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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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60. obligation of RDH as a health service provider to respond to requests for information to HCSCC. HCSCC Q24: Does the current Paediatric Ward induction cover security Policy and security/safety requirements? If so, how is this training given and what is the content? RDH response: Clarification required on question. A demonstration of the video intercom and information about the system in place is provided to new staff on orientation to 5B and an orientation booklet provided. Attachment 1729. HCSCC Comment: The question itself is quite clear, does induction of RDH staff cover security policy(s) and security/safety requirements. It is also misleading to describe the system at Ward 5B as a video system. It has no recording function either visual or audio. It is a simple intercom phone activated by pressing a button and not creating any record of anything. The Lingard Review of 200730 appears to have identified that the only training which was available related to aggressive minimisation and that was not currently available31. It is evident that the Paediatric Ward Orientation booklet that covers induction does not adequately cover policy other than to advise a person of the noticeboard 2 week display. Nor does it adequately address safety requirements other than advising a reader of where to find a bomb threat card and the emergency procedures manual. Emergency Procedures are listed as Basic Life Support, Code Blue, Bomb Threats, Cyclone, Fire, Area Warden and Evacuation. Patient Security issues are not listed within the document. The intercom system demonstration is as simple as a person pressing the entry button which activates imaging on the phone within the nursing station. If the person is authorised and known to the call taker then the door release is pushed. If the person is not immediately known, the person responding to the call picks up the handset and speaks to the person at the entry. Its efficacy is only as good as the security awareness and scrutiny of the staff member opening the door. There is no evidence that staff do anything more than accept that the person requesting access is as self identified and wanting access for any apparent plausible reason which is not verified by staff before allowing access. Additionally, a person allowed entrance (eg parent) should not be relied upon to challenge the authority of someone else following them into the ward. The Paediatric Ward induction process is manifestly inadequate to advise staff of policy and procedures relating to security risks to patients and risk 29 Volume 2. 30 2007 Lingard Review page 3 Introduction. 31 Lingard Review Page 3 In 2002 RDH had made considerable progress in staff education regarding zero tolerance for aggression and had an aggression minimisation training regime in place. Ive been advised that, unfortunately, the aggression minimisation training is not currently available.