Emergency & Disaster response for a Public Hospital Security Department

7/29/2019 Emergency & Disaster response for a Public Hospital Security Department

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Campbelltown Hospital

Security Department

Disaster and EmergencyResponse

&

Lockdown Procedures

Presented

By

Vincent Marty

April 2009


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Preamble

The importance of adequate preparedness at all levelsof our hospital systems to respond to a disaster cannot be

overemphasised.

Comprehensive and ongoing disaster training for hospitalsis time-consuming , costly , yet is nowadays a necessity .

Australian hospitals need to improve their preparedness to dealwith mass casualties. Most Australian Hospitals can only cope

with an influx of 20 to 24 casualties at any one time.

A well prepared Lockdown procedure and Security Departmentdisaster response is an essential starting point to deal

with a disaster

The success or failure, for an Hospital, to handle a disaster ( ona non medical aspect) rely on a properly co-ordinated and

monitored lockdown of the facility and the initial response of thesecurity department.

Careful considerations should be given when preparing suchprocedures and only regular exercises will provide vital

information on whether or not an acceptable level ofpreparadness has been reached.

Each hospital must have their personalised lockdown & securityprocedures as not two facilities are similar.

Maintaining an up to date lockdown procedure and Securitydisaster response as well as all associated information and

equipments is paramount in order to achieve maximumefficiency when the time comes to activate the process.


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Sydney South West Area HealthService

Camden, Campbelltown Hospitals &

Queen Victoria Memorial Home

Disaster and Response Manual

Document Number

Section:

Approved By:

Current Version Issue: April 2009

Next Review Date: April 2010


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Campbelltown Security Department Disaster & Emergencyresponse plan.

Purpose :

To outline the initial response of on duties SAPS , and more specifically the initialorganisation of the department on activation of a CODE BROWN.

Scope :

The scope of this plan is to provide the security department with clear guidelines on howto proceed should a CODE BROWN be activated.

This Security Department Disaster & Emergency Response Plan is to be used in

conjunction with the Campbelltown Hospital Lockdown procedure and must be read

as a sub-plan of Camden & Campbelltown Hospital External disaster Response

which is a sub-plan of Sydney South West Area Health Services , which is a sub-plan ofNSW health Plan, which is part of the National response to Emergency & Disasters.

The role of SAPS will be changed to some extent with some staff involved in much moreintense duties, as others will be assigned to very specific security duties.

The services the Security And Patient Services department provide will remain the sameat the exception of the patient care on the wards , as manpower will be initially re-directed to assist with the patients surge in the Emergency Department. Only if full

staffing level , as per the lockdown procedure, can be reached that extra staff will thenbe allocated to assist nursing staff on the wards with patient care.


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On activation of a CODE BROWN( when the code brown is placed via the paging system):

-0 The Security manager during the day time , or the Security TeamLeader after hours . will immediately try to get as much as possibleinformation on the nature of the emergency , from the GMs offices orAHHM then :

-1 Call all working SAPS for a briefing .Call back Security Manager .

-2 As the Code Brown progresses, keep accurate notes of event , in orderto be able to provide management with a comprehensive report as wellas provide a proper handover.

-3 Organise a basic lockdown procedure, once authorised bymanagement, then prepare full or partial lockdown , accordingly to theresponse needed, (refer to Lockdown procedure).

-4 Delegate to one SAPS, the role to call back , off duties SAPS as well assecurity contractors in order to organise the partial / full lockdownprocedure as authorised by the management.SAPS to write downinformation as per form (refer to staff call back form).

-5 Delegate one SAPS to immediately place all radio / batteries on charge

and get all the lockdown individual staff instructions (refer to lockdownprocedure ) out and ready to use . Then take all signage and controltape and place them as per the authorised lockdown procedure .

-6 Delegate one SAPS to patrol ED dept and monitor all entries / exits andstrictly enforce no visitors instruction unless overrided by the NUM.

-7 Delegate the Hospital security to monitor the front entrance of EDincluding car park as per lockdown procedure instructions till extrasecurity arrive to relieve him.

-8 As extra staff arrive,ensure they sign in as they collect their workinstructions and equipment (lockdown kit ) as per the lockdownprocedure, organise / dispatch them as per lockdown procedure .Thisinclude patient services Officers as well as security Officers.

-9 Liase with Campbelltown Hospital logistic commander and organiseresources as instructed.This include if the lockdown is going to be


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maintained for a period of over eight hours ( as staff rotation / relievewill have to be planned.)

-10 Organise staff relieve / break as per lockdown procedure.

-11 Organise Security response, to unscheduled security calls, as perlockdown procedure.

-12 On stand down instruction :

-13 Proceed with staff reduction as instructed by CampbelltownHospital logistic commander.

-14Provide staff with debriefing.

-15 Ensure staffs are signing off as they return two ways radios andinstructions kit.

-16 In some cases staff may need counselling, ensure that all staff areprovided with the details of the counsellor, this extend to contractedsecurity as well.

-17 Ensure all equipment is returned , stored and in condition of use fornext emergency.-18 Write a comprehensive report

DEFINITION :

19 SAPS : Security And Patient Services (Officers).20 INSTRUCTIONS KIT : As per lockdown procedure it contains individual job

description / instructions for each extra staff .The kit includes a map showing where

they are to be located , as well as which specific areas they must monitor , and whattheir duties are ,. It also include possible PPE (personal protective equipment) aswell as clear indication to whom they must report and whom they are surpervising if itis the case.


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Lock Down Policy:

_______________________________________________________________________

Introduction:

Corporate and Clinical Risk Management Program to provide a locked down facilitywith limited access provided to ensure the most appropriate and adequateresponse which leads to the safety and security for all patients staff and visitors inthe event of a potential or actual threat.

To facilitate the lock down of the facility to support the achievement of

organisational goals to ensure the facility or the health and safety and wellbeing ofperson/s is not compromised.

SUMMARY

1. Overview lockdown1.1 Definition LGI LAC1.1a Security Team leader actions1.1b Doors to be secured.1.1c Signage storage1.1d Signage Example1.1e Authorised personel1.1f Staff recall


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1.1g Staff brieffing / duties allocation1.1h Emergency dept codonned off

2. Basic lockdown procedure

3. Full Lockdown LGI

3.1 Recommendations

4. Partial Lockdown LGI Block B

5. Partial Lockdown LGI Block A

6. Partial Lockdown LGI Block C

7. Partial Lockdown LGI Cancer Therapy Centre

8. Lockdown LGI Waratah House

9. Lockdown LGI Gna Ka Lum

10. Lockdown LGI Subacute

11. Full Lockdown LAC

12. Partial Lockdown LAC Block B

13. Partial Lockdown LAC Block A

14. Partial Lockdown LGI Block C

15. ANNEXE A15.1 Campbelltown Hospital site aerial overview15.2 Campbelltown Hospital aerial view / perimeter guards overview15.3 S11 ENTRIES/EXITS MONITORING15.4 S13 ENTRIES/EXITS MONITORING15.5 S10 ENTRIES/EXITS MONITORING15.6 S12 ENTRIES/EXITS MONITORING15.7 S4,S5,S6,S7 POSITIONS FOR TRAFFIC , PEDESTRIANS & MEDIACONTROL15.8 OVERVIEW Campbelltown Hospital with guards , crowd control15.9 Floor plan partial LGI third floor building B.15.10 LG/F guards & locked doors


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15.1


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1. HOSPITAL LOCK DOWN PROCEDURE FOR CAMPBELLTOWN HOSPITALS:

Notes: When the hospital is locked down breaking a break glass alarm panel will result

in doors unlocking and give access in and out without real possibility to monitor. Two different lockdown procedures have been developed. One in relation to incidentinvolving possible airborne contamination (thereafter referred as LAC standing forLockdown possibly involving Airborne Contamination) , the second one involving allothers incidents (thereafter referred as LGI , standing for Lockdown for GeneralIncident).

1.1 CODE YELLOW and / or CODE BROWNactivation with specific mention of FULLLGI* or LAC* Hospital Lock Downor PARTIAL LGI or LAC Hospital lockdownfollowed by the area to be locked down. Decision to be made by authorised person -Executive General Manager After Hours Hospital Manager - Operational Nurse

Manager Security Manager. Switch to be notified and send relevant notice via pagingsystem and 2-way radio to Security & Patient Services and any other executives .

a. Security & Patient Services Team Leader and/or Officer to organiseCampbelltown Hospital lockdown as per instructions

b. Security & Patient services Team Leader and / or Officer to dispatch staff asfollow , to immediately lock the following areas :

c. Other Security & Patient Services and/or other designated staff to place relevantsignage inside and outside on doors informing of reason for Lock Down. Signsand Crowd control tape rolls to be kept inside Security key room, As well as inmain store area in case the lockdown is due to airborne contaminant and the

emergency dept may already be contaminated .(It is extremely important toidentify and or discard this risk as ignoring it could contribute to more casualtieswith infected staff running around the hospital to place the signage).

d. Example of Signage to state:

1 Quarantine Area / NO Entry Under Any Circumstances2 Hospital Lock Down3 Internal Emergency NO Entry4 DO NOT EXIT Hospital without checking with Security5 Enter only with adequate Personal Protection Equipment6 ETC

7 Signage to be made of weatherproof materials and to be easily accessible.

e. Authorised person - Executive General Manager After Hours HospitalManager Operational Nurse Manager- Security Manager to make anannouncement about Lock Down via P.A System.

f. Security & Patient Services Manager or Security & Patient Services TeamLeader to contact ALL available and required Security & Patient Services staffneeded to secure the hospital.


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g. Any staff arriving to the hospital to assist with the Code Yellow / Code brown

must report to a designated arrival point where they will be advised if safe toenter the hospital. If unsafe to enter the hospital these staff will be at preselected areas to perform pre selected duties .All Staff helping to secure theHospital will be issued with a calling code in reference to the location they will be

dispatched and their duties. calling code in bold ex ..S1

h. Appropriate signage and Crowd control tape to be used to cordon off all accessto corridors leading to the Emergency Department.

2. BASIC LOCKDOWN-NO EXTRA GUARDS REQUIRED

CAMPBELLTOWN

A&E security Emergency Dept entrance (auto doors)A&E security Doors in corridor between MACS and

Xray DeptSecurity Door in corridor from Main foyer to

outpatient

Security Main foyer auto doorsSecurity Day surgery entrance auto doors

Security Auto doors in corridor leading to cafeteriaSecurity Ensure all cafeterias doors are closed &

locked.Security Dock 13 doors giving access to corridor

Security Main store doors

Security Clinical school corridor access doorsSecurity Doors exiting in clinical school court yard

Security PACS auto doors

Security Kitchen docks

Security and other SAPS All fire stairs as well as doors at the backof ED , pediatric ward , PACS , specialcare nursery , allied health , outpatients .

3. FULL LOCKDOWN LGI

4 Security Officers- Report S2

- positioned at Therry RoadCampbelltown to assist in the redirectionof traffic, except Emergency Vehicles.- Prevent vehicles and pedestrian trafficfrom entering hospital grounds.1 S4 tofilter traffic,issue information flyers and

direct visitors and media to large car parkat Coopers cottage, 1 S5 to open/closebarricade for vehicles to access hospital,1 S6 to open/close barricade on the otherroad leading to road up on the hill / backof hospital at the level of the large carpark under Coopers cottage.1 S7 toensure all emergency vehicle are givenpriority entry to Hospital / traffic control


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/liaise with S4 .- Liaise with media under the direction ofauthorised Executive.

2 Security Officers- Report to S2

- positioned 1 S8 inside main foyer theother one S9 outside the main entrance

at Campbelltown to monitor fire stairsleading to ICU Renal Unit Outpatientsand main entrance doors.- reporting possible lockdown breaches

1 Security Officer- Report to T2

- S10 positioned outside the mainentrance of day Surgery , the bestlocation will be the disable covered carspaces. Monitoring entries/ exits .- reporting possible media- reporting possible lockdown breaches


- S11 positioned near big air cylindernear the cafeteria. Monitoring area from

exit ramp from the first floor nearcafeteria to covered walkway at the backof Waratah house as well as staff carpark .- reporting possible media- reporting possible lockdown breaches


- S12 positioned outside Gna Ka Lummain foyer entrance. Monitoring areafrom Walkway at the back of Waratahhouse to side of Cancer Therapy Building.


- S13 positioned on the dirt car park areaopposite cancer therapy building.Monitoring area from Gna Ka Lum toside of PECC unit , including Helipad .- Traffic control on landing and take off ofthe Helicopter.


- S14 positioned in the ambulance bay.Monitoring entries and exits.- Reporting media- controlling traffic & people movements


- S15 positioned outside the emergencydept main entry . Monitoring crowd /redirecting people toward triage area

1 Security Officer- report to T3

- S99 positionned in CTC lift lobby .Monitoring access to theHospital.Monitoring media as mediacentre set in CTC.

2 teams of 2 Security Officers for externalpatrols.Only one radio per team- Report to S2

- T1 one team to patrol Hospital groundsfrom Gna Ka Lum to Main foyer.- Traffic control on landing and take off ofthe Helicopter


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- T2 one team to patrol Hospital groundsfrom Gna Ka lum to Day surgeryentrance.- Investigate /control any report oftresspassers / media .- investigate / control any report of

unauthorised exit or attempted entry .- assist perimeter security .

2 teams of 2 Security Officers for internalpatrols.Only one radio per team- Report to S2

- T3 one team to patrol block C and blockB.- monitor people movement within thebuilding .- attend situation as required.- T4 one team to patrol Block A and Xrayas well as Emergency dept.- attend situation as required.

TOTAL OF 20 SECURITY NEEDED

3.1 Note: Additional Security Officers called in to assist should be assigned with specificduties and clear instructions Refer to individual instructions list attached in appendix Aand must have adequate supply of food and drink as relief may not be possible for longstretches of time. Staff must also be prepared and equipped for inclement weather andgiven clear instructions. ALL Security Officers are to hold their positions andcommunicate via 2-way radio accordingly until instructed to stand down by Executive/Coordinator.

Usual rostered Security & Patient Services staff to be dispatched as needed inside thehospital.Extra SAPS called in to help with patients movement in the hospital.

Usual security (S3) and A&E security (S2) to monitor A&E and manage staff & securityissues , reporting to S1 (Security Manager or executive acting as )

It is essential to have a strong visible security presence and security well identified withsecurity logo / vest , will send the clear message that the area is cordoned off andsecured.

It is also necessary to store enough two ways radio and extra batteries to supply allsecurity officers participating in the lockdown note that the usual three pager holdersas well as extra staff acting as patient movers do not need a radio.

Two handheld voice amplifiers needed .1 for security outside front of emergency dept

directing people .1 for security outside main entrance.

All SAPS should be issued with key for auto doors.

There should be at least two switch personnel on duty to respond to all the incomingcalls.


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4. PARTIAL LOCKDOWN LGI Block B

THIRD FLOOR ( AMU / MEDICALRESPIRATORY WARD):3 Security Officers

one staff in each fire escape ,respectively East S16 and West S17 (2 /positioned on the second floor) and oneS18 near the lifts monitoring the lift and

emergency stair case giving access to liftlobby

SECOND FLOOR ( SURGICAL A&BWARDS )4 Security Officers

One staff in each fire escape ,respectively East S16 and West S17 (2 /positioned on the second floor) .One S19near the lifts monitoring the lift andemergency stair case giving access to liftlobby. One S20 in the second floorcorridor between ICU and Surgical wards

THIRD & SECOND FLOOR (SURGICALWARD )5 security Officers

one in each emergency fire stairs on thesecond floor S16 S 17 (2) , S18 one inthe lift lobby on the third floor , S19 one

on the lift lobby on the second floor , S20one in the lift lobby near ICU

FIRST ,SECOND , THIRD FLOOR

7 Security Officers

service lift switched to front service .Allthree lift called to G/F and kept open sothey are not operational , one S21security guard there on G/F to monitorlifts and emergency fire stairs .one S22on first floor lift lobby on BLOCK A , S20one on the second floor lift lobby outsideICU , one S16 S 17 in each emergencyfire stairs on the first floor (2) , one S23& S24 on each side of the first floor

behind library/GMs unit (2)GROUND FLOOR TO THIRD FLOOR :

6 Security Officers

service lift switched to front service.oneS25 on G/F near allied health monitoringas well speech pathology.one S26 inspecial care nursery corridor , one S11near big air cylinder outside the storemonitoring ward 13 /store docks as wellas cafeteria exits areas and exits fromfirst floor terrace, one S10 in day surgerycar park monitoring kitchen dock ,speech pathology exit and first floorterrace exit. One S27 on first floor lift

lobby on BLOCK A outside renal unit ,one S20 on the second floor lift lobbyoutside ICU

GROUND FLOOR

4 security officers.

One S25 in allied health/day surgeryentrance doors , one S21 in lifts lobby ,one S26 in corridor leading to Specialcare Nursery, one S10 in kitchen dockarea also monitoring allied health back


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exit

CLINICAL SCHOOL :

3 security officers.

one S28 near rotary lodge , one S29 inbasement corridor , one S30 in courtyard.

PHARMACY One S8 outside pharmacy main entry ,

one S9 outside Hospital main entrymonitoring side exit .

5. PARTIAL LOCKDOWN LGI BLOCK A

SECOND FLOOR ( ICU / HDU ) :

3 Security Officers

one S20 outside the lifts , one S31 onfirst floor in the emergency exit , one S32guard to monitor northeast entrance fromthe corridor.

FIRST FLOOR (RENAL UNIT )2 Security Officers

one S31 in the emergency exit , one S27in the lifts lobby

GROUND FLOOR ( PERI-OP )

4 Security Officers

one S33 near nurse station monitoringthe corridor giving access to the theatres, one S34 monitoring inside the smallwaiting room , one S35 outside nearpathology , one S36 in the emergencyfire stairs

THEATRES

4 Security Officers

One S33 & S37 in each access to peri-op (2) , one S38 on the emergency firestairs case near CSSD washing up area ,one S39 outside main entry of Theatresmonitoring main entry , exit fromchanging rooms and office corridor nextto pathology as well as recovery exitdoors

PATHOLOGY DEPT

2 Security Officers

one S35 outside waiting room entry , oneS40 outside main entry

LOWER GROUND FLOOR X ray dept /dept of medecine :

3 Security Officers

One S41 in Xray waiting room oppositeoutpatient and monitoring the corridorleading to emergency dept , one S42near lift 6 & 7 to monitor that exit , oneS43 in corridor outside emergency doors

monitoring that entry as well as staff doornear lift 8 & 9EMERGENCY dept

4 Security Officers

One S44 in waiting room , one S14 inambulance bay , one S45 outside tearoom behind CID monitoring two exit ,one S43 in corridor near x-ray monitoringthose 2 exits as well

OUTPATIENTS Dept one S9 outside near gas countermonitoring the emergency fire exit as well


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3 Security Officers as the playground exit, one S46 near theold divided group room monitoring twoexit , one S41 outside main entryopposite xray public waiting room

WHOLE BLOCK A / ground floor tosecond floor

9 Security Officers

All lifts called to lower ground flood and kept open ,one S9 outside near gas

counter monitoring the emergency fireexit as well as the playground exit andmain foyer entrance , one S8 in mainfoyer in lift lobby 6&7 , one S47 on lowerground floor in lift lobby 8 & 9 , one S35on ground floor in lift lobby 6&7 , one S48on first floor in lift lobby 8&9 , one S22 onfirst floor in lift lobby 6&7 , one S49 onsecond floor in lift lobby 8&9 alsowatching the emergency fire exit , oneS20 on second floor in lift lobby 6&7 ,one S38 in the emergency fire exit

leading down near CSSD loading dock

6. PARTIAL LOCKDOWN LGI BLOCK C

FIRST FLOOR ( CCU )

3 Security Officers

one S50 in the emergency fire stairscase, one S51 in echo area , one S52 inlift lobby near echo waiting room

FIRST FLOOR (MEDICAL STROKE )2 Security Officers

one S52 in lift lobby near echo waitingroom , one S53 in the emergency firestair

WHOLE FIRST FLOOR3 Security Officers

one S52 in lift lobby , one S50 & S53 ineach (2) the emergency fire stairs case

GROUND FLOOR ( DELIVERY SUITE /MATERNITY )3 Security Officers

one in each emergency fire stairs S50 &S53 ( 2) , one S54 outside maternityward also watching delivery suite access.

LOWER GROUND FLOOR ( PEDIATRICward )

4 Security Officers.

One S55 in the corridor near CID , oneS45 near CTC ( on road accessing backof ED ), one S12 in Paeds car park ,monitoring side exit and PACs courtyard.One S56 in PAEDS allied health waitingroom .

WHOLE BLOCK C :

4 Security Officers

Call on all lift to Lower ground floor andkeep them open with one S57 security

just outside the lift lobby keeping an eyeson the corridor leading to xray as well asthe back of PACS with the door leadingto the clinical school courtyard open, S45one between CTC and paeds ward onthe road , one S12 in paeds car park ,near GKL. One S58 at the cross sectionof SCN corridor and theatre corridor onthe G/F


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7. PARTIAL LOCKDOWN LGI CANCER THERAPY CENTRE

3 Security Officers one S59 at front round about monitoringmain entry and side entry as well ascourtyard access near CSSD unloadingdock , one S60 at the back monitoringtwo exits , one S61 in the basement

outside lifts 8& 9

8. LOCKDOWN LGI WARATHA HOUSE :

3 Security Officers one S62 outside main entry monitoringalso exit near seclusion room , one S63on the side near appin road monitoringside exit and back of building , one S64at back entrance monitoring side facingpaeds ward as well .

9. LOCKDOWN LGI GNA KA LUM3 Security Officers One S12 outside main entry monitoring

staff entrance as well , one S67 betweenGKL and W/HSE , one S66 based nearsubacute monitoring back of building

10. LOCKDOWN LGI SUBACUTE :

3 Security Officers one S12 outside near GKL watching allfront , one S65 on car park area ,alsowatching back of building , one S66 onroad side watching from top of little hill

LAC lockdown :airborne contamination on incident site and possibly on incident victims. This LAC doesnot apply to areas immediately surrounding the Hospital or within the neighbourhood .Staff rotation every 20 minutes for staff in full PPE . no extra staff needed initially as staffnot in full PPE can swap with staff in full PPE . It is advisable to order extra guards/staffafterward if situation require long term management and lockdown is likely to last over 8hours .

11. FULL LOCKDOWN LAC

4 Security Officers in full PPE (suit / gasmask / positive pressure / gloves /boots .- Reporting to S2-

- positioned at Therry RoadCampbelltown to assist in the redirectionof traffic, except Emergency Vehicles.- Prevent vehicles and pedestrian trafficfrom entering hospital grounds.1 S4 tofilter traffic,issue information flyers and


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direct visitors and media to large car parkat Coopers cottage, 1 S5 to open/closebarricade for vehicles to access hospital,1 S6 to open/close barricade on the otherroad leading to road up on the hill / backof hospital at the level of the large car

park under Coopers cottage.1 S7 toensure all emergency vehicle are givenpriority entry to Hospital / traffic control

/liaise with S4 .- Liaise with media under the direction ofauthorised Executive.

2 Security Officers in full PPE (suit / gasmask / positive pressure / gloves /boots .

- Reporting to S2

- positioned 1 S8 inside main foyer theother one S9 outside the main entranceat Campbelltown to monitor fire stairsleading to ICU Renal Unit Outpatientsand main entrance doors.

- reporting possible lockdown breaches1 Security Officer- Report to T2

- S10 positioned outside the mainentrance of day Surgery , the bestlocation will be the disable covered carspaces. Monitoring entries/ exits .- reporting possible media- reporting possible lockdown breaches


- S11 positioned near big air cylindernear the cafeteria. Monitoring area fromexit ramp from the first floor nearcafeteria to covered walkway at the backof Waratah house as well as staff car

park .- reporting possible media- reporting possible lockdown breaches


- S12 positioned outside Gna Ka Lummain foyer entrance. Monitoring areafrom Walkway at the back of Waratahhouse to side of Cancer Therapy Building.


- S13 positioned on the dirt car park areaopposite cancer therapy building.Monitoring area from Gna Ka Lum toside of PECC unit , including Helipad .

1 Security Officer in full PPE (suit / gasmask / positive pressure / gloves /boots .

- Report to T2

- S14 positioned in the ambulance bay.Monitoring entries and exits.- Reporting media- controlling traffic & people movements

1 Security Officer in full PPE (suit / gasmask / positive pressure / gloves /boots .

- S15 positioned outside the emergencydept main entry . Monitoring crowd /redirecting people toward triage area


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- Report to T2

2 teams of 2 Security Officers for externalpatrols.Only one radio per team- Report to S2- T1 in full PPE (suit / gas mask /

positive pressure / gloves / boots .

- T1 one team to patrol Hospital groundsfrom Gna Ka Lum to Main foyer.- T2 one team to patrol Hospital groundsfrom Gna Ka lum to Day surgery

entrance.- Investigate /control any report oftresspassers / media .- investigate / control any report ofunauthorised exit or attempted entry .- assist perimeter security .

2 teams of 2 Security Officers for internalpatrols.Only one radio per team- Report to S2- T4 in full PPE (suit / gas mask /positive pressure / gloves / boots .

- T3 one team to patrol block C and blockB.- monitor people movement within thebuilding .- attend situation as required.- T4 one team to patrol Block A and Xray

as well as Emergency dept.- attend situation as required.

TOTAL OF 20 SECURITY NEEDED

In regard to partial LAC , it should be considered whenever it is possible to make use ofthe air-conditioning system to create an area of lower pressure in the affected area inorder to contain the contamination.It is also essential to stop use of the lifts accessing the affected area in order to avoidhaving the contaminated air moved around by the lift movements.For staff in position in the fire stairs , no PPE needed as long as positive pressure ismaintain by activating the fans.

12. PARTIAL LOCKDOWN LAC BLOCK BTHIRD FLOOR ( AMU / MEDICALRESPIRATORY WARD):3 Security Officers- 1 in full PPE (suit /gas mask / positive pressure / gloves

one staff in each fire escape ,respectively East S16 and West S17 (2 /positioned on the second floor) and oneS18 near the lifts monitoring the lift andemergency stair case giving access to liftlobby

SECOND FLOOR ( SURGICAL A&BWARDS )4 Security Officers 1 in full PPE (suit /gas mask / positive pressure / gloves /one near ICU normal uniform as longas positive air pressure is created in Abuilding.

one staff in each fire escape ,respectively East S16 and West S17 (2 /positioned on the second floor) .OneS19 near the lifts monitoring the lift andemergency stair case giving access to liftlobby. One S20 in the second floorcorridor between ICU and Surgical wards

THIRD & SECOND FLOOR (SURGICALWARDS A&B )4 security Officers - 1 in full PPE (suit /gas mask / positive pressure / gloves

one in each emergency fire stairs on thesecond floor S16 S17 (2) , one S19 onthe fire stairs on the second floor (near liftlobby) ,one S20 in the lift lobby near ICU

FIRST ,SECOND , THIRD FLOOR service lift switched to front service .Allthree lift called to G/F and kept open so


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7 Security Officers - 3 in full PPE (suit /gas mask / positive pressure / gloves

they are not operational , one S21security guard there on G/F to monitorlifts and emergency fire stairs .one S22on first floor lift lobby on BLOCK A , oneS20 on the second floor lift lobby outsideICU , one in each emergency fire stairs

on the first floor S16 S17 (2) , one oneach side of the first floor behindlibrary/GMs unit S23 S 24 (2)

GROUND FLOOR TO THIRD FLOOR :

6 Security Officers 3 in full PPE (suit /gas mask / positive pressure / gloves

service lift switched to front service.Sincethe whole building is quarantaine , all liftcan operate . one S25 on G/F near alliedhealth monitoring as well speechpathology.one S26 in special carenursery corridor , one S11 near big aircylinder outside the store monitoringward 13 /store docks as well as cafeteriaexits areas and exits from first floor

terrace, one S10 in day surgery car parkmonitoring kitchen dock , speechpathology exit and first floor terrace exit.one S27 on first floor lift lobby onBLOCK A outside renal unit , one S20 onthe second floor lift lobby outside ICU

GROUND FLOOR

4 security officers.3 in full PPE (suit /gas mask / positive pressure / gloves

One S41 in allied health/day surgeryentrance doors , one S42 in lifts lobby ,one S26 in corridor leading to Specialcare Nursery, one S10 in kitchen dockarea also monitoring allied health backexit

CLINICAL SCHOOL :3 Security Officers. 1 in full PPE (suit /gas mask / positive pressure / gloves

one S28 near rotary lodge , one S29 inbasement corridor , one S30 in courtyard.

PHARMACY2 Security Officers

One S8 outside main entry , one S9outside Hospital main entry monitoringside exit .

13. PARTIAL LOCKDOWN LAC BLOCK A

SECOND FLOOR ( ICU / HDU ) :

3 Security Officers in full PPE (suit / gasmask / positive pressure / gloves)

one S20 outside the lifts , one S31 onfirst floor in the emergency exit , one S32

guard to monitor northeast entrance fromthe corridor.

FIRST FLOOR (RENAL UNIT )2 Security Officers in full PPE (suit / gasmask / positive pressure / gloves)

one S31 in the emergency exit , one S27in the lifts lobby

GROUND FLOOR ( PERI-OP )

4 Security Officers in full PPE (suit / gas

one S33 near nurse station monitoringthe corridor giving access to the theatres, one S34 monitoring inside the small


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mask / positive pressure / gloves) waiting room , one S35 outside nearpathology , one S36 in the emergencyfire stairs

THEATRES

4 Security Officers in full PPE (suit / gas

mask / positive pressure / gloves)

One S33 & S37 in each access to peri-op (2) , one S38 on the emergency firestairs case near CSSD washing up area ,

one S39 outside main entry of Theatresmonitoring main entry , exit fromchanging rooms and office corridor nextto pathology as well as recovery exitdoors

PATHOLOGY DEPT


one S35 outside waiting room entry , oneS40 outside main entry

LOWER GROUND FLOOR X ray dept /dept of medecine :


One S41 in Xray waiting room oppositeoutpatient and monitoring the corridorleading to emergency dept , one S42

near lift 6 & 7 to monitor that exit , oneS43 in corridor outside emergency doorsmonitoring that entry as well as staff doornear lift 8 & 9

EMERGENCY dept


One S44 in waiting room , one S14 inambulance bay , one S45 outside tearoom behind CID monitoring two exit ,one S43 in corridor near x-ray monitoringthose 2 exits as well

OUTPATIENTS Dept


one S9 outside near gas countermonitoring the emergency fire exit as wellas the playground exit, one S46 near theold divided group room monitoring twoexit , one S41 outside main entryopposite xray public waiting room

WHOLE BLOCK A / ground floor tosecond floor

9 Security Officers in full PPE (suit / gasmask / positive pressure / gloves )

All lifts called to lower ground flood and kept open ,one S9 outside near gascounter monitoring the emergency fireexit as well as the playground exit andmain foyer entrance , one S8 in mainfoyer in lift lobby 6&7 , one S47 on lowerground floor in lift lobby 8 & 9 , one S35on ground floor in lift lobby 6&7 , one S48on first floor in lift lobby 8&9 , one S22 on

first floor in lift lobby 6&7 , one S49 onsecond floor in lift lobby 8&9 alsowatching the emergency fire exit , oneS20 on second floor in lift lobby 6&7 ,one S38 in the emergency fire exitleading down near CSSD loading dock


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14. PARTIAL LOCKDOWN LGI BLOCK C

FIRST FLOOR ( CCU )


one S50 in the emergency fire stairscase, one S51 in echo area , one S52 inlift lobby near echo waiting room

FIRST FLOOR (MEDICAL STROKE )2 Security Officers in full PPE (suit / gasmask / positive pressure / gloves )

one S52 in lift lobby near echo waiting

room , one S53 in the emergency firestair

WHOLE FIRST FLOOR3 Security Officers in full PPE (suit / gasmask / positive pressure / gloves )

one S52 in lift lobby , one S50 & S53 ineach (2) the emergency fire stairs case

GROUND FLOOR ( DELIVERY SUITE /MATERNITY )3 Security Officers in full PPE (suit / gasmask / positive pressure / gloves )

one in each emergency fire stairs S50 &S53 ( 2) , one S54 outside maternityward also watching delivery suite access.

LOWER GROUND FLOOR ( PEDIATRICward )

4 Security Officers. in full PPE (suit / gasmask / positive pressure / gloves )

One S55 in the corridor near CID , oneS45 near CTC ( on road accessing backof ED ), one S12 in Paeds car park ,monitoring side exit and PACs courtyard.One S56 in PAEDS allied health waitingroom .

WHOLE BLOCK C :


Call on all lift to Lower ground floor andkeep them open with one S57 security

just outside the lift lobby keeping an eyeson the corridor leading to xray as well asthe back of PACS with the door leadingto the clinical school courtyard open, S45one between CTC and paeds ward onthe road , one S12 in paeds car park ,near GKL. One S58 at the cross sectionof SCN corridor and theatre corridor onthe G/F


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15.1 Campbelltown Hospital aerial view :


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15.2 Campbelltown Hospital aerial view / perimeter guards overview:


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15.3 S11 ENTRIES/EXITS MONITORING :

15.4 S13 ENTRIES/EXITS MONITORING


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:


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15.7 S4,S5,S6,S7 POSITIONS FOR TRAFFIC , PEDESTRIANS & MEDIA CONTROL :

15.8 OVERVIEW Campbelltown Hospital with guards , crowd control tape


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15.9 Floor plan partial LGI third floor building B:


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15.10 LG/F guards & locked doors:


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SSWAHS/MHS/C&C.HOSP/SEC.DEPT/Disaster.Response2009-1DISASTER & EMERGENCY STAFF CALL BACK

LOCATION : DATE:

NAME : CONTACT :

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NAME : CONTACT :TIME CALLED : EXPECTED TIME IN:

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ALLOCATED DUTIES:

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ALLOCATED DUTIES:

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Emergency & Disaster response for a Public Hospital Security Department

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