2024年1月7日发(作者：玛莎拉蒂有几款车型)
Emergency Preparedness Plan and Checklist for
Small Group Homes
Part One: Emergency Preparedness Plan
Key Concepts
1. 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, but 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 response through periodic exercises.
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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)
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This plan was completed on (Insert date here)
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This plan is reviewed and up-dated annually as indicated here:
Year Reviewed
(Enter Year)
Name of Reviewer
(Enter first and last name of reviewer here)
Date of Review
(Enter date here)
Part Two: Planning for All Hazards
Key Concepts
1. No home or organization can plan for all of the potential bad things that can happen.
2. A Hazards Vulnerability 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
川ness or accidents
c. preparation for and 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
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g. how meals will be provided to residents at the emergency shelter
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Our facility has identified the top three hazards that are most likely to occur at our home. The
top three hazards are listed here:
Rank
11
2
Hazard Type
(Enter hazard here - example: loss of utilities, especially electrical power)
(Enter hazard here - example: severe weather)
(Enter hazard here - example: fire) 3
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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 3: ee: Responding Without Community Support
Key Concepts
1. 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 that it may be on its own for at least 72
hours.
Food and Water for 72 Hours
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Our home has sufficient supplies for all resident(s) and staff for 72 hours.
Number of Residents:(Insert # here Number of staff: (Insert # here)
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Our home has a list of the food items and the amount of water available for the above numbered
residents and staff with a preference for items that do not involve adding water or require heating or
cooking.
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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.
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Our home has sufficient disposable plates, cups and utensils for the above numbered residents and
staff for 72 hours (including meal times and snacks).
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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
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Our home has at least a 3- 7 day supply of medications available for each resident.
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□ Our home maintains an “ Evacuation List “ for eaThnisesidacuation List documents all medications
taken by each resident; those administered by our home and those that are selfadministered by the resident.
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Our home has a 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
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Our home has a Memorandum 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 community-wide, any supplier may be limited in their response and may already have
the same agreements (MOUs) with multiple facilities.
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Our home has the medical supplies available to care for our residents for at least 72 hours.
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Our home has advice from each resident physicianswho has dependence upon medical equipment,
regarding what options the home has if medical equipment cannot be operated or essential supplies have
been depleted.
Note: Permission from the resident or their guardian is necessary to obtain this information
from the physician.
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There is at least one back-up manual wheelchair if any resident has a powered wheelchair.
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If manual wheelchairs are not available, our home has trained our staff in proper lifting of
residents and how to carry them to safety.
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Our home has provided information about our home and the number of staff and residents, especially
those with special needs, to the local Emergency Management Director, fire department, law 3 of 10 Version Date 8/7/2020
Medical and Business Records for 72 Hours
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Medical records for residents are easily accessible and transportable.
All staff know where medical records are kept.
All staff know what medical records to take in case of evacuation.
Plastic bins are available for packing the medical records.
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Any essential information regarding residents that is kept on a computer is backed up at least weekly on a CD
or a “thumb drive ”
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Financial and other business records are easily accessible.
All staff know where financial/business records are kept.
All staff know what financial/business records to take in case of evacuation.
Plastic bins are available for packing the financial/business records.
Part 4: r: Receiving Alerts
Key Concepts
1. Receipt of alerts about actual or potential incidents that could affect our home and its residents will usually
come though the media.
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Our home has a weather radio.
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Our home has a battery-powered or a crank AM/FM radio.
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Both staff and residents have been instructed to contact the home administrator if there is a warning about a
potential or actual incident.
Part 5: e: Surveillance
Key Concepts
1. Surveillance is defined as observation of the physical and emotional health and behavior of residents.
2. Unusual is defined as anything that is uncommon or normally not expected such as flu-like symptoms in summer, an
川ness such as diarrhea among all or many residents at one time, all or many residents being disoriented or
dizzy or experiencing the same symptoms or unusually quick progression of symptoms.
3. Any unusual
川ness or injury or change in condition or uncommon behavior among some or all of the residents
should be reported to the administrator, who then should contact the local health department.
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Staff is trained to report unusual conditions to the administrator.
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The administrator has the contact information for the local health department.
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Part 6: : Infection Control
Key Concepts
1. Infection Control means any measures used to stop or slow the transmission of communicable disease such as the
common cold or seasonal flu.
2. The most effective infection control measure is hand washing, including the use of hand gels and the use of
tissues to cover a cough.
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Staff are trained to wash their hands frequently.
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Hand gels and tissues are available throughout the home.
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Staff have been trained in the use o f Universal Precaution。
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All residents have separate washcloths and towels.
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Paper towels are used in the staff bathrooms and in the kitchen area.
□ Staff have been trained in proper cleaning of the resident
infectious disease such as colds or flu.
\' s room when there is an outb
Part 7: en: Personal Protective Equipment (PPE)
Key Concepts
1. Personal protective equipment for residents is necessary only if this has been written as part of the care plan
for the resident.
2. Personal protective equipment can protect staff from biological and chemical hazards.
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Staff are trained to use gloves and gowns when a resident has an infectious disease such as a cold or flu and
the resident is coughing.
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Staff are trained to use gloves and gowns when there is heavy clean up necessary due to diarrhea or vomiting.
Part 8: ht: Communications
Key Concepts
1. Landlines and cell phones may be busy or fail to operate in a community-wide disaster.
2. Communications with the resident famiSy members, staff, fire departments, law enforcement and others is
essential in an emergency.
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Contact information for each resident famsy members, staff, fire departments, law enforcement and others should
be in hardcopy format and easily accessible.
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Staff are trained to report to the home should landlines or cell phones not be operating.
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If the home is evacuated for any period of time, a message stating that the facility has been evacuated should
be left on the telephone answering machine.
Part 9: e: Security
Key Concepts
1. Residents have right to feel safe in the home.
2. Security for the home can be achieved through simple and common measures.
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Staff are trained to lock all doors at the home so that no unauthorized person(s) can enter.
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Staff are trained to monitor the residents in an emergency or to gather them in a central location so that no
resident inadvertently wanders off.
Part 10:
Key Concepts
Chemical Spill
1. Chemical spills may occur in the community causing persons to be contaminated or sending toxic fumes into the air.
attempted by staff at the home.
2. Decontamination of persons or things is a responsibility of trained public safety personnel and should not be
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Staff have been trained not to allow any person, including residents, into the home if there is evidence that the
person may have been contaminated by a chemical agent.
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Staff are trained to follow directives from public safety authorities if there is a chemical spill in the
community. This may include keeping all residents indoors and shutting down heating/cooling systems and closing all
windows and doors.
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Staff should have protective gloves and goggles if there is a large spill of household chemicals that needs to
be cleaned.
Part 11:
Key Concepts
en: Mental Health
1. Emergencies may cause emotional and physical distress in residents.
2. Mental health effects from an emergency may appear immediately or may show up months after the emergency.
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Staff are trained to observe physical and mental status and behavior of residents after an emergency.
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Staff have identified residents that may have special fears or reactions to certain incidents such as weather-related incidents, e.g. lightning, thunder, winds so that appropriate measures can be taken to assist these
residents during such incidents.
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Staff have methods in place to keep residents calm during storms or other hazards, e.g. playing board games.
Part 12:
Key Concepts
1. The home is a business and investment for the owner and must be protected.
2. The home is \" home\' for residents and must be protected.
ve: Business Continuity
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The home administrator has checked all insurances to ensure that there are no special exclusions or limitations
for the common hazards that could affect the home or its residents.
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The home administrator is to have a plan to keep all necessary business records safe, accessible and easily
transportable.
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In a community wide incident, there may be an interruption in the ability to access cash. The home
administrator should have access to cash for expenses. ATM machines may not work and/or banks may be closed.
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The home has a small electrical generator to maintain essential functions such as heat in winter. There is also
a plan to keep fuel for the generator in a safe and secure storage area.
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The staff and residents have been trained in options for toileting, e.g. use of bucketed water to flush toilets
and/or use of plastic bags and kitty litter.
Part 13: teen: Training and Exercises
Key Concepts
1. Preparedness capacity means the home has supplies and equipment on hand to respond to an emergency.
2. Preparedness capability means the home has provided training to staff and residents so that they have the
knowledge and skills of how to respond to an incident.
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All staff received initial orientation to the home emergency plans and take part in an annual refresher of
these plans.
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The home schedules periodic drills so that staff and residents can actually exercise their response to common
hazards such as fire or severe weather.
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The home has periodic drills to review the procedures for likely incidents such as fire or severe weather.
□ Every drill or exercise should have an After Action Report (AAR) — documentation of what went right and what
needs to be improved. Any recommendation for improvement should be tested in the next drill or exercise.
□ Each staff person has a “ Famdloculanent ing what they and their family members will
do in an incident. This family plan should include the decision on whether the staff person will be able to report
to work.. This decision should be communicated with the home administrator.
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Part Fourteen: Collaboration
Key Concepts
1. Emergency plans work best when they are integrated with the other plans in the community.
2. Emergency plans can be enhanced by networking with the owners of other small group homes.
The home has contacted the following agencies:
Emergency Management Director
Law Enforcement
Fire Department
Emergency Medical Services
Local Health Department
And informed them of the:
Location and purpose of the home
The number of residents
Any special needs of residents
Contact information for the home
Copies of your emergency response plans
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The owner of the home meets periodically with other owners of small group homes to discuss emergency response
plans.
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The owner of the home has Memoranda of Understanding with the owners of other small group homes for the
purposes of sharing supplies, equipment and staff in an emergency and also for transferring residents in case of an
evacuation.
Part Fifteen: Transportation
Key Concepts
1. In most communities, transportation resources are limited. The transport company may have agreements with
multiple homes or agencies, making it difficult to comply with the agreement in case of a community-wide
emergency.
2. Basic principle of emergency preparedness for transportation and otheneeds: \"You Are On
Your Own” .
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The home has agreements with transport providers to obtain vehicles to transport residents in an emergency. If
this is the case, the owner of the home must ask the transport provider to disclose with whom else the transport
agency has agreements.
□ The home has a back-up plan for the transport of residents in an emergency, eigse of staff
vehicle(s), owner\' vehicle(s) and/or walking routes.
\' s
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The home has procedures in place to assign staff people to residents; formincg abuddy system \"in case of
evacuation.
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The home has procedures in placto “ ha-nxff \" the residentstoaff of another home or facility in case of
evacuation.
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Part Sixteen: Pandemic Influenza
Key Concepts
1. An outbreak of pandemic influenza will be a sustained incident lasting for weeks and even months.
2. Supplies of medications and vaccines will be limited and may not be immediately available.
3. Medical services will be overwhelmed and limited in their ability to care for patients.
4. Public health authorities will provide guidance about treatment options and measures to slow the spread of the
disease.
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Staff are trained to wash their hands frequently.
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Hand gels and tissues are available throughout the home.
□ Staff have been trained in the use of “ Universal Precautions ” .
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All residents have separate washcloths and towels.
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Paper towels are used in the staff bathrooms and in the kitchen area.
□ Staff have been trained in proper cleaning of the resident
infectious disease such as colds or flu.
\' s room when there is an outb
Part Seventeen: Evacuation of the Home
Key Concepts
1. Staying at home is always the preferred option if this does not endanger the residents and staff.
2. Evacuation is a difficult process and requires pre-planning and training.
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Staff are trained in evacuation procedures.
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Staff and residents exercise evacuation of the home at least annually.
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The home assists residents in maintaining a list of clothing and other personal necessities that the resident
needs to take in case of an evacuation
Note: Nothing should be taken if any delay threatens the health and safety of the resident; staff may be
able to return at a later time to gather these personal belongings.
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The home assists residents in maintaining a list of all personal belongings and valuables that the resident
desires to take in case of an evacuation
Note: Nothing should be taken if any delay threatens the health and safety of the resident; staff may be
able to return at a later time to gather these personal belongings.
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The home maintains a list of a three-day supply of all essential items, e.g. medications, hygiene products,
etc. that must be taken in the event of evacuation. Containers or plastic bins are available for packaging these
items.
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The home maintains a list of a three-day supply of all other items, e.g. food supplies, etc., that must be
taken in the event of evacuation. Containers or plastic bins are available for packaging these items.
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The administrator has an agreement with other homes or facilities to which the residents can evacuate.
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Staff and residents know the route to take in case of evacuation and also have knowledge of an alternate route.
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The home has a process to track residents, e.g. the use of a wristband with the name and date of birth of the
resident.
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