HAGERSTOWN, Md. -- The latest daring escape by a prisoner who grabbed a guard's gun while at a hospital has renewed debate over whether firearms should be carried at all by authorities watching over inmates at medical centers.
The confrontation at Laurel Regional Hospital this week was the third in Maryland over the last two years. Similar escapes happened in that period in Blacksburg, Va.; Columbus, Ohio; Salt Lake City and Detroit.
Guns are deterrents, but "what you find is, you're in a situation where you're introducing a weapon into an otherwise sterile environment, and that's the downside," said Tony York, president of the International Association for Health Care Security and Safety in the Chicago suburb of Glendale Heights.
York said his organization is developing industry standards, which currently don't exist, for security measures in such situations.
There are no readily available statistics on the number of escapes from hospitals. But experts agree they are rare compared with the number of inmates taken outside prison gates for medical care - at least 800 a month in Maryland.
Laurel Regional Hospital, where inmate Kelvin Poke was taken for heart-attack symptoms before escaping Wednesday, has stopped accepting prisoners for non-emergency care until security can be improved.
Poke, who was killed by police seven hours later, was the second escape from Laurel Regional in two years involving a prisoner grabbing an officer's gun. The 45-year-old convicted kidnapper shot and wounded a motorist outside the hospital and stole his car before dying in a shootout in a cemetery.
Hospital security consultant Jeff Aldridge, of Security Assessments International in Durham, N.C., said "most of these prisoners know that the only way they are going to escape out of a correctional facility is by being on the outside."
In a similar incident in June, a Utah inmate fatally shot a prison guard after grabbing his gun at an orthopaedic center. That led the Department of Corrections to add a full-time officer at the facility to relieve others during rest or bathroom breaks, spokeswoman Angie Welling said.
She said the agency also armed officers at hospitals with electric stun guns in addition to the guns they still carry. The Taser is the first option for calming disruptions, and becomes a backup if the guard's gun is seized, Welling said.
In Ohio, a federal inmate allegedly robbed two banks last May and took two women hostage after stealing an officer's gun at a Youngstown hospital.
And in Blacksburg, Va., a robbery suspect allegedly killed a hospital security guard in August 2006 after taking a deputy's gun. In December of that year, a suspected car thief stole an officer's gun at a Detroit hospital and fled in an ambulance with three people inside, police say. No one was hurt.
The Federal Bureau of Prisons requires at least one armed officer among the three guards who accompany maximum-security inmates outside prison gates, but it leaves the decision up to the warden for minimum- or low-security inmates.
Aldridge said guns typically are seized when an armed officer gets too close, with his weapon facing the prisoner.
He advised that if two guards are used, the one who interacts with the prisoner should be unarmed and the armed officer should be at a safe distance. That's the system Maryland adopted in 2006 after correctional officer Jeffery Wroten was slain in a Hagerstown hospital, allegedly by an inmate who then used Wroten's gun to hijack a taxi cab before he was captured.