Household Emergency Plan - Genesee County Health Department

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Household Emergency Plan

Genesee County Health Department

Household

Name:

Address:

Phone:

Date Plan was established :

Date Plan was updated:

Cell:

Date Plan was updated:

Better Life Through Better Health

www.gchd.us https://www.facebook.com/GeneseeCountyHealthDepartment

Genesee County Health Department acknowledges content contributions from:

 Michigan State Police Emergency Management and Homeland Security Division

 Federal Emergency Management Agency

 Centers for Disease Control

 The American Red Cross

Name

FAMILY/HOUSEHOLD MEMBER INFORMATION

Date of

Birth

Social

Security #

Home &

Cell #

Last Updated:________________

Work /

School #

Work / School

Address

Other

Contact #

Genesee County Health Department Family Emergency Plan

Pet Name / Species /

Description / License

# / Microchip #

Age Veterinarian Vet Contact Info

Last Updated:________________

Vet Address

Genesee County Health Department Family Emergency Plan

UTILITIES / INSURANCE INFO

Provider

Water/Sewer

Emergency Contact #

Last Updated:________________

Account Info

Electric

Gas

Telephone

Cable / Internet

Home / Renters Insurance

(agency & agent)

Auto Insurance

(agency & agent)

Boat / Other Insurance

(agency & agent)

Genesee County Health Department Family Emergency Plan

EMERGENCY CONTACTS (Relatives / Friends / Neighbors) Last Updated:

Name Relationship Address

Home / Work /

Cell #s

Email

Out of Town Contact

Out of Town Contact

Notes:

Genesee County Health Department Family Emergency Plan

HOUSEHOLD MEDICAL INFORMATION

Name / Age: Name / Age:

Last updated:

Primary Care Doctor

(Name)

Contact #

Hospital

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Name / Age:

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Genesee County Health Department Family Emergency Plan

Primary Care Doctor

(Name)

Contact #

Hospital

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Name / Age:

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Medication

Include: Dosage / When

Taken, Reason for Taking and Pharmacy Contact #

Name / Age: Name / Age:

Genesee County Health Department Family Emergency Plan

3.

4.

1.

2.

5.

POINT OF DISPENSING (POD)

During a public health emergency the Genesee County Health Department may open Points of Dispensing (POD). A POD is a place where you can get medicine or vaccines that will help keep you from getting sick during a public health emergency.

If the POD is dispensing medicine that can be taken at home, the head of your household will come to the POD to pick up medication for everyone in the household. Bring the following information for you and anyone else you’re picking up medicine for:

List of medicines being taken

List of allergies to medicines

List of health conditions

List of the ages and approximate weights of any children

Family Member Information

Last Name First Name MI Birth Date Approximate

Weight

Special Planning

(allergies, medical conditions, pregnancy, etc.)

Genesee County Health Department Family Emergency Plan

HOUSEHOLD EMERGENCY PROCEDURES: Last Updated:

Have a home emergency plan. Discuss where to meet and how to find each other if an emergency happens while household members are away from the home. Make plans for where household members should go and whom they should contact when they can’t go home.

Learn and share emergency procedures for work, school, or other places where family members regularly spend time .

Home Emergency Procedures:

Home Emergency Plan Practiced on: Home Emergency Plan Practiced on:

Genesee County Health Department Family Emergency Plan

Workplace Emergency Procedures:

School Emergency Procedures:

Emergency Procedures for places where our family members / friends live (apartment buildings, assisted living facilities, etc.):

Genesee County Health Department Family Emergency Plan

Emergency Procedures for other places we visit often:

If we cannot go home:

Emergency procedures for our pets:

Genesee County Health Department Family Emergency Plan

If we are not together:

Other emergency procedures (neighbors to check on, people to call, etc.):

Genesee County Health Department Family Emergency Plan

HOME LAYOUT / DIAGRAM

Last Updated:

Genesee County Health Department Family Emergency Plan

Draw a diagram of your home.

Make sure you include:

Locations of utility shutoffs

(electric & gas)

How to get out of the house

Location of, smoke detectors, fire extinguishers, disaster supplies, etc.)

Household emergency meeting / reunification points

HOME SAFETY

Find safe spots in your home where you can go for each type of emergency.

Discuss what to do in an evacuation.

Plan two unobstructed exits from every room, including the second floor and make sure everyone knows them.

Pick two meeting places when evacuating:

Outside of your home in case of a sudden emergency, like a fire

Outside of your neighborhood in case you cannot return home:

Genesee County Health Department Family Emergency Plan

Use this checklist to help maintain an Emergency Preparedness Kit.

DATE UPDATED ITEMS IN MY EMERGENCY PREPAREDNESS KIT

Water

Food

First Aid Supplies

Medications

Clothing & Bedding

Tools & Emergency Supplies

Special Items

First Aid Kit

Pet Supplies

Emergency Car Kit

Genesee County Health Department Family Emergency Plan

GENERAL EMERGENCY PREPAREDNESS INFORMATION

Emergency Supplies (From FEMA):

There are six basics you should stock for your home in the case of an emergency:

Water

Food

First Aid Supplies

Clothing & Bedding

Tools & Emergency Supplies

Special Items

Keep the items that you would most likely need during an evacuation in an easy-to carry container.

Water, one gallon of water per person per day, for drinking and sanitation

• Food, at least a three-day supply of non-perishable food

• Hand can opener for food (if kit contains canned food)

Battery-powered radio and a NOAA Weather Radio with tone alert, and extra batteries for both

• Flashlight and extra batteries

• First Aid kit (be sure to note the expiration date)

Whistle to signal for help

Infant formula and diapers, if you have an infant

• Moist towelettes, garbage bags and plastic ties for personal sanitation

• Dust mask or cotton t-shirt, to help filter the air

Plastic sheeting and duct tape to shelter-in-place

• Wrench or pliers to turn off utilities

• Clothing and Bedding:

(If you live in a cold weather climate, you must think about warmth. It is possible that the power will be out and you will not have heat. Rethink your clothing and bedding supplies to account for growing children and other family changes.) One complete change of warm clothing and shoes per person, including:

- A jacket or coat

- Long pants

- A long sleeve shirt

- Sturdy shoes

Genesee County Health Department Family Emergency Plan

- A hat and gloves

- A sleeping bag or warm blanket for each person

Below are some other items for your family to consider adding to its supply kit. Some of these items, especially those marked with a * can be dangerous, so keep them away from children.

• Emergency reference materials such as a first aid book or a print out of the information

• Rain gear

Mess kits, paper cups, plates and plastic utensils

Cash or traveler's checks, change

• Paper towels

• Fire Extinguisher

Tent

• Compass

• Matches in a waterproof container*

Signal flare*

Paper, pencil

• Personal hygiene items including feminine supplies

• Household unscented chlorine bleach* - You can use bleach as a disinfectant (diluted nine parts water to one part bleach), or in an emergency you can also use it to treat water. Use 16 drops of regular household liquid bleach per gallon of water. Do not use scented, color safe or bleaches with added cleaners.

• Medicine dropper

Important Family Documents such as copies of insurance policies, identification and bank account records in a waterproof, portable container

Genesee County Health Department Family Emergency Plan

Cover Your Cough -

Serious respiratory illness like influenza, respiratory syncytial virus (RSV), whooping cough, and sever acute respiratory syndrome (SARS) are spread by coughing or sneezing and unclean hands.

TO HELP STOP THE SPREAD OF GERMS:

Covery your mouth and nose with a tissue when you cough of sneeze

If you don’t have a tissue, cough or sneeze into your upper sleeve, not your hands

 Put your used tissue in the waste basket

 Clean your hands after coughing or sneezing !

 Wash with soap and water or Clean with alcohol-based and cleaner

Note : You may consider wearing a surgical mask to protect others.

Dane County Household Emergency Plan Template

HANDWASHING

When should you wash your hands?

Before, during, and after preparing food

 Before eating food

 Before and after caring for someone who is sick

Before and after treating a cut or wound

 After using the toilet

 After changing diapers or cleaning up a child who has used the toilet

 After blowing your nose, coughing, or sneezing

 After touching an animal, animal feed, or animal waste

 After handling pet food or pet treats

 After touching garbage

How should you wash your hands?

 Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.

 Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your hands, between your fingers, and under your nails.

 Scrub your hands for at least 20 seconds. Need a timer? Hum the "Happy Birthday" song from beginning to end twice.

 Rinse your hands well under clean, running water.

 Dry your hands using a clean towel or air dry them.

What should you do if you don’t have soap and clean, running water?

Washing hands with soap and water is the best way to reduce the number of microbes on them in most situations. If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol. Alcohol-based hand sanitizers can quickly reduce the number of microbes on hands in some situations, but sanitizers do not eliminate all types of germs.

Hand sanitizers are not as effective when hands are visibly dirty or greasy.

How do you use hand sanitizers?

 Apply the product to the palm of one hand (read the label to learn the correct amount).

 Rub your hands together.

 Rub the product over all surfaces of your hands and fingers until your hands are dry.

Genesee County Health Department Family Emergency Plan

GENERAL EMERGENCY SITUATION INFORMATION

Weather

Know the types of hazards, both natural and man-made, that are most common in your area. Michigan experiences severe weather year round, including tornadoes, thunderstorms, high winds, flooding, snowstorms, and ice storms. Because of this, you should understand the difference between a watch and a warning for severe weather.

• Severe Weather Watch: A severe weather watch means that severe weather may develop.

• Severe Weather Warning: A severe weather warning means a storm has developed and is on its way.

The safest place to ride out any storm is inside a secure building, home, or apartment building. You should:

• Listen to weather updates and stay informed.

• Stay away from windows and doors.

Keep your emergency supply kit handy, including a battery operated NOAA weather radio.

• Be ready to evacuate if necessary.

Flooding

Shelter – In – Place : (from the American Red Cross)

Shelter-in-place means selecting a small, interior room, with no or few windows, and taking refuge there. It does not mean sealing off your entire home or office building. Contaminants may be released accidentally or intentionally into the environment. Should this occur, information will be provided by local authorities via television and radio stations or by a phone call on how to protect you and your family. Because information will most likely be provided on television and radio, it is important to keep a TV or radio on. The important thing is for you to follow instructions of local authorities and know what to do if they advise you to shelter-in-place. If you are told to shelter-in-place, follow these instructions:

Close and lock all windows and exterior doors.

If you are told there is danger of explosion, close the window shades, blinds, or curtains.

Turn off all fans, heating and air conditioning systems.

Close the fireplace damper.

Get your household disaster supply kit and make sure the radio is working.

Go to an interior room without windows that's above ground level. In the case of a chemical threat, an above-ground location is preferable because some chemicals are heavier than air, and may seep into basements even if the

 windows are closed.

Bring your pets with you, and be sure to bring additional food and water supplies for them.

Genesee County Health Department Family Emergency Plan

 It is a good idea to have a hard-wired telephone in the room you select. Call your emergency contact and have the phone available if you need to report a life-threatening condition. Cellular telephone equipment may be overwhelmed or damaged during an emergency.

 If instructed to do so, use duct tape and plastic sheeting (heavier than food wrap) to seal all cracks around the door and any vents into the room.

 Keep listening to your radio or television until you are told all is safe or you are told to evacuate. Local officials may call for evacuation in specific areas at greatest risk in your community.

Remember that instructions to shelter-in-place are usually provided for durations of a few hours, not days or weeks. There is little danger that the room in which you are taking shelter will run out of oxygen and you will suffocate.

If you are driving a vehicle and hear advice to “shelter-in-place” on the radio, take these steps:

 If you are very close to home, your office, or a public building, go there immediately and go inside. Follow the shelter-in-place recommendations for the place you pick described above.

 If you are unable to get to a home or building quickly and safely, then pull over to the side of the road. Stop your vehicle in the safest place possible. If it is sunny outside, it is preferable to stop under a bridge or in a shady spot, to avoid being overheated.

Turn off the engine. Close windows and vents.

If possible, seal the heating/air conditioning vents with duct tape.

Listen to the radio regularly for updated advice and instructions.

Stay where you are until you are told it is safe to get back on the road. Be aware that some roads may be closed or traffic detoured. Follow the directions of law enforcement officials.

Local officials on the scene are the best source of information for your particular situation. Following their instructions during and after emergencies regarding sheltering, food, water, and clean up methods is your safest choice.

Genesee County Health Department Family Emergency Plan

Evacuation: (from FEMA)

When community evacuations become necessary, local officials provide information to the public through the media. In some circumstances, other warning methods, such as sirens or telephone calls, also are used. Additionally, there may be circumstances under which you and your family feel threatened or endangered and you need to leave your home, school, or workplace to avoid these situations.

The amount of time you have to leave will depend on the hazard. However, many emergencies allow no time for people to gather even the most basic necessities, which is why planning ahead is important!

FEMA’s Evacuation Guidelines:

Always: If time permits:

Plan places where your family will meet, both within and outside of your immediate neighborhood.

Keep a full tank of gas in your car if an evacuation seems likely. Gas stations may be closed during emergencies and unable to pump gas during power outages. Plan to take one car per family to reduce congestion and delay.

Make transportation arrangements with family or friends or your local government if you do not own a car.

Listen to a battery-powered radio and follow local evacuation instructions.

Gather your family and go if you are instructed to evacuate immediately.

Leave early enough to avoid being trapped by severe weather.

Follow recommended evacuation routes. Do not take shortcuts; they may be blocked.

Be alert for washed-out roads and bridges. Do not drive into flooded areas.

Stay away from downed power lines.

Take your pets with you, but understand that only service animals may be permitted in public shelters.

Take your emergency supply kit with you.

Call or email the out-of-state contact in your family communications plan. Tell them where you are going.

Secure your home by closing and locking doors and windows.

Unplug electrical equipment such as radios, televisions and small appliances. Leave freezers and refrigerators plugged in unless there is a risk of flooding. If there is damage to your home and you are instructed to do so, shut off water, gas and electricity before leaving.

Leave a note telling others when you left and where you are going.

Wear sturdy shoes and clothing that provides some protection such as long pants, long-sleeved shirts and a cap.

Check with neighbors who may need a ride.

Genesee County Health Department Family Emergency Plan

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