IAHSS PRACTICE TEST
Schedule V Substances Cough medications with codeine, and diarrhea medications, combining
diphenoxylate and atropine.
Fire Triangle Fuel, Heat, Oxygen
Seven Signs of Terrorism 1. Surveillance 2. Suspicious questioning, 3. Test of Security, 4. Acquiring
supplies and assets, 5. Suspicious people or activity, 6. Dry runs, 7. Deploying
assets and getting into positions.
Bomb Threat Plan: Basic Steps 1. Take preventive measures, 2. Establish authority-via Incident Command, 3.
Gather as much information as possible as the threat is received, 4. Search for
the Bomb, 5. Evacuate, as appropriate, 6. Terminate response, 7. Document and
debrief.
Three main security preventive measures to deter those 1. Control access by locking sensitive areas (e.g. computer rooms, air handlers,
who would bring a bomb to your facility boiler rooms, telecommunication areas, and loading docks. 2. Use deterrents
such as lighting, fences, cameras, and detection devices. 3. Identify suspicious
individuals and their behaviors.
Communication Do's and Don'ts during a bomb search 1. Do use the existing telephone system or 2. runners, but not with cell phones
or two way radios. Don't use Cell phones or two way radios because they can
detonate the bomb.
Questions on the Telephone Bomb Threat Checklist 1. When is the bomb going to explode? 2. Where is the bomb? 3. What does it
look like? 4. What kind of bomb is it? 5. What will cause it to explode? 6. Why
was the bomb placed? 7. Where are you calling from? 8. What is your name? 9.
What is your address? 10. Why are you calling me? 11. Why would you want to
hurt innocent people
Emergency Operations Plan serves what 3 purposes 1. Provides a written plan to guide the facility's respose to the emergency. 2.
Outlines the organizational structure for managing the response. 3. Outlines
how the organization will deal with 6 critical areas identified by the Joint
Commission.
Emergency Plan's 6 critical areas. 1. Communications 2. Resources and assets 3. security and safety 4. staff 5.
Utilities 6. Patient Care
The Joint Commission requirements on exercises to the 1. At least 2 exercises must be completed a year. 2. One exercise per year must
emergency plan provide for an influx of simulated patients. 3. One excercise per year must be
participation in a community-wide exercise. 4. One exercise per year must be
an escalating event in which the community is not able to support the
healthcare facility. 5. An actual emergency response may be substitued for an
exercise.
Common Causes and Effects of Civil Disturbances Civil disturbance-also called civil disorder or civil unrest-is a general term used
by law enforcement to describe disturbances of a group.
, IAHSS PRACTICE TEST
Freedom of Assembly Freedom of assembly is the individual right to come together with other
individuals to collectively express, promote, pursue, and defend common
interests.
Civil Disorder Civil Disorder is a public disturbance by three or more people involving acts of
violence that cause immediate danger, damage, or injury to others or their
property.
Security's Role during Civil Disturbance 1. To protect the perimeter of the facility. 2. To ensure clear access for
emergency vehicles, employees, patients, visitors , and deliveries.
Response Plan Needed to effectively manage and minimize the potential for negative
outcomes and developing the framework needed to respond to a civil
disturbance.
Key Assumptions to Address in the Written Response 1. Disturbances will adversely effect facility operations. 2. Access to the facility
Plan will affected: patients and employees will have difficulty reaching the facility;
delivery of supplies will be difficult. 3. Response by the police and fire to the
facility may be delayed and will likely be under-resourced at first. 4. Availability
or adequate staffing may be affected. 5. Facility-wide lockdown with restricted
access will be implemented. 6. Media will be present and may need to be
controlled and managed in a separate location. 7. Planning and coordination
will be an ongoing activity based on the changing nature of the incident. 8.
Coordination with local agencies will occur, including law enforcement and
public safety agencies.
Security Management Plan This plan typically outlines the hospital's response to civil disturbances and
references the full response plan within the Emergency Operation Plan (EOP)
Strategies to Reduce Risk 1. Access Control, 2. Presenting Identification, 3. Inspections, 4. Protecting
Security-Sensitive Areas. 5. Adequate Security Staffing.
OSHA's strategies to prevent workplace violence Policy; Commitment; Patient History; Training; Employee Participation;
Reporting; Alert System; Plan; Law enforcement Participation; Protection;
Counseling; Legal Actions.
Risk Identifying for workplace violence Particular departments; Activities; Workstations; and Time of Day
Measurable Indicators for workplace violence Prior Incidents; Employee Surveys; Independent Reviewers.
Facilitating De-escalation in regards to workplace Listening, empathy, and collaboration.
violence
, IAHSS PRACTICE TEST
Some Facts on WPV's Workplace violence affects an estimated 1.7 million US employees directly and
millions more indirectly each year.
Forty eight percent of all non-fatal assaults and violent acts in US workplaces
occur in healthcare settings.
The overall injury rate for nursing or personal care workers is 25 per 10,000 full
time employees. This rate is much higher than that of all private-sector injuries,
which is only 2 per 10,000 full time employees.
Forty-three percent of healthcare establishments report having employees
affected by workplace violence.
Preventing Workplace Violence Policy, Commitment, Patient History, Training, Employee Participation,
Reporting, Alert System, Plan, Law Enforcement, Protection, Counseling, Legal
Actions.
WPV Measurable Indicators Prior Incidents, Employee Surveys, and Independent Reviewers.
WPV program has two key goals 1. Communicate the philosophy of the origination in dealing with workplace
violence
2. Prepare healthcare workers to respond safely.
Who should receive WPV training All staff should receive basic training on wpv prevention and procedures to
follow when a WPV has occurred.
Benefits of WPV Prevention Program More serious forms of violence will be less likely to occur
Expensive and embarrassing incidents may be avoided
A safer and more motivated workforce will emerge.
Hostage Situations Hostage situations occur when one or more people are held against their will,
with release contingent upon certain demands being satisfied.
Two main hostage situations 1. Pre-meditated, 2. Reactionary.
Pre-meditated hostage situation An individual or group develops and implements a specific plan. They wish to
use hostages to promote a cause or elicit another response result, such as to
obtain money or some degree of notoriety.
Reactionary hostage situation Reactionary hostage situations are generally not engineered with great detail.
Rather, they are a response of desperation. A reactionary hostage situation can
occur in response to an unsuccessful crime attempt. The hostage taker believes
that taking a hostage will ultimately result in a more favorable outcome.
High risk Areas for hostage taking Obstetrics, Emergency Department, Pharmacy, and Administration.
Schedule V Substances Cough medications with codeine, and diarrhea medications, combining
diphenoxylate and atropine.
Fire Triangle Fuel, Heat, Oxygen
Seven Signs of Terrorism 1. Surveillance 2. Suspicious questioning, 3. Test of Security, 4. Acquiring
supplies and assets, 5. Suspicious people or activity, 6. Dry runs, 7. Deploying
assets and getting into positions.
Bomb Threat Plan: Basic Steps 1. Take preventive measures, 2. Establish authority-via Incident Command, 3.
Gather as much information as possible as the threat is received, 4. Search for
the Bomb, 5. Evacuate, as appropriate, 6. Terminate response, 7. Document and
debrief.
Three main security preventive measures to deter those 1. Control access by locking sensitive areas (e.g. computer rooms, air handlers,
who would bring a bomb to your facility boiler rooms, telecommunication areas, and loading docks. 2. Use deterrents
such as lighting, fences, cameras, and detection devices. 3. Identify suspicious
individuals and their behaviors.
Communication Do's and Don'ts during a bomb search 1. Do use the existing telephone system or 2. runners, but not with cell phones
or two way radios. Don't use Cell phones or two way radios because they can
detonate the bomb.
Questions on the Telephone Bomb Threat Checklist 1. When is the bomb going to explode? 2. Where is the bomb? 3. What does it
look like? 4. What kind of bomb is it? 5. What will cause it to explode? 6. Why
was the bomb placed? 7. Where are you calling from? 8. What is your name? 9.
What is your address? 10. Why are you calling me? 11. Why would you want to
hurt innocent people
Emergency Operations Plan serves what 3 purposes 1. Provides a written plan to guide the facility's respose to the emergency. 2.
Outlines the organizational structure for managing the response. 3. Outlines
how the organization will deal with 6 critical areas identified by the Joint
Commission.
Emergency Plan's 6 critical areas. 1. Communications 2. Resources and assets 3. security and safety 4. staff 5.
Utilities 6. Patient Care
The Joint Commission requirements on exercises to the 1. At least 2 exercises must be completed a year. 2. One exercise per year must
emergency plan provide for an influx of simulated patients. 3. One excercise per year must be
participation in a community-wide exercise. 4. One exercise per year must be
an escalating event in which the community is not able to support the
healthcare facility. 5. An actual emergency response may be substitued for an
exercise.
Common Causes and Effects of Civil Disturbances Civil disturbance-also called civil disorder or civil unrest-is a general term used
by law enforcement to describe disturbances of a group.
, IAHSS PRACTICE TEST
Freedom of Assembly Freedom of assembly is the individual right to come together with other
individuals to collectively express, promote, pursue, and defend common
interests.
Civil Disorder Civil Disorder is a public disturbance by three or more people involving acts of
violence that cause immediate danger, damage, or injury to others or their
property.
Security's Role during Civil Disturbance 1. To protect the perimeter of the facility. 2. To ensure clear access for
emergency vehicles, employees, patients, visitors , and deliveries.
Response Plan Needed to effectively manage and minimize the potential for negative
outcomes and developing the framework needed to respond to a civil
disturbance.
Key Assumptions to Address in the Written Response 1. Disturbances will adversely effect facility operations. 2. Access to the facility
Plan will affected: patients and employees will have difficulty reaching the facility;
delivery of supplies will be difficult. 3. Response by the police and fire to the
facility may be delayed and will likely be under-resourced at first. 4. Availability
or adequate staffing may be affected. 5. Facility-wide lockdown with restricted
access will be implemented. 6. Media will be present and may need to be
controlled and managed in a separate location. 7. Planning and coordination
will be an ongoing activity based on the changing nature of the incident. 8.
Coordination with local agencies will occur, including law enforcement and
public safety agencies.
Security Management Plan This plan typically outlines the hospital's response to civil disturbances and
references the full response plan within the Emergency Operation Plan (EOP)
Strategies to Reduce Risk 1. Access Control, 2. Presenting Identification, 3. Inspections, 4. Protecting
Security-Sensitive Areas. 5. Adequate Security Staffing.
OSHA's strategies to prevent workplace violence Policy; Commitment; Patient History; Training; Employee Participation;
Reporting; Alert System; Plan; Law enforcement Participation; Protection;
Counseling; Legal Actions.
Risk Identifying for workplace violence Particular departments; Activities; Workstations; and Time of Day
Measurable Indicators for workplace violence Prior Incidents; Employee Surveys; Independent Reviewers.
Facilitating De-escalation in regards to workplace Listening, empathy, and collaboration.
violence
, IAHSS PRACTICE TEST
Some Facts on WPV's Workplace violence affects an estimated 1.7 million US employees directly and
millions more indirectly each year.
Forty eight percent of all non-fatal assaults and violent acts in US workplaces
occur in healthcare settings.
The overall injury rate for nursing or personal care workers is 25 per 10,000 full
time employees. This rate is much higher than that of all private-sector injuries,
which is only 2 per 10,000 full time employees.
Forty-three percent of healthcare establishments report having employees
affected by workplace violence.
Preventing Workplace Violence Policy, Commitment, Patient History, Training, Employee Participation,
Reporting, Alert System, Plan, Law Enforcement, Protection, Counseling, Legal
Actions.
WPV Measurable Indicators Prior Incidents, Employee Surveys, and Independent Reviewers.
WPV program has two key goals 1. Communicate the philosophy of the origination in dealing with workplace
violence
2. Prepare healthcare workers to respond safely.
Who should receive WPV training All staff should receive basic training on wpv prevention and procedures to
follow when a WPV has occurred.
Benefits of WPV Prevention Program More serious forms of violence will be less likely to occur
Expensive and embarrassing incidents may be avoided
A safer and more motivated workforce will emerge.
Hostage Situations Hostage situations occur when one or more people are held against their will,
with release contingent upon certain demands being satisfied.
Two main hostage situations 1. Pre-meditated, 2. Reactionary.
Pre-meditated hostage situation An individual or group develops and implements a specific plan. They wish to
use hostages to promote a cause or elicit another response result, such as to
obtain money or some degree of notoriety.
Reactionary hostage situation Reactionary hostage situations are generally not engineered with great detail.
Rather, they are a response of desperation. A reactionary hostage situation can
occur in response to an unsuccessful crime attempt. The hostage taker believes
that taking a hostage will ultimately result in a more favorable outcome.
High risk Areas for hostage taking Obstetrics, Emergency Department, Pharmacy, and Administration.
