Explosive Device Incident November 14, 2013

1. Explosive Device Incident November 14, 2013

2. KIRO 7 News Clip Video Link

3. Good Samaritan Helps Distraught Woman

4. Explosive Device Revealed

5. Arriving at Harrison Medical Center - Bremerton

6. Reporting the Event • Woman is triaged and taken into Emergency Department room. • Once the woman is settled, the Good Samaritan tells the registration clerk that there is an explosive device in the vehicle. • The registration clerk communicates with Security, Triage Nurse, and Charge Nurse that there is a suspicious device in the car outside. • Security notifies his manager, the ED Manager and CEO.

7. Reporting the Event - Continued • The Security Manager is off site and notifies the Executive Director of Support Services. • Law enforcement is contacted. • The Administrative Coordinator coming on duty at 0745 asked Security about the activity outside the ED. • Once inside, the Administrative Coordinator notified Emergency Preparedness Coordinator of the situation.

8. Security Manager is an Explosive Device Technician • Security Manager requests a photo of device sent to him after receiving verbal description of a fused device. • Law Enforcement arrives. • Security Manager & Law Enforcement agree this is a device that has a fuse and needs to be lit; however, it is unknown how the device was built. • A safe zone is determined.

9. Folding Leadership into Incident Command • Law Enforcement had established a safe zone outside. • Hospital leaders were all talking inside. • Emergency Preparedness coordinator requested hospital leaders join law enforcement at external command post. * • Unified Command was formed. • The Executive On-call arrived. • An Incident Management Team member arrived to scribe for the event. • The Security Operations Manager notified the group she was in route to assist.

10. Safe Zones Established • The Emergency Department lobby entrance was closed. • Barriers were placed and security was staged so people could not enter the area – the back entrance to the ED was used. • ED registration and triage staff evacuated. • The Boardroom, also the Hospital’s Command Center, was evacuated. • Information Technologies on the first floor was evacuated. • It was deemed ok for patients to remain on 2nd floor with blinds closed. • The Ambulance Bay could stay in use.

11. People Movement • Information Technologies and Facilities Engineering personnel retrieved golf carts and Security vehicles to drive patients from Emergency Department underground parking area to front doors of hospitalwith one issue: • The keys were in the ED Security Office, which was in the evacuation zone. • Patients were escorted to back entrance of Emergency Department. • Staff redirected to different entrances.

12. Communications • People coming to work • Facebook • Media helicopters are flying overhead • Public Information Officer (PIO) issues release to staff • PIO issues release to media • Online Outlets for this type of news was incredible • Mostly copied text from local stories

13. Bomb Squad Arrives • Meet with law enforcement and Security Manager • All agree to remove the device with bomb squad specialized equipment. • Safe zones are moved back, including ambulance bay. One ambulance is held on Hickory Street for less than 5 minutes. • Device is removed by bomb squad and taken away. • Bomb Squad moves on to Poulsbo. Good Samaritan shared with police that other devices may exist at woman’s home.

14. Normal Activities Resume • The evacuation areas are now safe • Barriers are removed • People are allowed to go back to work

15. Monday Morning Quarterbacking and After Action • Incident Command assumed, but not clear • Communications confusing—was the explosive device in the building? • Facility stated to be in lockdown—not true • Why didn’t we call a Code Internal Triage – Bomb Threat? • Emergency Department felt like they were out of communications loop • Patient Belonging Removal Elevated Priority • Why were phones and radios used on scene? • Staff asked, “Why did the response take so long?”

16. Timeline • 0720 Patient Registration (Patient registered and handed off to triage nurse) • Notification of device to Registration Clerk – immediately following hand-off of patient to triage nurse • Notification of device to Security and Charge Nurse • 0736 Notification to 911 • 0744 City of Bremerton Law Enforcement arrived • 0745 ACs aware of situation • The Security guard notified the Security Supervisor, Security Manager, ED Manager and CEO. The Security Manager notified the Executive Director of Support Services.

17. Timeline - continued • 0752 Bomb Squad called • 0755 Executive Director of Support Services alerted Public Information Officer to incident • 0758 Emergency Preparedness coordinator notified • 0800 Unified Command formed with City of Bremerton law enforcement • 0800 Executive On-Call notified of situation by AC • 0811 Confirmation that employee’s manager knew of situation – Employee accountability • 0819 PIO Updated and briefed to ready staff communication • 0827 Emergency Preparedness coordinator and PIO discuss release of information to staff and media • 0837 First communication to staff disseminated

18. Timeline - continued • 0846 WA State Bomb Squad arrived • 0847 Notification by Emergency Preparedness coordinator to Kitsap County DEM • 0905 Briefing requested by Switchboard Supervisor • 0915 Situation is clear. All alerted they can go back to normal operations. • All Clear Notification at Nursing Huddle • 0924 All Clear Notification to DEM • 0932 Scott Bosch communicates to Exec Team, Board and FHS Leadership • 0943 All clear communication issued to staff

19. What went well? • Leaders brought together quickly • Security isolated area, evacuating where necessary • Unified Command was formed quickly • A safe zone to allow patient access was established • Resources were made available for transportation of patients and staff to other entrances • Incident clear in under 2 ½ hours

20. Lessons Learned • Incident Command assumed, but not clear • Communications confusing—was the explosive device in the building? • Facility stated to be in lockdown—not true • Why didn’t we call a Code Internal Triage – Bomb Threat? • Emergency Department felt like they were out of communications loop • Patient Belonging Removal Elevated Priority • Debriefing staff • Photo gathering

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