1. Health Care Significant Snow Event

2. Winter weather has the ability to knock out heat, power and communication services to your home, and facility, sometimes for days at a time. Heavy snowfall and extreme cold can immobilize an entire region. To be able to support your community and respond to your health care facility you and your staff need to be prepared at home and for the road.

4. Facility Preparedness Verify all necessary vendor emergency phone numbers are accurate Housing/dependent care considerations Patient surge: equipment & supplies Hard copy of current staff phone list with estimated time of arrival (with consideration of their responsibilities at home)

5. 96 Hour Capabilities Analysis The analysis is based on our average daily census ( ? ), average daily temperature ( ?? F ), and with instituting use reduction/substitution protocols where feasible. Resources/AssetsNot available >24 HR24 HR 48 HR 72 HR 96 HRCapacities Food96Pt./staff/vist. Linen (sheets, gowns pillows/covers, towels, and blankets) 72+ 20 cots 240 sheets 200 emerg. blankets Water (consumption/ essential care = 1 gal./pt/day 96Heater tanks = 7,000 gal. Fuel (Generators) 60g/Hr/70% load 9611,000 gal Min 17,000 gal. Max Fuel (Generators/boilers) 165g/Hr/70% 66 Min. 94 Max. Fuel (Boilers) 105g/Hr/70% load 9611,000 gal. Min 17,000 gal. Max SAMPLESAMPLE

6. Facility Response Incident Command System implemented HICS 251: Facility Systems Status Report (www.emsa.ca.gov/HICS/files/hics251.pdf) Monitor weather reports Review outage operations with staff in person and via email, especially when the building should go to emergency power. Web postings

7. Communicate with supervisor Check equipment / supplies Check staffing levels Assess electives/admits/discharge capacity Traffic control / snow removal Transport for staff/patients/ equipment

8. The following slides are an index that will assist shelters and alternate care facililities in determining if a citizen requires more acute care and needs to be transferred to a hospital.

9. SHELTERED CITIZEN INDEX Use to determine if a person may need a higher level of care. Criteria 6 points3 points0 points Age 75 4 - 5 or 65 - 75 5 - 65 Medsmultiple cardiac, diabetes, etc routineno routine meds Resp.0 2 treatment 0 2 depend 0 2 prn

10. Scoring: 0 – 12Low potential for relocation 6 – 18Moderate potential for relocation 18 – 48Relocate to health care facility