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Emergency Services > 01 Emergency Care Policies & Procedures (30 docs)

01 Emergency Care Policies & Procedures (30 docs)

Free Forms, caregiving nursing forms, policies, Licensing, Training, Management, Elder Care, Assisted Living, Alzheimer's, ALF

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Documents in 01 Emergency Care Policies & Procedures (30 docs) (31)

This form is designed to be part of the assisted living facility or residential care home's Emergency Fire and Disaster Plan.  It covers essential emergency contact information, and other important business information that should be used during an emergency. Business Emergency Plan Information
Fires and disasters can happen anywhere.  The recent Butte and Valley fires in California were really destructive, lives and homes were lost.  We here at ProvidersWeb were under mandatory evacuation, so please excuse the delay in getting this newsletter out.  We learned a lot from the fire and would like to share the following: CALIFORNIA FIRES and RCFE - ALF EMERERGENCY PREPAREDNESS PLANS
Care Facility Emergency Care & Services Training and Basic Standards.  A free list of suggested basic emergency care and training standards for residential care facilities and assisted living communities for emergency care services. Care Facility Emergency Care & Services Training and Basic Standards
October 2013 letter from Centers for Medicare Services on the requirements for Nursing Facilities to provide CPR services. CMS Nursing Facilities Must Provide CPR
This is a free document from Centers for Disease Control Prevention on coping with a traumatic event, such as an earthquake or flood. Coping with a Traumatic Event
All care home staff working in nursing homes, assisted living facilities and the various types of residential care facilities, really need to be prepared in case a resident dies. This document deals with the basic standards, policy and procedures of what staff can do when dealing with the possible death of a resident.  

If a resident is found possibly deceased, check pulse.  If it's weak, you cannot find one, or there are obvious signs of death call 911 immediately!  The 911 dispatcher will send an ambulance.  Check for DNR or Advance Directives (see Advance Directives - Living Wills).

Notify the administrator or facility manager immediately.  Call the attending physician.  The administrator or facility manager is to notify the resident's responsible party immediately that: Death Policy
This form list alert codes and signals, such as Code Red, Code Orange, Code Yellow and Code Black.  It also describes the E-Code evacuation system and rating.  This form is a good tool for managers to help them devise an emergency alert system.  This form is for use by residential care homes for the elderly, developmentally disabled, group homes for kids, secured perimeter facilities for Alzheimer's and Dementia residents, RCFE, ALF, ARF, nursing homes and assisted living facilities. ECODES EMERGENCY ALERTS & DUTIES FORM
Cover for Section 1 of the Emergency Service Manual dealing with emergency care policies and procedures. Emergency Care Policies & Procedures Cover
Document describing the Emergency Care Services for a group of people in a common living arrangement.  First aid is not enough and systems must be in place this document explains the procedures to follow in the Emergency Service Manual.

When you provide care for a group of people in a common living arrangement, First Aid care is not enough.   Systems must be in place, so that everyone will know what to do in an emergency situation.  Emergency Care in a care facility includes: 

Wandering and Elopement Procedures 
Auto Safety Procedures
Emergency Transfer Information 
Head to Toe Evaluations 
Fire Drills 
Emergency Disaster Plans 
Emergency Service Training 
Emergency Preparedness 
and much more. Emergency Care Services
The facility Incident Commander will assign duties during an emergency. This form will help clearly define what the Immediate Specific Emergency Duties, Ongoing Emergency Duties, After Emergency Duties, Record Responsibilities, Shift Time Period and more. This form can be used by residential care homes for the elderly, developmentally disabled, group homes for kids, secured perimeter facilities for Alzheimer's and Dementia residents, RCFE, ALF, RCF, ARF, nursing homes and assisted living facilities. EMERGENCY JOB ASSIGNMENT
A free form developed by ProvidersWeb to audit a facility's Emergency Services System.  Designed for use in Residential Care, Assisted Living, and Nursing Home Facilities.  By auditing your emergency service system you can help ensure things go right when an emergency does occur.

Does the facility have an emergency procedure manual in place (see Facility Care Emergency Care Policies and Procedures and Emergency Disaster Plan), and has it been updated or reviewed within the last 12 months?
Is the Emergency Phone Number Form current?
Is the Emergency Roster current (see Resident Roster)?
Is the Emergency Evacuation Routes (see Fire & Disaster Evacuation Plan ? Sample) posted in each resident?s room and elsewhere as required by state law?  (see Fire Prevention Safety Plan)
Has the Fire Drill Evaluation been conducted monthly, and reviewed for quality? ..... Emergency Service Audit
In any emergency you need to know who you can count on.  FEMA guidelines specify getting your staff to acknowledge their acceptance of emergency duties.  This Emergency Staff Roster form serves both purposes and is good for all types of community care facilities and residential care facilities that have to comply with emergency provisions for their residents.  Good for Assisted Living Communities, Nursing Homes, Hospitals and other types of businesses too. Emergency Staffing Roster Form
Descriptions and links to the areas that should be addressed in an emergency situation; designed for community care home staff working in assisted living facilities, residential care homes, and homes for the Developmentally Disabled.
Providing emergency care encompasses more than rendering first aid.  In care facilities we address the following:

Mental Capacity to Make Informed Decisions
The caregiver must make sure the resident is mentally rational enough to make decisions about the care to be provided.  Sometimes, for example, the caregiver may feel the resident needs to go to the hospital, and the resident may refuse.  The resident has the ability to make decisions about his/her care and supervision needs, unless the resident has been legally declared by a court to be incompetent or otherwise indicates an inability to make informed decisions. Facility Emergency Care Policies and Procedures
Falls happen frequently in community-based care homes.  Elderly residents may fall even more frequently, and they often need extra protection to guard against falls.  If a fall should occur, staff should not move the resident until a proper assessment can be done. This document is designed to help train facility care staff and guide staff through the basic assessment steps to take after someone has fallen.

If the resident is bleeding severely, or the situation is life-threatening call 911 immediately, then apply first aid, check to make sure the airway is open and they are breathing okay, then take the pulse (circulation) - touching the resident usually gives them comfort.  Ask the resident how he or she is doing, determine if there has been any loss of cognitive abilities, if so, call 911.  

If the resident hit their head, they will need to get medical attention to rule out any unseen head injuries.  As you are assessing Fall and Injury Procedures for training caregivers
When an accident occurs, a basic head to toe survey should be conducted.  This document exlains how to assess an emergency situation or injury by doing a head to toe survey of the body. This is a useful tool for all caregivers.  

First Aid Provider Physical Assessment
When EMS is readily available and an initial assessment has been completed (ABCs), the First Aid Provider may wait for the EMS to perform the physical assessment. This is acceptable and may be desirable. The physical assessment is designed to identify signs and symptoms of illness or injury. Head to Toe Survey community care staff training
This document explains the procedures to follow when there is a life threatening emergency.

Do not do anything that you are not trained to do.

~Do take the resident's vital signs, and record your results (or have someone record the results for you).

~Do complete the Life Threatening Emergencies
There is no way any American will forget September 11, 2001 - the 911 Twin Towers terrorist act.  

One thing we can do to help deal with the memories, and make something positive come out of it, is to prepare for emergencies.   

We have endeavored to pick out some of our best emergency preparedness documents that we believe all assisted living, residential care and nursing homes use to help them build their emergency prepareness program: Make September Your Annual Emergency Preparedness Month
The resident has the ability to make decisions about his/her care and supervision needs, unless the resident has been legally declared by a court to be incompetent.  This document deals with assessing a resident's mental capacity or lack of mental capacity to make informed decisions.

If the resident is not under guardianship, and doesn't have a conservator and the resident is able to truly process the information, the resident has the right to make decisions for him/herself. If the resident chooses to claim their Right of Refusal, and the risk of personal harm to the resident has increased, a Refusal of Treatment needs to be documented and the responsible party and attending physician notified. Mental Capacity to Make Informed Decisions
This form is a check list for monthly/quarterly elopement drills.  Elopement drills are used to train staff on what to do in case a resident is missing.  It is not uncommon for residents with dementia or Alzheimer's to wander off.  Missing residents should be a considered a life threatening emergency. Monthly/Quarterly Elopement Drill - Missing Resident Drill Sample
OSHA Fire Safety Standards for Care Facilities & Care Businesses

Emergency Action Plan Standard. OSHA recommends that all employers have an Emergency Action Plan. A plan is mandatory when required by an OSHA standard. An Emergency Action Plan describes the actions employees should take to ensure their safety in a fire or other emergency situation. OSHA Fire Safety Standards for Care Facilities & Care Businesses
A List of steps to take to prepare for 2012 and possible disasters. Preparing for 2012 - for Assisted Living, Residential Care and Nursing Homes & Facilities
Contains links to a lot of free documents. Preparing for 2012 - for Assisted Living, Residential Care and Nursing Homes & Facilities
This document contains basic steps to help care staff with making priority assessments in emergency situations, such as assessing the scene, calling for help, and performing first aid.

Primary Assessment: 
~Does the resident respond to voice and touch? If the resident does not respond, check for breathing and heartbeat.  If not breathing, or no heartbeat call 911. 
~If resident has a heartbeat and is breathing, carefully check for other injuries. 
~If resident fell or is unconscious due to an accident, or some unknown cause, assume that a head, neck, back or hip injury could have happened. Priority Assessments in Emergency Situations
This notice is designed to inform residents of your emergency and disaster plans and their role in those plans.

Your Resident Emergency Policies Notice
Fire safety rules and policies for the residents to follow in the event of an emergency. For community care facilities and residential care homes. 

4. No smoking in the building. Cigarette butts must be properly discarded. Lighters shall be put away when not in use to prevent someone confused from getting a hold of one.  
5. Never block the exits.  Even if the exit door is in your room or apartment you are not allowed to block it at any time.
6. No extension cords used unless approved by administrator in writing. Resident Fire Safety Rules and Policies
Basic care standard care procedures for facility staff to follow if a resident becomes ill or there are any changes in a resident's condition.

Follow these procedures:

1.Check the resident's vital signs, BP, TEMP, Pulse and Respirations, and Responsiveness.  Record the findings.  Report any change in a resident's physical condition to the Administrator, the attending physician, and the responsible party.  The assigned CPCA Supervisor must call the resident's doctor and family or responsible party, unless the Administrator has agreed to assume this duty. The names, date, time and what was reported to the doctor or responsible party, must be logged on the medication sheet. Staff is to follow Doctor's Orders, unless prohibited by law.  Do not assume someone else has already reported the condition to the Administrator; failure to report an occurrence, illness, injury or incident may result in a reprimand or dismissal. Resident Illness, or Changes in Condition Care Procedures for Community Care Facilities
This form is used to do a roll call in the event of an emergency.  It is helpful to use during drills, and contains the essential basic resident information.  This form is for use by residential care homes for the elderly, developmentally disabled, group homes for kids, secured perimeter facilities for Alzheimers and Dementia residents, nursing homes, RCFE, ALF, ARF and assisted living facilities. Resident Roster Form
This document deals with procedures to follow in the event that a resident suffers from abrasions, lacerations, tears, and/or punctures to the skin.


~Cleanse when possible with sterile solution
~Control bleeding (see Soft Tissue Injuries
This document contains suitable language to use in case of an emergency.

Writing Reports can be difficult.  It can be especially awkward to come up with the right word(s) to describe the situation.  Personal Care Attendants are not allowed to diagnose conditions, for example you cannot say, Terminology
This document deals with the procedures to follow if a resident becomes violent or uncontrollable.

4. Call the resident?s family or responsible party; document the call on the phone log.

5. The local ambulance service can assist you; call them if you feel this person will most likely be transferred to a medical facility.

6. If necessary, the county mental health program can be called and the on call staff person requested to come and evaluate the problem.  They can transfer the resident to an appropriate facility. Violent or Uncontrollable Resident Procedures
This document explains the procedures on taking a resident's vital signs. 
This document also includes information on vital sign terminology and when to take vital signs. For Home and Community Based Care Staff

Many factors affect vital signs.  These include sleep, activity, eating, weather, noise, exercise, medications, fear, anxiety, and illness.  Vital signs are usually lower in the morning when the resident is less active.  They are higher in the afternoon when the resident is more active.  Try to measure the resident's vital signs at the same time of day, each time. That way the vital signs are taken under similar conditions.  The measurements will mean more when compared to previous vital signs.

When one vital sign changes, the others usually change.  For example a resident has a fever (elevated temperature).  The resident's pulse will probably be faster, the resident is likely to breathe more rapidly.  One vital sign does not give enough information. Vital Signs
This document explains the basic standard of care for handling missing residents, resident that wander and resident eloping.  Helpful supervisory guidelines and procedures for care facility staff and caregivers to follow if a resident has wandered, is missing, or tries to leave the facility.

This facility does not normally accept people who wander, or have a history of elopement or being missing.  We may however, have residents who have a diagnosis of Alzheimer's or Dementia.   These residents function just fine at our facility, and do not have a history of wandering or elopement. Yet, the caregivers need to realize that at any time any resident can get confused, and try to leave the facility, whether or not they have the diagnosis of Alzheimer's or Dementia.  Physical illness such as dehydration or a urinary tract infection can cause a person to get confused. Wandering, Elopement or Missing Resident Procedures
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