1. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Get A.R.M.E.D.! Be Aware, Ready, and Mobilize for Every Disaster Get Ready Now! An All Hazards Guide to Planning for Emergencies

2. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Objectives Have an overview of how to prepare for/handle client related and business related emergency response and recovery situations Have an overview of how to prepare for/handle client related and business related emergency response and recovery situations Learn about resources available through the US Department of Homeland Security and locally to support emergency response needs in times of disaster. Learn about resources available through the US Department of Homeland Security and locally to support emergency response needs in times of disaster.

3. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Course Outline The Threats That We Face! The Threats That We Face! The Threat of Terrorism The Threat of Terrorism Homeland Security System Homeland Security System What is in Place Today What is in Place Today Family Disaster Equation Family Disaster Equation Frequently Ask Questions Frequently Ask Questions

4. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. It’ll never happen here!

5. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. It’s not IF it will happen……. It should be WHEN it will happen!!!!

6. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Disasters Manmade and Natural

7. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Map Designer: Emmanuelle Bournay, UNEP/GRID-Arendal http://maps.grida.no/go/graphic/trends_in_natural_disasters

8. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Types of Threats Biological Biological Earthquakes Earthquakes Chemical Chemical Explosions Explosions Extreme Heat Extreme Heat Fires Fires Floods Floods Hurricanes Hurricanes Pandemic Pandemic Landslides Landslides Nuclear Nuclear Radiation Radiation Severe Weather Severe Weather Tornadoes Tornadoes Tsunami Tsunami Volcanoes Volcanoes Wildfires Wildfires Winter storms and Extreme Cold Winter storms and Extreme Cold

9. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. The Threat of Terrorism

10. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Terrorism Defined: The unlawful use of force or violence against persons or property to intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political, social or religious objectives--FBI The unlawful use of force or violence against persons or property to intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political, social or religious objectives--FBI

11. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. The Structure of Terror International Environment Countries Organization Leadership Underlying Conditions

12. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Terrorism Targets Military Facilities Military Facilities Government Facilities Government Facilities Large Cities Large Cities International Airports International Airports Public Gatherings Public Gatherings High-Profile Landmarks High-Profile Landmarks

13. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Terrorists: The biggest Bang for the Buck ! The biggest Bang for the Buck ! Create Fear Create Fear Create Turmoil Create Turmoil Attempt to Disrupt daily life Attempt to Disrupt daily life Draw attention Draw attention Aimed at Icons Aimed at Icons

14. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Emotional Effects of Terrorism Irritability Irritability Fatigue Fatigue Hyperactivity Hyperactivity Anger Anger Withdrawn Withdrawn Depression Depression

15. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Today There are currently 85 known terrorist organizations worldwide. There are currently 85 known terrorist organizations worldwide. There have been 103 terrorist acts since January 1 st, 2003! There have been 103 terrorist acts since January 1 st, 2003! Most terrorism is small scale but the trend is becoming increasingly lethal. Most terrorism is small scale but the trend is becoming increasingly lethal.

16. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Types of Terrorist Attacks Suicide/Homicide Suicide/Homicide Hostage Hostage Conventional Weapons/Sniper Conventional Weapons/Sniper Unconventional Unconventional Psychological Psychological Weapons of Mass Destruction Weapons of Mass Destruction Chemical Chemical Nuclear Nuclear Biological Biological

17. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Weapons of Mass Destruction Biological- Slow Acting Biological- Slow Acting Chemical- Quick Acting Chemical- Quick Acting Radiological/ Nuclear- Dirty Bomb vs. Atomic Bomb Radiological/ Nuclear- Dirty Bomb vs. Atomic Bomb

18. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. In Preparation of Terrorism Be Aware of Your Surroundings Be Aware of Your Surroundings Report to the Police Unusual Behavior Report to the Police Unusual Behavior Suspicious Packages, Strange Devices Suspicious Packages, Strange Devices Leave an Area if it Does Not Seem Right Leave an Area if it Does Not Seem Right Be Aware of Exits - Plan to Get Out! Be Aware of Exits - Plan to Get Out! Learn First Aid & Get a First Aid Kit Learn First Aid & Get a First Aid Kit Be Familiar With Fire Extinguishers Be Familiar With Fire Extinguishers

19. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Bomb Threat Get as Much Information as Possible Get as Much Information as Possible Notify the Police and Building Management Notify the Police and Building Management Do Not Touch Any Suspicious Packages Do Not Touch Any Suspicious Packages Clear the Area: Stay Away from Glass Windows and Door Clear the Area: Stay Away from Glass Windows and Door Do Not Block Exits, Sidewalks, or Streets Do Not Block Exits, Sidewalks, or Streets

20. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Suspicious Packages and Letters Unexpected from Someone Unfamiliar Unexpected from Someone Unfamiliar No Return Address on It No Return Address on It Marked with “Personal” or “Confidential” Marked with “Personal” or “Confidential” Strange Odors or Stains Strange Odors or Stains Protruding Wires or Aluminum Foil Protruding Wires or Aluminum Foil Unusual Weight, Lopsided or Oddly Shaped Unusual Weight, Lopsided or Oddly Shaped Inappropriate or Unusual Labeling Inappropriate or Unusual Labeling

21. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Picture of Suspicious Package

22. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Biological or Chemical Agent Put the Package or Envelope in a Plastic Bag or Cover it in Some Way Put the Package or Envelope in a Plastic Bag or Cover it in Some Way Leave the Area Leave the Area Wash Hands with Soap and Water Wash Hands with Soap and Water Report the Incident & Notify Police Report the Incident & Notify Police Develop a List of People Exposed to the Product Develop a List of People Exposed to the Product

23. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. What to Do if there is an Explosion Leave the Area / Building Leave the Area / Building If there is a Fire: If there is a Fire: Stay Low Stay Low Exit Quickly Exit Quickly Cover Your Nose and Mouth Cover Your Nose and Mouth If Trapped: If Trapped: Tap on a Pipe Tap on a Pipe Use a Whistle if Available Use a Whistle if Available

24. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. CHEMICAL AND BIOLOGICAL WEAPONS Biological Agents Organisms or Toxins that Can Kill or Incapacitate People Organisms or Toxins that Can Kill or Incapacitate People Biological Agents are: Biological Agents are: Bacteria Bacteria Viruses Viruses Toxins Toxins

25. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Preparing for a Chemical or Biological Attack Disaster Supply Kit & First Aid Disaster Supply Kit & First Aid Radio & Batteries Radio & Batteries Food & Water Food & Water Duct Tape & Scissors Duct Tape & Scissors Plastic Sheeting Plastic Sheeting Soap, Water & Bleach Soap, Water & Bleach

26. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. What To Do During a Chemical or Biological Attack Listen to Your Radio Listen to Your Radio If Remaining at Home Turn Off HVAC If Remaining at Home Turn Off HVAC Seal a Room (10 Sq. Ft./Person = 5 Hours) Seal a Room (10 Sq. Ft./Person = 5 Hours) If Caught Outside: If Caught Outside: Get Up Wind Get Up Wind Find a Shelter Find a Shelter Listen to Your Radio Listen to Your Radio

27. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Symptoms of Exposure to Chemicals Blurred Vision Blurred Vision Eye Irritation Eye Irritation Difficulty Breathing Difficulty Breathing Nausea Nausea

28. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Decontamination  Remove all Clothing (place in plastic bag)  Wash with Soap and Water  Remove Contact Lenses  Flush Eyes with Lots of Water  Wash Face and Hair  Change Into Uncontaminated Clothes  Proceed to a Medical Facility

29. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Nuclear and Radiological Attack Nuclear Explosion Radiological Dispersion Device (RDD) “Dirty Bomb”

30. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. What To Do If A Nuclear Attack Occurs Find a Shelter Find a Shelter Listen to the Radio Listen to the Radio Fallout Could be Present for Up To 1 Month and Wind Will Carry it Hundreds of Miles from the Center (80% - 1 Day / 99% - 2 weeks) Fallout Could be Present for Up To 1 Month and Wind Will Carry it Hundreds of Miles from the Center (80% - 1 Day / 99% - 2 weeks) Evacuate to an Unaffected Area Within a Few Days Evacuate to an Unaffected Area Within a Few Days Water and Food May be Scarce Water and Food May be Scarce

31. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited.

32. Homeland Security Advisory System Security Advisory System developed by the Federal Office of Homeland Security Security Advisory System developed by the Federal Office of Homeland Security County and Municipal Guidelines developed by the Illinois Terrorism Task Force County and Municipal Guidelines developed by the Illinois Terrorism Task Force Implemented & Coordinated by the Municipality’s ESDA Coordinator by ordinance Implemented & Coordinated by the Municipality’s ESDA Coordinator by ordinance Is both Community wide and facility specific Is both Community wide and facility specific

33. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Homeland Security Advisory System is: A Notification System A Notification System An Awareness System An Awareness System A Terrorist Deterrent System A Terrorist Deterrent System

34. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Homeland Security System 5 Threat Levels 5 Threat Levels Green Green Blue Blue Yellow Yellow Orange Orange Red Red

35. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Guarded Condition A General Risk of Terrorist Attack Hold a Household Meeting Hold a Household Meeting Develop a Communication Plan Develop a Communication Plan Apartment Residents - Discuss with Building Manager Steps to Be Taken Apartment Residents - Discuss with Building Manager Steps to Be Taken Discuss with People any Special Needs Discuss with People any Special Needs

36. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Elevated Condition A Significant Risk of Terrorist Attack Be Observant of Any Suspicious Activity and Report to the Authorities Be Observant of Any Suspicious Activity and Report to the Authorities Discuss Plans with Neighbors Discuss Plans with Neighbors Check with School Officials - Procedure to Reunite Children Check with School Officials - Procedure to Reunite Children

37. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. High Condition A High Risk of Terrorist Attack Review Preparedness Measures Including Evacuation and Sheltering Review Preparedness Measures Including Evacuation and Sheltering Avoid High Profile or Symbolic Locations Avoid High Profile or Symbolic Locations Exercise Caution when Traveling Exercise Caution when Traveling

38. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Severe Condition A Severe Risk of Terrorist Attack Avoid Public Gathering Places Avoid Public Gathering Places Follow Official Instructions About Restrictions to Normal Activities Follow Official Instructions About Restrictions to Normal Activities Listen to the Radio and TV for Advisories Listen to the Radio and TV for Advisories Prepare to Evacuate or Shelter-in-Place Prepare to Evacuate or Shelter-in-Place

39. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. What is in Place Today! National Response Plan National Response Plan Homeland Security Advisory System Homeland Security Advisory System Federal Emergency Management (FEMA) Federal Emergency Management (FEMA) Department of Homeland Security Department of Homeland Security

40. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Local and Statewide Agencies Illinois Terrorism Task Force Illinois Terrorism Task Force Mutual Aid Box Alarm System Mutual Aid Box Alarm System Illinois Law Enforcement Alarm System Illinois Law Enforcement Alarm System Special Weapons of Mass Destruction Teams Special Weapons of Mass Destruction Teams Illinois Emergency Medical Response Team Illinois Emergency Medical Response Team Illinois Emergency Management Agency Illinois Emergency Management Agency Illinois Department of Public Health Illinois Department of Public Health County Health Departments County Health Departments Red Cross, Salvation Army, United Way Red Cross, Salvation Army, United Way Collaborative Healthcare Urgency Group Collaborative Healthcare Urgency Group Centers for Disease Control Centers for Disease Control Department of Homeland Security Department of Homeland Security Poison Control Center Poison Control Center Others Others

41. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. The “Goal” of Planning

42. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Disaster Preparedness Equation RP 2 MR 2 Risk/ Capability Assessments Risk/ Capability Assessments Planning Planning Preparedness Preparedness Mitigation Mitigation Response Response Recovery Recovery

43. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Family- Risk Assessment Identify the Risks/Hazards that are relevant to your family and geographical location Identify the Risks/Hazards that are relevant to your family and geographical location Fire Fire Severe Weather Severe Weather Tornado Tornado Extreme Heat Extreme Heat Extended Loss of Power Extended Loss of Power

44. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Family- Planning Develop a hazard/risk specific plan Develop a hazard/risk specific plan Communication Plan Communication Plan Evacuation Plan – EDITH Evacuation Plan – EDITH Exit Drill In The Home Exit Drill In The Home Reunification Plan Reunification Plan

45. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Family- Preparedness Be Informed and Plan in advance Be Informed and Plan in advance Potential Emergencies in your community Potential Emergencies in your community Can effect your plans Can effect your plans Learn Local and State Emergency Plans Learn Local and State Emergency Plans Inquire regarding Emergency Plans Inquire regarding Emergency Plans Work place, School, Daycare Work place, School, Daycare Inquire about Insurance Coverage Inquire about Insurance Coverage Practice your plans Practice your plans

46. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Family- Mitigation Steps or tasks to reduce the impact of a disaster Steps or tasks to reduce the impact of a disaster Prepare an Emergency Supply Kit Prepare an Emergency Supply Kit Evacuation Evacuation Stay at Home Stay at Home

47. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Preparation of Emergency Supply Kit Water Water One gallon of water per person per day for at least three days One gallon of water per person per day for at least three days Drinking and sanitation Drinking and sanitation Food Food Three days of non-perishable food Three days of non-perishable food Hand Crank Radio NOAA (National Oceanic Atmospheric Administration) Weather Radio Hand Crank Radio NOAA (National Oceanic Atmospheric Administration) Weather Radio Extra Batteries for both Extra Batteries for both Hand Crank Flashlight Hand Crank Flashlight Extra Batteries Extra Batteries First Aid Kit First Aid Kit Whistle Whistle Dust Masks Dust Masks Duct tape Duct tape Scissors Scissors Moist toilettes, Garbage bags with ties for personal sanitation Moist toilettes, Garbage bags with ties for personal sanitation Wrench or pliers to turn off utilities Wrench or pliers to turn off utilities Can opener for food Can opener for food Local Maps Local Maps Cell Phone Cell Phone

48. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Emergency Supply Kit – Other items to include Prescription Meds and Non-prescription meds Prescription Meds and Non-prescription meds Infant Formula and Diapers Infant Formula and Diapers Pet food and Water Pet food and Water Cash or Traveler checks Cash or Traveler checks First aid book First aid book Warm blanket of sleeping bag for each member Warm blanket of sleeping bag for each member Change of clothing Change of clothing Household cleaners – bleach Household cleaners – bleach Fire extinguisher Fire extinguisher Matches in waterproof container Matches in waterproof container Personal Hygiene Personal Hygiene Eating utensils Eating utensils Paper and pen Paper and pen Books, games, cards Books, games, cards Camera Camera

49. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Water and Food Store water in clean plastic containers Store water in clean plastic containers Avoid salty foods Avoid salty foods Ready to eat canned meats Ready to eat canned meats Protein and fruit bars Protein and fruit bars Peanut butter Peanut butter Dried fruit Dried fruit Nuts and crackers Nuts and crackers Non-perishable Pasteurized milk Non-perishable Pasteurized milk Vitamins Vitamins

50. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Other Emergency Documents Medical Insurance, Life Insurance, and other Insurance papers Medical Insurance, Life Insurance, and other Insurance papers Names and information of support network Names and information of support network Doctors information Doctors information Communication Plan Communication Plan Keep documents in a water proof container Keep documents in a water proof container Legal Documents Legal Documents Cash/Credit Cards Cash/Credit Cards

51. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Oxygen and breathing equipment If you use oxygen, have an emergency supply (enough for at least a three-day period). If you use oxygen, have an emergency supply (enough for at least a three-day period). Oxygen tanks should be securely braced so they do not fall over. Call your medical supply company regarding bracing instructions. Oxygen tanks should be securely braced so they do not fall over. Call your medical supply company regarding bracing instructions. If you use breathing equipment, have a three-day supply or more of tubing, solutions, medications and other necessary supplies. If you use breathing equipment, have a three-day supply or more of tubing, solutions, medications and other necessary supplies.

52. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Medical supplies Have an extra three-day supply of any medical supplies you use, such as bandages, ostomy bags or syringes. Have an extra three-day supply of any medical supplies you use, such as bandages, ostomy bags or syringes.

53. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Electrically powered medical equipment For all medical equipment requiring electrical power — beds, Continuous Positive Airway Pressure Device for Sleep Apnea, breathing equipment or infusion pumps — check with your medical supply company and get information regarding a back-up power source such as a battery or generator. For all medical equipment requiring electrical power — beds, Continuous Positive Airway Pressure Device for Sleep Apnea, breathing equipment or infusion pumps — check with your medical supply company and get information regarding a back-up power source such as a battery or generator.

54. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. People who can help Discuss your disaster plans with your home health care provider. Discuss your disaster plans with your home health care provider. Ask your local fire department if they keep a list of people with special medical needs; ask to be included if they do maintain a list. Ask your local fire department if they keep a list of people with special medical needs; ask to be included if they do maintain a list. Keep a list handy of people who can help and their phone numbers. Keep a list handy of people who can help and their phone numbers.

55. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Ask those who form your support network to: Know how to contact you anytime critical information becomes available. Know how to contact you anytime critical information becomes available. Check on you immediately after an emergency. Check on you immediately after an emergency. Keep a spare set of important keys. Keep a spare set of important keys. Know where your Emergency Supply Kit is kept. Know where your Emergency Supply Kit is kept.Emergency Supply KitEmergency Supply Kit Have copies of important documents, such as information about medication and dosage, equipment, and other needs. Have copies of important documents, such as information about medication and dosage, equipment, and other needs. Learn about your personal needs and how to help you in an emergency. Learn about your personal needs and how to help you in an emergency.

56. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Other Important tips If you receive home-based care (e.g. homecare attendant, home health aide, visiting nurse service), include caregivers in developing your plan and familiarize yourself with your homecare agency's emergency plan. If you receive home-based care (e.g. homecare attendant, home health aide, visiting nurse service), include caregivers in developing your plan and familiarize yourself with your homecare agency's emergency plan. If you have a pet or service animal, also plan for his or her needs (i.e. temporary relocation, transportation, etc.). If you have a pet or service animal, also plan for his or her needs (i.e. temporary relocation, transportation, etc.). If you rely on home-delivered meals, always stock nonperishable food at home in case meal deliveries are suspended during an emergency. If you rely on home-delivered meals, always stock nonperishable food at home in case meal deliveries are suspended during an emergency. Have a plan with your doctor that addresses emergency prescription refills, if possible. Have a plan with your doctor that addresses emergency prescription refills, if possible. If you receive dialysis or other medical treatments, find out your provider's emergency plan, including where your back-up site is located. If you receive dialysis or other medical treatments, find out your provider's emergency plan, including where your back-up site is located. If you rely on medical equipment that requires electric power, contact your medical supply company for information regarding a back-up power source such as a battery. Follow the manufacturer's directions when installing the equipment and the battery back-up. If you use a portable generator for emergency power, follow manufacturer's directions for safe operation, and check with local fire and building officials for regulations governing generator and fuel use. Ask your utility company if the medical equipment qualifies you to be listed as a life-sustaining equipment customer. If you rely on medical equipment that requires electric power, contact your medical supply company for information regarding a back-up power source such as a battery. Follow the manufacturer's directions when installing the equipment and the battery back-up. If you use a portable generator for emergency power, follow manufacturer's directions for safe operation, and check with local fire and building officials for regulations governing generator and fuel use. Ask your utility company if the medical equipment qualifies you to be listed as a life-sustaining equipment customer. If you rely on oxygen, talk to your vendor about emergency replacements. If you rely on oxygen, talk to your vendor about emergency replacements.

57. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Notification to Utility Companies and Public Safety Some home equipment companies will call and write the following agencies to inform them that you have a medical problem: Fire Department or Emergency Management Agency Telephone company. Electric/gas company. The letter asks that you be placed on the priority list for notification of anticipated interruptions of service. The letter asks that you be placed on the priority list for service reinstitution in the event of unexpected interruption of service.

58. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Neighborhood Talk with neighbors and work together Talk with neighbors and work together Know if there are special needs of your neighbors Know if there are special needs of your neighbors Check on elderly and disabled Check on elderly and disabled Have back up plans Have back up plans Communicate in advance Communicate in advance

59. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. School and Daycare Inquire how they will communicate with family members in an emergency Inquire how they will communicate with family members in an emergency Do they keep enough food, water, and other basic supplies Do they keep enough food, water, and other basic supplies Will they Shelter in place or evacuate and if they do where will they go Will they Shelter in place or evacuate and if they do where will they go

60. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Family-R esponse Extreme Heat Extreme Heat Severe Winter Storms Severe Winter Storms Flooding Flooding Tornados Tornados Pandemic Influenza Pandemic Influenza Stay or Go Stay or Go

61. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Extreme Heat Extreme Heat is accompanied by High Humidity Extreme Heat is accompanied by High Humidity Conditions may be life-threatening if not proper precautions Conditions may be life-threatening if not proper precautions Check cooling system Check cooling system Check insulation in home Check insulation in home Avoid strenuous activity Avoid strenuous activity Stay in cool building Stay in cool building Drink plenty of water Drink plenty of water Dress in light, loose fitting clothes Dress in light, loose fitting clothes Don’t drink alcoholic beverages Don’t drink alcoholic beverages Listen to NOAA Radio Listen to NOAA Radio NEVER leave pets or children in closed vehicle NEVER leave pets or children in closed vehicle

62. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Severe Winter Storms or Extreme Cold Snow, subzero temperatures, High winds, ice or heavy rainstorms Snow, subzero temperatures, High winds, ice or heavy rainstorms Prepare Prepare Make sure home is properly insulates Make sure home is properly insulates Familiarize with terms Familiarize with terms Freezing Rain Freezing Rain Sleet Sleet Winter Weather Advisory Winter Weather Advisory Make sure supply kit has adequate warm weather clothing and blankets Make sure supply kit has adequate warm weather clothing and blankets Make sure you have plenty of gas in car Make sure you have plenty of gas in car If you have a fireplace store wood in case power outage If you have a fireplace store wood in case power outage Stay inside Stay inside Keep updated on weather conditions through a NOAA radio Keep updated on weather conditions through a NOAA radio

63. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited.Floods Flooding is the most common natural disaster Flooding is the most common natural disaster Prepare for flooding Prepare for flooding Elevate electrical panels, furnace, water heater Elevate electrical panels, furnace, water heater If feasible, construct flood barriers If feasible, construct flood barriers Property insurance does not typically cover flood damage Property insurance does not typically cover flood damage Visit and listen to NOAA Watch for current weather conditions Visit and listen to NOAA Watch for current weather conditions Know the difference between watch and warning Know the difference between watch and warning

64. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Watch vs. Warning

65. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Watch and Warning A Watch is means there is a possibility of A Watch is means there is a possibility of Flood or thunderstorm Flood or thunderstorm A Warning means the event is occurring or will likely occur soon A Warning means the event is occurring or will likely occur soon

66. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Tornadoes Determine in advance where you will take shelter Determine in advance where you will take shelter Storm cellars or basement Storm cellars or basement No underground shelter go to interior part of building with no windows No underground shelter go to interior part of building with no windows High-rise building go to interior in the lowest floor High-rise building go to interior in the lowest floor Don’t stay in a trailer or mobile home go to a foundation with adequate protection Don’t stay in a trailer or mobile home go to a foundation with adequate protection If no shelter lay in ditch or low laying area If no shelter lay in ditch or low laying area DO NOT go under underpass or bridge DO NOT go under underpass or bridge Keep current with weather conditions Keep current with weather conditions

67. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Pandemic Influenza Discuss with local public health care officials Discuss with local public health care officials Encourage sick individuals to stay home from work and school Encourage sick individuals to stay home from work and school Practice good health habits Practice good health habits Stay informed about pandemic influenza Stay informed about pandemic influenza

68. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Pandemic Influenza Planning for Home Health Role of Home Health during Pandemic will be defined by State and local Regulations and by the degree of Pandemic Role of Home Health during Pandemic will be defined by State and local Regulations and by the degree of Pandemic Internal Readiness Assessment needs to be done Internal Readiness Assessment needs to be done Collaborate with Community Collaborate with Community Communication Plans External and Internal Communication Plans External and Internal Plan for Healthcare Workers to Report to work Plan for Healthcare Workers to Report to work Training on Pandemic Influenza to Workers Training on Pandemic Influenza to Workers Home Health Aides may be trained in medication dispensation in emergencies Home Health Aides may be trained in medication dispensation in emergencies Train on Palliative Care and Psychological first aid to help cope with their own stress and stress of family and patients Train on Palliative Care and Psychological first aid to help cope with their own stress and stress of family and patients May need training on how to handle the increase in number of deaths May need training on how to handle the increase in number of deaths Familiarize with Command and Control Structure Familiarize with Command and Control Structure A response with clear definitive roles and responsibilities identified A response with clear definitive roles and responsibilities identified Home Health Care need to understand Incident Command Structure Home Health Care need to understand Incident Command Structure

69. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. National Incident Management System National Incident Management System was designed so that first responders from different jurisdictions and disciplines can work together better National Incident Management System was designed so that first responders from different jurisdictions and disciplines can work together better Respond to disasters and emergencies in a manageable and flexible system Respond to disasters and emergencies in a manageable and flexible system Enables Private, Non-government, and government organizations to utilize the following: Enables Private, Non-government, and government organizations to utilize the following: Standardized Incident Command System and Structure Standardized Incident Command System and Structure Resources Management Resources Management Mutual Aid Mutual Aid Common Terminology Common Terminology

70. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Pandemic Influenza Supplies and Equipment for Home Health Care Maintain supplies and equipment to continue daily operations Maintain supplies and equipment to continue daily operations Supplies needed to protect healthcare workers Supplies needed to protect healthcare workers Normal supplies sources may be overwhelmed and result in shortages Normal supplies sources may be overwhelmed and result in shortages Local planning within the community may aid in the access of necessary resources Local planning within the community may aid in the access of necessary resources

71. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Pandemic Influenza Supplies and Equipment for Home Health Care Assess the need for additional supplies such as food, water, and medications Assess the need for additional supplies such as food, water, and medications Personal Protective Equipment for staff Personal Protective Equipment for staff NIOSH-Certified N-95 filtering face pieces or higher rated Respirators NIOSH-Certified N-95 filtering face pieces or higher rated Respirators Respirators need to be used in context as specified in the Occupational Safety and Health Administration's respiratory protection standard. Respirators need to be used in context as specified in the Occupational Safety and Health Administration's respiratory protection standard.

72. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Emergency Planning for Pets

73. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Emergency Planning for Pets Prepare an “Emergency Supply Kit” for your Pets Prepare an “Emergency Supply Kit” for your Pets Food Food Water Water First Aid Kit for Pets First Aid Kit for Pets Medical Records and Medications Medical Records and Medications Collar, leash, harness, tags Collar, leash, harness, tags Pet Carrier Pet Carrier Sanitation supplies Sanitation supplies

74. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Emergency Planning for Pets Assess the situation Assess the situation Be prepared to take care of yourself and your pet during and emergency Be prepared to take care of yourself and your pet during and emergency Create a get away plan Create a get away plan Develop a buddy system Develop a buddy system Share your emergency plans and where your emergency pet kit is with your buddy Share your emergency plans and where your emergency pet kit is with your buddy Talk to your Vet about emergency planning Talk to your Vet about emergency planning Gather contact information for emergency animal treatment Gather contact information for emergency animal treatment Stay informed! Stay informed!

75. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Stay or Go Monitor TV and Radio for information or special instructions Monitor TV and Radio for information or special instructions If told to seek Medical attention or evacuate do so immediately If told to seek Medical attention or evacuate do so immediately

76. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Staying Shelter in Place Shelter in Place Family and Pets indoors Family and Pets indoors Lock doors, close windows, vents, Fire place Lock doors, close windows, vents, Fire place Turn off Air Conditioning and Forced Heat Turn off Air Conditioning and Forced Heat Go to a room in the interior of home with few to now windows Go to a room in the interior of home with few to now windows Bring Emergency supply kit Bring Emergency supply kit Generator Generator Seal windows, vents, doors with duct tape and Plastic Seal windows, vents, doors with duct tape and Plastic Utilize whatever you have to seal gaps – improvise Utilize whatever you have to seal gaps – improvise Call local authorities Call local authorities Watch TV, listen to radio or internet Watch TV, listen to radio or internet

77. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Know how to turn off Utilities Water Water Electric Electric Gas Gas Keep tools near shut-off valves Keep tools near shut-off valves Educate family members how to operate Educate family members how to operate If you turn off gas a professional must turn back on! If you turn off gas a professional must turn back on!

78. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Evacuation Plan where to meet with family Plan where to meet with family Keep gas in car Keep gas in car Know alternate routes Know alternate routes If no car plan on how you will leave If no car plan on how you will leave Bring Emergency supply kit Bring Emergency supply kit Lock your home Lock your home Take pets Take pets Call out of state contacts from family communication plan Call out of state contacts from family communication plan Leave a note to inform others where you are going and when you have left Leave a note to inform others where you are going and when you have left

79. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Family-R ecovery Identify Emotional or Psychological Impact Identify Emotional or Psychological Impact Seek Professional Help Seek Professional Help Identify alternative dwelling sites Identify alternative dwelling sites Ensure adequate insurance coverage Ensure adequate insurance coverage Document all losses including photos Document all losses including photos Planning for family loss Planning for family loss

80. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Websites for more information United States Department of Homeland Security www.ready.gov United States Department of Homeland Security www.ready.govwww.ready.gov Federal Emergency Management System www.fema.gov/ Federal Emergency Management System www.fema.gov/www.fema.gov/ Pandemic Flu www.pandemicflu.gov Pandemic Flu www.pandemicflu.govwww.pandemicflu.gov The American Red Cross www.redcross.org The American Red Cross www.redcross.orgwww.redcross.org Collaborative Healthcare Urgency Group www.chughurt.com Collaborative Healthcare Urgency Group www.chughurt.comwww.chughurt.com The Centers for Disease Control www.cdc.gov The Centers for Disease Control www.cdc.govwww.cdc.gov Medical Reserve Corps www.medicalreservecorps.gov Medical Reserve Corps www.medicalreservecorps.govwww.medicalreservecorps.gov Department of Homleland Security www.dhs.gov Department of Homleland Security www.dhs.govwww.dhs.gov NOAA Weather Radio NOAA Weather Radiowww.weather.gov/nwer/special_needs.htm Illinois Emergency Management Agency Illinois Emergency Management Agency http://www.state.il.us/iema/ Center for Defense Information www.cdi.org Center for Defense Information www.cdi.orgwww.cdi.org ***Check your local health department websites for further information

81. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. Collaborative Healthcare Urgency Group

82. © This document contains proprietary and secure information. Use without the expressed written consent of the Collaborative Healthcare Urgency Group is strictly prohibited. It’s not IF it will happen……. It should be WHEN it will happen!!!!