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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.

Active Shooter Planning and Response: Learn How to Survive a Shooting Event in a Healthcare Setting

https://www.jointcommission.org/-/media/tjc/documents/resources/workplace-violence/2017_active_shooter_planning_response_healthcare_settingpdf.pdf

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.

InfraGard – Partnership for Protection

https://www.infragard.org/

The InfraGard is a partnership between the FBI and members of the private sector. The program provides a vehicle for seamless public-private collaboration with government that expedites the timely exchange of information and promotes mutual learning opportunities relevant to the protection of critical infrastructure.

Planning for Mass Casualty Incidents: Emergency Treatment and Privacy Considerations

https://www.americanbar.org/groups/health_law/publications/aba_health_esource/2019-2020/october-2019/mass-casualty/

This document is by the American Bar Association and provides an overview of legalities that could be involved with a Mass Casualty Incident (MCI). It also includes several links to other resource sites on varying topics associated with MCIs.

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.

Mass Casualty Management Systems – Strategies and Guidelines for Building Health Sector Capacity

https://www.who.int/hac/techguidance/MCM_guidelines_inside_final.pdf

These guidelines were created following a Global Consultation on Mass Casualty held at the World Health Organization’s headquarters in Geneva, Switzerland. They are designed to help policymakers, decision-makers, and emergency managers at all levels, particularly at the local community level, to overcome the gaps in health system preparedness for managing mass casualty incidents.

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.

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.

Active Attack Preparedness and Response Resources and Links: Northwest Healthcare Response Network

https://nwhrn.org/active-attack-preparedness-and-response-resources-and-links/

A variety of preparedness, response, and recovery resources compiled by the Northwest Healthcare Response Network (Washington State) targeted specifically for healthcare audiences.

Active Assailant Full Scale Exercise Templates

https://www.hasc.org/active-shooter-drill-resources

Editable exercise documents produced by the Hospital Association of Southern California. Any facility could customize them for their particular needs. Note that the exercise documents are not Homeland Security Exercise and Evaluation (HSEEP) compliant.

Healthcare and Public Health Sector Coordinating Council: Active Shooter Planning and Response in a Healthcare Setting

https://www.jointcommission.org/resources/patient-safety-topics/workplace-violence-prevention/healthcare-and-public-health-sector-coordinating-council/

Comprehensive guidance from the Joint Commission written for healthcare facilities to prevent, respond to, and recover from an active shooter event. The document includes law enforcement tactics and integrated medical and mental health response.