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Emergency Services > 06 Emergency Misc (27 docs)

06 Emergency Misc (27 docs)

Free Forms, caregiving, nursing forms, policies, Licensing, Training, Case Management, Home Care, Assisted Living, DD, MI, HCBS

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Documents in 06 Emergency Misc (27 docs) (27)

Is your facility prepared to provide emergency care if needed?

Anyone that is in-charge of providing care service to others needs to have an emergency plan, including home caregivers.  Most state agencies require care homes to have a formal written emergency service plan.  The care home must conduct fire, disaster, and elopement drills for resident safety.

The best way to be prepared is to have to an Emergency Service Manual set-up for quick reference, and training purposes. Are You Ready? Providing Emergency Care
This document explains good procedures to follow in case of an automobile accident. It is a useful tool for nursing homes, assisted living facilities and community based care employees.  It is designed to help the driver(s) understand their responsibilities and the procedures they are to follow in the event of an auto accident.  

In the event of an accident these procedures should be followed:

1. Check to see if anyone is injured and needs assistance, provide first aid as needed.  Keep everyone away from any potential safety hazard.  The police will respond when 911 is called, if necessary call 911 yourself or ask someone reliable to do so for you.  Only disclose resident information to proper authorities.  Resident confidentiality should be respected. Auto Accident Procedures
This is a free document from Centers for Disease Control Prevention on drink safe water after an emergency.

Your water may not be safe Germs and Chemicals may be in the water. Listen to Local Officials to find out if your water is safe.

Things you should not do:

~Don't drink the water unless you know it is safe.
~Don't wash or clean with the water unless you know it is safe. Drink Safe Water After an Emergency
Whenever an emergency occurs, the leader needs to find out the necessary details in order to make good leadership decisions.  There are so many things to consider like resident and staff safety, communication needs, supplies and possibly even relocation.
Staff assignments must be deligated.  Corrdination efforts with local emergency response teams must be handled.  
and more..... Emergency Briefing
This document addresses the need for alarm systems and message centers in times of crisis.

Whenever there is a crisis, there better be good communication. The first method of communicating a crisis is to use and alarm system.  Thing could even be a loud sounding hand-bell, (You will need one in each room of the house) if you don't have any type of standard alarm system. You will need to develop an alarm for each of the following areas: ... Emergency Command & Communication
This form contains a list of foods and other products that would be helpful to have on hand in case of an emergency and/or disaster.

Below is a list of emergency foods and products you may want to have on hand in quantities large enough to feed your residents (and staff) for two weeks to a month.  Other emergency food supplies can be purchased from the local military surplus store.
Be sure to pay attention to the shelf life, replace with fresh stock before expiration, and use product on next menu. Emergency Food List
This form is used to list foods and keep an inventory of foods on hand for emergencies for residential and community care facilities and board and care homes:

Below is a list of emergency foods and products you may want to have on hand in quantities large enough to feed your residents (and staff) for two weeks to a month.  Other emergency food supplies can be purchased from the local military surplus store.
Be sure to pay attention to the shelf life, replace with fresh stock before expiration, and use product on next menu. Emergency Food List Form
Instructions on how to make pouches to hold all information needed by the resident in case of an evacuation.

The Federal government of United States requires nursing homes, residential care facilities, community care facilities, and other type of care homes where the elderly or disabled are cared for, to comply with the following in case of disaster or evacuation:

Resident Identification: Each facility shall determine how residents will be identified in an evacuation; and ensure the following identifying information will be transferred with each resident: ... Emergency Identification Pouches for Community Based Care Homes
Emergency information for each resident on an index card to be placed in the Emergency Identification Pouches. Emergency Index Card
Cover for Section 6 of the Emergency Service Manual for miscellaneous information dealing with emergency services. Emergency Miscellaneous Cover
Each day the emergency food menu should contain certain items which are listed on this document.

Plan for emergency foods that require a minimum preparation.  Keep well stocked and replace any used supplies.  Always keep a 2-week supply on hand, preferably a month's worth.  Serve with disposable tableware, usually one plate, one cup and one utensil whenever possible if the need arises. Emergency or Disaster Menu Planning
This form should be completed for each resident and lists their emergency contact information, health conditions, allergies and medications. Emergency Phone Numbers Form
This document deals with the procedures for care facility management to follow in case an agency or individual wants to place a resident at your facility due to an emergency situation.  (Designed for use in Residential Care, Assisted Living, and Nursing Home Facilities, however, this manual applies to almost any business.) Emergency Placement Services
This form includes space for detailed facility information including occupancy information and special needs residents lists.

People that are bedridden, blind, hearing impaired, cognitively impaired, or that use medical aids or equipment such as oxygen, wheelchairs, motorized carts, walkers, crutches, canes or other mobility aid will need special building evacuation assistance and special transportation assistance to evacuate the area.

Below we have listed our resident categorized by their special needs.  To protect our resident's confidentiality only their initials and current room numbers are used. Emergency Plan Special Needs Notification
Test the staff's training and knowledge of what to do in case of an emergency using this emergency service test. Twenty-five questions.

17. If a resident has taken the wrong medication, what should you do?
18. If a resident has ingested something poisonous what should you do?
25. During the Head to Toe Survey, 15 body areas are checked, name the primary 4...: Emergency Service Test
Topics that should be covered in Resident Council regarding Emergency Preparedness. 

Facility Emergency Service Plans
~	Leadership
~	Backup power sources
~	Emergency Supplies
~	Emergency Communications
~	Staff Training Emergency Topics for Resident Council
This form lists general first aid and disaster supplies that should be kept on hand in case of an emergency at residential care and assisted living care facilities. 

Keep first aid supplies in containers that are easily accessible in case of emergency. ...

Note:  Remember to check expiration dates and to replenish supplies and get doctor's orders when required. First Aid Supplies for Care Facilities
Free & Paid Emergency Service Document List Free & Paid Emergency Service Document List
Free May 21, 2012 Earthquake Map Free May 21, 2012 Earthquake Map
This is a free document from Centers for Disease Control Prevention on keeping food safe after an emergency.

Use bleach to clean things that food will touch, like counter tops and plates.

Wear rubber boots, rubber gloves, and goggles.

Scrub with a mix of 1 teaspoon of household liquid bleach in 1 gallon of water. Use bleach that does not have an added scent (like lemon). Don't rinse. Air dry.

Scrub the outside of food cans before opening them. Use 1 cup of household liquid bleach in 5 gallons of water. Use bleach that does not have an added scent (like lemon). Don't rinse. Air dry. Keep Food Safe After an Emergency
This is a free document from Centers for Disease Control Prevention on keeping water safe after a flood.

If the water is cloudy
~Add 1/4 teaspoon of household liquid bleach to 1 gallon of water. Use bleach that does not have an added scent (like lemon).

~Wait 30 minutes or more before drinking. Keep Water Safe After a Flood
Form used to designate a staff member qualified to deal with all media inquiries.

We recognize the importance of the public's right to information, however within limits.   This company is a privately owned company and therefore the public does not have the right to all the information regarding company activities.   Reporters may try to coax information, stating it's the public's right to know, however, it is our duty to our residents, employees and the company to protect privacy, guard reputation, and ensure security. Media Relations Policy
If you follow the ground rules in this article, they can help you stay in control of the interaction with the news media.

Be Aware
Just because the camera has been turned off, or the reporter has closed his or her notepad, doesn't mean they are not going to disclose what you tell them.  Just because you say, News Media Ground Rules
Activities for residents to make and prepare for emergencies.

Make an Emergency Contact Trinket (Refrigerator magnet or Desk Accessory) for emergency phone numbers.  This is an easy activity and one the residents will appreciate.  You will need the following supplies:

Clear contact paper
Print Emergency Contact Trinket Page
A small point marker... Resident Emergency Preparedness Activities
A three part risk assessment guide to help prepare your facility for emergency situations.

Assessing risks ahead of time gives you the opportunity to identify problem areas and create a plan to deal with the situation should the event arise.   Once a risk is identified, then we must decide if the risk is something to be avoided, reduced, prepared for, shared, transferred or retained. Once the direction of the exposure has been determined, the plan can be created.   Plans should always be written down, and practice drills should be carried out. Risk Assessments and Emergencies
A form documenting information on service pets including veterinarian information, special handling, emergency provisions, and more. Service Pet Form
Overview of facility policy on smoking, prohibited areas and using designated smoking areas.

Smoking and using tobacco products at this facility is restricted for medical, legal and ethical reasons.  Current research clearly demonstrates that second hand smoke can be very hazardous to others. We have strict smoking guidelines.  The goal of this policy is to protect the air quality and ensure the safety of all persons who come in contact with this facility. Smoking Policy
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