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Christiana Hospital

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Christiana Hospital is a 906-bed nationally ranked, non-profit , tertiary , research and academic medical center located in Stanton , Newark , Delaware , servicing the entire Delaware area and parts of southern New Jersey . Christiana Hospital is the region's only university-level tertiary academic medical center. The hospital is affiliated with the Sidney Kimmel Medical College of Thomas Jefferson University and the Philadelphia College of Osteopathic Medicine . Christiana Hospital is owned by ChristianaCare as the flagship hospital of the system. Christiana Hospital is also a ACS designated level I trauma center , the only in Delaware. In addition, the hospital has a helipad to handle critical medevac patients. Christiana Hospital also features an AAP -verified, level III neonatal intensive care unit with 60 bassinets.

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51-596: The Christiana Hospital campus is also home to the Center for Heart & Vascular Health and the Helen F. Graham Cancer Center. The hospital's history dates to 1888, when Delaware Hospital was first opened in Wilmington. It was expanded throughout the subsequent decades. In 1965, it merged with Memorial Hospital and Wilmington General Hospital to form Wilmington Medical Center, with each of the three facilities being known as

102-637: A "division", thus Delaware Hospital became known as the Delaware Division of the Wilmington Medical Center. Later it was decided to close the other two hospitals and replace them with a new one, Christiana Hospital. In 1985, the Delaware Division was renamed Wilmington Hospital. Also in 1985, the current day Christiana Hospital at its current location opened. In October 2006, the Christiana Hospital trauma center

153-407: A dozen shotgun pellet-inflicted wounds in one child alone before asking a colleague to take over and continue for her. Inside the school, Ballenger said, "There was not one desk, not one chair, in the whole schoolroom that was not splattered with either blood or glass. There were bullet holes everywhere, everywhere". As a result of their actions, State Police Commissioner Jeffrey B. Miller presented

204-537: A family garden. Additionally, the new building hosts two Ronald McDonald family rooms for use by parents of children in the NICU. In late 2020, President-elect Joe Biden received his first dose of the Pfizer–BioNTech COVID-19 vaccine at the Christiana Hospital. He later returned for his second dose at the hospital in early 2021. In 2019, Christiana Hospital was the only hospital in the state to be named to

255-545: A formed head on the other. The formed head has a lip, which acts as a stop when threading the pin into the shackle, and a flattened tab with a cross-hole. The flattened tab allows for easy installation of the pin and the cross-hole allows the pin to be moused . A bolt can function as a clevis pin, but a bolt is not intended to take the lateral stress that a clevis pin must handle. Normal bolts are manufactured to handle tension loads, whereas clevis pins and bolts are designed to withstand shearing forces . The sheering strength of

306-625: A mother and a wife and a soul and now he's standing before a just God". Jack Meyer, a member of the Brethren community living near the Amish in Lancaster County, explained: "I don't think there's anybody here that wants to do anything but forgive and not only reach out to those who have suffered a loss in that way but to reach out to the family of the man who committed these acts". A Roberts family spokesman said an Amish neighbor comforted

357-493: A nearby farm for help. Roberts saw them leave and ordered one of the boys to stop them, threatening to shoot everyone if they got away. They reached the farm, where they asked Amos Smoker to call 9-1-1 . Meanwhile, the boys carried in lumber, a shotgun, a stun-gun, wires, chains, nails, tools, a small bag, and a wooden board with multiple sets of metal eyehooks. The bag held a change of clothes, toilet paper, candles, and flexible plastic ties. Using wooden boards, Roberts barricaded

408-423: A part of a fastener, a clevis provides a method of allowing rotation in some axes while restricting rotation in others. There are two main types of clevis pins: threaded and unthreaded. Unthreaded clevis pins have a domed head at one end and a cross-hole at the other end. A cotter pin (US usage) or split pin is used to keep the clevis pin in place. Threaded clevis pins have a partially threaded shank on one end and

459-509: A second V-shaped clevis with a hole in a flattened section at the base of the V, joined together with a bolt or pin. Clevis hangers are used as a pipe attachment providing vertical adjustment for pipes. A clevis bracket generally takes the form of a solid metal piece with a flat rectangular base, fitted with holes for bolts or machine screws, and two rounded wings in parallel forming a clevis. Commonly used in aircraft and cars, clevis brackets allow mounting of rods to flat surfaces. A clevis hook

510-660: A shooting occurred at the West Nickel Mines School, an Amish one-room schoolhouse in the Old Order Amish community of Nickel Mines , a village in Bart Township, Pennsylvania . Gunman Charles Carl Roberts IV took hostages and shot ten girls (aged 6–13), killing six (five in the initial incident, and a sixth who succumbed to her injuries in 2024), before committing suicide in the schoolhouse. The emphasis on forgiveness and reconciliation in

561-591: A state police spokesman. One child was initially transported to the Reading Hospital and Medical Center via helicopter and then transported to the Children's Hospital of Philadelphia after being stabilized. Reports stated that three of the girls were shot "execution-style" in the back of the head, with one dying in the arms of a trooper. The ages of the victims ranged from six to thirteen. According to The Washington Post , police and coroner accounts of

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612-456: A threaded bolt is determined by its inner thread diameter. Clevis pins should be closely fitted to the holes in the clevis to limit wear and reduce the failure rate of either the pin or the clevis. A twist shackle provides a loop at a right angle to the axis of rotation. Older farming implements intended to be pulled by a team of draft animals often require a twist shackle to be hitched. A clevis hanger consists of one U-shaped clevis and

663-428: Is a hook, with or without a snap lock, with a clevis and bolt or pin at the base. The clevis is used to fasten the hook to a bracket or chain. A clevis rod end is a folded or machined piece formed into a clevis and fitted with a hole at its base to which a rod is attached. In machined pieces, the hole is most often threaded. A twin clevis is a solid piece with two clevises directly opposite one another, each fitted with

714-576: Is a piece that is sometimes fitted in the space within the clevis and is held in place by the clevis pin. The combination of a simple clevis fitted with a pin is commonly called a shackle , although a clevis and pin is only one of the many forms a shackle may take. Clevises are used in a wide variety of fasteners used in farming equipment and sailboat rigging , as well as the automotive , aircraft and construction industries. They are also widely used to attach control surfaces and other accessories to servo controls in airworthy model aircraft . As

765-532: Is changing our world, and for this we sincerely thank you." The Amish do not normally accept charity; still, because of the extreme nature of the tragedy, donations were accepted. Richie Lauer, director of the Anabaptist Foundation, said the Amish community, whose religious beliefs prohibit them from having health insurance, will likely use the donations to help pay the medical costs of the children who were hospitalized. Some commentators criticized

816-743: The Becker's Hospital Review list of "100 great hospitals in America". In 2020, Christiana Hospital was ranked as #92 overall (and #1 in Delaware) on the Newsweek list of the best hospitals in the United States. In 2020 the hospital also received the "Most Wired" designation from the College of Healthcare Information Management Executives. In 2020 the hospital was also named as an "A" hospital by

867-539: The Lifetime Movie Network premiered a television movie about the Nickel Mines shooting, Amish Grace , based on the book Amish Grace: How Forgiveness Transcended Tragedy . It was the highest-rated movie on Lifetime Movie Network to that date. The play The Amish Project by Jessica Dickey is a fictional account of the shooting told through monologues delivered by various people affected by

918-466: The 9-1-1 call. The police, while waiting for reinforcements, attempted to communicate with Roberts via the PA system in their patrol cars. They asked Roberts to throw out his weapons and exit the schoolhouse. Roberts refused, demanding that the officers leave. By 11:00   a.m. a large crowd — including police officers, emergency medical technicians , and residents of the village — had assembled both outside

969-490: The Amish community's response was widely discussed by the national media. The West Nickel Mines School was later demolished, and a new one-room schoolhouse, the New Hope School, was built at another location. Roberts backed a pickup truck to the front of the Amish schoolhouse and entered it at approximately 10:25   a.m. EDT, soon after the children had returned from recess. He asked the teacher, Emma Mae Zook, and

1020-460: The Amish did not have medical insurance to pay for medical care. By 2007, some $ 4.3 million was reported to have been donated to this fund. The Roberts Family Fund, also administered by the Amish, was established to provide money for Roberts' widow. Several nonfiction books have been written about the shooting, including Amish Grace: How Forgiveness Transcended Tragedy by Donald Kraybill, Steven Nolt, and David L. Weaver-Zercher. On March 28, 2010,

1071-424: The Amish willingness to forgo vengeance does not undo the tragedy or pardon the wrong but rather constitutes a first step toward a future that is more hopeful. The West Nickel Mines School was demolished the following week, on October 12, 2006. The site was left as a quiet pasture. The New Hope School was built at a different location, near the original site. It opened on April 2, 2007, precisely six months after

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1122-632: The Leapfrog Group . Christiana Hospital is consistently recognized by many publications as the best hospital in Delaware. The hospital ranked nationally in one adult specialties and high performing in four specialties as the #1 best hospital in Delaware on the 2020-21 U.S. News & World Report : Best Hospitals rankings. West Nickel Mines School shooting 39°57′37″N 76°05′04″W  /  39.96021°N 76.084393°W  / 39.96021; -76.084393 On October 2, 2006,

1173-467: The PA system in their police cars. At 10:41, a second caller reported the incident and was transferred to the State Police. At 10:55, Roberts was reaching the final part of his plan. He had arranged the bound girls near the chalkboard at the front of the classroom. Roberts made two cellphone calls, one to his wife and the next to police. He warned the 911 dispatcher that if state police were not off

1224-489: The Roberts family hours after the shooting and extended forgiveness to them. Amish community members visited and comforted Roberts' widow, parents and parents-in-law. One Amish man held Roberts' sobbing father in his arms, reportedly for as long as an hour, to comfort him. The Amish also established a charitable fund for the family of the shooter. About 30 members of the Amish community attended Roberts' funeral. Marie Roberts,

1275-608: The State Police Medal of Honor to ten Pennsylvania State Troopers in appreciation for their efforts to assist the victims. Local police officers and emergency personnel were presented commendations by the Bart Township Fire Company. On the day of the shooting, a grandfather of one of the murdered Amish girls was heard warning some young relatives not to hate the killer, saying, "We must not think evil of this man". Another Amish father noted, "He had

1326-410: The calls to the local Lancaster County law enforcement dispatch or the state police. Lancaster County cannot provide transcripts for the calls transferred outside of Lancaster County dispatch, such as calls transferred to the state police. At 10:35   a.m., Amos Smoker called 911 at the behest of the school teacher, Emma Mae Zook, who had run from the schoolhouse to a nearby farm seeking help. About

1377-401: The children's wounds differed dramatically; Pennsylvania State Police Commissioner Jeffrey B. Miller said Roberts shot his victims in the head at close range, with 17 or 18 shots fired in all, including the one he used to take his own life as police stormed into the school by breaking through the window glass. Janice Ballenger, a deputy coroner in Lancaster County, Pennsylvania, counted at least

1428-403: The first Pennsylvania State Police troopers: "An Amish adult male from this farm, with his two large dogs, took the bold opportunity to stealthily approach the windowless back wall of the schoolhouse. Hoping for an opportunity to help the little girls, he slowly crept around one side of the wooden structure and positioned himself as an observer next to a side window". It continued, "Observing that

1479-413: The first police patrol vehicle to approach the scene was not slowing down to stop, the Amish man quickly withdrew from his hiding place and sprinted towards the roadway to wave down the trooper, who did a fast U-turn and parked. That would be the last successful attempt at an unnoticed move upon the building by anyone". The first trooper had arrived at approximately 10:42, about six or seven minutes after

1530-479: The front door. Roberts ordered the girls to line up against the chalkboard and allowed a pregnant woman, three parents with infants, and all remaining boys to exit. One girl, nine-year-old Emma Fisher, escaped without her older sister. Smoker's 9-1-1 call was recorded at 10:36   a.m. An article, "Revisiting the Amish Schoolhouse Massacre", described the situation before the arrival of

1581-454: The others might be spared. Barbara was wounded, while Marian was killed. At approximately 11:07   a.m., Roberts began shooting the victims. State troopers immediately approached. As the first trooper in line reached a window, the shooting stopped abruptly; Roberts had committed suicide. During the shooting, he fired at least 13 rounds from his pistol. Charles Carl Roberts IV (December 7, 1973 – October 2, 2006), thirty-two years of age,

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1632-408: The past couple of years about doing what he did 20 years ago and he has dreams of doing them again", according to Miller. On October 4, 2006, the two relatives whom Roberts said he molested 20 years ago told police that no such abuse had ever happened, resulting in even greater confusion concerning the gunman's motive and mental state. K-Y Jelly , a lubricant often used as an aid to sexual intercourse,

1683-423: The property in two seconds, he would kill the children. The dispatcher attempted to delay him and transfer the call to the State Police, but Roberts ended the call. Two of the girls then began negotiating with Roberts. They pleaded for him to shoot them first. This allowed the girls a little extra time for possible rescue. At approximately 11:07   a.m., Roberts carried out his threats as the sound of rapid gunfire

1734-476: The quick and complete forgiveness with which the Amish responded, arguing that forgiveness is inappropriate when no remorse has been expressed, and that such an attitude risks denying the existence of evil , while others were approving. Donald Kraybill and two other scholars of Amish life noted that "letting go of grudges" is a deeply rooted value in Amish culture, which remembers forgiving martyrs including Dirk Willems and Jesus himself. They explained that

1785-512: The schoolhouse and at a nearby ambulance staging area. County and state police dispatchers had briefly established telephone contact with Roberts as he continued to threaten violence against the children. During interviews conducted later, it became apparent that all of the girls recognized the danger they were in. Some conversed among themselves throughout the ordeal. Shortly before Roberts began shooting, two sisters, Marian and Barbara Fisher, ages 13 and 11, requested that they be shot first so that

1836-558: The schoolhouse using his cellphone and told her that he had molested two young female relatives (between the ages of 3 and 5) 20 years previously (when he was 12) and had been daydreaming about molesting again. In one note Roberts left behind, he said the death of their daughter, who died approximately 20 minutes after birth nine years before the shooting, had "changed my life forever." In that note, he also said that, since her death, he had been "filled with so much hate" toward himself and God. He also stated that he had "been having dreams for

1887-420: The shooting, from both the Amish and outside community. Clevis fastener A clevis fastener is a two-piece fastener system consisting of a clevis and a clevis pin head . The clevis is a U-shaped piece that has holes at the end of the prongs to accept the clevis pin. The clevis pin is similar to a bolt , but is either partially threaded or unthreaded with a cross-hole for a split pin . A tang

1938-416: The shooting. The new school was built intentionally as "different" as possible from the original, including the style of the flooring. All of the surviving girls were hospitalized. The girls wounded in the shooting made measurable progress in the year after the shooting. Sarah Ann Stoltzfus did not have full vision in her left eye but was back at school — she had not been expected to survive. Barbie Fisher

1989-441: The steel framing work for the hospital finished. In 2018, the hospital opened Delaware's first epilepsy monitoring unit, where doctors attempt to induce a seizure to make a proper diagnosis. In June 2020, Christiana Hospital completed the $ 260 million, Center for Women's & Children's Health tower. The new addition includes a new all-private neonatal intensive care unit (NICU), new labor suites and new postpartum rooms, and

2040-451: The students if they had seen a missing clevis pin on the road. Survivors said he mumbled his words and did not make direct eye contact. After they said they had not seen a clevis pin, he went back to his truck and reentered the school holding a Springfield Armory XD 9mm handgun. He ordered the boys to help him carry items from the truck into the classroom. Zook and her mother, who was visiting, took this opportunity to escape and run toward

2091-431: The time of this initial call for help, the shooter released a pregnant woman, three parents with infants, and all 15 male students. The first police officer arrived approximately six minutes later. As the first few troopers approached the building, Roberts ordered them to leave, or he would start shooting. An agitated Roberts continued to demand that the police leave as the troopers attempted to communicate with Roberts via

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2142-458: The week just before the shooting. Miller hypothesizes that this "calm" may have been when he (Roberts) decided to go through with the shooting. Miller also noted that Roberts' neighbors reported his mood as unusually jovial during this period. Just five days before the shooting, a similar hostage crisis and shooting had occurred in Colorado, and a possible connection was investigated. Roberts

2193-459: The widow of the killer, was one of the few outsiders invited to the funeral of one of the victims. Marie Roberts wrote an open letter to her Amish neighbors, thanking them for their forgiveness, grace, and mercy. She wrote, "Your love for our family has helped to provide the healing we so desperately need. Gifts you've given have touched our hearts in a way no words can describe. Your compassion has reached beyond our family, beyond our community, and

2244-621: The wounded girls were taken to hospitals. Two had died in the school house, one was pronounced dead on arrival at Lancaster General Hospital , and two sisters survived until the early hours of October 3 when their life support was ended. The surviving victims of the attack were taken to Lancaster General Hospital, stabilized, and then transferred to hospitals with pediatric trauma care. Three children were admitted to Penn State Children's Hospital , four to Children's Hospital of Philadelphia , and one to Christiana Hospital in Newark, Delaware , reported

2295-447: Was a milk tanker truck driver who served several Amish farms in the Nickel Mines area (including some of the victims' families). He had three children and a wife, for whom he left four separate suicide notes. When State Police Commissioner Jeffrey B. Miller interviewed Roberts' co-workers, they claimed to have noticed a "change" in him during the months immediately before the shooting. They also claimed that he seemed to return to normal in

2346-451: Was also found in the schoolhouse among Roberts' belongings, possibly suggesting an ulterior motive for the incident. Several 911 calls were made on October 2, 2006. Transcripts of the shooting-related 911 calls were released to the public on October 10, 2006. The known callers include Amos Smoker (the man who made the first call reporting an armed invader at the school), Roberts (the shooter), and his wife Marie. The local 911 dispatchers sent

2397-403: Was at the time a resident of nearby Georgetown , another unincorporated area of Bart Township. His wife last saw him at 8:45   a.m. when they walked their children to a bus stop before she left. When Mrs. Roberts returned home a little before 11:00   a.m., she discovered four suicide notes, one addressed to herself and one to each of their three children. Roberts telephoned his wife from

2448-418: Was heard. Shortly before 11:00   a.m., Mrs. Roberts returned home from her regular Bible study group. Soon after finding a suicide note her husband left for her on the kitchen table and a brief and disturbing emotional telephone call from her husband, Mrs. Roberts called emergency services. The 911 dispatcher connected her, by telephone, to the State Police. After the police entered the schoolhouse, all of

2499-541: Was one of the receiving hospitals' for victims of the West Nickel Mines School shooting in Lancaster County, Pennsylvania , treating one of the pediatric victims from the shooting. In 2015, an expansion was announced designed specifically for women and children. In 2017 the hospital began a large 400,000 square foot expansion, adding a new women and children's wing to the hospital. By 2018,

2550-406: Was pitching in school softball but had undergone another shoulder operation to strengthen her right arm. Rachel Ann Stoltzfus returned to school in the months after the shooting. Esther King returned to school months after the shooting, graduating and working on the family farm. The youngest victim, Rosanna King, had not been expected to survive and was sent home. She had serious brain injuries and

2601-438: Was said to recognize family members and frequently smile, but as of October 2016 remained unable to walk, talk, or feed herself. She eventually succumbed to her injuries and passed away on on September 3, 2024, at the age of 23. After the tragedy, several funds were established to assist the survivors. The Nickel Mines Children's Fund was established to aid the families of the children who had been shot, especially since

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