Preventing Infant and Pediatric Abduction

1
INFANT ABDUCTIONS Infant Abductions...the
Unthinkable Nightmare!
2
Speaker

• Sue Dill Calloway RN, Esq.
• CPHRM, CCMSCP, CCMSP
• AD, BA, BSN, MSN, JD
• President of Patient Safety and Education

2
2
3
Introduction
4
Who Would Steal a Baby?
5
How Safe Is Your Baby?
6
Issues Covered in this Webinar
7
Things That Will Be Covered

• 5 steps to preventing infant abductions
• NCMEC Guidelines on Prevention and Response to
  Infant Abductions and self assessment
• Competency tool
• CMS standards
• TJC standards
• TJC Sentinel event on infant abductions
• Retired in January 2015 but still has useful
  information and refers to the NCMEC guidelines
• Root Cause Analysis (RCA) and FMEA
• Liability issues
• Education, mock drills, and more!

8
Issues Covered

• Key physical and security measures to take
• Policies and procedures to put in place
• Critical incident response plans
• Liability issues
• Self assessment for health care facilities
• TJC or The Joint Commission (sentinel events
  definition and standards) and CMS Hospital CoP
  requirements
• TJC FAQ on infant abduction, TJC SE Alert,
• Six root causes of infant abduction
• Mock drills
• Parent handouts

9
Proposed Federal Law on Infant Abduction

• A proposed law was introduced on January 3, 2019
  in Congress
• It would require all hospitals that get Medicare
  reimbursement to follow this
• Would require all hospitals, including CAHs, to
  establish and implement security procedures to
  reduce the likelihood of infant abductions
• Includes procedures for identifying all infants
  in the hospital
• Hospital could be fined 25,000 to 50,000

10
The Most Recent Infant Abductions for US
HospitalsMany Infant Abduction in Other
Countries from Hospitals
11
Infant Abductions

• Hospitals have made great progress in the last 25
  years in protecting babies from abduction
• The last infant abduction was from a healthcare
  facility was April 23, 2016 from Monroe, LA
• 327 infant abductions from 1983 to October 2019
• Infant abducted when mother killed in 2017
• In 2016 there were 6 infants abducted
• 1 from a healthcare facility  4 from home  1
  from an other place
• States affected include FL, PA, LA, KS, OH and OK

12
National Center for Missing Exp Children
www.missingkids.org/theissues/infantabductions
13
Actual Picture of Infant Abduction
14
Cases of Infants Abducted from Hospitals
15
How Do We Keep Them Safe?
16
CMS Hospital CoPs
17
The CMS Hospital CoPs

• These are two separate CoPs that hospital must
  follow,
• Located in the CMS hospital state operational
  manual,
• Called the Hospital CoP or state operation manual
• Guidelines for Immediate Jeopardy
• Manual found at website at www.cms.hhs.gov/manuals
  /downloads/som107_Appendicestoc.pdf

18
The Revised Final CoPs

• Interpretive guidelines are updated more
  frequently now
• Every hospital should have a copy of the CoPs,
• Tag A 144 and 701 in the hospital CoP manual
  under Appendix A,
• CMS says patients have a right to receive care in
  a safe setting,
• Can email any questions to CMS

19
Prevent Infant and Child Abductions

• The hospital must make sure there security is
  practicing according to nationally recognized
  standards
• This is to ensure safety of vulnerable patients
• This include patients such as newborns as in
  preventing newborn abductions
• Also mentions pediatric patients so would want to
  prevent pediatric abductions
• Surveyor instructed to review a copy of the most
  recent environmental risk assessment to determine
  if there are any security concerns

20
3 Key Steps to Preventing Abductions

• Educate staff
• Nurses need to be aware of visitors who are
  frequently visiting nursery or postpartum area,
• Nurses must be assertive to visitors in
  corridors,
• Educate mothers
• Staff should have special photo ID badge
• Access control
• Look at access doors for visitors and staff
• Restrict entry to all entry points
• Closed circuit camera with videotape record
• Currently there are five steps which will be
  discussed later

21
The Joint Commission Standard

• TJC has standards related to prevention of
  abduction,
• Infant/pediatric security is a security sensitive
  area,
• Need access control plan,
• Security training in orientation and periodically
  during skills lab for staff working in those
  areas,
• Surveyors will often asked detailed questions
  during survey on infant security,
• Develop your own tracer on infant abduction
  prevention

22
Hospital Liability

• Tragic event for family,
• Devastating for the hospital as well,
• Healthcare facility has a legal duty to prevent
  foreseeable harm to infant and to third parties
  like the parents,
• Need to look at legal hold, guardianship and
  adoptions
• About 95 of infant abductions result in lawsuit
  being filed,
• Most claims settled for amounts arranging from
  2,500 to 850,000.

23
Hospital Liability

• Can result in loss of faith and patients may stop
  using the facility
• Guidelines to Prevent Infant Abductions has a
  section on liability
• Discusses hospital responsibility to make sure
  all physicians have picture identification
• Hospital needs to weigh the cost of improving
  security and facility readiness in order to
  reduce risk of infant abduction
• Hospitals should include this in their HVA

24
Preventing Infant AbductionsNCMEC
25
How Do You Prevent Infant Abductions?
26
Tips to Prevent Infant Abduction
27
Tips Prevent Infant Abductions for Parents

• National Center for Missing and Exploited
  Children has a four page booklet on preventing
  infant abductions
• Have at least one color photograph of the baby
  taken with full frontal view and within 2 hour
  after birth
• Take one copy home for your records
• Ask for a set of footprints to take home
• Compile a complete written description of your
  baby such as eye color, length, date of birth,
  weight and specific characteristics
• Ask if anyone at the hospital will be doing any
  follow-up visits to the house
• Make sure the have proper identification
• Birth announcements and dont include home
  location and be careful online

28
Tips Prevent Infant Abductions for Hospitals

• Staff should wear authorized staff badges with
  different color background or special symbols
• Patient should never give child to anyone without
  it
• Matching bracelets for baby and parents
• Staff should check bracelets every time infant is
  brought to parent
• All babies are transported in bassinette and
  never carried in arms
• Baby should never be left our of sight of the mom
  even if she goes to the bathroom or to take a nap
• Child can go back to the nursery or have a
  trusted family member watch the baby

29
Education for Parents
30
5 Steps to Prevent Infant Abductions
31
5 Steps to Managing the Risks

• 5 steps to managing the risks
• Policies and procedures,
• Controlling access,
• Educating staff,
• Educating parents,
• Developing a critical incident response plan,

32
The End! Thanks for Reading
Register for the Webinar
Preventing Infant and Pediatric Abduction The
Unthinkable Nightmare Complying With CMS and TJC
Standards
For more information, contact us and visit us
at- Visit - https//conferencepanel.com/ Call
- 1-800-803-7592 Email - cs_at_conferencepanel.com

32
32