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PREPARE Disaster Plan Template and Guidelines

PREPARE Disaster plan Template and Guidelines August 2008 Developed by Mather LifeWays with funding from the Assistant Secretary for Preparedness and Response. To learn more about Mather LifeWays Disaster preparedness programs, go to TABLE OF CONTENTS PREPARE Disaster plan Template and Guidelines Page 2 PAGE Organization Information .. 3 Introduction to the plan .. 4 Facility Preparation .. 4 Authorities and References .. 5 Emergency Response Roles .. 5 Job Action Sheet .. 7 Communication plan and Resources .. 8 Emergency Resource Call 9 Staff Call Protocol .. 10 Response .. 11 Resident Emergency Profile .. 14 Resident Tracking System .. 15 Sample Mutual Aid and Transfer Agreement.

PREPARE Disaster Plan Template and Guidelines Page 3 . DISASTER PLAN TEMPLATE AND GUIDELINES . The following document serves as a template to assist your long-term care organization to plan and prepare to meet the needs of both your residents and staff in the event of a disaster/emergency. The Disaster Plan is

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