Emergency Plan Manual

medical device determine a back-up plan. Clients will be instructed to: When the power goes out, they should NOT: • Perform an action to the device that they aren’t sure of • Assume the device is working correctly • Leave home without the device • Forget the power outage booklet Our customers will have an established plan to obtain and organize their medical device information, take necessary actions so that them can continue to use their device, have the necessary supplies for the operation of their device, and know where to go or what to do during a power outage. Instruct the patient/caregiver to create an Emergency Patient’s file that amend to have family contact emergency information, supplies used, medication taken, instructions in case of hurricane and other disasters, insurance cards, current home care doctor’s orders, plan of treatment, what a family member, friend, shelter or hospital should do to help me in an emergency, copy of the power of attorney (personal and medical) allowing someone to act on my behalf if I am not able to, contact information for their health care provider(s) and pharmacy, where to go for medical supplies., instructions for using the medical device and all device manuals, also have handling the Device Information, recommend to have handling: My Device is: _______________________________ Model: _______________________ Device Supplier: _____________________________ Phone #: _______________________ We will help our customer to answers the following questions: Can a power surge cause my device to stop working? If yes, what type of surge protector do I need? Does my device have a back-up system? If yes, how long will it operate and where is it located? Can my device operate on another power source? If yes, what type? Could I be harmed if my device stops for a short period of time? If yes, what is that time period? Will my device still work if it does not have power for an extended period of time? If yes, how long can it work without power? What happens if I lose power in the middle of a treatment? Should I restart a treatment if it is stopped in the middle or resume where it stopped? Do I need extra medical supplies that would last for a minimum of 3 days? If yes, where are they located? Does my device or do my supplies have to be kept at a certain temperature? If yes, what temperature? Do I need a portable cooler and ice packs to store refrigerated supplies and medicines? If yes, where are they located? Do I need the proper products to clean my device? If yes, what are they and where are they located? Is there specific information about power outages for my specific device that I should write here? Can my device use batteries in the event of a power outage? Can I change the batteries in my device? If not, who should I contact? Do I have a functioning flashlight with an extra supply of batteries? If so, where are they located? What type of batteries does my device use? How many batteries does it take to operate my device? How long will the device last on battery power? How do I switch operation of my device from battery to electric power? Establish What to Do After Power is Lost and Restored Notify Contacts Notify the following when power is lost and restored: □Local power company Phone # ____________________ □Local fire department Phone # _____________________ □Family and friends Phone # _______________________ □Health care provider(s) Phone # ____________________ □Home care provider(s) Phone # ____________________ □Primary Physician Phone # _______________________ □My supplies are purchased at: ________________________________ Phone # _______________________ □Type of transportation use: ___________________________________ Phone # _______________________ □My pharmacy is: ___________________________________________ Phone # _______________________ Check Supplies Look for the following when checking supplies and do NOT use if: □Packaging is torn or damaged. □They are wet or dry and shouldn’t be. □They are very hot or very cold and shouldn’t be. □There are loose or missing pieces and shouldn’t be. Check Device Look for the following when checking your device and do NOT use if you find: □Signs of damage, including power cords. □Incorrect device settings. If the patient’s home has a Generator, instruct: NEVER use portable generators indoors, even if you have ventilation. If you feel