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Long Term Care Facilities Disaster Preparedness. Don Sheldrew MSW, LICSW, NREMT-P Minnesota Department of Health Office of Emergency Preparedness 651-201-5738 Don.sheldrew@health.state.mn.us. How do we get prepared? . Planning Ahead Good Planning =
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Long Term Care FacilitiesDisaster Preparedness Don Sheldrew MSW, LICSW, NREMT-P Minnesota Department of Health Office of Emergency Preparedness 651-201-5738 Don.sheldrew@health.state.mn.us
How do we get prepared? • Planning Ahead • Good Planning = Partnerships and developing relationships ahead of time
LTC – Who are we talking about? • Skilled Nursing Facility, Nursing Homes, Board and Care, Residential Care Facility, Home Care, Hospice, Others • Those who care for vulnerable populations
LTC – Who are we talking about? • Range of facilities • Commonality of need • Diversity of needs • Range of resources • Range of talent pool
Some Concerns Shared • Special populations - e.g. Alzheimer's, cognitively impaired, or high fall patients. • Staffing • Pharmaceuticals and other medical supplies • Food and water supplies • Generators and fuel supplies
Who is responsible during emergencies? • No single answer -Depends on the situation and type of emergency • Natural Disaster, Bioterrorism, Pan Flu, Complex Disaster • Preparedness = Planning in partnership
Continuity of Operations • Continuity of operations considerations • Concerns Workforce concerns A. Pan flu – up to a 40% reduction in workforce possible B. Regional or local emergency C. Workforce preparedness = Personal preparedness
Workforce Preparedness • Personal preparedness A. Personal and family plans B. Available personal tools http://codeready.org http://cpheo.sph.umn.edu/cpheo/meret/home.html C. Is transportation needed to get staff in?
Do I Still Need Personnel? • Not enough even after personal plans • Who can I ask for help? Where can I get help? Other local providers? Regional providers? Pre-planned partners?
Workplace Preparedness • What do I absolutely need to continue service? • Power – Utilities / Generators / Fuel Emergent Suppliers or assistance • Food – How long can I provide without deliveries? Will I still get deliveries? What deliveries do I absolutely need? Do I have connections with more than one supplier? • Water
Workplace Preparedness • Durable Medical Equipment What do I need to keep people safe? Where will I get needed non reusable supplies? More than one supplier?
Facilities Concerns / Environmental Concerns • Heat • Air Conditioning • What can I do if one or the other is needed and not available? • Blankets, Ice…. • Air Filtration
Evacuation • Where to evacuate to? • How to evacuate? • Who will provide the transportation in a large scale event and timing of evacuation? • Local Ambulances and bus companies
Communications • What is my communications system for an immediate call back? • How do I communicate with outside entities and agencies? • What communications resources do I have? 2-way radios, NOAA, telephone, computers, satellite, ITV, internet…
Pre-existing Arrangements • Comes from pre-planning • Knowing ahead of time who is already using what resources • Having some idea of what to expect • Learning and connecting with others who may be the same or be in a position to have or locate needed resources
Potential roles during emergencies – recent focus group • Provide basic medical care and short term shelter ? • Accept residents from area hospitals? Concerns about acuity and facility staffing • Medical storage?
Wrap – Up • Plan – with local, regional, state partners • Understand your importance in the event of a crisis
Wrap – Up • The “Plan” is simply a written document • The “Planning” forms relationships and is the crucial element in getting through an event in a more effective manner