1、Emergency Preparedness PlanEmergency Preparedness Plan and Checklist forSmall Group HomesPart One: Emergency Preparedness PlanKey Concepts1. Every disaster is local. Our residents depend upon us for their health and safety. What matters to them is not the federal and state response to an incident, b
2、ut rather our response.2. Our Emergency Preparedness Plan addresses two essential components:a. Capacity our home and staff have plans, supplies and equipment that show we are prepared to respond.b. Capability our staff and residents have been trained on how to respond and we have tested our respons
3、e through periodic exercises. There is one person at this home, who is responsible for completing and up-dating this Emergency Preparedness Plan. The name and title of this person is:(Insert name here)(Insert title here) This plan was completed on (Insert date here) This plan is reviewed and up-date
4、d annually as indicated here:Year ReviewedName ofReviewerDate ofReview(Enter Year)(Enter first and last name of reviewer here)(Enter date here)Part Two: Planning for All HazardsKey Concepts1. No home or organization can plan for all of the potential bad things that can happen.2. A Hazards Vulnerabil
5、ity Analysis (HVA) identifies what type of incident is most likely to occur in our area at our facility.3. For small group homes, HFS 83 mandates emergency preparedness plans for the following:a. the orderly evacuation during a fire b. response to serious illness or accidents c. preparation for and
6、response to severe weather including tornado and flooding d. a route to dry land when the facility is located in a flood plain e. the location of an emergency shelter for the residents f. a means of transporting residents to the emergency shelter g. how meals will be provided to residents at the eme
7、rgency shelter Our facility has identified the top three hazards that are most likely to occur at our home. The top three hazards are listed here:RankHazard Type1(Enter hazard here - example: loss of utilities, especially electrical power)2(Enter hazard here - example: severe weather)3(Enter hazard
8、here - example: fire) Our facility has an emergency preparedness plan, checklist or equivalent for the seven emergencies as identified by HFS 83 and also for the top three hazards (if different from those listed in HSF 83) identified by our home.Part Three: Responding Without Community SupportKey Co
9、ncepts1. If the incident involves only our facility, it is likely that community resources such as fire, police and EMS will assist.2. In a community wide incident, it is likely that our facility will be on its own for a period of time.3. Our facility bases its emergency plans on the realization tha
10、t it may be on its own for at least 72 hours.Food and Water for 72 Hours Our home has sufficient supplies for all resident(s) and staff for 72 hours.Number of Residents: (Insert # here) Number of staff: (Insert # here) Our home has a list of the food items and the amount of water available for the a
11、bove numbered residents and staff with a preference for items that do not involve adding water or require heating or cooking. Our home tracks the expiration dates of all food and water in this inventory and makes sure that all food and water is rotated so that all items are fresh. Our home has suffi
12、cient disposable plates, cups and utensils for the above numbered residents and staff for 72 hours (including meal times and snacks). Our home has a charcoal or gas grill or camp stove with additional fuel (stored safely) to heat and cook food items if necessary.Medications for 72 Hours Our home has
13、 at least a 3 7 day supply of medications available for each resident. Our home maintains an “Evacuation List” for each resident. This Evacuation List documents all medications taken by each resident; those administered by our home and those that are self-administered by the resident. Our home has a
14、 small cooler that can be used for the transport of any medications and injectibles that need to be refrigerated. Our home also has an available ice supply for the cooler.Note: Place a towel between ice and medications to prevent freezing.Medical Equipment and Supplies for 72 Hours Our home has a Me
15、morandum of Understanding (MOU) with our durable medical equipment provider, e.g. oxygen, feeding tube, IV pumps, pain pumps, etc. to maintain our equipment and provide supplies in an emergency.IMPORTANT: Memoranda of Understanding may be useful in a limited incident. However, if the incident is com
16、munity-wide, any supplier may be limited in their response and may already have the same agreements (MOUs) with multiple facilities. Our home has the medical supplies available to care for our residents for at least 72 hours. Our home has advice from each residents physician, who has dependence upon medical equipment, re
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