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Health and Community Services Complaints Commission Report on Investigation of Royal Darwin Hospital Security Arrangements for the protection of Children and Infants Paediatric Ward 5B Volume 1



Health and Community Services Complaints Commission Report on Investigation of Royal Darwin Hospital Security Arrangements for the protection of Children and Infants Paediatric Ward 5B Volume 1

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35. identification requirements apart from a reference to a visitor and contractor being issued with a colour coded pass. Copies of the RDH / Hospital Network Policy Manual and the Visitors to the Hospital Policy were not initially supplied to this investigation. These documents were later requested and supplied. The Visitors to the Hospital Policy (reviewed & approved in March 2007) purpose is To ensure that visitors to the hospital conform with the requirements of the patient care areas, and to ensure the well being of patients. (c) Physical Security refer Security Services Policy and additional security measures implemented in paediatric areas in 2006 refer attached Paediatric Security Summary prepared for Australian Council on Healthcare Standards (ACHS) December 2006 (above) Attachment 417. HCSCC Comment: Attachment 4 titled Royal Darwin Hospital 5.1.6 Paediatric Security document refers to the adverse incident and the steps taken to improve security. That being, limiting access after hours, access control, locking of fire doors, closed circuit call stations and revised security protocols. Although these measures are an improvement, they do not appear to comprehensively meet Australian Standards. Additionally, the revised security protocols remain, as of June 2008, in draft form with Mr Bates advising that he is unsure when he will complete them. The Lingard Review assessed the capacity of the security officers (part of Physical Security). Mr Lingard wrote that There is still, as there was in 2002, an uncertainty of a timely response by the security officers as they are often engaged for many hours watching scheduled patients who may be a flight risk. The security officers consider the management of Mental Health patients (who have been scheduled but are then required to wait up to 12 hours for assessment) dangerous to themselves and leaves the entire campus vulnerable because they are fully engaged. Mr Lingard identified in his review that the entire hospital campus can be left vulnerable if the security officers are guarding over a mental health patient. It is apparent that the other physical security measures within the Paediatric ward such as the intercom and access control are not sufficient to prevent a breach of security on Ward 5B nor identify any person responsible for a breach. Australian Standard 4485.1-1997 section 5.1 states - The policy and procedures applicable to physical security requirements shall take into account, but not be limited to, the following topics: a) Provision for appropriate security feature in new buildings or major renovations. b) Special accommodation for patients with protective status. c) Prisoner Security. 17 Volume 2.

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