Emergency Operations Plan Development Guide …

1 1 Emergency Operations plan DevelopmentGuide and TemplateforExtended Care FacilitiesPublished by South Carolina Department ofHealth and Environmental Control inCoordination with the South CarolinaEmergency Management DivisionAugust 20132 Emergency Operations plan Development Guide AND TEMPLATEFOR EXTENDED CARE FACILITIEST able of ContentsI. INTRODUCTION .. 3A. Objective .. 3B. Purpose .. 3II. SITUATION AND ASSUMPTIONS .. 4A. Situation .. 4B. Assumptions .. 4 III. CONCEPT OF Operations .. 5A. Mitigation .. 5B. Preparedness .. 5C. 6D. Emergency Operations plan TEMPLATE AND ATTACHMENTS .. 6A. General Information .. 6B. Facility- Specific Information .. 7C. Evacuation plan .. 8D. Sheltering in 9E. Critical Data 9F. Recovery plan .. 9G. Policies and Procedures for Specific Disaster Situations.

2 10H. Training and Revision .. 11VI. 13 Attachment A: April 25, 2013 Memorandum .. 13 Attachment B: Emergency Contact Roster - Internal Staff 16 Attachment C: External Contact Information Checklist .. 19 Attachment D: Disaster Family Care plan Checklist .. 21 Attachment E: Notification Procedures Checklists .. 22 Attachment F: Evacuation Checklists .. 23 Attachment G: Extended Care Facility Resident Census and Conditions Checklist .. 26 Attachment H: Shelter In Place Checklists .. 27 Attachment I: Recovery 30 Attachment J: Hurricane Preparedness and Evacuation Checklists .. 33 Attachment K: Checklists for Other Natural Disasters .. 36 Attachment L: Technological Disaster Checklists .. 39 Attachment M: Checklist for Other Disasters .. 43 Attachment N: CMS Checklist Tasks for Emergency 44 VII: FACILITY RESPONSIBILITIES AND TASKS BY DEPARTMENT.

3 52A. Administrator .. 52B. Dietary/Food Services .. 53C. Housekeeping 54D. Maintenance 54E. Nursing/Medical 55F. Resident Services .. 56 VIII. GLOSSARY AND ACRONYMS .. 573 Emergency Operations plan Development Guide AND TEMPLATEFOR EXTENDED CARE FACILITIESI. INTRODUCTIONOur aging population has resulted in the increased need for facilities to care for these elderly citizens. This, combined with the catastrophic effects of recent disasters, has confirmed the need for comprehensive Emergency Operations plans for Extended Care Facilities. The use of the term "Extended Care Facilities" in this plan refers to any licensed care facility other than a hospital which provides nursing or assisted living care to persons who are aged or have a courtesy, the Department of Health and Environmental Control, in collaboration with the South Carolina Emergency Management Division, has developed an Emergency Operations plan Development Guide and TEMPLATE FOR EXTENDED CARE FACILITIES.

4 This document is not all inclusive and should be used as a Guide . It is not intended to supersede or substitute for compliance with SC DHEC Bureau of Health Facilities Licensing regulations or the requirements of the Division of Certification. Requirements for other specific plans are contained in SC DHEC Bureau of Health Facilities Licensing regulations; for example, licensing regulations for Nursing Homes and Habilitation Centers for Persons with Intellectual Disability require the Development of plans to ensure continuity of essential services. Each facility may adopt the template to their unique needs and customize it accordingly. The checklists should also be incorporated as a component of the plan . The Department does not guarantee that a facility using this template will be in compliance with Federal or State regulations or that all issues are addressed.

5 Furthermore, staff must be trained in the use of the plan , yearly continuing education must be conducted, and the plan must be retested and ObjectiveIt is imperative that extended care facilities plan in advance and be ready should a disaster occur. The plan , template, checklists and job action sheets are designed as a resource tool to assist in thedevelopment and implementation of an effective all-hazards Emergency Operations plan within your organization or agency. Specific compliance requirements addressed in this plan have beenresearched to the best of our ability through State and local agencies. Plans must be reviewed and updated in compliance with the appropriate SC DHEC Bureau of Health Facilities Licensing PurposeThe purpose of this publication is to provide guidance to staff and volunteers on the Development of Emergency policies and procedures to protect the lives and property of residents, staff and visitors, and to provide a template for developing an all-hazards Emergency Operations SITUATION AND ASSUMPTIONSA.

6 Situation1. The State of South Carolina is vulnerable to natural and technological disasters; acts of terrorism such as bomb threats; and other events such as fires that would require a facility to implement an Emergency Elderly persons and/or residents who are disabled require special Emergency consideration in planning for disasters or emergencies and ensuring in their An evacuation plan is necessary to ensure a timely, orderly and safe evacuation should the need arise. A facility should be prepared to meet all of its responsibilities in response to an Emergency or a necessary evacuation. Having a workable Emergency Operations plan is necessary to meet Preparations and plans must also be made in the event a facility is allowed or ordered to shelter in Assumptions1.

7 The possibility realistically exists that an Emergency may The facility is ultimately responsible for the safety of its residents and staff. Government assistance and resources may or may not be available in an Emergency In the event an Emergency exceeds the facility s capability, external services and resources may be required. However, these resources may not be available. Therefore, the facility must plan to manage the incident Local, state and federal departments and agencies may be able to provide assistance necessary to protect lives and property, but these resources should not be relied It is the responsibility of the SC Department of Health and Environmental Control s Office of Fire and Life Safety to inspect Community Residential Care Facilities (CRCFs)

8 , Nursing Homes, Inpatient Facilities that Treat Individuals for Psychoactive Substance Abuse or Dependence, Residential Treatment Facilities for Children and Adolescents, and Day Care Facilities for Adults for compliance with published fire safety The county Emergency management agency may be available to assist Nursing Homes, CRCFsor Assisted Living Facilities, Intermediate Care Facilities for Persons with Intellectual Disability (ICF-MR), Hospice Facilities, and Day Care Facilities for Adults in writing and reviewing theiremergency Operations The Department of Health and Environmental Control s Bureau of Health Facilities Licensing is responsible for the inspection of Nursing Homes, Community Residential Care Facilities or Assisted Living Facilities, Intermediate Care Facilities for Persons with Intellectual Disability (ICF-MR), and Day Care Facilities for Adults for compliance with all state and federal guidelines.

9 Nursing Homes, Community Residential Care Facilities or Assisted Living Facilities, ICF-MRs, and Day Care Facilities for Adults Emergency Operations plans should be reviewed for completeness, and to ensure that minimum licensure standards are met at these CONCEPT OF OPERATIONSN ursing Homes, Community Residential Care Facilities or Assisted Living Facilities, ICF-MRs,Hospice Facilities, and Day Care Facilities for Adults are required to develop and revise, in coordination with the county Emergency management office, an Emergency Operations plan capable of providing for the safety and protection of residents, staff and visitors during an event. This plan shall be effective for either internal or external emergencies. The plan is envisioned as an all incident, all-hazard, and all-discipline plan .

10 There should be at least four sections to an effective Emergency Operations plan : Mitigation, Preparedness, Response, and Recovery, and should address each type of anticipated event (Hurricane, bomb threat, fire, earthquake, ice storm, etc.). The plan should be coordinated with the county Emergency preparedness division and a copy of the plan should be filed with your county Emergency preparedness is vital to review the various types of disasters that are most likely to affect the facility, bothexternally and internally,beforea disaster happens. A hazard analysis should list what can happen to your facility as a result of known hazards, and prioritize the events according to probability, risk and your facility s level of preparedness.