Active Shooter in a Healthcare Facility
https://files.asprtracie.hhs.gov/documents/25-active-shooter-template-2014-508.pdf
This template for response procedures was created by the DC Emergency Healthcare Coalition and is intended as guidance for healthcare facilities to consider in emergency preparedness. The first section of this document presents several preparedness considerations that the organization may wish to include when developing and implementing its plans. The second, lengthier section provides a template structure for documenting response procedures.
Incorporating Active Shooter Incident Planning Into Health Care Facility Emergency Operations Plans
https://www.phe.gov/Preparedness/planning/Documents/active-shooter-planning-eop2014.pdf
This document is primarily designed to encourage facilities to consider how to better prepare for an active shooter incident. Though hospitals and many other HCFs have emergency operations plans (EOPs), this document provides emergency planners, disaster committees, executive leadership, and others involved in emergency operations planning with detailed discussions of unique issues faced in an HCF. This document also includes discussions on related topics, including information sharing, psychological first aid (PFA), and law enforcement/security.
Training & Exercises
FEMA Center for Domestic Preparedness – Training Resources
https://cdp.dhs.gov/
The FEMA Center for Domestic Preparedness (CDP) provides in-person and web-based training courses relevant to the response and management of mass casualty incidents. The CDP has trained over 1.3 million emergency responders over the past two decades. The training calendar for both in-person and virtual instruction will be updated regularly.
Civilian Response to Active Shooter Events (CRASE) Train the Trainer
https://alerrt.org/CivilianResponse
The Civilian Response to Active Shooter Events (CRASE) course, designed and built on the Avoid, Deny, Defend (ADD) strategy developed by ALERRT in 2004, provides strategies, guidance, and a proven plan for surviving an active shooter event.
Planning for Active Shooter Incidents
https://www.calhospitalprepare.org/active-shooter
This resource from the California Hospital Association provides active shooter preparation and training for hospitals. The active shooter training within hospital settings will assist leadership and educators in establishing protocols, training strategies, community assessment of coverage, and developing a recovery response plan.
MESH Coalition Responding to an Active Shooter in a Healthcare Setting
https://vimeo.com/112455575
This training video was created for central Indiana healthcare workers on how to respond if an active shooter enters their workplace.
