1. DISASTER PREPAREDNESS for Long-Term Care Facilities How and Why Do We Plan? Presented by William Whited State Long-Term Care Ombudsman

2. Session Objectives Convey basic principles of emergency preparedness as it applies to long-term care facilities, and Convey basic principles of emergency preparedness as it applies to long-term care facilities, and Develop an understanding on how it applies to your facility. Develop an understanding on how it applies to your facility.

3. What Constitutes a Disaster? Natural Natural –Ice Storms –Tornados –Floods –Earthquakes –Wild Fires Man Made Man Made –Train Derailments –Industrial Accidents –Civil Unrest –Cyber Attacks Contagious Diseases Contagious Diseases –Small Pox –Measles –Flu –MRSA –C-Diff Terrorist attacks Terrorist attacks –Biological –Chemical –Explosive –Active Shooter

4. Basic Phases of Emergency Preparedness Mitigate Mitigate Plan Plan (Special Emphasis) Implement Implement Recover Recover

5. How Can We Mitigate a Disasters Impact? Natural Disasters Natural Disasters –Back-up power generation –Back-up food and water supplies –Fire suppression landscaping –Drills (fire, tornado, earthquake) Man Made Man Made –Identify potential nearby hazards –Back-up procedure in case of electronic failure –Plan to secure the building Contagious Diseases Contagious Diseases –Proper infection control –Minimize exposure of healthy residents –Work closely with county health department Terrorist Attacks Terrorist Attacks –Don’t disregard the potential threat –Report suspicious behaviors –Run, Hide, Fight!

6. Why Plan? Business Continuity Business Continuity It’s Required by Regulation It’s Required by Regulation To Protect Your Employees To Protect Your Employees To Protect the Residents To Protect the Residents

7. How Can You Plan for a Disaster? Get training Get training –OSDH Provider training –Tulsa Partners –Mather Life Ways Use a preparedness Template Use a preparedness Template –OSDH –Mather Life Ways Have a back up to your back up Have a back up to your back up Review and Update plans at least quarterly or whenever there is a change of staff responsibilities Review and Update plans at least quarterly or whenever there is a change of staff responsibilities Focus on an all inclusive plan Focus on an all inclusive plan Practice, Practice, Practice Practice, Practice, Practice

8. Recovery: What Happens When the Disaster is Over? Debriefing Debriefing –What worked –What didn’t –A safe place to reflect –Counseling services –Make needed changes –Redevelop structure and routines –Strengthen relationships

9. Group Activity: Let’s Plan! (15 Minute Group Plan) (Groups will present their answers in later activity) Do the facilities in your group have a plan? Do the facilities in your group have a plan? How many people in your group know where the master plan is physically located? How many people in your group know where the master plan is physically located? How often are the plans updated? How often are the plans updated? How many members of your group participate in those updates? How many members of your group participate in those updates? What Challenges have been encountered when developing your disaster preparedness plan? What Challenges have been encountered when developing your disaster preparedness plan?

10. Sample Disaster Plans for Facilities and Families and other resources See handouts for copies of disaster plan templates See handouts for copies of disaster plan templatesResources Communicable Diseases and Public Health: Viruses, Bacteria, and Parasites: Communicable Diseases and Public Health: Viruses, Bacteria, and Parasites: http://www.sph.emory.edu/GTRAIN/studies/communicable.html This web-based case study describes four public health scenarios featuring communicable diseases: norovirus, Methicillin-resistant Staphylococcus aureus (MRSA), meningococcal meningitis, and gastroenteritis. Each case study presents information on disease causes, symptoms, transmission, treatment, prognosis, and prevention. The case study is broken down into six modules: 1) Introduction; 2) Nursing Home Malaise; 3) A Rash of Team Infections; 4) After-School Illness; 5) Retreat from Health; and 6) Conclusion. (2005) An example of an alert system can be found at the following link: An example of an alert system can be found at the following link: http://www.smcalert.info/index.php?CCheck=1 http://www.smcalert.info/index.php?CCheck=1http://www.smcalert.info/index.php?CCheck=1 Information regarding mass casual management system kits can found at the following link: Information regarding mass casual management system kits can found at the following link: http://simplerlife.com/mascasinmans.html http://simplerlife.com/mascasinmans.htmlhttp://simplerlife.com/mascasinmans.html “Elderly Populations in Disasters: Recounting Evacuation Processes from Two Skilled-Care Facilities in Central Florida, August 2004”. For the full article, “Elderly Populations in Disasters: Recounting Evacuation Processes from Two Skilled-Care Facilities in Central Florida, August 2004”. For the full article, http://www.colorado.edu/hazards/research/qr/qr172/qr172.html http://www.colorado.edu/hazards/research/qr/qr172/qr172.htmlhttp://www.colorado.edu/hazards/research/qr/qr172/qr172.html From Centers for Disease Control: Recommendations of the Advisory Committee on Immunization Practices From Centers for Disease Control: Recommendations of the Advisory Committee on Immunization Practices http://www.cdc.gov/mmwr/preview/mmwrhtml/rr56e629a1.htm From Assisted Living Consult: Emergency Preparedness: More Preparation Now, Less Heartache Later From Assisted Living Consult: Emergency Preparedness: More Preparation Now, Less Heartache Later http://www.assistedlivingconsult.com/issues/02-01/ALC2-1_Preparedness.pdf

11. How to Contact an Ombudsman William.whited@okdhs.org William.whited@okdhs.org William.whited@okdhs.org 405-521-6734 405-521-6734 1-800-211-2121 1-800-211-2121