2. Infant Security 10 th floor & Security Staff

3. Security Measures Locked Units Electronic Security System Photo ID Badges Infant Security Task Force Patient / Staff Education Drills / Trainings

4. Our most important line of defense against an abduction: An Alert, well-trained staff… …YOU!

5. Confidentiality No information should be given to anyone regarding security. “Less is more” If you have questions/comments regarding security – talk about it behind closed doors! Signature on the Code of Conduct Agreement is mandatory and will be a permanent record in your employee file.

6. A Proactive Stance Follow guidelines from NCMEC. Drills Give written / verbal information. –What Parents Need to Know- security handout

7. Due to the serious & sensitive nature of infant security… Any breach of protocol, breach of confidentiality, or general disregard for the security of our patients may result in immediate disciplinary action, up to and including, termination. Any suspicious comment or behavior will be taken seriously and will be fully investigated. –Visitor –Patient –Staff Member –Bomb!!

8. General Information Fire Alarm: security first – initiate a head count immediately Call Security for anything suspicious (weird, odd, etc.) –First – call security –Second – begin a patient count –Third - investigate

9. Pediatric / Infant Safety Guidelines. Transponders on infants 6 months of age or under, any child where there is a custody issue/threat, any child on suicide precautions or that might be a flight risk.. Transponder to be removed when patient leaves the floor for a procedure- leave at front desk and re-tag child upon return.. Verify tag placement on patient rounds. Instruct family to notify staff immediately if tag falls off patient

10. Photo ID Badge / Security Badge Crucial that we educate parents on badge system Shown to patient with every contact Worn at collar – not waist Parents have a right to question ANY routines, treatments, procedures, and the identification of any staff member. Notify Lisa Hayes or Security immediately upon losing badge. Replacement badge is $15.00 You must have an authorization form to obtain a replacement badge. No working without badge.

11. Locked Unit Visitors must give first and last name of patient – room number is not sufficient If someone “piggy-backs” – make every attempt to stop them at the desk ZZ Patients – Code for visitors –as determined by family member. “Attestation” Statement – signed by anyone receiving proximity access. Do not allow anyone access. Look around you.

12. Electronic Security System 3 Zones – each works independently of the other 1 enunciator panels Yellow Light on panel = Sensor in the zone, Door is closed and locked – (go check it out) Red Light on panel = Sensor in zone, Door is open & alarms – Code Pink Silence the alarm – Never RESET! Security will reset all alarms NO False Alarms Elevator’s - alarmed independent of the “zones”: –If a sensor goes into the elevator – –alarm will sound –elevator will not leave the floor –Security will NOT be notified via radio –Not on enunciator panel

13. Stairwell Buzzers Use of the north and south stairwells is limited to emergency use only. The buzzer will sound when the door is opened It is not tied to the security system It will NOT notify security Check to see why the door was open – visual check Door buzzer must be reset at panel. (different from security system) Call security if suspicious Conduct head count if suspicious

14. Staff Response To Security Alarm Conducting a Baby Count Staff Respond to the Appropriate Place –10 west – all three exits –PICU- exits in the PICU –Security –will respond to. 10 West Staff –Initiate “Alarm Log” and ensure log is completed accurately and signed by security following the “all clear” Conduct a Count –Every time the security alarm sounds –Every time the fire alarm sounds –Anytime you are suspicious –When requested – never question the reason

15. Response to an Alarm Discharge of patient –Ensure tag removed before patient leaves room but if gets to door and alarm sounds- remove tag but wait for security to give ‘all clear’ before patient leaves Linen/Trash –Check each bag for sensor –Security will not respond –No baby count Unknown Cause –Call Security immediately –Initiate a baby count –Search the floor

16. Code Pink Phase II Actual or Attempted Abduction Critical Incident Response Team All talking amongst peers must stop! No one will enter / exit the area HIC will be established Scene Coordination Room in library Speak only to member of CIRT / FBI / Police NO Media!

17. Evacuation Plans Horizontal Only If we must evacuate to main hall/conference room remove tag prior to move. Weather -Main hallway Fire – move 1-2 smoke compartments away Lead RN to initiate a head count

18. Hospital-Wide Policies ESOP – 4005 – Code Pink – I ESOP – 4005A – Code Pink - II W/C Policy Distribution is Restricted to the W&C Division Only Kept in Director’s Office W/C SPEC 103 Miscellaneous Guidelines & Protocols