Hospital Based Shootings

While an active shooter occurrence in a healthcare setting is rare, the overall prevalence and complexity is steadily on the rise. There have been many studies performed researching the rate of occurrence, location, personnel affected, and possible motive. When it comes to an active shooter attack, it is difficult to prevent, so the focus of education should be placed on anticipation and preparedness for such an event.

An active shooter is defined as, “an individual actively engaged in killing or attempting to kill people in a confined and populated area; in most cases, active shooters use firearms(s) and there is no pattern or method to their selection of victims”. (U.S. Department of Homeland Security, 2008) Most often active shooters events will end quickly, “active shooters will continue to move throughout building or area until stopped by law enforcement, suicide, or other intervention. (Deputy Les Wiemers, n.d.)

Gunmans in Mass shootings such as Stephen Paddock was the shooter on October 1, 2017 When he opened fire during a show he had killed 59 people and injured 527 people. In the hours after the retired accountant committed the shooting, authorities rolled out frightening new details, including the discovery of scopes on rifles at the resort and explosives at his home.A team of six officers spoke with security at the Mandalay Bay Resort and Casino, where Paddock was staying, and searched the hotel floor-by-floor Sunday night before they found Paddock's room, Clark County Sheriff Joseph Lombardo told reporters.

Healthcare professionals see the aftermath of gun violence. Many healthcare professionals support gun control (Healthcare professionals speak out on guns: “Definitely changed my opinion on the 2nd amendment…”, n.d.). These professionals see patients with gunshot wounds (GSW) who are bystander victims, children who accidentally obtain a GSW through play with guns, results of gang violence, and the list goes on (Healthcare professionals speak out on guns: “Definitely changed my opinion on the 2nd amendment…”, n.d.). Blood banks are drained by these events (Gun Violence: A Public Health Crisis, 2017). Nurses and paramedics admit to being afraid of treating a GSW patient because a shooter may come to “finish the job” (Healthcare professionals speak

At the Umpqua Community College shots were fired. It was the fourth day of the fall term and no one expected anything unusual. Nine victims were killed, along with the gunman, and ten others were admitted to the Mercy Medical Center for treatment. Three of the patients were transferred to larger facilities for more intensive care. The victims’ names are not yet released and the sheriff of the town will not yet name the shooter. Douglas County Sheriff John Hanlin said “I will not give him credit for the horrific act of cowardice. Media will get the name confirmed in time … but you will never hear us use it.”

Position 64001558 was assigned to the Evaluation and Analysis Unit within the BPR, and its duties and responsibilities are concentrated in non-nursing related areas of evaluation of public health and medical capabilities, development of risk and vulnerability assessments, and monitoring disaster preparedness tools such as the National Health Security Preparedness Index (NHSPI) and HSS Healthcare Emergency Preparedness Information Gateway (TRACEI). As a Government Operations Consultant III, position 64001558 will not provide nursing consultation to the Bureau and will not be involved in coordinating clinical resources for public health

From emergency personnel, to retail vendors, to educators and students, to government or military employees and members of the general public, anyone could potentially be involved in an active shooter crisis situation. As active shooter incidents are becoming more frequent in recent years; being prepared to effectively respond when faced with such a crisis situation can save lives and help a city to better prepare for and respond to such crisis situations (FBI major findings, 2014, para. 1-2). According to a recent FBI Active Shooter Incident Study (2014), “individuals actively engaged in killing or attempting to kill people in populated areas (excluding gang or drug related shootings)” are considered to be active shooters. The purpose of this paper is to analyze how the city of Aurora, Colorado handled the active shooting crisis that occurred on July 20, 2012. This paper will explain the crisis situation and discuss the communication responses that ensued on that day.

CDC has a goal to reduce potential outbreaks of the preventable disease in a large group setting from the disaster with the use of vaccines (CDC, 2013). The public nurse is educating those communities regarding the importance of strengthening their immune system with receiving vaccines. The community and individuals will also be education on where to get the vaccines and how to manage themselves after vaccination for the event of the second complication. The community health nurses have a central role in providing prevention of disease and promotion health education after catastrophic like an earthquake.

Before I begin to present my research on active shooting, I need to define exactly what an active shooter is. According to Domestic Security Alliance Council an active shooter is, “ an individual actively engaged in killing or attempting to kill people in a confined and other populated areas,” (FBI 1). Because there are many different definitions of active shooters, there are many different statistics. According to the FBI data chart, that will be presented at the end of this research, there was 26 Active shootings in the year of 2010; where in the New York City Police Department (NYPD) study of active shootings there was 20 active shootings in the year of 2010. Note that the New York City Police Department Also Has A little bit of a

Active shootings are occuring more frequently affecting many communities and families in the United States. These acts of random violence has set many people on edge afraid of where and when another attack will happen next. Attacks are not just happening at schools, they have occured at airports, theaters, and even churches. This is why trainings such as the one in Dublin have came about to allow residents the ability to protect themselves wherever they are at, in case of an attack.

The authors highlight that the synchronized efforts of various offices are needed to accomplish this, and they also address the impact that cultural differences may cause between public health and emergency management regarding the overall success of these organizations. This main purpose of this article is to examine how public health and emergency management vary in their approach to laws and policies, and how these differences can negatively affect their preparedness to respond to critical situations. This study was accomplished by conducting 144 interviews with public health and emergency management officials on both the state and local level between the time frame of April 2008 and November 2009. The researchers then used qualitative analysis to compare and contrast the characteristics of each organization and their approach to legitimate public health preparedness. The resulting data was found to show two conflicting approaches to public health law. The public health approach was distinguished by perceived unpredictability with respect to legal power over the methods of preparedness planning, presumption of guidance on interpreting public health laws, and the extension of anxiety regarding the placing of liability. The emergency management approach was characterized by the impression of wide legal authority, flexible connotation of public health law, and moral concerns pertaining to the violation of an individual’s freedom and confidentiality. Botoseneanu, Wu, Wasserman, and Jacobson concluded that “Distinct interpretations of preparedness law impede effective collaboration for PH preparedness. Clarification of legal authority mandates, designation within laws of scope of preparedness activities and guidance on interpretation of current federal and state laws are needed.” (2010, p. 361). These results are clearly

In the Franklin Country disaster, major public health personnel, including the public health nurse clearly understood their role. Their immediate response was to focus on urgent life and safety issues. The public health department established an Incident Command System (ICS) that was designed to help organize it to respond to emergencies. The ICS provided a common language as well as the standardization necessary for communicating and cooperating with other agencies and the EOC. The public health group contributed at the EOC briefings updating on the public health concerns.

In the immediate aftermath of the Aurora, Colorado shooting spree that left 12 dead and 58 injured at last Thursday's midnight screening of the new Batman movie, we are reaffirmed in the need for first-responders and emergency management professionals to be ready to address mass casualties in rapid form any time and any place. Indeed, such tragedies only further reinforce the lessons of 9/11 and the War on Terror, which call for readiness and organization. From an emergency management perspective, the most immediate consideration is providing onsite medical attention to survivors. This invokes the focus of the discussion hereafter, which calls for a collective adherence to a clear set of procedures in handling mass casualty scenarios.

The common knowledge of the hospital is a place to get help for medical needs and feel safe. No one would think that a hospital is also a place for violence. Active shooting in the hospital setting is committed by a fired, disgruntled employee and angered patients or family members. The research study from the year 2000 to 2011 show that this kind of workplace violence remains rare, but still, a dilemma hospital has to face. The studies indicate that the emergency room is the most common place for the acts of violence to occur, but when the active shooter enters the hospital, anyone and any unit in the hospital is vulnerable. The articles reviewed in this paper showed how motivated and prepared the active shooters, and the hospital is

In some instances, COPs may find themselves in dangerous situations where there may be many casualties or situations that my demand that the medical staff needs to protect themselves as much as they need to protect their patients- the COPs. As much as evacuation is essential, there is need to provide adequate information through information sharing systems. This can be classified under their preventive role in a bid to approach the job in a proactive manner. Through this the COPs may have basic and fundamental knowledge of what to do in certain