Hospital security: Strengthening the weakest link
By Joel Lashley
It is estimated there are two security officers for every police officer in America. How well they support one another to provide security for a prisoner receiving medical care in a private hospital is determined by a number of factors, including the security officer’s training, experience, administrative support, state and local laws — not to mention the individual attitudes of both security and police officers.
Unlike a sworn officer, a security officer’s level of training, standards and compensation package varies widely. The need for a high level of competency for public safety personnel is no more apparent than it is in the treatment setting. And while some of the best trained and supported security officers are found in hospitals, many facilities have some catching up to do.
There are far too many inadequately trained and equipped security officers and psychiatric custodial staff maintaining care and custody of forensic prisoners and the cognitively impaired or emotionally disturbed persons.
Hospitals need sound policies, procedures, and training to support their staff in the handling of forensic patients. How agencies request services for their prisoners and how healthcare facilities work together is mostly a function of what the institution insists upon.
The officer maintaining custody of an inpatient fell asleep. A nurse woke him and then returned to her normal duties. When the officer fell asleep again, the prisoner removed the handcuff key from the officer’s shirt pocket and slipped quietly away.
The fact is, I’ve heard stories like this at every facility where I’ve ever trained.
What’s the solution? Hospitals must require their own security department to liaison with all agencies that maintain custody of patients inside their facility in order to assess any related security risks — and offer appropriate support.
Hospitals have the right to insist on minimum standards for the maintenance of prisoners inside their facilities. Consider tragedies like that of June 17, 2007, when a Utah State Corrections officer was killed by his prisoner at University Hospital in Salt Lake City.
The takeaway lesson of that tragedy is that police agencies don’t necessarily have the last word when it comes to safety on private (or even public) property.
Caregiver responsibility and training
Healthcare security officers should continuously evaluate the status of forensic patients throughout their shift. All information on these patients should be passed on to relieving shifts. If possible, methods of tracking and flagging forensic prisoners should be integrated into the registration process. Nursing staff should report any concerns or suspicious activities involving their forensic patients.
At Children’s Hospital and Health System, we have instituted a program of violence management and patient restraint, based on the Wisconsin Principles of Subject Control (POSC®) and Interventions for Patients with Challenging Behaviors Training Programs.
Care providers are also trained not to discuss their patient’s legal matters with them. Patients who are on police hold may not be fully aware of their status. Many incidents involving police hold patients running have occurred simply because a care provider advised them, “You’re better now, time to call the police!”
Families and attorneys will even try to communicate to a police custody patient via a care provider, requesting they pass on information or legal advice. Such a relationship can get a nurse or doctor into all sorts of difficulty.
We also give care providers a basic understanding of handcuffs and other police restraints, specifically, how they work and why they are used. Escape attempts from hospitals emergency rooms have, for one reason or another, often occurred after a prisoner was un-cuffed.
Patient care staff should never ask an officer to remove handcuffs or other restraints, unless a bona fide medical reason can be documented in the patient’s chart — and only after alternative measures have been taken to maintain the safe custody of the prisoner.
Tragic hospital escapes: the broken record
On August 20, 2006, inmate William Morva feigned illness to get inside Montgomery Regional Hospital, in Blacksburg, VA, located next to the ill-fated Virginia Tech campus, where eight months later the worst campus shooting in U.S. history would occur. Morva bragged to another inmate that he was faking illness to go to the ER, where he could easily escape.
Unfortunately, he made good on his boast. Morva disarmed and seriously wounded the lone Montgomery County Sheriff’s Deputy who was escorting him. When Security Officer Derrick McFarland responded to shots fired, Morva shot and killed him with the deputy’s gun.
Prior to his recapture Morva claimed one last victim, Sheriff’s Corporal Eric E. Suphtin, who was shot and killed while searching for Morva along the wooded trails surrounding the campus.
Tactical training and awareness
Police and treatment professionals can work together to ensure that hospitals can effectively treat society’s prisoners without risking public safety.
Children’s Hospital of Wisconsin and the Milwaukee County Sheriff’s Office are a great example of cooperation between public and private institutions. The Sheriff’s Training Academy offers their facilities and equipment for Children’s officers to train and certify as POSC® and Interventions for Patients with Challenging Behaviors Instructors.
Other Milwaukee Regional Medical Center Campus partners, like the Medical College of Wisconsin, have also trained their public safety officers in Defensive and Arrest Tactics® at the MCSO Training Academy.
The Milwaukee County Sheriff’s Office has a long-standing tradition of cooperation with hospitals and treatment centers, fostered by trainers like Captain Peter Jaskulski, the current academy director. There is also a long-standing tradition of MCSO deputies assigned to the MRMC campus to support the various public safety assets of each of its diverse institutions.
By enhancing cooperation between medical facilities and local police agencies, we can effectively close what has become the weakest link in prisoner custody.