POLICY AND PROCEDURE
Title: Bomb Threat Procedure Policy #
Type: Corporate Date Issue: Page:
9/28/01 1 of 3
Distribution: All Corporate Policy Holders
Prepared by: Effective Date:
Ronald D. Aldinger, John B. Strait 10/04
Corporate Security Managers
Approved by: Security Managers Council
Reference NYS/JCAHO: Environment of Care
Review Date 2/25/02 11/03 10/07
Revision Date 10/04
Kaleida Health strives to maintain a safe environment through carefully considered planing for
response to a variety of emergency situations.
This policy and procedure applies to the entire corporation.
III. COMMUNICATION AND RESPONSIBILITY
This policy is administered by the Kaleida Health Corporate Security Department.
IV. POLICY AND PROCEDURE
A. Individual Action
1. Receipt of a Bomb Threat:
a. Remain calm, it is a rarity if ever that a caller has not given ample notice to ensure the
safety of the building occupants.
b. Listen intently, for any voice or speech peculiarities or background noises.
c. Be alert, for repeated or words or phrases. Attempt to determine any accents that the
caller may have or whether the caller appears to be under stress or possibly
2. Attempt to record the following at a minimum:
a. The date, time and sex of caller.
b. Exactly where the device is planted.
c. What time it is set to detonate.
d. What the device looks like.
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e. What types of explosives were used?
f. What type of detonator was used?
g. Why the bomb was placed in this building?
3. Immediately notify Site Security.
If the affected site does not have Security Officers assigned contact 911 to report the
4. Security Response:
Upon notification of the threat Security will notify the Local Police Authority (911) and
cause the administrator on-call and the Site Security Supervisor to be notified.
5. Administrator On-Call:
After conferring with the Security Supervisor the administrator on-call may elect to direct
the telephone operator to make a Public Address announcement requesting department
heads to report to the Emergency Response Center or other central area.
B. Search Procedures
1. Department Heads and managers may be asked to team with Police and/or Security to
search their respective department and surrounding areas. The priority of the search area,
when a specific location is not known, will be:
a. Inpatient occupied areas
b. Outpatient areas
c. Critical service areas
d. Public areas
e. Other interior areas
f. Hospital grounds
2. In the event that a suspicious package is found:
a. Do not touch the package.
b. Notify the Security Supervisor.
c. Security along with the police officials will respond to the area to investigate.
d. Security Officers will turn off radios, during bomb search procedures unless otherwise
instructed by police.
e. Security will direct evacuation of the area in-question.
f. Administrative personnel may implement the Emergency Preparedness plan.
g. Hospital personnel will follow the directions of the responding police officials.
The ranking administrator, in consultation with police officials, may direct total or partial
evacuation of the building. Notification to evacuate must be handled with extreme caution to
avoid panic. The following procedures will be followed should it become necessary for total
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1. Security Officers, administrators and department heads will notify the individual
departments of the order to evacuate. Priority of evacuation will be:
a. Remove ambulatory patients first to ensure unimpeded passage for transported
b. Remove semi-ambulatory patients next using wheelchairs
c. Evacuate non-ambulatory patients by wheeled cart, wheelchair or hand carried
d. Evacuate visitors and others simultaneously with patients
e. Charts should accompany patients
f. Ensure that all patients are accounted for once evacuation is complete
2. Department heads and managers may be directed to inpatient areas to assist with
3. Nursing personnel will remain with patients and reassure them.
4. All other personnel will follow their departmental evacuation procedures.
5. Once evacuation is completed, Security personnel will tour all building areas to ensure
that all occupants have evacuated.
D. IV All Clear
The all clear will be issued by the ranking administrator, in consultation with police officials,
after a reasonable period following the suspected detonation time.
V. QUALITY OF CARE- The incident will be documented by Site Security Supervisor.
Revisions shall be initiated by the individual here mentioned in the “prepared by” category of
the policy header. All revisions must be taken through the approval process to be deemed valid.