CAHF's Evacuation Drill for Long-Term Care Facilities:
Evacuation Drill for Long-Term Care Facilities (pdf)
This guidebook will help Long-Term Care facilities (LTC's) evaluate their preparedness for an evacuation. In particular, it provides an organization a way to determine its readiness to respond to a crisis or disaster, clarifies gaps or problems with existing policies and plans, assists administration and staff understand their roles during a disaster, serves as a training tool, helps identify needs for other resources, and serves as a tool for modifying and improving existing plans based on the lessons learned during the drill. This guidebook contains all the materials necessary to conduct a simulated evacuation using a type of drill called a tabletop exercise. No actual patient movement is involved.
Checklists developed by the Centers for Medicare & Medicaid Services:
San Diego County Model:
Santa Clara County Emergency Medical Services Agency Allied Healthcare Facilities Work Group:
North Dakota Model:
- MOU - North Dakota Nursing Facilities: Payment Guidelines for Resident Care Following Evacuation
- Model Facility Evacuation Agreement
- Sample MOA for LTC During an Emergency
- Mutual Aid Evacuation Decision Tree (pdf)
San Joaquin County Model:
San Joaquin County EMS Agency, with a group of dedicated long-term care providers and other planning partners such as fire and law, have diligently revised their Long-Term Care Evacuation Plan. This county-wide plan is a high quality positive practice that takes a multi-disciplinary approach to:
1. Emergent Evacuation;
2. Slower Onset Evacuation;
3. Single-Facility Evacuation; and
4. Widespread/Multi-Facility Evacuation.
This plan was distributed to all long-term care providers in the San Joaquin County in January and February 2008, and the contents of the CD, including the plan and many helpful tools, are included below. Local planners and long-term care should review this information.
Stanislaus County Model:
Stanislaus County has been working with long-term care providers to develop Memorandum of Understanding (MOU) that are used voluntarily at the time of an emergency to facilitate the transfer of residents between their home facility and a new facility if evacuation becomes necessary. This type of mutual assistance smooths out many evacuation issues, particularly when MOU are developed between several facilities. Planners and providers should review this work as well.