RISKAlert Case Study #841 – Physician Shot & Killed in Metairie

Posted on March 27, 2016 by Caroline Ramsey-Hamilton • 0 Comments

Dateline: March 25, 2016 – New Orleans, Louisiana

A local Doctor was shot and killed by a patient while he treated others in his office near East Jefferson General Hospital in New Orleans yesterday.

The 73-year old shooter walked into the doctor’s office, and killed the doctor with a single shot to the head. He then ran out of the office and into a Wendy’s restaurant. Jefferson Parish Sheriff’s Office deputies were nearby and they responded and chased the shooter into a nearby Wendy’s restaurant, where the shooter killed himself by putting the gun in his mouth and pulling the trigger.

The doctor, 75-year old Dr. Elbert Goodier, a urologist, was treating patients at the time of the shooting. Colleagues said that Dr. Goodier was a very kind and popular physician. The shooter’s family said that the shooter had been treated by Dr. Goodier in the past. While the shooter did not have a criminal background, his family said that he had suffered from mental illness in the past.

Dr. Goodier had practiced for 50 years in the New Orleans area, according to East Jefferson General Hospital.

According to Wendy’s employees, a woman was placing her order when
the shooter pulled the trigger as the deputies advanced on him. The man’s body remained inside of Wendy’s more than an hour after the shootings. Yellow police tape cordoned off the parking lot and the hospital’s exit lanes. Some workers and patrons were also still in the building as of 4 p.m., speaking with
investigators. Outside, other workers, concerned relatives and onlookers watched.

This type of shooting, the Baby Boomer Shooter, is the second attack on a urologist, and one in an increasing number of seniors who attack their physicians. Another shooter killed his urologist in Reno, Nevada and injured two others before taking his own life. The shooter said had struggled for 3 years with ailments resulting from a botched vasectomy, according to messages he posted on an online support group and a law enforcement investigation.

Lesson Learned :

While doctors have not been a target in the past, they have been shot and killed recently by patients unhappy with medical results. All hospitals and medical offices should review their access controls systems, based on the increasing, and alarming rate of attacks on healthcare workers.

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RISKAlert Report # 840, Man Shoots Neighbor, Takes Body to His Lawyer

Posted on March 19, 2016 by Caroline Ramsey-Hamilton • 0 Comments

Dateline: February 17, 2016

A Florida Man Shot his Neighbor to Death, Put the Body in the Back of his Pickup Truck
and Drove Dead Body to his Lawyer’s Office

A Fort Myers, Florida man shot his neighbor to death during a struggle before loading the body into the back of his pickup truck and driving it to a lawyer’s office, according to the News Press of Fort Myers, Marshall claimed he shot the neighbor in self defense.

Lawyer Robert Harris, said that John Marshall (the shooter), walked into his Fort Myers law firm claiming he had shot and killed neighbor Ted Hubbell in self-defense and had the body outside in the bed of his pickup.

The shocked attorneys called 911 and Marshall spent hours at Harris’ office before finally leaving
for the hospital around 10:30 p.m. that night. Marshall had a swollen lip, missing tooth and what
appeared to be two broken thumbs.

According to attorney Robert Harris, John
Marshall wrestled a gun away from neighbor
Hubbell and fatally shot him earlier Wednesday.
Harris said late Wednesday that Marshall will
not be arrested, because he shot in self defense.

Lessons Learned:

1. Avoid fights with neighbors.

2. If a fight seems unavoidable, call 911 and wait for police in a safe area.

3. Do not transport a body to your lawyers office in the bed of your
pick up truck!

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Paris Attacks are opening shot in plan to exterminate Western Civilization

Posted on November 14, 2015 by Caroline Ramsey-Hamilton • 0 Comments

The six simultaneous attacks on Paris last night were the opening salvo in a long-planned event designed
to exterminate Western Civilization as we know it.

This is not the teenage shooter with acne and an AK15, these were trained killers, who, according to witness
statements, were professional, controlled and had no interest or compassion for their victims. They could have
been shooting at a beer can instead of a young girl. This is different from other terrorists attacks because it is

carried out without emotion. These terrorists are not killing PEOPLE, they are exterminating western culture, along with the people. We saw this in Palmyra where treasured antiquities were destroyed, and ISIS plans to exterminate every vestige of
our western culture.

Security measures that may have worked for individual shooters, or small splinter group will not defeat ISIS.
We have been directly targeted and need to take drastic measures and take them immediately. This assault
has no room left for political correctness, for ‘measured response”, or anything else. We need to exterminate
this threat quickly and completely to maintain our quality of life.

Everything is at stake now, our paintings, our music, our art, our designer jeans, our freedom of expression,
our families and, ultimately, our lives. As western leaders meet today, I hope they plan to present an overwhelming
attack aimed precisely at ISIS, with a show of force designed to blow them off the face of the earth.

RISK Alert #790 – St. Cloud Hospital Shooting Threatens CMS Funding

Posted on November 13, 2015 by Caroline Ramsey-Hamilton • 0 Comments

St. Cloud Hospital in Aitkin County, Minnesota, has been threatened with losing Medicare funding by CMS, after a shooting incident where a suicidal patient took the security officers gun and shot him to death
in the hospital.

According to a review by the Center for Medicare and Medicaid Services. The patient, Danny
Hammond, age 50, told staff he was going to kill himself and any man who came into his room, as soon as he had the chance, the CMS report said.

Hammond had been airlifted to the hospital the morning of Oct. 12 after attempting suicide by an intentional overdose, according to the report. He had several warrants out for his arrest after being charged with kidnapping and assaulting his wife, and the hospital obtained the services of Aitkin County officers to monitor Hammond in his hospital room.

At 5:10 a.m. that morning, Hammond charged at Aitkin County deputy Steven Sandberg, took his gun, and fatally shot him. Hammond was subdued with a stun gun and later died.

The CMS Report cites the hospital, “The hospital’s failure to provide direct psychiatric care to the patient … resulted in the patient’s ability to obtain and engage the firearm of a peace officer,” the report said.

In response to the report, the hospital submitted a plan of correction updating its policies and training. According to the document, the hospital already has started mandatory training for staff reinforcing requirements that 72-hour holds can be ordered only by physicians, and that psychiatric consultations and treatment must continue until the hold is lifted. The attending physician and psychiatric provider must agree that services or treatment are no longer necessary.

Lessons Learned :

Make sure the entire staff has current updated policies and procedures, mandated training which is continually checked and updated.

CMS is becoming more active in tracking shootings and violent incidents in
hospitals, using Medicare and Medicaid funding as a hammer to ensure compliance.

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A Publication of Risk & Security LLC
info@riskandsecurityllc.com

NJ Hospital Battles OSHA on Assault Report

Posted on September 18, 2015 by Caroline Ramsey-Hamilton • 0 Comments

Dateline: Paramus , New Jersey, September 15, 2015

RISK Alert Case Study #780

Bergen Regional Medical Center to Hires Law Firm to Fight OSHA on Proposed Fine
for High Number of Workplace Violence Incidents against the Hospital Staff.

Bergen Hospital has been investigated by OSHA (Occupational Safety and Health Administration)
in the past. In 2014, OSHA found that management “had not developed or implemented adequate
measures to protect workers from assaults.”

OSHA noted that there were 45 incidents of workplace violence in 2013 and 10 in the first quarter of 2014. OSHA announced the citation this month and a proposed fine of $13,600.

Incidents cited in the OSHA report included:

A lab tech trying to draw blood was punched.

A security guard was kicked and bitten.

A nurse was pushed to the floor after she intervened when a
patient on patient attack

A mental health assistant was trapped in a room with a patient,
who barricaded himself in his room after he charged and threatened employees.

The OSHA investigation and proposed fine at Bergen Regional mirrors the experience of staff members in hospitals, clinics, and behavioral health organizations around the country, who are all affected by the new OSHA 3148 regulations, which were introduced in 2015 to fight the rising violent incidents occurring in hospitals around the U.S.

The recent update of OSHA 3148 requires Annual Workplace Risk Assessments.
Read the entire text of OSHA 3148, Guidelines for Preventing Workplace Violence at https://www.osha.gov/Publications/osha3148.pdf

Lessons Learned:

1. Any organization that accepts money from any Federal agency has to attest
that they are up to date with all Federal requirements, including OSHA 3148.

2. Bergen Regional Medical Center may end up spending more on lawyers
than the cost of the fine ($13,000).

3. JOIN OUR NEW (No-Cost) ACTIVE SHOOTER & WORKPLACE VIOLENCE
WEBINARS at www.riskandsecurityllc.com

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SISCO Teams Up with RISK & SECURITY LLC with Security Solutions

Posted on July 6, 2015 by Caroline Ramsey-Hamilton • 0 Comments

For Immediate Release

July 6, 2015

SISCO and RISK & SECURITY LLC TEAM UP TO OFFER NEW SECURITY SOLUTIONS
IN FOR SECURITY STANDARDS AND VISITOR MANAGEMENT PROGRAMS

THE SISCO FAST- PASS© SOLUTION TRACKS VISITORS, VENDORS, AND CONTRACTORS ENTERING AND EXITING HOSPITAL FACILITIES RAPIDLY AND SEAMLESSLY REDUCING RISK
TO PATIENTS AND STAFF.

A new software solution that tracks visitors in any hospital, health care facility, office or manufacturing plant, that blends safety and risk management together meeting all the new compliance guidelines, will be co-marketed by SISCO, (West Palm Beach), and RISK & SECURITY LLC, (Boca Raton) together
in a new Risk & Security Team partnership.

The Joint Commission has said it expects hospitals to be able to automatically identify every person
in their hospital, at any time. Besides obviously helping in the FEMA Hospital emergency scenarios,
It also complies with the new CMS Standards for Hospital Security, Safety and Emergency Preparedness
and the new OSHA 3148 standards for controlling and minimizing workplace violence in high-risk
facilities including hospitals and healthcare organizations.

The Fast-Pass© solution is a complete and easy to use security and safety computer application that allows any organization to credential visitors in less than 15 seconds, authorize passage and issue a pass for facility access. The process is seamless and in compliance with Joint Commission guidelines

According to Caroline Ramsey-Hamilton, CEO of Risk & Security LLC, “The new Fast-Pass©
solution is an incredible value for hospitals, healthcare organizations, and other organizations that want
to improve security and prevent unauthorized access. We are worked with Anthony Zagami for 15 years, and are happy to formalize our partnership with SISCO, which will include a series of sponsored webinars, podcasts and videos to assist security experts dealing with critical security issues.”

Hamilton’s industry-leading RISK-Pro software app includes over 75 recommended controls for hospitals, and SISCO is the first vendor identified as meeting the stringent RISK-Pro® standards
for security controls.

Nationwide, Security in hospitals and other high-risk facilities has become a top national concern, as the 55+ plus baby boomers age, and require more healthcare services. The number of violent and active shooter incidents in hospitals has also increased dramatically over the last 10 years, prompting an array of new security and emergency guidelines and standards designed to reduce violence and protect hospital staff, patients, and visitors.

About Sisco

SISCO is the leading provider of Identity Management Solutions for the Healthcare industry, Maritime, Education, Corporations, Government and Law Enforcement Agencies. SISCO provides the most superior solution available today as well as expert installation, comprehensive training and unsurpassed customer service which in turn, provides its customers with front line protection for safer working environments. Please visit www.siscocorp.com or contact at jchaplin@siscocorp.com.

About Risk & Security LLC

Risk & Security LLC is a security risk assessment and risk analysis company with over 75 years
of combined expertise in security risk assessment, hospital security and emergency preparedness systems. It developed the top-rated RISK-Pro software app to help
organizations assess their security risk, active shooter risk, and automatically recommend
cost-effective solutions by Return On Investment. www.riskandsecurityllc.com

Risk & Security partners with security companies around the world to provide state-of-the-art security solutions to analyze risk, pro-actively manage emergency preparedness, and recommend
cost-effective security controls justified by return on investment metrics.

Contact Information:

Caroline Ramsey Hamilton caroline@riskandsecurityllc.com

Phone: 301-346-9055

http://www.LinkedIn.com/in/carolinehamilton

62-Year Old Bumblebee Tuna Worker Killed in Oven with Six Tons of Canned Tuna

Posted on May 28, 2015 by Caroline Ramsey-Hamilton • 0 Comments

RISK Alert Report #710 – May 27, 2015

The Los Angeles District Attorney announced felony charges Monday against
Bumblebee Tuna’s San Diego Plant, alleging that a worker, Jose Melena,
entered a thirty-five foot cylindrical oven that sterilizes cans of tuna. Melena’s
co-workers closed the door and started the oven. The oven temperature rose to
270 degrees in the next two hours, and when the doors were opened, they found
the severely burned remains of Jose Melena.

According to District Attorney Jackie Lacey, “We take worker safety very seriously”,
according to a published statement. “Our goal is to enhance the criminal of workplace
safety violations. Although the Bumble Bee investigation began in 2012, this case
represents our commitment to protecting workers from illegal – and, potentially,
deadly – on-the-job practices.”

Two plant employees, former Safety Manager Saul Florez, 42, of Whittier,
California, and the current Director of Plant Operations Angel Rodriguez, 63, of
Riverside, California, with three felony counts each of an Cal-OSHA (State of
California ) violation causing death.

Both men face arraignment on May 27 at the Foltz Criminal Justice Center in
downtown Los Angeles. If convicted, the individuals could serve three years in
state prison and a fine of up to $250,000. Bumble Bee faces a maximum fine
of $1.5 million.

Lessons Learned:

1. Strong safety controls should be put in place to protect workers in High Risk
Occupations.

2. Employees should make sure that all employees are aware of the
company’s safety and security rules to prevent incidents like this.

RISKAlert® is a publication of Risk & Security LLC

To subscribe to RISKAlerts® – write to: info@riskandsecurityllc.com

www.riskandsecurityllc.com

www.caroline-hamilton.com

DOD moves military bases to a higher alert status

Posted on May 8, 2015 by Caroline Ramsey-Hamilton • 0 Comments

In an unusual move today, the U.S. Department of Defense (DOD) raised the security level at
U.S. military bases because of the increasing concerns about possible attacks by ISIS (ISIL).

While the DOD cited no specific threat, they did refer to the recent attack in Garland, Texas,
(last Tuesday), after ISIS claimed responsibility for the Prophet Mohammed cartoon contest
featuring cartoons about “the Prophet”.

The threat level was raised to ‘Bravo’ level, and it’s worth noting that it’s the first time the
threat level has been that high since the anniversary of the 911 attacks on September 11,
2011, which was the 10th anniversary of the 2001 attacks.

A higher threat level could mean 100% ID checks at the entrance to all military bases, including
air force bases, army bases, navy and marine bases. It also puts base military police on alert
to be highly situationally aware, including investigating anything they see that might be
terms “suspicious”. The FBI will also increase surveillance of suspected pro-ISIS individuals.

Persistent stories have been focusing on the Texas border, which may be harboring an
ISIS camp, and the right wing media has reported that an ISIS camp may be sending their
soldiers into the US on specific missions. Although this has been widely discredited by
officials, some circles are reporting a link to the Army’s Operation Jade Helm, a massive
military drill across nine states, which is slated for July 15th, to September 15th, 2015.

We encourage individuals to be situationally alert AT ALL TIMES, and a increase
in military alert levels would certainly be something to note.

Doctor Shot and Killed in Grudge Shooting Over “Mom”

Posted on January 25, 2015 by Caroline Ramsey-Hamilton • 0 Comments

RISKAlert- Active Shooter No. 625, January 21, 2015, Boston, Mass.

Middle-Aged Shooter kills Cardiologist at Brigham and Women’s Hospital, and then Kills
Himself, in an apparent Grudge Shooting Because the Doctor had Operated on his Mother.

On Tuesday morning on Jan. 21, at 11 am, Stephen Pasceri, 55, walked into the Shapiro Center
at Brigham and Women’s Hospital, and asked to see cardiologist, Dr. Michael J. Davidson. When
he saw Dr. Davidson, outside of an exam, he shot him twice, critically injuring him.

Dr. Davidson later died from his injuries. Pasceri then went to the 2^nd floor and killed himself with a gunshot
to the head. Later, it was discovered that Dr. Davidson had operated on Pasceri’s mother, Marguerite, and
she had died on November 15, 2014. Pasceri’s sister was quoted as saying, “He loved his mom, and he
loved her very much. He appeared to be handling her death well,” the sister said of her brother.

“Everything seemed to be going really well. I have no idea why he snapped like this.
He was a great guy. He took care of his family, he had a beautiful house and he has four
beautiful children. He was an upstanding citizen.”

The hospital locked down and rushed Dr. Davidson into surgery, but he died during the night from his injuries.
Brigham and Women’s Hospital’s COO said the hospital was one of the first to institute an active shooter
training program. The hospital does not use metal detectors.

Lessons Learned : “A is for Access Control”

1. Metal Detectors can be are a reliable tool to Prevent In-Hospital Shootings.

2. Active Shooter Drills are NOT ENOUGH as these incidents unfold in just a few minutes.

3. Installing ‘NO WEAPONS’ Signage at Entrances can be a deterrent to these first time shooters.

Despite having a good job, family, and a beautiful home, when confronted with a mid-life crisis, his mother’s
death, another middle-aged shooter goes to a hospital and shoots the doctor, in a scenario that resembles
the Johns Hopkins shooting in 2010. To protect staff and patients, hospitals will have to increase their
security protective measures, including use of metal detectors, no weapons signage and
situational awareness of the staff.

RISKAlerts is a publication of Risk & Security LLC.
To subscribe, write to: info@riskandsecurityllc.com

RISKAlert November, 2014 Updated Incident Planning for Healthcare Facilities

Posted on December 16, 2014 by Caroline Ramsey-Hamilton • 0 Comments

Incorporating Active Shooter Incident Planning into Health Care Facility Emergency Operations Plans

National preparedness efforts, including planning, are based on U.S. Presidential Policy Directive (PPD) 8: Preparedness, which was signed by the President in March 2011. This updated directive represents an “evolution” in understanding of national preparedness based on lessons learned from rom natural disasters like Hurricane Sandy, terrorist acts like the Boston Bombing and active shooter and other violent incidents.

Preparedness is centered in five areas: Prevention, Protection, Mitigation, Response, and Recovery. These concepts are applied to Health Care Facility (HCFs) Planning for active shooters and other violent incidents.

Emergency Operations Plans for Health Care Facilities (EOPs) should be living documents that are routinely reviewed and consider all types of hazards, including the possibility of an active shooter or terrorist incident. As law enforcement continues to draw lessons learned from actual emergencies, HCFs should incorporate those lessons learned into existing emergency plans or in newly created EOPs.

It advises a whole community approach that includes staff, patients, and visitors as well as individuals with access and functional needs. Examples of these populations include children, older adults, pregnant women, individuals with disabilities, etc.

The key concepts include not only familiar concepts like “Run-Hide-Fight” but also concepts on addressing a wider range of risks (threats), how to do drills, improvement of situational awareness activities, expanding the definitions of risks, how to do Psychological First Aid (PFA), and how to integrate these with HIPAA guidelines and Rules and the importance and role of Security in Emergency Operations Planning (EOPs).

Lesson Learned : Don’t Wait to Respond!

A 2005 investigation by the National Institute of Standards and Technology into the collapse of the World Trade Center towers on September 11, 2001, found that people close to the floors impacted waited longer to start evacuating than those on unaffected floors. Similarly, during the Virginia Tech shooting, individuals on campus responded to the shooting with varying degrees of urgency. (ref: Federal Building and Fire Safety Investigation of the World Trade Center Disaster: Occupant Behavior, Egress, and Emergency Communications.)

Frequent Security Situational Awareness Training, and Active Shooter –
Disaster Drills can prevent this “frozen” phenomena and save lives in
a violent incident , a terrorist attack, or a disaster scenario.

RISKAlerts are publications of Risk & Security LLC