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 33 of 54 __pg 10_ 3. Explain how key field staff will be alerted. __pg 10_ 4. Define the policies and procedures for reporting to work for key workers, when the home health agency remains operational. __pg 10 _ 5. Explain how patients will be alerted, and the precautionary measures that will be taken, including but not limited to voluntary cessation of the agency’s operations. Refer to s. 400.492(3), F.S., for a definition of voluntary cessation. __pg 10_ 6. Identify alternative means of notification should the primary system fail, pursuant to s. 400.492, F.S. __pg 10_ 7. Identify how the agency will maintain a current prioritized list of patients who need continued services during an emergency. The list shall indicate how services shall be continued in the event of an emergency or disaster for each patient and if the patient is to be transported to a special 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.). Ap “C” pg 19 D. During an Emergency __pg 14_ 1. During an emergency, when there is not a mandatory evacuation, some patients may decide to stay in their homes. Describe procedures the home health agency will take to assure that all patients needing continuing care will receive it, either from the home health agency or through arrangements made by the patient or the patient’s caregiver. __pg 14_ 2. Identify procedures for the home health agency to assure that all patients needing continuing care will receive it, either from the home health agency, through a special needs shelter, or through arrangements made by the patient or the patient’s caregiver. Identify procedures for ceasing operation, as defined in s. 400.492, F.S., including notifying all patients or patient caregivers 2 the home health agency is ceasing operation. E. Evacuation The following criteria should be addressed to allow home health agencies to respond to evacuation of patients who are registered as special needs patients requiring assistance with evacuation. __pg 14_ 1. Identify procedures for establishing, and keeping updated, medication, supplies and equipment lists, as defined in 59A-8.027, F.A.C., to be kept in the homes of special needs patients and to accompany the patient during evacuation to a special needs shelter. Ap “B” pg 18 __pg 14_ 2. Identify procedures for educating the patient and caregiver concerning the medication, supplies and equipment list, as defined in appendix B of this document, and the need for this list and other items to accompany the patient during the evacuation. 2 Caregivers can be relatives, household members, guardians, friends, neighbors, and volunteers.

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