Hospital Security Director

[Security]

Hi Everyone,

I am interviewing with a hospital right now about possibly taking a position with them as their director of safety and security. The pay is decent, a little more than I am making now, and the job obviously comes with more responsibilities. I like the fact that there is more going on in a hospital environment than a shopping mall (which is where I'm currently working as a security manager), but I've got to be honest, I'm a little nervous after reading some of the things people had to say here about hospital security. Granted, I probably won't have to do the same kind of work the guards do (God bless you guys!), but I'm still wondering if anyone can tell me what it's like being a security director at a hospital? I should probably mention that I have not received an offer of employment just yet, but I have been talking to their VP of facilities services and he's confident it'll happen soon...

Thanks guys.

[RatPatrol]

I worked in many hospitals, but not in their security dpt.

You will have alot of "interesting" things to deal with if you're in a

Public/County hospital.

If the pay is good, take the challenges. From your post, it seems you are getting an administrative position and most of your problems will come
from staffing problems.

From what I saw, 50% of the work is to escort the nurses to their cars ;)

[Security]

I worked in many hospitals, but not in their security dpt.

You will have alot of "interesting" things to deal with if you're in a

Public/County hospital.

If the pay is good, take the challenges. From your post, it seems you are getting an administrative position and most of your problems will come
from staffing problems.

From what I saw, 50% of the work is to escort the nurses to their cars ;)

Thanks. Curious to hear a little more about what these "interesting" things are. :p

Yes, it's a New Jersey county hospital with over 300 beds. The pay is pretty good actually and the job would be more strategic than what I'm doing now (i.e., implementing infant abduction prevention plans, bioterrorism preparedness, etc. -- things of that nature.) I wouldn't mind dealing with staffing problems or arranging for my guards to escort nurses to their cars... what I am worried about, though, is the horror stories I have heard about hospital security. Hence my reason for wanting to know what I might be getting myself into here - lol.:D

[Jedi]

As the director of Safety and Security, you will have your hands full. If you have not already become familiar with The Joint Commission, you will need to become VERY well versed in their accreditation process. Specifically, you will need to know the entire Environment of Care section like the back of your hand, with additional emphasis on the Security Management, Fire Life Safety, Utilities Management, and Emergency Management standards. There are also areas of other standards, such as human resources, that include components applicable to security.

Besides the accreditation from The Joint Commission, you will need to be aware of the following:

NFPA (National Fire Protection Association)
NCMEC (National Center for Missing and Exploited Children)
Medicare/Medicaid CoP (Conditions of Participation)
Local, Regional, and State Regulations (Such as California's Title 22 and H&S Codes)
OSHA (Occupational Safety and Health Administration)


You will also, if you have not already done so, need to establish a very good working relationship with your local EMS, FBI, and your state DHS people. You will also need to develop a good relationship with the fire marshal. These contacts are invaluable as resources for up and coming threats, safety regulations, and much more.

This is just the tip of the iceberg in all reality.

[RatPatrol]

The most interesting case was a shooting victim.

He was taken to our ER, during the transfer; a small gun fell from his pocket.

20-25 of his gang member/family showed up and noisily flooded into the

waiting room.

Our Chief-of-Security got his men together, and backed by the local PD,

began clearing them out. Only his immediate family are allowed to stay in the

room. He did a very good job without further incident.

(you should have seen the doctor's face, when the gun slid out) :eek:

[Security]

As the director of Safety and Security, you will have your hands full. If you have not already become familiar with The Joint Commission, you will need to become VERY well versed in their accreditation process. Specifically, you will need to know the entire Environment of Care section like the back of your hand, with additional emphasis on the Security Management, Fire Life Safety, Utilities Management, and Emergency Management standards. There are also areas of other standards, such as human resources, that include components applicable to security.

Besides the accreditation from The Joint Commission, you will need to be aware of the following:

NFPA (National Fire Protection Association)
NCMEC (National Center for Missing and Exploited Children)
Medicare/Medicaid CoP (Conditions of Participation)
Local, Regional, and State Regulations (Such as California's Title 22 and H&S Codes)
OSHA (Occupational Safety and Health Administration)


You will also, if you have not already done so, need to establish a very good working relationship with your local EMS, FBI, and your state DHS people. You will also need to develop a good relationship with the fire marshal. These contacts are invaluable as resources for up and coming threats, safety regulations, and much more.

This is just the tip of the iceberg in all reality.

Yeah, I am all too familiar with JCAHO and OSHA regulations. This is actually not my first job working in a healthcare enviroment (I used to do clinical recruitment for a smaller hospital once before.)

Thanks for all the other advice, though. It's much appreciated!

[SecTrainer]

Agree with Jedi - not sure if he mentioned HIPAA, but that's now a big part of the legal landscape with respect to risk management. Also, in the area of emergency management, bone up on HEICS (Hospital Emergency Incident Command System).

[CorpSec]

Is there a locked psych unit there? That adds a whole dimension to hospital security.

I worked hospital security for 4 years at a "nice" hospital. But, as a rule, hospital security is more dangerous than police work and injuries among officers are common. You are dealing with people at their worst. They might be high or drunk or literally psychotic.

Emotions run high in hospitals. Families gather to make life and death decisions about loved ones. Those discussions sometimes turn violent. Patients need to be restrained. Drugs seekers come in all the time. The liberal nature of health care workers makes your job even harder

Sgt. Newby would be a good guy to talk to. He works at a large county hospital with all the bells and whistles.

[Mr. Security]

.....Drugs seekers come in all the time.... .

Not to side track the thread, but this is a problem that causes innocent people to suffer longer than need be. ERs delay narcotic pain relief until they are confident that the patient isn't faking it for a fix. I had a nurse tell me this when I complained about the time it took for pain relief.:mad:

[Jedi]

Agree with Jedi - not sure if he mentioned HIPAA, but that's now a big part of the legal landscape with respect to risk management. Also, in the area of emergency management, bone up on HEICS (Hospital Emergency Incident Command System).

HEICS is old news... the big thing now is HICS (really just HEICS IV). The good news is that as being part of a hospital opens up some top notch training opportunities usually only available to government agencies through CDP (Center for Domestic Preparedness).

[NRM_Oz]

Best of luck - it will be valuable experience and as mentioned before yes Risk Management will come into play in this business. I would if you have not done so or need to brush up would extensively cover your RM Matrixes or even follow what standards may apply (I have a feeling this was on another forum before) as this will be of great use for you in the future.

Let us know how it all pans out.

[SecTrainer]

HEICS is old news... the big thing now is HICS (really just HEICS IV). The good news is that as being part of a hospital opens up some top notch training opportunities usually only available to government agencies through CDP (Center for Domestic Preparedness).

Respectfully, and I don't want to get into a food fight about this, but it's an area I know something about and I don't want the original poster to be misled.

HEICS is by no means "old news" or in any way "gone from the scene". HICS (HEICS IV) is nothing but a refinement and extension of HEICS III, primarily incorporating certain NIMS refinements, and as yet by no means universally adopted by hospitals (although it was introduced in late 2006, as of November 2007 only 3 in 10 hospitals--most of them over 400 beds--had "substantively" adopted HICS). This is not surprising since, as the Project Manager for HEICS-IV herself specifically stated, "You don't have to dump HEICS for HICS to be NIMS-compliant". HEICS-IV/HICS streamlines the organizational chart, adds some flexibility and revises the JAS - but the core is HEICS' implementation of the principles of ICS/NIMS, and always will be. Oh, yeah, and the colors of the vests have changed. Big whoop.

So, you can't "bone up on HEICS" (by which I meant all aspects) without (a) understanding HEICS and (b) following along into the latest version, which is called either "HEICS IV" or the new term "HICS".

To quote NIMS, "HICS will integrate the latest emergency management principles and ensure consistency with NIMS, but it remains based on the principles established by ICS and HEICS."

To the original poster: The chances are still good that your hospital EMS will be either be based on HEICS-III or will have adopted some of HEICS-IV. Either way, get a good grounding in the ICS principles founded in HEICS and then HICS will be a breeze. Most literature on HICS (and every class I've attended on HICS) will assume you understand its antecedent, HEICS and won't spend much if any time rehashing those principles for you.

[Jedi]

Respectfully, and I don't want to get into a food fight about this, but it's an area I know something about and I don't want the original poster to be misled.

My bad, I meant the comment to be tongue-in-cheek, as our organization is still struggling with transitioning from HEICS III to HICS. This is one of my goals for '08. The OP is doing well just to have the organization recognize the need for an effective ICS. At a recent class, I was disheartened to find that of the 40 hospitals represented, only 10 have any type of ICS structure in place.

To the OP: The best place to start are the FEMA online IS courses, specifically 100, 200, 700, and 800. You will also need to take 300 and 400, but those are only offered in a classroom format. Also, find a peer at another hospital who has a well established program and pick their brain until it hurts.

[SecTrainer]

My bad, I meant the comment to be tongue-in-cheek, as our organization is still struggling with transitioning from HEICS III to HICS. This is one of my goals for '08. The OP is doing well just to have the organization recognize the need for an effective ICS. At a recent class, I was disheartened to find that of the 40 hospitals represented, only 10 have any type of ICS structure in place.

To the OP: The best place to start are the FEMA online IS courses, specifically 100, 200, 700, and 800. You will also need to take 300 and 400, but those are only offered in a classroom format. Also, find a peer at another hospital who has a well established program and pick their brain until it hurts.

Your hospital is typical, apparently. I don't think it was anticipated that the organizational changes in HICS would cause problems, but hospitals that are fully compliant with HEICS-III have usually put automated call-out/notification procedures in place that must be changed, have designed training classes and drills that have to be rewritten, etc., so it's been a bigger headache than expected. Since a lot of them had become compliant with HEICS-III not long before HICS came along, there's a certain amount of "WTF is this?", too! Someone joked to me that they were just going to wait for HICS-II, which they expected would come out any minute.

[Silva Consultants]

I think that one of the other big distinctions about healthcare security is the extent to which you are involved in the actual operations of the hospital.

In many hospitals, security officers are involved in doing patient restraints and are considered by medical staff to be a part of the healthcare delivery team. Restraints of this type are considered to be a medical procedure and are typically done under the supervision of a physician or the charge nurse.

In my opinion, hospital security requires a different type of officer with a much higher degree of training. I recommend that you look at the training and other resources offered by International Association for Healthcare Security & Safety (IAHSS) if you haven't done so already. www.iahss.org

Good luck with the position!

[Jedi]

Your hospital is typical, apparently. I don't think it was anticipated that the organizational changes in HICS would cause problems, but hospitals that are fully compliant with HEICS-III have usually put automated call-out/notification procedures in place that must be changed, have designed training classes and drills that have to be rewritten, etc., so it's been a bigger headache than expected. Since a lot of them had become compliant with HEICS-III not long before HICS came along, there's a certain amount of "WTF is this?", too! Someone joked to me that they were just going to wait for HICS-II, which they expected would come out any minute.

In speaking with some of the team members from the HICS implementation team, there is actually a HICS II due out either late this year or early next year.

[JSam21]

In many hospitals, security officers are involved in doing patient restraints and are considered by medical staff to be a part of the healthcare delivery team.


Yeah only when they want us to be. 9 times out of 10 it is ,"why are you up here?" or "you should do it like this..."

My response to the medical staff is this, "If your way worked we wouldn't be up here doing it our way."

[CAP]

My response to the medical staff is this, "If your way worked we wouldn't be up here doing it our way."

Very Professional.

[N. A. Corbier]

Something people should be trained in is that as a health care provider the method of medical restraint is vastly different from a citizen or agent of government restraining someone while enforcing laws.

There is ample directives from the Department of Health and Human Services reminding hospitals that hospital security staff (security guards or sworn agents of government (police officers)) should not use defensive tactics nor use weapons against patients.

Only when acting in an enforcement capacity, and not as a medical caregiver, should weapons or defensive tactics be used.

If you, as a member of a hospital security staff, are acting as a health care provider, then basically the only thing you can do is the (defensively speaking) silly "swarm" technique that the orderlies and nurses use. You know, grab a limb and pray a Doc gets a needle in the guy for chemical restraint, or someone gets a physical restraint on the guy.

Now, if you're taking enforcement action on a suspect, or protecting personnel or property from a law violator, then hit em with the taser.

[CAP]

N.A., You hit the nail on the head. Our company provides services for a local Psych/Detox facility in our area and we have to attend the same descelation and physical contact classess as the medical staff. Also, our officers that work that post MUST follow the direction of the medical staff when dealing with a patient. On the flip side, any non-patient encounters can and are handled pusuant to our Company S.O.P.'s.

[privatecop625]

I work in a hospital and I have seen first hand that a director is not an easy job. U have alot of meetings to attend, gards to manage, Schdules to make up, deal with hospital stuff, plus its alot harder if u have more that one campus, HIPPA Law to know, the big thing is trying to keep everyone happy. If u are contracted security u have to kiss alot of ass to keep the client happy and do what they need done. There is a lot more that u may think but i wish u good luck.

-Privatcop625-

[Security]

Well, I thought I would update everyone on the status of the position... I received an offer of employment today, but I declined it. At first, I was enthusiastic by the prospect of getting into a different (and possibly more exciting) sector of private security. However, after giving it much thought and consideration, I felt that this career move would not serve me very well right now, so I am choosing to stay where I am at the moment. There are, of course, other reasons that influenced my decision, but please know that I am still grateful for all the help that was given to me in this thread. I appreciate the fact that I always have the opportunity to come to such a supportive community with questions, knowing that there are so many knowledgeable people here who can provide lots of great advice.

[NRM_Oz]

Sometimes you just know when the job is not right. I turned down a job in November after a gut feeling leaving the interview. The people came across as A-holes (all of 1 race who look down on the world) and being made to wait 90 minutes for my interview with no apology did not make me feel good either. 4 months later it is still vacant and and advertised each week.