Prepare

General

PDF

CAHF: Disaster Preparedness Inventory List

This list can be utilized by a facility to maintain a list of systems, equipment and supplies.
Updated 4/10/2018
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CAHF: Facility Profile Sheet

This facility profile is a document that provides a general overview and listing of relevant information pertaining to operational and property characteristics.
Updated 4/10/2018
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CAHF: Facility Staff Emergency Contact List

Facilities can use this tool to identify and retain contact information of staff.
Updated 4/10/2018
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CAHF: Guide for Mass Fatality Planning

This document will assist facilities in planning for potential of handling of deceased residents, staff, and visitors following a major event.
Updated 4/10/2018
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CAHF: Hazard Vulnerability Chart/Worksheet

This checklist can be used to assist in conducting annual review of a facility’s Hazard Vulnerability Analysis (HVA).
Updated 4/10/2018
PDF

Emergency Operations Plan Manual Review, Revision and Distribution Log

A facility's Emergency Operations Plan/Manual should be reviewed annually and updated as needed. This checklist provides a log of those reviews and plan distribution.
Updated 4/10/2018
PDF

Emergency Preparedness Program Evaluation Worksheet

The following checklist can be used to evaluate a facility's emergency/disaster plans and identify opportunities for improvement and enhancement.
Updated 4/10/2018
WWW

Kaiser Permanente: Hazard Vulnerability Assessment Tool (2017)

This HVA tool was created by Kaiser Permanente and is known as the "gold standard" for health care hazard planning. This document will be the most common version at healthcare coalition and/or county meetings.
Updated 4/10/2018
PDF

NHICS Staff Training Modules (2017 Update)

Updated 4/10/2018

Active Shooter/Workplace Violence

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Keep It With You: Personal Medical Information Form

The “Keep It With You” Personal Medical Information Form is intended to be a voluntary and temporary record that lists medical care and other health information for people who need care during disasters and similar situations.
Updated 4/10/2018
PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018

Cybersecurity & EHR

PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018

Earthquakes

WWW

CDC: Guidance for Earthquake Preparedness (weblink)

To maintain facility operations for a minimum of 96-hours following a major earthquake that may impact the structural integrity of the facility, and to insure the continum of care for patients, visitors, and casualties of the event. Surviving an earthquake and reducing its health impact requires preparation, planning, and practice. In this webpage by CDC, learn about actions you can take to help you and your remain safe and healthy in the event of an earthquake.
Updated 4/10/2018
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NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018
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NHICS Incident Planning Guide - Earthquake (2011)

Updated 4/10/2018

Evacuation

DOC

CAHF: Resident Assessment Form for Transport & Destination

This form is used to periodically review and assess the facility population for evacuation transport and relocation, transport and relocation needs.
Updated 4/10/2018
PDF

Evacuation Client "GO KIT"

Use form as a checklist for suggested contents that a facility might need during an evacuation.
Updated 4/10/2018
PDF

Keep It With You: Personal Medical Information Form

The “Keep It With You” Personal Medical Information Form is intended to be a voluntary and temporary record that lists medical care and other health information for people who need care during disasters and similar situations.
Updated 4/10/2018
PDF

NHICS Activation Guidance

NHICS is a framework for response that can be easily integrated into a long-term care facility's existing emergency operation plan (EOP). Regular utilization of NHICS on non‐emergency situations that require a coordinated response can help develop a consistent and disciplined approach to incident management. This guidance will promote this practice.
Updated 4/10/2018
PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018
PDF

Safe Evacuation Tabletop Exercise Guide for LTC Facilities

This guidebook will help Long Term Care facilities evaluate their
preparedness for an evacuation. This guidebook contains all the materials
necessary to conduct a simulated evacuation using a type of drill called a tabletop exercise.
Updated 4/10/2018
PDF

Surge Strategies & Regulatory Guidance for SNFs

Updated 4/10/2018

Extreme Weather (Cold & Heat)

PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018
PDF

NHICS Incident Planning Guide - Severe Weather (2011)

Updated 4/10/2018

Fire (Internal, External, Wildfires)

WWW

InciWeb Fire Incidents

Updated 8/1/2019
PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018
PDF

NHICS Incident Planning Guide - Fire (2011)

Updated 4/10/2018
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NHICS Incident Response Guide - Fire (Internal & External) (2017)

To safely mange the operation of the facility during response to an internal fire incident.
Updated 4/10/2018

Flooding (Internal & External)

PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018
PDF

NHICS Incident Planning Guide - Flooding (2011)

Updated 4/10/2018

General Information & Links

PDF

CAHF: Emergency Operation Plan Evaluation Tool

Updated 4/10/2018
PDF

CAHF: Glossary of Common Emergency Management Terms

Updated 4/10/2018
WWW

CAHF: Updated Emergency Operations Plan Template (2017)

This template is a tool that should be customized to fit the circumstances and needs of your facility.
Updated 4/10/2018
WWW

CAHF's List of County Emergency Contacts (weblink)

Updated 4/10/2018
WWW

CDC: Guidance for Earthquake Preparedness (weblink)

To maintain facility operations for a minimum of 96-hours following a major earthquake that may impact the structural integrity of the facility, and to insure the continum of care for patients, visitors, and casualties of the event. Surviving an earthquake and reducing its health impact requires preparation, planning, and practice. In this webpage by CDC, learn about actions you can take to help you and your remain safe and healthy in the event of an earthquake.
Updated 4/10/2018
PDF

First Things First: Long-Term Care Survival Self-Assessment Checklist

The “First Things First” checklist is a quick assessment tool intended to help long‐term care providers identify
key actions they can take to become minimally prepared to survive a widespread disaster. However it is NOT a substitute for a comprehensive emergency operations plan.
Updated 4/10/2018
PDF

Keep It With You: Personal Medical Information Form

The “Keep It With You” Personal Medical Information Form is intended to be a voluntary and temporary record that lists medical care and other health information for people who need care during disasters and similar situations.
Updated 4/10/2018
WWW

Nursing Home Incident Command System (NHICS) Complete Kit (2017)

Updated 4/10/2018

Hazardous Material/Waste Spill

PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018

Infectious Disease

PDF

Clean Hands Saves Lives - Poster

A poster promoting washing hands (When and How).
Updated 4/10/2018
PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018
PDF

NHICS Incident Planning Guide - Infectious Disease (2011)

Updated 4/10/2018

Missing Resident

PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018

Shelter-In-Place/Lockdown

PDF

NHICS Activation Guidance

NHICS is a framework for response that can be easily integrated into a long-term care facility's existing emergency operation plan (EOP). Regular utilization of NHICS on non‐emergency situations that require a coordinated response can help develop a consistent and disciplined approach to incident management. This guidance will promote this practice.
Updated 4/10/2018
PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018
PDF

Surge Strategies & Regulatory Guidance for SNFs

Updated 4/10/2018

Utility Failure

PDF

NHICS All-Hazards Incident Planning Guide (2017)

Updated 4/10/2018