RANDY G. FISCHER
Discusses potential characteristics of an active shooter Potential warning signs for an active shooter Strategies for surviving an incident Law Enforcements response to an active shooter incident
Incidents of Active Shooters
* * Shooter Statistics from 35 active shooter events in 2012: * - 57% were known to the others in their target area * - 71% just walked into the location * - 63% had somehow shared a perceived injustice * - 74% entered through the main entrance * - 37% of the attacks were over in under 5 min. * - 63% of the attacks: over in under 15 min.
* No profile exists for an active shooter * De-escalation of volatile situations is the most important preventive measure * Know the signs of a potential volatile situation for prevention and detection * Report concerning behaviors to Director/Manager, or Law Enforcement
Potential pre-attack behavior that could be indicators of concern per FBI a) Development of a personal grievance b) Recent acquisitions of multiple weapons c) Escalation in target practice and weapons training d) Recent interest in explosives e) Fascination with previous shootings or mass attacks f) Experience with a significant real or perceived personal loss such as death, breakup, divorce or loss of a job g) Few offenders had previous arrests for violent crimes.
“ Active Shooter ” is defined as an individual or others who are “actively engaged in killing or attempting to kill people in a confined and populated area. Active shooter situations are unpredictable and evolve quickly. Because of this, individuals must be prepared to deal with an active shooter situation before law enforcement personnel arrive on the scene. In many cases the shooting is over before Law Enforcement arrives
The primary purpose of a response plan is to: Prevent, Reduce, Limit access to potential victims and mitigate the loss of life
The 4 A’s is a 4 step process to prevent or reduce loss of life in an active shooter event 1 .Accept that an emergency is occurring 2. Assess what to do next so that you can save as many lives as possible 3. Act : lockdown (lock and barricade the doors, turn off the lights, have patients get on the floor and hide)or evacuate 4. Alert law enforcement
* Startled * Feel fear and anxiety * Experience initial disbelief and denial Expect to hear noise from alarms, gunfire, and explosions and people shouting and screaming People might be deceased or badly wounded
* Run , Hide , Fight is a three step process to prevent or reduce loss of life in an active shooter event. 1. Run- is to immediately evacuate the area 2. Hide -seek a secure place where you can hide and/or deny the shooter access 3. Fight -where your life or the lives of others are at risk, you may make the personal decision to try to attack and incapacitate the shooter to survive. This is NOT a requirement but is an option.
* Dial 9-911 when safe to do so: if able dial 9-911 and leave phone off the hook and evacuate or hide. * If safely evacuated call Dispatch and provide information on the shooter * If able provide the location of the Shooter * Number of shooter(s) * Physical description of shooter * Number and type of weapons held by the shooter ie, hand guns, shot guns, Rifle etc.
* Page over head if safe to do so. Any staff can make this announcement * Page “Active shooter _________. Shelter in Place or evacuate building * Use cell phone to notify 911
* LE main objective is to locate and neutralize the shooter * Remain calm and follow officer's instructions * LE will NOT stop to assist injured until the shooter is contained. * Immediately raise hands & keep hands visible * Avoid making quick movements toward officer * Avoid pointing, screaming and or yelling * DO NOT stop to ask for officers help precede in directions that officer is entering * Follow directions of LE officer
* Staff not on duty to report to staging area * Site of Active Shooter immediately becomes a crime scene
* Director/Manager will develop information to disperse to staff/families/children and news media * Behavioral Health services should be made available to all staff
* Debriefing * Offer Behavioral Health Services * After action report * Update plans as needed * Exercise/drill
* * One of the biggest misconceptions involves the denial that this can happen to one’s self. * One of the first hurdles to overcome is denial. This idea that it is not going to happen where we live. It’s Nebraska. It’s not going to happen here. That is one of the most difficult things to make people realize and face. It can happen anywhere. * The best thing to do is prepare for the worst, and to just be alert in case the unfortunate scenario of an active shooter happens.
* * It is lunchtime at your facility and the staff are assisting residents with their meals. You glance up and observe a noticeably agitated adult male entering the building. He is wearing a jacket and carrying a duffle bag. * As he enters through the front door, you recognize him as “John Smith”, a disgruntled employee who had recently been terminated as a result of several altercations with the administrator.
* * John enters the administrators office and is overheard angrily addressing him/her. His voice begins to escalates in volume as he becomes more agitated. You hear him yell, “You can’t do this to me!” * Suddenly, you hear loud screams and “popping noises”. You stand frozen in place by shock and disbelief. Other personnel in the immediate vicinity rush into the hallway to see what is going on.
* * As John turns to leave the administrators office, he spots the people in the hallway, raises his weapon and begins firing rapidly. People begin screaming and trying to run away. The scene unfolds in what seems to be slow motion. It is utter chaos. * Thirty seconds later, John has fired an entire magazine of ammunition and 5 people lay dead or injured. * He reaches into his bag, pulls out another clip, and begins to reload……..
* * In the time you have worked at your organization, has there been at least one incidence where you thought as co-worker, patient/resident or visitor was contemplating attacking another person?
* DEVELOP A PLAN RUN HIDE FIGHT HELP IS ON THE WAY 33
* Active Shooter Planning and Response in a Healthcare Setting. April 2015 * Department of Home Land Security (DHS) Active Shooter Response Booklet * U.S. Department of Homeland Security. Washington, DC 20528 * cfsteam@hq.dhs.gov www.dhs.gov * U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Incorporating Active Shooter Incident Planning into Health Care Facility Emergency Operations Plans, Washington, DC, 2014. * Violence in Hospitals: Assessing your risk and developing a response. Live process aha October 2011. October 3, 2011.
* Randy Fischer 2731 Austin Drive Lincoln, Nebraska 68506 402-840-5915 rfische@yahoo.com
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