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Connecticut Long Term Care Mutual Aid Plan (LTC-MAP) Staff Orientation RPA Support Team: Scott Connecticut Long Term Care Mutual Aid Plan (LTC-MAP) Staff Orientation RPA Support Team: Scott Aronson Lori Cheever Andy Mc. Guire Jim Garrow Darren Osleger

What Led to Mutual Aid in New England: Learning from experiences in: • • What Led to Mutual Aid in New England: Learning from experiences in: • • • NY State – 1 st Plan (began in 1983) 2001 Tropical Storm Alison (Houston) 2001 9/11 2005 Hurricanes Katrina / Rita Massachusetts Disasters (1 st New England State) • • May 2006 Flooding (Mother’s Day Storm) November 2006 Chemical Explosion (Danvers) 2008 Ice Storm in Central & Western MA

Mary Immaculate Evacuated (250 beds) (Evacuation: May 2006 / Recovery: Sept. 2006) Source: Boston Mary Immaculate Evacuated (250 beds) (Evacuation: May 2006 / Recovery: Sept. 2006) Source: Boston Globe. com

Other Incidents where Mutual Aid Plans were Activated § § § § Aug/Sept 2011 Other Incidents where Mutual Aid Plans were Activated § § § § Aug/Sept 2011 - Tropical Storm Irene/Lee Flooding Oct/Nov 2011 - “Halloween Storm” - Snowstorm/ Power Failure July 2012 – MA Nursing Home Generator Failure (Region 5) August 2012 – Industrial Fire – NYS (MA Region 1) Oct/Nov 2012 - Superstorm Sandy Jan 2013 Influenza Event – Boston & Hartford, CT Activations for Hospital Resident Decompression Feb 2013 – Blizzard (NEMO) Jan 2014 – Snowstorm

OVERVIEW of the CT LTC-MAP OVERVIEW of the CT LTC-MAP

Plan Operation is 1 st within your town/city. Additional Support will come from your Plan Operation is 1 st within your town/city. Additional Support will come from your Region then other regions in a widespread disaster. ~500 LTC / 30 Hospitals / 4 LTACs or Rehab Hospitals 213 LTC / 11 Hospitals Regions 1, 3, 4 & 5 151 LTC

The Basics • • Identify needs and provide supplies/ equipment/pharmaceuticals as necessary Assist with The Basics • • Identify needs and provide supplies/ equipment/pharmaceuticals as necessary Assist with transportation of supplies / staff / equipment / evacuated residents Provide staffing support (whether a facility is evacuating or isolated) Place and support the care of evacuated residents (continuity of care / surge locations)

Disaster Struck Facility Disaster Struck Facility

Actions of Disaster Struck Facility NOTIFY: Call 911 / begin Internal Activation process • Actions of Disaster Struck Facility NOTIFY: Call 911 / begin Internal Activation process • NOTIFY: CMED 24/7 to activate the Region’s Healthcare Facilities and Critical Partners through the alert notification system • ACTIVATE: Emergency Reporting System • • www. mutualaidplan. org/ct • LTC Coordinating Center PREPARE: Evacuation? Staffing? Equip? Supplies? • PREPARE: Transportation Evacuation Tool Complete (if evacuating) • PREPARE: Generator Information - Update (if prestorm/event) •

Transportation Evacuation Surveys (transportation tab on website) Provides Public Health, Fire, EMS and Emergency Transportation Evacuation Surveys (transportation tab on website) Provides Public Health, Fire, EMS and Emergency Management with strong knowledge of the resources needed to evacuate our facility (Ambulances, wheelchair vehicles and buses) • • Consider completing with monthly fire drills (each resident care area) On website for an automated tool

Pre-established Evacuation Sites • • Primary sites should be pre-selected using the LTC Patient Pre-established Evacuation Sites • • Primary sites should be pre-selected using the LTC Patient Care Categories (next slide – from website) Address highest acuity residents first • • Who matches up best with our residents Address their surge numbers next Always assume they have no open beds • How many of your residents can they accept at 110% surge • • Process to communicate with them • Know where they are, their point person and contact information

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Resident Tracking – What goes with the Resident • Resident Emergency Evacuation Form • Resident Tracking – What goes with the Resident • Resident Emergency Evacuation Form • • Active Chart (or Current Service Plan for AL) • • • 1 per resident - info and acuity / mobility / risks Include MAR (Med List), Meds & Controlled Substances Wristband (name / DOB) Resident, MR, Staff & Equip Tracking Sheet • List of residents; by facility they evacuated to • Transportation vehicle info and time departed • What (and whom) went with them • • Photo, if possible DNR Bracelets / Transfer Sheets

Patient Accepting Facilities/Lenders Patient Accepting Facilities/Lenders

Actions of Patient Accepting Facilities/Lenders • Prepare to receive residents • • Complete Emergency Actions of Patient Accepting Facilities/Lenders • Prepare to receive residents • • Complete Emergency Reporting Complete the Influx of Resident Log - residents arrive Confirm with DSF or LTC Coord. Center that the residents are received – “CLOSE THE LOOP” • • Open beds vs. Surge Area Complete Electronic Resident Tracking information Start a new chart for resident If Lender: Prepare to provide Resources/Assets

What happens at 2: 00 AM? Anyone who might answer the phone: Basic knowledge What happens at 2: 00 AM? Anyone who might answer the phone: Basic knowledge that CT LTC-MAP exists (there is a plan) • Get the name of the person calling, facility, contact number and issue or request • OR – Listen to the automated message and take down directions for what it tells you to do • Inform the Nursing Supervisor ASAP • Nursing Supervisor – Scope will determine actions • • • Immediate analysis of open beds – M / F / Either Activate internal emergency notification tree Complete Emergency Reporting- www. mutualaidplan. org/ct Evacuation? Prepare to receiving incoming residents Resource & Asset Request: Prepare to provide staff, equipment, supplies or transportation

CT LTC-MAP Website (all tabs are specific to our facility based on data we CT LTC-MAP Website (all tabs are specific to our facility based on data we enter)

Emergency Reporting Designated Facility Leadership or Nursing Supervisor (complete for LTC -MAP when requested) Emergency Reporting Designated Facility Leadership or Nursing Supervisor (complete for LTC -MAP when requested)

Internal Situation-Status Report & Emergency Reporting: What You Should Know (and WHY) HANDOUT Operational Internal Situation-Status Report & Emergency Reporting: What You Should Know (and WHY) HANDOUT Operational Issues at your facility (other plan members) • Open Beds • Available Transportation for • • Resident Transportation • Movement of Supplies and Equipment Resources & Assets (needed) • Resources & Assets (you could provide) • • Equipment • Supplies • Staffing

Long Term Care (LTC) Coordinating Center § Region 1: Lord Chamberlain (Stratford) / Back-up: Long Term Care (LTC) Coordinating Center § Region 1: Lord Chamberlain (Stratford) / Back-up: Jewish Senior Services (Fairfield) § Region 3 Duncaster (Bloomfield) / Back-up: RCC in Manchester or CRCOG § Region 4: Groton Regency Center / Back-up: Region 3 § Region 5: Masonicare at Newtown / Back-up: Meadow Ridge (Redding)

Function of the LTC Coordinating Center “Air Traffic Control” • • • Staffed by Function of the LTC Coordinating Center “Air Traffic Control” • • • Staffed by volunteers from the LTC-MAP Assist with resident placement Support resident tracking - “Close the loop” Assist with obtaining staff, supplies and equipment Assist with transportation of residents, staff, supplies and equipment Support interaction with local and state agencies ENSURE ALL MEMBERS ARE ACCOUNTED FOR

Who to go to with Questions? David Hood dhood@phillipsllc. com Scott Aronson saronson@phillipsllc. com Who to go to with Questions? David Hood [email protected] com Scott Aronson [email protected] com