5D Emergency Preparedness

5 Diamond Patient Safety Program
Promoting Patient Safety one Diamond at a Time

Emergency Preparedness

Everything you need to complete this module is right here! Click on the links within the table to access the necessary tools and resources available for completion of this module.

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OBJECTIVE:		To increase facility staff's and patients' awareness and knowledge of emergency planning, response, and recovery.
ACTIVITIES REQUIRED FOR DIAMOND STATUS:	Complete and in-service training module (PowerPoint Presentation) on emergency preparedness. Complete Patient Emergency Planning Needs Assessment with patients. Submit Disaster Contact information to Network.
OPTIONAL ACTIVITIES:	Perform internal disaster drills involving facility personnel AND patients (with pre-drill education and post-drill evaluation) Complete a "Hazzard Assessment" Develop Emergency Management Plan for your facility Develop a Facility Emergency Box and Patient Emergency Kit, the latter of which would be displayed in the waiting area for patients to view Create a maze of the building and have patients find their way to the nearest fire extinguisher and emergency exit Distribute word search to patients Furnish all patients with an Emergency Data Set and Emergency Diet instructions Children's Activities (coloring books, puzzles, etc.) from the American Red Cross
TOOLS/ RESOURCES:	In-Service Training Module: ~ Are You Ready? Emergency Preparedness for Dialysis Facilities Emergency Preparedness for Dialysis Facilities ~ Hazzard Assessment Form ~ Drill Critique Form ~ Drill Attendance Record ~ Emergency Response Checklist ~ Physical Site Damage Assessment Form ~ Equipment Damage Assessment Form ~ Supply Checklist for Dialysis Treatment ~ Home Emergency Equipment & Supplies ~ Emergency Evacuation Kit for Dialysis Facilities Emergency Preparedness: A Guide for People on Dialysis (English) Emergency Preparedness: A Guide for People on Dialysis (Spanish) ~ Medical History and Medication List ~ Making Alternate Arrangements for Treatment ~ Emergency Kit (supplies, meds/medical supplies, food) ~ Emergency Diet ~ How to Disinfect Water ~ Getting off the Dialysis Machine ~ Resource List Patient Needs Assessment Questionnaire (for facility staff to use with patients) KCER Coalition Disaster Plan Template Network's Position Statement on Disaster Contacts SubPart U Regulations Fact Sheet on Water Systems from CDC Emergency Data Set for HD and PD Disaster Patient Activity Report (DPAR) Patient Emergency Kit Word Search Websites of Interest: ~ http://www.networkofnewengland.org/emerg.htm ~ http://www.kcercoalition.com ~ http://www.kidneydisasters.org ~ https://dialysisunits.com ~ Dialysis Facility Compare
MEASURE(S):	100% of staff participate in in-service on emergency preparedness and at a minimum, hold biennial staff in-servicing on emergency preparedness. 90% of patients complete a Patient Emergency Planning Needs Assessment Questionnaire with the assistance of facility staff. Facility must submit its Disaster Contact information to the Network.

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After you have completed the Patient Safety Principles module, and have documented the required measures, please complete the Project Reporting Form and submit it to Danielle Daley at ddaley@nw1.esrd.net or by fax at 203.389.9902.