1. Emergency Preparedness Susan Albrecht, MS, RD, LDN Centers for Medicare & Medicaid Services May 5, 2011

2. §483.75(m) Disaster and Emergency Preparedness F517 §483.75(m)(1) The facility must have detailed written plans and procedures to meet all potential emergencies and disasters, such as fire, severe weather, and missing residents.

3. §483.75(m) Disaster and Emergency Preparedness 518 §483.75(m)(2) The facilities must train all employees in emergency procedures when they begin work in the facility, periodically review the procedures with existing staff, and carry out unannounced staff drills using those procedures.

4. Types of Disasters What are some of the types of disasters? How would they affect the workplace?

5. Disaster Plan Federal Regulation is not specific as to the amount of food and water that is required in the Disaster Policy & Procedure.

6. Disaster Plans Specific to Massachusetts Department of Public Health: All Hazard Emergency Planning: LTC Facility Survey Guidance and Provider Attestation Tool

8. Disaster Feeding Plan Written Disaster Plan which addresses: Alternate methods for When equipment is not operable Sanitation of dishes and utensils Hand washing

9. Disaster Feeding Plan Written Disaster Plan which addresses: Ability of supplier(s) to met needs in a regional emergency Cooperation/resource sharing with area facilities/agencies

10. Disaster Feeding Plan Menus Use Perishables First Sample Menus

11. Disaster Feeding Plan Facility has supplies of: Staple foods for minimum 1-week period* Perishable foods for a minimum of 48 hours* * MDPH requirement

12. Water Supply Plan ensures water availability to essential areas when loss of water occurs

13. Environment, Equipment & Supplies Physical Plant Backup Equipment Generator

14. Training New Employees Existing Staff Unannounced Simulated Drills Yearly In-service by Local Fire Department Staff Familiar with Disaster Feeding Plan Personal (Family) Emergency Preparedness

15. Fire What do you do if the fire alarm goes off? What would you do if you discover a fire in a resident’s room or the kitchen?

16. Fire Where are the fire alarms and fire extinguisher located? How do you use a fire extinguisher?

17. Food and Water Safety During Hurricanes, Power Outages, and Floods FDA Fact Sheet What Consumers Need to Know Emergencies can happen. When they do, the best strategy is to already have a plan in place. This includes knowing the proper food and water safety precautions to take if hurricanes — or other flooding/power outages — do occur http://www.fda.gov/downloads/Food/ResourcesForYou/Consum ers/ucm076962.pdf