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Current Status Bill Number:View additional legislative information at the LPITS web site.890 Type of Legislation:General Bill GB Introducing Body:Senate Introduced Date:20020116 Primary Sponsor:Reese All Sponsors:Reese Drafted Document Number:l:\council\bills\nbd\11066ac02.doc Residing Body:Senate Current Committee:Medical Affairs Committee 13 SMA Subject:Hospital Security and Safety Act History Body Date Action Description Com Leg Involved ______ ________ ______________________________________ _______ ____________ Senate 20020116 Introduced, read first time, 13 SMA referred to Committee Versions of This Bill
TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 44-7-65 SO AS TO ENACT THE "HOSPITAL SECURITY AND SAFETY ACT" TO REQUIRE HOSPITALS TO CONDUCT SECURITY AND SAFETY ASSESSMENTS AND TO DEVELOP A SECURITY PLAN TO PROTECT PERSONNEL, PATIENTS, AND VISITORS FROM AGGRESSIVE AND VIOLENT BEHAVIOR, TO REQUIRE HOSPITALS TO REPORT ACTS OF ASSAULT AND BATTERY AGAINST HOSPITAL PERSONNEL, PATIENTS, AND VISITORS TO LAW ENFORCEMENT WITHIN TWENTY-FOUR HOURS, AND TO REQUIRE HOSPITALS TO PROVIDE SECURITY EDUCATION AND TRAINING TO EMERGENCY DEPARTMENT EMPLOYEES.
Whereas, the South Carolina General Assembly finds that:
(1) Violence is an escalating problem in the hospital emergency departments throughout South Carolina and the nation.
(2) The emergency department is particularly vulnerable to violence because of its accessibility to all members of the public. The emergency department is open twenty-four hours a day, seven days a week, to anyone desiring care.
(3) Actual incidence of the problem in all types of health care facilities is greater than documented because of failure to report or failure to maintain records of incidents that are reported.
(4) A national survey of emergency room nurses has found that two-thirds reported at least one assault during their careers, and over a third of the nurses had been assaulted at least once during the year before the survey.
(5) Patients and emergency personnel should be assured of access to healthcare in a safe environment. Personnel training and appropriate safety controls should be implemented to minimize the risks and dangers affecting all people in emergency room settings.
(6) Many hospitals have undertaken numerous efforts to assure that patients and workers are safe from violence. Those efforts will be enhanced by the enactment of this act. Now, therefore,
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. This act may be cited as the "Hospital Security and Safety Act".
SECTION 2. The 1976 Code is amended by adding:
"Section 44-7-65. (A) Before July 1, 2003, all hospitals shall have conducted a security and safety assessment and using the assessment, developed a security plan with measures to protect personnel, patients, and visitors from aggressive and violent behavior. The security and safety assessment shall examine trends of aggressive and violent behavior at the facility. A hospital shall track incidents of aggressive and violent behavior as part of the quality assessment and improvement program and for the purpose of developing a security plan to deter and manage further aggressive and violent acts of a similar nature.
(B)(1) A plan must include, but is not limited to, security considerations relating to:
(a) physical layout;
(b) staffing;
(c) security personnel availability;
(d) policy, education, and training.
(2) The individuals responsible for developing the security plan must be familiar with:
(a) the role of security in hospital operation;
(b) hospital organization;
(c) protective measures, including, but not limited to, alarms and access control, use of detection equipment or procedures to detect lethal weapons, the appropriate use of surveillance cameras, limiting access by unauthorized personnel to the emergency department, installation of bullet proof glass as appropriate in designated areas, the use of emergency 'panic' buttons to alert local law enforcement agencies, and assigning full-time security personnel to the emergency department;
(d) the handling of disturbed patients, visitors, and employees;
(e) identification of factors predicting aggression and violence;
(f) hospital safety and emergency preparedness.
(C) A hospital shall report an act of assault and battery of a high and aggravated nature or with intent to kill against an on-duty hospital employee, patient, or visitor to local law enforcement within twenty-four hours.
(D) Before January 1, 2004, a hospital shall have provided security education and training to all hospital employees regularly assigned to the hospital's emergency department and shall provide this education and training to new emergency department employees and to all emergency department employees on a continuing basis as provided for in the security plan. The security education and training shall address these topics:
(1) general safety measures;
(2) personal safety measures;
(3) aggression and violence predicting factors;
(4) the assault cycle;
(5) obtaining patient history from a patient with violent behavior;
(6) characteristics of aggressive and violent patients and victims;
(7) strategies to avoid physical harm;
(8) verbal and physical maneuvers to diffuse and avoid aggressive and violent behavior;
(9) restraining techniques;
(10) appropriate use of medications as chemical restraints;
(11) resources available to employees for coping with incidents of aggression and violence including, but not limited to, critical incident stress debriefing or employee assistance programs."
SECTION 3. This act takes effect upon approval by the Governor.
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