1. 1 1.H.4 Emergency and Evacuation Procedures Training

2. 1.Our organization provides an emergency preparedness program to ensure the safety of all clients, visitors, and employees in case of emergency. 2.In case of a natural disaster where treatment services could not be rendered, an alternative treatment site will be used. 3.In case of power failure and there is no communication system, a cellular phone will be used for emergency communications. 2 1.H.4 Emergency and Evacuation Procedures Training

3. 4. The emergency plans are communicated to persons served and all personnel. The test of the emergency plans is reviewed by designated staff responsible for the health and safety programs. 5.Our organization provides equipment and training appropriate to the needs of the persons served and personnel for fire detection, warning of fire hazards, and suppression of fires. 6.Emergency contact information for all personnel is located in their personnel files. 7.Emergency contact information for persons served is located within their client record. 3 1.H.4 Emergency and Evacuation Procedures Training

4. 8.In the case of a medical emergency, contact 911. 9.The organization makes First Aid Kits accessible and readily available to staff where services are delivered. The location of First Aid Kits is identified on location egress maps within the facility. A review of First Aid Kits - location, contents, and use is included as part of the new staff orientation program. 10.All First Aid Kits are inventoried and replenished on a regular basis. During the hours of operation, the organization has at least one staff member trained in basic first aid and CPR. 4 1.H.4 Emergency and Evacuation Procedures Training

5.  All employees must be familiar with the location and operation of all fire extinguishers and first aid kits. The location of all fire extinguishers and first aid kits are indicated on the facility egress maps.  Employees will be trained on the operation of portable fire extinguishers.  All fire extinguishers will be recharged annually. 1.H.4 Emergency and Evacuation Procedures Training5

6.  The Operations Manager or Program Director or his/her designee shall be informed immediately of a visitor or client who becomes loud and disruptive, makes a threat, or is believed to pose a potential danger to him or others.  Once concern for client or visitor is validated, the Operations Manager or Program Director or his/her designee will escort the persons served or visitor into his office and leave the door open in order to assess and de- escalate the situation. 1.H.4 Emergency and Evacuation Procedures Training6

7.  De-Escalation Procedures  The staff will intervene on all assaultive, aggressive, disruptive or self-destructive behavior using de- escalation techniques.  The staff will call other staff to maintain the safety of the clients and others.  The client will be given the consistent message by the staff, that the behavior is an unacceptable way to deal with feelings.  The staff will offer alternative methods of handling feelings. 1.H.4 Emergency and Evacuation Procedures Training7

8.  De-Escalation Procedures  The threatening of staff or clients will be dealt with calmly while informing the client that the behavior will not be accepted or tolerated.  Should a client physically attack someone, call 911 for police assistance.  An incident report is to be completed and, after review by the Operations Manager or Program Director, it should be placed in the incident report log book.  Clients who are discharged or removed from the program due to aggressive or assaultive behavior must be provided with follow-up and/or referral for alternate treatment within 72 hours post-discharge. 1.H.4 Emergency and Evacuation Procedures Training8

9.  The employee shall follow the instructions of the robber, staying as calm as possible.  The employee shall observe any and all possible identifying features such as height (where on the wall or door the robber's head comes), clothing, color of hair, eyes, etc.  When the robber departs, the police should be notified immediately by dialing 911, Police Emergency.  Employees shall assist the police with description of robber and anything that may have bee stolen. 1.H.4 Emergency and Evacuation Procedures Training9

10. ILLNESS OR INJURY OF CLIENT OR EMPLOYEE:  After talking with the employee or client, appropriate medical attention shall be requested immediately.  If injury is due to a fall resulting in trauma, do not move client or employee until authorized to do so.  If the employee or client requires immediate medical attention, 911 will be called unless the employee or client requests other services.  If the employee does not require immediate attention but does require examination, arrangements will be made for someone to accompany the person to the emergency room of the nearest hospital or to the employee's physician of choice. 1.H.4 Emergency and Evacuation Procedures Training10

11. The first priority will be the safety and welfare of the clients, visitors and employees. The front desk staff will announce a state of emergency over the phone system. The Operations Manager or Program Director or designee will give immediate attention to the evacuation of employees, clients, and visitors. If evacuation is not possible or advisable, employees, clients, and visitors will be secured within the facility as appropriate until the disaster threat has ceased. 1.H.4 Emergency and Evacuation Procedures Training11

12. If time or opportunity permits, employees will take responsibility for client(s) or visitor(s), and close their office door and windows upon evacuating the building. All employees, clients, or visitors will be asked to assemble and/or advisable across the street from the facility to make possible the accounting for all persons previously within the facility. 1.H.4 Emergency and Evacuation Procedures Training12

13. Building Safeguards  Security lights illuminate the street and parking lot at night.  Security lights illuminate the building and walkways at night.  Security lights illuminate the front entrance at night.  In the event of an evacuation, the entrance door at the front desk and the emergency exit doors at the front and back can be utilized.  The entire building contains smoke detectors and has emergency back-up lights for each hallway. 1.H.4 Emergency and Evacuation Procedures Training13

14. Administration Safeguards  The Sheriff / Police Department shall be notified in case of emergency, disaster or security problems. PHONE: 911.  The Emergency Medical Services shall be notified in case of a medical emergency. PHONE: 911.  The Fire Department shall be notified in case of a fire, explosion, bomb threat, etc. PHONE: 911.  In the case of emergency or disaster, the Operations Manager or Program Director or the next ranking member of the management team shall be the supervisor over all employees. 1.H.4 Emergency and Evacuation Procedures Training14

15. Physical Safeguards  Accessibility to fire extinguishers  All exits are marked.  All access doors are locked at night.  A list of office equipment with serial numbers, where applicable, is maintained.  All storage areas and the records room are kept closed/locked. 1.H.4 Emergency and Evacuation Procedures Training15

16. In the event of severe weather, the front desk staff will monitor the weather forecast on a weather radio. If a weather warning is broadcast, the front desk staff will notify all employees. It will be the responsibility of employees to ensure the safety of clients and visitors. If an earthquake or other natural disaster is identified, staff will go to the identified “safe area” as indicated on the facility egress map. 1.H.4 Emergency and Evacuation Procedures Training16

17. For their own safety, individuals should not leave the building during an severe weather warning. If a client is adamant about leaving the facility, allow him/her to leave BUT advise the client that the organization WILL NOT BE RESPONSIBLE for his/her safety. Employees, clients and visitors are to remain in the “safe” area until the threat of severe weather has passed. If someone is injured, call the Emergency Medical Service by dialing on the telephone 911. If the building is damaged, call the Operations Manager or Program Director or designee. 1.H.4 Emergency and Evacuation Procedures Training17

18. The decision to cancel counseling sessions will be made by the Operations Manager or Program Director. It shall be the responsibility of the Operations Manager or Program Director or his/her designee to notify local radio and television stations of the cancellations of appointments and closing of the facility. Conditions required for counseling sessions to be cancelled include: hazardous roads/driving conditions due to flooding, heavy rain, or fog; or County/State Road Emergency exists. 1.H.4 Emergency and Evacuation Procedures Training18

19. In the event of a fire that cannot be put out by using the fire extinguisher, the fire evacuation plan will be implemented. The Administrative staff will sound the alarm and then call the Fire Department at 911. It will be the Administrative staff's responsibility to take the cellular phone and client rosters with him/her as he/she evacuates the building. It is the responsibility of the staff person observing the fire to immediately notify the Administrative staff who will announce the need to evacuate and immediately phone 911 emergency. 1.H.4 Emergency and Evacuation Procedures Training19

20. In the event of a fire, each employee is responsible for the following:  Clear all confidential information off desk tops and open surfaces.  Assist all clients out of the building via the designated emergency egress route. It is the responsibility of each staff present to close all doors.  It is the responsibility of the Administrative staff to take a head count and report any missing persons to the first available management person to arrive on the scene. It is the responsibility of all staff to be mindful of fire safety and to report unsafe conditions to the Operations Manager or Program Director. 1.H.4 Emergency and Evacuation Procedures Training20

21. When and where advisable, employees who are witness to a fire, once alerting the Administrative staff, should evaluate the potential of containing such fire, using an available fire extinguisher. If the employee determines a containment effort to be unsafe, proceed with the previously described evacuation plan. 1.H.4 Emergency and Evacuation Procedures Training21

22.  There are individual shut off valves under the toilets and sinks for each of the bathrooms  Emergency lights will come on with batteries if the electricity goes out.  In the event of an emergency with a utility system, please contact the utility company’s emergency service line. 1.H.4 Emergency and Evacuation Procedures Training22

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