Hello everyone. Thank you for joining us for the Active Shooter How to Respond Part 2 webinar. A few housekeeping notes to get us started. All attendees are in listen-only mode. We will be using the Q&A function today to gather questions for our speaker. We will not be using the raise hand function. Please submit questions through the Q&A and interact with other attendees by posting comments to the chat. When using chat, just be sure to select all panelists and attendees from the dropdown above the message box before submitting your chat so everyone can see it. This webinar is being recorded. Please know we will be sending all registrants the webinar recording and PowerPoint slides via email in the next couple of days. Our speaker for today is Kelly Ogle with Doctors Management. Now I'll turn it over to Kelly to get us started. Well, hello, everybody. We are going to get things rolling with the How to Respond Active Shooter. And I had the pleasure of speaking for the AAOE. And so I'm going to be going into some information. I work with Doctors Management. I'm the director there with Ocean HIPAA Services. So I go over workplace violence and any issues that they may have in compliance in meeting up with OSHA regulations and HIPAA regulations. So we will get started here. So with the agenda, I like to kind of just start things off with the workplace violence issue because that is part of it. When we're working and you're dealing with any kind of violence or any kind of bullying, harassment, anything like that, it all is inclusive under the workplace violence. And that even includes active shooter. Then we go into OSHA compliance and where does that sit with everything with active shooter? A hazard assessment, things that you can do as far as looking at what your office looks like, looking at if you have a building there, you know, things that you need to be aware of, things that you need to train. We'll go into what an active shooter actually is or the definition of that active shooter and some information about active shooter. And then the good practices that are good to review and look at and think about, train on, those kind of things. And then responding to a shooter, what things you need to be aware of to keep yourself safe. And then response to law enforcement, because they're going to come in. They're going to need to take care of things quickly. And so we need to know how we need to handle ourselves around law enforcement so that we get out safely and we don't make ourselves a target for the shooter or for law enforcement. And then the hazard prevention and controls. So and that's just kind of how we're going to kind of regulate things, help things go along, protect ourselves, looking at things at the end and saying, OK, are we doing all this? Can we be safer? And that all rolls back into that OSHA compliance thing. So workplace violence is defined by NIOSH, is what it's called, and it's the National Institute for Occupational Safety and Health. And these are any kind of violent acts that are against a person, assault, threats in anybody that's at work or on duty. And so under that heading falls the terrorism that occurred at Oklahoma City, New York, any of those. Those are all things that they were aiming at a particular place. And if you're working in that place, then that's a workplace violence issue. It's violence that happened at your workplace. So it's nice and easy to find is that physical assaults, threats, threats of assaults, anything like that. So that active shooter plays under that. OK, now there are types of workplace violence. There is sexual harassment, harassment, cyber bullying, bullying and active shooter. Now, the only reason I bring all this into it and don't just talk about the active shooter is because some of these can actually lead up to an active shooter. OK, these can be situations outside work. These can be situations inside work that are happening and they're brought in like the outside ones are brought into the office. A lot of times we don't know about those. We don't know that those are occurring and we have to make ourselves aware. Say if it was me and I was having trouble with an ex-husband or something and my ex-husband was known to get into domestic violence and things. And so I kind of have to I mean, if it were me, I would make people aware of the situation that was going on with me at home or wherever that it could follow on into the workplace. So those are some things that we can be aware of. And sometimes it doesn't even there's not even a domestic thing going on there. Somebody just might have a mental issue and we don't know it until it happens. And so we just all have to be prepared. I've told people, you know, we don't know we're going to get into a car accident. But, you know, your mother always said, make sure you wear clean underwear, you know, because you want to be prepared for that. You're not going to break down in the snow. However, they tell you to put a blanket and, you know, things in the car so that if it does happen, you always have it with you. And that's how we're going to treat any kind of active shooter, workplace violence, national, you know, natural disaster, anything like that. It's all going to be covered under. We don't we don't want it to happen. We hope it doesn't happen, but we're going to expect it might happen. I hope that makes sense there. So with OSHA compliance, OSHA has the guidelines for the prevention of workplace violence. There is not and because it, you know, the active shooter falls under OSHA compliance. What we're going to look at is the. There's not a standard. OK, there's not a standard that they have put in place for this. They used to have a workplace violence one. And what they did is they removed that and they've kind of given you these guidelines. OK, now it does mention it within the standards, but there's not like if they were to come in and fine you for not having your emergency action plan or workplace violence plan or preparing for these certain things. And then it happened. They would come in and fine you for what would be called the general duty clause. And what the general duty clause is, is it says that each employer shall furnish to his or her employees a place of employment and employment that are free from recognized hazards that are likely to cause death or serious physical harm. So, as you can see, that's going to cover a lot of stuff. I always say that's kind of like the little fine writing down at the bottom of a nice contract and you have to look for that. But that's going to be their umbrella clause to kind of catch you under that. So that's why it's very important for us being in, you know, health care, being that we work with psychological issues sometimes, being that we, you know, even if we don't work with them, we have experience with them because those people still need care in other ways. And so we have to be very careful for ourselves and think about ourselves. So being safe. Now there are penalties. So, if I were to not have a workplace violence, a workplace violence plan written up or prepare if something like that happens. So, in that case, if I did not have that available, and it was not written up along with my policies and procedures for everything else that goes with OSHA, I can actually get into a serious violation. Or other than serious violation, which those amounts starting in 2022 are up to $14,502. Now, when I started, which was 10 years ago, doing OSHA, it was $7,000. So it is doubled in the amounts of penalties that have come in. Now, willful and repeat violations. These are like, say a hospital was made aware that there was a shooting there or there was a hostage situation there. And, you know, five years later, something else happens and they haven't done absolutely anything to prepare themselves or prevent that from happening. So, in that case, that $145,000 violation is going to fall in place. And this is per each violation. So, or per each, you know, violation that you have is going to be a penalty for that. Now, as far as a hazard assessment. As far as OSHA is concerned, they like you to do a hazard assessment to kind of go through the office and say, okay, what hazards do we have? What tasks are we doing that could cause us to have, you know, an accident? Excuse me. Any kind of accident or any kind of issue as far as what we're actually doing at work and causing us to have a serious accident or even just get hurt on the job. Okay. And so we have to look at all that and kind of lay it out. So the other thing is, is you kind of have to look at your office and say, or wherever you're working and say, okay, where are the places that could be vulnerable? And if we were to have an active shooter or if we were to have somebody come in here and cause a problem, are there any things that we can do to prevent the accident from happening? Is there anything that we can do to mitigate the situation so that it's not as bad? You know, so those are things that they prepare and you'll see that in schools with the active shooter. You'll see that in schools where they will prepare the students and the teachers on what to do if an active shooter comes in so that they can prepare themselves. Okay, so employers are expected to use the information that they find within that hazard assessment and those vulnerabilities to prepare the staff. You want to develop a plan. You want to implement those controls. You want to go over that training with them and you want to prepare those employees with their training, both going over what the vulnerabilities are, and then also going over what can be done to remove those vulnerabilities or lessen those vulnerabilities, those kind of things. Now, those vulnerability questions to ask, how easily could someone access your site? Let me give you an example. I'm a very visual person. So when I read this at first, I'm going, well, everybody can walk in the front door. I don't get the question. However, I've been in an office before and I have told them there's a back door that they come in and the back door they leave propped open so that employees can go easily out to the car and come back in without having to unlock the door, use their key or anything like that, or somebody having to unlock the door for them. And so in that case, there's a vulnerability. There's an issue with somebody just walking in the back door. And it has happened, especially at that place that I had said something to and noticed that the door was open. Somebody had walked in the back door and was actually a husband of one of the hygienists there in an office. It was in a dental office and shot her in a pediatric dental office. OK, so we don't want those vulnerabilities. What's the ease of movement through the site? Another thing is if you have a large enough site, if you have a small enough site, it's noticeable. Somebody is walking through your office and you don't recognize them or you're like, why is this patient just walking around like he owns the building or whatever? The ease of movement through the site means that you could be familiar with them. However, it's good to stop them. Don't feel like somebody that is being nosy or anything like that, but just say, hey, can I help you? I saw that you were just kind of walking around and wandering and I didn't know if there was something that you needed. Can I help you, you know, show you where you need to go or whatever? So bring that up. Don't be afraid to bring that up because we don't want people wandering around. OK, what are your lockdown and video surveillance capabilities? A lot of people don't like the video surveillance capabilities. I think in certain situations it does apply for you to protect yourself. It's also to to protect yourself from any in situations that a patient may say, you know, outside in the hallway. It's not going to be in the exam rooms, of course. But if somebody was walking through the hallway and, you know, maybe I didn't like this patient and I decided to trip her, you know, let's hope that doesn't happen. But if I did, you know, there's video surveillance of that to back up anything that could have happened or a patient hit me through the hallway and I went and said something to somebody and they didn't believe me. And there's video surveillance for that. There's also and I'll talk about it later is like curved mirrors so that you can see down a hallway that you might not be able to see normally when you come around the corner so that you see what's coming around the corner before you get there. Locking down what lock securities that you have. What's the location or entry exit points for evacuation routes is very good to know evacuation route, you can practice it. You can have that emergency planning, you can go and do go walk through it with the staff and everything. I'm not going to say that you shouldn't do that because I think that's a wonderful idea. I think anytime that you're running through that, and I know I am right there with you. Oh my gosh, that's so boring. Why do we have to do this, blah, blah, blah. But as you can see, with the 911 cases, okay, is that the people, a lot of the people that actually got out of the building were ones that were prepared for something to happen, and they could calmly go the way they needed to go because they knew it like the back of their hand. They knew what they had to do, because they were constantly doing that emergency plan, you know, working on it. Now what's the security presence on site, you may or may not have it, you may, you may have a an office in a hospital building so you have some, you know, security presence. You may not have that notification procedures that are in place so that you can let those people know, you know, let patients know don't come into the office, you know, call 911 have somebody that you can call on those, you know, those people contact other people, or, however, having those emergency numbers lined up all that is very, very, very, very important for that plan. We'll go over some of that. We'll discuss some of that and then I'll also provide you some of that after this PowerPoint is over. So those risk factors. Some people are going to carry their guns within the facility. A lot of people, a lot of offices may have signs that say, you know, don't carry the weapons on site. Some people may say they're illegal in the hospitals or this that any other entering the health care facility. So it depends on what your facility is however. Okay. you're going to have those people that still carry in there. Yes, they saw the sign. They also saw the sign that says COVID is prevalent and that you need to wear a mask and they're not wearing a mask either. So we've got those. No, patients always do what they're told. I know. The availability of cash and drugs on site makes a difference. Unrestricted access to the public. Being able to come in. I will tell you another example is I worked with an allergy office. In an allergy office, they had patients come in and they would sit in the waiting room to go back to see the doctor. However, there were other patients that would come in that would go into the allergy area. And then there was a waiting room back there. I said, you need to control that traffic going back because you don't know who those people are going back for if they're, if they have an appointment, you know, so somebody needs to stop them. They need to check in at the front desk and you can have a list of those names and check them off as you go, just so you know who is supposed to be there and who's not. Okay. Because it could be a, you know, somebody's mom walk in and that's fine. However, how do you know that mom is not mad at the doctor and brought a weapon is going to shoot the doctor, you know? So we have to do this. I know it's tedious. I know it's, you know, overkill sometimes, but you see what's happening out in the world today. So we need to be prepared for that. Long waits. If they're waiting out on the waiting area, I've had somebody had that happened. They were tired of waiting. They went out to their truck and they didn't bring their gun in when they initially came in, but they did go out and get their gun after that. And they started waving it around, causing a little bit of trouble. They were able to calm that person down. He didn't shoot anybody, but he was, you know, increasing presence of gangs, drug, alcohol abusers, and disturbed individuals. So it depends on what people are treating. It depends on in the area you're located. So don't look at this as, well, we don't treat those kinds of people at our office. We don't see those kinds of people. And some people may do that, like especially pediatric. However, it does have to do with your surroundings too, outside the building. Domestic violence issues, divorce. It could even be child custody, working in isolated areas or remote locations, too far off of the beaten path that it's harder to get help out there. And also if you need help, it's harder to get to somebody quickly also for yourself. Now, the definition of active shooter. It's a person that engages their intents to engage in killing people that in the area, mostly populated and confined. Now, an active shooter can be someone that comes in that's actually looking for somebody. They're wanting to shoot that person, but they also shoot other people because they're not letting people get in their way. There is no selection process. No selection process to the choice of victims and no recognizable pattern. Again, when we're talking about workplace violence, unless it's a large facility, a lot of times there is a reason that they come in. They're mad at somebody there at the office. However, they take out whoever they can take out. They may not even went in there, found the person they wanted to shoot, but they shot other people. The occurrence of an active shooter will be quick. It's very unpredictable. Sometimes you know, you know the person that's been in there. Maybe they've been upset. Maybe you don't know them at all. They're angry at the bank, period. And so they want to come into the bank and start shooting. And it could be customers. It could be workers. It could be children. It doesn't matter. So it doesn't matter. So contacting law enforcement immediately will save lives. But however, we can't get to that. We can't assume that we're going to be able to contact somebody 9-1-1. Hopefully with cell phones nowadays and having them on silent and those kinds of things, we can go ahead and do that. But those individuals that are involved to be mentally and physically prepared to handle the situation until help arrives. Because if we can't call 9-1-1, there needs to be somebody there that can help individuals out of the office. There are going to be people that, and I'm going to show you a little video later, that are not able to handle themselves enough to get themselves out of harm's way. So you'll see that in that video. Good practices. Be aware of your surroundings and any dangers that might be occurring. Or a lot of times I feel a little bit more intuitive about things. I will feel the tension in a room if there's people that are kind of mad at each other or if there's a person mad at me. And I usually address it. I want it out in the open. I want it, you know. And so those are the kind of things, too. You know, if you're HR or if you are somebody that is, has some management abilities in the office, then you might address that or say something about that. Remember where the two nearest exits are in the facility. Knowing how to get to them and knowing and listening, using all your senses, especially when this is happening, to hear things that you are knowledgeable about. Like if you heard them trip over something that you knew everybody tripped over and it was in the front of the office. So then everybody's going to try to get out of the back. Okay. Those kind of things. Secure the door to the room if you're in an exam room. If you're in an office area that you can secure the room, get to a room. If you're in a hallway, secure the door. Attempt to take the shooter down is absolute last resort. Okay. That's if you are trapped and you have nothing else to do but work yourself out of the situation. And that is going all out. Okay. And we'll talk about that, too. So response to a shooter. When an active shooter is in close proximity, remember to protect your own life first. Don't go back for others. Don't go back for your personal items, anything like that. Just get yourself out. I don't care if you had your shoes taken off underneath your desk. Run. Okay. Patients and others are likely to follow whoever is going wherever. So follow the lead of the employees during this type of situation, especially the one that always paid attention at your drills. You want to make sure to follow them out. So making sure that you are aware of where that shooter is, where to evacuate. And so that's why it's very important to actually plan an escape route. I had somebody call me the other day and they said, you know, do we have to, you know, go, you know, do the drill, run out the door, do this, do this, do this. Yes, it's a good thing. As far as OSHA is concerned within their writing, it doesn't say that you like have to do a fire drill and document it and do all that. However, walking them through the escape route, walking them through what needs to be done can take 30 minutes once a month or 30 minutes every two months to make sure that they know this. Okay. Evacuate even if others don't follow. So, again, it's going to show a video where somebody is actually pulling them out because these people don't want to leave. If that person just keeps pulling away from you, leave. You got to go. Okay. Leave belongings behind. Help others escape if possible. And those are, you know, making sure that if there's somebody along the way on your route going, don't go looking for people, because you're going to get yourself into a situation. Just get out as soon as you can possibly get out. Prevent entrance to the area where the shooter may be. Block things. Okay. Maybe the shooter came into the, like, downstairs. Okay. And you know that you have some floors. You can go up and down some floors there where you're at. Maybe there's a way to block the exit or the entrance to the stairwell. And there's a way to chain it. There was a chain there, whatever, and you can put a lock on it, whatever you need to do. You can put a broom in it to where they can't, you know, open it and get it fully engaged to get it open. Keep hands visible, um, because especially if the shooter sees you, they don't want to take you as a threat. Okay. Follow the instructions of law enforcement. If law enforcement comes in, that's another thing, keeping your hands visible because you, they don't, you don't want them to assume that you're the shooter. Okay. So if your hands are free, you don't have anything in them, you know, prepare to keep your hands up and make sure that they know who you are and that you're not the shooter. Do not attempt to move the wounded. Um, if you have to, if, if you have gone to an area, this person comes in, or maybe you go to an area where the shooter was, and you know that he's not coming back through there, you find somebody wounded. You can help that person, but you don't want to move anybody. You don't want to move anybody. You just want to assist that person where they're at and then call 9-1-1 when you're safe. All right. Hide out, hide out of the shooter's view. Make sure that you can find the safest thing possible. Think of it as a hide and seek with, you know, whoever was the best person that would ever find you and could always find you. Think about those places you can hide that this person would be the hardest way to find you. And, and actually possibly, if you're very quiet, they may just walk right past you because they're not looking under tables or in closets or anything like that. They're walking directly into the areas where people were sitting and things. Provide protection for yourself, whether you have to like throw a table over, um, you know, put something in front of you, don't cause a trap or restrict your options to move. Um, the thing is like, if there's a window in, in the, uh, office where you've barricaded yourself, you can get out the window. If there's not a window and you've barricaded yourself and that person comes in there, make sure that there's a place you can hide within that single room, um, and hopefully get away. Lock the door, barricade with locked heavy objects, turn off any source of noise, um, immediately silence your phone, um, take off your shoes so that they're not, you know, walking through making noises, things like that. Hide behind large objects and just remain quiet and try to remain calm. And you'll see in this video that there are some people that could not remain calm and the others were afraid they would be found, um, because of that person being so upset. Now take action, remain calm, report to 911 where the shooter's location is, how many shooters there are, how many people possibly were injured, those kinds of things. Leave the phone open so the dispatcher can hear and listen. Um, if there's an issue that happens, act very aggressively toward that person and throw items, improvised weapons, yell, commit to those actions. If you have to just run over, if you were ever a football player and you're just going to run and tackle them, you're going to run as fast as you can, you're going to tackle them as fast as you can, you may get shot in the shoulder, you may, you're a running target. Okay, so run towards them, tackle them, and do what you can, um, to assist yourself in getting out of there. Now the response to law enforcement. It is law enforcement's job to get in for the shooter. Again, that's why when they go into the area, they're looking for someone that possibly has a firearm, so keep your hands up. Officers will go in the area where the last shots were heard, they will go through, um, methodically through the office trying to find out, they'll see people maybe that have been shot, and they will kind of follow the issues. There may be, you know, um, shot, um, I guess, bullet holes in places, they can kind of follow that. They can also follow the sounds, they can also follow the smells going towards them. The next team of the responders will be there to treat and remove any injured persons. They come in after the protection is, um, set up, and the barricade between them and the shooter, and they may have others involved to assist. It could be not only just officers, but those first responders, um, people that are going into a dangerous situation like that. How to react. Um, you want to be calm, follow directions. If somebody is there, they know what they're doing, they're assisting you all the way, do it. Um, don't have anything in your hands. Again, raise hands, spread fingers, and keep them visible. No quick movements, avoid pointing, screaming, yelling, anything like that. Um, tensions are already high, so you want to try to reduce those tensions by trying to be as calm as possible. And I know, I'm telling you all this, but I've not been in that situation. My sister actually has had an active shooter situation. Um, she worked at a bank, and they came in and, uh, actually pointed the gun at her. Um, she was not hurt, and I think, you know, they took their money, they left. Um, but she still has that image probably in her brain. She was actually held up twice, and so that, she's gone through that twice, having to deal with that, having to see that. So, avoid quick movements, pointing, screaming, exit in the direction that officers entered, and do not stop. Because the officers are going towards the noise. They're going towards the shooter, and you know that they came from being away from the shooter. So, run out from where they came by. If they walk past you, run out their way. 9-1-1, give location to shooter, provide the number of shooters, physical description, anything that you can recall. If you have somebody, you may want to make them the person that tries to remember this information. Some people have really good memories, and can say, yes, the guy had blue jeans on, he was probably about 5'7", he had blonde hair, he had a hoodie on, blah, blah, blah. You know, I could see his blonde hair through it, he had dark glasses, I don't know what color his eyes are, da, da, da, da. And so, you know, that is going to be part of your plan to work in too. Explain the number and types of weapons, count the number of victims at the location, especially if you are along with them, or if you hid in an area where somebody might have got shot, you can at least tell them, hey, you know, we've got one person down here, I don't know how many others there are. So, knowing that you can tell 9-1-1 that. Now, the hazard prevention and those controls. Management is committed to a worker support environment, okay, that places as much importance on employee safety and health as serving the patient or client, or they should, okay. As far as OSHA is concerned, this, this is a big yes with OSHA. They should be taking as much precaution with you as they would making sure a patient didn't get hurt on the facility. We support zero tolerance. Now, this is part of your hazard prevention and controls, but also as part of your plan and your policies and procedures. So, your office may support a zero tolerance policy workplace violence, verbal, nonverbal threats, related actions. That's a good thing. Maybe taking care of the situation before it goes any further. Maybe before it increases. If there is an issue with a patient, you don't want them coming in 10 more times to cause trouble or getting even more mad, okay? We will ensure that managers, supervisors, co-workers, clients, patients, and visitors know about the policy, knowing about the zero-tolerance policy. So, don't let somebody slide because they're family members, possibly, or, you know, maybe one of the doctor's friends, and they talk down to one of the nurses or something like that. Don't let that occur. You're going to treat everybody across the same, same across the board. You want to make sure that everybody's treated that way. You don't want, if one person sees it, then they're going to try it too, okay? It's just like if you see a kid, you know, you've never had, you know, like my son never really bit any kids. Like, he just was not a biter. But then he got bit one day. So, he was learning to bite back. And so, I had to say, you know, don't bite back. If somebody bites you, you go tell somebody. And so, this is the kind of thing is that if something happens to you, you go tell somebody. Don't let it go on and on, okay? And then no employee who reports or experiences workplace violence faces reprisals. So, make sure that there's a safety thing there too, that there is not an issue. Like, I'm not going to say, okay, well, that's my friend. You can't report on that. We're not going to do anything about that. You can just go on and go on about your job. You know, you want to be fair. You want the management to be on your side and help take care of the safety of the employees. So, employees should promptly report incidents or any kind of things to eliminate any risks. Always, and I can't say it enough, record everything. I'm talking about, I'm not talking about with your cameras, the incidents reported and recorded, wrote down, and all the information that you can write down about it. That's going to help saying, okay, if this happens again, we're going to do this, okay? So, any of those incidents you can actually learn from, making sure that you take that incident and work with it. Safety coordinator has the responsibility and authority for the OSHA program, okay? And they may also be in charge of this program. The practice will ensure that safety coordinator has appropriate training and resources, and to have the expertise to actually help with that workplace prevention, workplace violence prevention within the office. Again, active shooter, it's all covered under that. Initial and annual OSHA training, that will include education on training, workplace violence, active shooter, harassment, anything that you have that possibility. You can never have enough, I don't want to say policies, because I don't want to make it sound like, oh my gosh, there's so many rules. You can never have enough, I guess, plans on any kind of action that could occur within the office. So, having those plans, you may or may not use it, but having them is going to protect you in the long run. And just kind of touching base along the way and reminding people of those happening. Now, those additional options, assess any plans for new construction or physical changes. Because sometimes you want to address certain things. So, for example, I went into an office, they were already having some HIPAA issues, they didn't have any OSHA compliance, so I had to assist with that. They had a door that has a buzzer button. Or the employee would be able to punch a code in. Well, the employees were like, I'm tired of punching that code in, can we just prop that door open? Well, that's great. But you're not doing anything good with that door that you just paid $100,000, I don't know how much it was, for the push button and the lock on it. And all that fancy equipment on that door, if you're going to leave it open. And I tested that theory. I actually walked into their office, and they had like, I think they have like three floors, three or four floors. And so I was on one of their floors, and it's the one that always happens, and it's the main area with all the facility and the administrative staff. And I walked in, I just walked on back. I just walked on back, I passed employees, I passed doctors, physicians. These were physical therapists, too. This was an orthopedic. And so I kind of went on back, and I sat down in a little empty like waiting room with the lights off. And I just kind of sat there where people could see me when they passed by. Nobody said a word. Nobody asked me if I was in the wrong place. Nobody asked me if they could assist me. Nobody talked to me. I don't even know if anybody really saw me, but I didn't like sneak in. I just walked in, walked past everybody, found a little place to sit down. I felt very weird about it. But I thought, you know, I have a ride. I've got to check these things out. And finally, on the way out, there was somebody that said, can I help you? And she just kind of said, can I help you? At that time, the damage would have been done if I'd have been an active shooter. I would have went right back there and saw whoever I wanted to before I could get out the door. So install and regularly maintain alarm systems, other security devices, panic buttons, handheld alarms, noise devices, cellular phones, private channel radios. We actually have an office that actually put a private channel radio, these little headsets and stuff, because we had a nurse trapped by a patient in a wheelchair. He got her trapped between the bed and his wheelchair. And she was so small that she couldn't get and he was bigger than her that she couldn't get around his wheelchair. So they had to put something in place for that. Arrange a reliable response system when an alarm is triggered. Use a closed circuit video recording for high risk areas in a 24 hour basis. And again, this is if you have say you. It's happened before, worked near a drug treatment plant or or area or facility or even like a methadone clinic. And you have people come in all the time and they'll walk into the wrong office. Sometimes if they're not in the right mind, they're going to argue with you and you're telling them you need to go next door. And so that issue can arise. So sometimes those those closed circuit videos can help you assist you in those situations. If something were to happen, place curb mirrors and hallways, intersections, enclosed nurses stations. I do say that if not really nurses, but the front desk shatterproof glass and the reception, those kind of areas. I know we did the plexiglass, which is everybody's like, oh, my gosh, I wish they'd get out of the way. But it's a good protection for you. It's it's it's like putting something between you and a shooter. And that could possibly stop the bullet or slow down the bullet that it doesn't cause any damage to you like it would if they were standing right across from you. Triage admitting areas provide employees safe rooms for use during emergencies, knowing where you're going to go, knowing where you're going to hide, already pick it out. You know, finding those hiding places, recognizing them and saying, hey, there's a safe place. Let's do this. Lock all unused doors to limit access in accordance to local fire codes. Now, some statistics. Three hundred and thirty three FBI defined active shooters events. Two thousand eight hundred and fifty one casualties. That's not including the shooters. One thousand twenty three civilians killed. Seventeen hundred and three injured. Twenty nine law enforcement officers killed. Eighty, eighty injured and ten security personnel killed and six injured. And here three hundred and forty five active shooter individuals, 16 active shooter individuals wore body armor. Three hundred and thirty two active shooters were male. Thirteen were female. One hundred and nineteen active shooter individuals committed suicide. Sixty seven were killed by police. One hundred and fifty were taken into custody by police and five shooters are still at large. So, oh, sorry, my mouth is a little tusky. So it kind of shows the breakdown in here. It says in 43 states, District of Columbia. It talks about shooters killed by police shooters, killed by citizens, shooters apprehended by police shooters at large. And it kind of breaks that down. I'm going to send you out a copy of this PowerPoint and you can make notes on it wherever you want to. Things that you've heard or things that you carry through what we just talked about today. We're going to have that. But I'm going to show you a video here. We'll go ahead and start this. I think it's a little over five minutes. So we'll let you watch this and then we'll sum up everything. It may feel like just another day at the office. But occasionally life feels more like an action movie than reality. The authorities are working hard to protect you and to protect our public spaces. But sometimes bad people do bad things. Their motivations are different. The warning signs may vary. But the devastating effects are the same. And unfortunately, you need to be prepared for the worst. If you were ever to find yourself in the middle of an active shooter event, your survival may depend on whether or not you have a plan. The plan doesn't have to be complicated. There are three things you could do that make a difference. Run. Hide. Fight. First and foremost, if you can get out, do. Always try and escape or evacuate, even when others insist on staying. Encourage others to leave with you, but don't let them slow you down with indecision. Remember what's important. You, not your stuff. Leave your belongings behind and try to find a way to get out safely. Trying to get yourself out of harm's way needs to be your number one priority. Once you're out of the line of fire, try to prevent others from walking into the danger zone and call 911. If you can't get out safely, you need to find a place to hide. Act quickly and quietly. Try to secure your hiding place the best you can. Turn out lights, and if possible, remember to lock doors. Silence your ringer and vibration mode on your cell phone. And if you can't find a safe room or closet, try to conceal yourself behind large objects that may protect you. Do your best to remain quiet and calm. As a last resort, if your life is at risk, whether you are alone or working together as a group, fight, act with aggression, improvise weapons, disarm him, and commit to taking the shooter down, no matter what. Try to be aware of your environment. Always have an exit plan. Know that in an incident like this, victims are generally chosen randomly. The event is unpredictable and may evolve quickly. The first responders on the scene are not there to evacuate or tend to the injured. They are well trained and are there to stop the shooter. Your actions can make a difference for your safety and survival. Be aware and be prepared. And if you find yourself facing an active shooter, there are three key things you need to remember to survive. Run, hide, fight. lot of my information from Homeland Security. Active Shooter, how they act, what they go through, and also, as you saw on that video, it was created, but it was provided by the information by the Homeland Security. So any information about how they handle those and any of that will be through Homeland Security. You'll be able to find that information. I'm also going to provide for you, they're going to share your information with me so that I can get you that information. I'm going to get you a plan, a poster, the PowerPoint, and then also, I believe that there may be another like a template of a plan also that I have found that I will share with you. So those four things will be able, three or four, will be provided for you after the end of the seminar, sometime before the end of the day. Hopefully, if not, it will be tomorrow at some point. We'll get those to you. If you have any questions, please feel free to contact me at any of the information below. I do welcome many questions. You can email me at that kogle at doctorsmanagement.com. I like to, I mean, I can't answer 20 million of them because I'll have to charge you for it, but if you have some questions about today's seminar, especially any of that information with that, and any confusion that you may have, I can go over that with you, and I hope you enjoyed that presentation, and thank you very much for letting me do this for you. Thank you so much, Kelly, for hosting this wonderful presentation today. Thank you to everybody who attended as well.

webinar

active shooter response

workplace violence

run hide fight

evacuation

law enforcement instructions

hazard prevention

zero-tolerance policy

proactive response