EMERGENCY DISASTERPROCEDURESIN-SERVICE TRAINING
OBJECTIVES:
1. Describe potential disasters (natural & man-made) that may occur in the Agency service area
and their role in disaster situations.
2. Describe Agency policy on medical & non-medical emergency procedures.
3. Describe the process of client evacuation from the home.
3. Explain proper procedures for contacting emergency services & the Agency should a
disaster/emergency occur in the home.
WHAT IS AN EMERGENCY: An emergency is any situation that disrupts
or alters the normal day to day business.
Any natural, technological or civil emergency that causes damage of sufficient severity and
magnitude to result in declaration of a state of emergency by a county, the Governor or the
President of the United States.
The Administrator or designee at the agency will make the decision to implement the plan.
NATURAL EMERGENCIES
include earthquakes, floods, tsunamis, wildfire, winter
storms, tornado, fire, high wind, epidemic
MAN-MADE EMERGENCIES
include terror attacks, hostage situations, hazardous
spill, power outage
AGENCY EMERGENCY POLICIES:
Can be found in the Agency Emergency Preparedness Policy Binder (provide a copy of the
policy)
AGENCY EMERGENCY/DISASTER PLAN:
Can be found in the Agency Emergency Preparedness Policy Binder (provide a copy of the
plan for review)
MEDICAL EMERGENCIES:
Client medical emergencies are directed through the state's 911 emergency medical system.
If the worker arrives at the home and finds a serious or life-threatening emergency, the worker is
to call 911 first and then notify the office. In either event, if a Client is sent to the hospital the
ORGANIZATION office shall be notified promptly.
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NON-MEDICAL EMERGENCIES:
Agency staff are instructed to respond immediately to a Client emergency. If a worker arrives at a
Client home and believes there is a non-life-threatening emergency, they are to contact the office
where a Supervisor will advise on the situation.
Emergencies involving weather, natural disasters, etc. are outlined in the Agency's Emergency
Preparedness Policy Binder.
CLIENT EVACUATION FROM THE HOME:
Preplanning of an emergency evacuation will occur to provide a safe & orderly evacuation from
the client's home should evac be required.
Client evacuation planning will include the following:
Pre-planned exit route.
Pre-planned meeting place safely, away from the home.
Predetermine any vital items to be taken from the home, i.e. medication, ambulation assistive
devices, etc.
Emergency calling list.
Practice of the emergency evacuation.
AGENCY NON-MEDICAL EMERGENCY POLICY:
CLIENT EMERGENCY PLAN:
A Disaster class is assigned upon admission to the agency based on client needs (Class I thru
IV).
Disaster code is assigned to the patient at SOC and documented in the system (as appropriate).
Emergency information is provided to clients in the admission packets.
Special needs registration with local shelters is completed if required.
The client is provided with:
➤ A copy of the Agency's policy on how to handle disaster related emergencies in the home
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➤ Client responsibilities in the Agency's Emergency Preparedness and Response Plan
➤ A list of community disaster resources that can assist during a disaster-related emergency
➤ Survival tips and plans for evacuation and sheltering in place
WHEN AN EMERGENCY IS DECLARED:
➤ The Administrator will contact all office staff to inform them and have them contact the field staff.
➤
Staff safety is a primary concern
➤
STAFF REQUIREMENTS DURING AN EMERGENCY:
Staff will not be asked to jeopardize their safety if the situation becomes potentially dangerous. If this occurs, authorities will be notified and if necessary, an ambulance will be called for the patient.
Staff will be expected to contact the office and report their whereabouts and availability
If inclement weather occurs the staff is expected to contact the office or answering service for instructions regarding the opening of the Agency.
All staff who can safely report to work are asked to do so. If you are not able to report to work, the supervisor should be notified so that any visits needed may be covered.
Staff who rely on public transportation will be assisted by the Agency with alternate arrangements.
➤ The clients will be contacted in order of their
disaster classification
assigned at the time of admission
➤ If the office telephone service is out of order, operations will be maintained from an alternate location designated by the Administrator.
➤ Local authorities may be contacted to assist as needed.
➤ In the event of work stoppage by the Agency, the client will be contacted, and appropriate arrangements will be made for services as possible.
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EMERGENCY PREPAREDNESS:
➤ The Emergency Preparedness Plan provides an orderly process to be implemented in an emergency to assure that the service/care needs of clients continue to be met.
➤ The Agency is not required to physically evacuate or transport a client in the event of an emergency.
➤
All staff will be oriented to the Emergency preparedness plan Upon hire, annually and/or when there is a change in the emergency preparedness plan
➤ All staff will be educated on their responsibilities in carrying out the plan.
➤ The Administrator is designated as the disaster coordinator. In their absence, the Alternate Administrator will act in this role.
➤ The Agency has a
continuity of operations plan
to address emergency needs, essential functions for client services, critical personnel and methods to return to normal operations as quickly as possible.
➤ The Agency has a risk assessment to identify the potential disasters from natural and man-made causes most likely to occur in the Agency's service area.
➤ The Agency will follow procedures for communicating with staff, clients/family, local, state and Federal emergency management services.
➤ This may include:
Emergency medical services
State regulatory departments
Other healthcare providers and suppliers
Alternate modes of communication or alert systems in the event of telephone or power failure
PRE-DISASTER TASKS:
➤ Decision to implement the Plan
➤ Calling tree implemented
➤ Communication to all staff of emergency plan implementation and/or office closure
➤ Determine client classification list
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➤ Clients contacts
AFTER DISASTER PLAN:
➤ All staff to contact the Agency as soon as possible post-disaster
➤ The Administrator will assess the status of the office and systems
➤ Post impact meeting
➤ Contact all clients
➤ Document any significant information including missed client visits
FOLLOW UP:
➤ All disaster/emergency activities will be documented by the Administrator in the Agency records
➤ Contacts with the clients shall be documented in the client record
➤ The Administrator shall declare when the emergency/disaster plan is discontinued
➤ The details of the execution of the plan will be analyzed to determine any revisions that may be indicated for the plan
➤ These recommendations will be provided to the Governing Body for any alterations in the process
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EMERGENCY DISASTER IN-SERVICE TEST
Staff Name
Date
SCORE:
(70% is passing)
Please circle the correct answer:
1. An emergency is any situation that disrupts or alters the normal day to day business.
True
False
2. Who will make the decision to implement the emergency plan?
a. The Aide staff
b. The office answering service
c. The Administrator or designee
3. The Agency is required to provide care regardless of the situation.
True
False
4. The Agency protocols relating to Emergency preparedness Plans is located in:
a. My personnel file
b. Client file
c. Agency Emergency preparedness policy binder
5. When are staffs oriented to the plan?
a. When a disaster occurs
b. Upon hire, annually and/or when there is a change in the emergency preparedness plan
c. After 1 year of employment
6. How often is the Agency emergency plan reviewed and updated?
a. Only if the state tells us to b. Every time a client is discharged
c. Biennial (every 2 years) and/or when there is a change in the plan
7. On admission clients are assigned an emergency class. What are the classifications used?
a. 1-3
b. I thru IV
c. Red, Blue, Orange, Yellow
8. Patients with special needs will be registered with local shelters.
True
False
9. During an emergency, is a primary concern.
a. Maintaining the lunch schedule
b. Securing the fax machine
c. Staff safety
10. How should the staff prepare for an emergency?
a. Know the Agency's plan b. Have the car equipped c. Establish a family plan
d. All of the above
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