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Saint Joseph's College of Maine *

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HA355

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Medicine

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Feb 20, 2024

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docx

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Uploaded by amandaaniicolee

LONG ISLAND JEWISH MEDICAL CENTER ETHICAL DISASTER PLAN MASS SHOOTINGS/ TERRORISM ATTACKS About LIJ The Northwell Health System’s Long Island Jewish Medical Center is a clinical and academic hospital. It is an 807-bed, hospital that provides tertiary care to residents of the greater New York metropolitan area. The 48-acre campus is located in Glen Oaks, Queens, and Lake Success, New York, respectively, on the border of Queens and Nassau Counties, 15 miles east of Manhattan. LIJ's full-time staff includes more than 500 physicians. Major facilities on our 48-acre campus include: Katz Women's Hospital, Zucker Hillside Hospital, Cohen Children's Medical Center, Long Island Jewish Medical Center, and Zuckerberg Pavilion. Importance Violence can affect any company or organization in the dynamic climate of today. We need to prepare for an active shooter situation is critical, whether the location is a church, theater, shopping center, or healthcare facility. Violence against healthcare workers is a problem that is gravely underreported yet affects tens of thousands of workers nationwide. Acts of violence are happening at an alarming pace all across the world, from gunshots in hospitals to verbal and physical assaults on employees. Active shooter incidents can have severe repercussions on victims and coworkers as well as long-term organizational effects in a hospital context. While some active shooter incidents are organized by the criminals, others may happen on their own. Situational awareness among you employees is essential in the workplace. Active Shooter Planning and Response Guide In order to help us with active shooter planning and reaction, I have prepared the Active Shooter Planning and Response Guide, which provides step-by-step instructions. This guide is a must-read and will be provided to each of you individually in the form of a pamphlet. It will also be available on the Northwell App for employees to access immediately and can be

viewed in this case of emergency. I have incorporated the most recent recommendations and techniques used in active shooter planning and response. On the bulletin boards that are found upon every hospital unit, we will put our new, updated plan. Every employee will also need to complete a required training on their ILEARN, and after successfully passing the test, they will be certified as being properly trained for active shooting emergencies. Run, Hide, Fight Active Shooter Response R un, H ide, F ight is a three step process to prevent or reduce loss of life in an active shooter event. R un – is to immediately evacuate the area H ide – seek a secure place where you can hide and/or deny the shooter access F ight – where your life or the lives of others are at risk, you may make the personal decision to try to attack and incapacitate the shooter to survive The 4As Active Shooter Response The 4As is a 4-step process to prevent or reduce loss of life in an active shooter event. They stand for: A ccept that an emergency is occurring. A ssess what to do next so that you can save as many lives as possible, which depends on your location. A ct: Lockdown (lock and barricade the doors, turn off the lights, have patients get on the floor and hide) or evacuate or fight back (last resort). A lert law enforcement and security

My goal is to prevent, lessen, and reduce access to potential victims while also minimizing the number of fatalities. Your safety, preparedness, and education are all part of my responsibility because I value your lives. There is no one optimal way to respond to an incident but having a plan in place will enable you and your employees to select the strategy that will save the most lives in the event of an active shooter. In addition, I'll make sure that there are legal safeguards in place, including definitions of the practice's scope and responsibility requirements. Disasters provide particular and uncommon challenges and put individuals in strange situations, therefore managing such a wide range of continuously shifting circumstances frequently involves ethical considerations.

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What to do during an “Active Shooter Emergency” 1. Stay calm. 2. Proceed to a location that can be secured, and lock or secure the door. If necessary, move something in front of the door to ensure it cannot be forced open. 3. Turn off all lights, silence all phones, and wait for further instructions. Instruction will come via e-mail or text, so keep your silenced phone nearby. 4. Do not open the door until instructed by responding authorities. 5. Remember: contact 911 if you feel that your safety is in jeopardy 6. Wait in the safest location possible until you are given the “all clear” or told to evacuate. 7. During this active shooter situation, LIJ will “lock-down” all exterior doors. LEARN HOW TO SUR Ethical Considerations during a Healthcare Active Shooter Event You have a responsibility to look after the patients for whom you work in the healthcare industry. Since situations like active shooter incidents are very dynamic, some moral choices may need to be made. Every reasonable effort must be taken to keep providing care for patients, but if it becomes difficult to do so without endangering the lives of others, certain decisions must be made. In the context of simulation-based active-shooter learning experiences, adhering to the principle of autonomy is perhaps the best method to safeguard employee safety and wellbeing.

References Aghera, A. (2021). The Power of an Active Shooter Simulation: Changing Ethical Beliefs. The western journal of emergency medicine , 22 (3), 510–517. https://doi.org/10.5811/westjem.2021.4.51185 Federal Emergency Management Administration, Department of Homeland Security (2010) Weapons of Mass Destruction Training – Incident Response to Terrorist Bombings – Resident Course PER 230-1: https://www.ndpc.us/Catalog/EMRTC/PER-230-1 Morrison, E.E. & Furlong, B. (Eds.). (2019). Health care ethics: Critical issues for the 21 st century (4th ed.). Burlington, MA: Jones & Bartlett Learning. Seaberg, J. (2017). Ethical Guidance for Disaster Response, Specifically Around Crisis Standards of Care: A Systematic Review. American journal of public health , 107 (9), e1–e9. https://doi.org/10.2105/AJPH.2017.303882

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