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Pharmacy Robberies,TheftsTask Force Officer Larry FindleyDEA Tactical Diversion SquadRoanoke Resident Office
ObjectivesWhy is there an increase in pharmacy robberies andthefts?What should I do if my pharmacy is robbed or a theftoccurs ?Steps to help prevent pharmacy robberies, and thefts
StatisticsFY 2014-2016 51Pharmacy RobberiesNightBreak-In20Grand Total122
Characteristics of apharmacy RobberWhite male20 to 35Majority are note passersHappens within 45 - 60 secondsWearing: Hats, Hoods, sunglasses, concealing faceCurrent RX drug Abusers
Be Aware of Callers Asking forSpecific PainkillersOpanaRoxicodoneOxyContinBrand NamesDocuments time and number of attemptsRecord caller information, when possibleAlways notify staff of suspicious call
What Are They codoneXanaxPrometh w/ Codeine
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Nurse Video
What should I Do DuringRobbery?COMPLY - Safety is #1 goalLook to recall details specific to the robber –all employeesRemember verbiage on noteKeep note if possible
Become A good WitnessRaceCoatFacial nate Hand
Attention to DetailLet’s Play Along!Monkey Business Illusion
What Should I Do after theRobberyCall 911Secure the scene for evidence; fingerprintsNote all things out of placeHigh success rate for fingerprints
Pharmacy Robbery Solve Rate69% solve rate23% unsolved8% unsolved but with suspect
Pharmacy Employee TheftOften an employee, with an addiction, who has accessto controlled substance will steal them in order tofeed a habit.
Why Should I worry if thishappens to me?Your Cost –Time dealing with Law Enforcement (LE)Police, DEA, Regulatory BoardClosure of store during LE investigationLost inventoryInsurance premium hikeInsurance deductiblePotential fines
Robbery PreventionTechniquesGPS tracker bottles; physically mark bottlesKeep windows, doors, and counters CLEAN this helpswith finding fingerprintsTrain employee’s on what to do in robbery situationhave a plan, review and rehearseTime released safesHeight markers at doors and visible by pharmacycounter
Robbery PreventionTechniquesMonitored alarm systemLimited stock of highly abused drugsSecure all sky lightsGood exterior lightingRoll down security gates for doors & windowsSigns – monitored alarm, surveillance in progress
Robbery PreventionTechniquesPlace all narcotics out of sight behind counterPlace Schedule 2 narcotics in a locked cabinet withlimited accessHave obvious signs for surveillance cameras in sightmaintain video equipmentretain recording as long as possibleconceal recording equipment.
Robbery PreventionTechniquesLimit stock whenever possibleInstall duress buttonsInvite local police to conduct a security assessment
Robbery PreventionTechniquesSurveillance Cam erasInstall a monitor at the front doorPosition Cameras at eye levelLower camera height - more direct shotEnsure you have full coverage of storeMaintain video equipmentGood photo are paramount to robbery investigationClear Photos lead to confession
Robbery PreventionTechniquesSurveillance Cam erasEnsure you have a surveillance camera policy:which employees handle the cameraswhere and how long the video in storeddata back up plan
Robbery PreventionTechniquesSurveillance Cam erasEntrance Camera
Robbery PreventionTechniquesSurveillance Cam erasPharmacy Counter Camera
Robbery PreventionTechniquesPersonal safetyKnow your surrounding pharmacy area of a storeparking lotalleyBe aware of:cars parked before or after hoursfrequent customersout side light out
Robbery PreventionTechniquesPersonal safetyEmotional status of a customer should be ofTOP IMPORTANCEUse the BUDDY system at closingAlways close in a group of two or more
Robbery PreventionTechniquesDelivery of prescription DrugsStagger your deliveries by date and timeHave a procedure for drug deliveriesDeliveries should be by familiar companies and driversAlways have two employees receive deliveries andstockBoth must sign for the received shipment
Pharmacy SecurityChecklist.El:!l/IJDIJIALARMSPHYSICAL BARRIERSFeaturesU Steel window curtainsCentral Station or LocalU Battery Back-UpU Cell PhoneD s rlent0 AudibleD Steel door curtainsU Pharmacy department doorsD Barriers to prevent "jump over U visual (Flashing Ughts)D SupervisedU Interior safe (high risk areas)D UnsupervisedD Bollards (concrete/steel posts embeddedin the ground outside premises)Alarmed Areas0 DoorsO w indowsD skylightsD Interior & High SecurityCCTVD Visible monitor at entrySensor TypesD Magnetic Door ContactsD MotionD Signs (recorded/monitored off site)0 Giass BreakO VibrationD ouressD Drive-thru window cameraD "Trap· AlarmD FireD Hidden camera at customer lace levelO Wireless or Hard Wired SensorsD Regular (weekly) audit and maintenanceof cameras and recordingsPHYSICAL DESI GN0camera featuresLighting-Motion sensitive lighting (exterior)D Reinforced doors/Windows in pharmacy areaD Rx area viewable by other store employee'sD Controlled substances concealed fromcustomers viewD Height reference/tape near entrance andcounterU Interior lightingLOCKS AND LOCKING DEVICESU Color or black and whiteD Reid of view of camera Is adequateU Variable focal lensD Low level light camera (auto iris)RecordingD Digital vs. VHS recordingU Frames per second (10 or more)D Retention of recordingsU Limited issuance of keysU Regular replacement of tapeD "Do Not Duplicate on keysD Recorder hidden and securedU Keys numberedwww.rxpatrol.org
CCTVJRecording ContiooedU Durrvny VH S with tape0 Preserve original record ings for LawEnforcement0 Datemme stamped on video0 "Watermark" on videoD Continuous vs. Event/AlarmROBBERY/BURGLARY/ FRAUDRobberyD Develop policy and procedure for robbery0 Reg ular training and rehearsal forrobberies.FraudD Regular training and rehearsal for forged/altered prescriptions and phone call-ins.Involve local police to learn what theyrecommendU Develop policy and procedure for fraudD Caller 10 on telephone0 Details as to conversation with · prescriber"D Evidence bags available to protect forgedand altered prescriptions until police arriveD Do not write on prescription unless directedto by law enforcementMISCELLANEOUS Assign tasks to personnel and train Involve local police to learn what theyrecommendReview processD o rdering0 Pollee/Sheriff emergency number (911)0 ReceivingU Protect crime scene/evidenceO storing0 Do not disturb scene0 RetumsU Have/Obtain form for suspect descriptionInternal controls to restrict access tocontrolled substances by other employeesform on premisesU Know response time of law enforcement torobbery and burglaryBurglary0 Preparation for forensic evidence recoveryU Routinely wipe down oounter (fingerprintrecovery)0 Clean and wipe down fire exit break bar(fingerprint recovery)0 Cardboard or paper placed on floor by rear/side or fire exit prior to closing (shoe printrecovery)U Mark scheduled CS bottles with store ID onbottom (identifies bottle as ooming from aparticular store)D Develop closing process0 "Repair" personnel (telephone, computer,electrical, etc.) view and record 10 ofpersons entering areaU "Relief" Pharmacist - Verity0 Regular license status verificationU Law enforcement and insurance carrierreview of premisesAdjoining tenants0 Walls and ceilingsTNa Pharmacy Security Chacldiot - doMIIaped .conUIIIbon wlh laaling ind.try and . 1&1&.diwnicn pravnion plolaeaioo . . . wi1h specild lhanb 1D theNalional Asaacialian of Drug !Manion {NADOI).
Internal Theft PreventionBackground checks on all employeesAlarm codes are unique to each employeeEmployee lockers are located away form pharmacyareaHandbags, backpacks, purses must stay in lockersEnsure all employees understand LE will be involved inall violationsBe aware of employee’s life changes such as divorce orchange in financial status
Internal Theft PreventionLimit access to NarcoticsRegularly inventory all Schedule 2 and Schedule 3narcoticsLimited issuance of keysChange alarm codes, safe combinations whenemployees leave
HPIP (Health Practitioners’Monitoring Program) Provides evaluation / treatment planning /referral/ monitoring oflicensed health care providers who have some sort of impairment– Psychiatric impairment– Substance abuse impairment Drug– Pharmaceutical Drugs– Street Drugs AlcoholHPMP700 E. Franklin Street, Suite 200 TowerRichmond, Virginia 23219(804) 828-1551 or toll free 1-866-206-HPIP
THANK YOU For your hard work, dedication to thehealthcare industry and desire to learnabout the regulatory issues that faceall healthcare practitioners in Virginiaand elsewhere today.Please contact us if we can assist
Techniques . Place all narcotics out of sight behind counter . Place Schedule 2 narcotics in a locked cabinet with limited access . Have obvious signs for surveillance cameras in sight . maintain video equipment . retain recording as long as possible . count
