To provide continuing infusion services for patients in
the event of an emergency situation or natural disaster that would
result in the interruption of the delivery of care in the home.
A written plan is in effect to guarantee that patient
services will be efficiently and effectively maintained during
emergency situations (e.g. loss of personnel due to work action or
illness, accidents, disruption of public transportation, structural
collapse, explosions (chemical or biological), damage to the facility
from a fire or flood) and natural disasters (e.g. snowstorms, floods,
earthquakes, tornados), industrial disasters(industrial plant
explosion, fire, train derailment, mine collapse), and man-made
disasters(warfare, criminal/terrorist action, civil disorder) wherever
For those patients who cannot be serviced by the organization,
alternative plans will be made.
Reference The Joint Commission Standard(s) EM.01.01.01, EM.02.01.01,
EM.02.02.01, EM.02.02.03, EM.02.02.07, EM.02.02.11, EM.03.01.03 ACHC
Standard(s) DRX7-4A; reference form #IV0065 Emergency/Disaster
Preparedness Program; "Emergency Preparedness Plan-Regular Testing"
for related procedures.
PROCEDURE: Please review the content below.
A. If an emergency situation is imminent (e.g. a blizzard is predicted), the
management staff will decide what action is needed to avoid interruptions
B. All staff are to keep a current copy of the "employee telephone list" with
them at all times. In the event that action is taken (e.g., the office will
open later or close earlier than normal, assignments will be redistributed
based on geographical location of staff and patients), the assigned
management personnel will initiate the telephone calls.
C. Patients will be prioritized by clinical managers and the highest at-risk
patients will be identified based on:
1. Status of patient
2. Therapy being administered (medication and access device)
3. Type of pump or other equipment in the home
4. Level of caregiver support available in the home
D. All patients, beginning with those highest at-risk, will be contacted to
advise them of probability of visits and to assess their needs.
E. If time permits prior to the emergency, patients will be contacted for an
inventory of drugs and supplies and to review the emergency plan
established. Deliveries will be made wherever possible.
F. All delivery vehicles will have a surplus of supplies.
G. Patients who reside in excess of 75 miles from the branch/facility will be
sent extra supplies and back-up pumps/chargers where appropriate.
(Critical: TPN, PCA, Inotropic therapies). Patients/caregivers will be
instructed to charge all pumps when not in use.
H. Extra batteries will be sent to all appropriate patients. Patients/caregivers
will be instructed on how to administer therapy via gravity flow under safe
conditions when an electrical outage is expected to be greater than eight
I. Proper refrigeration availability will be evaluated.
1. If localized outage, deliveries will be made daily and medications
will be stored in coolers in the patient's home.
2. If generalized outage, coolers and dry ice will be delivered to
appropriate patients and deliveries will be increased.
J. If road conditions are too hazardous to attempt a visit, the physician will
be notified and consulted, re: missing a dose and/or delaying to restart a
K. If the medication must be infused, and the visit cannot be made, the local
police department will be contacted by the Nurse or Pharmacy Manager.
Arrangements for an emergency response will be coordinated with this
L. Until the emergency is resolved, staff will be expected to:
1. Leave their cell phones on.
2. Contact the facility on an hourly basis for updated information.
3. If no personnel are in the facility, phone contact will be maintained.
M. Tabletop Drill – A tabletop drill to evaluate the effectiveness of the
Emergency Management Operations Plan may be utilized. This may be
used as an adjunct, functional exercise to an actual response to
N. Recovery Phase will be initiated:
1. Building re-inspections and/or building will begin immediately.
2. Temporary office space for Ashland will be provided by OLBH with
contact person as Joe Buccheit, CFO(606-833-3333). Temporary office
space for Charleston will be provided by CAMC General with contact
person as Larry Hudson, CFO(304-388-5432).
Permanent office space will be acquired within 1-2 months after
disaster if needed.
3. Computer backup will be utilized.
4. All functioning leadership hospital pharmacies (OLBH, CAMC, St.
Mary’s, St. Claire) and/or Infusion Solutions alternate facility will be
utilized for compounding drug.
5. Emergency stock of supplies will be ordered immediately. Will utilize
stock in delivery vehicles and alternate Infusion Solutions facility for
emergent supply needs.
6. Employee postings will be made public within 2 weeks with the intent of
replacing employees as needed.
7. Independent couriers will be utilized for deliveries.
8. Home computers/faxes will be utilized until equipment replacement is
9. All available staff will be asked to work 40 hours per week and overtime
will be offered as needed until office is re-established.
10. If executive director is affected, director of pharmacy/operations
manager will assume the duties of the executive director.
Chain of command as follows:
Philip Nelson - Executive Director
Blake Gillum - Director of Pharmacy/Operations Manager
Sheila Larsen - Nurse Manager
Tina Webster - Billing Manager
Joe Buccheit - Board Chairman
O. Basic staff needs will be assessed by leadership and Infusion
Solutions will provide housing, transportation, and food as need arises.