{"ref":"NC-HH-EP-01","title":"Emergency Preparedness and Management of Emergency Care Situations in the Home","category":"Emergency preparedness","summary":"Sets out what staff do when a patient has a medical emergency in the home, as 10A NCAC 13J .1001(a)(5) requires, and the Agency’s all-hazards emergency preparedness program under 42 CFR §484.102: risk assessment, emergency plan, patient emergency priority levels and individual patient emergency plans, communication plan, continuity of operations, training at least every 2 years, and exercises at least annually, all reviewed at least every 2 years.","inShort":["If a patient has an emergency, call 911, stay with the patient, and give responders the medication list and plan of care from the home folder.","Start CPR if you are trained, unless a valid do-not-resuscitate order or other directive applies. Then call the supervising nurse or on-call nurse.","Every patient has an individual emergency plan and a priority level. Keep the plan in the home folder and update it at recertification, resumption of care and any major change.","Before a hurricane or other forecast event, we call patients in priority order and help Level 1 patients prepare or evacuate.","Never travel when officials have closed roads or ordered people to shelter. Tell the office about any patient you cannot reach.","Know your place in the call tree. Emergency preparedness training is required at least every 2 years; the Agency gives it every year."],"primaryCitation":"42 CFR §484.102","citations":["10A NCAC 13J .1001(a)(5)","10A NCAC 13J .1112","10A NCAC 13J .1202(a)","10A NCAC 13J .1102(c)"],"federalCitations":["42 CFR §484.102","42 CFR §484.55","45 CFR §164.510(b)(4)"],"surveyorAsks":["What does an aide do if she finds her patient unresponsive?","Show me this patient’s individual emergency plan. When was it last updated?"],"forms":[{"ref":"NC-HH-EP-01-A","title":"Patient Emergency Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1001(a)(5); 42 CFR §484.102)","5. Part A. Emergency Care Situations in the Home","6. Preventing Emergencies and Equipment Backup","7. Part B. Risk Assessment and Emergency Plan","8. Emergency Priority Levels and Individual Patient Emergency Plans","9. Emergency Policies and Procedures","10. Communication Plan","11. Activating the Plan","12. Training","13. Testing: Exercises","14. Integrated Health Care System Program","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"nc-hha","state":"North Carolina","service":"Home health","guides":[{"path":"/guides/home-health-emergency-preparedness/","h1":"What does a home health emergency preparedness plan need to include?"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}