Workplace violence in healthcare is a health and safety problem that can have a significant impact on the mission and effectiveness of organizations. To ascertain hospital approaches to address violence and experiences with guns and other weapons, we conducted a survey of International Association for Healthcare Security & Safety members. Although many hospitals have enhanced their security programs, many challenges persist. We found that armed security appears to be increasingly prevalent in hospitals, and the use of Tasers appears to be increasing the most in comparison to other weapons. Most of our survey respondents did not perceive officers losing control of their weapons during altercations in their healthcare facility as a real risk. In addition, roughly half of the respondents reported that portable metal detectors (including wands) were not used in their facilities. The disposition of weapons confiscated by security also raised concerns about how legally owned firearms can be safely returned to their owners while they are still on hospital property.