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Security Assessments International has assisted over 600 hospitals through out the United States and overseas with the identification of potential threats and risks. Converns over Emergency Department security remain high especially among ED nursing staff.


Institution:  __________________________________________________________

Address:   __________________________________________________________

Person Conducting Assessment:   _______________________________  Date:   ________

Location of Facility: (circle one)       Inner City       Urban              Rural

Type of Facility:                                 Level I                        Level II           Level III

Number of Patient Visit per year:   ______________    Total bed size of facility:   ____________

Incident Analysis

Are you tracking incidents of violent behavior in the Ed? (circle one) Yes           No

If yes, what type of incidents are you tracking?

During the last 12 months how many of the following incidents had you experienced in your ED?

Assaults (circle one) patient, visitor, employee, or staff?

How many incidents of weapons reported?

Did you have any incidents occur where weapons were discovered, drawn, or used in a threatening manor?

How many involuntary commitment patients were retained or guarded by hospital staff?

How many actual man hours were spent by your department restraining patients?

List the types of restrains normally used:  (circle)            cloth    leather  chemical

Violent Incident racking 

Number of Assaults     

Weapons Reported     

Weapons Drawn/Used

Other Incidents

Assault Classification

Patient on Patient

Patient on Staff

Patient on Visitor

Visitor on Staff

Visitor on Patient

Visitor on Visitor


Patient Restraint

Number of Patient Restraints

Types of Patient Restraints

Security Staffing / Day of Week / Time Covered

How many Security FTEs for ED? _________________________________________

Number of Off Duty Armed Police Officers__________________________________

Sworn Police Offices____________________________________________________

Proprietary Security Officers______________________________________________

Contract Security Guards_________________________________________________

Type of Uniform worn by Security:   Traditional Police   Low Profile (Blazer/Slacks)

Authorized Weapons

Fire Arm    Baton     Asp     Mace/Pepper Spray/Foam    Handcuffs     None (circle one)

Are Officers certified in equipment furnished?

Is Security Staff issued body armor?    Yes     No

Access Control

Does the ED have a separate entrance for walk-in and ambulance patients?

Is the ED entrance used as a primary entrance for other treatment areas in the hospital?

Is the ED parking lot and controlled parking location (gated)?  How?

Is access controlled from the outside into the waiting area?   How?

Is access controlled from the waiting areas into the treatment areas? How?

Are any or all of the following devices utilized in the ED?

            Card Access                                        CCTV

            Panic Devices                                       Hand Held Metal Screening

            Walk through Metal Detector                Delayed Emergency Egresses

List any additional security measures in place to improve safety.

Is there adequate signage that directs and prohibits persons entering and/or leaving the ED?

Education and Training / Policy Requirements

What type of crisis intervention training is provided to ED workers (including nursing, social services, clerical staff and security personnel)?  How many hours are provided personnel, as well as any refresher training required?

Do you have a crisis intervention team to respond to crisis situations?

Is there a written policy that addresses ED security? ______ Are the following elements addressed?

            patient restraint

            psychiatric patient holding and transfer policies

            access control policies (access to treatment in ED, access for treatment elsewhere in

            the hospital)

            access for staff

            visiting policies 

            unauthorized weapons

            emergency alert systems