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Emergency Preparedness Program

Sets out the Agency's emergency preparedness program: the all-hazards risk assessment, the emergency plan, emergency policies and procedures, patient emergency priority levels and individual emergency plans, the communication plan, training and exercises, and the notices to the Department of Health when a disaster or loss of utilities disrupts services.

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About this policy
Policy number
PA-HSP-EP-01
Version
1.0
Main rule
42 CFR §418.113
Library
Pennsylvania hospice · 60 policies
Category
Emergency preparedness
Sections
23

In short

  • Every patient has an emergency priority level and an emergency plan. Check them at every change in condition.
  • Before a storm or forecast event, check medications, oxygen backup and supplies for Level 1 and Level 2 patients.
  • When the plan is activated, answer the alert, follow the disaster coordinator, Avery Sample, and contact patients in priority order.
  • Record every attempt to reach a patient. We must tell local officials about anyone we cannot reach or who needs help to evacuate.
  • If phones fail, use text, email or the meeting point in the communication plan.

What's inside

23 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §418.113)
  • 5. Risk Assessment and Emergency Plan
  • 6. Patient Emergency Priority and Individual Plans
  • 6.1 Patients who may need evacuation help
  • 6.2 What each patient and family is told
  • 7. Policies and Procedures in an Emergency
  • 8. Preparedness
  • 9. Response
  • 10. Communication Plan
  • 11. Recovery
  • 12. Training
  • 13. Exercises and Review
  • 13.1 After-action review
  • 14. Responsibilities
  • 15. Records and Compliance Monitoring
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Show me your risk assessment and emergency plan, and when they were last reviewed.
  • Which of your patients would need help to evacuate, and how would local officials learn about them?

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