Patient and Family Emergency Preparedness Toolkit

SCHOOL, CHILDCARE, CAREGIVER, AND WORKPLACE EMERGENCY PLANS

Name: ............................................................... Address: ............................................................ Emergency/Hotline #: ....................................... Website: . Emergency Plan/Pick-Up: .................................. Name: . Address:. Emergency/Hotline #: ....................................... Website: ........................................................... Emergency Plan/Pick-Up: . Name: . Address:. Emergency/Hotline #: ....................................... Website: ........................................................... Emergency Plan/Pick-Up: .................................

IN CASE OF EMERGENCY (ICE) CONTACT

Name: ..................... Mobile #: ........................ Home #: .Email: ............................. Address: ...........................................................

OUT-OF-TOWN CONTACT

Name: ..................... Mobile #: ........................ Home #: ...................Email: . Address: ........................................................... Indoor:............................................................... Instructions: ..................................................... Neighborhood: ................................................. Instructions: ..................................................... Out-of-Neighborhood:........................................ Address:. Instructions: ..................................................... Out-of-Town: .................................................... Address: ............................................................ Instructions: .....................................................

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EMERGENCY MEETING PLACES

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Patient and Family Emergency Preparedness Toolkit

Published on Nov 30, 2018

Home Care Association of New York State

Emergency preparedness in home care and hospice presents a unique challenge. Unlike facilities and institutions, patients are cared for at home, provided a wide variety of medical and personal care for a broad spectrum of conditions and needs, are geographically widespread across their communities, and as such require a more complex approach to preparedness and response. During an emergency, each patient’s home, neighborhood, and/or community is a distinct emergency in and of itself that must be navigated and managed by the home care or hospice agency. The agency’s responsibilities also extend to the patient’s physician, managed health plan, hospitals or nursing homes if the patient happens to be in transition. This toolkit is a compilation of resources to help home care agencies to assist patients and their families prepare in advance for any type of emergency situation.