1. Yes No Contacted to Receive Residents Notify:
Administrator / Leadership on call
Department Heads & Medical Director
State and local authorities as required
Establish Incident Command
Number of arriving residents exceeds open beds?
Yes
Assign arriving residents to any open beds
Review Census /
Determine Bed Availability
Review staffing needs & call in additional staff
as needed
Identify Surge Area options. Utilize the
Surge Location Worksheet No
Procure supplies as needed
Assign arriving residents to open beds
Review internal supplies & obtain additional supplies
as needed
Monitor egress & life safety
Set-up Surge Areas
Designate toilet & wash facilities
Set-up work stations and storage locations for medications & medical records
Maintain communication with
key stakeholders:
CT DPH
Local Office of Emergency Management
Local Fire & EMS agencies
Facility Ombudsman
Establish a Triage Location. Track arriving residents, meds, charts & equipment.
Develop new charts as necessary.
Confirm receipt of residents with the sending facility
Utilize staff from the evacuating facility with proper ID