EOC TRACER - INFANT SEC

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Mat-Su Regional Medical Center

• EOC MOCK TRACER

• Infant and Pediatric Security

• Select date

  Date

Interview of Department Director:

• Department:

• Interviewee:

• (1) Has the organization conducted a risk assessment on infant/pediatric abduction?

  Yes

  No

  N/A

• Comments/Observations:

• (2) What were the results of this risk assessment?

  Yes

  No

  N/A

• Comments/Observations:

• (3) What are your concerns about infant/pediatric security in this area?

  Yes

  No

  N/A

• Comments/Observations:

• (4) How does the organization control access to this area?

  Yes

  No

  N/A

• Comments/Observations:

• (5) What do you do when the electronic system for controlling access fails?

  Yes

  No

  N/A

• Comments/Observations:

• (6) Does the unit have manual systems in place for controlling access?

  Yes

  No

  N/A

• Comments/Observations:

• (7) How does the unit ensure the security of the elevator?

  Yes

  No

  N/A

• Comments/Observations:

• (8) How does the unit identify potentially disruptive family situations – such as estrangement or a custody battle?

  Yes

  No

  N/A

• Comments/Observations:

• (9) How does the unit increase security around a child involved in such situations?

  Yes

  No

  N/A

• Comments/Observations:

TRAINING

• Review of employee's training file - (form 22):

• Is employee form 22 complete?

  Yes

  No

  N/A

• Is employee form 22 complete?

  Yes

  No

  N/A

Interview of Department Staff Member:

• Department:

• Interviewee Name:

• Interviewee Job Title:

• (1) How do you know if an infant/pediatric patient has been abducted?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

• (2) What is your responsibility when a Code Pink or Amber is called?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

• (3) How do you know if the electronic systems in-place are working?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

• (4) Has the organization ever done an infant/ pediatric abduction drill?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

• Department:

• Interviewee Name:

• Interviewee Job Title:

• (1) How do you know if an infant/pediatric patient has been abducted?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

• (2) What is your responsibility when a Code Pink or Amber is called?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

• (3) How do you know if the electronic systems in-place are working?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

• (4) Has the organization ever done an infant/ pediatric abduction drill?

  Correct Answer

  Incorrect Answer

  N/A

• Comments/Observations:

Interview of Maintenance Director:

• Interviewee:

• (1) Has the organization conducted a risk assessment on infant/pediatric abduction?

  Yes

  No

  N/A

• Comments/Observations:

• (2) What were the results of this risk assessment?

  Yes

  No

  N/A

• Comments/Observations:

• (3) Is the security system for OB connected to emergency power?

  Yes

  No

  N/A

• Comments/Observations:

• (4) When was the last abduction drill conducted?

  Yes

  No

  N/A

• Comments/Observations:

• (5) Are drills reported to the Safety Committee?

  Yes

  No

  N/A

• Comments/Observations:

Overall Comments, Observations and or Recommendations from surveyor:

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• Lead Surveyor:

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