Julia Beems MA University of Colorado Denver Assistive Technology Partners Candiss Leathers Colorado AgrAbility Goodwill Industries of Denver What We Are Going To Cover The Role of Emergency ID: 1045011
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1. Be a Hero:Emergency Preparedness Planning for Persons with DisabilitiesJulia Beems, MAUniversity of Colorado Denver, Assistive Technology PartnersCandiss LeathersColorado AgrAbility, Goodwill Industries of Denver
2. What We Are Going To CoverThe Role of Emergency ManagementHazards, Disasters, and DisruptionsPersonal AssessmentsEvacuations vs Sheltering-in-PlacePersonal Support NetworksCommunication PlansEmergency Kits
3. What is Emergency Preparedness?What does it mean to you?Having emergency contact numbersHaving a first aid kitHaving a smoke and carbon monoxide detectorsHaving a written emergency planHaving an emergency kit for evacuationHaving a place to go during an evacuationHaving 3 days of food and water to shelter in placeBeing completely self-reliant
4. Making a PlanKnow local alertsSign up for community alertsShelter-in-Place PlanPower Back-Up PlanEvacuation PlanPersonal Support NetworkCommunications PlanCybersecurity PlanActive Shooter/Active Threat PlanService Animal PlanEducation PlanAction Plan
5. What Should Be ConsideredRisk AssessmentPersonal AssessmentPersonal Support NetworkEmergency ContactsMedical Information Medications & SuppliesEvacuation RoutesPreferred Evacuation LocationsSmoke/Carbon Monoxide AlarmsUtility Cutoff ValvesCommunity ResourcesEmergency Supply Kit(s)Training Needs
6. Emergency ManagementMay be housed in:County AdministrationFire DepartmentLaw EnforcementHelp pre-plan during various phases of emergency management:PreventionMitigationPreparednessResponse Recovery
7. Rural ChallengesRemoteness and separation DistanceWeatherBarriersEntrapment Allocation of resources Number of residents Communication Reduced outreach Warning systems are often absent or neglected Burden on the individual to access emergency informationOthers?
8. Risk AssessmentNatural Disasters/EmergenciesMan Made Disasters/EmergenciesMedical EmergenciesWork-Related Emergencies
9. Natural Disasters/EmergenciesDroughtEarthquakesExtreme HeatFloodsHurricanesLandslide and Debris FlowPower OutageSevere WeatherSpaceThunderstorms and LightningTornadoesTsunamisVolcanoesWildfiresWinter Storms and Extreme Cold
10. Man Made Disasters/EmergenciesActive ShooterBiological ThreatsChemical ThreatsExplosionsFiresNuclear ThreatPower OutageRadiation Threat
11. Power Outages(Public Health England, 2014)
12. Medical EmergenciesEquipment FailureInjury and IllnessAllergic reactionChronic health condition complicationsHeart attackSeizuresTemperature regulationMotor VehiclePandemic eventsPast – plague, flu, smallpox, measles, tuberculosisFuture – antibiotic resistance, flu, SARS, zikaBiological warfare - anthrax
13. Work-Related Emergencies MachinerySlips & FallsBruises and contusionsEntanglementAmputationSpinal Cord InjuryLacerationsGetting struckCrushingLong bone fracturesConfined SpacesEngulfmentSuffocationHypothermiaMechanicalNitrogen dioxideFallsHydrogen sulfideDrowningAg ChemicalsAsphyxiationBurnsPoisoningChemical reactionsCombustibles
14. Work-Related Emergencies continuedAnimalsBruisesCuts and scratchesFracturesFalling objectsBlunt force chest traumaCrushing-type injuries/internal injuriesHead injuriesDisease transmissionOtherOver exertion back strain or strainsNoiseFirearms
15. Personal & Family Disasters/DisruptionsHouse FireCar, Bus, Train AccidentFlat Tire, Car BreakdownComputer FailureUnemploymentChronic IllnessDivorceMedical EmergencyDomestic ViolenceAging Spouse or ParentDeath of Family Member
16. Season-Specific PreparationsPlan for hot, cold, wet, dry, and windy weatherSpecial preparations may include:Storing extra heating oilWinterizing cars and lawnmowersKnowing how to prevent freezing pipesPacking an umbrella (Taken from “How to Prepare for Everything” by Aaron Titus)
17. Personal AssessmentPersonal CarePersonal Care EquipmentPower Dependent EquipmentMedical NeedsWater ServiceDisaster DebrisTransportationBuilding EvacuationsMobility AidsRamp AccessService Animals and Pets
18. C-MISTA framework for emergency planning and management.Helps everybody speak the same language. Based on a “Functional Needs Framework”. Identifies people’s actual needs during an emergency rather than labeling them as “special needs”. More inclusive as it identifies people with temporary needs or those who do not identify themselves as having a disability.
19. C-MISTCommunication - people who have limited or no ability to speak, see, hear or understand. During an emergency, people with communication needs may not be able to hear announcements, see signs, understand messages or verbalize their concerns.Medical – people who require assistance in managing activities of daily living such as eating, dressing, grooming, transferring and going to the toilet. It includes managing chronic, terminal or contagious health conditions (such as ongoing treatment and administration of medications, IV therapy, catheters, tube feeding, dialysis, oxygen, operating life sustaining equipment...) During an emergency, people may be separated from family and friends. Early identification of these needs and intervention can avoid deterioration of health.
20. C-MISTIndependence - people who are able to function independently if they have their assistive devices and/or equipment. Items consist of mobility aids (such as wheelchairs, walkers, canes, crutches); communication aids; medical equipment, (such as catheters, oxygen, syringes, medications); and service animals. Individuals may become separated from their assistive equipment and/or animals in an emergency. Those at risk whose needs are recognized and restored early are able to maintain their independence and manage in mass shelters. Effectively meeting their functional needs prevents secondary complications.Supervision - may include those who have psychiatric conditions (such as dementia, Alzheimer, Schizophrenia, depression or severe mental illness); addiction problems; brain injury, or become anxious due to transfer trauma. During an emergency, some people with mental illness may be able to function well while others require a more protected and supervised setting.
21. C-MISTTransportation - people who are unable to drive because of disability, age, temporary injury, poverty, addiction, legal restriction or have no access to a vehicle. Wheelchair accessible transportation may be necessary. Pre-planning evacuation needs helps prevent chaos during an emergency and many people can function independently once evacuated to safety.
22. Disability ImplicationsCognition – sensory overload, language, comprehension of message, next steps, timeHearing – reception of message, language, visual formatsMobility – time Vision – reception of message, audible and tactile formatsDeaf-Blind – audible, visual and tactile formatsAge Related – sensory overload, language, comprehension of message, audible, visual and tactile formats, reception of message, time
23. Shelter-in-Place vs. EvacuationIs it a watch or an emergency ?What is the severity & duration of the situation?Is it day or night?Do you have the potential to lose power?Do you have family members out in the community: day care, school, work?Do you have a way to communicate with others?Is English your first language?Do you have food and water for everyone for 3 days?
24. Shelter-in-Place vs. EvacuationDo you have medications for everyone for 3 days?Do you have your medical equipment, supplies, and assistive technology?Do you have first aid supplies?Do you have supplies for your service animal/pets?Do you have transportation? Do you have fuel?Do you have a place to stay: family or friends, hotel or public shelter?Do you have an emergency kit?
25. Shelter-in-Place vs. EvacuationDo you have cash available?Do you have all your important documents available?Do you know the evacuation routes?
26. Shelter In Place vs EvacuationDepends on type of hazard/eventChoosing a safe locationLength of time in shelterAvailable suppliesSheltering in PlaceConditions require immediate protectionDebris in the air or air is contaminatedEvacuationAuthorities tell you to evacuate Know how long it will take you, you may want to leave before notificationUse community shelters as a last resort
27. Evacuation PlansDecide where you will go before handDetermine at least three locationsCall for transportation if you need assistanceGrab emergency supply kitKnow what equipment you needCare for pets/livestockTurn off electricityCall personal support groupAdvocate for yourselfPractice planReview and revise plan
28. Reasonable AccommodationsNeed for powerSpecial mattressQuiet roomASL sign language interpreterSpecial dietsPersonal assistantService animal
29. Personal Support NetworkFamily FriendsCo-workersPersonal care attendantNeighborsRoommatesFellow parishioners
30. Personal Support NetworkCommunicationTrustExtra keysEmergency suppliesEscape planEmergency documentsHealth information Out of town contactsPhysically strong enough to helpGuide you to safety
31. Communication StrategiesPersonal Communication PlanHow are you going to communicateWho are you going to callMultiple contactsSmart 911Text to 911Post Emergency contacts at each phone and building entranceKeep building street address(es) clearly posted for 911 operator and first responders
32. Emergency ContactsLocal contactsOut of state contactsEmergency Telephone ListFamily Friends/Co-WorkersDoctorsOthers
33. Public Safety Answering Points (PSAPs)911 Call CentersCall if you can, Text if you can’tIf text to 911 service is not yet available, you will receive an automatic "bounce-back" message that will advise you to contact emergency services by another means.
34. Mitch & Lauren
35. Medical Emergency MessageMEDICAL EMERGENCYI need medical assistance at (Address). My phone number is ______________. Repeat address.I cannot talk. I use a communication device and can hear you, but cannot answer questions in a timely manner. I have ___________ (medical condition). I am ____________ years old. My name is (First and Last)If lock box:There is a lock box on the front door. The Code is _________.If you need further information please ask me Yes/No questions.
36. Fire MessageFIRE EMERGENCYThere is a fire at my house. My address is __________________. My phone number is ____________.Repeat address.I cannot talk.I use a communication device and can hear you, but cannot answer questions in a timely manner. My name is (First and Last)If you need further information please ask me Yes/No questions.
37. Gas Leak/Utility MessageUTILITY EMERGENCYI need the Fire Department for a Utility problem. My address is __________________. My phone number is ____________.Repeat address.I cannot talk.I use a communication device and can hear you, but cannot answer questions in a timely manner. My name is (First and Last)If you need further information please ask me Yes/No questions.
38. Police Emergency MessageEMERGENCY LAW ENFORCEMENT –life, bodily harm or property – in-progress (assault, burglary, robbery, vicious dog)I have a Law Enforcement emergency at (Address). My phone number is __________.Repeat address.I cannot talk.I use a communication device and cannot answer questions in a timely manner. My name is (First and Last)If you need further information please ask me Yes/No questions.
39. Police Non-Emergency MessageNON-EMERGENCY LAW ENFORCEMENT – I have a non-emergency Law Enforcement need at (Address). My phone number is __________.Repeat address.I cannot talk.I use a communication device and cannot answer questions in a timely manner. My name is (First and Last)I would like to have an office/deputy contact me at my residence.If you need further information please ask me Yes/No questions.
40. Practice, Practice, PracticeWork with Speech Language PathologistUtilize icons/photos individual is familiar withDetermine preference for single button message or multiple button messageContact local PSAP/911 Call Center for a tourContact local PSAP/911 Call Center and tell them you want to practice making a callThey may give you a different number to callLet them know if you will be using a communication devicePractice with different messagesIf making a call for the fire department, make sure everyone involved is notified
41. Low Tech SolutionsBody Gestures/Emergency JewelryAlphabet BoardsCommunication BoardsPain ScaleCommunication Arm Bands
42. Communication Arm BandsSearch: Combat Dri-Fit PlayCoach $14.99Playbook Wristband $6.99Quarterback Wristband Football Playbook $4.29Wrist Coach $5.99Sizes: Adult, Youth, Pee WeeColors: AllComes with single or multiple pages
43. Pack an Emergency KitPersonal Kit/Fanny Pack – essential items to keep with you at all timesGrab-and-Go/Workplace Kit – easy-to-carry kit to grab if you have to evacuate your location in a hurryHome Kit - a large kit that contains essential you need to be self-sufficient for 3-7 days in your home or emergency shelter Bedside Kit - contains items you need if you are trapped in or near your bed and unable to get to other parts of your home Car Kit - includes items you need if you have in your vehicle in case of an emergency or during an evacuation Service Animal Kit - includes familiar items to keep your service animal comfortable and secure 3-7 days in a time of stressPortable Fireproof Box/Safe Deposit Box/Flash Drive – emergency papersChildren’s Activity Kit – items familiar to child to keep them comforted and entertained
44. Medical InformationPhysiciansType of Health InsuranceBlood TypeAllergies and sensitivitiesMedications and dosageSpecific medical conditionsPhysical limitationsCommunication difficultiesCognitive difficultiesMental health conditionOther Assistive technology and vendor contacts
45. Important PapersSocial security card/numberPassportMap of areaList of medical equipment/suppliesStyle/serial numbers of medical devicesHealth history information cardLegal papers – wills, deeds, marriage certificate, divorce papersBank account informationInsurance policy numbers and contact numbersInventory of household goodsSchool papers – diplomasProfessional certificates/licensesMilitary discharge papersCredit card account numbers and contact information
46. Disability-Related Supplies & EquipmentBatteries GlassesEating utensilsGrooming utensilsDressing devicesWriting devicesHearing devicesOxygen and flow rateSuction equipmentDialysis equipmentSanitary suppliesUrinary supplies Ostomy suppliesWheelchair and repair kitWalkerCrutchesCaneDentures or retainersMonitors
47. Assistive TechnologyVendor/contact informationName of deviceSerial numberPhotoPower back-up solutionLow tech back-up solutionReplacement InsuranceOther informationPairing with other equipment
48. Service Animals & PetsPost types of animal kept inside houseCurrent licenses and ID tagsYour telephone numberOut of state phone numbersBack-up caretaker/assistantEmergency supply kitIncludes familiar items to keep your service animal comfortable and secure 3-7 days in a time of stressLicense Medical/vaccination recordsPhoto of animal with you, including distinguishing marksFood and water with dishesCollar/ID/LeashPooper scooper and/or bagsToys
49. LivestockRisk AssessmentInventory – locations and vaccinations/testing recordsPermanent identification/record of ownership/photosDurable and visible identificationAlternate water/power sourcesFire ExtinguishersLabel hazardous materialsKnow contact information for Local Animal Rescue TeamShelter in place or evacuateEmergency/Evacuation KitKnow shelter locations and routesMake transportation arrangementsKeep 2 week supply of food and water
50. Action StepsKnow name and contact information for utilitiesGasElectricityWaterSewerTree removalLet utility companies know you have a disabilityLet fire, police/sheriff departments know you have a disabilityLearn how and when to turn off gas, electricity and water
51. Action Steps continuedInstall separate smoke and carbon monoxide alarmsMake sure public alerts and warnings are accessiblePractice calling 911Become a HAM or Amateur Radio operatorJoin the volunteer Fire DepartmentLearn community resources – Centers for Independent Living, Red Cross, Salvation Army, Citizens Corps, Medical Reserve Corps, Civil Air Patrol, Amateur Radio Emergency Service, Catholic Charities, Habitat for Humanity, United Way, Farm Aid
52. Action Steps continuedTake a first aid classTake a CPR classTake a weather spotter classTake a self-defense classLearn to use a fire extinguisherDevelop a schedule for testing and battery replacement of smoke detectors and carbon monoxide detectorsMake contact with local fire departmentMake contact with local utility company
53. AT Funding $ourcesCounty Diagnosis (As it relates to your need for assistive technology)AgeArea of Need (Daily Living)Type of DeviceType of Assistance (All)Examples:Disabled Children’s Relief FundJoni and FriendsVariety of ColoradoAV Hunter TrustFriends of ManCommunity Service Organizations (Kiwanis, Elks, Lions, Rotary, Sertoma, Optimists)Online Fund Raisers (Fundly, GoFundMe, GoGetFunding, Kickstarter, YouCaring)
54. Planning to Make a Plan IS NOT A PLANIf You Fail To Plan, You Plan To Fail
55. Stay Informed,Stay Prepared, andStay Safe
56. Contact InformationJulia Beems303.315.1284Julia.beems@ucdenver.edu Candiss Leathers720.539.4435cleathers@goodwilldenver.org