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 11 of 54 needs shelter, and shall indicate if the patient is receiving skilled nursing services and the patient’s medication and equipment needs. The list shall be furnished to county health departments and to local emergency management agencies, upon request (pursuant to s. 400.492 (2), F.S.): Our Agency shall to maintain accurate prioritized list of Patients with Specials Needs , in private homes, assisted living facilities (ALF) and adult family home care (AFHC) who need continued services during an emergency, according the following procedures: - In the Admission, the signup nurse, will fill out all Emergency/Disaster forms, including classification, decline in function, medications, equipment for life support - As case continue for services, all forms must be updated with current information, including, medications, equipments, decline or improve in function, the Forms must be updated as often as possible, but at least bi-weekly. - The Director of Nursing, or designee, shall review all information receive from admission or follow up staff, this data will be transfer to the “Agency’s Master List”, (see Appendix ‘C’), that list shall be up to date, as often as possible, but not least than bi- weekly. In case of Emergency approaching, the list must be reviewed/updated immediately. - During Hurricane season, the patient will be instructed, that Emergency/Disaster Form, with all clinical information data, including medications, specials needs, equipments, that is maintained current from our staff, have to be available, for special shelter transfer needs. Patients who are on the current prioritized list of registered special needs patients will be assisted, within our staff’s capabilities, in getting to the special needs shelter in order of acuity priority. Those with the highest priority will be assisted first. The priority list will be made available to the local emergency management agency or health department as requested and mandated by law. The list will contain at a minimum, the following information on each patient: (see Appendix ‘C’) I. How services should be continued for this patient during an emergency II. Who is to transport this patient to the shelter if applicable III. What type of skilled care is required for the continued care of this patient IV. A list of the patient’s medications, supplies and equipment needs A notification in the clinical record will be made concerning the patient’s registration with the special needs registry, and any evacuation plans that have been made. All patients who are registered will be given “Appendix B: Information for Home Health Agency Patients” During off hours, weekends and holidays, each employee has address any Emergency alert, to our Agency decision makers, through our On-Call services, dialing our phone number or using Administrator/Director of Nursing, email or cell number, provided to each employee. Also our On-Call daily employee will be displayed in the Agency’s Information Board: Angel Home Care Services, Inc.