Welcome to Connect, Plan, Train, Report Active Shooter Preparedness – Run, Hide, Fight The webinar will begin promptly at 3:00PM
ESRD Network of New York Connect, Plan, Train, Report Active Shooter Preparedness – Run, Hide, Fight June 25, 2019
Welcome/Opening Remarks Anna Bennett, NW2 Emergency Manager
This Webinar is being recorded. You will receive an e-mail to notify you when the materials are available on our website.
Housekeeping Reminders • All phone lines muted upon entry to eliminate background noise/distractions • There will be a Q&A with our presenter later in the webinar • Please submit any questions via chat • Please complete the post webinar feedback evaluation to help us provide webinars that are meaningful to you and your practice p. 5 5
WebEx Reminders • This WebEx will be recorded and slides will be made available on the Network Website https://network2.esrd.ipro.org/events/ • To ask a private question use the Chat section in the bottom right corner of your screen sending to All Panelists • To ask a question for the answer to be shared with all Attendees or Privately, use the Q&A section in the bottom right corner of your screen p. 6
The Network’s Role in Emergency Preparedness The Network is required by the Centers for Medicare & Medicaid Services to: • Report and publish the status of facility operations during emergency events • Provide information to educate facilities/patients on the actions to take during emergency and disaster situations; • Provide technical assistance to dialysis facilities when needed so that facilities develop feasible, comprehensive emergency/disaster plans; • Work with Federal, State and local government agencies as needed to assist with patient safety and ensure dialysis facilities are prioritized to be open; p. 7
ESRD Network of New York (Network 2) Team Laura Edwards Sue Caponi Administrative Coordinator Executive Director ledwards@nw2.esrd.net CEO, ESRD Program scaponi@nw2.esrd.net Jeanine Pilgrim Erin Baumann Quality Improvement Patient Services Director Director, Network ebaumann@nw2.esrd.net Assistant Director jpilgrim@nw2.esrd.net Anna Bennett Danielle Andrews Quality Improvement Community Outreach Coordinator Coordinator dandrews@nw2.esrd.net Emergency Manager abennett@nw2.esrd.net Sharon Lamb Novlet Russel-English Data Coordinator Nurse Quality Improvement slamb@nw2.esrd.net Coordinator nrussel-english@nw2.esrd.net
Connect, Plan, Train, Report Active Shooter Preparedness – Run, Hide, Fight Mark Kreyer CPP Protective Security Advisor, Buffalo District US Department of Homeland Security
The Infrastructure Security Division Cybersecurity and Infrastructure Security Agency (CISA) Department of Homeland Security Active Shooter: Preparedness and Response IPRO June 25, 2019
Homeland Security begins with Hometown Security 11
Background • Americans congregate daily to work, play, shop, learn, celebrate, worship, and watch sports and entertainment at a variety of locations: – Concert halls and theatres – Restaurants and shopping malls – Parades and fairs – Houses of worship – Sports venues • Our adversaries may perceive Courtesy of DHS locations like these as attractive targets 12
Protective Measures for Public Gatherings Connect Plan Train Report Courtesy of DHS 13
Connect Local law enforcement and emergency management Neighbors and community organizations DHS Protective Security Advisor FBI and Infragard https://www.infragard.org/ Fusion Centers Customers and patrons 14
Plan Know the threats and hazards for your location Plan how you will: Secure your location Respond to emergencies Communicate during emergencies Maintain business continuity Courtesy of DHS 15
Security Planning - Basics Security Director Security Plan Courtesy of DHS 16
Security Planning – Your Perimeter Identify your perimeter Guard your perimeter Control your perimeter Who and what enters Vehicles and Parking Courtesy of Accurate Electronics, undated 17
Security Planning - Surveillance Guards Cameras Lights Where to watch Who to watch What to watch Courtesy of CCTV Wholesalers, 2010 18
Security Planning - Communication Mass notification Emergency responders Notification protocol Employee and public messaging Courtesy of DHS 19
Emergency Action Plan – Protective Actions for Life Safety At a minimum, every occupied facility should have procedures for: Fires and other emergencies Evacuation Emergency escape, shelter in place, and lockdown Medical response www.ready.gov/business/implementation/emergency 20
Train Train • Train employees (or family members) on the Emergency Action Plan and on Active Shooter Response • Conduct evacuation drills with employees or family members, outlining evacuation routes and assembly points • Test the security plan with drills and tabletop exercises • www.ready.gov/business/testing/exercises 21
Report Courtesy of DHS 22
What to Report • Unattended packages (e.g., backpacks, briefcases, boxes) that might contain explosives • Taking pictures or video of infrequently used access points, security guards, or security equipment (e.g., perimeter fencing, security cameras, etc.) • Wearing unseasonably bulky clothing that might conceal explosives or weapons • Illegally parked or out of place vehicles • Attempting to gain unauthorized entry to restricted areas • Presenting false or misusing insignia, documents, and/or identification • Communicating a threat to a public gathering • Persons discovered with documents highlighting critical areas, infrastructure, or high-profile attendees 23
What to Report (continued) • Persons questioning event employees about security practices • Persons inquiring about operations or security measures; using video/camera/observation equipment; or possessing maps, photos, or diagrams that are not related to their jobs • Persons willfully associating with suspicious individuals • A pattern of false alarms, equipment failures, or power outages with indications of potential sabotage • Theft or unauthorized possession of identification cards or uniforms • Unusual and unexpected maintenance activities (e.g., road repairs) nearby • Displaced or misaligned manhole covers or other access doors nearby 24
How to Report • For emergencies in progress call • 9-1-1 • Suspicious activity should be reported to • Local law enforcement • Regional fusion center • Local FBI Courtesy of DHS 25
“If You See Something, Say Something™” • Race, ethnicity, national origin, or religious affiliation alone is not suspicious • Not beliefs or speech unrelated to terrorism or criminal activity • Report behavior and situations Courtesy of DHS 26
Active Shooter “How to Respond” 27
Active Shooter Situation Overview Active shooters can attack workplaces, schools, houses of worship, hospitals, etc. Although many perpetrators have a history of negative — sometimes violent — behavior, there is still no single, one-size-fits-all profile of an active shooter. 28
Active Shooter Incident Characteristics An active shooter is an individual actively engaged in killing or attempting to kill people in a confined and populated area In most cases, there is no pattern or method to the selection of victims Most active shooter situations are unpredictable and evolve quickly Preparedness and awareness are key to helping protect your employees, students, parishioners and ourselves 29
Potential Indicators Thoughts: Talk of previous violent incidents. Unsolicited focus on dangerous weapons. Expressions of paranoia or If others recognize and report depression. these behaviors, the employee Overreaction to workplace changes. may be assisted, supported, and Feelings: treated. It is important for employers to establish Depression or withdrawal. communication procedures for Unstable, emotional responses. reporting these concerns. Feeling either arrogant and supreme, Depending on company policy, or powerless. employees should alert the Intense anger or hostility. Human Resources Department Behaviors: or Safety/Security Department. Increased use of alcohol or drugs. Violations of company policies. Increased absenteeism. Exploiting or blaming others. 30
Options for Consideration Video https://www.youtube.com/watch?v=5VcSwejU2D0 31
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