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Disaster Preparedness: Creating an All Hazards Long Term Care Plan

Disaster Preparedness: Creating an All Hazards Long Term Care Plan. Arleen Johnson , PhD, Director OVAR/Geriatric Education Center University of Kentucky College of Public Health DRAFT…for practice only. Session Objectives. Upon completion of this session, learners should be able to:

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Disaster Preparedness: Creating an All Hazards Long Term Care Plan

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  1. Disaster Preparedness: Creating an All Hazards Long Term Care Plan Arleen Johnson, PhD, Director OVAR/Geriatric Education Center University of Kentucky College of Public Health DRAFT…for practice only

  2. Session Objectives Upon completion of this session, learners should be able to: 1. Identify rural issues for emergency preparedness for aging 2. Describe why long term care residents are at high risk during emergencies. 3. Discuss the primary features of an all hazards long term care plan.

  3. Obj. 1: Disaster Preparedness - Rural Issues • Socioeconomic and Educational status • Chronic diseases • Geographic Isolation • Public Transportation • Availability of services • Access to services

  4. Obj. 1: Disaster Preparedness - Rural Issues • Personal vehicles • Telephones • Health care workers • Health care facilities • Technological infrastructure • Interpreters/Translation services

  5. Obj. 2:Why LTC Residents are at High Risk During Emergencies • Immune function • Infectious illness • Response to antibiotics • Disease presentation • Chronic conditions • Pneumonia • Memory disorders • Hyper/hypothermia

  6. Obj. 2:Why LTC Residents are at High Risk During Emergencies • Medications • Sensory changes • Functional assistance • Oxygen/Medical supplies • Assistive devices • Anxiety • Decreased rebound • Post-Traumatic Stress Syndrome • Language/cultural influences

  7. Obj. 3: Primary Features of an All Hazards LTC Plan • Hazard Vulnerability Analysis • Community Planning • Memorandums of Understanding (MOU) • Communication • Direct Care Procedures for All Hazards

  8. Obj. 3: Primary Features of an All Hazards LTC Plan • Shelter-in-Place • Evacuation • Continuity of Operations • Recovery • Training and Exercises

  9. Hazard Vulnerability Analysis Purpose is to identify usual events, natural events AND unique threats in order to anticipate and prepare to manage them. • Probability • Risk • Preparedness

  10. Community Planning • Identify community partners • Host facility meeting • Share contact information • Discuss roles in an emergency • Review transportation plans • Share emergency plans • Conduct exercises

  11. Memorandums of Understanding (MOU) • Long Term Care Facilities • Hospitals • Alternate Care Sites • Vendors • Aging Services Providers • Faith-Based Communities • Schools • Transportation Services • Funeral Homes • County Coroner

  12. Communication • Staff Personal Preparedness • Contact Numbers/Call Trees • Phones • Runner Messenger Service • Internet • Radio • Television • Newspapers and Fliers

  13. Direct Care Procedures for All Hazards • Templates for All Hazards • Emergency Procedures • Emergency Job Tasks • Checklists • Facility Action Cards

  14. Shelter-in-Place • Decision Criteria • Incident Command System • Notifications • Activate call lists • Enable communication • Supplies/equipment in place for 3-7 days • Access supplies as needed • Monitor utilities • Monitor safety and security

  15. Evacuation • Decision Criteria • Incident Command System • Notifications • Activate call lists • Security and shut-down • Staffing • Emergency packets and “Go Bags” • Evacuation transportation plan • Return to facility plan

  16. Continuity of Operations • Reduced staff plan • Staffing-up plan • Staff supervision • Essential functions • Assuring safety • Protecting equipment, records & assets • Minimizing disruption • Timekeeping • Continued Payroll • Invoice Payment • Cash on Hand • Accessing Records

  17. Recovery • Damage assessment • Authority to Re-Enter • Post-Evacuation Return of Residents • Reimbursement Costs/Documentation • Psychological First Aid • Recovery Analysis

  18. Training and Exercises • Hospital Preparedness Coalition (HPC) funding for equipment & supplies. May require: • Incident Command System Training and Certification • Healthcare Planning Coalitions/Long Term Care Committee Participation • Sharing of facility data • Other state-specific requirements

  19. Obj. 3: Resources for Preparedness & Response KDPH TRAIN KY Training Modules https://ky.train.org/DesktopShell.aspx Helping Elders Prepare for Bioterrorism and Emergencies (Course ID 1006475) Disaster Preparedness: Developing Agency Emergency Plan (Course ID 1007090) CERT Community Emergency Response Team (Course ID 1005655) The Aging Network (Course ID 1006470) Medical Reserve Corps-An Introduction to Incident Command (Course ID 1014646) Pandemic Influenza (future TRAIN Course ID 1009188) Interim Link: http://cwte.louisville.edu/ovar/avianflu/index.html Medical Reserve Corps-An Introduction to Incident Command (Course ID 1014646) Pandemic Influenza (future TRAIN Course ID 1009188) Interim Link: http://cwte.louisville.edu/ovar/avianflu/index.html KY All Hazards Long Term Care Planning and Resources Manual and Emergency Training Materials http://www.mc.uky.edu/aging/gec.html FEMA NIMS Resource Center http://www.fema.gov/emergency/nims/ NIMS Training Courses – Fact Sheets http://www.fema.gov/emergency/nims/NIMSTrainingCourses.shtm#item1

  20. Resources for Preparedness & Response OVAR/GEC E-News Emergency Preparedness for Aging • Geriatric Education Resources • http://cwte.louisville.edu/ovar/emergency/fall2007.htm • Preparedness for Long Term Care • http://cwte.louisville.edu/ovar/emergency/winter2008.htm • Health Literacy for Emergency Preparedness/ Aging • http://cwte.louisville.edu/ovar/emergency/spring2008.htm • Pandemic Flu and Aging • http://cwte.louisville.edu/ovar/emergency/summer2008.htm • Long Term Care: • http://cwte.louisville.edu/ovar/emergency/winter2008.htm • http://cwte.louisville.edu/ovar/emergency/winter2009.htm • http://cwte.louisville.edu/ovar/emergency/summer2009.htm • http://cwte.louisville.edu/ovar/emergency/winter2010.htm

  21. For More Information….. Arleen Johnson, PhD OVAR/GEC at UK 658 South Limestone Lexington, KY 40506-0442 (859) 257-8314 arleen@uky.edu OVAR/GEC Website: http://www.mc.uky.edu/aging/gec.html Partial funding through USDHHS, HRSA contract number 1 UB4HP19051-01-00 and KCHFS/KDPH 2010- 2011 grant #201008191611 UK Emergency Preparedness for Aging Training Grant

  22. Disclaimer This presentation was partially supported by contract number 1 UB4HP19051-01-00 from the Department of Health and Human Services Health Resources and Services Administration (HRSA). Contents are solely the responsibility of the authors and do not necessarily represent the official views of HRSA.

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