Comprehensive Emergency Management Plan

Comprehensive Emergency Management Plan 2015 St. Anthony’s Rehabilitation Hospital St. Anthony‟s Rehabilitation Hospital CEMP 2015 St. Anthony's R...
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Comprehensive Emergency Management Plan

2015

St. Anthony’s Rehabilitation Hospital St. Anthony‟s Rehabilitation Hospital CEMP 2015

St. Anthony's Rehabilitation Hospital EMERGENCY MANAGEMENT PLAN

Executive Summary Florida is vulnerable to a variety of hazards that threaten our communities and may cause environmental and business interruption. The development of the Comprehensive Emergency Management Plan (CEMP), is mandated by Chapter 395 Part 1, Florida Statues, Rule 59A-3, Florida Administrative Code. The format follows the guidelines set forth in the requirements of the Agency for Healthcare Administration's cross-walk /AHCA Form 3130-8005, September 1994, Emergency Management Planning Criteria for Hospitals. The CEMP establishes the framework to ensure that in the event of a disaster, St. Anthony's Rehabilitation will be adequately prepared to deal with these hazards and will continue upholding our Mission and Ministries, in offering the best care and services to our patients, even in emergent situations. Overall, the basic CEMP contains sections 1 thru 5. It outlines in specific terms how St. Anthony's will respond to, recover from and mitigate the impact of a wide variety of disasters that could adversely affect the health, safety and/or general welfare of our patients. It also contain other sections that address such areas as responsibilities of the various levels of key leadership personnel and general staff, concept of operations and also addresses issues t ensure a rapid and orderly implementation of rehabilitation and restoration programs for our patients and the facility, as affected by the disaster. It further provides guidance for response activities initiation and will sustain recovery efforts at St. Anthony's in the emergent situation of a disaster. The plan also serves as a spring board for operational linkages with Broward County's Emergency Management Division, in the event of a disaster. It provides detailed policies and procedures and also Standard Operating Procedures to maintain patient safety. The CEMP addresses the four phases of emergency management: Preparedness, Response, Recovery and Mitigation.

The Plan is divided into these sections: • SECTION I: INTRODUCTION / The Basic Plan •

SECTION II:

AUTHORITIES AND REFERENCES



SECTION III:

HAZARD ANALYSIS



SECTION IV:

CONCEPT OF OPERATIONS



SECTION V:

INFORMATION, TRAINING AND EXERCISE



SECTION VI:

APPENDICES (Emergency Support Function Appendices and Hazard Specific Annexes).

Executive Summary - SARH CE MP

The Comprehensive Emergency Management Plan will provide guidelines for the operation of the facility when standard operating procedures cannot be followed because of an emergency / disaster situation. The plan will be implemented at the direction of the Administrator or his/her designee, when information, circumstances or government directives make it clear that a life threatening situation dictates the plan to be implemented. The CEMP also include transfer agreements and agreements for additional services such as transportation for evacuation, food, fuel and medical supplies. St. Anthony's is a receiving facility (within the CHS entities) in the event of a hurricane, as well as other disasters. The State of Florida provides updated lists of emergency contacts by name and telephone numbers at least annually. Broward County has an established Emergency Management Program with a state of the art "Command Center". The associated emergency management network involves area healthcare facilities, including rehabilitation hospitals and nursing homes such as St. Anthony's Rehabilitation Hospital and St. John's Nursing Center. Our CEMP is submitted to and approved by Broward County's Emergency Management Division, for activation in a disaster. The CEMP is tested bi-annually during "Disaster Drills": Bi-annually, a scenario for the mock disaster drill is chosen and staff /observers use specific criteria to evaluate the performance of the staff. A multidisciplinary team meets after the completion of the drill to "determine lessons learned from the drill" and to evaluate / critique the effectiveness of the staff training which prepares the facility's staff to work as a team when responding to a drill / simulated event or an actual emergency / disaster. "Lessons learned" are incorporated into staff training to improve staff response and to enhance the effectiveness of leadership in times of emergency (Administrator, Life Safety / Engineering Director, Medical Director, DON, Risk Manager, etc). An example of an indicator of a successful disaster drill is the completion of the drill as outlined in the procedures in the CEMP without an untoward occurrence, such as an injury to a resident or staff. Annual review of the St. Anthony's CEMP by the Broward Emergency Management Division provided feedback and recommendations to enable this facility to implement any revisions and schedule additional education that may be necessary.

A copy of the 2014 Comprehensive Emergency Management Plan as approved by the Emergency Management Division of Broward County is assessable to all departments at all times. Catholic Health Services maximizes its mission daily, lifting spirits and touching the lives of our patients as we strive to maintain patient safety. In collaboration with Broward County, St. Anthony's Rehabilitation Hospital is adequately prepared to deal with these hazards during a disaster and will continue upholding our Mission and Ministries, in offering the best care and services to our patients, even in emergent situations.

Executive Summary - SARH CEMP

COMPREHENSIVE EMERGENCY MANAGEMENT PLAN

Table of Contents

EXECUTIVE SUMMARY:

St. Anthony’s Rehabilitation Hospital’s Comprehensive Emergency Management Plan (CEMP)

SECTION I:

INTRODUCTION:

SECTION II

AUTHORITIES AND REFERENCES:

SECTION III

HAZARD ANALYSIS

SECTION IV

CONCEPT OF OPERATIONS

SECTION V

INFORMATION, TRAINING AND EXERCISE

SECTION VI

APPENDICES

St. Anthony‟s Rehabilitation Hospital CEMP 2015

Table of Contents

(Continued)

APPENDICES: APPENDIX A ............. LOCATION MAP OF ST. ANTHONY’S REHAB. HOSPITAL APPENDIX B ............. HURRICANE EVACUATION ZONES MAP APPENDIX C ............. LOCATION – FLOOD ZONE MAP APPENDIX D ............. VENDOR AGREEMENTS (VENDORS) APPENDIX E ............. EVACUATION ROUTES and MAPS to TRANSFER FACILITIES APPENDIX F ............. EVACUATION INTERNAL ROUTES APPENDIX G ............ PATIENT EVACUATION and TRACKING LOG APPENDIX H ............ LETTERS of AGREEMENTS / UNDERSTANDING APPENDIX I ............. EMERGENCY TELEPHONE NUMBERS APPENDIX J ............. FIRE ALARM ANNUNCIATOR PANEL APPENDIX K ............ FIRE EXTINGUISHERS / LOCATION / TRAINING APPENDIX L ............ STAFF DEVELOPMENT APPENDIX M ........... DRILLS / EVALUATIONS: INTERNAL / EXTERNAL DISASTERS APPENDIX N ............ ENGINEERING / SAFETY DIRECTOR APPOINTMENT APPENDIX O ............ FIRE PLAN and LETTER of APPROVAL of the FIRE PLAN by the CITY of LAUDERDALE LAKES FIRE MARSHAL APPENDIX P ............ HAZARD / RISK VULNERABILITY ASSESSMENT APPENDIX Q ............ BOMB THREAT PLAN AND HURRICANE PLAN APPENDIX R ............ DEPARTMENT HEADS / KEY STAFF LISTING APPENDIX S ............ UTILITIES MANAGEMENT PLAN APPENDIX T ............ SAFETY MANAGEMENT PLAN APPENDIX U ............ ORGANIZATIONAL CHART

St. Anthony‟s Rehabilitation Hospital CEMP 2015

St. Anthony’s Rehabilitation Hospital

Comprehensive Emergency Management Plan

SECTION I Introduction St. Anthony‟s Rehabilitation Hospital CEMP 2015

St. Anthony’s Rehabilitation Hospital COMPREHENSIVE EMERGENCY MANAGEMENT PLAN Throughout the text, all references to the Administrator mean the Administrator or Designee.

SECTION I – INTRODUCTION: FACILITY INFORMATION: A. General information: 1.

Name of Facility: St. Anthony‟s Rehabilitation Hospital 3487 NW 30th Street Lauderdale Lakes, FL 33311 Tel: Fax:

2.

954 – 739 – 6233 954 – 485 – 4023

Owner of the facility: St. John‟s Rehabilitation Hospital and Nursing Center, Inc. 3075 NW 35th Avenue Lauderdale Lakes, FL 33311 Tel: Fax:

3.

954 – 739 – 6233 954 – 485 – 4023

Construction: Year facility was built:

2004

Type of construction: Cinder block reinforced with steel rods and filled with poured concrete. (2 story) Additional protection to the shell: Impact glass throughout floor one (1) and two (2).

St. Anthony‟s Rehabilitation Hospital CEMP 2015

4.

Principal Contact:

Pamela Gambardella, Executive Director 17250 35th Place North Loxahatchee, FL 33470 Work Tel.: 954 – 739 – 6233 ext. 1200 Cell: 954 – 684 – 1627 Home: 561 – 753 – 5399

a.

First Alternate:

Nathanial Johnson 1951 Lyons Rd #208 Coconut Creek, FL. 33063 Cell: (954) 980-6806

b.

Second Alternate:

Jorge Casauay, Director of Rehab 205 NW 117th Avenue Coral Springs, FL 33071 Work Tel.: 954 – 739 – 6233 ext. 1281 Cell: 954 – 232-7739

c.

Third Alternate:

Rock Pierre, Director of Nursing 5619 Madison Street Hollywood, FL 33023 Work Tel.: 954 – 739 – 6233 ext. 1746 Home: 954 – 986 – 5941 Cell: 954 – 629 – 3818

d.

Fourth Alternate:

Keith Johnson, Dir. of Engineering / Security 5921 NW 18th Court Sunrise, FL 33313 Work Tel.: 954 – 739 – 6233 ext. 1293 Home: 954 – 484 – 1975 Cell: 954 – 648 – 9304

St. Anthony’s Rehabilitation Hospital CEMP 2015

5. Person developing plan:

Pamela Gambardella, Executive Director

6. Person implementing plan:

Pamela Gambardella, Executive Director 17250 35th Place North Loxahatchee, FL 33470 Work Tel.: 954–739–6233 ext. 1200 Cell: 954 – 684 – 1627 Home: 561 – 753 – 5399

A.

Organizational chart: ( see appendix U)

B.

Introduction to the plan: a. Purpose:

The Comprehensive Emergency Management Plan is to provide guidelines for the operation of the facility when standard operating procedures cannot be followed because of an emergency situation. The plan will be implemented at the direction of the Administrator or his/her designee, when information, circumstances or government directives make it clear that a life threatening situation dictates the plan to be implemented.

St. Anthony’s Rehabilitation Hospital CEMP 2015

Anthony’s Rehabilitation Hospital

Comprehensive Emergency Management Plan

SECTION II Authorities and References SECTION II: St. Anthony‟s Rehabilitation Hospital CEMP 2015

SECTION II: AUTHORITIES AND REFERENCES: A. Legal basis for plan development and implementation: i) Chapter 395, Part 1, Florida Statues ii) Rule 59A – 3, Florida Administrative Code a. Rule 252/Disaster Pred. 10D13 b. Broward County Emergency Management Plan/County Building Code Broward County Fire and Safety c. The Plan was developed from requirements of AHCA Form 3130-8005 September, 1995. Emergency Management Planning Criteria for Hospitals B. Reference Materials: Reference Manual for Developing a Comprehensive Disaster Preparedness Plan prepared by FHCA Disaster Preparedness Committee, Broward County C. Hierarchy of Authority: Executive Director:

Pamela Gambardella 17250 35th Place North Loxahatchee, FL 33470 Work Tel.: 954 – 739 – 6233 ext. 1200 Cell: 954 – 684 – 1627 Home: 561 – 753 – 5399

a.

First Alternate:

Nathanial Johnson 1951 Lyons Rd #208 Coconut Creek, FL. 33063 Cell: (954) 980-6806

b.

Second Alternate:

Jorge Casauay, Director of Rehab 205 NW 117th Avenue Coral Springs, FL 33071 Work Tel.: 954 – 739 – 6233 ext. 1281 Cell: 954 – 232-7739

c.

Third Alternate:

Rock Pierre, Director of Nursing 5619 Madison Street Hollywood, FL 33023 Work Tel.: 954 – 739 – 6233 ext. 1746 Home: 954 – 986 – 5941 Cell: 954 – 629 – 3818

St. Anthony’s Rehabilitation Hospital CEMP 2015

d.

Fourth Alternate:

St. Anthony’s Rehabilitation Hospital CEMP 2015

Keith Johnson, Dir. of Engineering / Security 5921 NW 18th Court Sunrise, FL 33313 Work Tel.: 954 – 739 – 6233 ext. 1293 Home: 954 – 484 – 1975 Cell: 954 – 648 – 9304

Anthony’s Rehabilitation Hospital

Comprehensive Emergency Management Plan

SECTION III Hazard Analysis

St. Anthony‟s Rehabilitation Hospital CEMP 2015

SECTION III: HAZARD ANALYSIS: Potential Hazards: 1. See hazard vulnerability analysis (HVA) (Appendix Q). 2. Potential natural hazards: Hurricanes, Tornadoes The facility is in the AH (EL7) Flood Zone as identified on the Flood Insurance Rate Map generated from the United States Government. We are not located in a hurricane evacuation zone. 3. Thorough fares where hazardous materials, such as gasoline, chemicals and explosives may be transported. a. b. c. d.

State 816, bordering the property (Oakland Park Blvd.) US 441, 1 mile west Interstate 95, 2 miles east Florida turnpike (State 91), 4 miles west

4. Turkey Point Nuclear Plant is located 50 miles south, so it is not a hazard to St. Anthony‟s Rehabilitation Hospital.

5. Proximity to a 302 Facility: a. Jones Chemicals Incorporated, located at NW 22 Street, Ft. Lauderdale, FL, 4.5 miles southeast. b. Talisman Sugar Corporation, located at 4300 NW 44 Street, Ft. Lauderdale, FL, 3.75 miles northwest. c. Gas station on corner of 441 and Oakland Park Blvd., .5 miles west.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

A.

Site Specific Information: 1. Location Map: (See Appendix A) 2. Number of facility beds: 26 Maximum number of persons served on site: 26 Average number of persons served on site: 20 3. The facility is a rehabilitation hospital serving persons with various functional limitations. The expectation is that most, if not all, would require physical assistance in self care and mobility. Some patients may require oxygen and/or dialysis. 4. According to the Broward County Coastal Hurricane Evacuation Plan, June 1995, we are outside the vulnerability zone boundary (see Broward County Evacuation Plan Map), and we are not listed as one of the vulnerable rehabilitation hospitals. 5. According to the Flood Insurance Rate Map, panel 204 we are in zone AH (EL7), which means “flood depths of 1 to 3 feet (usually areas of ponding); base flood elevation determined”, This is a 100 flood projection. Proximity of facility to body of water – A1A Intracoastal, 6 miles, Atlantic Ocean 7 miles. 6. Proximity to a major transportation artery. a. Thoroughfares where hazardous materials such as gasoline, chlorine and explosives may be transported. (* identifies routes as listed in the Broward County Plan). 1. State 816, bordering the property, Oakland Park Blvd. 2. US 441, 1 mile west 3. Interstate 95, 2 miles southeast 4. Florida Turnpike (State 91), 4 miles west 5. CSX Railroad, (aka Seaboard Coast Line) 4.5 miles southeast 6. Florida East Coast Railroad (aka FEC RR) 10 miles southeast 7. Location relative to a nuclear power plant: Turkey Point Nuclear Plant is located 50 miles south, so it is not a hazard to St. Anthony‟s Rehabilitation Hospital.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

Anthony’s Rehabilitation Hospital

Comprehensive Emergency Management Plan

SECTION IV Concepts of Operations St. Anthony‟s Rehabilitation Hospital CEMP 2015

SECTION IV: CONCEPT OF OPERATIONS: A.

Direction and control Upon notification of impending disaster, the Administrator, or in his/her absence, the designee will immediately notify all Department Heads, who in turn will notify their staff, that the emergency plan for the specific disaster must be initiated. 1. Person in charge during emergencies: a. Person in charge: Pamela Gambardella, Executive Director b. First Alternate person in charge: Nathanial Johnson, Nursing Home Administrator

c. Second Alternate: Jorge Casauay, Director of Rehab d. Third Alternate person in charge: Rock Pierre, Director of Nursing

e. Fourth Alternate person in charge: Keith Johnson, Director of Engineering / Security 2. Chain of command to ensure continuous leadership and authority has been created (refer to organizational chart and leadership hierarchy list). 3. Procedures for activation and staffing of facility and accommodations of employees‟ families during an emergency. a. Upon identification of a need for additional staff, the Administrator will notify the key supervisors, as needed. b. Upon notification from alarm (fire), individual (bomb threat, tornado) or county officials (hazardous spill, explosion, hurricane), the Administrator will notify key supervisors. She maintains a list of key supervisors and phone / beeper numbers.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

c. Upon notification from the Administrator, key supervisors will notify staff of activation of the Plan and of the schedule. Each key supervisor maintains a list of employees and their phone / beeper numbers for that department.

d. In the event of fire, refer to facility fire plan. e. Employees‟ families will stay in patient rooms, common areas and offices as available. B.

OPERATIONAL EXPECTATIONS FOR STAFF In the event of a hurricane, personnel are to secure their own homes prior to the time they are expected to report to the facility. Employees are responsible for bringing their own pillows, sleeping bags or air mattresses, toiletries and clothing for their personal use. A. Dietary: The dietary department is required to: a. b. c. d. e.

Prepare for 7 days of food for patients and personnel. Implement and post disaster menus. Inventory and purchase sufficient grocery stock for 7 days. Store 7 days of non-perishable foods. Inventory and purchase a 7 day stock of paper plates, cups, bowls, napkins, trays, tableware and garbage bags. f. Develop a schematic plan of all available dietary equipment in the main kitchen and on the unit which will be operational in the event of facility generator use. g. Freezers and refrigerators should be set to the coldest setting while still operational. Dietary, Maintenance and Purchasing: These departments must ensure that two (2) gallons of drinking water per person per day are available. a. Each June 246 gallons of drinking water are purchased, in addition to what is already on hand. (State law requires a one year turnover for a three (3) day supply). b. Water on hand from the previous year is used for other than drinking purposes. c. Maintenance fills and stores one tank of water, holding 375 gallons to be used for utilities and ancillaries. A second tank will be kept in the kitchen. d. Purification of water, if necessary will be done using the following formula: St. Anthony‟s Rehabilitation Hospital CEMP 2015

1. ½ teaspoon of household bleach per five (5) gallons of water every 72 hours. 2. For a 375 gallon tank: 38 teaspoons (about ¾ cup) of bleach every 72 hours. 3. Bleach must be pure household bleach avoiding scented varieties.

B. Emergency power and capacity. Maintenance Department responsibility. Location: 1. Middle section of the parking lot inside the compound approximately 50 yards northeast of the main entrance. 2. Duration: 800 gallons operates full load for three (3) days. 3. Repair – Circle Generator Services – 954-720-3058 Mobile # 954562-2745 4. Fueling: A & E Fuel C. Access to emergency power is available through outlets with red electrical plates and switches. 1. Kitchen: walk-in box refrigerator/freezer 2. Laundry : one 90 lb. washing machine and one 75 lb. dryer 3. Corridors – two (2) outlets in each corridor 4. Nurses Stations – four (4) outlets in each station 5. Medication Rooms – all have emergency outlets 6. Rooms – all have emergency outlets D. Transportation. Upon receipt of notification for evacuation, the Administrator: 1. Alerts personnel to prepare for transport of patients. 2. Notifies transportation providers of pending evacuation. 3. St. John‟s has one (1) bus, St. Anthony‟s has one (1) van and one (1) bus and St. Joseph‟s has one (1) bus. E. St. Anthony‟s keeps available a two week supply of essential items. All emergency supplies are increased and received 48 hours in advance of an anticipated disaster. F. Each department head arranges for continuous 24 hour staffing for the duration of the emergency. The willingness to participate in 24 hour emergencies is a condition of employment.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

a. All available administrative, key support staff and general staff will be assigned as needed using 12 hour shifts. b. Sleeping arrangements will be on site.

B. Notification: 1.

The facility will receive warnings via: a. Public announcement on radio and television. b. Phone call from Broward County Emergency Management. c. Phone call from Lauderdale Lakes Sheriff‟s Department.

2.

Facility 24 hour contact number 954-739-6233 – „O‟ for Operator

3.

Staff notification: Upon receipt of a warning, the Administrator will phone key staff. Key workers are to disregard schedules and report for duty. All department heads will report for duty and arrange to remain until the Administrator or designee dismisses them. They will supervise their departments and work assignments according to established procedures.

4.

The social worker/case manager staff alerts each patient of the emergency while providing care and assisting them to meet their needs.

5.

Alternative means of notification with failure of the primary system. a. Executive Director: Pamela Gambardella Home telephone: 561 – 753 - 5399 Cell phone: 954 – 684 - 1627 b. Nursing Home Administrator: Nathanial Johnson Cell Phone: 954 - 980 - 6806 c. Director of Rehab – Jorge Casauay Cell phone: 954 – 232 - 7739 d. Director of Nursing: Rock Pierre Home telephone: 954 – 986 – 5941 Cell phone: 954 – 629 – 3818

St. Anthony‟s Rehabilitation Hospital CEMP 2015

e.

Director of Engineering / Security: Keith Johnson Home telephone: 954 – 484 – 1975 Cell phone: 954 – 648 – 9304

6. Notification of families of patients of evacuation: Administrator uses the following methods of notification: a. Local radio and television b. Sign placed in front of the building after evacuation or hurricane. c. Florida Health Care Association (provide census). Telephone 800-771-3422 or 904-224-3907 d. American Red Cross (provide census). e. Families who do not phone in response or inquiry to methods a and b are notified by telegram and/or mail.

C. EVACUATION: 1. Individual responsible for implementation of Evacuation Procedures: The Administrator – Linda Motte 2. Transportation arrangements: See transportation agreements.(Appendix H) 3. Transportation for logistical Support. Early in the emergency preparations, Maintenance identifies possible vehicles available for transport to a receiving facility, e.g. rental trucks, St. Anthony‟s Rehabilitation Hospital vehicles and volunteer vehicles from Catholic Cemeteries. See Catholic Health Services list of available resources. a. Records: Medical records assists in nursing in verifying that each patient chart accompanies the patient in the vehicle which transports that person. b. Medications: A nurse will accompany the vehicle which transports the medicines. c. Food: The dietary Department coordinates with the receiving facility to determine what is taken and where it is to be received, and is responsible for making certain that food is ready for transport to the receiving facility. d. Water: Purchasing and Maintenance coordinate with the receiving facility to determine how much is taken and where it is to be received, and is responsible for making certain that water is ready for transport to the receiving facility. e. Pharmacy: Nursing, Pharmacy and Purchasing coordinate stock of emergency I. V. supplies and medications. 4. Pre-determined Host Location: In the event of flooding, evacuation to: St. Anne‟s Nursing Center and Residence 11855 Quail Roost Drive Miami, FL 33177 Dade telephone 305-252-4000 Administrator: St. Anthony‟s Rehabilitation Hospital CEMP 2015

Rosemarie Bailey: 305-652-8198 or cell:954-401-6788 5. Copy of Mutual Aid Agreement with receiving facilities (see Appendix H: Mutual Aid Agreement).

6. EVACUATION ROUTES: A. In the event of a hazardous spill or disaster on Oakland Park Boulevard adjacent to the St. Anthony‟s Rehabilitation Hospital to St. Anne‟s Nursing Center evacuation via:. a.

Exit St. Anthony‟s Rehabilitation Hospital front gate and turn right on Oakland Park Boulevard, and an immediate U-left turn to go west on Oakland Park Boulevard to US 441 (State Road 7) one (1) mile. Turn left (south) on 441 to Sunrise Blvd. (5 miles). Turn right (west) on Sunrise Blvd. to the Florida Turnpike ramp southbound. Take Turnpike to Turnpike extension south to Exit 13 (5th exit, approximately 10.3 miles beyond Bird Road tollbooth). Exit is ¾ mile past MM 15, just after 14.5 motorist call box. Proceed to the second intersection, turn right (west) on Quail Roost Drive. Proceed 7/10 mile and St. Anne‟s is on the right.

b.

Exit St. Anthony‟s toward (left turn) NW 30th Street turn right on 33rd Ave. and go south on US 441 to Sunrise Blvd. east to southbound I95, right on 836 to Homestead Extension of Florida Turnpike (south), exit at Quail Roost Drive and proceed west to St. Anne‟s Nursing Center and Residence.

B. Hurricane evacuation route to Villa Maria Nursing Center a.

Exit St. Anthony‟s Rehabilitation Hospital to Oakland Park Blvd. east (right) to I-95 (1.5 miles). Turn right (southbound) onto I-95 and go 21.2 miles to 125th Street. Exit at 125th Street, turn left and proceed east 2.9 miles to 10th Avenue. Villa is on the southeast corner of 125th Street and 10th Avenue.

b.

Exit St. Anthony‟s Rehabilitation Hospital gate, turn right on Oakland Park Blvd. and make an immediate left U-turn to go west on Oakland to US 441 (.5 miles). Turn left onto US 441 south and travel 15.1 miles. Turn left (east) on Miami Gardens Drive. Drive 6 miles on Miami Gardens Drive to NE 10th Avenue. Turn right (south) on 10th Avenue. Take NE 10th Avenue 3.8 miles to 125th Street. Villa is on the left – south east corner.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

7. AMOUNT OF TIME IT WILL TAKE TO SUCCESSFULLY MOVE OR RELOCATE PATIENTS: 8 Hours

1. a. b.

8.

Accompaniment of evacuees: The director of nursing assigns staff to accompany evacuees and coordinates patient medical needs with the Medical Director. The medical record technician coordinates with the Director of Nursing to ensure that all essential records required for the care of patients are transferred, protected from weather and accounted for during the evacuation and on return to the facility. Logging and Tracking of Evacuees: a. The Director of Nursing has patient identification band checked in and out of vehicles. b. Administration checks transportation rosters. c. Admitting Department and Medical Records keep transportation rosters and monitors whereabouts of individual patients.

9.

What each patient may take with her/him during evacuation. a. b. c. d. e. f.

Dentures Glasses Hearing aids Wallet/purse (depending upon accessibility) Three (3) changes of clothing Personal care items (toothbrush, paste, comb, brush, etc.)

10.

Notification and response to family inquiries about evacuation. The Administrator and a team of staff will communicate with families through telephone (if operative), cellular phone, radio announcements, TV announcements, newspaper announcements and public posting on building.

11.

Accountability for all patients evacuated. a. The Director of Nursing has patients‟ identification and status checked in and out of vehicles. b. Administration checks transportation rosters. c. After patients have been moved to vehicles, administration assigns a team to conduct a room to room/wing to wing search to assure they have been vacated. d. Case management will continue in their roles as patient advocates and, with nursing, attend to the emotional needs of the patients. e. Admitting and Medical Records maintains transportation rosters and monitors whereabouts of individual patients.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

12.

Pre-positioning of necessary medical supplies and provisions:

If advance notice is available (such as hurricane), the administrator will instruct Purchasing Director to begin to gather and prep-position materials for loading onto evacuation vehicles. And / Or . The essential supplies will be transported to the designated shelter(s) in the evacuation vehicles that are transporting the residents. Or the essential supplies will be loaded in a designated vehicle and sent ahead of the evacuating the facility. Some basic supplies will accompany patients in case of a detour.

D. Re-Entry to the Facility: 1. Person responsible for authorizing re-entry: The Administrator authorizes re-entry after consulting with the Agency for Health Care Administration, City of Lauderdale Lakes Building and Zoning. 2. Inspection of Facility for Structural Soundness: The Administrator coordinates with the Director of Maintenance and notifies the Agency for Health Care Administration of readiness for inspection of the facility as to structural soundness and approval for re-occupancy. 3. Transportation back to home facility and receipt of accuracy of timely data on re-entry.

a. Transportation will be provided by the same providers who participated in the evacuation. b. The same procedures for tracking and caring for patients, records, medication, food, water and other necessities will be followed as for evacuation. c. The same procedures for notification of families and personnel (who were not with the evacuees) will be followed as for evacuation.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

13.

When the order to evacuate is received: 1. Administrator: a. Coordinates with the receiving facility and obtain appropriate transportation, key, etc. b. Coordinates evacuation with other county agencies. 2. Maintenance: a. Supervisor assigns one person to go to the receiving facility to assist with connecting mechanical and electrical equipment, check for proper electrical ground and provide general maintenance repair as needed. 3. Director of Nursing: b. Insures that all necessary patient medication and emergency supplies are taken, listing necessary supplies as I. V. solutions, catheters, drainage bags, etc. 4.

Dietician: a. Selects appropriate food and water to be shipped to the receiving facility. b. Sets up eating schedules for all patients and employees. c. Acceptable kitchen sanitation techniques are a priority. d. Paper supplies, disposable plastic ware and trays for 14 days are transported to the receiving facility.

14.

Initiation of Mutual Aid Agreements for Transportation and Notification of Alternate Facilities. i. The mutual aid agreements are in place. ii. The mutual aid agreements are activated by the Administrator when the order to evacuate is received.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

Anthony’s Rehabilitation Hospital

Comprehensive Emergency Management Plan

SECTION V Information, Training and Exercise

St. Anthony‟s Rehabilitation Hospital CEMP 2015

SECTION V: INFORMATION, TRAINING AND EXERCISE: A. Key workers in emergency roles are expected to familiarize themselves with the emergency instructions and this document. 1. Fire: Drills are conducted throughout the year at irregular intervals to familiarize employees on all shifts with their responsibilities (minimum 12 per year). 2. Exits: Floor plans showing evacuation routes are posted on each floor. B. Training schedule for all employees and provider of training: 1. All department heads are to review the disaster procedures with their employees. 2. All employees are responsible to know the procedure in case of fire, to know the location of the pull-stations, how to use fire extinguishers, be aware of the location of stairways as stairways are used during a fire. C. Provisions for training new employees regarding their disaster related role(s). 1. Preservice training upon hire. 2. Reinforced regularly scheduled training programs twice per year. D. Schedule for rehearsal of all portions of the disaster plan will be conducted biannually for all employees with patient participation. E. Following each rehearsal of any part of the Plan, an evaluation is made which identifies strengths and weaknesses in the Plan and in the performance. The Plan is revised, as needed. Staff performance is corrected through review of the Plan.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

DEPARTMENTAL EMERGENCY PROCEDURES: A. Receptionist/Switchboard/Operator: 1. Power present – remain open 24 hours a day 2. Power failure – designated extensions will function 3. Teleco will provide override of automatic cut-off nite switch and power failure override remotely. B. Maintenance Department: 1. Check emergency generator for diesel fuel, batteries, engine oil and radiator then test with load. 2. Service van and fill gas tank. 3. Notify waste management and have dumpster empties, if prior to scheduled pickup. 4. Fill and store tanks of water in the facility for use during the disaster. 5. Supply each floor with three (3) flashlights and batteries and have available for the Rehabilitation Department. 6. Clear grounds of all loose objects. 7. Inspect floors for compliance with regulations and this Plan. C. Purchasing and Supply Department: 1.

Insure adequacy of drinking water supply, paper goods supply, linen supply, medical supplies and anything we can do to help other departments who are in need of his buying powers. Maintain at least two (2) weeks of supplies. Maintain a two (2) week inventory as standard operating procedure.

2. 3.

a. With hurricane warning announcement increase inventories. b. Receive all supplies by 48 hours before a hurricane landfall. D. Rehabilitation Department: 1. 2. 3. 4.

Obtain three (3) large flashlights from maintenance. Ready mats for patients and staff to be housed. Obtain work assignments from Administrator. Cancel outpatient appointments.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

Departmental Emergency Procedures (cont’d):

E. Pastoral Care Department: 1. Provide spiritual counseling and reassurance. 2. Assist other departments as necessary. 3. Be available for duties as assigned by the Administrator. F. Social Service Department: 1. 2. 3. 4.

Determine staff availability. Receive assignments from Administrator. Assist wherever needed. Counsel patients and staff.

G. Security Department: 1. 2. 3. 4. 5. 6. 7.

Assist maintenance in securing the building before the storm. Assist Administration as assigned. Determine staff availability. Monitor grounds for potential hazards (fallen electric wires, trees). Assist securing doors and windows. Assist and monitor facility traffic. Secure guardhouse with shutting off electric gates in „open‟ position and unplugging all electric equipment. 8. Maintain 2-way radio contact with emergency command post and respond as needed. 9. Assist in preparation and evacuation of patients to a safe environment as necessary. 10. Respond to all requirements posed by the emergency command post. H. Procedure for Rehabilitation Department, in the event of a pending hurricane: 1. Obtain three (3) large flashlights from maintenance. 2. Ready mats for patients and staff to be housed. 3. Cancel outpatient appointments.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

I. Dietary: 1. The disaster menu is based on three (3) meals per day. 2. Food Sources: a.

b.

c. d. e.

Protein items will include but will not be limited to tuna fish, salmon, chicken and beef. A four (4) ounce serving of pure protein or a six (6) ounce serving of mixed protein will be considered as one serving. Carbohydrate items will include but will not be limited to cold cereal, canned potatoes, bread, crackers, etc. ½ cup canned product or one slice of bread will be considered one (1) serving. Vegetable will include but not be limited to carrots, peas, green beans, etc. ½ cup will be considered one serving. Fat exchange will include but not be limited to mayonnaise. One individual packet will be considered one (1) serving. The milk exchange will include but not be limited to shelf stable fluid milk and eight (8) ounces will be considered one (1) serving.

3. Adequate paper supplies which will include but will not be limited to plates, cups and eating utensils will be on hand. 4. All food items will be stored at least six (6) inches from the floor. 5. Food supplies will be dated. 6. Supplies are checked periodically for rusting or bulging. 7. Food supplies are used every six (6) months and replaced with new supplies. 8. A disaster plan will be reviewed annually by all dietary employees.

St. Anthony‟s Rehabilitation Hospital CEMP 2015

St. Anthony’s Rehabilitation Hospital

Comprehensive Emergency Management Plan

APPENDICES

St. Anthony‟s Rehabilitation Hospital CEMP 2015

APPENDICES: APPENDIX A ............. LOCATION MAP OF ST. ANTHONY’S REHAB. HOSPITAL APPENDIX B ............. HURRICANE EVACUATION ZONES MAP APPENDIX C ............. LOCATION – FLOOD ZONE MAP APPENDIX D ............. VENDOR AGREEMENTS (VENDORS) APPENDIX E ............. EVACUATION ROUTES and MAPS to TRANSFER FACILITIES APPENDIX F ............. EVACUATION INTERNAL ROUTES APPENDIX G ............ PATIENT EVACUATION and TRACKING LOG APPENDIX H ............ LETTERS of AGREEMENTS / UNDERSTANDING APPENDIX I ............. EMERGENCY TELEPHONE NUMBERS APPENDIX J ............. FIRE ALARM ANNUNCIATOR PANEL APPENDIX K ............ FIRE EXTINGUISHERS / LOCATION / TRAINING APPENDIX L ............ STAFF DEVELOPMENT APPENDIX M ........... DRILLS / EVALUATIONS: INTERNAL / EXTERNAL DISASTERS APPENDIX N ............ ENGINEERING / SAFETY DIRECTOR APPOINTMENT APPENDIX O ............ FIRE PLAN and LETTER of APPROVAL of the FIRE PLAN by the CITY of LAUDERDALE LAKES FIRE MARSHAL APPENDIX P ............ HAZARD / RISK VULNERABILITY ASSESSMENT APPENDIX Q ............ BOMB THREAT PLAN AND HURRICANE PLAN APPENDIX R ............ DEPARTMENT HEADS / KEY STAFF LISTING APPENDIX S ............ UTILITIES MANAGEMENT PLAN APPENDIX T ............ SAFETY MANAGEMENT PLAN APPENDIX U ............ ORGANIZATIONAL CHART

St. Anthony‟s Rehabilitation Hospital CEMP 2015

APPENDIX D

VENDOR AGREEMENTS (VENDORS)

St. Anthony‟s Rehabilitation Hospital CEMP 2015

DISASTER FOOD SERVICE

St. Anthony’s Rehabilitation Hospital contracts with St. Joseph Residence for provision of its food service.

As a result of this contract, disaster food service is provided to St. Anthony’s Rehabilitation Hospital under the Disaster Food Program in place for St. Joseph Residence.

APPENDIX R

DEPARTMENT HEADS / KEY STAFF LISTING

St. Anthony‟s Rehabilitation Hospital CEMP 2015

LEADERSHIP HIERARCHY IN EVENT OF DISASTER

ADMINISTRATOR Pamela Gambardella 954 – 684 – 1627 Executive Director

FIRST ALTERNATE Nathanial Johnson 954 – 980 - 6806 Director of Rehab

SECOND ALTERNATE Jorge Casauay 954 – 232 – 7739 Director of Rehab

THIRD ALTERNATE Rock Pierre 954 – 629 – 3818 Director of Nursing

__________________________________________________________ Department Heads Reporting to Administrator or (in her absence) Alternates Health Information Food Services/Dietary Environmental Services Social Services Rehabilitation Department Engineering/Maintenance & Security Admitting Materials Management Human Resources Nursing Administration (DON) ADON Pastoral Care Risk Manager

Angela Rosier Nicole Barret Wilfredo Roldan Reayal Fullerton Jorge Causauay Keith Johnson Sabrine Charles Jimmy Herring Miriam Gomez Rock Pierre Margalie Fontus Fr. Ethel Ifeanyi Lauretta Foster