Pediatric Security Detail This document will serve as

Pediatric Security Detail: This document will serve as a reference guide for important components within the Pediatric Security Program policy. . Definitions: o Pediatric patient- Person under 18 years of age who is being treated as an inpatient or outpatient o Abduction~ The action or an instance of forcibly taking an individual away against their will o Alarms~ Notification that the system has triggered and/or reached the second designated limit o Dead Space~ Area that does not have Wi-Fi signal o False Alarm~ Alert activated but did not actually happen o System Alert~ Notifications that the system has triggered and/or reached the first designated limit Upon initial assessment, patient/parent/guardian will be asked if there is any personal circumstance the facility should be aware of that might place patient/parent/guardian at-risk. Risks • • • Patient age 13 years or younger Involved with child and/or adult protective service Involved in custody dispute Suicidal, runaway, or elopement history Out of zone of safety for their age/developmental stage- or the cognitive deficits and an individual’s mental processes that lead to acquisition of information and drive how they understand or act in the world Mental or behavioral disabilities Cognitively impaired (medications, anesthesia, dementia) On emergency detention In company of others who could endanger their welfare Behavioral problems inconsistent with their normal behavior and change cannot be readily explained Involved in a situation causing a reasonable person to conclude the child should be considered a risk Additional Actions to consider if risk identified Ø Making patient confidential and/or “no information status Ø Moving patient closer to nursing station within sight of staff and increase nursing surveillance Ø Need for increased frequency of observation Ø Need for sitter Ø Family’s willingness to provide support Ø Posting a description and/or picture of people to watch out for at nurses station Ø Posting a security guard and/or safety attendant at the patient’s room or on the unit Ø Admitting nurse will ask patient/parent/guardian to identify, in writing on Pediatric Security Education form, who may accompany patient outside of room Ø When transporting patient, specifically state in the hand-off that the patient is considered “at-risk” and the nature of the risk See next page for more info

Pediatric Security q Pediatric units should minimize the number of times the pediatric patient is removed from the room or staff-supervised location. Number of times they are removed will be determined by their specific treatment plan/needs. q Only clinical and non-clinical colleagues that conduct routine business within the department should have electronic access to the department. Pediatric colleagues should perform random security checks throughout the shift. q Empty/unoccupied room doors should be left open unless Fire Marshall or AHJ requires otherwise. • Distinctive ID badges will be turned in upon termination, resignation or when individual is no longer associated with facility • Temporary ID badges issued to students or contractors will be returned to a designated facility individual at end of shift/contracted hours • ID badges will be worn visibly on chest area to ensure picture, name, and facility logo are facing outward and are unobstructed Ø Application and activation of electronic pediatric security device should occur on admission to Pediatric Unit for all patients age 18 years or younger, regardless of risk assessment Ø Application of parent/guardian identification bands upon admission/arrival Visitors Admitting nurse will ask patient/parent/guardian to identify, in writing, visitors who are restricted (this information should be included in hand-off. Pediatric Inpatient Units have a process for visitor check-in. The visitor wrist band should be a cut-away, non-transferable, disposable band with no patient identification. Parent Education • Provide education on security awareness, identification of facility personnel, and how to identify who is allowed to remove the patient from the room based on distinctive ID badge. • Parent/guardian should be encouraged to stay with pediatric patient. • Parent/guardian to sign form acknowledging an understanding of pediatric security education provided and shared responsibility for maintaining pediatric security during stay. For more information, click this link for the full Pediatric Security Program Policy IP. PS. 007. Updated: 03/172021/ HCA Healthcare Center for Clinical Advancement