FACILITIY LOGO HERE IF DESIRED EMERGENCY and DISASTER RESPONSE PLAN RESIDENTIAL CARE FACILITY NAME FACILITY ADDRESS TELEPHONE NUMBER DATE FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR TABLE OF CONTENTS Foreword Record of Amendments 1. OVERVIEW 1.1 Overview and Summary of Emergency and Disaster Response Management Plan 1.1.a Statement and Role 1.1.b Community Care Facility Licensing Requirements 1.1.c Aim 1.1.d Definitions 1.1.e Emergency Planning Cornerstones 1.2 International Codes for Disaster Identification 1.3 Hazard Risk Analysis 1.4 Activating the Emergency and Disaster Response Management Plan 1.4a Emergency Call Response Form 1.4.b Facility Action and Communication Log 1.5 Disaster Responses Applicable to Licensed Residential Care Facilities 1.5.a Code Blue – Cardiac Arrest 1.5.b Code Red - Fire 1.5.c Code White – Violence/Aggression 1.5.d Code Yellow – Missing Persons In Care 1.5.e Code Black – Bomb Threat 1.5.f Code Grey – Air Exclusion 1.5.g Code Green - Evacuation 1.5.h Code Brown – Hazardous Spills 1.5.i Code Orange - Disaster 1.5.j Pandemic Influenza 1.5.k Infectious Disease Epidemics 1.5.l Boil Water Notification 1.5.m Utilities Outages 1.6 Call back of staff to duty 1.6.a Registration Form for Staff Called to Duty 1.7 Disaster Supply Lists 1.8 Communication 1.8.a Radio 1.8.b Media 1.9 Facility Business Continuity Plan 2. REFERENCE MATERIALS Appendix A Next of Kin Emergency Preparedness Information Appendix B Damage Assessment of the Building Appendix C Be Prepared Be Well Appendix D Sneezes and Diseases Appendix E Individual & Neighbourhood All Hazard Emergency Preparedness Workbook Appendix F 52 Weeks to Preparedness Appendix G Grab & Go Bags Appendix H VIHA Licensing Contacts Appendix I Reportable Incidents and VIHA INFOsheet Appendix J Local Authorities Contact Information Appendix K Incident Command System (ICS) Appendix L British Columbia Emergency Response Management System (BCERMS) Appendix M Provincial Emergency Program (PEP) Appendix N Municipal Emergency Social Services (ESS) Appendix O Common Emergency Planning Acronyms 2 3 4 5 5 5 5 5 6 6 7 8 9 9 10 11 11 13 15 16 17 19 20 21 23 25 30 31 32 38 38 39 41 42 42 43 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR FOREWORD The following document was created by the Health Emergency and Disaster Response Management and Business Continuity Planning (EDRMBCP)Department of the Vancouver Island Health Authority (VIHA). It is one in a series of All-Hazard Response Manuals designed to enable the VIHA to respond efficiently and effectively to any emergency situation. The purpose of this document is as a resource and guideline to assist the Licensee to meet the requirements of the Residential Care Licensing Regulations to have completed emergency preparations and to have plans in place. All forms are samples and should be modified by the facility to reflect the uniqueness of their facility. The document reflects the British Columbia Emergency Response Management System including the Incident Command System. The inclusion of these two elements in planning for VIHA ensures that we meet our legislated requirements and that we are using the same response system as all other first responders, agencies, municipalities and the provincial government. It also reflects the British Columbia Ministry of Health Services Health Emergency Management Plan, which, in turn, is based upon the National Framework for Health Emergency Management We would also like to acknowledge and thank Vancouver Coastal Health: Public Health, Communicable Disease and Emergency Management Departments for permission to use their document “Sneezes and Diseases” as a reference with this plan. © VIHA Emergency Management and Business Continuity Department 3 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Record of Amendments Amendment Number Subject Page 4 Date Amended Inserted By FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1. DATE: MONTH YEAR OVERVIEW SUMMARY OF THE EMERGENCY AND DISASTER RESPONSE MANAGEMENT PLAN 1.1.a Statement and Role This Emergency and Disaster Response Management Plan contains information, procedures, and protocols designed to ensure that the ____________________ Residential Care Facility is able to respond to an emergency or disaster in an effective, co-ordinated, and integrated manner. 1.1.b Community Care Facility Licensing Requirements Licensed Residential Care facilities must comply with the Community Care and Assisted Living Act and the Residential Care Licensing Regulation. Section 51 of this legislation requires the licensee to have an emergency plan, a fire drill system, and staff training on the emergency plan and fire drill system. There are also requirements in Section 52 to report specific types of incidents to the Medical Health Officer/Licensing Program including allegations of abuse/neglect, disease outbreak or occurrence, missing or wandering person, and service delivery problems such as bomb threats and power outages. 1.1.c Aim This Emergency and Disaster Response Management Plan is developed, and will be maintained by the Licensee/Manager or delegate of Residential Care Facilities licensed by VIHA. It allows the Licensee/Manager or delegate to have a plan that can be activated if circumstances dictate that this level of control and communication is necessary. The aim of the Emergency and Disaster Response Management Plan is to: Ensure the earliest possible response to an emergency and the establishment of overall control of emergency response, the continuity of the operation and the initiation of a recovery process; Ensure immediate action is taken to eliminate or abate all sources of potential danger in the area of the incident; Conduct immediate inspections of the buildings damaged by earthquake or aftershocks in order to determine occupancy safety as in APPENDIX B– Damage Assessment of the Building; Evacuate any building or area considered to be in a hazardous situation; Communication to families of Persons In Care as to their wellbeing and/or evacuation to an alternate care site. Facilitate prompt, efficient recovery from the emergency or disaster; 5 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 1.1.d Definitions Emergency A sudden, unforeseen occurrence requiring immediate action. An emergency is a single incident event that affects specific areas and operational efficiencies of the building or its environment. Disaster 1.1.e The International Code for declaring a disaster is “CODE ORANGE”. An event which has the potential to impact the entire operations, e.g. evacuation, earthquake, hazardous spill or environmental event. Such a situation may create: a need to operate the facility under relatively unfamiliar circumstances. a need to re-locate the operation to an alternative area for safety. Emergency Planning Cornerstones The Emergency/Emergency and Disaster Response Management Plans are part of an overall strategy for emergency management based on four cornerstones of: 1. Prevention, 2. Preparedness, 3. Response and 4. Recovery. 6 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Plans are also intended to: Provide for regular exercising and updating of the Emergency and Disaster Response Management Plan, Document the specific emergency management programs in the facility, Document the roles and responsibilities of other responders to an emergency, Document the resources available to support response to an emergency in the facility REMEMBER, IT IS EASIER TO GEAR DOWN THAN GEAR UP DURING AN EMERGENCY 1.2 INTERNATIONAL CODES FOR DISASTER IDENTIFICATION CODE CODE BLUE CODE RED CODE WHITE CODE YELLOW CODE YELLOW STAT CODE BLACK CODE GREY CODE GREEN CODE BROWN CODE ORANGE EVENT CARDIAC ARREST FIRE VIOLENCE/AGGRESSION MISSING PATIENT/CLIENT/PERSONS IN CARE INFANT ABDUCTION BOMB THREAT AIR EXCLUSION/SHUTDOWN EVACUATION HAZARDOUS SPILLS DISASTER/MASS CASUALTIES Caution, in Case of Emergency: Use your common sense. Never put yourself at risk. Report to your Supervisor or the Licensee/Manager or delegate Follow their instructions Assist others only when it is safe to do so. 7 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.3 DATE: MONTH YEAR HAZARD RISK ANALYSIS In general Hazard Risk Analysis looks at the potential for different types of disasters by reviewing the past experience of an area of the province, the type, frequency affected area and consequences. This then allows for steps to be taken to mitigate the effects. Types of Disasters identified for Vancouver Island: Natural disasters, e.g. earthquakes, hurricanes, tornadoes, floods, Tsunamis and snowstorms Mass food poisoning Pandemic emergencies Accidents involving crashes of trains, planes, ships and boats or automobiles resulting in mass casualties or hazardous materials Civil disturbances Fires, bomb threats, and arson attempts Extensive or prolonged utility failure Collapsed buildings Acts of Terrorism - Chemical, Biological, Radiological, Nuclear & Explosive (CBRNE) Patient Decontamination (CBRNE) Hazardous Materials Spill A disruption or disturbance, affecting the water supply quality within the Community or a VIHA facility or Licensed Facility An environmental event or Public Health Emergency declared by the Office of the Chief Medical Health Officer In section 1.9 of this plan a Hazardous Risk Analysis is documented with respect to this facility. 8 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.4 DATE: MONTH YEAR Activating the Emergency and Disaster Response Management Plan AUTHORITY TO INITIATE PLAN The authority to implement this plan in whole or in part is vested in the Residential Care Facility Licensee/Manager or delegate INITIATION OF PLAN Licensee/Manager or delegate and/or a Designated Staff Member may initiate the Facility Plan. ACTIVATION OF PLAN Any disaster call received by the staff during normal business hours will be forwarded to the Facility Licensee/Manager or delegate who will obtain particulars of disaster as follows. With the form provided: 1.4.a EMERGENCY CALL RESPONSE FORM Obtain the following particulars: 1. Name of person calling and telephone number calling from: 2. Location of Incident: 3. Type of Incident: 4. Impact expected for ________(insert name of the facility)______________: 5. Time of Call : ___________________________ CALL BACK IMMEDIATELY TO VERIFY the disaster. If the number is busy: THEN Consult with the Facility Licensee/Manager or delegate to get authorization If unable to contact the Licensee/Manager or delegate INITIATE THE PLAN THEN Try again to VERIFY THE CALL. NOTE: The decision to stand down from a “CODE ORANGE” will be made by the Residential Care Facility Licensee/Manager or delegate.on the advice from the local authority. 9 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 1.4.b Facility Action and Communication Log Licensee/Manager or delegate: _____________________________ Time Action or Communication Date: __________________ Result Comments 10 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5 DATE: MONTH YEAR DISASTER RESPONSES 1.5.a CODE BLUE: CARDIAC ARREST Within a Residential Care facility a Code Blue would be responded to as if it happened in any public place: 911 would be called Trained staff would attend to the victim until the ambulance arrives It is expected that any Persons In Care with a “Do Not Resuscitate” (DNR) order would be identified in some discrete manner and staff would be aware. Licensing has established a Standard of Practice as follows: Number: 01/08/2006 Effective Date: September 2006 This Standard of Practice is made under the authority of section 4 of the Community Care and Assisted Living Act (CCALA), which provides that the Director of Licensing may: (e) specify policies and standards of practice for all community care facilities or a class of community care facilities ADVANCE DIRECTIVES AND CARE PLANS "Advance directive" means a written instruction that refuses consent to particular kinds of health care in the event that the adult is not capable of giving the instruction at the time the health care is required. “Care plan” means an individualized plan for the provision of services and support to a person in care that takes into consideration the person’s abilities and physical, social and emotional needs as well as their cultural and spiritual preferences. As appropriate care planning, including advance care planning, is an issue of significance to the health, safety and dignity of persons in residential care, I am specifying the following Standard of Practice for residential care facilities licensed under the Community Care and Assisted Living Act. (CCALA). 1. A licensee must develop and complete an individualized care plan for each resident within six weeks of his or her admission to a community care facility. 2. As part of the development of a comprehensive care plan, issues related to end of life planning and advance directives may be discussed with a resident and his or her family or support persons, and documented. 11 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 3. A resident (or someone with the legal authority to make health care decisions on the resident’s behalf) must not be required, either as a condition of admission (or as on ongoing requirement to reside in a community care facility) to sign advance directives or levels of intervention documents. 4. To require a resident to sign such documents is in contravention of section 7(1)(b) of the Community Care and Assisted Living Act which requires a licensee to operate a community care facility in a manner that will promote the health, safety and dignity of persons in care (emphasis added). Sue Bedford Director of Licensing 12 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.b CODE RED: DATE: MONTH YEAR FIRE ALL STAFF IF YOU DISCOVER A FIRE: R.A.C.E. Rescue anyone in immediate danger if it is safe to do so. Alarm. Activate the nearest fire alarm or call 911 Confine the fire by closing doors and windows. Extinguish the fire only if it is safe to do so. Otherwise, it should be left and contained behind closed doors. One person to be assigned by the Licensee/Manager or delegate to meet the Fire Department. If the fire cannot be extinguished – evacuation is to take place - laterally at first to behind a fire door. 1. Close all doors and windows. 2. Gather Persons In Care, Persons In Care records, and Sign in sheets for staff & volunteers 3. Leave the building and meet at the muster station at _________________________ 4. Fire Department will take charge on arrival. 5. All rooms checked, and all personnel evacuated past the double smoke/fire doors. Doors must be closed and a pillow set outside the door to show rooms have been checked. . 6. Fire Department requests that all personnel exit to the outside of the building. 7. The Licensee/Manager or delegate performs a head count and that information is passed on to the Fire Department. The RACE response to fire and the evacuation of the facility are practiced with staff and Persons In Care monthly. These practices are to documented using the Fire Practices Log and the Fire Drill Report found on the following pages. 13 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Fire Practice Log and Drill Report Date: Time: _____________ _____________ Number of Persons In Care: ______________ Number of Staff on duty: _________________ Number of Volunteers on duty: ____________ Number of Visitors present: _______________ Location of the fire: _______________________ Name of the Licensee/Manager or delegate: ___________________________ ================================================================================== Live Fire Drill False Alarm Real event: Staff response time: __________________ Pull Station activated: Yes No Yes No Simulated 911 call: Persons In Care were protected? Was the fire alarm sounded Not applicable: Yes Yes No No Not applicable: Were the correct actions taken to deal with the simulated fire? Automatic doors closed? Yes No Were windows and doors closed? Yes Staff de-briefing held? Yes No Yes Not applicable No Any recommendations as a result of the drill? Names of staff participating? Form completed by: ___________________________________ 14 No FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 1.5.c CODE WHITE: VIOLENCE/AGGRESSION If a staff member feels threatened they need to immediately summon assistance from another staff member. If threat persists the 911 is called. SAMPLES OF FACILITY POLICIES/PROCEDURES: "Aggressive or unusual behaviour" between persons in care means aggressive or unusual behaviour by a person in care towards other persons, including another person in care, which has not been appropriately assessed in the care plan of the person in care; Where a Persons In Care is the subject of unusual/aggressive behaviour from another Persons In Care: the licensee must immediately notify the parent or representative, or contact person, of the person in care, Biting, scratching and hitting are unacceptable behaviours. Staff at the facility should establish an care plan specific to the Persons In Care and his/her behaviour so the staff approach is consistent and appropriate. If behaviour persists a meeting should be planned with Facility Management and staff, the Person in Care if appropriate, Persons In Care’s family and the Persons In Care’s physician to identify a plan of action which may include specialiized assessments. Care Where there is an allegation of emotional, physical or sexual abuse by a staff member or someone who is not a person in care: Aggressive behaviour is unacceptable. This includes verbal, emotional, physical or sexual abuse of a Persons In Care. Any instance of an allegation against a staff member must be reported to Community Care Facilities Licensing immediately. The Licensee or delegate often needs to complete a labour relations process related to allegations or complaints against one of their employees. Ideally, Licensing and the Licensee or delegate will be able to coordinate their investigation. In any instance of an allegation against an individual who is not staff, the facility has a role and responsibility to assist the appropriate authorities in the investigation and resolution of the incident. In any of these instances a report will be made to Licensing within 24 hours. Contact information is found in Appendix I. 15 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.d CODE YELLOW: DATE: MONTH YEAR MISSING PERSONS IN CARE When a Persons In Care is identified as missing the Facility Licensee/Manager or delegate will be notified. Any information regarding the circumstances and/or person(s) involved will be passed on to the Licensee/Manager or delegate immediately. The Licensee/Manager or delegate will immediately call 911 and report the incident to Licensing. Contact information is found in Appendix H. If there is no reason to believe that an abduction has occurred the Licensee/Manager or delegate will order the staff to initiate the Code Yellow procedure as follows: If there is more than one staff member on duty: 1. A sufficient number of staff will remain with the Persons In Care to ensure their safety. Other staff are designated to search inside the facility and the grounds. The search will be thorough including all cupboards, closets, washrooms, storage areas inside and storage, play apparatus, shrubbery and trees in the exterior. In smaller facilities, one person will be designated to search the inside first and the exterior second. 2. Results of the search are reported to the Licensee/Manager or delegate and if the Persons In Care is found then the incident is at that time reported to VIHA Licensing. Contact information is found in Appendix I. 3. If the Persons In Care is not located on the initial search, the Licensee/Manager or delegate then calls the RCMP to report the Persons In Care as missing. . A photograph and description of the Persons In Care’s clothing are to be provided to attending RCMP. 4. The Persons In Care’s next of kin are notified and updated on actions being taken. 5. The Facility staff will widen their search to the neighbourhood while awaiting the attendance of the RCMP. Staff searching should have a recent photograph of the Persons In Care with them. In a small facility where there is only one staff member at the facility, that staff member will take the other Persons In Care with them while the search interior and exterior and then will continue with steps 2 through 6. In any of these instances a report will be made to Licensing within 24 hours. Contact information is found in Appendix I. 16 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.e CODE BLACK: DATE: MONTH YEAR BOMB THREAT Bomb threats must be taken seriously and considered real until proven otherwise. The procedure to follow is: 1. Listen – be calm, don’t interrupt, get as much information as possible 2. Document – using the Bomb Threat Form. The Form is on the following page. A copy of the form should be at each phone in the facility if no reception area is identified. 3. Summon help, if available, using by hand signals and show the person responding these instructions: a. Call 911 and ask for RCMP/Police and Fire b. Explain the situation c. Relay advice given by RCMP/Police/Fire regarding evacuation 4. Staff should prepare for evacuation RCMP/Police/Fire authority. and implement evacuation on the instructions of 5. A search for unusual or suspicious objects should be undertaken. If such an object/container is found: a. b. c. d. Leave it untouched Make the Licensee/Manager or delegate and RCMP/Police aware of the exact location Do not assume that it is the only one Remove staff and Persons In Care from the area immediately 6. Report the incident to VIHA Licensing. Contact information is found in Appendix I. 17 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR BOMB THREAT DOCUMENTATION FORM Date:_________________ Time: ___________ Caller: Male Female Origin: Local Long Distance Bomb facts: When will it go off? _____________________ Where is it located? ____________________ What type of bomb is it? _________________ What does it look like? __________________ How powerful is it? _____________________ Is there more than one? _________________ Voice characteristics: Adult Juvenile Loud Soft High pitched Raspy Pleasant Intoxicated Deep Other: ______________________________________ Fast Slow Distinct Nasal Distorted Lisp Language: Excellent Good Poor Accent: Local Foreign Origin: _______________ Manner: Calm Angry Coherent Emotional Other: ________________________________ Speech: Background Noises: NOTIFICATIONS: Slurred Fair Stutter Foul Irrational Deliberate Quiet Machines Airplanes Trains Factory Street traffic Animals Other: ________________________ RCMP Fire Signature: ________________________________ 18 Music VIHA Licensing FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.f CODE GREY: DATE: MONTH YEAR AIR EXCLUSION In the unlikely event of noxious or toxic air in the vicinity of the Facility that has placed it in harm’s way. You will receive a notification to ”Shelter-in-Place” You may receive the instruction to shelter via telephone call, media announcement or loud hailer. When instructed to shelter-in-place take the following steps: 1. Immediately gather everyone indoors and remain there. 2. Close and lock all windows and outside doors 3. Tape gaps around door frames 4. Extinguish indoor wood burning fireplaces and close flue dampers. 5. Turn off appliances or equipment that either: 5.1. Blow out air such as: 5.1.1. Bathroom and kitchen fans 5.1.2. Built in vacuum systems 5.2. Sucks in outside air, such as: 5.2.1. Gas stoves 5.2.2. Fireplaces 5.2.3. Clothes dryers 5.2.4. Air conditioners 6. Turn down thermostats by about 5C to minimize the on-time of furnaces 7. Leave all inside doors open 8. Avoid using the telephone except for emergencies so you can be contacted by authorities regarding the status of the event. 9. Stay tuned to local radio and television for possible information updates 10. Even if you see people outside do not leave your premises and until informed by authorities. 11. After the air pollution and passed or been nullified you will receive an “All Clear” message. You may also receive instructions to: 11.1. 11.2. Ventilate you facility by opening all doors and windows, turning on fans and turning up Thermostats. Once the facility is completely ventilated, return all equipment to normal. 19 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.g CODE GREEN: DATE: MONTH YEAR EVACUATION Preparation for Evacuation; Shut off water, gas and electricity Know the location of the alternate site for your facility Make arrangements for pets if applicable Follow the instructions of authorities Do not use the telephone except for life threatening emergencies When Instructions are given to evacuate by local authorities the Licensee/Manager or delegate will: 1. Determine a safe exit. 2. Assign a person to act as exit monitor. 3. Remove those in danger to behind a fire door if possible. 4. If no fire doors exist remove to the exterior of the building and go to the pre-determined muster area. 5. Once all Persons In Care and staff are out, if and only if it is safe to do so, the exit monitor will do a search of the premises to ensure that everyone is out of the building and will lock the building taking with them the Records and Emergency Kit as they leave. See Section 1.7 of this plan for the list of contents in the Emergency Kit 6. Complete the Persons In Care and Staff Post Evacuation Status Report Form 7. Report anyone who is missing to the Licensee/Manager or delegate who will tell the First Responder Authority in charge of the incident at the Command Centre. The Command Centre is identified by a green light on a vehicle. 8. Arrange to proceed to your alternate setting. First Alternate Site: Second Alternate Site: 9. Notify Next of kin of your new location. 10. Notify VIHA Licensing. PERSONS IN CARE AND STAFF POST EVECUATION STATUS REPORT FORM Date: ________ Time: _____________ Reason for Evacuation: ___________________ Number of Persons In Care: _____________ Number of Persons In Care present at the muster station: _______________ Number of /Staff working: ____________ Number of Staff present at the muster station:_______________ Other persons present: (Guests, Next of kin, Visitors): ______________ 20 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.h CODE BROWN: DATE: MONTH YEAR HAZARDOUS SPILLS A Licensee must ensure that Persons In Care do not have access to any object or substance that may be hazardous to the health or safety of persons in care. Where cleaning products are used that are labelled as hazardous there must be an appropriate spill kit on the premises and appropriate staff must be trained in the use of the kit. Internal policies regarding the managing of hazardous spills should be inserted behind this section of the Plan. In the event of an external hazardous spill there would be two possible instructions given to a Facility Licensee/Manager or delegate: 1. Evacuate the premises in which case refer to Section 1.5.e Code Green: Evacuation and follow those instructions; or 2. Shelter-In-Place in which case refer to Section 1.5.f Code Grey: Air Exclusion and follow those instructions. In the event of spillage of blood or body fluids there are guidelines in place and all staff are provided with education on these guidelines. Body fluids include: Urine; feces including diarrhea; saliva; blood; discharge from the nose; vomit. There is at least one Spill Kit on site which includes: Garbage bags Masking tape Disposable non-latex gloves Paper towels Detergent Bleach or disinfectant Bucket Mops Cloths Brushes Plastic goggles The rule is to clean up the spill first and then sanitize. Wear disposable gloves always. Wear other personal protective equipment is there is a danger of splashing. GUIDELINES FOR HARD SURFACES: Soak up and remove most of the spill using paper towels. Place the soaked paper towels directly into a plastic garbage bag. With mop or cleaning cloth, clean the soiled area with detergent and water to remove any visible dirt or body fluids. After cleaning, sanitize the area using a low level disinfectant – a mixture of one cup (250 ml) of household bleach (5% - 6% chlorine) in ten cups (2.5 liters) of water ( 1 part bleach to 10 parts water will do. In order to sanitize a surface, let the bleach solution stand for one minutes before drying. If you use a commercial disinfectant, follow the instructions on the label. Close the garbage bag, using masking tape to prevent it being opened and deposit in the regular garbage. Remove gloves and other protective equipment, deposit in regular garbage and wash your hands. 21 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR GUIDELINES FOR CARPET & UPHOLSTERY: Blot up the spill with paper towels Place soiled paper towels directly into the plastic garbage bag. Apply a household detergent or disinfectant to cover the spot. Let this sit for thirty (30) minutes Blot up the excess liquid with paper towels and dispose of them in the garbage bag as well Reapply detergent/disinfectant. Let dry overnight Close the bag using masking tape to prevent it being opened and place in the regular garbage. Remove gloves and other protective equipment, deposit in regular garbage and wash your hands. Steam clean carpet and upholstery, if necessary. Replace heavily soiled carpets and upholstery, that cannot be effectively cleaned and sanitized. GUIDELINES TO CLEAN AND SANITIZE CLEANING EQUIPMENT Wear disposable gloves or household rubber gloves that can be cleaned and sanitized. Wash mops, cloths, and brushes in hot soapy water and rinse. Ensure that all visible dirt is removed. Soak mops, cloths and brushes in a low level disinfectant solution for twenty (20) minutes. Sanitize the mop handle by cleaning and then wiping with a low level disinfectant Clean and sanitize reusable personal protective equipment such as household rubber gloves or plastic goggles. Clean and sanitize surface areas and sinks where you have cleaned equipment. PROTOCOL FOR A SPLASH OF BLOOD OR BODY FLUID “Splash” is defined as one where blood or body fluid comes in contact with lips, eyes mouth or open sore/ abrasion. Follow the protocol below: Don’t panic the risk of serious infection in a Residential facility is low. Rinse well with tap water for 10 – 15 minutes If a Person In Care is splashed: o Contact the next of kin. o Take the person in care to the nearest hospital/medical clinic o Report the Incident to Licensing If a staff member is splashed: o Report to your Supervisor immediately. If you cannot do this leave a message for the Supervisor. o Go immediately to the nearest hospital Emergency Department/medical clinic. o For follow-up counselling see your doctor o Complete WorkSafe BC reports o The Licensee/Manager or delegate ensures that the incident is reported to Licensing. LICENSING CONTACT INFORMATION IS FOUND IN APPENDIX I. 22 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.i CODE ORANGE: DATE: MONTH YEAR DISASTER All staff must be fully aware of evacuation, emergency and disaster procedures and their individual responsibility within the process. Earthquake is likely to be the most all encompassing, impacting the Island as a whole. However other events, such as Interface Wildfire (Forest Fire), loss of utilities and flooding can have disastrous consequences in large areas of the Island as well. All Licensee/Manager or delegate are responsible in ensuring their staff are thus trained. Since people are unlikely to be forewarned, the actual shock or tremor may provide the only warning. All staff must be trained and knowledgeable to the degree that will enable them to respond immediately and efficiently to the emergency. A large earthquake in our geographical area is seen as the most destructive event (excepting a catastrophic nuclear accident or war). Most wood-frame Residential buildings are highly resistant to earthquakes. During an earthquake the primary dangers are from falling objects and debris, such as collapsing chimneys, masonry facing, shattered glass, light fixtures, plaster ceilings and heavy furniture. A few simple steps can greatly reduce the risk of personal injury during an earthquake. The first indication of an earthquake A low or loud rumbling noise. A sudden violent jolt. A shaking or moving of objects. Any combination of the above. What to do immediately Protect yourself. DROP – COVER – HOLD Move away from large windows and objects which may fall. Drop to the floor and cover the back of your neck with your hands. If you are able, get under a heavy table or desk. If inside, stay there!…If outside, stay there!…Take cover…Protect head and face…Don’t run downstairs…Kneel down with your back to the wall. ACTIONS DURING AND IMMEDIATELY FOLLOWING AN EARTHQUAKE: During the shaking Do not attempt to assist others until the shaking stops, protect yourself! Provide verbal direction to Persons In Care/clients, staff and visitors. If you are inside, stay inside. Do not attempt to exit. Move away from windows and mirrors that may shatter and objects that may fall. Crawl under a strong table, counter, or desk if possible. Do not stand in a doorway. Drop to your knees and cover your head and neck with your hands. If you are outside, stay outside. Move away from the building and power lines. Avoid overhanging structures. Remain in your location until the shaking stops. 23 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Once the shaking stops WAIT 60 SECONDS AFTER SHAKING STOPS. Think, assess, move slowly. PREPARE FOR AFTERSHOCKS – respond with Drop, Cover and Hold Account for all individuals. Check for injuries Assess if anyone is injured and provide medical assistance where required, or call other staff members for assistance. Check for people who may be trapped Inspect rooms, common areas, and other locations in your area. Leave doors to rooms open. Calm Persons In Care Instruct Persons In Care to remain calm and stay in an intact room, or Assemble Persons In Care in hallways until a detailed damage assessment is complete. Keep Persons In Care away from windows, exterior walls, and objects which may fall. Check for hazards Check for fires. Floors may be covered with glass, spilled liquids, and chemicals. Check the operating status of all telephones, and replace receivers on the bases. Do not touch fallen or damaged electrical wires. Delegate the following tasks to staff as they become available Compile a list of those present at the time of the earthquake. If someone is missing either conduct an immediate search, or wait for emergency services, depending upon the condition of the building. Check utilities – shut off if necessary (i.e. electrical appliances, etc.). Check sewage lines. Check building for structural damage See APPENDIX B – Damage Assessment of the Building. Assess the damage to gas and water pipes, electrical wiring, and sewage lines. Turn off valves and water. Clear hallways and evacuation routes of hazards. Avoid other probable dangers (fallen wires, overhanging debris, etc.). Check for fires and fire hazards. Check gas, water, and electric lines. Use a flashlight NOT a candle. Turn on battery operated radio (or care radio) for emergency bulletins. Check supplies, food, water, first aid. Draw a moderate amount of cold water. Fill tubs with water in order to provide short-term resource. If the building assessment indicates that it is unsafe to remain the Licensee/Manager or delegate will contact local authorities regarding transportation to the designated alternate site. 24 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.j DATE: MONTH YEAR PANDEMIC INFLUENZA The person appointed to take the lead for Pandemic Influenza planning for the facility is ______________________. Next of kin are provided with BC Health File #94a, May 2006, Pandemic Influenza Series: “What is a Pandemic? “ This Health File is available in English, Chinese, French, Punjabi, Spanish and Vietnamese. This file can be found at the following link: http://www.healthlinkbc.ca/healthfiles/hfile108a.stm Next of kin are counselled not to visit the facility if showing symptoms. Where Adult Day Care is provided by the facility in addition to Residential Care next of kin are advised to establish backup plans for the individual’s care in the event of an infectious illness or in the event that the Facility must close due to lack staff or on orders of the Chief Medical Health Officer. A copy of the document produced by the Vancouver Coastal Health Authority and the Government of BC called “Be prepared…Be Well” should be available in the Facility for reference. It can be accessed at: http://www.viha.ca/NR/rdonlyres/62E9CAEF-87BC-444A-91268A21478D56C2/0/be_prepared_be_well_final_23oct09.pdf Communication plans for a Pandemic are to ensure that information provided through the BC Centre for Disease Control and VIHA’s Chief Medical Health Officer are shared with staff and families in a timely manner to counteract misinformation that may be causing fear and anxiety for staff and families. The Facility will adopt the BC Standard Human Resource policies for Pandemic Influenza, currently being developed at the provincial level, once they are finalized and published. The facility will monitor and report to Licensing on absenteeism if requested to do so by VIHA’s Chief Medical Health Officer or delegate. VIHA HEM will develop a staff education program for facilities that will provide education about: Comparison of Pandemic and Influenza Signs and Symptoms How Influenza spreads Checking Persons In Care on arrival for illness Infection control techniques Good hygiene practices Segregating Persons In Care who become ill while in care Frequency and methods of cleaning during a pandemic Information regarding help Persons In Care and staff deal with loss and grief Annual Influenza Vaccinations 25 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Staff, Persons In Care and Next of Kin are encouraged to get Annual Influenza vaccinations. Adequate supplies are stocked to control the spread of infection. The Standard of Practice for vaccines follows on the next page. 26 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 27 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 28 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 29 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5k DATE: MONTH YEAR INFECTIOUS DISEASE EPIDEMICS There are many infectious diseases that can afflict Persons In Care and Residential Care Facilities. For a comprehensive listing and instructions regarding these diseases refer to Appendix D of this plan for the document “Sneezes and Diseases”. It is noted that this document was designed for children, however, there are portions of the document that are applicable to adults as well such as Norwalk Virus. Facilities may pick and chose the sections they wish to incorporate into staff education and/or orientation as appropriate. http://www.vch.ca/media/SneezesDiseases.pdf 30 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.5.l DATE: MONTH YEAR BOIL WATER NOTIFICATION From time to time Boil Water Notifications may be issued by the local water supplier. Get to know who your local water supplier is and ensure that you are on their priority call out list in the event of a Boil Water Notification being issued. Upon receipt of such a notification and where the facility is dependent on a public water supply, as opposed to well water, the facility will: 1. Use only bottle water for drinking. 2. Use paper plates and plastic utensils for food preparation and consumption 3. Use a waterless disinfectant for hand washing 4. Ensure that the water supply to sinks, drinking fountains and outside water sources (taps and hoses) are turned off 5. Post pre-prepared signage indicating the Boil Water Notification is in effect. Water Disinfection Facilities have a supply of Iodine tablets for the purpose of disinfecting water, Note: Water may also be purified by bringing it to a rapid boil for 1 minute. Due to its chemical content, swimming pool or spa water should not be used as a primary source of drinking water. 31 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 1.5.m UTILITY OUTAGES POWER FAILURES: Facilities complete the BC Hydro “Business Outage Preparation Checklist” below, completing only the specific portions within the sections that are relevant to their business. Before An Outage 1. Look at the building Identify the location of your meter room and electric service entrance o Make sure you have access to the meter room o If you have more than one electric meter, identify which meter serves each part of your building and the pieces of equipment that are connected to each meter. Identify the voltage levels that BC Hydro delivers to your location If your meter room does not have emergency lighting consider installing one. o Keep a flashlight, along with fresh batteries, in the meter room so that you can see your equipment if the power goes out. If your building has fuses, know the location and ratings. Keep two (2) sets of spares in reserve in case a fuse blows when services is restored 2. Look at the equipment Post an electrical one line diagram in the meter room to help the people working to restore power. Develop and implement a written maintenance program for your vault and electrical equipment. Prepare a list of equipment that will need to be reset after an outage. Contact the service providers for your telephone service, security system and fire protection service for information on how these systems will operate during and after, an electrical outage. Know what equipment can and cannot be turned off. Develop a plan for controlled shutdown if needed. 32 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 3. Take steps to prepare Prepare and document your operational tasks and responsibilities during a power outage. Have an operational plan ready for shutting down and restarting electrical equipment and appliances. Have someone on site or on call who is qualified to work on your electrical equipment. Establish the back-up personnel responsible for handling emergencies that happen after hours and develop an after-hours notification system. Install surge protection devices to protect sensitive electronic equipment. Develop a list of emergency phone numbers o Include suppliers, electricians, contractors, elevator services, computer services, managers at your business and BC Hydro 1 888 POWERON (1 888 769-3766) o Post the list in the meter room and in other strategic locations for quick access when needed. Set up a safety committee. Appoint safety coordinators in each section of your business to provide information and direction to employees in their work areas. Have a cell phone or cordless phone available or readily accessible. Cordless phones and your company’s phone system may not work without electricity. Ensure that all key personnel have cell phones and that everyone has a list of those numbers. Have a qualified electrician test the breakers to make sure they work and are not likely to break when repeatedly opened and closed. Put together and maintain an emergency kit including flashlights, battery powered radio, battery powered clocks, extra batteries and a coy of you emergency plan with key phone numbers. 4. Prepare your employees Educate your employees on what to do if an outage occurs. Include information on: o Using elevators on your site o Shutdown procedures for air conditioning or refrigeration equipment, alarm systems and any other critical equipment or systems. Ensure that key staff know the procedure for reporting an outage and have a note of you BC Hydro account number or your Site Location Identification (SLID) handy. Have an emergency plan in place for employees who rely on medical equipment. This may include back-up power sources or transportation to another facility. 33 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Provide flashlights to each department for use if the power goes out. o Do not use candles Keep protective gloves and goggles on hand so employees will be prepared to switch breakers back on when power is restored. o Be sure that the protective equipment used meets the requirements of WorkSafe BC Occupational Health & Safety regulations for the voltage levels in your facility. 5. Check your backup systems If you have a back-up generator, know it’s make, capacity and delivery voltage. Have someone on site or on call who is qualified to work with your back-up system o Make sure all manufacturers’ operating instructions are carefully followed. Double check that all critical loads, including elevators and emergency lighting are connected to the back-up generator. o Verify that your back-up generator capacity is enough to handle this load. Establish a regular maintenance program for your back-up generator Test your back-up generator each month o Check the generator under load conditions to make sure it works o Include the switchgear and transfer switch to your test. Remove potential hazards or hazardous materials that could be impacted by the operation of a back-up generator. Know how much fuel you have stored for the generator and how long that fuel would last during an outage. o Establish quick fuel delivery arrangements in case you run out of fuel o Install a fuel inhibitor (gasoline or diesel fuels) and plan to use, replace or polish this fuel at least once a year. Test your back-up battery systems (Uninterruptible Power Supply or UPS), emergency lighting, phone, security, fire protection each year. If you have a UPS system, know it’s back-up capacity in minutes. o Update this information as you add or remove equipment o Develop a plan for the orderly shutdown of equipment before the capacity limit is reached. 34 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 6. When the power goes off Check you circuit breakers or fuses to make sure that the outage is not being caused by equipment problems in your facility. Is power out in your whole area? Check to make sure employees are safe. o Check your elevators, equipment and the facility in general for situations that may require immediate attention. If the outage is in your own system, contact your electrician or electrical contractor. If it is a BC Hydro outage, report it by calling 1 888 POWERON or *HYDRO ( *49378) on your cell phone. The automated outage reporting system will take you through several prompts to match up your telephone number, address and BC Hydro account number or it can connect you with a representative if you don’t have this information handy. o If the outage has already been reported, the system will provide you with the most recent estimated time of power restoration, if one is available. o If BC Hydro does not have an outage recorded for your location , you will be transferred to an agent to record the details. o If you have a laptop or a computer on back-up power supply, you can go to bchydro.com/outages for outage information by region, including estimated restoration times where known. An estimated restoration time may not be available if a hydro crew has not yet assessed the cause and repair required. o Tune into you local news on your portable radio for up-dated outage information. If you are using a back-up generator, make sure the transfer switch is properly isolated from your generator load and that power is not feeding back into the Hydro system Turn off major pieces of equipment not connected to your back-up generator, because some appliances or tools left on will start up automatically when service is restored, turning them off can prevent damage, injury or fire. o Leave a few lights on in visible areas so you know when the power is restored Go to the meter room and shut off the circuit breakers to the major pieces of equipment. This will help avoid power surges and possible damage to your equipment when the power is restored. o Be sure to leave the breakers on that control the lights to alert you when the power is restored. Contact the companies that service your air conditioning system, alarm and communications equipment for information or specific instructions. 35 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 7. When the power is restored. When power is restored, turn on the most essential equipment first and wait 10 – 15 minutes before re-connecting voltage sensitive and less critical equipment, to give the system a chance to stabilize. Close you circuit breakers one at a time. o Start with your non-critical, single phase breakers, first o Wait a minute or two to make sure your equipment is operating before moving to the next breakers o Turn on any three-phase equipment at the end of this process. Remember to re-set clocks, automatic timers and alarms Shut down you back-up generator and transfer load back to your electrical system, following the manufacturer’s instructions. Check and replenish the fuel supply to your back-up generator. Review and update your outage plan in the light of learning from this outage, while the experience is fresh in everyone’s mind. Meet with your Safety Committee to update procedures as necessary. Communicate and report what happened to all concerned. Report to Licensing as a Service Delivery Disruption. Contact information is found in Appendix H. 36 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR GAS INTERRUPTIONS OR STOPAGES WHAT DOES GAS SMELL LIKE? Rotten eggs: a bad smell for a good reason Natural gas and piped propane smell like rotten eggs or sulphur. Because natural gas is odourless, we add trace amounts of a chemical called mercaptan, which has a distinctive rotten egg or sulphur-like odour. It smells bad for a good reason! In case of a leak, we want you to be able to detect and identify it. We never charge to investigate a gas odour call. What to do if you smell gas If you smell gas or hear the flow of escaping gas, follow these steps immediately: Don't smoke, light matches, operate electrical switches, use either cell or telephones, or create any other source of ignition. Leave the building immediately; leaving the door open and any windows that may already be open. Turn your gas off at the meter, if you know how. Get to a nearby phone and call the Terasen Gas 24-hour Emergency Line at 1-800-663-9911, or 911 or the fire department emergency number. If you are on a known flood plain access the Terasen Gas website for specific information: http://www.terasengas.com/_Safety/SafetyHomeWork/EmergencyPreparedness/Floods/defa ult.htm Report to Licensing as a Service Delivery Disruption. Contact information is found in Appendix H 37 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.6 DATE: MONTH YEAR Call Back to Duty for Staff All facilities are responsible for maintaining and activating their staff call back to duty listings. In facilities where contracted services are used this needs to be discussed with a Representative of the Contractor. 1.6.a REGISTER OF STAFF CALLED BACK TO DUTY DATE: _________________ EMPLOYEE TIME IN ASSIGNMENT 38 TIME OUT INITIALS FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 1.7 Disaster Supply Lists Emergency Supply Kit: This is an example only the items and amounts may vary with the size of the facility. one copy of the Site Emergency and Disaster Response Management Plan and the Emergency Operations Manual space blankets sufficient for each Persons In Care and staff member umbrellas 2 rolls tape "Keep Out, Do Not Enter" heavy duty flashlights and spare batteries portable radio (A/C and battery operated) portable or cellular telephone 2 large tarps 2 hard hats 4 pairs protective gloves 2 pairs of rubber boots, steel toe caps first aid kit 1 whistle Food and Water sufficient for the number of Persons In Care normally in residence and for the number of staff present on a week day for a 7 hour period should be stored at the facility. Facilities will take into consideration any “Special food needs” e.g. allergies or illness, of Persons In Care residing in their facility. The example menus are acceptable for individuals with diabetes. Survival Diet for One Day For One Person Breakfast 1/2 cup canned fruit, drained 1/2 cup cold cereal (shredded wheat, puffed wheat or puffed rice) 5 low salt crackers + 2 tbsp. jelly 1/2 cup Rice Dream Cup of water Snack Hard candy Lunch 15 low salt crackers 6 tbsp jelly 1/2 cup canned fruit, drained 1/2 cup juice Hard candy Cup of water Snack 4 cookies 1/2 cup canned fruit, drained Evening 1 cup canned stew 10 low salt crackers 4 tbsp. jelly 1/2 cup canned fruit, drained 1/2 cup juice Cup of water 39 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Supplies for Three Days Survival Diet For One Person FOODS: 12 1 6 1 1 2 2 3 1 12 4 ounce cans of fruit (applesauce, pears, peaches, pineapple only) Package of (3) shredded wheat biscuits or 2 cups of puffed rice or puffed wheat 4 ounce boxes of juice (apple or cranberry) Box low salt crackers Box low salt cookies Bottles jelly Bags hard candy (barley sugar, humbugs, peppermints, hard fruit candies) 8 ounce cans of stew Small jar of peanut butter (optional) 500 ml Bottles of water EQUIPMENT: 1 1 1 1 Can opener (small, hand operated) Sharp pen knife Small piece of aluminum foil Container with lid Ziploc bags Paper towels Disposable plates, bowls and plastic knives, forks and spoons Waterproof matches and candles Flashlight and battery operated radio Iodine tablets for water purification 40 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.8 DATE: MONTH YEAR COMMUNICATION In Emergency or disaster events, Residential Care Facilities come under the authority of local Municipal or Regional District governments. Primary information and instructions will come from these authorities to the Residential Care Facilities. Municipal or Regional District EOC Vancouver Island Health Authority CMHO Residential Care Facility Dotted Line indicates Information only. Facility Managers are encouraged to contact their local Municipal or Regional District Emergency manager to share their plan and discuss the role of the Municipality or regional District versus the role of the Residential Care facility during an emergency response. Expectations should be clarified at that meeting for both parties. A list of Contact numbers for local authorities is found in Appendix J. 41 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 1.8.a Radio CBC FM and other local Radio Stations will relay all emergency radio transmissions on behalf of the Provincial Emergency Program (PEP) during a disaster or emergency declared by a Municipality, Regional District or the Province Stations will communicate information to the general public regarding the response to the emergency, how and where medical help will be available, public health information, staffing needs at various sites, etc. CBC Frequencies by Community COMMUNITY ALERT BAY BAMFIELD CAMPBELL RIVER CHEMAINUS COAL HARBOUR COMOX COURTENAY NORTH END CORTEZ ISLAND SOUTH END CORTEX ISLAND CROFTON CUMBERLAND DENMAN ISLAND DUNCAN GOLD RIVER HORNBY ISLAND LADYSMITH METCHOSIN NANAIMO PARKSVILLE PORT ALBERNI PORT ALICE PORT HARDY PORT MCNEILL QUADRA ISLAND QUALICUM BEACH SALT SPRING ISLAND SAYWARD SOINTULA SOOKE TAHSIS TOFINO UCLUELET VICTORIA RADIO FREQUENCY 101.5 FM 540 AM 104.5 FM 90.5 FM 540 AM 92.5 FM 92.5 FM 104.5 FM 92.5 FM 90.5 FM 92.5 FM 92.5 FM 90.5 FM 860 AM 92.5 FM 90.5 FM 99.5 FM 105.7 FM 92.5 FM 98.1 FM 1170 AM 95.5 FM 105.1 FM 104.5 FM 92.5 FM 90.5 FM 630 AM 105.1 FM 99.5 FM 1240 AM 91.5 FM 540 AM 90.5 FM Facility Licensee/Manager or delegate should check and if local radio will be broadcasting they may choose to tune into that station. Local Station frequency: _________________It is a good idea to pre-set your portable, battery operated radio to the frequency of your choice. 1.8.b Media Residential Care Facility Licensee/Manager or delegate should determine their response to all Press and Media representatives concerning their facilities operation. 42 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR SECTION 1.9 FACILITY BUSINESS CONTINUITY PLAN SECTION 1.9.1 RECORD OF REVIEWS The Business Continuity plan for the _________________________ will be reviewed annually in an attempt to keep the Information as current as possible in the event we may be required to activate the plan. Initiated Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: Review date: SECTION 1.9.2 OVERVIEW The __________________Facility Business Continuity Plans are designed to restore the provision of Residential Care Services as quickly and efficiently as is reasonably possible. Disruption in service may be a result of either natural (i.e. earthquake, flood, fire), or manmade (i.e. system failure, terrorism/bombing, etc) events. It is necessary to review potential Hazards and make an assessment of the likelihood of each event impacting the operations of the facility. The Analysis result for this facility is found in Section 1.9.3 43 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR SECTION 1.9.3 – RISK HAZARD VULNERABILITY ANALYSIS CSA CATEGORY HAZARD IMPACT Yes Natural Geographical Earthquake Tsunami Volcano Landslide; Mudslide; Subsidence; Avalanche Glacier; Iceberg Natural Meteorological Flood; Flash Flood; Seiche; Tidal surge Drought; Famine Fire: interface wildfire; range; forest; wildland Snow; Ice; Hail; Sleet; Windstorm; Cyclone; Hurricane; Tornado; Water spout; Dust/sand Storm Extreme Heat Extreme Cold Lightening strikes Geomagnetic storm Natural Biological Disease with human impact: Influenza Pandemic; Epidemic; Plague; West Nile Virus; SARS; Disease with animal impact: Mad Cow; West Nile; Avian Influenza Animal/Insect infestation Human Caused NonHazardous spill internal intentional Hazardous spill external Explosion - internal Fire – internal - minor Fire - internal - major Transportation accidents Building/Structure collapse Mass casualties Mass contamination Energy; Power; Utility Failure Fuel shortage 44 No ACTION PLAN COMPLETED FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN CSA CATEGORY HAZARD IMPACT Yes Human Caused NonWater contamination - internal intentional (cont’d) Water contamination -external Financial issues; Depression; Inflation Communication system failure/interruptions Misinformation Human caused Intentional Terrorism – CBRNE & Cyber Sabotage Civil disturbance; Public unrest; mass hysteria; Riot Enemy attack/War Insurrection Strike or Labour dispute Disinformation Criminal activity Electromagnetic pulse Workplace violence Technology caused Central computer, mainframe failure Ancilliary support equipment failure Telecommunication failure Energy; Power; Utility failures Site Specific 45 No DATE: MONTH YEAR ACTION PLAN COMPLETED FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN SECTION 1.9.4 DATE: MONTH YEAR GOALS Three main goals have been established as guidelines for this plan. These goals are outlined below: Provide a working document for __________________ facility staff members responding to a disaster. Design a business continuity plan to restore Residential Care services as quickly and efficiently as possible. Provide staff with education and tools to allow them to have a personal plan for themselves and their families in the event of a disaster. SECTION 1.9.5 BUSINESS FUNCTIONS There are four impacts that would cause an impact of the operation of the facility: 1. 2. 3. 4. Systems up/Building unusable Systems Down/ Building usable Systems down/Building unusable. Insufficient Human Resources Business Continuity planning is therefore structured around these three possibilities. 1.9.5.a Systems up/Building down In the event that the building is unusable. Decisions will need to be made concerning the operations. Depending on the cause of the building being unusable there are options: i) The operations will move to it’s alternate site. Next of kin will be informed by phone of the circumstances and any change in location and/or operations. ii) If ordered to evacuate by the local authorities: If the alternate location is usable the operations will shift to that site. If that site Is unavailable then the second alternate location is to be used. I neither is available/usable then the Manager will contact the local authorities EOC and obtain advice on next steps. A note indicating the relocation will be posted on the door of the facility, and Next of kin will be notified by phone if the telephone system is operational. iii) Next of kin will be notified of the site and hours of operation and the date of the transfer back to the original site either by signage or telephone. 46 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 1.9.5.b DATE: MONTH YEAR Systems down/Building up In the event that systems are down but the building is operational. Decisions need to be made regarding the operations. 1.9.5.c i) If the system outage can be managed and the operation can continue without concerns about the safety of the staff and Persons In Care it will do so. ii) If the outage results in potential harm to the staff and Persons In Care and evacuation to an alternate location will be undertaken. If one of the systems that is impacted is the telephone system. A note will be left for Next of kin indicating the address of the alternate location, iii) Close until the systems can be restored. Next of kin will be notified as soon as possible of re-opening. Systems down/Building down This is the worst case scenario. The operation will: i) Move to an alternate location if possible and continue to care for the Persons In Care. If the alternate location is unavailable then go to the second alternate location. If that too is unavailable then: ii) Evacuate to a safe area and contact the Emergency Operations Centre of yourr Municipality for assistance in finding alternate placement where staff will continue to care for the Persons In Care until Next of kin or predesignated alternate’s are called. . 1.9.5.d Insufficient Human Resources If for any reason the facility does not have sufficient staff to operate safely within the Residential Care Licensing Regulations the facility will need to: Have an essential services staffing plan that outlines what must be undertaken when staffing is at a lower than normal level; and Have an alternate source of staff to contact such as an agreement with another health care provider for short term coverage. Any such agreements should be documented through a Memorandum of Agreement and should be included as an addition Appendix in the facility response plan. Submit an incident report to Licensing 47 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN SECTION 1.9.6 DATE: MONTH YEAR ALTERNATE LOCATIONS In the event that the ____________________Facility cannot operate on it’s primary site the first alternatives site is: ADDRESS: TELEPHONE The second alternative site is: ADDRESS TELEPHONE It is of paramount importance that your plan is discussed with local emergency management authorities as soon as your plan is complete. A copy of your plan should be provided to your local authorities when you meet with them. 48 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN 2 DATE: MONTH YEAR REFERENCE MATERIALS APPENDIX A Next of Kin Emergency Preparedness Information APPENDIX B Damage Assessment of the Building APPENDIX C Be Prepared….Be Well APPENDIX D Sneezes and Diseases APPENDIX E Individual & Neighbourhood All Hazard Emergency Preparedness Workbook. APPENDIX F 52 Weeks to Emergency Preparedness APPENDIX G Grab ‘n Go Bags APPENDIX H VIHA Licensing Contact Information APPENDIX I Reportable Incidents and VIHA INFOsheet APPENDIX J Local Authorities Contact Information APPENDIX K Incident Command System APPENDIX L British Columbia Emergency Response Management System (BCERMS) APPENDIX M Provincial Emergency Program (PEP) APPENDIX N Municipal Emergency Social Services (ESS) APPENDIX O Common Emergency Planning Acronyms 49 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX A: DATE: MONTH YEAR Next of Kin Emergency Preparedness Information Persons In Care needs will be provided for through the facilities Disaster and Emergency Response plans. As Next of Kin you are encouraged to ensure you and your family are prepared for emergencies so that you might be able to assist in the recovery of the facility and the provision of comfort to your Person In Care. We are please to offer a number of tools to assist you in your personal planning: CD Contents The Provincial Emergency Program has a number of excellent tools: http://www.pep.bc.ca/hazard_preparedness/personal_preparedness.html Vancouver Coastal Health also has some good reference materials on Infectious Diseases: http://www.vch.ca/media/SneezesDiseases.pdf VIHA also has specific information regarding caring for yourself and your family during a Pandemic: http://www.viha.ca/NR/rdonlyres/62E9CAEF-87BC-444A-91268A21478D56C2/0/be_prepared_be_well_final_23oct09.pdf 50 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX B DATE: MONTH YEAR Damage Assessment of the Building Use the Damage Assessment Checklist following this page to assess the damage to the building, and report the findings to the Licensee/Manager or delegate Differentiate between structural and non-structural damage. Although damage may appear to be extensive, evacuation may not be necessary. Do not occupy the building and prevent access if: The building had collapsed partially or completely. There is obvious and severe damage to primary structural supports, or other signs of distress. There are large ground fissures or massive ground movement near the building. Prevent access to part of the building if: There is a hazardous spill. Gas or power lines have broken. Windows are broken. Post signs in areas deemed to be unsafe indicating the danger. Immediately notify the Medical Health Officer On Call 1-800-204-6166 as to the status of the quality and quantity of the water supply. 51 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Damage Assessment Checklist ACTIVITY COMPLETE COMMENTS Fire Exterior: Structural Integrity: Landslides, bank failure, surface fissures, Flooding Entry and exit routes: Safe, accessible Interior: Structure Integrity: Fallen light fixtures, Broken windows, Fallen cupboards/furniture, Hazardous spills Elevators: Doors, pulleys, chains & electrical systems Electrical System: system integrity, shorting, fire & fallen power lines Water: System integrity, availability & purity HVAC functioning system: 52 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN ACTIVITY Sewage functioning COMPLETE COMMENTS system: Telephone & paging system: Functioning Natural gas system: system integrity & availability Other 53 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX C BE PREPARED BE WELL 54 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Insert document 55 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX D SNEEZES AND DISEASES 56 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Insert Document 57 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX E: DATE: MONTH YEAR Individual and Neighborhood All Hazard Emergency Preparedness Workbook: Further copies available at: 58 www.pep.ca FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Insert document 59 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR APPENDIX F: 52 WEEKS TO EMERGENCY PREPAREDNESS 52 WEEKS TO BEING EMERGENCY PREPARED! DURING A DISASTER IS NOT THE TIME TO PLAN Disasters can strike at any time. Events in Indonesia, Pakistan, New Orleans and the Tsunami warning we experienced a year ago are all indications that we need to take preparedness seriously. Peace of mind can be increased by knowing you have essential supplies on hand and are prepared to be self-sufficient for at least 72 hours but more realistically for seven days. Set up a family meeting now to discuss how you can best prepare for a disaster. The following is a tool developed by the Alberni-Clayoquot Regional District Emergency Program and is used with their permission. Week 1: Disaster kit containers: you can either use a separate container for each member of the family or a number of larger containers to use for the family as a whole such as a plastic bucket, suitcase, box, wheeled garbage container etc. Be sure that you can transport them easily one a wagon, luggage rack etc. If you use a separate container for each member of your family. Designate one container as the “main” container as some weeks you will be adding items only to one container. Find an accessible location for the containers to be stored, close to an exit, and known to all family members. Week 4: For each family member add: 1 can of soup, 3 small packages of crackers and eating utensils (knife, fork & spoon) Week 5: Plan and practice evacuation drills using two different escape routes from each room and meeting at a pre-appointed location. Consider placing an escape ladder on the second floor of a two story home. For each family member add: 1 small can opener, 1 can prepared meat and 1 box/package raisins or other dried fruit. Week 3: Post emergency phone numbers near each telephone and instruct all family members on the use of these numbers. Designate a relative or friend living outside of BC as your family contact – ensure that they are prepared to man their telephone once the initial 72 hours have elapsed. After a disaster it is often easier to call out of your region as the local phone lines might be tied up. Week 2: Create a menu for every meal for every day (7 x 3 = 21). Then use the menu to determine what food items you need to include in your containers. 60 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Week 6: For each family member, add: 3 granola bars, 3 juice boxes which are vacuum sealed, waxed containers with drinking straws. Week 7: For each family member add: 2 large plastic bags to be used as a poncho, ground cover, blanket or for trash, waste or water protection, 6 medium plastic bags, a plastic cup and dish and 6 to 10 small paper plates. Week 12: For each family member add: 3 sticks jerky and 3 cans fruit (applesauce, peaches, pears etc.) Week 13: For each family member add: 1 package trail mix, 1 can vegetables and enough vitaminmineral supplement for 7 days Week 14: For each family member add: bedding. This could be a sleeping bag or two blankets, 2 cloth sheets and two plastic sheets for ground cover. In practicing your family evacuation drill, train family members to quickly roll up sheets and blankets together as they get out of bed and bring these with them as they leave their rooms. Week 15: If you have an infant in your family, you need to create an infant disaster kit which might contain: disposable diapers. Baby wipes and diaper rash cream, baby soap, formula, disposable bottles and nipples, warm sleeper, warm blanket, hooded jacket, baby food for 3 – 5 days, crackers, pacifiers, teether, baby aspirin, Vaseline, changes of clothing and duplicates of favourite toys. Week 16: For each family member add: brush and/or comb, toothbrush and toothpaste, shampoo, deodorant, flashlight and batteries. Week 8: For each family member add: 1 small package tissues, 1 can nuts (almonds, peanuts, cashews, sunflower seed etc.), small containers of nut butter (peanut, almond, cashew etc.) and honey, jam, salt, pepper and sugar. Week 9: For each family member add: underwear, socks, shirt, pants, sweater, hat, working gloves, jacket and sturdy shoes. Week 10: Store four (4) litres (1 gallon) of WATER per person/per day and include addition water for pets. You might want to consider a separate means of transporting the water for the whole family. Week 11: For each family member add: 1/2 pound of instant powdered milk, 1 envelope powdered juice drink, 1 can evaporated milk and one container “shelf” milk. DATE: MONTH YEAR 61 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Week 17: For each family member add: 6 safety pins of assorted sizes, 1 towel, 1 washcloth, 1 small bar of soap and soap dish, battery or wind-up watch or clock. Week 24: Add to ONE container: sunscreen, insect repellent, hand lotion, fingernail clippers, nail file, small bottle of Tylenol or Aspirin and a small bottle of Advil. Week 18: For each family member add: 1 lip balm, spare eyeglasses. 10 quarters for phone calls and one lightweight foil blanket. Week 25: Add to ONE container a battery operated radio with extra batteries and favourite family books. Week 19: For each family member add: 6 individually wrapped handiwipes or small bottle of hand disinfectant, 15 paper towels and toilet paper rolled up. Week 27: Add to ONE container: mirror, razor, shaving cream (if desired), cotton swabs, sore throat lozenges, hydrogen peroxide, alcohol, bandages, adhesive tape. Week 20: For each family member over 12 add: matches, water proofed with paraffin or nail polish and piece of sandpaper for striking, 1 candle in a jar and 1 small pocket or paring knife. Week 28: Add to ONE container: scissors, tweezers, triangular bandage, needle and spool of thread, cotton and consecrated oil. Week 29: Add to ONE container: First aid guide, sanitary pads – to stop bleeding and burn medication. Personal medications, prescriptions including prescriptions for glasses, contact lenses in each person’s container as necessary. Week 30: Get a large bucket with a tight fitting lid to use as a toilet, a folding shovel and an axe. Week 31: Add to ONE container: small container of detergent, dishpan, screwdriver and pair of pliers. Week 32: Add to ONE container: small hammer and nails, electrical tape, duct tape, adjustable wrench and signal flares. Week 21: For each family member add: 1 package rice cakes, paper and pencil, 1 small game (Uno etc.). Fill out medical release from for each minor Persons In Care in the family and put in appropriate containers. Week 22: For each family member add: 1 can baked beans, 1 can spaghetti in sauce and 3 fruit rolls or fruit leather. Week 23: Add to ONE container: 10-20 foot length of rope, water purification tablets, or medicine dropper and small bottle of liquid bleach (odourless), dust masks and eye protectors. 62 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Week 33: Add to ONE container: spare car and house keys, spare glasses, whistle on string Week 34: Assemble in an accessible place for quick evacuation: copies of personal documents (genealogy, religious documents, will, insurance papers, financial records, passports, medical records, inventory of possessions and picture negatives) DATE: MONTH YEAR Week 42: Add to car kit: toilet tissue, towellettes, baggies, coins for pay phones, pen/pencil and paper. Week 43: Teach all members of the family how and when and if to turn off electricity, water and natural gas to the house. You would only turn off the gas if you smell or hear a leak. Week 44: Set aside the following tools in an easily accessible location: crescent wrench, shovel and or broom, pliers and wire cutters. Week 35: Beside each bed place a flashlight with tested and working batteries and a sturdy pair of shoes. Week 36: Obtain a container to use as an emergency car kit and put into it booster cables, tools, ice scraper and brush. Week 45: Add to tool location: screwdrivers, duct tape, a roll of plastic tape, strong all purpose work gloves. Week 37: Add to car kit: first aid kit, first aid manual and any required medications. Week 46: Create a “comfort kit” for each member of the family which may include reading materials, cards, games, stuffed animals etc. Week 38: Add to car kit: foil blanket, folding shovel, sand or kitty litter, tow chain. Week 47: For each family member add: 1 can poultry, seafood or meat spread and 1 can vegetable and meat stew. Week 48: For each family member add: 3 pouches instant dried soup, coffee, tea and/or hot chocolate. Week 49: For each family member add: 3 small packages of cereal, 2 packages of cookies, 3 rice cakes and a supply of candies and jellies. Week 39: Add to car kit: warning light of flares, fire extinguisher (5 lb. ABC type) and tire repair kit and pump. Week 40: Add to car kit: bottled water – at least 4 litres, and high energy foods such as granola bars, raisins and peanut butter. Week 41: Add to car kit: flashlight, spare batteries, candles and waterproof matches. 63 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Week 50: A basic disaster kit should be made up for any and all family pets. This Pet Kit could include: a carrier for each pet, ID photo, vaccination records, registrations, special needs list, sufficient medicines and a muzzle/collar and leash; extra supply of pet food, bowls, can opener, kitchen trash bags, bleach for disinfectant and water purification, kitty litter, blankets towels, paper towels and other waste disposal supplies. DATE: MONTH YEAR Week 51: Gather your family together and review your emergency evacuation procedures and the contents of your disaster kit, car kit and pet kit. Replace any food items or bottled water as needed, check batteries and smoke detectors Week 52: TWO TIMES A YEAR when you change your clocks in the spring and fall also do the following: Replace your supply of stored tap water Replace outdated food supplies Inspect your house for potential hazards Check smoke detector Check batteries Practice escape routes REMEMBER : You must consider any special needs that family members have. Some additional items you might want to add to your emergency kit: Bottle opener Plastic wrap Saran wrap Emergency stove/Camp Stove Cooking fuel Oven mitts Wooden spoons Liquid dish soap & tea towels Survival book Sealable containers Sharp kitchen knife Goggles 36 hour candle Glow sticks Aluminium foil Cooking pots, pans & covers I D bracelets Crow bar 64 Sledge hammer SOS pads Hard hat Safety vest Tent Emergency light Solar powered radio Cutting board Camping tools FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR APPENDIX G: GRAB’N GO BAGS (Supplies sufficient for 72 hours) Food Water First Aid Kit Survival Manual Flashlight & batteries Radio & batteries Money (for pay phones) Gloves Warm clothing Sturdy shoes/Hiking boots Prescribed medications Extra prescription eyeglasses/contact lenses Family photographs Address book with important phone numbers 65 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX H: VIHA LICENSING CONTACTS South Island #201 - 771 Vernon Avenue Victoria, BC V8X 5A7 Ph: (250) 475-2235 Fax: (250) 475-5130 Central Island #29 - 1925 Bowen Road Nanaimo, BC V9S 1H1 Ph: (250) 739-5800 Fax: (250) 751-1118 North Island #200 - 1100 Island Highway Campbell River, BC V9W 8C6 Ph: (250) 850-2110 Fax: (250) 286-3486 Link to VIHA’s Licensing Website: http://www.viha.ca/mho/licensing 66 DATE: MONTH YEAR FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX I: DATE: MONTH YEAR REPORTABLE INCIDENTS 1 For the purpose of the regulations, any of the following is a reportable incident: "aggressive or unusual behaviour" means aggressive or unusual behaviour by a person in care towards other persons, including another person in care, which has not been appropriately assessed in the care plan of the person in care; "attempted suicide" means an attempt by a person in care to take his or her own life; "choking" means a choking incident involving a person in care that requires emergency care by a medical practitioner or nurse practitioner, or transfer to a hospital; "death" means any death of a person in care; "disease outbreak or occurrence" means an outbreak or the occurrence of a disease above the incident level that is normally expected; "emergency restraint" means any use of a restraint that is not agreed to under section 74 [when restraints may be used]; "emotional abuse" means any act, or lack of action, which may diminish the sense of dignity of a person in care, perpetrated by a person not in care, such as verbal harassment, yelling or confinement; "fall" means a fall of such seriousness, experienced by a person in care, as to require emergency care by a medical practitioner or nurse practitioner, or transfer to a hospital; "financial abuse" means (a) the misuse of the funds and assets of a person in care by a person not in care, or (b) the obtaining of the property and funds of a person in care by a person not in care without the knowledge and full consent of the person in care or his or her parent or representative; 67 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR "food poisoning" means a food borne illness involving a person in care that requires emergency care by a medical practitioner or nurse practitioner, or transfer to a hospital; "medication error" means an error in the administration of a medication which adversely affects a person in care or requires emergency intervention or transfer to a hospital; "missing or wandering person" means a person in care who is missing; "motor vehicle injury" means an injury to a person in care that occurs during transit by motor vehicle while the person in care is under the care and supervision of the licensee; "neglect" means the failure of a care provider to meet the needs of a person in care, including food, shelter, care or supervision; "other injury" means an injury to a person in care requiring emergency care by a medical practitioner or nurse practitioner or transfer to a hospital; "physical abuse" means any physical force that is excessive for, or is inappropriate to, a situation involving a person in care and perpetrated by a person not in care; "poisoning" means the ingestion of a poison or toxic substance by a person in care; "service delivery problem" means any condition or event which could reasonably be expected to impair the ability of the licensee or his or her employees to provide care, or which affects the health, safety or dignity of persons in care; 68 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR "sexual abuse" means any sexual behaviour directed towards a person in care and includes (a) any sexual exploitation, whether consensual or not, by an employee of the licensee, or any other person in a position of trust, power or authority, and (b) sexual activity between Persons In Care or youths, but does not include consenting sexual behaviour between adult persons in care; "unexpected illness" means any unexpected illness of such seriousness that it requires a person in care to receive emergency care by a medical practitioner or nurse practitioner or transfer to a hospital. 69 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR VIHA INFO SHEET: REPORTABLE AND NON-REPORTABLE INCIDENTS - INFORMATION FOR CAREGIVERS COMMUNITY CARE FACILITIES LICENSING PROGRAM Purpose The purpose of reportable incidents is: To ensure that incidents are reported and reviewed in a timely manner both by the facility and Community Care Facilities Licensing staff. This process will assist in the prevention of recurrence and in the promotion of a high standard of care, safety, health and dignity of the persons in care. This also allows for health authority-wide trending and analysis to support continuous quality improvement. To comply with the legal responsibility to report incidents as stated in the Residential Care Regulation and Child Care Licensing Regulation. General Instructions to Complete the Form The definitions of reportable incidents are listed: In Schedule D in the Residential Care Regulation; In Schedule H in the Child Care Licensing Regulation; and On the back of the cover page of the Incident Report form pad for quick reference. After a reportable incident occurs (either witnessed or following notification of a “reportable incident”), the facility staff member/care provider (this could be care staff or management) will complete an Incident Report form. All relevant information to be completed by the facility (including facility follow-up and corrective measures) is on the front of the first page of the Incident Report form. For a “reportable incident”, the facility Licensee/Manager/Supervisor of Care shall review the information on the incident form (including facility follow-up action/corrective measures), sign it, remove and retain the yellow copy (facility) and then forward the Licensing Officer’s copy (white) to the local Health Authority Licensing office, and the Funding Agency’s copy (pink) to the Funding Agency (if applicable). Guidelines for Sending Incident Report Forms to Licensing Please note that there are differences between the Child Care Licensing Regulation and the Residential Care Regulation as they pertain to the requirement for reporting incidents, as noted below: For Residential Care Facilities: To avoid duplication and to streamline the reporting process, do not fax a copy of the Incident Report form unless the incident is of an urgent nature. Incidents that would be considered to be of an urgent nature include any allegations of abuse (sexual, physical, emotional, neglect, financial), unexpected deaths, attempted suicides and service 70 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR 2… disruptions. For these urgent incidents, immediately call or fax your Licensing Officer and then mail the white copy within 24 hours to your Licensing office. If reporting by fax or phone, the original report must also be submitted to the Licensing office as soon as possible. For other, incidents not of an urgent nature (e.g. falls, aggressive/unusual behaviours, expected deaths, emergency restraints, unexpected illnesses, etc.) please mail the white copy promptly to your local Licensing office. Please contact your Licensing Officer if you have any questions and if in doubt, please err on the side of over reporting. For Child Care Facilities Section 55 (2) of the Child Care Licensing Regulation requires that all reportable incidents be reported to Licensing within 24 hours. Reports will be accepted by fax, phone call, or handdelivery of the original Incident Report form to the Licensing office. If reporting by fax or phone, the original report form must also be submitted to the Licensing office as soon as possible. Maintaining a Log of Non-reportable Incidents In all types of facilities (Child Care, Child Residential Care, and Adult Residential Care facilities), the licensee must maintain a written log of: Minor accidents and illnesses involving persons in care, that do not require medical attention and are not reportable incidents; and Unexpected events involving persons in care. Licensing Officers will review this log of non-reportable incidents at the time of their inspection visit to your facility. Freedom of Information and Protection of Privacy The collection and release of personal information is related directly to and is necessary for the program operation per Section 26 of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection and use of this information, contact your local health authority, Community Care Facilities Licensing office. South 201 – 771 Vernon Avenue Victoria, BC V8X 5A7 Ph: (250) 475-2235 Fax: (250) 475-5130 Central 29 – 1925 Bowen Road Nanaimo, BC V9S 1H1 Ph: (250) 739-5800 Fax: (250) 751-1118 71 North 200 – 1100 Island Highway Campbell River, BC V9W 8C6 Ph: (250) 850-2110 Fax: (250) 286-3486 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX J: DATE: MONTH YEAR LOCAL AUTHORITIES CONTACT INFORMATION Municipality/Regional District SOUTH District of Oak Bay Colwood Emergency Program Langford Emergency Program Saanich Emergency Program Southern Gulf Islands Emergency Services Salt Spring Island Emergency Program District of Highlands Emergency Service Central Saanich Emergency Program Town of View Royal Emergency Program City of Sidney Emergency Program City of Victoria Emergency Program Sooke Emergency Program District of Mechosin Emergency Program Township of Esquimalt Emergency Program Juan de Fuca Electoral Area Emergency Program District of North Saanich Emergency Program Capital Regional District Protection Services Address Phone Number 1703 Monterey Avenue Victoria, BC V8R 5V6 3300 Wishart Road Victoria, BC V9C 1R1 2775 Millstream Road Victoria, BC V9B 3S5 760 Vernon Avenue Victoria, BC V8X 2W6 3711 Bosun Way, Box 3 Pender Island, BC V0N 2M0 105 Lower Ganges Road Salt Spring Island, BC V8K 2T1 1980 Millstream Road Victoria, BC V9E 1C9 1903 Mt. Newton Cross Road Saanichton, BC V8M 2A9 280 Island Highway Victoria, BC V9B 1G5 9837 Third Street Sidney. BC V8L 3A6 1234 Yates Street Victoria. BC V8V 3M8 2225 Otter Point Road Sooke. BC V0S 1N0 641 Aquarius Road Victoria, BC V9C 4G5 500 Park Place Victoria, BC V9A 6Z9 #2– 6868 West Coast Road, Box 283 Sooke BC V0S 1N0 986 Wainwright Road North Saanich, BC V8L 5N8 625 Fisguard Street, Victoria, BC V8W 2S6 250-592-9121 72 250-478-5541 250-478-9555 250-475-5503 866-308-6160 250-629-3133 250-537-2531 250-208-3240 250-544-4227 250-479-7322 250-656-2121 250-920-3377 250-642-1634 250-474-3167 250-414-7125 250-642-2266 250-656-1931 250-360-3186 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Municipality/Regional District CENTRAL/NORTH City of Parksville Emergency Program District of Tofino Emergency Program Cowichan Valley Regional District Protection Services Regional District of Nanaimo Emergency Programs Comox Valley Emergency Program Strathcona Emergency Program Alberni/Clayquot Regional District Emergency Program City of Nanaimo and Lantzville Emergency Programs Regional District of Mt. Waddington Emergency Program Town of Qualicum Beach Emergency Program Powell River Emergency Program District of Ucluelet Emergency Program DATE: MONTH YEAR Address Phone Number Box 1390 Parksville, BC V9P 2H3 Box 9 Tofino, BC V0R 2Z0 175 Ingram Street, Duncan, BC V9L1N8 6300 Hammond Bay Road Nanaimo, BC V9T 6N2 3001 Moray Avenue Courtenay, BC V9N 7S7 301-990 Cedar Street, Campbell River, BC V9W 7Z8 3008 – 5th Avenue Port Alberni, BC V9Y 2E3 575 Fitzwilliam Street Nanaimo, BC V9R 5J6 Box 729, Port McNeill, BC V0N 2R0 Box 130, Qualicum Beach, BC V9K 2S7 4766 Harwood Avenue Powell River, BC V8A 2R4 Box 999 Ucluelet, BC V0R 3A0 250-248-3242 73 250-725-4436 250-746-2562 250-390-7511 250-334-6488 250-830-6703 250-720-2529 250-755-4572 250-956-3888 250-752-6921 604-414-4553 250-726-7774 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX K DATE: MONTH YEAR Incident Command System (ICS) The British Columbia Emergency Management Response System (BCERMS) The complexity of incident management, coupled with the growing need for multi-agency and multifunctional involvement on incidents, has increased the need for a single standard incident management system that can be used by all emergency response disciplines. The BC government through its Interagency Emergency Preparedness Council (IEPC) has developed a comprehensive “all hazards” provincial emergency operations system. This British Columbia Emergency Management Response System (BCERMS) identifies the standardized approach to emergency response management to be utilized and practiced by provincial government ministries, agencies and crown corporations. The standard approach adopted by IEPC for emergency and disaster site operations is the Incident Command System (ICS), as used in the United States. The BC government is encouraging federal government agencies, local governments, First Nations and the private sector to endorse and use the ICS outlined by the BCERMS. The ICS The Incident Command System (ICS) used by the BC government and various municipal agencies (e.g. police, fire, emergency planners and the VIHA). One of the major benefits of this will be the simplicity of understanding other agencies Emergency Operations Centre (EOC) management structures during the event of a major disaster. The Incident Command System (ICS) is used to manage an emergency incident or a non-emergency event. It can be used equally well for both small and large situations. The system has considerable internal flexibility. It can grow or shrink to meet differing needs. This makes it a very cost-effective and efficient management system. The system can be applied to a wide variety of emergency and non-emergency situations. Every incident or event has certain major management activities or actions that must be performed. Even if the event is very small, and only one or two people are involved, these activities will still apply to some degree. Organizations for the Incident Command System (ICS) is built around five major management activities: Command Operations Planning Logistics Finance/Administration These five major management activities are the foundation upon which the ICS organization develops. They apply whether you are handling a routine emergency, organizing for a major event, or managing a major response to a disaster. 74 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR On small incidents, these major activities may all be managed by one person, the Incident Commander (IC). Large incidents usually require that they be set up as separate sections within the organization INCIDENT COMMAND (THE BOSS) Sets objectives and priorities Has overall responsibility at the incident or event OPERATIONS SECTION (THE DOERS) Conducts tactical operations to carry out the plan Develops the tactical objectives, organization Directs all resources PLANNING SECTION (THE THINKERS) Develops the action plan to accomplish the objectives Collects and evaluates information Maintains resources status LOGISTICS SECTION (THE GETTERS) Provides support to meet incident needs Provides resources Provides other services to support the incident FINANCE/ADMINISTRATION SECTION (THE PAYERS) Monitors costs related to incident Provides accounting, procurement, time recording and cost analysis 75 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX L DATE: MONTH YEAR British Columbia Emergency Response Management System (BCERMS) INTRODUCTION The Government of British Columbia has adopted BCERMS (British Columbia Emergency Response Management System) as a comprehensive management system that ensures a coordinated and organized response to all emergencies and disasters. The BCERMS incident command structure will be used within the EOCs or ECCs within Municipalities and Regional Districts in BC The Government has also adopted and endorsed Incident Command System (ICS), as have Health Regions within the Province. BACKGROUND BCERMS is based upon the Incident Command System (ICS) originally developed as a fire response management system by various U.S. states. ICS has been widely adopted by first responders and emergency management programs throughout North America. The provincial government has endorsed this emergency management response system, mandated its application for all ministries, all municipal and non-government agencies and all Health Authorities. PURPOSE BCERMS provides a framework for a standardized process for organizing and managing a response to emergencies and disasters within the province. The components of BCERMS are: Operations and Control: A common organizational structure and control method for the management of personnel, equipment, facilities and resources. The system enhances communications between representative agencies in the preparation and implementation of tactical response operations. Provides a site response structure based on the Incident Command System plus three levels of coordinated support and direction. Level 1 – Site Support Level 2 – Area Coordination Level 3 – Provincial Coordination Qualifications: Establishes a standard for the management of each functional area and level within the emergency response management system. Terminology: Establishes the use of common terminology in support of emergency operations. Training: Mandates the training of designated personnel to meet the established standards. NOTE: Training shall be delivered using this standard as well as the follow-on operational guidelines for each of the three emergency management levels. 76 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Publications: Mandates distribution of a common set of forms, reports, instructional terminology and other written material in support of the standard. SCOPE The Assisted Living Licensee/Manager or delegate shall understand the standards set out in BCERMS and ICS. These standards are also best practices for local authorities, other local governments, and federal and provincial government agencies, First Nations, regional districts, other health authorities and non-government agencies. 77 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR OVERVIEW OF THE THREE BCERMS LEVELS Level One - Site Support The SEOC: provides communication within the site level, provides policy guidance, manages the local multiple-agency support to the site level, and acquires and deploys additional resources, obtained locally or requests support from the provincial/area level. Level Two - Area Coordination The area regional coordination level (e.g. AEOC) acts in support of the site support level, and: Manages the assignment of multiple towns and areas and the response to individual site support locations or multiple site support level locations within the area of declared emergency Acquires and deploys resources at the request of the site support level (SEOC), and Requests emergency response services from Provincial Emergency Program (PEP) where incidents cross local authority boundaries, or where local authorities are not organized to fulfill their role. Level Three - Provincial Coordination The Regional coordination level manages the overall response, which includes the provision of support for all municipalities and regional districts in the affected area, and: seeks support of senior elected officials, requests from the minister for a declaration of an emergency, provides the affected area with policy guidance, establishes priorities, manages public information activities, requests the acquisition and deployment of provincial, federal, inter-provincial and international resources, and provides coordination through a Provincial Regional Emergency Operations Centre (PREOC). GUIDING PRINCIPLES BCERMS is a management system with a set of policies and guiding principles that apply to all three levels. 78 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR RESPONSE OBJECTIVES BCERMS supports a prescribed set of response objectives set out in priority as follows to: Provide for safety and health, Save lives, Reduce suffering, Protect public health Protect infrastructure, Protect property, Protect the environment, and Reduce economic and social losses. INCIDENT COMMAND SYSTEM BCERMS has adopted many features of the Incident Command System (ICS) for application at site, site support, area coordination, and coordination of the emergency response and recovery of the affected area. The Incident Command System has been well tested in a range of emergencies and is designed to provide an all-hazard single or multi-agency or jurisdiction emergency response management framework. MANAGEMENT FUNCTIONS BCERMS uses the five essential management functions of the Incident Command System. These are: Command, Operations, Planning, Logistics, and Finance/Administration. 79 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN Command or Management DATE: MONTH YEAR Command Liaison Public Information Safety Operations Section Planning Section Logistics Section Finance/Admin Section MANAGEMENT BY OBJECTIVES The management by objectives feature means that each BCERMS level establishes objectives to be achieved within a given time frame, known as an “operations period”. These objectives always relate to the response goals stated earlier. An objective is an aim or end of an action to be performed. It is commonly stated as “what” must be achieved. Each objective may have one or more strategies and tactical actions needed to achieve the objective. Strategies are commonly stated as “how” actions should be performed. The tactics are the detailed steps of a strategy taken at the site level to achieve objectives. AGENCY EXECUTIVE POLICY GROUP An agency executive or policy group, composed of senior management provides: Guidance, Overall direction and priorities for managing the emergency or disaster situation, Parameters for expenditures, Acquires/authorizes/requests additional outside support/resources, Public information direction, and Approves declarations of a state of health emergency and the delegation of extraordinary power. 80 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR OPERATIONAL PERIODS An operational period is the length of time set by command at the site level, and by management at the other levels, to achieve a given set of objectives. The operational period may vary in length and will be determined largely by the dynamics of the emergency situation. An operational period may be designated to a maximum 24-hour period. ACTION PLANNING All levels of BCERMS develop action plans to guide their activities during pre-impact, response and recovery phases. There are two general types of action plans in BCERMS. At the site level, verbal or written incident action plans contain objectives, strategies and tactical assignments for one operational period. At each of the three higher levels, action plans address the policies, priorities and resource requirements that support the level immediately below as well as direction across the affected area in larger emergencies and disasters. For small incidents of short duration at the site level, the incident action plan may not be written. However, when several jurisdictions or agencies are involved or the incident will require changes in shifts of personnel over another operational period, an action plan should be written. At the site support (SEOC), area (AEOC) and the Provincial coordination levels (HAEOC), the use of action plans provides personnel with direction or policy, prioritized objectives and the steps required too achieve the objectives. Action plans are an essential and required element in achieving objectives under BCERMS. Action plans are developed according to a standardized process that assigns planning responsibilities to specific organizational components. All action plans are approved by Command (Incident Commander). 81 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX M: DATE: MONTH YEAR Provincial Emergency Program Role The Provincial Emergency Program (PEP) is the emergency services organization start point for provincial matters whose role is to: Coordinate the Provincial Government’s emergency response to emergencies that occur within British Columbia. Prepare, distribute and maintain an emergency strategy which outlines the responsibilities of all provincial ministries and agencies in an emergency situation. Advise and assist in provincial ministries and agencies and local government in the development of emergency management programs and plans. Maintains a continuous emergency response and readiness capability. Responsibilities Major Emergencies or Disasters The Provincial Emergency Program assumes the following responsibilities in the event of a major emergency or disaster: Coordinates all requests for provincial or federal emergency assistance. Makes the appropriate request to the provincial ministries and agencies for assistance if the VIHA’s resources are not adequate for an effective response to the emergency. Arrange for WORKSAFE BC coverage to registered emergency workers. Recommends to the Provincial Government that a Provincial State of Emergency be declared. Provides and maintains a Provincial Public Information Program during all phases of a disaster. Emergency Contacts Phone Contact on radio 1-800-663-3456 149.495 Note: All Municipal Emergency Planners and the Provincial Emergency Program (PEP) have been advised that, in order to contact either the VIHA Administrator On-Call they will contact the Switchboard at the Royal Jubilee Hospital (370-8000) on all occasions. 82 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX N: DATE: MONTH YEAR MUNICIPAL EMERGENCY SOCIAL SERVICES (ESS) Planning and providing care for evacuees and emergency response workers is called Emergency Social Services (ESS). Emergency Social Services can be reached via the Provincial Emergency Program at 1-800-663-3456. During a declared disaster, in which reception centres have been established within municipalities, the VIHA will direct those persons requiring Emergency Social Services to those locations. Under the Emergency Preparedness Act, the Provincial Emergency Program is responsible for assisting municipalities with planning and operating ESS. The PEP provides emergency volunteers with training and consultation in developing their plans. During a disaster, Ministry staff actively support local responders and insure that the costs of providing essential services are paid promptly. Local governments designate buildings to serve as Emergency Reception Centres. When an emergency is declared and people are forced to leave their homes, the Reception Centre is opened and staffed by volunteers who arrange for the provision of ESS. If a neighborhood is evacuated due to flood, toxic spill, wild fire, earthquake or a similar calamity, where do people go? Who would feed and shelter them? Help family members find each other? Provide necessary information and support? These essential services are: Food & Lodging Clothing Registration & Inquiry Personal Services Several organizations work with the Provincial Emergency Program to develop a Provincial ESS Support Team, augmenting local resources in a major disaster. These include: The Canadian Red Cross Society British Columbia Housing Salvation Army Restaurant & Food Services Association of British Columbia St. John Ambulance Telephone Pioneers Amateur Radio Club Emergency Social Services Association Mennonite Disaster Service Several Government Ministries & Agencies Christian Reformed World Relief Committee In a major disaster, these organizations will meet in an operations centre from which they will locate additional resources and dispatch them to the communities in need. These resources will include materials, personnel, information and even additional ESS volunteers from other communities. 83 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR Role The primary responsibility of Municipal ESS is to plan for the short-term basic needs of all individuals in the event of an emergency or disaster. The Municipal ESS Director or alternate will participate in the activities of the EOC within the municipality and reports to the Municipality’s Emergency Coordinator. Responsibilities Coordinate the opening and operations of designated Municipal ESS Reception Centres for shelter. Provide Registration & Inquiry in conjunction with the Red Cross. Provide food to victims, volunteers and workers affected by the emergency or disaster. Provide personal services such as counseling and special needs as required. Arrange for the distribution of basic clothing to those who require it. Provide coordination, listing and recording of volunteer services. Provide for secondary communications with amateur radio. Maintain a log of all actions taken. Provides essential services for all persons affected by an emergency or disaster. 84 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN APPENDIX O: DATE: MONTH YEAR COMMON EMERGENCY PLANNING ACRONYMS AEOC – Area Emergency Operations Centre An Emergency Operations Centre established and operated at the area level in order to coordinate the response and support of all VIHA SEOCs within it’s jurisdiction and to liaison with the HAEOC. BCAS – British Columbia Ambulance Service ESS – Emergency Social Services Emergency Social Services are those Municipal services that are provided short term (generally 72 hours) to preserve the emotional and physical well-being of evacuees and response workers in emergency situations. EOC – Emergency Operations Centre A designated facility established by an agency or jurisdiction to coordinate the overall agency or jurisdictional response and support to an emergency response. BCERMS – Health Authority British Columbia Emergency Response Management System The British Columbia Emergency Response Management System is a comprehensive management scheme that ensures a coordinated and organized VIHA response and recovery to any and all emergency incidents. The broad spectrum of components of BCERMS includes operations and control management, qualifications, technology, training and publications. HAEOC – Vancouver Island Health Authority Emergency Operations Centre A Health Authority Emergency Operations Centre established and operated by Senior Administration for the purpose of command, control and coordination of the SEOCs, AEOC and VIHA’s response to a disaster. The HAEOC or AEOC liaises with Municipal, Provincial and other non-government agencies on behalf of individual site needs and that of the Authority as a whole. 85 FACILITY NAME: EMERGENCY and DISASTER RESPONSE PLAN DATE: MONTH YEAR ICS – Incident Command System A standardized emergency management concept specifically designed to allow its user(s) to adopt an integrated organizational structure equal to the complexity and demands of single or multiple incidents, without being hindered by jurisdictional boundaries. ESS – Emergency Social Services The primary responsibility of Municipal Emergency Social Services is to plan for the short term basic needs of all individuals impacted by an emergency or disaster. PEP –Provincial Emergency Program The Provincial Emergency Program is the organization that is the start point for coordinating the Provincial Government’s emergency response within British Columbia. PIO – Public Information Officer The role of the Public Information Officer is to provide approved media releases and organize formal media briefings for senior staff, to ensure management of media and to help support the dissemination of accurate and timely information. PREOC – Provincial Regional Emergency Operations Centre An Emergency Operations Centre established and operated at the regional level by provincial agencies to coordinate provincial emergency response efforts. The VIHA are responsible for assigning a senior staff person to a PREOC. SEOC – Site Emergency Operations Centre A pre-designated location at a site to coordinate the site response and support in an emergency. 86