Campbelltown Hospital Security Department Disaster and Emergency Response & Lockdown Procedures

Presented

By

Vincent Marty

April 2009

Preamble

The importance of adequate preparedness at all levels of our hospital systems to respond to a disaster cannot be overemphasised. Comprehensive and ongoing disaster training for hospitals is time-consuming , costly , yet is nowadays a necessity . Australian hospitals need to improve their preparedness to deal with mass casualties. Most Australian Hospitals can only cope with an influx of 20 to 24 casualties at any one time. A well prepared Lockdown procedure and Security Department disaster response is an essential starting point to deal with a disaster The success or failure, for an Hospital, to handle a disaster ( on a non medical aspect) rely on a properly co-ordinated and monitored lockdown of the facility and the initial response of the security department. Careful considerations should be given when preparing such procedures and only regular exercises will provide vital information on whether or not an acceptable level of preparadness has been reached. Each hospital must have their personalised lockdown & security procedures as not two facilities are similar. Maintaining an up to date lockdown procedure and Security disaster response as well as all associated information and equipments is paramount in order to achieve maximum efficiency when the time comes to activate the process.

Sydney South West Area Health Service Camden, Campbelltown Hospitals & Queen Victoria Memorial Home Disaster and Response Manual

Document Number Section: Approved By: Current Version Issue: Next Review Date: April 2009 April 2010

Campbelltown Security Department Disaster & Emergency response plan.

Purpose : To outline the initial response of on duties SAPS , and more specifically the initial organisation of the department on activation of a CODE BROWN.

Scope : The scope of this plan is to provide the security department with clear guidelines on how to proceed should a CODE BROWN be activated. This Security Department Disaster & Emergency Response Plan is to be used in conjunction with the Campbelltown Hospital Lockdown procedure and must be read as a sub-plan of Camden & Campbelltown Hospital External disaster Response which is a sub-plan of Sydney South West Area Health Services , which is a sub-plan of NSW health Plan, which is part of the National response to Emergency & Disasters. The role of SAPS will be changed to some extent with some staff involved in much more intense duties, as others will be assigned to very specific security duties. The services the Security And Patient Services department provide will remain the same at the exception of the patient care on the wards , as manpower will be initially redirected to assist with the patients surge in the Emergency Department. Only if full staffing level , as per the lockdown procedure, can be reached that extra staff will then be allocated to assist nursing staff on the wards with patient care.

On activation of a CODE BROWN

( when the code brown is placed via the paging system): -0 The Security manager during the day time , or the Security Team Leader after hours . will immediately try to get as much as possible information on the nature of the emergency , from the GMs offices or AHHM then : -1 Call all working SAPS for a briefing .Call back Security Manager .

-2 As the Code Brown progresses, keep accurate notes of event , in order to be able to provide management with a comprehensive report as well as provide a proper handover. -3 Organise a basic lockdown procedure, once authorised by management, then prepare full or partial lockdown , accordingly to the response needed, (refer to Lockdown procedure). -4 Delegate to one SAPS, the role to call back , off duties SAPS as well as security contractors in order to organise the partial / full lockdown procedure as authorised by the management.SAPS to write down information as per form (refer to staff call back form).

-5 Delegate one SAPS to immediately place all radio / batteries on charge and get all the lockdown individual staff instructions (refer to lockdown procedure ) out and ready to use . Then take all signage and control tape and place them as per the authorised lockdown procedure .

-6 Delegate one SAPS to patrol ED dept and monitor all entries / exits and strictly enforce no visitors instruction unless overrided by the NUM.

-7 Delegate the Hospital security to monitor the front entrance of ED including car park as per lockdown procedure instructions till extra security arrive to relieve him. -8 As extra staff arrive,ensure they sign in as they collect their work instructions and equipment (lockdown kit ) as per the lockdown procedure, organise / dispatch them as per lockdown procedure .This include patient services Officers as well as security Officers.

-9 Liase with Campbelltown Hospital logistic commander and organise resources as instructed.This include if the lockdown is going to be

maintained for a period of over eight hours ( as staff rotation / relieve will have to be planned.)

-10 Organise staff relieve / break as per lockdown procedure. -11 Organise Security response, to unscheduled security calls, as per lockdown procedure.

-12

On stand down instruction :

-13 Proceed with staff reduction as instructed by Campbelltown Hospital logistic commander.

-14 Provide staff with debriefing.

-15 Ensure staffs are signing off as they return two ways radios and instructions kit.

-16 In some cases staff may need counselling, ensure that all staff are provided with the details of the counsellor, this extend to contracted security as well.

-17 Ensure all equipment is returned , stored and in condition of use for next emergency. -18 Write a comprehensive report

DEFINITION : 19 SAPS : Security And Patient Services (Officers). 20 INSTRUCTIONS KIT : As per lockdown procedure it contains individual job description / instructions for each extra staff .The kit includes a map showing where they are to be located , as well as which specific areas they must monitor , and what their duties are ,. It also include possible PPE (personal protective equipment) as well as clear indication to whom they must report and whom they are surpervising if it is the case.

Lock Down Policy:

______________________________________________________________________ _

Introduction:

Corporate and Clinical Risk Management Program to provide a locked down facility with limited access provided to ensure the most appropriate and adequate response which leads to the safety and security for all patients staff and visitors in the event of a potential or actual threat.

To facilitate the lock down of the facility to support the achievement of organisational goals to ensure the facility or the health and safety and wellbeing of person/s is not compromised.

SUMMARY 1. 1.1 1.1a 1.1b 1.1c 1.1d 1.1e 1.1f Overview lockdown Definition LGI LAC Security Team leader actions Doors to be secured. Signage storage Signage Example Authorised personel Staff recall

1.1g Staff brieffing / duties allocation 1.1h Emergency dept codonned off 2. Basic lockdown procedure 3. Full Lockdown LGI 3.1 Recommendations 4. Partial Lockdown LGI Block B 5. Partial Lockdown LGI Block A 6. Partial Lockdown LGI Block C 7. Partial Lockdown LGI Cancer Therapy Centre 8. Lockdown LGI Waratah House 9. Lockdown LGI Gna Ka Lum 10. Lockdown LGI Subacute 11. Full Lockdown LAC 12. Partial Lockdown LAC Block B 13. Partial Lockdown LAC Block A 14. Partial Lockdown LGI Block C 15. ANNEXE A 15.1 Campbelltown Hospital site aerial overview 15.2 Campbelltown Hospital aerial view / perimeter guards overview 15.3 S11 ENTRIES/EXITS MONITORING 15.4 S13 ENTRIES/EXITS MONITORING 15.5 S10 ENTRIES/EXITS MONITORING 15.6 S12 ENTRIES/EXITS MONITORING 15.7 S4,S5,S6,S7 POSITIONS FOR TRAFFIC , PEDESTRIANS & MEDIA CONTROL 15.8 OVERVIEW Campbelltown Hospital with guards , crowd control 15.9 Floor plan partial LGI third floor building B. 15.10 LG/F guards & locked doors

15.1

1.

HOSPITAL LOCK DOWN PROCEDURE FOR CAMPBELLTOWN HOSPITALS:

Notes: When the hospital is locked down breaking a break glass alarm panel will result in doors unlocking and give access in and out without real possibility to monitor. Two different lockdown procedures have been developed. One in relation to incident involving possible airborne contamination (thereafter referred as LAC standing for Lockdown possibly involving Airborne Contamination) , the second one involving all others incidents (thereafter referred as LGI , standing for Lockdown for General Incident).

1.1 CODE YELLOW and / or CODE BROWN activation with specific mention of FULL LGI* or LAC* Hospital Lock Downor PARTIAL LGI or LAC Hospital lockdown followed by the area to be locked down. Decision to be made by authorised person Executive General Manager After Hours Hospital Manager - Operational Nurse Manager Security Manager. Switch to be notified and send relevant notice via paging system and 2-way radio to Security & Patient Services and any other executives . a. b. Security & Patient Services Team Leader and/or Officer to organise Campbelltown Hospital lockdown as per instructions Security & Patient services Team Leader and / or Officer to dispatch staff as follow , to immediately lock the following areas : Other Security & Patient Services and/or other designated staff to place relevant signage inside and outside on doors informing of reason for Lock Down. Signs and Crowd control tape rolls to be kept inside Security key room, As well as in main store area in case the lockdown is due to airborne contaminant and the emergency dept may already be contaminated .(It is extremely important to identify and or discard this risk as ignoring it could contribute to more casualties with infected staff running around the hospital to place the signage). Example of Signage to state: 1 2 3 4 5 6 7 e. Quarantine Area / NO Entry Under Any Circumstances Hospital Lock Down Internal Emergency NO Entry DO NOT EXIT Hospital without checking with Security Enter only with adequate Personal Protection Equipment ETC Signage to be made of weatherproof materials and to be easily accessible.

c.

d.

Authorised person - Executive General Manager After Hours Hospital Manager Operational Nurse Manager- Security Manager to make an announcement about Lock Down via P.A System. Security & Patient Services Manager or Security & Patient Services Team Leader to contact ALL available and required Security & Patient Services staff needed to secure the hospital.

f.

g.

Any staff arriving to the hospital to assist with the Code Yellow / Code brown must report to a designated arrival point where they will be advised if safe to enter the hospital. If unsafe to enter the hospital these staff will be at pre selected areas to perform pre selected duties .All Staff helping to secure the Hospital will be issued with a calling code in reference to the location they will be dispatched and their duties. calling code in bold ex ..S1 Appropriate signage and Crowd control tape to be used to cordon off all access to corridors leading to the Emergency Department. CAMPBELLTOWN Emergency Dept entrance (auto doors) Doors in corridor between MACS and Xray Dept Door in corridor from Main foyer to outpatient Main foyer auto doors Day surgery entrance auto doors Auto doors in corridor leading to cafeteria Ensure all cafeterias doors are closed & locked. Dock 13 doors giving access to corridor Main store doors Clinical school corridor access doors Doors exiting in clinical school court yard PACS auto doors Kitchen docks All fire stairs as well as doors at the back of ED , pediatric ward , PACS , special care nursery , allied health , outpatients .

h.

2.

BASIC LOCKDOWNNO EXTRA GUARDS REQUIRED A&E security A&E security Security Security Security Security Security Security Security Security Security Security Security Security and other SAPS

3. 4 Security Officers - Report S2

FULL LOCKDOWN LGI positioned at Therry Road Campbelltown to assist in the redirection of traffic, except Emergency Vehicles. - Prevent vehicles and pedestrian traffic from entering hospital grounds.1 S4 to filter traffic,issue information flyers and direct visitors and media to large car park at Coopers cottage, 1 S5 to open/close barricade for vehicles to access hospital, 1 S6 to open/close barricade on the other road leading to road up on the hill / back of hospital at the level of the large car park under Coopers cottage.1 S7 to ensure all emergency vehicle are given priority entry to Hospital / traffic control

/liaise with S4 . - Liaise with media under the direction of authorised Executive. 2 Security Officers - Report to S2 - positioned 1 S8 inside main foyer the other one S9 outside the main entrance at Campbelltown to monitor fire stairs leading to ICU Renal Unit Outpatients and main entrance doors. - reporting possible lockdown breaches 1 Security Officer - S10 positioned outside the main - Report to T2 entrance of day Surgery , the best location will be the disable covered car spaces. Monitoring entries/ exits . - reporting possible media - reporting possible lockdown breaches 1 Security Officer - S11 positioned near big air cylinder - Report to T2 near the cafeteria. Monitoring area from exit ramp from the first floor near cafeteria to covered walkway at the back of Waratah house as well as staff car park . - reporting possible media - reporting possible lockdown breaches 1 Security Officer - S12 positioned outside Gna Ka Lum - Report to T1 main foyer entrance. Monitoring area from Walkway at the back of Waratah house to side of Cancer Therapy Building . 1 Security Officer - S13 positioned on the dirt car park area - Report to T1 opposite cancer therapy building .Monitoring area from Gna Ka Lum to side of PECC unit , including Helipad . - Traffic control on landing and take off of the Helicopter. 1 Security Officer - S14 positioned in the ambulance bay. - Report to T2 Monitoring entries and exits. - Reporting media - controlling traffic & people movements 1 Security Officer - S15 positioned outside the emergency - Report to T2 dept main entry . Monitoring crowd / redirecting people toward triage area 1 Security Officer - S99 positionned in CTC lift lobby . - report to T3 Monitoring access to the Hospital.Monitoring media as media centre set in CTC. 2 teams of 2 Security Officers for external - T1 one team to patrol Hospital grounds patrols.Only one radio per team from Gna Ka Lum to Main foyer. - Report to S2 - Traffic control on landing and take off of the Helicopter

- T2 one team to patrol Hospital grounds from Gna Ka lum to Day surgery entrance. - Investigate /control any report of tresspassers / media . - investigate / control any report of unauthorised exit or attempted entry . - assist perimeter security . 2 teams of 2 Security Officers for internal - T3 one team to patrol block C and block patrols.Only one radio per team B. - Report to S2 - monitor people movement within the building . - attend situation as required. - T4 one team to patrol Block A and Xray as well as Emergency dept. - attend situation as required. TOTAL OF 20 SECURITY NEEDED

3.1 Note: Additional Security Officers called in to assist should be assigned with specific duties and clear instructions Refer to individual instructions list attached in appendix A and must have adequate supply of food and drink as relief may not be possible for long stretches of time. Staff must also be prepared and equipped for inclement weather and given clear instructions. ALL Security Officers are to hold their positions and communicate via 2-way radio accordingly until instructed to stand down by Executive/ Coordinator. Usual rostered Security & Patient Services staff to be dispatched as needed inside the hospital. Extra SAPS called in to help with patients movement in the hospital. Usual security (S3) and A&E security (S2) to monitor A&E and manage staff & security issues , reporting to S1 (Security Manager or executive acting as ) It is essential to have a strong visible security presence and security well identified with security logo / vest , will send the clear message that the area is cordoned off and secured. It is also necessary to store enough two ways radio and extra batteries to supply all security officers participating in the lockdown note that the usual three pager holders as well as extra staff acting as patient movers do not need a radio. Two handheld voice amplifiers needed .1 for security outside front of emergency dept directing people .1 for security outside main entrance. All SAPS should be issued with key for auto doors. There should be at least two switch personnel on duty to respond to all the incoming calls.

4. PARTIAL LOCKDOWN LGI Block B THIRD FLOOR ( AMU / MEDICAL one staff in each fire escape , respectively East S16 and West S17 (2 / RESPIRATORY WARD): 3 Security Officers positioned on the second floor) and one S18 near the lifts monitoring the lift and emergency stair case giving access to lift lobby SECOND FLOOR ( SURGICAL A&B One staff in each fire escape , respectively East S16 and West S17 (2 / WARDS ) 4 Security Officers positioned on the second floor) .One S19 near the lifts monitoring the lift and emergency stair case giving access to lift lobby. One S20 in the second floor corridor between ICU and Surgical wards THIRD & SECOND FLOOR (SURGICAL one in each emergency fire stairs on the second floor S16 S 17 (2) , S18 one in WARD ) 5 security Officers the lift lobby on the third floor , S19 one on the lift lobby on the second floor , S20 one in the lift lobby near ICU FIRST ,SECOND , THIRD FLOOR service lift switched to front service .All three lift called to G/F and kept open so 7 Security Officers they are not operational , one S21 security guard there on G/F to monitor lifts and emergency fire stairs .one S22 on first floor lift lobby on BLOCK A , S20 one on the second floor lift lobby outside ICU , one S16 S 17 in each emergency fire stairs on the first floor (2) , one S23 & S24 on each side of the first floor behind library/GMs unit (2) GROUND FLOOR TO THIRD FLOOR : service lift switched to front service.one S25 on G/F near allied health monitoring 6 Security Officers as well speech pathology.one S26 in special care nursery corridor , one S11 near big air cylinder outside the store monitoring ward 13 /store docks as well as cafeteria exits areas and exits from first floor terrace, one S10 in day surgery car park monitoring kitchen dock , speech pathology exit and first floor terrace exit. One S27 on first floor lift lobby on BLOCK A outside renal unit , one S20 on the second floor lift lobby outside ICU One S25 in allied health/day surgery GROUND FLOOR entrance doors , one S21 in lifts lobby , one S26 in corridor leading to Special 4 security officers. care Nursery, one S10 in kitchen dock area also monitoring allied health back

CLINICAL SCHOOL : 3 security officers. PHARMACY

exit one S28 near rotary lodge , one S29 in basement corridor , one S30 in courtyard . One S8 outside pharmacy main entry , one S9 outside Hospital main entry monitoring side exit .

5. PARTIAL LOCKDOWN LGI SECOND FLOOR ( ICU / HDU ) : 3 Security Officers FIRST FLOOR (RENAL UNIT ) 2 Security Officers GROUND FLOOR ( PERI-OP ) 4 Security Officers

THEATRES 4 Security Officers

PATHOLOGY DEPT

BLOCK A one S20 outside the lifts , one S31 on first floor in the emergency exit , one S32 guard to monitor northeast entrance from the corridor. one S31 in the emergency exit , one S27 in the lifts lobby one S33 near nurse station monitoring the corridor giving access to the theatres , one S34 monitoring inside the small waiting room , one S35 outside near pathology , one S36 in the emergency fire stairs One S33 & S37 in each access to periop (2) , one S38 on the emergency fire stairs case near CSSD washing up area , one S39 outside main entry of Theatres monitoring main entry , exit from changing rooms and office corridor next to pathology as well as recovery exit doors one S35 outside waiting room entry , one S40 outside main entry

2 Security Officers LOWER GROUND FLOOR X ray dept / One S41 in Xray waiting room opposite dept of medecine : outpatient and monitoring the corridor leading to emergency dept , one S42 3 Security Officers near lift 6 & 7 to monitor that exit , one S43 in corridor outside emergency doors monitoring that entry as well as staff door near lift 8 & 9 One S44 in waiting room , one S14 in EMERGENCY dept ambulance bay , one S45 outside tea 4 Security Officers room behind CID monitoring two exit , one S43 in corridor near x-ray monitoring those 2 exits as well one S9 outside near gas counter OUTPATIENTS Dept monitoring the emergency fire exit as well

3 Security Officers

as the playground exit, one S46 near the old divided group room monitoring two exit , one S41 outside main entry opposite xray public waiting room WHOLE BLOCK A / ground floor to All lifts called to lower ground flood and kept open ,one S9 outside near gas second floor counter monitoring the emergency fire 9 Security Officers exit as well as the playground exit and main foyer entrance , one S8 in main foyer in lift lobby 6&7 , one S47 on lower ground floor in lift lobby 8 & 9 , one S35 on ground floor in lift lobby 6&7 , one S48 on first floor in lift lobby 8&9 , one S22 on first floor in lift lobby 6&7 , one S49 on second floor in lift lobby 8&9 also watching the emergency fire exit , one S20 on second floor in lift lobby 6&7 , one S38 in the emergency fire exit leading down near CSSD loading dock

6. PARTIAL LOCKDOWN FIRST FLOOR ( CCU )

BLOCK C one S50 in the emergency fire stairs case, one S51 in echo area , one S52 in 3 Security Officers lift lobby near echo waiting room one S52 in lift lobby near echo waiting FIRST FLOOR (MEDICAL STROKE ) 2 Security Officers room , one S53 in the emergency fire stair one S52 in lift lobby , one S50 & S53 in WHOLE FIRST FLOOR 3 Security Officers each (2) the emergency fire stairs case GROUND FLOOR ( DELIVERY SUITE / one in each emergency fire stairs S50 & S53 ( 2) , one S54 outside maternity MATERNITY ) 3 Security Officers ward also watching delivery suite access. LOWER GROUND FLOOR ( PEDIATRIC One S55 in the corridor near CID , one S45 near CTC ( on road accessing back ward ) of ED ), one S12 in Paeds car park , 4 Security Officers. monitoring side exit and PACs courtyard. One S56 in PAEDS allied health waiting room . WHOLE BLOCK C : Call on all lift to Lower ground floor and keep them open with one S57 security 4 Security Officers just outside the lift lobby keeping an eyes on the corridor leading to xray as well as the back of PACS with the door leading to the clinical school courtyard open, S45 one between CTC and paeds ward on the road , one S12 in paeds car park , near GKL. One S58 at the cross section of SCN corridor and theatre corridor on the G/F

LGI

7. PARTIAL LOCKDOWN 3 Security Officers

LGI

CANCER THERAPY CENTRE one S59 at front round about monitoring main entry and side entry as well as courtyard access near CSSD unloading dock , one S60 at the back monitoring two exits , one S61 in the basement outside lifts 8& 9

8. LOCKDOWN 3 Security Officers

LGI

WARATHA HOUSE : one S62 outside main entry monitoring also exit near seclusion room , one S63 on the side near appin road monitoring side exit and back of building , one S64 at back entrance monitoring side facing paeds ward as well .

9. LOCKDOWN LGI 3 Security Officers

GNA KA LUM One S12 outside main entry monitoring staff entrance as well , one S67 between GKL and W/HSE , one S66 based near subacute monitoring back of building

10. LOCKDOWN 3 Security Officers

LGI

SUBACUTE : one S12 outside near GKL watching all front , one S65 on car park area ,also watching back of building , one S66 on road side watching from top of little hill

LAC lockdown : airborne contamination on incident site and possibly on incident victims. This LAC does not apply to areas immediately surrounding the Hospital or within the neighbourhood . Staff rotation every 20 minutes for staff in full PPE . no extra staff needed initially as staff not in full PPE can swap with staff in full PPE . It is advisable to order extra guards/staff afterward if situation require long term management and lockdown is likely to last over 8 hours .
11. FULL LOCKDOWN LAC 4 Security Officers in full PPE (suit / gas mask / positive pressure / gloves / boots . - Reporting to S2 positioned at Therry Road Campbelltown to assist in the redirection of traffic, except Emergency Vehicles. - Prevent vehicles and pedestrian traffic from entering hospital grounds.1 S4 to filter traffic,issue information flyers and

direct visitors and media to large car park at Coopers cottage, 1 S5 to open/close barricade for vehicles to access hospital, 1 S6 to open/close barricade on the other road leading to road up on the hill / back of hospital at the level of the large car park under Coopers cottage.1 S7 to ensure all emergency vehicle are given priority entry to Hospital / traffic control /liaise with S4 . - Liaise with media under the direction of authorised Executive. 2 Security Officers in full PPE (suit / gas - positioned 1 S8 inside main foyer the mask / positive pressure / gloves / other one S9 outside the main entrance boots . at Campbelltown to monitor fire stairs leading to ICU Renal Unit Outpatients - Reporting to S2 and main entrance doors. - reporting possible lockdown breaches 1 Security Officer - S10 positioned outside the main - Report to T2 entrance of day Surgery , the best location will be the disable covered car spaces. Monitoring entries/ exits . - reporting possible media - reporting possible lockdown breaches 1 Security Officer - S11 positioned near big air cylinder - Report to T2 near the cafeteria. Monitoring area from exit ramp from the first floor near cafeteria to covered walkway at the back of Waratah house as well as staff car park . - reporting possible media - reporting possible lockdown breaches 1 Security Officer - S12 positioned outside Gna Ka Lum - Report to T1 main foyer entrance. Monitoring area from Walkway at the back of Waratah house to side of Cancer Therapy Building . 1 Security Officer - S13 positioned on the dirt car park area - Report to T1 opposite cancer therapy building .Monitoring area from Gna Ka Lum to side of PECC unit , including Helipad . 1 Security Officer in full PPE (suit / gas - S14 positioned in the ambulance bay. mask / positive pressure / gloves / Monitoring entries and exits. boots . - Reporting media - controlling traffic & people movements - Report to T2 1 Security Officer in full PPE (suit / gas - S15 positioned outside the emergency mask / positive pressure / gloves / dept main entry . Monitoring crowd / boots . redirecting people toward triage area

- T1 one team to patrol Hospital grounds from Gna Ka Lum to Main foyer. - T2 one team to patrol Hospital grounds from Gna Ka lum to Day surgery entrance. - Investigate /control any report of tresspassers / media . - investigate / control any report of unauthorised exit or attempted entry . - assist perimeter security . 2 teams of 2 Security Officers for internal - T3 one team to patrol block C and block patrols.Only one radio per team B. - Report to S2 - monitor people movement within the - T4 in full PPE (suit / gas mask / building . positive pressure / gloves / boots . - attend situation as required. - T4 one team to patrol Block A and Xray as well as Emergency dept. - attend situation as required. TOTAL OF 20 SECURITY NEEDED In regard to partial LAC , it should be considered whenever it is possible to make use of the air-conditioning system to create an area of lower pressure in the affected area in order to contain the contamination. It is also essential to stop use of the lifts accessing the affected area in order to avoid having the contaminated air moved around by the lift movements. For staff in position in the fire stairs , no PPE needed as long as positive pressure is maintain by activating the fans.

- Report to T2 2 teams of 2 Security Officers for external patrols.Only one radio per team - Report to S2 - T1 in full PPE (suit / gas mask / positive pressure / gloves / boots .

12. PARTIAL LOCKDOWN LAC THIRD FLOOR ( AMU / MEDICAL RESPIRATORY WARD): 3 Security Officers- 1 in full PPE (suit / gas mask / positive pressure / gloves

SECOND FLOOR ( SURGICAL A&B WARDS ) 4 Security Officers 1 in full PPE (suit / gas mask / positive pressure / gloves / one near ICU normal uniform as long as positive air pressure is created in A building. THIRD & SECOND FLOOR (SURGICAL WARDS A&B ) 4 security Officers - 1 in full PPE (suit / gas mask / positive pressure / gloves FIRST ,SECOND , THIRD FLOOR

BLOCK B one staff in each fire escape , respectively East S16 and West S17 (2 / positioned on the second floor) and one S18 near the lifts monitoring the lift and emergency stair case giving access to lift lobby one staff in each fire escape , respectively East S16 and West S17 (2 / positioned on the second floor) .One S19 near the lifts monitoring the lift and emergency stair case giving access to lift lobby. One S20 in the second floor corridor between ICU and Surgical wards one in each emergency fire stairs on the second floor S16 S17 (2) , one S19 on the fire stairs on the second floor (near lift lobby) ,one S20 in the lift lobby near ICU service lift switched to front service .All three lift called to G/F and kept open so

7 Security Officers - 3 in full PPE (suit / they are not operational , one S21 gas mask / positive pressure / gloves security guard there on G/F to monitor lifts and emergency fire stairs .one S22 on first floor lift lobby on BLOCK A , one S20 on the second floor lift lobby outside ICU , one in each emergency fire stairs on the first floor S16 S17 (2) , one on each side of the first floor behind library/GMs unit S23 S 24 (2) GROUND FLOOR TO THIRD FLOOR : service lift switched to front service.Since the whole building is quarantaine , all lift 6 Security Officers 3 in full PPE (suit / can operate . one S25 on G/F near allied gas mask / positive pressure / gloves health monitoring as well speech pathology.one S26 in special care nursery corridor , one S11 near big air cylinder outside the store monitoring ward 13 /store docks as well as cafeteria exits areas and exits from first floor terrace, one S10 in day surgery car park monitoring kitchen dock , speech pathology exit and first floor terrace exit. one S27 on first floor lift lobby on BLOCK A outside renal unit , one S20 on the second floor lift lobby outside ICU One S41 in allied health/day surgery GROUND FLOOR entrance doors , one S42 in lifts lobby , 4 security officers.3 in full PPE (suit / one S26 in corridor leading to Special gas mask / positive pressure / gloves care Nursery, one S10 in kitchen dock area also monitoring allied health back exit one S28 near rotary lodge , one S29 in CLINICAL SCHOOL : 3 Security Officers. 1 in full PPE (suit / basement corridor , one S30 in courtyard gas mask / positive pressure / gloves . PHARMACY 2 Security Officers One S8 outside main entry , one S9 outside Hospital main entry monitoring side exit .

BLOCK A one S20 outside the lifts , one S31 on first floor in the emergency exit , one S32 3 Security Officers in full PPE (suit / gas guard to monitor northeast entrance from mask / positive pressure / gloves) the corridor. one S31 in the emergency exit , one S27 FIRST FLOOR (RENAL UNIT ) 2 Security Officers in full PPE (suit / gas in the lifts lobby mask / positive pressure / gloves) one S33 near nurse station monitoring GROUND FLOOR ( PERI-OP ) the corridor giving access to the theatres 4 Security Officers in full PPE (suit / gas , one S34 monitoring inside the small

13. PARTIAL LOCKDOWN LAC SECOND FLOOR ( ICU / HDU ) :

waiting room , one S35 outside near pathology , one S36 in the emergency fire stairs One S33 & S37 in each access to periTHEATRES op (2) , one S38 on the emergency fire 4 Security Officers in full PPE (suit / gas stairs case near CSSD washing up area , mask / positive pressure / gloves) one S39 outside main entry of Theatres monitoring main entry , exit from changing rooms and office corridor next to pathology as well as recovery exit doors one S35 outside waiting room entry , one PATHOLOGY DEPT S40 outside main entry 2 Security Officers in full PPE (suit / gas mask / positive pressure / gloves) LOWER GROUND FLOOR X ray dept / One S41 in Xray waiting room opposite dept of medecine : outpatient and monitoring the corridor leading to emergency dept , one S42 3 Security Officers in full PPE (suit / gas near lift 6 & 7 to monitor that exit , one mask / positive pressure / gloves) S43 in corridor outside emergency doors monitoring that entry as well as staff door near lift 8 & 9 One S44 in waiting room , one S14 in EMERGENCY dept ambulance bay , one S45 outside tea 4 Security Officers in full PPE (suit / gas room behind CID monitoring two exit , mask / positive pressure / gloves) one S43 in corridor near x-ray monitoring those 2 exits as well one S9 outside near gas counter OUTPATIENTS Dept monitoring the emergency fire exit as well 3 Security Officers in full PPE (suit / gas as the playground exit, one S46 near the mask / positive pressure / gloves) old divided group room monitoring two exit , one S41 outside main entry opposite xray public waiting room WHOLE BLOCK A / ground floor to All lifts called to lower ground flood and kept open ,one S9 outside near gas second floor counter monitoring the emergency fire 9 Security Officers in full PPE (suit / gas exit as well as the playground exit and mask / positive pressure / gloves ) main foyer entrance , one S8 in main foyer in lift lobby 6&7 , one S47 on lower ground floor in lift lobby 8 & 9 , one S35 on ground floor in lift lobby 6&7 , one S48 on first floor in lift lobby 8&9 , one S22 on first floor in lift lobby 6&7 , one S49 on second floor in lift lobby 8&9 also watching the emergency fire exit , one S20 on second floor in lift lobby 6&7 , one S38 in the emergency fire exit leading down near CSSD loading dock

mask / positive pressure / gloves)

BLOCK C one S50 in the emergency fire stairs case, one S51 in echo area , one S52 in 3 Security Officers in full PPE (suit / gas lift lobby near echo waiting room mask / positive pressure / gloves ) one S52 in lift lobby near echo waiting FIRST FLOOR (MEDICAL STROKE ) 2 Security Officers in full PPE (suit / gas room , one S53 in the emergency fire mask / positive pressure / gloves ) stair one S52 in lift lobby , one S50 & S53 in WHOLE FIRST FLOOR 3 Security Officers in full PPE (suit / gas each (2) the emergency fire stairs case mask / positive pressure / gloves ) GROUND FLOOR ( DELIVERY SUITE / one in each emergency fire stairs S50 & S53 ( 2) , one S54 outside maternity MATERNITY ) 3 Security Officers in full PPE (suit / gas ward also watching delivery suite access. mask / positive pressure / gloves ) LOWER GROUND FLOOR ( PEDIATRIC One S55 in the corridor near CID , one S45 near CTC ( on road accessing back ward ) of ED ), one S12 in Paeds car park , 4 Security Officers. in full PPE (suit / gas monitoring side exit and PACs courtyard. mask / positive pressure / gloves ) One S56 in PAEDS allied health waiting room . WHOLE BLOCK C : Call on all lift to Lower ground floor and keep them open with one S57 security 4 Security Officers in full PPE (suit / gas just outside the lift lobby keeping an eyes mask / positive pressure / gloves ) on the corridor leading to xray as well as the back of PACS with the door leading to the clinical school courtyard open, S45 one between CTC and paeds ward on the road , one S12 in paeds car park , near GKL. One S58 at the cross section of SCN corridor and theatre corridor on the G/F

14. PARTIAL LOCKDOWN FIRST FLOOR ( CCU )

LGI

15.1 Campbelltown Hospital aerial view :

15.2 Campbelltown Hospital aerial view / perimeter guards overview:

15.3 S11 ENTRIES/EXITS MONITORING :

15.4 S13 ENTRIES/EXITS MONITORING

15.5 S10 ENTRIES/EXITS MONITORING :

15.6 S12 ENTRIES/EXITS MONITORING :

15.7 S4,S5,S6,S7 POSITIONS FOR TRAFFIC , PEDESTRIANS & MEDIA CONTROL :

15.8 OVERVIEW Campbelltown Hospital with guards , crowd control tape

15.9 Floor plan partial LGI third floor building B :

15.10 LG/F guards & locked doors:

SSWAHS/MHS/C&C.HOSP/SEC.DEPT/Disaster.Response2009-1 DISASTER & EMERGENCY STAFF CALL BACK

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