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2.OurEmergencyPreparednessPlanaddressestwoessentialcomponents:
a.Capacity–ourhomeandstaffhaveplans,suppliesandequipmentthatshowwearepreparedtorespond.
b.Capability–ourstaffandresidentshavebeentrainedonhowtorespondandwehavetestedourresponsethroughperiodicexercises.
Thereisonepersonatthishome,whoisresponsibleforcompletingandup-datingthisEmergencyPreparednessPlan.Thenameandtitleofthispersonis:
(Insertnamehere)
(Inserttitlehere)
Thisplanwascompletedon(Insertdatehere)
Thisplanisreviewedandup-datedannuallyasindicatedhere:
YearReviewed
Nameof
Reviewer
Dateof
Review
(EnterYear)
(Enterfirstandlastnameofreviewerhere)
(Enterdatehere)
PartTwo:
PlanningforAllHazards
1.Nohomeororganizationcanplanforallofthepotentialbadthingsthatcanhappen.
2.AHazardsVulnerabilityAnalysis(HVA)identifieswhattypeofincidentismostlikelytooccurinourareaatourfacility.
3.Forsmallgrouphomes,HFS83mandatesemergencypreparednessplansforthefollowing:
a.theorderlyevacuationduringafire
b.responsetoseriousillnessoraccidents
c.preparationforandresponsetosevereweatherincludingtornadoandflooding
d.aroutetodrylandwhenthefacilityislocatedinafloodplain
e.thelocationofanemergencyshelterfortheresidents
f.ameansoftransportingresidentstotheemergencyshelter
g.howmealswillbeprovidedtoresidentsattheemergencyshelter
Ourfacilityhasidentifiedthetopthreehazardsthataremostlikelytooccuratourhome.Thetopthreehazardsarelistedhere:
Rank
HazardType
1
(Enterhazardhere-example:
lossofutilities,especiallyelectricalpower)
2
severeweather)
3
fire)
Ourfacilityhasanemergencypreparednessplan,checklistorequivalentforthesevenemergenciesasidentifiedbyHFS83andalsoforthetopthreehazards(ifdifferentfromthoselistedinHSF83)identifiedbyourhome.
PartThree:
RespondingWithoutCommunitySupport
1.Iftheincidentinvolvesonlyourfacility,itislikelythatcommunityresourcessuchasfire,policeandEMSwillassist.
2.Inacommunitywideincident,itislikelythatourfacilitywillbeonitsownforaperiodoftime.
3.Ourfacilitybasesitsemergencyplansontherealizationthatitmaybeonitsownforatleast72hours.
FoodandWaterfor72Hours
Ourhomehassufficientsuppliesforallresident(s)andstafffor72hours.
NumberofResidents:
(Insert#here)Numberofstaff:
(Insert#here)
Ourhomehasalistofthefooditemsandtheamountofwateravailablefortheabovenumberedresidentsandstaffwithapreferenceforitemsthatdonotinvolveaddingwaterorrequireheatingorcooking.
Ourhometrackstheexpirationdatesofallfoodandwaterinthisinventoryandmakessurethatallfoodandwaterisrotatedsothatallitemsarefresh.
Ourhomehassufficientdisposableplates,cupsandutensilsfortheabovenumberedresidentsandstafffor72hours(includingmealtimesandsnacks).
Ourhomehasacharcoalorgasgrillorcampstovewithadditionalfuel(storedsafely)toheatandcookfooditemsifnecessary.
Medicationsfor72Hours
Ourhomehasatleasta3–7daysupplyofmedicationsavailableforeachresident.
Ourhomemaintainsan“EvacuationList”foreachresident.ThisEvacuationListdocumentsallmedicationstakenbyeachresident;
thoseadministeredbyourhomeandthosethatareself-administeredbytheresident.
Ourhomehasasmallcoolerthatcanbeusedforthetransportofanymedicationsandinjectiblesthatneedtoberefrigerated.Ourhomealsohasanavailableicesupplyforthecooler.
Note:
Placeatowelbetweeniceandmedicationstopreventfreezing.
MedicalEquipmentandSuppliesfor72Hours
OurhomehasaMemorandumofUnderstanding(MOU)withourdurablemedicalequipmentprovider,e.g.oxygen,feedingtube,IVpumps,painpumps,etc.tomaintainourequipmentandprovidesuppliesinanemergency.
IMPORTANT:
MemorandaofUnderstandingmaybeusefulinalimitedincident.However,iftheincidentiscommunity-wide,anysuppliermaybelimitedintheirresponseandmayalreadyhavethesameagreements(MOUs)withmultiplefacilities.
Ourhomehasthemedicalsuppliesavailabletocareforourresidentsforatleast72hours.
Ourhomehasadvicefromeachresident’sphysician,whohasdependenceuponmedicalequipment,re