Presentation on theme: "RESIDENTIAL CARE FACILITIES"— Presentation transcript:
1 RESIDENTIAL CARE FACILITIES STAFF SELF EDUCATIONMODULE
2 WELCOMEThis learning module will cover those processes, procedures and responses that you are required to know in order to be a safe, effective and efficient staff member.This is a supplemental document to the Facility Disaster Plan
3 ACTIVATING THE DISASTER PLAN The plan can only be implemented by the Licensee or DesignateThere is an Emergency Call Response Form in the Quick Response Document that you will complete and give to the Licensee if you are the person who answers the phone.
4 If unable to contact the Licensee/Manager or delegate 1.4.a EMERGENCY CALL RESPONSE FORMObtain the following particulars:1. Name of person calling and telephone number calling from:2. Location of Incident:3. Type of Incident:4. Impact expected for ________insert name of the facility______________:5. Time of Call : ___________________________CALL BACK IMMEDIATELY TO VERIFY the disaster. If the number is busy:THENConsult with the Facility Licensee/Manager or delegate to get authorizationIf unable to contact the Licensee/Manager or delegateINITIATE THE PLAN THENTry again to VERIFY THE CALL.
5 TOPICS TO BE COVERED 1. Code Blue: Cardiac Arrest 2.Code Red - Fire 3. Code White: Violence/Aggression4. Code Yellow: Missing Person in Care5. Code Black: Bomb Threat6. Code Green: Evacuation
6 TOPICS TO BE COVERED 7. Code Grey: Air Exclusion 8. Code Brown: Hazardous Spills9. Code Orange: Disaster10. Pandemic Influenza11. Boil Water Notification12. Power Failures13. Gas Interruptions
7 TOPICS TO BE COVERED 13 Risk Hazard Analysis 14. Personal Protective Procedures14.a Hand washing14.b Annual Flu Shot15. Personal Emergency Preparedness15.a Family Preparedness15.b Tools
8 CAUTIONS IN AN EMERGENCY Use your common senseNever put yourself at riskReport to your SupervisorFollow the instructions of your SupervisorAssist others only when it is safe to do so
9 USING THIS POWER POINT PRESENTATION Ensure you have a copy of your Residential Care Facility’s Emergency/Disaster Response Quick Reference Document (QRD)Where reference is made to a form or other section of the QRD look it up before proceeding to the next slide.
10 USING THIS POWER POINT PRESENTATION There is an open book self test that accompanies this educational power point.Review the test prior to beginning the Power Point educationKeep it nearby and fill it in as you proceed through the educationOnce you complete the education module and the test , turn the test in to the Licensee/Manager
11 CODE BLUEWithin a Residential Care Facility a Code Blue would be responded to as if it happened in any public place.911 would be calledTrained staff would attend to the victimUntil the ambulance arrivesYou need to be aware of any “Do not resucitate” (DNR) orders for persons in careYou need to know the standard of care on DNR
12 CODE RED The fire response acronym is RACE: Rescue anyone in immediate danger if it is safe to do soAlarm: Call 911Confine the fire by closing doors and windowsExtinguish the fire only if safe to do so
13 CODE REDThe Licensee/Manager will assign one person to meet the Fire DepartmentOthers will close all doors and windowsGather person’s in care, their records, and the Emergency Kit including a cordless or cell phoneLeave the building when instructed to do soMeet at the muster station – know where your station is.
14 CODE REDThe muster station for your work area is part of the Fire Plan and you need to ask where it is.Fire drills are required to be conducted monthly and, if at work, you are expected to participate.All drills and false alarms are logged.
15 CODE WHITE There is zero tolerance for violence and/or aggression If you feel threatened call another staff member for supportIf the threat continues call, or have another staff member call, 911.When a person in care is the subject of unusual or aggressive behaviour from any source it must be dealt with immediately.
16 CODE WHITEYour facility will have specific policies around this topic and your responsibilities are to:Know the policiesReport incidents to your SupervisorAdhere to any specific action plan that is developed as a result of such behaviours.
17 CODE YELLOWReport a missing person in care to your Licensee/ Manager immediatelyIf asked to search either the interior or exterior of the facility ensure your search is thorough.
18 CODE YELLOW Internal searches should include: cupboards, washrooms, kitchensBasementsClosetsBedroomsCommon areasGroundsStorage areas
19 CODE YELLOW External searches should include: storage areas shrubbery treesexternal buildings
20 CODE YELLOWIf the person in care is found they are returned and checked for injury or harm.If not found parents are notified as are the Police/RCMP.If you have specific knowledge of clothing or distinguishing marks to identify the person in care report that to your Supervisor.
21 CODE BLACKBomb threats are considered real and are to be taken seriously.If you receive a bomb threat by telephone- listen carefullyTurn to the Bomb Threat section of the Quick Reference DocumentSummon help using hand signals
22 CODE BLACK Show the person who comes to you the instructions: Call 911 and ask For RCMP/Police & FireExplain the situationRelay any advice given by RCMP/Police or Fire to the Licensee/ManagerTurn to then next page and fill out the form
23 CODE BLACK The form will cue you to listen for: Gender Local/Long DistanceFacts about the bombVoice characteristicsSpeechLanguage Accent Manner Background noises Fill it in to the best of your ability
24 CODE GREEN Preparation for Evacuation: Shut off water, gas and electricityKnow the location of the alternate site for your facility or the nearest Municipal Emergency Social Services Reception CentreMake arrangements for pets if applicableFollow the instructions of authoritiesDo not use the telephone except for life threatening emergencies
25 CODE GREEN When instructed to evacuate: Determine a safe exit. Assign a person to act as exit monitor.Remove those in danger to behind a fire door if possible.If no fire doors exist remove to the exterior of the building and go to the pre-determined muster area.
26 CODE GREEN When instructed to evacuate (cont’d): Once all persons in care and staff are out, if and only if it is safe to do so, the exit monitor will do a search of the premises to ensure that everyone is out of the building and will lock the building taking with them the Records and Emergency Kit as they leave
27 CODE GREEN When instructed to evacuate (cont’d): Complete the Person In Care and Staff Post Evacuation Status Report FormA copy of the form is in the QRDReport anyone who is missing to the Licensee/Manager or delegate who will tell the First responder Authority in charge of the incident at the Command Centre. The Command Centre is identified by a green light on a vehicle.
28 CODE GREEN CHILD AND STAFF POST EVECUATION STATUS REPORT FORM Date: ________ Time: _____________Reason for Evacuation: ___________________Number of Persons in Care : _____________Number of Persons in Care Present at the muster station: _______________Number of /Staff working: ____________Number of Staff present at the muster station:_______________Other persons present: ( Guests, visitors): ______________COMMENTS
29 CODE GREYIn the unlikely event of noxious or toxic air in the vicinity of the Facility that has placed it in harm’s way. You will receive a notification to ”Shelter-in-Place”You may receive the instruction to shelter via telephone call, media announcement or loud hailer.
30 CODE GREY and close flues When instructed to shelter take the following steps:1. Immediately gather everyone indoors andremain there2. Close and lock all windows and outside doors3. Tape gaps around door frames4. Extinguish indoor wood burning fireplacesand close flues
31 CODE GREY Turn off appliances or equipment that either: Blow out air such as:Bathroom and kitchen fansBuilt in vacuum systemsSucks in outside air, such as:Gas stovesFireplacesClothes dryersAir conditioners
32 CODE GREY Turn down thermostats by about 5C to minimize the on-time of furnaces2. Leave all inside doors open3. Avoid using the telephone except for emergencies so you can be contacted by authorities regarding the status of the event.Stay tuned to local radio and television for possible information updates
33 CODE GREYEven if you see people outside do not leave your premises and until informed by authorities.After the air pollution and passed or been nullified you will receive an “All Clear” message. You may also receive instructions to: Ventilate you facility by opening all doors and windows, turning on fans and turning up Thermostats.Once the facility is completely ventilated, return all equipment to normal.
34 CODE BROWNA Licensee must ensure that persons in care do not have access to any object or substance that may be hazardous to the health or safety of a resident. The only Hazardous spill event. with the exceptions of blood and body fluids, therefore will be outside the facility. There would be two possible instructions given to a Facility Licensee/Manager or delegate:Evacuate the premises in which case refer to Code Green: Evacuation and follow those instructions; orShelter-In-Place in which case refer to Code Grey: Air Exclusion and follow those instructions.
35 CODE BROWN There is at least one Spill Kit on site which includes: · Garbage bags· Masking tape· Disposable non-latex gloves· Paper towels· Detergent· Bleach or disinfectant· Bucket· Mops· Cloths· Brushes. Plastic goggles
36 CODE BROWNThe rule is to clean up the spill first and then sanitize. Wear disposable gloves always. Wear other personal protective equipment is there is a danger of splashing.In the event of spillage of blood or body fluids there are guidelines in place and all staff are required to know these guidelines for cleaning and sanitizing
37 CODE BROWN Body fluids include: · Urine Faeces including diarrhoea · SalivaBlood· VomitDischarge from the nose
38 CODE BROWNGUIDELINES FOR HARD SURFACES: q Soak up and remove most of the spill using paper towels. q Place the soaked paper towels directly into a plastic garbage bag. q With mop or cleaning cloth, clean the soiled area with detergent and water to remove any visible dirt or body fluids. q After cleaning, sanitize the area using a low level disinfectant – a mixture of one cup (250 ml) of household bleach (5% - 6% chlorine) in ten cups (2.5 litres) of water ( 1 part bleach to 10 parts water will do. In order to sanitize a surface, let the bleach solution stand for one minutes before drying. q If you use a commercial disinfectant, follow the instructions on the label. q Close the garbage bag, using masking tape to prevent it being opened and deposit in the regular garbage. Remove gloves and other protective equipment, deposit in regular garbage and wash your hands.
39 CODE BROWNGUIDELINES FOR HARD SURFACES: q Soak up and remove most of the spill using paper towels. Place the soaked paper towels directly into a plastic garbage bag. q With mop or cleaning cloth, clean the soiled area with detergent and water to remove any visible dirt or body fluids. q After cleaning, sanitize the area using a low level disinfectant – a mixture of one cup (250 ml) of household bleach (5% - 6% chlorine) in ten cups (2.5 litres) of water ( 1 part bleach to 10 parts water will do. In order to sanitize a surface, let the bleach solution stand for one minutes before drying. q If you use a commercial disinfectant, follow the instructions on the label. q Close the garbage bag, using masking tape to prevent it being opened and deposit in the regular garbage. Remove gloves and other protective equipment, deposit in regular garbage and wash your hands.
40 CODE BROWNGUIDELINES FOR CARPET & UPHOLSTERY: q Blot up the spill with paper towels q Place soiled paper towels directly into the plastic garbage bag. q Apply a household detergent or disinfectant to cover the spot. Let this sit for thirty (30) minutes q Blot up the excess liquid with paper towels and dispose of them in the garbage bag as well q Reapply detergent/disinfectant. Let dry overnight q Close the bag using masking tape to prevent it being opened and place in the regular garbage. q Remove gloves and other protective equipment, deposit in regular garbage and wash your hands. Steam clean carpet and upholstery, if necessary. Replace heavily soiled carpets and upholstery, that cannot be effectively cleaned and sanitized.
41 CODE BROWNGUIDELINES TO CLEAN AND SANITIZE CLEANING EQUIPMENT q Wear disposable gloves or household rubber gloves that can be cleaned and sanitized. q Wash mops, cloths, and brushes in hot soapy water and rinse. Ensure that all visible dirt is removed. q Soak mops, cloths and brushes in a low level disinfectant solution for twenty (20) minutes. Sanitize the mop handle by cleaning and then wiping with a low level disinfectant q Clean and sanitize reusable personal protective equipment such as household rubber gloves or plastic goggles. Clean and sanitize surface areas and sinks where you have cleaned equipment.
42 CODE BROWNPROTOCOL FOR A SPLASH OF BLOOD OR BODY FLUID “Splash” is defined as one where blood or body fluid comes in contact with lips, eyes mouth or open sore/ abrasion. Follow the protocol on the next slide
43 CODE BROWNQ Don’t panic the risk of serious infection in a Residential Care Centre is low. q Rinse well with tap water for 10 – 15 minutes q If a person in Care is splashed: Contact the next of kin Take the person in care to the nearest hospital/medical clinic Report the Incident to Licensing
44 CODE BROWNq If a staff member is splashed: o Report to your Supervisor immediately. If you cannot do this leave a message for the Supervisor. o Go immediately to the nearest hospital Emergency Department/medical clinic. o For follow-up counselling see your doctor o Complete WorkSafe BC reports o The Licensee/Manager or delegate ensures that the incident is reported to Licensing.
45 CODE ORANGE First indications of an earthquake: Low or loud rumbling noiseA sudden violent joltA shaking or moving of objectsAny combination of the above
46 CODE ORANGE Immediately: Protect yourself DROP – underneath cover COVER – the nape of your neckHOLD – on to whatever you take cover underIf you cannot get under cover, drop to your knees at the base of an inside wall, away from windows or items that may fall, protect your head and faceCount aloud while the shaking continues
47 CODE ORANGEYou will not have time to help anyone else until the shaking stops.Protect yourself.This is acceptable as we need you and your skills to help us deal with the aftermath.You can provide verbal directions to other
48 CODE ORANGE If you are outside, stay outside: Move away from the building and power linesAvoid overhanging structuresFall to your knees and protect your head and neckRemain in your location until the shaking stops
49 CODE ORANGE When the shaking stops: Stay where you are and count to 60.Check first to see if you are injuredCheck others around you for injury
50 CODE ORANGE If you are in a public building stay where you are. Do not use the stairwellsDo not use the elevatorsStay in the centre of the building and stay away from glass and wall hangings
51 CODE ORANGE After the shaking stops: Account for everyone Check for anyone who is trappedCalm persons in careCheck for hazards:FireGlass, spilled liquids or chemicalsCheck telephones and replace receiversElectrical wires
52 CODE ORANGE If assigned undertake a Building Damage Assessment. The checklist for this assessment is in theQuick Reference Document
53 PANDEMIC INFLUENZA Seasonal Influenza Pandemic Influenza Occurs annuallySymptoms: fever, headache, stuffy nose, aches & pains, sneezing, sore throat and coughPandemic InfluenzaOccurred 3 times in the 20th centurySymptoms: fever, headache, stuffy nose, aches & pains, sneezing, sore throat and coughThese are more severe and the virus affects those not normally affected
54 PANDEMIC INFLUENZA Pandemic Influenza Seasonal Influenza Spread by dropletsPresent November to April then disappears10% of the population will become illMost who contract it will get sick but will recover in a couple of weeksPandemic InfluenzaSpread by droplets2 to 3 waves months apart with each wave lasting 6 – 8 weeks35% will become ill over the courseHalf contracting will get sick, most will recover but over a long time
55 PANDEMIC INFLUENZA Seasonal Influenza Pandemic Influenza Any age will become seriously ill and those with weak Immune systems will be high riskThousands will dieA vaccine will be developed but will take 4 – 6 months. Annual flu shots offer some protectionSeasonal InfluenzaHardest on those with weakened Immune SystemsHundreds die annuallyAnnual flu shot offers protection
56 PANDEMIC INFLUENZA Seasonal Influenza Pandemic Influenza A pneumonia shot will protect against secondary infectionsAntiviral drugs availablePandemic InfluenzaA pneumonia shot will protect against secondary infectionsAntiviral drugs available
57 PANDEMIC INFLUENZAInfluenza is spread from person to person through droplets produced by coughing or sneezingDroplets can travel up to three feetThe can be inhaled by othersThey can land on surfaces
58 PANDEMIC INFLUENZAIf a person touches an object or a surface contaminated by droplets and then touches their eyes, mouth or nose, without first washing their hands, they can catch the fluThe time from exposure to becoming ill is 1 – 3 days.The virus can live on hard surfaces for 48 hoursThe virus can live on your hands for 5 minutes
59 PANDEMIC INFLUENZAWe cannot always tell when someone has an infection as they may not appear to be sick.If infected they can pass the germ to others.For this reason we need always to use routine infection control practices
60 PANDEMIC INFLUENZA These routine practices are: Washing hands Use disposable gloves when handling blood, body fluids, cleaning cuts and scrapes and changing diapersCover you mouth and nose with a tissue when you cough or sneeze
61 PANDEMIC INFLUENZA Keep toilets visibly clean Do not share personal items such as hairbrushes, toothbrushes, towels, facecloths, cups or hatsWash laundry using detergent & warm water
62 PANDEMIC INFLUENZADuring disease outbreaks follow the guidance of public health about additional steps to take to control the spread of disease, provided by the LicenseeSeparate sick persons in care from others.Clean and sanitize according to the guidelines outlined earlier in this presentation
63 PANDEMIC INFLUENZAIn the event of a Pandemic striking and causing deaths the Licensee will contact the local authorities for referral to a local professional trained in Grief Counseling for staff, persons in care and their families.
64 PANDEMIC INFLUENZAAn Appendix to this plan is the BC Health Authorities publication:“Be Prepared….Be Well”It is recommended to you as an excellent resource for you and your family
65 BOIL WATER NOTIFICATION Is your facility a user of public water or well water?If it uses public water and a “Boil Water Notification” is issued there are a number of steps that will be taken within your facility
66 BOIL WATER NOTIFICATION 1. Use only bottle water for drinking.2. Use paper plates and plastic utensils for food preparation and consumption3. Use a waterless disinfectant for hand washing
67 BOIL WATER NOTIFICATION 4. Ensure that the water supply to sinks, drinking fountains and outside water sources (taps and hoses) are turned off5. Post pre-prepared signage indicating the Boil Water Notification is in effect. 6. Facilities have a supply of Iodine tablets for the purpose of disinfecting water
68 BOIL WATER NOTIFICATION Water may also be purified by bringing it to a rapid boil for 1 minute. Due to its chemical content, swimming pool or spa water should not be used as a primary source of drinking water.
69 POWER FAILURESBC Hydro has provided a checklist for your Licensee/Manager to complete before an outage.You need to be aware of the following:Shutdown procedures for air conditioning or refrigeration equipment, alarm systems and any other critical equipment or systems.
70 POWER FAILURESknow the procedure for reporting an outage and the facility BC Hydro account number or its Site Location Identification (SLID) (in the QRD)Do not use candles, only flashlightsKnow the emergency plan for any person in care who relies on special medical equipment
71 POWER FAILURESUse protective gloves and goggles to switch breakers back on when power is restored.Location of protective equipment and procedure for actions after the power returns should be in the facility QRD
72 GAS FAILURES WHAT DOES GAS SMELL LIKE? Rotten eggs: a bad smell for a good reasonIn case of a leak, we want you to be able to detect and identify it.
73 GAS FAILURESIf you smell gas or hear the flow of escaping gas, follow these steps immediately:Don't smoke, light matches, operate electrical switches, use either cell or telephones, or create any other source of ignition.Leave the building immediately; leaving the door open and any windows that may already be open.Turn your gas off at the meter, if you know how.
74 GAS INTERRUPTIONSGet to a nearby phone and call the Terasen Gas 24-hour Emergency Line at , or911 or the fire department emergency number.
75 RISK ASSESSMENTA Risk Vulnerability Hazard Assessment has been conducted for Vancouver Island.This ensures that we plan only for those events that may have an impact on us which is All Hazard PlanningAn analysis has been conducted for your facility in Section 1.9 – Business Continuity Plan
76 Vancouver Island Hazards include; Forest FiresSevere weatherUtility OutagesHazardous materials spillsEarthquakeTsunami (Northern tip and west coast of VI)Transportation AccidentsDam failureFloodsTerrorismChemical, Biological, Radiological, Nuclear and Explosive (CBRNE)
77 Vancouver Island Hazards include; Pandemic Influenza or other pandemic diseasesEpidemics – localized outbreaks of a disease such as mumps, smallpox, polioWater contaminationSupply chain interruptionsCivil unrestSurge capacity – specific to acute care hospitals needing to deal with a large number (a “surge”) of patients
78 PERSONAL PROTECTIVE PROCEDURES Hand washing is the best way to prevent infection:Liquid soap, water and disposable towels should be availableGet your disposable towel ready before washing handsUse plain soap, antibacterial soaps and cleaners lead to antibiotic resistanceWhile washing clean for at least 20 seconds – (sing Twinkle Twinkle Little star or Happy Birthday) – then rinse well.
79 PERSONAL PROTECTIVE PROCEDURES Use disposable towels to dry handsUse the disposable towel to turn off the tapsKeep it to use to open the bathroom doorThen throw the towel into the garbageNo touch garbage cans are preferable.Alcohol based sanitizer can be used if sop and water are not available.Use enough sanitizer to keep hands wet for20 – 30 seconds
80 PERSONAL PROTECTIVE PROCEDURES Coughing & Sneezing:Always cover your mouth and nose with a tissue when you cough or sneeze.Throw the used tissue into a garbage canWash your hands using either soap & water or sanitizerIf you do not have a tissue, cough or sneeze into you sleeve at the elbowKeep hands away from your eyes and nose
81 PERSONAL PROTECTIVE PROCEDURES Annual Flu ShotTake advantage of having an annual vaccinationThe vaccine causes your body’s immune system to become active producing antibodies to fight the infection
82 PERSONAL PROTECTIVE PROCEDURES Other steps to think about:Eat nutritious foodGet plenty of sleepExercise moderatelyDon’t smoke and don’t let others smoke in your home or carStay home if you are sick – don’t share your germs
83 PERSONAL PREPAREDNESS You may be on your own for some time after a disaster especially an earthquake:Be prepared for 5 – 7 days of self sufficiencyPlan as a family and where possible plan with your neighbourhoodAccess to tools to assist are provided at the end of this presentation.
84 PERSONAL PREPAREDNESS Your family plan should include an out of province contact who will act as a “clearing house” for information about your family membersPrepare your home to survive an earthquake.
85 PERSONAL PREPAREDNESS If you drive more than 10 minutes to work you should keep a “Grab & Go Bag” in your trunk.The bag has sufficient food and water for you for 3 daysA FlashlightBattery operated radio
86 PERSONAL PREPAREDNESS GlovesMedicationsPrescription glassesFamily photograph (for re-unification)
87 PERSONAL PREPAREDNESS Tools to assist:Individual & Neighbourhood All Hazard Emergency Preparedness Planning Workbook available at:52 Weeks to Emergency PreparednessYour Licensee/Manager can provide you with a copy