Emergency Preparedness Plan.docx

Emergency Preparedness Plan.docx

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EmergencyPreparednessPlan

EmergencyPreparednessPlanandChecklistfor

SmallGroupHomes

PartOne:

EmergencyPreparednessPlan

KeyConcepts

1.Everydisasterislocal.Ourresidentsdependuponusfortheirhealthandsafety.Whatmatterstothemisnotthefederalandstateresponsetoanincident,butratherourresponse.

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

KeyConcepts

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

（Enterhazardhere-example:

severeweather）

3

（Enterhazardhere-example:

fire）

Ourfacilityhasanemergencypreparednessplan,checklistorequivalentforthesevenemergenciesasidentifiedbyHFS83andalsoforthetopthreehazards（ifdifferentfromthoselistedinHSF83）identifiedbyourhome.

PartThree:

RespondingWithoutCommunitySupport

KeyConcepts

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