Emergency Plan Manual

AHCA Form 3110-1022, Rev March 2013 Rule 59A-8.027, Florida Administrative Code http://ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Home_Care/HHA/index.shtml#other . Page 9 of 54 The procedures for discussing the special needs registry with those patients who will require evacuation to a special needs shelter during an emergency: As part of the Sign up/Initial visit, the admission nurse will discuss with the Patient the benefits to be registered with the Special needs registry of Emergency Management Agency, due to better condition of the Specialty shelter to continuing the care of their health needs, under emergencies conditions. Our Agency will guarantee that our patients in Specialty Shelter who need continue services, will continue to receive care, if possible, with minimal disruption of schedule, unless we are unable to reach them due to road blockage. The home health agency’s procedures for collecting and submitting patient registration information for the special needs registry, (pursuant to 59A-8.027(12), F.A.C.), which must be done prior to an emergency, not when an emergency is approaching or occurring: As part of the Sign up/Initial visit, the nurse will check if the Patient is in the Special needs registry, and will help him/her to do so, if not registered: - Our Agency will guarantee that our patients in specials needs conditions, will be registered with the special needs registry prior to an emergency, not when an emergency is approaching or occurring. - The sign up nurse will fill out the “Emergency Registration Form” from County Emergency Management Department (see attached) - The form will return to our Agency by the sign up nurse - The Intake department will send the “Emergency Registration Form” already fill out for the Sign up nurse, to the Patient’s Physician for complete the physician portion, and return to our office. - The intake department will receive the form already complete by the Patient’s Physician, and send the Q form to the &RXQW\ Emergency Registration Department, previously photocopy the form and keep one copy on Patient’s Medical record chart. The education of patients regarding their responsibility for their medication, supplies and equipment list or other emergency preparedness information as needed (in accordance with Appendix B, Section 2): The sign up nurse will reinforce to our Patients/caregivers, regarding the role of their medications, supplies and equipments - updated list will be maintained in the Patient’s Home file, (Disaster/Emergency Plan form), will be reviewed and updated at least weekly if necessary. The education of patients registered with the special needs registry on the information contained in Appendix B as well as the limitation of services and conditions in a shelter; that the level of services will not equal what they receive at home; that conditions in the shelter may be stressful and may even be inadequate for their needs; and that the special needs shelters are an option of last resort: The Appendix B of this document will be explained to our patients/caregivers, also will be instructed in: - the limitation of services and conditions in a shelter - will be reinforced that the level of services will not equal what they receive in the home, ALF, or AFHC. - Also that the conditions in a shelter may be stressful and may be even inadequate for their needs, and that the special needs shelters are an option of last resort.

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