Indiana School Safety Specialist AcademyDavid WoodwardIndiana Department of Education

Indiana School Safety Specialist AcademyIC 5-2-10.1-9 School safety specialists; duties Sec. 9. (a) Each school corporation shall designate an individual to serve as the school safety specialist for the school corporation. (b) The school safety specialist shall be chosen by the superintendent of the school corporation with the approval of the governing body. (c) The school safety specialist shall perform the following duties: (1) Serve on the county school safety commission, if a county school safety commission is established under section 10 of this chapter. (2) Participate each year in a number of days of school safety training that the council determines. (3) With the assistance of the county school safety commission, if a county school safety commission is established under section 10 of this chapter, develop a safety plan for each school in the school corporation. (4) Coordinate the safety plans of each school in the school corporation as required under rules adopted by the Indiana state board of education. (5) Act as a resource for other individuals in the school corporation on issues related to school discipline, safety, and security.

Indiana School Safety Specialist AcademyWhat is a School Safety Specialist?Not a School Resource Officer

School Safety Specialist AcademyKnown nationallyFunded, no cost to participantsBasic Training (350 new participants)Advanced Training (900 current participants)Regional Training (average 100 participants)School Safety Reviews

Closing the Gaps:Violent Threats to SafetyInternal Threats

External Threats

Closing the Gaps:Internal ThreatsSecret Service/USDOE studyIn 81% of cases, at least one other person had information that the attacker was planning the school attack- implication

78% exhibited a history of suicide attempts or suicidal thoughts prior to attack implication

71% of attackers felt persecuted, bullied, or threatened - implication

Closing the Gaps:Internal ThreatsPairing sanctions with intervention and services (not zero tolerance) Suspension/Expulsion alone is not an answer

School Climate

Comprehensive emergency preparedness plans, training, drills

School Resource Officers

Closing the Gaps: External ThreatsAccess Control

Visitor Management

School Resource Officers

Comprehensive emergency preparedness plans, training, drills

Visitor Management

Identification or key exchangeDo we look at ID? Keep it?

Fluorescent lanyards

Panic buttons

How may I help you?

Plan, Train, Drill.repeatTraining to time, convenience, relevanceOnline training, videos

Basic and Advanced Academies

Top Reasons For Plan FailureDenial (violence prep vs. fire prep)

Relying only on templates

Plan not developed with help from response officials (Illinois Law)

Poor formatting/indexing

Inadequate distribution, training, testing

What To Prepare For:FireBomb threatsUtility failuresSevere weatherHazardous materialsWeapons violenceThreats/Hit lists

DURING/AFTER SCHOOLON/OFF SCHOOL GROUNDS

Lockdown

Quick announcement, repeated twiceTone (P.A. test in rooms)

Have a hard/soft lockdown to empower Anyone can pull fire alarm, why not lockdown?large font guidance by phoneCan your classroom phones access PA to announce lockdown?

LockdownLockdown FailuresCodes

Communication

Focus on Active Shooter

Timingbiggest problem with lockdown is NOT calling lockdown (*up to 70% when gun not fired)

LockdownQuick peek in hallway (if safe) to pull in kids; watch their hands/waistband/body language

Call to security or police if you see something

Know your Role

Does anyone monitor your cameras?

Emergency Codes and Procedures

Consistent in all facilities

Staff should have procedures readily available

Substitute teachers?

Lockdown continuedWhat to do when police arrive:If the police enter your classroom get on the ground with your hands visible On your stomach is the best position because it makes you a smaller target and it also allows police to move quickly over the top of you

If you receive an order from a police officer it may seem gruff and rude but they are also under an extreme amount of stress follow the order quickly and quietly

Uniformed/plain clothes/tactical

Lockdown continuedWhat to do when police arrive:

Their mission is to eliminate the threat

Hands open/do not pull out cell phones

If in hallway, leave in the direction from which they came

Family ReunificationEstablish reunification areas/partnershipsMOU/keys

Do not pre-announce locationsCommunicationsDocumentation/Accountability

Beech Grove

Family ReunificationMobile OfficeCrisis kitsRolling luggageContents

Vests/Identifiers

Family Reunification

Student release forms

Access to student management systemThumbdrivePaper copies?

David WoodwardIndiana Department of Education317-232-6975dwoodwar@doe.in.gov

Jolene Bracale, MSN, RNIndiana Department of EducationProgram Coordinator for Student Health Services

Large Crisis Event

Two Roles for School NursesMany people ill

Many people injured

Examples

NorovirusOutbreaksSeasonal influenzaNatural disaster (tornado, hurricane) Structural defect or bus accidentTerrorist bomb, anthrax or violent intruder

Many Ill

NorovirusVery contagiousSpread by an infected person, touching a contaminated surface, or ingesting contaminated food or waterSymptoms are stomach pain, nausea, diarrhea and vomitingNo specific treatment, except to prevent dehydration

Norovirus Health Department will investigate

Will want various pieces of data number sick, signs and symptoms, any common variables, dates of absence

May release information regarding students to health department upon written request and acknowledgement that information will be kept confidential

Individual student identifiable information can not be released by the health department; aggregrate information only

OutbreaksChickenpox and Measles are most common

Can be any disease that is communicable

According to the ISDH Communicable Disease Reporting Rule (410 IAC 1-2.3-37), an outbreak is defined as the number of cases of disease occurring in a community, region, or particular population that exceeds what is normally expected

OutbreaksDiseases are reportable Health Department confirms casesLocal MD Health Officer must declare an OutbreakRecommend letter sent to parents regarding outbreak come from Health OfficerExclusions are determined by Health DepartmentInclude staff and studentsUsually 21-28 days after last confirmed case

Outbreaks

Excluded students include those with RO, ME and those not completely vaccinated

Must have method to continue education for students

Have had at least 6 outbreaks in the past 2 years with up to 80 students excluded

OutbreaksDuring an outbreak, immunization compliance will be scrutinizedPublic will be aware of percent of immunizations complete

Seasonal Influenza - PreventionEncourage all staff to receive the flu vaccine

Have a policy regarding symptom free for 24 hours before returning to school for students and staff

Have a school-based influenza clinic

Documents Sent to SchoolsInformation Sent to Administrators, School Nurses, Custodians

Posted on School Nurse LC Files and Bookmarks

Guidance for School Administrators

Tips on How to Clean and Disinfect Schools

Attendance Rule 511 IAC 1-2-2 Schools are required to report to the IDOE and your local health department absences greater than 20% Reporting requirement is by individual school, not corporationDo not report absences greater than 20% on days immediately before or after a school vacation day or a scheduled instructional day that is canceled due to a weather-related emergencyThe Department of Health will determine if the school should be closed based on information provided by the school nurse and school administration Reports should be faxed or emailed to Catherine Danyluk, Chief State Attendance Officer at (317) 232-9121 or cdanyluk@doe.in.gov.

Many Injured

Many People InjuredRelying solely on emergency medical help is not recommended

Document staff resources

Assign duties

Practice with local EMT, police and hospital personnel

Definition of a Mass CasualtyAny incident in which emergency medical resources are overwhelmed by the number and severity of casualties.

ExamplesBuilding CollapseBus CollisionTornado or EarthquakeBombingNatural Disaster or Terrorist Attack

Can and Will Happen

School staff may be only adults on site for some time period

Triage is the first step to manage event

TriageDuring an event, triage will be done multiple times and will become more sophisticated as new resources arrive

Initial Triage done by school personnel based on knowledge and skill until trained personnel arrive on scene

Purpose of TriageTo quickly (less than a minute) identify victims who have immediate life-threatening injuries AND who have the best chance of survival

To ensure these persons are treated and transported first

To help determine number and type of additional resources, equipment and transport vehicles needed to manage the crisis

Triage Basics Must match local EMS

Indiana uses START

STARTSimpleTriage AndRapidTreatment

How does Triage Begin?

EMS - Quick Assessment looking at three items

RESPIRATIONS

PERFUSION

MENTAL STATUS

CategoriesGREEN MinorYELLOW DelayedRED ImmediateBLACK - Deceased

GREEN - Minor

Minor Injuries

Walking Wounded

Volunteers can assist and monitor

YELLOW - Delayed

RED - ImmediateFirst priority when EMS arrives

Ultimate goals is to FIND, TREAT, and TRANSPORT these patients

At risk for early death usually due to shock or severe head injury

BLACK - Deceased

Do not transport

Coroner may need to check first

May cover if have traumatic injuries

Respiratory Assessment

Check respiratory statusNo respiration reposition airway still no respiration = deceasedOver 30 = immediateUnder 30 = passes, continue to next step

PerfusionMental Status

Perfusion Assessment

Check Capillary RefillOver 2 = control bleeding - immediateUnder 2 = passes, continue to next step

Mental Status

Mental Status Assessment

Ask simple questions

Cant follow simple commands = immediate

Alert and oriented = delayed

Notes

Removed all minor patients

Only tagged deceased if not breathing

Only tagged delayed if passed all three assessments

All else tagged immediate

ImpressionsNoise

Confusion

Unsure of Roles

Emotionally DifficultNot abandoning patients trying to create order and save as many as possibleYou know each person and so is very hard for you move to next personRemember that others will arrive to help soonNot treatment role is to assess, try two specific interventions, tag and move on

Next Steps as Initial Triage CompletedConstantly re-assessingPatient condition can changeMore help arrivesTreatment and Transport begins as soon as initial Triage is completed

School Nurse RoleContact EMS to confirm they use START

Can begin to tag have colored tape available

Start with green if you are able to walk, please come to this area

People Arriving at the SceneEMS, Fire and PoliceTransport ambulances, buses, cars, helicoptersHazMatHospital Personnel hospital may shut down and triage moved off site MediaVolunteers

Drills4th Graders

Pandemic

Many Resources to Partner With

Questions?

Thank You for Coming!

Hope you have a Great School Year!