RISKAlert Report Updated: October 23, 2018 Richland, Washington
A Hospital Employee at Kadlec Regional Medical Center came back to the hospital on his day off, threatening to kill other employees and himself. Other violent attacks n staff have also occurred recently including choking of a nurse in the ICU!
In a workplace violence incident on Oct. 18, 2018, Kadlec employee Matt Ganz, 51, walked into the
hospital where he worked, on his day off and began talking to fellow co-workers about how he wanted to die by suicide and how he would kill others as well, said Lt. Chris Lee.
Several people called 911 to report seeing a man with a gun at the 270-bed hospital. Richland police responded and were on the scene within a minute and a half. But Ganz was gone before Richland and Kennewick police along with deputies from the Benton County Sheriff’s Office finished searching the hospital.
Police continued to hunt for Ganz and officers finally found him about 40 minutes later on the 300 block of East Third Avenue drunk behind the wheel of his truck, police said. He was booked into
the Benton County jail for making threats, for interfering with a health care facility and for driving
under the influence (DUI).
Kadlec Regional has experienced other incidents including multiple staff members who were hurt by patients, and it highlights the problem of workplace violence in healthcare. In one incident, a patient in the ER hurt 3 nurses, a doctor, and a security officer. In another recent case, a patient in Intensive Care choked a nurse, as she was trying to change his IV. The nurse in question posted these remarks on Facebook, “Let me tell you, having a strong individual’s hands around your neck, the inability to breathe, let alone call for help, to the point where you can’t see a thing and can only hear an emergency “staff assist” tone going off, is one of the absolutely gut-wrenching, most terrifying feelings anyone could ever imagine. It didn’t help that it was preceded with the words “I’m gonna kill you.” Ashley Schade described in a Facebook post about the event that has now gone viral.
Both of those patients were charged with assault.
1. Workplace Violence is still a major problem in healthcare, with most of the violent incidents
directed at nurses. More needs to be done.
2. Report every incident to management and increase staff to avoid having nurses work alone.
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RISKAlert Report # 1149 Updated: June 27, 2017 Long Beach, California
A 77-year-old retirement home resident identified as Thomas Kim, has been accused of intentionally setting a fire Monday morning to lure first responders to the facility. After the firefighters entered the Home and
put out the fire, Kim fired on the men, killing one firefighter and wounding another.
“It’s the first time we have seen anything like this said, Mike Duree, Long Beach Fire Chief..
Around 4 a.m. Monday morning, firefighters Capt. Dave Rosa and Ernesto Torres responded to reports of a fire, followed by an explosion and the smell of gasoline, at the Covenant Manor senior care facility, Duree said. As they approached the high-rise building, the firefighters noticed that the windows of one unit had been blown out and that the sprinklers were on.
After extinguishing the fire, Rosa and Torres remained inside the building to investigate the gas smell and explosion, the chief said. Ten minutes later, gunfire erupted and police received reports of an active shooter. Rosa, a 45-year-old veteran of the Long Beach Fire Department, was killed in the attack. Torres and another man, a civilian resident of Covenant Manor, were injured and taken to a local hospital.
Long Beach Police arrested 77-year-old Thomas Kim, who lived in the facility, in connection with the fire and the shooting.
They booked Kim on suspicion of murder, as well as two counts of attempted murder and arson, and is being held on $2 million bail. It is not known about where he got his weapon and how he started the high-rise fire.
Not much was immediately known about Kim, police said he was arrested years ago for auto theft and that detectives are looking into reports of erratic past behavior. His family said that they were stunned to find out the suspect was alive, living in Long Beach, and was a suspect in the murder and arson investigation. LESSONS LEARNED:
Retirement facilities should institute a No-Weapons Policy for Residents.
Firefighters place themselves in danger every day, but didn’t expect to encounter
a killer in the retirement home!
According to a retired Secret Service agent, Parkland’s Marjorie Stoneman Douglass staff was well
aware of the lack of security as much as 60 days before the fatal shooting took place. The former agent, Steve Wexler,
was invited to review the high school for security and he reported numerous weaknesses to the MSD staff including:
“Gates were unlocked. Students did not wear identification badges. A fire alarm could send students streaming into the halls. Active-shooter drills were inadequate,” he said.
In addition, he noted, “This stuff is blatantly obvious. You’ve got to fix this,’” Wexler said. He never
heard from the school again. His recommendations included:
1. School gates should be locked, and students should wear ID badges showing they belong on campus.
The shooter on Feb. 14 was able to get on campus because the gates were opened at the end of the school day.
Active-shooter drills should be routine. After the shooting, some students said they had not been involved
in drills this year.
Any adult should be able to declare a Code Red to lock down the school. Clark, the school district spokeswoman, said that is the current protocol, but Wexler said he was told an assistant principal notifies the principal, who then makes the call. “That’s a problem,” he said he told the staff. “This stuff happens fast. This playing telephone is no good. By that time we could sit down and have breakfast.”
Schools should not immediately evacuate students for a fire alarm without first confirming there’s a fire. During the shooting, the gunfire set off the smoke alarm, and students fled into the halls, where the shooter could take aim.
LESSONS LEARNED 1. If you have a security iny weaknesses identified by an expert – TAKE THEIR ADVICE AND
fix the issues that were identified!
Liability increases if staff were clearly warned BEFORE an incident that there were
existing security weaknesses.
SEVENTEEN-YEAR-OLD ACTIVE SHOOTER AT SANTA FE, TEXAS HIGH SCHOOL KILLS 10,
INJURES 13, AFTER STUDYING MASS SHOOTING TECHNIQUES FROM NEWS REPORTS
RISKAlert Report #1035 Updated: May 20, 2018 Santa Fe, Texas
At 7:25 am on a Friday morning in Santa Fe, Texas, a 17-year-old student walked into his classroom, wearing a trench coat and armed with his dad’s Remington 970 shotgun and .38 caliber pistol that he used to shoot 23 people inside his school. Ten were killed and 13 were injured in the planned shooting. Armed officers responded within four minutes and a gun battle
ensued with the subject.
Although a romantic failure may have triggered the attack, the shooter had long been a fan of active shooters and studied previous shootings, like pulling of the fire alarms in the recent Parkland shooting. He wore a trenchcoast, mirroring the horrific Columbine High School shooting in April, 1999, in which two teenage boys with weapons hidden under trench coats killed 12 students and one teacher
According to a witness, the shooter yelled “WOO HOO”, as he shot up the classroom. Multiple media accounts say the gunman taunted some of his victims, asking some hiding in a closet if they wanted to answer their ringing cell phones. “You want to get that?” the attacker said, according to The Wall Street Journal.
He spared others saying he wanted his story told. Police also found five homemade pipe bombs that did not detonate.
The shooter had pursued a romantic interest, Shana Fisher, for the past four month, according to her mother, but she refused to date him.Shana was shot and killed in the incident. Her mother said that the previous week, her daughter, Shana, has said in media accounts that her 16-year-old daughter had rejected four months of aggressive advances from Pagourtzis.
Fisher finally stood up to him in front of the entire class, and proclaimed she would never go out with him, embarrassing him in class, her mother told the Los Angeles Times.
Many of the aspects of the attack mirrored one of the worst school shootings in American history: the massacre at Columbine High School in April, 1999, in which two teenage boys with weapons hidden under trenchcoats killed 12 students and one teacher.
1. Even with a relatively quick 4-minute response time, there were still 10 killed and 13 injured, demonstrating that even a well-armed police officer cannot quickly stop the killing, once shooting starts!!
Texas State officials blamed the attack on video games, on abortions, and on too many entrances and exits
to the high school buildings, even though the school lacked any access control, no metal detection and
no screening of any kind.
Underage students should not have ready access to firearms. The shooter’s parents apparently missed the fact that he assembled pipe bombs in his bedroom, had access to guns, and avidly recounted mass shootings.
Why are parents fined if their child is late in returning a library book, but not if their child shoots
and kills people with daddy’s guns?
The massacre claimed Shana Fisher’s life, and also claimed the lives of students Sabika Sheikh, a Pakistani exchange student; Chris Stone; Jared Black, Angelique Ramirez; Christian Riley Garcia; Aaron Kyle McLeod; and Kimberly Vaughan. Teachers Glenda Ann Perkins and Cynthia Tisdale were also killed.
The people hospitalized included retired Houston police Officer John Barnes, who served as a resource officer at the school and confronted the gunman.
Pagourtzis did not attempt suicide, like the Columbine shooters, but Texas’ governor, Greg Abbott, a Republican, told reporters that the youth wanted to kill himself, citing the suspect’s journals, but lacked the courage to do so.
Dimitrios Pagourtzis, is being held without bail and is accused of capital murder of multiple people and aggravated assault on a public servant. he suspect won’t face the death penalty if he is convicted. Under Texas law, offenders who are under age 18 and charged with a capital offense face a maximum punishment of life in prison with the possibility of parole after 40 years.
Nasim Aghdam , a 39-year old YouTube user who was angry after access to her self-produced YouTube videos was reduced, drove 470 miles from Menifee in southern California to YouTube headquarters in northern California and shot three staff members with a handgun at the YouTube campus and then turned the gun on herself, inflicting a fatal injury.
Aghdam’s father, Ismail Aghdam said he had called the police, warning that she hated YouTube, and that he was afraid that she might be headed up to their headquarters after she went missing from her home.
She started shooting in a courtyard area and it appears she killed herself as law enforcement arrived on the scene. She was one of a handful of female shooters, and passionate about veganism and animal rights issues, and used her YouTube channel to spread her message. She ranted online against the company’s new policies and accused them of censoring her videos and reducing their views.
She had complained on her website that “new close-minded youtube employees” had “filtered my channels” starting
in 2016, causing the number of views on her videos to drop. She posted a screenshot of her YouTube page showing that one video had received 366,591 views.
YouTube staff members were terrorized by the random shootings, and were searched before
being allowed to go to their cars and leave the offices. It was the first major Workplace Violence
incident in a major Silicon Valley company and should encourage other companies to add more
security controls to their campuses.
1. A Workplace Violence Incident can happen anywhere and anytime! Be Ready.
Lack of access controls (metal detectors) allowed a killer to enter the YouTube campus with a
gun and shoot three staff members, injuring one critically. Simple, inexpensive metal detectors
could have eliminated this vulnerability.
Police did not respond quickly enough when they were called and alerted IN ADVANCE that the
shooter might be heading to the YouTube campus. She might have been apprehended on route
during the six plus hour drive to San Bruno.
The shooting took place after long-time nursing supervisor, Nancy Swift, 63, told off Trevis Coleman, a hospital Sterile Supply worker, described as “disgruntled” by police. After fatally shooting Swift, he shot instrument worker, Tim Isley, who is in critical condition. Coleman then turned the gun on himself, with a fatal shot to the head.
The incident took place at University of Alabama at Birmingham, Highlands’s hospital in Birmingham, Alabama. UAB Hospital Vice President Anthony Patterson said, ‘We have extensive security measures in place that include police officers on site 24-7 as well as others that we do not publicly disclose in the interest of safety.
“This is a sad day for Birmingham UAB. We lost a colleague and a friend last night,” UAB Hospital Vice President Anthony Patterson said. “First I want to offer my sincerest condolences to the victims who have suffered and to their family and colleagues who are grieving this senseless loss of life and injury, our highest priority is the health and safety of our patients and employees.”
The surviving victim of the shooting, 28-year-old Timothy Isley, is recovering at UAB Hospital. He was the on-duty instrument management supervisor at the time of the shooting. Isley’s father is a Mayor of Springville, Alabama,
UAB Highlands hospital had metal detectors in use at the time of the workplace violence incident.
‘Disgruntled’ employees need to have a formal case file opened on them, and their
behavior monitored, if they have the potential to be a threat.
Keeping all back entrances locked, and using door alarms, can keep staff, and intruders
from bringing guns and knives into hospitals.
“Good Guy with Gun” Didn’t Work at Parkland’s School Shooting Sheriff’s Deputy was Armed and
On site During Incident, but Stayed Out to Save Himself, Leaving Students and Staff to Die
RISKAlert Report Updated: Feb 23, 2018
According to Broward County Sheriff Scott Israel, there was an armed Sheriff’s deputy on the scene of the Parkland Massacre.
He stood outside while the shooter hunted down and murdered seventeen children and staff members. The deputy could hear the screaming and the gunfire. But he let the shooting carry on for minutes that literally meant life or death.
“I’m Devastated. Sick to my stomach. There are no words. These families lost their children. We lost coaches. I’ve been to the funerals,” Sheriff Israel, obviously shaken, said at a press conference on Thursday. Asked what the officer should have done, Israel responded, “Went in. Addressed the killer. Killed the killer.”
The cowardly deputy, Scott Peterson, who left the children to fend for themselves, was put on administrative leave and now has resigned. A security camera caught the deputy outside the building, within earshot of the shootings.
In the aftermath of the tragedy, other issues in the law enforcement response have come to light, including two other deputies were placed on restricted duty on Thursday because they may have mishandled tips called in to the sheriff’s office over the past two years warning that the suspect, Nikolas Cruz, appeared intent on becoming a school shooter, Sheriff Israel said
1. ACCESS CONTROL MAKES THE DIFFERENCE. Obviously, arming teachers
won’t work. Metal detectors work 100% of the time, and don’t hang back in
the parking lot.
2. Starting Monday, we can help schools LOCK THEIR DOORS, get some basic Access Controls in place, and commit to PROTECTING THESE STUDENTS!
As an active shooter expert, the last thing I expected yesterday was a shooting in my own neighborhood. I left a meeting at about 2:30 ET and noticed that there were sirens and emergency vehicles everywhere. They were racing to respond to an alert at Marjory Stoneman Douglas High School in Parkland, Fla., which has now become the site of one of the worst school shootings in American history.
Parkland is an affluent residential community that backs up to the Everglades. The school was named to honor Stoneman Douglas, an environmentalist who fought to protect Florida’s Everglades. In fact, just this week, the city was ranked as the 15th safest city in America and one of the safest cities in Florida.
But it could not be protected from an active shooter. Minutes after the ambulances flew by; I got the alert on my phone: an active shooter situation practically in my own backyard. By the next morning, we knew much more.
Initially, it was reported as one person dead but by late last night, however; the number had ballooned to 17 students and staff killed, and fifteen more in the hospital. It was the 18th school shooting of 2018, which averages out to almost one every other day so far this year.
A former student, identified as 19-year-old Nikolas Cruz, was arrested near the school. He allegedly entered the school with the other students and pulled the fire alarm, so they would run out into the hall where he opened fire. In addition to shooting students inside the building he also reportedly took aim at victims as they attempted to flee the hail of gunfire.
A student interviewed by the media said he knew the kid who had the gun, and that the student had shown him photos of guns on his phone. Cruz’s Instagram account also reportedly featured not only photos of guns, but of frogs and lizards he had tortured and then killed. According to published reports, he had posted on social media: “I’m going to be a professional school shooter.”
Many students who were interviewed yesterday and today said the shooter was someone they thought might have been a dangerous person. He had a troubled background, including behavioral problems, and had been recently expelled from the school.
As politicians on every TV channel discussed the future of gun control, the political aspects of America’s gun problem and the role of the National Rifle Association in effectively blocking gun legislation, the real truth is that we need to protect schools now, not fight endlessly about long term solutions. The great technological advances in security have created realistic security solutions that can better protect students and schools today.
Immediate Steps to Shore Up School Security
Access control is the starting point. If you can’t control access, anyone can bring any kind of guns into our schools. Stand-alone metal detectors are relatively inexpensive and easy to install. Wand scanners could be deployed tomorrow. Backpacks and cases need to be scanned or opened.
Limit and alarm entrances to the schools. No school is secure if there are multiple entrances, and if anyone can enter the school undetected. All exterior doors should be locked 100 percent of the time, not propped open, and doors should be checked weekly to make sure they close effectively.
Actively monitor security cameras. Cameras should be set up for active monitoring on every egress door, so that if a shooter somehow gets in, they can be discovered at the first shot and then isolated so that students are removed from the immediate area. Students could have been prevented from putting themselves in harm’s way, or even rescued.
Leverage gunshot detection solutions. Gunshot detection software can alert at the sound of the first round fired.
Color photo ID badges should be issued to every student and worn at all times. They cost almost nothing and instantly help to keep people out who should not be in the facility, such as the shooter who carried out this massacre.6. Use bullet-resistant backpacks and white boards. Though they can’t stop a gunman, these products can help children and staff protect themselves when all else fails.
Florida schools are required to “lockdown” if an active shooter code is called. This is not an effective procedure and the number of victims in the Parkland massacre show that it is ineffective. It does not limit the shooter once they are inside the facility and it prevents students from being able to exit quickly.
Once again, as was the case in the Pulse nightclub shooting in Orlando, we saw law enforcement holding back instead of entering the school sooner and finding and eliminating the shooter before he kills more students and then just strolls away down the street.
Long Term Solutions
Long term solutions should always be pursued but they must include a national discussion on access to lethal and automatic weapons. More stringent background checks need to be implemented, as we have seen with every active shooter incident, including the 2013 shooting at Los Angeles International Airport, the aforementioned massacre at the Pulse nightclub and even the 2016 New York bombing in which the suspect’s father called the FBI to report his child was planning to kill people and nothing was done.
These are long-term political solutions, but the conversation today and tomorrow and the day after that needs to be about preventing school shootings and mass casualty events, which require the implementation of mandatory controls/solutions that can be deployed tomorrow, not in three years.
Back in Parkland, this close knit community has been terrorized and there is no resolution. The most aggravating thing about the Parkland massacre is: one more time, it’s too late. No matter how many drills and training were done, it didn’t help.
About the Author:
Caroline Ramsey-Hamilton is a risk expert and Futurist, who creates innovative facility security risk assessment solutions, including how to prevent active shooters and workplace violence in healthcare, education, government, and manufacturing sectors. As part of the DoD Defense Industrial Base, she lives in South Florida near Parkland, and works every day to keep people safe.
Parkland Deadly School Shooting 2 miles from me and here’s what I saw for
Valentine’s Day – BULLETS NOT FLOWERS at Marjorie Stoneman Douglas
3rd Deadliest School Shooting in History – called a SCHOOL MASSACRE
I live right next to Parkland, FL and was out shopping at 2:30 when I heard the sirens from about a dozen
police cars and emergency vehicles. They followed the street right by my house, and as soon I got home,
I checked the TV and saw what had happened – another deadly School Shooting.
Parkland is usually so quiet, just YESTERDAY it was named safest city in the US. Another student said he
knew the kid who had the gun, and that the student had shown him photos of guns on his phone.
The shooter, now identified as Nikolas Cruz, was caught in his care close to the school, and has been
charged in court. Fifteen others are till in the hospital.
I could see the police helicopter from my upstairs window.
So when I do active shooter assessments for healthcare
and other critical organiztions all day, and write about these incidents every day and night.
Here’s the real thing – right next to me!
My kids are out of school, but my hear still stopped, and I wanted to call every parent I know and check on their kids. I dread seeing the list of the injured. My grandson’s classmate’s father was killed. He was a coach at the high school.
So now this close knit community has been terrorized and there is no resolution. The person in custody is only
19-20 years old himself, and, accordingly to one of his friends, thought that having guns was ‘really cool’.
Well – it’s not really cool. It’s really horrible, really stupid.
The most aggravating thing about this is: One more time, it’s too late. No access control = high chance of
active shooter. No checking or scanning backpacks and here’s what you get. Dead and injured children
FORGET WHY he did it — WE OWE IT TO OUR CHILDREN TO PUT PREVENTION FIRST!
This can happen anywhere, and it just happened again!
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RISKAlert Report # 1005 January 25, 2018 Benton, Kentucky
KENTUCKY HIGH SCHOOL STUDENT KILLS TWO, INJURIES EIGHTEEN (18)
IN DEADLY ATTACK
A 15-year old teenage boy, armed with a handgun, opened fire on Tuesday inside Marshall County High
School, killing two classmates and wounding 18 others. He has not been named yet, but the Assistant Country
Attorney Jason Darnall said he will be charged as an adult.
I talked to a mother with children at the high school, and she described the extreme panic and fear that gripped the community, where parents didn’t know whether their child was dead or alive.
The unnamed student entered the school’s common area are started shooting, before entering the main building. According to student Bryson Conkwright, a junior at the school, said he was talking with a friend on Tuesday morning when he spotted the gunman walking up near him. “It took me a second to process it,” Mr. Conkwright, 17, told law enforcement.
“One of my best friends got shot in the face, and then another one of my best friends was shot in the shoulder.” He said he was part of a group of students who fled, kicked down a door to get outside and ran.
This was the 16th mass shooting in the U.S. in 2018!
1. Every school should be required to have instant lockdown. This shooter was able to fire his weapon over and over, from outside to inside the school.
2. The school’s communication system was deficient. It should have sent texts to all students directing them to an area of refuge, and updating frantic parents.
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