residential care emergency response plan template february 2013

7/21/2019 Residential Care Emergency Response Plan Template February 2013

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[Insert Facility Name & Logo]Emergency Response Plan

[Address][Created on]


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[Facility Name & Logo]Emergency Response Plan

FORWARD

The following is intended as an emergency preparedness resource to lead a residential carefacility planning team through a process of developing a comprehensive program. This

template, provided in word format, is intended to be a skeleton template for drafting a residentialfacility emergency plan. If you have an existing plan, elements of the template can be used tosupplement that document.

[Instructions and locations where your facility information should be inserted] within the plan areillustrated by brackets and italicizedtext and should be deleted after completion.

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TABLE OF CONTENTS

INTRODUCTION.........................................................................................................................5urpose % &cope..................................................................................................................... '

(b)ectives................................................................................................................................'

*uthority and +egislative e-uirements...................................................................................

istribution % *mendments...................................................................................................... "

SITE DESCRIPTION...................................................................................................................0acility +ocation....................................................................................................................... 1

0acility 2onstruction................................................................................................................. 1

0acility esidents..................................................................................................................... 1

0acility 3tilities......................................................................................................................... 4

0acility &ervices..................................................................................................................... $5

0loor lan............................................................................................................................... $!

E!ER"ENC# PREPAREDNESS............................................................................................. $%6itigation................................................................................................................................$7

8a9ard isk #ulnerability *nalysis......................................................................................... $7

&ite 8a9ard *ssessment........................................................................................................ $'

2ommunications....................................................................................................................$"

(rgani9e and :-uip............................................................................................................... !$

0ood % ;ater......................................................................................................................... !$

RESPONSE PROCEDURES.....................................................................................................&%:mergency 2olour 2odes...................................................................................................... ! ?omb Threat.................................................................................................... !

2ode ?lue > 2ardiac *rrest or 6edical :mergency...............................................................!1

2ode (range > isaster > 6ass 2asualty.............................................................................!4

2ode =reen > :vacuation...................................................................................................... 0ire..................................................................................................................... 8a9ardous 6aterials &pill............................................................................... 6issing atient...............................................................................................


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elocation % eception..........................................................................................................7$

0acility Transfer *greement...............................................................................................7ey Loca23on

$.

&.

%.

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Floor Plan

*ttach floor plans for each of the building/floors your site occupies here.

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E!ER"ENC# PREPAREDNESSThis section provides preparedness and mitigation strategies, includingD

8a9ard isk #ulnerability *nalysis

&ite 8a9ard *ssessment

2ommunications

:mergency reparedness &upplies

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!323ga23on

6itigation is a key component of your emergency management program. reventing orlessening the impact of emergencies and disasters starts with knowing what ha9ards are likely

to impact your community and understanding how they can impact your uni-ue situation.

?a8ar6 R3s@ '/lnera03l32y Analys3s

* 8a9ard isk #ulnerability *nalysis A8#*B will enable you to identify and prioriti9e all potentialrisks to your facility, staff and residents. &tart your 8#* by consulting with your municipalemergency planner to identify the most likely ha9ards that will impact your community and themost common outcomes or conse-uences of that ha9ard. (nce your local ha9ards areidentified, consider how they may impact your facility, operations and staff and include thisinformation in your emergency plan using the 8#* tool.

?a8ar6 Conse7/ences '/lnera03l323es Reso/rces

"/36el3nes

Identify the mostlikely ha9ards toimpact yourcommunity and anyuni-ue or specificthreats to your facilitygiven your immediateenvironmentD

2ommunicable

disease outbreak 2riminal > bomb

threats, hostage,shooting

:arth-uake

:xtreme

cold/heat

0ire

0looding

8a9ardous

6aterial event Interface forest

fire

+andslide

&evere ;eather

events

2onsider thepotentialconse-uences ofeach ha9ardD

amage to

criticalinfrastructureH >:nergy % 3tilities,0inance, 8ealth

&ervices,Information %2ommunicationsTechnology,0ood, ;ater,&afety,=overnment&ervices,6anufacturing %+ogistics

amage to

critical facilities

In)uries %

fatalities

Threat to public

health

?usiness

isruption

2onsider the impactthe ha9ards andassociatedconse-uences willhave on yourD

0acility

0amilies

Immediate

environment esidents

(perations

&taff

+ist the mitigationand preparednessstrategies andresources in place toprevent or managethe response to theseha9ards, such asD

6itigation

strategies to

remove or reduceha9ard

:mergency lan

% applicableresponseprocedures

elated

education,training %exercises

esources %

supplies

2ontingency

plans

:xternal

resources

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3tility outages

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S32e ?a8ar6 Assessmen2

2onduct a site ha9ard assessment utili9ing the expertise of your facilities maintenancepersonnel, property management and other key stakeholders. etermine what risks exist at

your facility and prioriti9e those risks that pose an immediate or significant threat to people, yourfacility and assets, and determine strategies to mitigate.

&tructural and external ha9ards to consider in context of earth-uakes and other ha9ardsincludeD

:nsure home is bolted to the foundation

8ot water tanks are bolted to studs in the wall or floor

?race lighting systems and gas appliances wherever possible

2onsider installing flexible metal connectors to connect appliances to rigid piping

Geep drainage systems clear of leaves, snow and other sources of blockage

*dditional information on ha9ard specific mitigation is available on the :mergency 6anagement?2 ;ebsite at httpD//embc.gov.bc.ca/em/index.html.

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http://embc.gov.bc.ca/em/index.htmlhttp://embc.gov.bc.ca/em/index.html


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Templa2e= S32e ?a8ar6 Assessmen2

NonS2r/c2/ral ?a8ar6s

2y Pr3or32y Ancor

$

Re


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Comm/n3ca23ons

To ensure alternative modes of communications are deployable should one system fail duringan emergency, the following e-uipment or communication systems can be usedD

[list the alternati"e modes of communications a"ailable can include telephone lines

'include analog phones in case of power outage( mobile both personal and facilityissued( radio 'handheld( am)fm and amateur*( pager( electronic email( intranet andinternet sites( public announcement)broadcast systems]

Comm/n3ca23ons D3rec2ory

The communications directory ATable $B identifies the location of communications e-uipmentand provides the contact information of key staff, agencies and vendors. The directory isupdated [enter fre+uency e,g, e"ery - months] by [enter staff position or departmentresponsible].

S2a


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Ta0le $ Emergency Comm/n3ca23ons D3rec2ory

In2ernal

&atellite hones

8andheld adios

*mateur adio

Pone Cell Pone Pager Ema3l Fa

Incident 2ommand ost

E2ernal

Agency Pone Cell Pone Pager Ema3l Fa

0ire, olice *mbulance 4$$

roperty 6anagement

elocation &ite $

elocation &ite !

+icensing +ocal (ffice

0ortis?2 $.155.


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Ta0le & Emergency S2a


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Ta0le % S2a


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Organ38e an6 E7/3p

In a ma)or emergency or disaster you may be on your own for a minimum of "! hours withoutoutside resources, electricity or the use of other utilities. To minimi9e these impacts and tosupport staff in carrying out the response roles, each facility should store enough supplies to

sustain all staff and residents for a minimum of three days.

The list below contains suggested suppliesF supplies to meet the extra support needs ofresidents should also be considered.

Emergency S/ppl3es

*6/06 radio % batteriesH 0ood % water

0lashlight % batteries aper cups % plates

+ight sticks 6anual can opener

?lankets 6edication

ust masks iapers % wipes

&afety =loves &anitation supplies

2rowbar Toilet paper

8ard hat ortable or *lternate Toilet

uct Tape aper, pencils % indelible markers

lastic sheeting % tarps 0acility keys

=as wrench &ignage

*d)ustable wrench 2opy :mergency lan

&hovel esident medical records

*lternative lighting isaster 0irst *id Git

8ydrated lime2ommunication irectories Akey contactinformation for staff, volunteers andexternal agencies

;ater purification tablets

=arbage bags

./o a"oid corrosion store batteries separately

Foo6 + Wa2er

0acilities should store a


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Ta0le ( Emergency S/ppl3es In4en2ory + !a3n2enance Form

Loca23on=

"eneral S/ppl3es=

2y I2em Inspec2e6 Commen2Da2eReplace6

Da2e o< Inspec23on= Inspec2e6 0y=

Da2e Replacemen2s Comple2e= Replace6 0y=

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RESPONSE PROCEDURES

Emergency Colo/r Co6es

:mergency colour codes are used in hospitals and other health care centres worldwide to

denote to staff various kinds of emergency situations. The use of codes is intended toconvey essential information -uickly and with minimal misunderstanding to appropriatepersonnel. They enable a concise means of ensuring all personnel receive a commonmessageF signaling the need for an urgent response without unnecessarily alerting or alarmingpatients, residents or visitors.In !5$$, the ?2 6inistry of 8ealth A6o8B issued a policy that standardi9es these colour codes inacute care facilities across ?ritish 2olumbia. The intent of this policy is to ensure consistency incolour codes used across the province. This need for standardi9ed codes is underscored by themobility of the health care workforce.esidential care facilities are not re-uired to develop codes that conform to this

standardi9ation. 8owever, it is strongly encouraged that sites align any codes they develop orhave developed to the policy issued by the 6o8. oing so will help speed up response andallow for a broader understanding by health care workers visiting from other facilities.

"eneral Response Proce6/res

This section provides general planning considerations and response procedures with regards toemergency colour codes as outlined in the 6o8 policy. ?elow is a list of the templates providedin the following pages. These templates correspond to the most common ha9ards that sitesshould develop codes and procedures for. Templates will need to be customi9ed for yourfacilities. EoteD &ites are not re-uired to adopt and develop all the codes listed below and in the6o8 policy. &ites should only develop codes that are relevant to them.

*ggression > 2ode ;hite

?omb Threat > 2ode ?lack

2ardiac *rrest > 2ode ?lue

isaster C 6ass 2asualties > 2ode (range

:vacuation > 2ode =reen

0ire > 2ode ed

8a9ardous 6aterial &pill > 2ode ?rown

6issing atient > 2ode @ellow

3tility 0ailures > ower, ;ater, =as, &anitation > 2ode =rey

2ontrolled *ccess

:arth-uake eception % elocation

&helter In lace

In the event of an incident, consider contacting you local municipal contact and/or you localhealth authority.

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Co6e W32e Aggress3on

De


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+ower external stimuli Alower T# volume, overhead pages, etc.Betermine when it

is safe to give Lall clear/stand downM to 2ode ;hite response.

2oordinate postCevent debrief.

2omplete the appropriate from for your (8%&

A


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Co6e Blac@ Bom0 Trea2

De


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Bom0 Trea2 De2a3l Form Bom0 Trea2 0y Pone

Pone N/m0er

A2heck call displayB

Da2e + T3me o< Call

Wen 3s 2e 0om0 go3ngo


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Co6e Bl/e Car63ac Arres2 or !e63cal Emergency

De


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Co6e Orange D3sas2er !ass Cas/al2y

De 6ass 2asualty is the emergency response to a large scale event where demand for

service at a site exceeds capacity and support is needed.

Response Cec@l3s2


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Geep telephone available Ae.g. turned on and free from useB, in case staff are needed forcallCback.

&taff may be re-uired to report to a preCdesignated area and wait for further

instructions A+abour ool or #olunteer ositionsB.

eport to work as per normal schedule. ;atch for changes to site access and parking.

;ear your photo identification.

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Co6e "reen E4ac/a23on

De any employee can initiate an evacuation from an affected area.

Pre4en2a234e e4ac/a23onsoccur when there is a credible, potential threat > the most seniorstaff member decides to carry out a preventative evacuation often made in consultation withlocal authorities.

The scale or level of the evacuation can vary depending on the threat. * hori9ontal evacuationinvolves the movement of people away from the immediate threat but remaining in an area ofrefuge on the same floorF a vertical evacuation involves the movement of people to a different

floor or a complete or facility evacuation re-uires the movement of people out of the facility to anassembly point outside and potentially to a relocation site.

Plann3ng Cons36era23ons

Identify wardens or evacuation leads for every floor.

Identify areas of refuge on every floor and assembly points outside of your facility.

+ocate these locations on your facility map.

2onduct and maintain an assessment of residents based on their mobility and ability or

re-uirements for evacuation.

etermine criteria and priority for evacuation

2onsider devices and training staff in special lift techni-ues for nonCambulatory patients

:nsure plans are current and posted, reflecting any changes to your facility

:valuate your existing evacuation routes to ensure you have ! unobstructed escape

routes. Indicate the routes and exits on your facility map

etermine who will lead the evacuation and has the authority to initiate a preventative or

complete evacuation, such as the facility administrator or most senior staff member

2onsider transportation resources and procedures > keep vehicle gas tanks half full of

gas

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Response "/36el3nes

*ssigned to/+eadD

6ake a -uick assessment of the situation

:valuate the evacuation route to ensure a safe and clear routeEotify staff in the immediate area or entire facility depending on the scale of theevacuation, possibly through paging systems, operator or switchboard

=ive instructions to evacuate and to meet at the assembly point

epending on the threat call in additional resources to assist and notify seniormanagement

:vacuate based on priorityD

$D move those closest to immediate danger

!D direct ambulatory patients and visitors


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Co6e Re6 F3re

De


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Co6e Bron ?a8ar6o/s !a2er3als Sp3ll

De


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Co6e #ello !3ss3ngPa23en2

De


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Co6e "rey U23l32y O/2age

De


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Poer O/2age

*ssigned to/+eadD

2heck neighbouring facilities power. If the power outage is limited to your facilityD

2heck your circuit breaker panel or fuse box

To turn off the power at the breaker, turn your face away from the panel. &tartby turning off the individual breakers then the main switch

I< 2e poer 3s o/2 3n yo/r s/rro/n63ng area=

Turn down thermostats and disconnect all electrical heaters and appliances toreduce the initial demand when the power is reconnected

3nplug computers, # players, T#Ns, microwaves to protect against possiblesurges when the power is restoredTurn off all lights except one, which will alert you when the power has beenrestoredGeep the doors of your refrigerator and free9er shut as much as possible tomaintain the cold temperature

(nce the power is restored, turn on only the most essential appliances and wait &eparate li-uid and solid waste

isinfect solid waste > use gloves and powdered hydrated lime&tore solid waste in industrial pail with tight fitting lid

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Con2rolle6 Access

De


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Ear27/a@e

De


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Reloca23on + Recep23on

De


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E4ac/a23on + Reloca23on S32es

E4ac/a23on Assem0lyPo3n2

*n area outside the facility that is designated forassembly of staff, residents, volunteers and visitors.

Loca23on

Secon6ary Assem0lyPo3n2

*n open or safe area within the area should you need toevacuate further from your facility.

Loca23on

Reloca23on S32es *n alternate site that can accommodate the needs ofresidents. These facilities must agree to serve as hostsfor your staff and residents, have suitable space andamenities to meet the needs of residents.

Fac3l32y Name=

Loca23on=Pone n/m0er=

Al2erna2e n/m0er=

Con2ac2 person=

Fac3l32y & Name=

Loca23on=

Pone n/m0er=

Al2erna2e n/m0er=Con2ac2 person=

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Fac3l32y Trans


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Sel2er 3n Place

De


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RECO'ER#

ecovery planning is )ust as important as preparedness planning. 6any facilities that have notplanned for business disruption have never recovered from a disaster. If you are forced to closeover a long period of time, what will happen to your workforceK If you re-uire speciali9ed

e-uipment and technology, how long will it take to replace, particularly if other facilities are alsoattempting to find a replacementK

To assist in the recovery of your facility and operations,

Identify critical supplies, e-uipment, and key suppliers that support your facility to

determine strategies to protect key resources or to identify alternatives. Include contactinformation of key suppliers in the communications directory

etermine critical operations and make plans to ensure the continuity of those

operations or to bring those systems back online.

?ack up or store offCsite copies of key documents, files and business records

Identify and make arrangements for an alternate location where you can continue to

provide care, if you cannot reCoccupy your site etermine if you have ade-uate insurance coverage, including earth-uake coverage

6aintain ade-uate records to inventory furniture, e-uipment and highCcost items

2onduct a thorough damage assessment of your facility following the disaster

2onsider plans for supporting staff C cash advances, salary continuation, flexible work

hours, reduced work hours, crisis counseling, care packages, daycare

Identify restoration companies that can assist with the clean up of your facility and

include their !7 hour contact information in the communications directory

2ontact #28 2ommunity 2are 0acility +icensing to report a service delivery problem

within !7 hours of isolated incidents using the Incident eport 0orm

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Cr323cal E7/3pmen2 + In


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APPENDI* A

ROLES + RESPONSIBILITIES

!anager9D3rec2or9?ea6 o< Fac3l32y

2oordinate with :mergency 6anagement to create and maintain an emergency program

and plan for the facility.

evelop, in coordination with :mergency 6anagement, an annual training and exercise

program including personal preparedness training for staff, monthly evacuation drills andan exercise of the emergency plan, at least once a year

6aintain records and documentation of emergency training, exercises and maintenance

of supplies and e-uipment

+ead the response to incidents as the Incident 2ommander and ensure alternates are

clearly designated in your absence.

:stablish agreements with reClocation facilities and essential vendors/suppliers.

Res36en2 Care Coor63na2or:s; RCC

:nsure the most appropriate 22 acts as Incident 2ommander during emergencies,

when &ite 6anager is not onCsite. Incident 2ommander to appoint supporting leadershipstaff Ai.e. &ection 2hiefsB as appropriate and as staffing resources allow.

*ct in supporting leadership roles Ai.e. (perations &ection 2hiefB during emergencies

when &ite 6anager is acting as Incident 2ommanderF oversee direct resident care and

continuity of operations. 2ommunicate with staff, residents and visitors, at the direction of the Incident

2ommander or provide this leadership when acting as the Incident 2ommander.

rovide input and participate in emergency planning activities and exercises on a routine

basis.

All S2a


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Foo6 Ser43ces

articipate, review and assist in the development of the facility emergency plans and

procedures.

6aintain a sufficient supply of food and water in case of emergency, minimum < days.

evelop contingency plans to support the emergency stockpile of food and water.

*ttend and participate in emergency training and exercises.

Fac3l323es9!a3n2enance

articipate, review and assist in the development of the facility emergency plans and

procedures.

articipate or lead the ha9ard site assessment to identify and mitigate physical ha9ards.

rovide and maintain facility specific information in the emergency plan, such as the

location of utility controls and procedures for managing in an emergency.

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RESPONSE OR"ANI,ATION

This section outlines the framework for [site name] organi9ational response. It includes anorgani9ational structure to provide overall direction and control of the facilityNs emergencyoperations.

Le4els o< Response + Coor63na23on

In ?2, the ?ritish 2olumbia :mergency esponse 6anagement &ystem A?2:6&B is adoptedby local and provincial governments, regional health authorities and first response agencies asa comprehensive management system that provides the framework for a standardi9edemergency response. It is based on the Incident 2ommand &ystem and the operational levelsare in the diagram below.

The ?2:6& is a PbottomCupN response model, and reflects the fact that emergency events arepredominantly managed at the facility or site level. In the event that the incident cannot beade-uately managed from the site due to insufficient resources, an escalating threat, or anincident that impacts multiple sites, site supportcan be provided by the organi9ationNs corporateleadership, health authority or local government.

Incidents in the community are managed daily by first responders > police, fire and ambulance.:mergency calls are prioriti9ed based on the severity of the incident and the availability ofresources. In a larger scale event, local authorities may also activate :mergency (perations2entres A:(2sB or mobili9e staff to coordinate the response. uring these ma)or emergencies,the local authority, together with first responders, will assess and prioriti9e community needs,allocate resources and respond based on the determined priorities. In a ma)or emergency thatcause ma)or disruption to transportation networks or infrastructure, outside assistance orcommunity resources may not be immediately available. 8igh demand for limited resources

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&ite

Incident 2ommandost

AI2B

&ite &upport+evel:mergency (perations 2entre A:(2B

rovincial egional

2oordination +evel

A:(2 B

rovincial

2entral

2oordination

+evel A:22B

6inistry of 8ealth

A6(8B

8ealth *uthorityAegional :(2B

&ite/0acility

AI2

B

*rea&upport A:(2B

Local + Pro43nc3al A/2or323es ?eal2 A/2or32y


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and nature of the emergency itself means that facilities should be selfCsufficient and manageimpacts at the site level as much as possible, and look to corporate leadership for site supportwhere necessary.

S32e Response

The ma)ority of incidents are managed at the site level and are the responsibility of the facility.uring an emergency at [site name], the Incident 2ommand &ystem AI2&B will be used as aframework for command, control and coordination of emergency operations. The I2& providesa way of coordinating staff and resources toward safely responding, controlling, and mitigatingan emergency incident. I2& is an organi9ed response management structure used by localgovernments, agencies, and provincial ministries that applies key principals and goals in astandardi9ed way.

Inc36en2 Comman6 Sys2em

The I2& is organi9ed into ' key functions as described belowD

F/nc23on Role

Inc36en2

Comman6:"reen;

esponsible for overall command, control andcoordination of site emergency operations, includingpublic information/media relations, agency liaisonand safety/risk management.

Opera23ons

:Orange;

esponsible for providing a communications link withthe site or units and coordinating operations insupport of the emergency response.

Plann3ng

:Bl/e;

esponsible for collecting, evaluating, anddisseminating information within the I2, developingthe *ction lan, and the &ituational eport incoordination with other functionsF and maintaining allI2 documentation.

Log3s23cs

:#ello;

esponsible for ensuring that the I2 is operationalFand providing staff, services, e-uipment and suppliesto fulfill any approved resource re-uests.

F3nance + A6m3n

:"rey;

esponsible for all aspects of financial managementincluding cost tracking, financial reporting,administering procurement contracts, and overseeingthe procurement process.

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Bas3c Pr3nc3ples o< ICS

The basic principles of I2& includeD

*ppointment of an Incident 2ommander who has overall responsibility for the facilityNs

response.

*ll functions remain with the Incident 2ommander until delegated to other positions.

* preCdefined, clear reporting channel Achain of commandB is to be followed in order to

maintain a manageable span of control Ano more than 'C" direct reportsB.

* common language for all 2ommand &taff and &ection 2hief positions is used, which

allows for greater interoperability between partner agencies.

reCdefined responsibilities are based on response role or function.

6anagement by ob)ectives > incidents are best managed when issues are identified and

prioriti9ed. *chievable management ob)ectives are then developed and detailed

strategies and tactics for implementation. &trategies should be &6*T Aspecific,measurable, actionCoriented, realistic and timeCspecificB.

BCER!S Response "oals :pr3or32y or6er;

$. rovide for safety % health of responders

!. &ave lives


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INCIDENT CO!!ANDA&ite 6anager or 22B

OPERATIONS +*EEIE=

LO"ISTICS FINANCE

Track and account for allstaff and residents

2are for residents medicalneeds

2onduct evacuation,relocation or otheremergency proceduresas necessary

2ollect, evaluate, anddisseminate information,

develop the *ction lan,and the &ituational

eport in coordinationwith other functions

6aintain emergency food %water supplies

(btain % track medicalsupplies

6ake alternate shelterarrangements

*rrange transportation6aintain communications

e-uipment

Track expenses %administer procurementprocesses associatedwith disaster

(verall command, control and coordination offacility emergency operations6anagement of risk, public and internal

communications, and external agenciesliaison


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Inc36en2 Comman6

esponsibilities of the Incident 2ommander includeD

:xercise overall management responsibility for the facility emergency operations,

including establishing priorities for response efforts.

:nsure all actions are accomplished within priorities established.

+iaise with &enior 6anagement.

etermine if 2ommand ost activation is re-uired and establish appropriate staffing

level for the 2ommand ost, and monitor effectiveness of the response.

:nsure interagency coordination is accomplished effectively.

*ssure employee safety and risk management principles / procedures are applied for all

activities.

irect appropriate emergency public and internal information actions using the best

methods of dissemination to ensure effective communication with staff, residents,volunteers, families, the public and other key stakeholders.

:nsures risk management principles and procedures are applied to all I2 activities in

consultation with the &afety and isk 6anagement (fficer.

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Inc36en2 Comman6er

The Incident 2ommander is responsible for directing site emergency response activities,including oversight of other &ection 2hiefs, as they are appointed by the Incident2ommander.

Ass3gne6 2o= &ite 6anager

Al2erna2es= esidential 2are 2oordinator A22B

Repor2 2o= Incident 2ommand ost +ocation

Respons303l323es= $. irect and coordinate emergency response activities

!. etermine the need for and re-uest outside assistance


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Inc36en2 Comman6 Pos2

The Incident 2ommand ost AI2B is a centrali9ed location for [site name] staff to convene tocoordinate activities, resources and the flow of information. *fter the immediate life safetyresponse Ai.e. evacuation due a fireB the Incident 2ommand ost should be activated to manage

the ongoing activities in a sustained response.

The I2 should support and coordinate activities relating toD

olicy direction and support

Information management Acollection, evaluation and displayB

:stablishment of priorities

esource management

2ommunications Ainternal and externalB

The primary and alternate locations of the [site name] command post areD

$.!.

The following staff, or the most senior staff on site at the time of an incident, has the authority toactivate the I2D

[Eame], &ite 6anager

[Eame], 22

irect atient 2are II AEB supervisory staff

To set up the Incident 2ommand ostD$. :nsure Incident 2ommander is appointedF determine which location to use.

!. :nsure staff and &ite 6anager / *dmin on 2all have communication with I2.


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Inc36en2 Comman6 Forms

To support the Incident 2ommand ost activities, I2 forms are provided.

S2a2/s Repor2> a simple form that is intended to help &ection 2hiefs gather information

needed to update the Incident 2ommander during planning meetings in the I2. &tatuseports are read out at the meeting and then submitted to lanning 2hief Acopy retainedby the issuing &ection 2hiefB for further analysis and inclusion in the *ction lan. &tatuseports will be generated by each section for each lanning 6eeting.

Ac23on Plan> a document that describes the priority (b)ectives, &trategies and Tasks

for the upcoming operational period. The *ction lan is authori9ed by the Incident2ommander prior to implementation and may be re-uested by the :(2. The *ctionlan is also an important reference document during shift changes in prolongedincidents. *ction lans are developed for every operational period.

S3gn 3n See2> to track staff attendance and assignments in the I2.

Pos323on Log See2 to record key decisions and actions taken by individual staff

S32e S/ppor2

In the event that the response cannot be ade-uately managed by the facility or site, site supportfor Asite nameB can be provided by Ainsert site support level, :mergency (perations 2entreBThe site support level serves to provide support to the facility or site in the following areasD

InterCagency coordination

2ommunications % media relations

olicy guidance

+ogistics C resource ac-uisition, transportation and staffing

mm/dd/yr age '1 of "!

#ersion $


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S2a2/s Repor2TO BE USED B# ALL SECTION C?IEFS FOR DOCU!ENTATION AND PLANNIN" !EETIN"S

E4en2= S2a2/s Repor2 prepare6 0y=

Sec23on9F/nc23on=

Name=Da2e= T3me=

Opera23onal Per3o6=S32e name=

Con2ac2 n/m0er=

Fa n/m0er=

C/rren2 S32/a23on= AIncidents, actions taken, resource statusSB Awhat is currently occurring in your functionalareaB

In1/r3es an6 IllnessesAto be completed by (perations &ection onlyB

escription of In)uries / IllnessD

of eathsD of In)uredD of IllD

otential/:stimated Eo. of atientsD

O/2s2an63ng Iss/es9Callenges9Pro0lems= Aoutstanding issues needing to be resolvedB

An23c3pa2e6 Pr3or323es9Ac234323es= A0or future operational periodsB

O2er Commen2s9Iss/es= Ai.e. media information, public information bulletins, safety tipsSB

D3s2r30/23on=Incident 2ommander lannin &ection 2hief

:(2 lannin (therD

P/rpose=eport on the status of each function for each operational period or as re-uested.

Comple2e6 0y=*ll functions A6anagement Team, lanning, (perations, +ogistics and 0inanceB

Sen6 To=I2 lanning 2hief and :(2 lanning AocumentationB


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ICP Ac23on Plan:Wa2 are 2e o01ec234es an6 o are e go3ng 2o 6o 23s;

One Ac23on Plan


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(ther


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Pos323on Log

E4en2=

Sec23on9F/nc23on= Pos323on=

Da2e +T3me To9From Ac23on + Descr3p23on

Follo/pRe7/3re6


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SI"NIN 9 SI"NOUT S?EET

36en2= Opera23onal Per3o6=

2e= Fac3l32y=

Pr3n2 Name

:F3rs2 an6 Las2;

Agency 9 Organ38a23on 9Depar2men2

T3me

InS3gna2/re

Role OR

Person !ee23ng

T3meO/2

In32

ge JJJJJJJJ of JJJJJJJJ repared ?yD AEame and ositionB


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APPENDI* B

TRAININ" AND E*ERCISE

Training and exercising plans, procedures and staff are essential components of an emergency

management program. The re-uirement to train and exercise is established in the new ?2 esidential2are +icensing egulation, the 2anadian 2ouncil of 8ealth &ervices *ccreditation standards, andprovincial legislation governing emergency management. The goal is to provide staff with opportunities tofurther their understanding of the facility emergency plan and procedures, enhance their familiarity,confidence and capacity to carry out their role in an emergency.

The following types of exercises provide a practical approach to staff training and an opportunity to testand evaluate the effectiveness of your emergency plan and procedures. 3se a combination of thevarious types of exercises depending on your needs and ob)ectives.

Type of :xercise escription 2haracteristics

(rientation * basic familiari9ation with a specific plan,procedure, or piece of e-uipmentF discussionCbased

Information discussion

$C! hours

rill * coordinated, supervised exercise to test orpractice a single specific function

:xamplesD fire and earth-uake response andevacuation drills, test of communicationse-uipment and call back procedures

*ctual facility response

&imple to design

3se of actual e-uipment

5 minutes

Tabletop * facilitated analysis of an emergencysituationF usually lowCstress, problemCsolvingdiscussionCbased

;ritten narrative with

problem statements

Eo time pressures

$C7 hours

0unctional * simulated, interactive exercise to test an

organi9ationNs ability to respond to a moderateincident

Interactive with inputs

provided by simulators

eal time pressure

! or more hour

0ull &cale &imulates a real, potentially stressful event asclosely as possibleF evaluates operationalcapabilities

ealistic event

3se of personnel and

e-uipment

! hours to ! days

* suggested schedule includesD

rills > monthly to test communication e-uipment, evacuation procedures and ha9ard specific

response to fire, earth-uake and chemical events

Tabletop > -uarterly to exercise various aspects of the emergency plan

0unctional > annually once staff have participated in the previous types of exercises to add real

time pressure

0ull &cale > because full scale exercises are more complex and time consuming to both design

and deliver, consider running every few years* sample tabletop exercise and a record of participation are provided as templates on the followingpages.

mm/dd/yr age 7 of "!#ersion $


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Tra3n3ng + Eerc3se Recor6 o< Par23c3pa23on

#ear=

Da2e Type O01ec234e Par23c3pan2sCangesRe7/3re6

Ass3gne6 2o

E6/ca23on an6 Tra3n3ng

&taff (rientation (verview of emergency program

ersonalreparedness

To encourage staff to be prepared

lan (rientation 0amiliari9ation with emergency plan

Incident2ommand

3nderstanding the commandstructure

Eerc3ses

rill :vacuation > earth-uake scenario

Tabletop exercise &helter in place procedures

lan review2ommunications irectory >updated staff contact information

6aintenance:mergency supplies > expired

items

mm/dd/yr age ' of "!#ersion $


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Ta0le2op Eerc3se Templa2e

Da2e= Fac3l32a2or=

Par23c3pan2s=

P/rpose=To provide an opportunity to discuss and reinforce earth-uake safety proceduresand establishing an incident command post.

O01ec234es=

Scenar3o=

*t $5D5" hours this morning, a ".! magnitude earth-uake with its epicentre )ust off the coastof #ancouver Island, struck southwestern ?ritish 2olumbia. The earth-uake, accompanied bystrong surface shaking, lasted approximately 7' seconds. 8ardest hit were #ancouver Island,the urban centres of =reater #ancouver, the &unshine 2oast and large portions of the 0raser#alley. The tremors were felt as far away as Terrace to the north and Gamloops to the east.

Imagine that you hear a low, rumbling, roaring sound. The noise builds, getting louder andlouder, for about ten seconds. Then you feel the building and floor beneath you shake.

/es23ons + Inp/2s Epec2e6 O/2come A


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Ear27/a@e Scenar3o

*t 5D5" hours this morning, a ".! magnitude earth-uake with its epicentre )ust off the coast of#ancouver Island, struck southwestern ?ritish 2olumbia. The earth-uake, accompanied bystrong surface shaking, lasted approximately 7' seconds. 8ardest hit were #ancouver Island,

the urban centres of =reater #ancouver, the &unshine 2oast and large portions of the 0raser#alley. The tremors were felt as far away as Terrace to the north and Gamloops to the east.

Thousands of people sustained mild to severe in)uries, and hospitals experienced moderate tosevere damage to their facilities and infrastructure. :mergency 6edical &ervices areoverwhelmed by the numbers of calls and arriving in)ured. Transportation to hospitals is difficultdue to street debris that is blocking access.

6ain water and power services have been disrupted in your community. Telephone landlines arenonCfunctional, rendering telephone, fax and internet unavailable to the 2are 2entre.

@our facility appears to have sustained minor damage, with a few broken windows and cracks inthe concrete parking area walls. The generator can not be started. The damage may be minorbut the problem has not yet been diagnosed.

Sample /es23ons$. ;hat do you need to know to determine the magnitude of the eventK!. ;hat is your primary concernK


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Cem3cal Sp3ll Scenar3o

Gaboom 2hemical 2orporation is located in the industrial area in close proximity to your facility.Today at $


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W3n6s2orm Scenar3o

(n Tuesday ecember 4, at $1D


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Wa2er !a3n R/p2/re

There is construction several doors for your facility. uring excavation a $! inch water main isruptured causing significant flooding in your neighbourhood. This causes a disruption of waterservice to your facility and the surrounding area and repair may take more than $! hours. 0lood

waters are encroaching on the grounds of your facility.

Sample /es23ons$. ;hat do you need to know to determine the magnitude of the eventK!. ;hat is your primary concernK


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RESOURCES

Local

*bbotsford httpD//www.abbotsford.ca/emergencyJprogram.htm

*nmore httpD//www.anmore.com/siteengine/activepage.aspKageIU"!

?elcarra httpD//www.belcarra.ca/indexCprotectiveCservices.htm

?urnaby httpD//www.burnaby.ca/2ityC&ervices/ublicC&afety/:mergencyCrogram.html

2hilliwack httpD//www.chilliwack.com/main/page.cfmKidU45"

2o-uitlam httpD//www.co-uitlam.ca/default.htm

elta httpD//www.corp.delta.bc.ca/:E/main/residents/publicJsafety/emo.html

8ope httpD//www.hope.ca/index.php

Gent httpD//www.district.kent.bc.ca/index.html

+angleyA2ity % TownshipB

httpD//www.city.langley.bc.ca/index.php/residents/emergencyCprogram

6aple idge httpD//www.mapleridge.ca/:E/main/emergency/municipalJemergency.html

6etro #ancouver httpD//www.metrovancouver.org/planning/emergency/ages/default.aspx

6ission httpD//www.mission.ca/

Eew ;estminster httpD//www.newwestcity.ca/residents/publicJsafety/emergencyJpreparedness/index.php

Eorth &horeAincludes 2ity of Eorth#ancouver, istrict of Eorth#ancouver % istrict of;est #ancouverB

httpD//www.nsemo.org/

itt 6eadows httpD//www.pittmeadows.bc.ca/:E/main/residents/74$$1/1


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0raser 8ealth httpD//www.fraserhealth.ca/

rovidence 8ealth httpD//www.providencehealthcare.org/

rovincial 8ealth &ervices httpD//www.phsa.ca/default.htm

#ancouver 2oastal 8ealth www.vch.ca

Pro43nc3al an6 Fe6eral

"! 8our reparedness www.getprepared.ca

?2 8ydro www.bchydro.com

:mergency 6anagement ?2 httpD//www.embc.gov.bc.ca/index.htm

6inistry of 8ealthy +iving and &port www.hls.gov.bc.ca/ccf/adultJcare.html

Eatural esources www.earth-uakescanada.nrcan.gc.ca

ublic 8ealth *gency of 2anada www.phacCaspc.gc.ca/indexCeng.php

&afe 2anada www.safecanada.ca

0ortis ?2 httpD//www.fortisbc.com

A66323onal Reso/rces

?2 2oalition of eople with isabilities httpD//www.bccpd.bc.ca

ialC*Cietitian www.dialadietitian.org

:mergency reparedness for Industry and2ommerce 2ouncil

www.epicc.org

Emergency S/ppl3ers

?raidner &urvival Gits www.survivalkits.com

0.*.&.T. +td www.fastlimited.com

Grasicki and ;ard www.krasickiandward.com

Vuake &afe +td. www.-s-uakesafe.com

Terra 0irm :arth-uake reparedness Inc www.terrafirm.ca
http://www.fraserhealth.ca/http://www.providencehealthcare.org/http://www.phsa.ca/default.htmhttp://www.vch.ca/http://www.getprepared.ca/http://www.bchydro.com/http://www.embc.gov.bc.ca/index.htmhttp://www.embc.gov.bc.ca/index.htmhttp://www.hls.gov.bc.ca/ccf/adult_care.htmlhttp://www.earthquakescanada.nrcan.gc.ca/http://www.phac-aspc.gc.ca/index-eng.phphttp://www.safecanada.ca/http://www.fortisbc.com/http://www.bccpd.bc.ca/http://www.dialadietitian.org/http://www.epicc.org/http://www.survivalkits.com/http://www.fastlimited.com/http://www.krasickiandward.com/http://www.qsquakesafe.com/http://www.terrafirm.ca/http://www.fraserhealth.ca/http://www.providencehealthcare.org/http://www.phsa.ca/default.htmhttp://www.vch.ca/http://www.getprepared.ca/http://www.bchydro.com/http://www.embc.gov.bc.ca/index.htmhttp://www.hls.gov.bc.ca/ccf/adult_care.htmlhttp://www.earthquakescanada.nrcan.gc.ca/http://www.phac-aspc.gc.ca/index-eng.phphttp://www.safecanada.ca/http://www.fortisbc.com/http://www.bccpd.bc.ca/http://www.dialadietitian.org/http://www.epicc.org/http://www.survivalkits.com/http://www.fastlimited.com/http://www.krasickiandward.com/http://www.qsquakesafe.com/http://www.terrafirm.ca/

residential care emergency response plan template february 2013

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