What is the first action a nurse should take when caring for a patient exhibiting signs of an active shooter situation?

In an active shooter situation, the priority is to ensure the safety of both patients and staff while avoiding actions that could exacerbate the situation. Closing the doors to the patient’s rooms is a critical first step, as it creates a barrier that helps prevent the shooter from accessing patients and staff. This action also minimizes noise and movement, aiding in reducing the chance of drawing attention.

Initiating a patient evacuation may seem like a proactive choice; however, it can expose individuals to danger as they may come into the line of fire or become vulnerable while attempting to evacuate. Calling security to the floor is also essential, but it is typically a subsequent step after ensuring immediate safety by closing doors and securing areas. Searching for the intruder is highly dangerous and should only be performed by trained security personnel to avoid escalating the situation.

Overall, closing doors establishes a level of protection and containment that is crucial in the initial response to an active shooter scenario.