Emergency & Crisis Response

Division of Student Affairs, October 2017

This site outlines the emergency and crisis protocols for the Division of Student Affairs in response to major incidents involving current students. The following guidelines are designed to help ensure that university staff members respond as expected to crises. The need for detailed written protocols reflects the nature of these circumstances: they are often complex, require sensitive and difficult interactions with many people, and involve the coordination among many offices.

The college operates on the premise that students in an emergency are often best served by a coordinated team approach that may involve staff from multiple offices within the Division of Student Affairs (including the Dean of Students Office, Residence Life, Counseling, Health, & Wellness Services), CICE, and Security Services. Staff members from other campus offices, such as Academic Advising, Registrar's Office, Athletics, and/or additional offices, may also function as valuable members of such a team. If a student involved is an international student, the International Student Advisor will also be part of the team. Coordination and collaboration with the student's parent(s) or guardian(s) is another option that may prove beneficial.

The college utilizes, with due respect to student privacy, the guidelines of this document within the limits imposed by legally protected confidentiality of communication between students and their health care providers or pastoral counselors.

Roles

Roles for members of the Division of Student Affairs are outlined here. The roles are defined by tasks expected during the crisis and expectations for after the crisis. During weekday office hours, protocols of individual offices should be followed.

During A Crisis

  • Student Staff/Greek Chapter Presidents: In a crisis situation the role of the student staff/leader is always to consult with their Student Affairs professional staff member for assistance. If the student staff/leader is the first person to come upon a life threatening crisis situation, immediately contact Security Services at x3311.
  • Student Affairs Professional Staff: The Residence Life professional staff member on call often serves as the initial decision maker in a crisis situation. The Residence Life professional staff member should make decisions about whom else to consult, including Security Services, Dean of Students Office, Residence Life, Counseling, Health, & Wellness Services, or CICE staff members.
  • DSA Deans or Designees On-Call: In consultation with the ranking Security Services staff member, these staff members are charged with making situational decisions about the disposition of crises.
  • Dean of Students: The Dean of Students is on call on selected weekends. Even if not on call, the Dean of Students should be notified in the event of a crisis or emergency on campus, or in the event of a student death, on or off campus.
  • Counseling, Health, & Wellness Services Staff:  CHWS psychology staff perform the roles of assessment, treatment, and referral in a mental health crisis.  CHWS staff should be consulted regarding the disposition of mental health cases.
  • Security Services: In the event that Security Services personnel are the only individuals responding to the crisis, they are the final decision makers consistent with their protocols.  In the event that Security Services is responding with members of the Student Affairs staff, Security Services and Student Affairs staff members will make collaborative decisions about how to proceed. In a crisis that requires the presence of medical or psychological personnel, Security Services will provide assistance to outside authorized agencies as needed or directed.
  • International Programs: Whenever an international student is involved in any emergency or crisis, the International Student Advisor should be contacted immediately so a staff member can assist the student with SEVIS regulations, immigration status or other such issues.

After A Crisis

  • Student Staff/Resident Director: Residence Life staff will continue providing information to floor, building, and house members about the status of the person(s) involved. This information will be communicated in a manner that respects privacy and confidentiality. Incidents in Greek houses will involve the chapter president and/or advisor(s).
  • Residence Life Professional Staff:  Staff may be called on to provide assistance in terms of changes in housing location (e.g., providing a temporary room location that accommodates a student on crutches).  Residence Life staff will consult with members of the CHWS staff as needed to provide support for friends, floor mates, etc., who may be impacted by a crisis.
  • Dean of Students or Associate Dean of Students: Personal contact with the student(s) most directly affected will be made by the Dean or Associate Dean. The Assistant Dean will serve as needed as the academic and administrative case manager. This includes notifying faculty about the absence of the students and making recommendations regarding ongoing academic status given the length of absence. The Dean, Associate Dean, or Assistant Dean should serve as the initial contact with parents regarding the impact on academics and accommodations that the school is making to assist the student; The Assistant Dean will be available to provide ongoing communication with families following a crisis.
  • Dean of Students: The Dean of Students is informed of a crisis situation by the DSA dean or designee on call. The Dean serves as the final decision maker regarding emergency action suspension of a student. The Dean also serves the role of informing other members of the campus community who might need to be involved, such as the President, Registrar, etc.
  • Counseling, Health, & Wellness Services Staff:  CHWS staff members will serve as the liaison and/or case managers for the medical or psychological aspects of a crisis. CHWS staff will follow the status of the student through communications with physicians, psychiatrists or other providers. CHWS staff also provide follow-up treatment or referral as needed. CHWS staff may also provide “debriefing” assistance for students who have been emotionally impacted by the crisis. This is coordinated through Residence Life staff for residential students and for off-campus students.
  • University Chaplain: The Chaplain will be informed of crises and will serve, in consultation with the Director of CHWS, as a pastoral and counseling resource to students, family members, faculty, and staff as needed.
  • Director for the Office of Intercultural Engagement : The OIE Director will be informed of the crisis if a student involved is a member of a multicultural group.

Types of Crisis

List of Types of Crisis

*In the event of an emergency, Security Services will contact the appropriate Student Affairs professional(s).

Medical Emergencies Involving Human Life

In the event of an emergency, our first order of concern is for the safety and the well-being of any students who may be injured, and secondly for any students affected by the crisis (i.e., witnesses, friends of victims). Getting injured students safely transported for expedited medical care must be the highest priority.

A determination must be made concerning whether the accident or illness is of an emergency nature and if the person needs transportation by ambulance or whether an alternative method may be used. If it is a life-threatening emergency, or if you are unsure, call Security Services (x3311). Security Services will immediately call for an ambulance.

Emergency Transportation of Injured or Ill Students On campus

  1. Call Security Services (x3311) for an ambulance. Security will contact outside authorized agencies.
  2. Send someone to the front door of the building to direct those summoned for help to the scene of the emergency.
  3. Call the Residence Life professional staff member on call.
  4. You or the Residence Life professional staff member should notify the Dean of Students office (x3360 daytime), or DSA dean or designee on-call, of the emergency as soon as possible.
  5. The Residence Life staff member responding to the situation should fill out a Communication Report.

 Students are responsible for the costs incurred for using the ambulance or emergency room services.

Use of Staff Personal Vehicles
Members of the Student Affairs staff, including student and professional staff, are not to transport students in need of urgent medical care in their own vehicles. Assumption of responsibility to take a student in a privately-owned vehicle to the hospital may not be covered under the university’s liability insurance policy.

Intoxicated Students

If a problem situation occurs with an intoxicated student, refer to a professional staff member (i.e., Resident Director, Security Services) for assessment. Make sure that a seriously intoxicated student receives appropriate medical attention, but under no circumstances should a University of Puget Sound student staff member accept responsibility for the care of an intoxicated student.

Symptoms of Alcohol Poisoning

  1. Person is unconscious or semi-conscious and cannot be awakened.
  2. Cold, clammy, pale, or bluish skin.
  3. Check to see if breathing is slow (less than eight times per minute) or irregular, with ten seconds or more between breaths.
  4. Vomiting while “sleeping” or passed out, and not waking up after vomiting.

If a person has any of these symptoms, they may be suffering from acute alcohol intoxication.

  1. Get help. Call Security Services at x3311 to have the Residence Life professional staff member on call notified to be in touch with you.
  2. Do not leave the person alone. Turn the victim on their side to prevent choking in case of vomiting.
  3. Always be “better safe than sorry” if you are not sure what to do. Call Security.

Symptoms of Opioid Overdose:

  1. Will not wake or respond to voice/touch
  2. Fingernails and lips turning blue or purple
  3. Breathing is very slow, irregular or has stopped
  4. Slow heartbeat and/or low blood pressure
  5. Center part of the eye is very small – sometimes called “pinpoint pupils”

If a person has any of these symptoms, they may be suffering from opioid overdose.

  1. Call Security Services. Security Services will contact the Residence Life professional staff member on call. Narcan/Naloxone, a medication to reverse the effects of an opioid overdose is available on campus and could be administered as a first step until emergency medical providers arrive.
  2. Do not leave the person alone.
  3. Always be “better safe than sorry” if you are not sure what to do. Call Security.

Non-Emergency Medical Issues

Consulting Nurse Line
Should a student experience a non-emergency medical condition and require consultation, refer the student to the CHWS consulting nurse (x1555) during office hours.

During the evening and weekends, the student may contact the MultiCare consulting nurse line at 253.792.6411.

Transportation
Staff should help students find one of the various alternatives available for transportation.

  1. Yellow Cab: 253.472.3303 (24 Hour Service) (if after hours request through Security Services)
  2. Pierce Transit Bus Route Info: 253.581.8000 – also available online 
  3. Pierce Transit Shuttle Info: 253.581.8100 (For people with disabilities) – also available online 

In most non-emergency medical cases, it is preferable to have students find family or a friend to transport them to the health care facility. When a student is referred by a CHWS or Security Services staff member, the student may be transported via Yellow Cab with travel expenses paid for by the Dean of Students Office.

If at all in doubt about whom to call, contact the Residence Life professional staff member on call, or Security Services to aid in assessing the situation.

Use of Staff Personal Vehicles
Members of the Student Affairs staff, including student and professional staff, are not to transport students in need of medical care in their own vehicles. Assumption of responsibility to take a student in a privately-owned vehicle to the hospital may not be covered under the university’s liability insurance policy.

Biohazard
If a student injury or illness results in a need to clean up blood or other body fluids from a campus facility, Residence Life staff should contact Security Services (x3311) to request that they call Facilities Services for appropriate response. If there is any question about this assistance, contact the DSA dean or designee on call who will assist in determining the appropriate course of action.

Sexual Assault Response

The university’s Campus Policy Prohibiting Harassment and Sexual Misconduct addresses all forms of rape, sexual assault, and other forcible and non-forcible sexual misconduct.

  1. Encourage the survivor to seek immediate medical attention (x1555 for CHWS during daytime business hours, hospital emergency room after hours or at victim request). A prompt medical examination, prior to bathing or showering, is important to check for possible injuries or infection, and to collect medical evidence needed in the event of a criminal prosecution. Collection of potential medical evidence must be done at a hospital emergency room. CHWS is not able to provide that service.
  2. Encourage the survivor to report the crime immediately to Security Services (x3311).  Remind the victim of the option to notify the Tacoma Police Department (911 or 253.798.4721, depending upon the urgency of the situation), whether or not the offense is reported to Security Services. If the victim so desires, offer assistance in notifying Security Services and/or the police.
  3. Encourage the survivor to seek personal counseling and support from CHWS, Rebuilding Hope:  The Pierce County Sexual Assault Center (253.597.6424), or another counseling service of the student’s choice.
  4. Remind the survivor of the option to report the offense to a designated campus official. Remember that with the exception of staff in CHWS and through campus chaplaincy all Puget Sound employees are mandated reporters for allegations of student sexual assault. Let the student know that you are required to inform your supervisor.
  5. If the survivor so desires, the university will make alternative campus housing and academic arrangements (contact Assistant Dean of Students) as may be appropriate and reasonably available in the circumstances. 

Follow up to student hospital admission

  1. Security Services will contact the Residence Life professional staff member on call.
  2. The Residence Life professional staff member on duty will call the DSA dean or designee on call.
  3. The Residence Life professional staff member on duty will notify, if relevant, student staff members.
  4. The DSA dean or designee on call will contact the student’s parent(s)/guardian(s).
  5. If the student is referred by a CHWS staff member to the hospital, the referring professional will ask the student to inform the CHWS staff member if admitted.
  6. Once informed and given authorization in writing by the student, the CHWS staff member will notify Security Services and the Dean of Students. The Dean will contact the University Chaplain who may visit a hospitalized student.
  7. Once released from the hospital, Residence Life staff members will assist the student with medically necessary housing requirements as needed.

Student Treated for Alcohol-Induced Illness at Hospital but Not Admitted

If a student is transported to the hospital for acute alcohol intoxication/poisoning but is not admitted (e.g., is held for observation and/or treated in the emergency room) OR if the student is seen by TFD while on campus but is not transported to a medical facility, the DSA dean or designee on call informs the Assistant Dean of Students on the next working day. The Assistant Dean then informs the student that the Assistant Dean may notify the parent(s)/guardian(s) and asks if the student has already informed family.

  1. If the student has informed the parent(s)/guardian(s), the Assistant Dean may contact the parent(s)/guardian(s) to confirm.
  2. If the student has not informed the parent(s)/guardian(s), the Assistant Dean discusses may give the student 24 hours to contact the parent(s)/guardian(s) and then the Assistant Dean may notify the parent(s)/guardian(s).

Psychologically Distressed Students

In the event of an emergency, the first order of concern is for the physical safety and the well being of any students who may be injured, and secondly for any students affected by the crisis (i.e., witnesses, friends of victims). Getting injured students safely transported for expedited medical care must be the highest priority. In the event of psychological emergencies, medical care followed by intervention by professional mental health providers is the order of concern.   

Suicidal Behavior

If medical emergency

  1. Call Security Services (x3311).
  2. If student lives on campus, contact the Residence Life professional staff member on call. Otherwise, call the Dean on call.
  3. The Residence Life professional staff member on call will notify appropriate Division of Student Affairs staff members.
  4. The hospital personnel or the Dean of Students Office will notify the parent(s)/guardian(s) or next of kin. Do NOT release any information about the case to anyone except staff or faculty with direct need to know.

If a student has engaged in suicidal behaviors such as writing suicide notes discovered by others, writing about suicidal ideation in journals or papers turned in to professors, telling others about suicidal ideation, obtaining mechanisms which could cause harm to self, or being discovered engaging in self harm (e.g., cutting, burning, taking pills, etc.), take these behaviors seriously. Even if no immediate medical intervention is required, these behaviors must be documented on the Self Harm Report (SHR) and turned into the Dean of Students Office within 24 hours.

If not a medical emergency

  1. Give appropriate assistance, if needed. CHWS psychology staff may be contacted after hours by phoning Security Services, (x3311). Depending on the circumstances CHWS staff may speak directly with a student in crisis, may arrange a crisis appointment, or may consult with the professional staff on the scene.

    Resident Directors should phone a CHWS Psychology Staff member any time they would like to consult about whether a student’s condition might call for immediate contact with a mental health provider (either on campus with CHWS staff or a transport to the hospital emergency department).

    RDs should also call if they feel confident that a student is safe to wait to see a mental health provider, but judge it best that the student not wait until counseling walk-ins at 1 p.m. the next business day. Any counselor can arrange a special contact with the student. These crisis sessions are often at 8:00am the next morning. Counselors may speak by phone with the student directly to set this time together. 

    RDs are also welcome to phone a counselor after hours if they simply wish to consult about a plan of action with a student who is not at high risk of suicide but is an immediate concern to professional staff and affecting others in the community. They may consult about whether/how parents might be involved, whether a Suicide Incident Report should be written, whether to recommend a medical withdrawal, etc.
  2. If student lives on campus, or is currently on campus, contact the Residence Life professional staff member on call immediately. If needed, contact Security Services (x3311).  If a student cannot be left alone safely, please ask someone else to contact the appropriate Residence Life professional staff member while you remain with the student. Students who are not safe to be alone for the evening should be admitted to the hospital and/or placed in the care of parent(s) or guardian(s). Puget Sound students, faculty and staff should not be responsible for maintaining the safety of a student at risk for harming self or others.
  3. The Residence Life professional staff member on call will notify appropriate Division of Student Affairs staff members.

Threats of Violence to Others

All specific threats of harm to others should be taken seriously. Instances when a student makes a threat of violence against a specific person or persons and/or threatens a specific violent act (e.g., bomb threat, threat to kill someone), call Security Services (x3311). Do not leave the student alone unless you feel unsafe in their company. If needed, ask someone else to contact Security Services while you remain with the student.

  1. Security Services may detain the student and determine whether to contact Tacoma Police.
  2. After Security Services arrives, or as soon as practical, contact the Residence Life professional staff member on call.
  3. The Residence Life person on call will notify appropriate DSA staff members.
  4. Security Services will notify the appropriate segment of the campus community (e.g., for a bomb threat) or the person(s) against whom the threat was made.

 The Critical Behaviors Response Team (CBRT) is the group of staff and faculty chaired by the Dean of Students charged with monitoring, evaluating and intervening when necessary with anyone on campus who may pose a threat. All information about suspicious or odd behaviors that do not arise to actual threats should be forwarded to both Security Services and the Dean of Students.

Follow-up for Suicidal Behavior

Appropriate follow up with identified students of concern as well as with their friends, members of their living units, and with families of endangered students are important roles of the Dean of Students and members of the Division of Student Affairs.

Suicidal and self-harming behaviors seriously affect the quality of life in a residential community. These behaviors not only affect the injured person, but the many concerned people around that student are impacted as well. All Student Affairs staff members (including student staff) are required to submit a Self Harm Report (SHR) to the Self Harm Review Team (HIRRT) when they have credible information that a student has threatened or attempted suicide, or has engaged in self-injuring behavior. Other faculty and staff are encouraged to submit SHRs. This documentation is to be completed and turned in to the Dean of Students Office as soon as possible after learning about a potentially suicidal student.

SIRs are reviewed by the SIRRT in a timely way, typically evaluating them within 24 hours of receipt. If, in the determination of the SIRRT, the SIR documents a serious and credible suicide threat or other self-harming behavior, the SIRRT will require the student to participate in a Mandated Assessment of Risk of Suicidality and Self Harm (MARSSH). This assessment is available through CHWS, or a student may elect to complete this requirement with an approved off-campus provider.

Response to Student Death

In the event a student dies while enrolled at the university (and is not studying abroad) the following procedures shall be used as a guideline. Since every circumstance is different, we rely on common sense to amend the procedures as necessary.

Student Death On Campus

The person who finds the deceased should contact Security Services immediately (x3311).  That person will manage the scene of the death until Security Services arrives on the scene.

In addition, the first staff person on the scene should:

  • Keep other persons from viewing the victim and the surrounding, if possible.
  • Prohibit access to the body or surroundings by anyone other than Security staff, Police/Fire Department officials, or the Dean of Students/Designee.
  • Collect the names of individuals who might provide information to university officials or law enforcement authorities.  A copy of this list shall be provided to Security Services and to the Dean of Students.
  • Collect an initial list of names of those present at the scene of the death or who may be directly impacted by the death.  This list shall be provided to the Dean of Students.

Security Services shall:

  • Notify the Tacoma Police and/or Fire Department.

  • Notify the Dean of Students (weeknight) or DSA Dean/Designee on call (weekend).  That person shall contact an Associate Dean of Students/Designee to begin the DSA response protocol.

  • Notify the Residence Life staff person on call

  • Notify the Security Services staff person on call.

  • Secure the area or room until it is released by city investigators, if appropriate.  Security staff may also assist in the removal of the body.

  • Prepare a written incident report to document the incident.

  • Notify the Vice President for Communications (Gayle McIntosh).

  • Direct all inquiries about the death to the Dean of Students or Director of Security.

  • Direct any media inquiries about the death to the Vice President for Communications.

  • Complete steps listed above under “first professional staff member on the scene.”

Student Death Off Campus

Off-campus deaths may occur in a wide variety of circumstances, anywhere in the world.  In all situations, students, faculty, or staff members who become aware of the death of an enrolled student are asked to contact Security Services, who will notify the Dean of Students/Designee, who will then initiate this protocol.

Notification of Death

The Dean of Students (or designee), upon notification of the death, shall inform by phone or e-mail:

  • the President (or designee), who will decide when and who should make official contact with the parent(s), guardian or partner/spouse. This notification cannot take place until the deceased has been identified positively by the coroner. This may take several days depending on the condition of the body. The President's office is responsible for sending flowers or other condolences to family, etc., as appropriate. (253.879.3201, president@pugetsound.edu)
  • the Associate Dean, who will assist the Dean of Students in any fashion required and will also alert the Counseling, Health, & Wellness staff and/or the Chaplain, and/or the Director for Intercultural Engagement, when appropriate to set up a support network for the residence staff, residential and non-residential students. (253.879.1555 or 253.879.3778, marshall@pugetsound.edu)
  • the Chaplain (or his designee), who may make contact with the family only after they have been officially notified by the President. The Chaplain in consultation with the CHWS Chief Psychologist will also contact Residence Life staff to see if services should be offered to staff or residential students. In addition, the Chaplain can make contact with other clergy and/or local mortuaries, as needed. The Chaplain will write the official letter notifying the entire campus (after consultation with the Dean) and will handle funeral and/or memorial service arrangements after consultation with the Dean and the family. (253.879.2751 or 253.879.3818, dwright@pugetsound.edu)
  • the CHWS Chief Psychologist, who will set up support groups for residential and non-residential students as needed, with assistance from the Chaplain and if appropriate, ASUPS senators. If a student death occurs on campus outside of regular business hours, the CHWS Chief Psychologist will decide how best to manage student calls for counseling support and assistance.  As needed, CHWS may also print and distribute fliers about their services, about handling grief and loss, and/or about suicide, if appropriate.  (253.879.1555, marshall@pugetsound.edu)
  • the Registrar and Director of Academic Advising, who will notify the student's professors and advisor. (253.879.3529, btomhave@pugetsound.edu; 253.879.3651, lwade@pugetsound.edu)
  • the ASUPS President. (253.879.3600 or 253.879.3273, asupspresident@pugetsound.edu)
  • the Associate VP for Human Resources, who will be responsible for working with LifeEra, to set up support as needed for the faculty and staff. (253.879.3116, cmatern@pugetsound.edu)
  • the Vice President for Communications, who may issue a press release, after consultation with the Dean of Students. (253.879.3905, gmcintosh@pugetsound.edu)
  • if a campus-wide email message is desired, the Dean of Students will work with the Vice President for Communications to contact the Technology Services (Security Services has a phone list, x3311). Staff should recognize that it will take at least three hours for a campus-wide message to reach all mailboxes. Any messages to the campus should include information about overall safety of the campus for those living in residence.
  • the Dean of Students will ask a staff member to conduct a web search on the name of the student who has died in order to locate any postings that may be of concern. If needed, the Dean or his designee will work with the appropriate Technology Services staff member (contacted via Security Services) to block access to postings on the university website until parent(s)/guardians have an opportunity to make decisions about the information.
  • the Director of Alumni and Parent Relations, Allison Cannady-Smith, who may receive calls from parents of other students.  (253.879.3450; acannadysmith@pugetsound.edu)
  • the other executive officers, for their information.  (253.879.3205, bartanen@pugetsound.edu), (253.879.3901 drbeers@pugetsound.edu), (253.879.3211, jrickard@pugetsound.edu), (253.879.3204, smondou@pugetsound.edu) (253.879.3237, lcollins@pugetsound.edu)
  • the Associate VP for Student Financial Services (253.879.3198, mmittuch@pugetsound.edu)
  • the Director of Employment Services, who will check the employment status of the student and contact the supervisor (253.879.3161, mlawrence@pugetsound.edu)
  • the International Student Advisor (253.879.2513, alindsley@pugetsound.edu) will be notified if the deceased student is an international student -- and will work with the Dean of Students to decide when and who should make official contact with the family or guardian. A list of current international students will be maintained on file in the Office of the Dean of Students and Security. The International Student Coordinator will notify the appropriate embassy or consulate, which will establish procedures for contacting the family overseas and will provide help in obtaining emergency passport, visa and other documentation, and language assistance, where needed. The International Student Advisor will act as the university’s contacts for the embassy or consulate and the deceased’s family, working with the Dean of Students to notify the appropriate on-campus offices.

Requests for Information

Requests for information by non-university parties should be referred to the Vice President for Communications unless directed otherwise. If circumstances warrant, the Vice President for University Relations (or designee) will establish an 800 line to handle calls from the media and concerned parents. Requests for information from parents of current students should be directed to the Director of Parent Programs or the Dean of Students Office.

Student's Effects

If appropriate, the Dean of Students will appoint staff responsible for closing the student's room and shipping personal effects, after consultation with the family and Security.

The Dean of Students will send a memo verifying the death to:

  • Registrar for notation in file and deletion from registration packets and current registration.
  • Technology Services for deletion of student name from any active databases.
  • Associate VP for Student Financial Services for appropriate attention to accounts and updating of financial aid and scholarship records.
  • ASUPS for the yearbook.
  • Library for remission of fines and collection of books.
  • Director of Career and Employment Services for updating of student employment records.
  • Director of Counseling, Health, & Wellness Services for updating CHWS records.

The Dean of Students is also responsible for making arrangements for the family to come to campus and for arranging their meetings, if desired (e.g., with the President, Chaplain, faculty, or friends). The Dean of Students will continue to monitor the campus climate for six months following the death by consulting with his/her senior staff to evaluate the need for further support groups or other activities.