Nursing Home Evacuation Plans

Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Pittsburgh, PA 15261, USA.
American Journal of Public Health (Impact Factor: 4.55). 07/2008; 98(7):1235-40. DOI: 10.2105/AJPH.2006.107532
Source: PubMed

ABSTRACT I examined evacuation plans from 2134 nursing homes and analyzed national data to determine the types of nursing homes cited for deficiencies in their evacuation plans.
Evacuation plans were assessed according to criteria developed by an expert panel funded by the Office of the Inspector General. Deficiency citations came from the Online Survey, Certification, and Recording database, collected from 1997 to 2005. Four specific citations, for written emergency plans, staff training, written evacuation plans, and fire drills, were examined with multivariate logistic regression.
Most plans had water supply provisions (96%). Only 31% specified an evacuation route. The rate of citations was relatively stable throughout the study period: each year approximately 0.6% of facilities were found to be deficient in written emergency plans, 2.1% in staff training, 1.2% in written evacuation plans, and 7.9% in fire drills.
Some nursing homes need more specific evacuation plans. Water supply was the most and evacuation routes were the least well-addressed areas.

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    • "For those who did evacuate, electrical power was important for resident care during all phases of the disaster. As noted earlier, for nursing home facilities, transportation has consistently been an issue of concern during evacuations (Castle 2008; Dosa et al. 2007; Hyer et al. 2007; Laditka et al. 2009; Mollica et al. 2005; Mangum et al. 1989). The importance of securing safe and appropriate transportation was highlighted during Hurricane Rita when a bus fire resulted in the deaths of 24 assisted living facility residents (Cherry et al. 2010; National Transportation Safety Board 2007). "
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    ABSTRACT: Abstract The study examined Florida assisted living facility staff perspectives of disaster preparedness, response, and recovery after the 2004 and 2005 hurricanes. A descriptive study using qualitative and quantitative approaches. One hundred seventy Florida assisted living facility staff who worked in areas under hurricane threat and provided care to residents during a hurricane. A questionnaire that was mailed or administered to staff attending a regional planning conference with quantitative and qualitative items. Of the 143 facilities that were affected by a hurricane, 77%reported that they sheltered residents in place, while 23 % indicated that they evacuated for one or more of the hurricanes. Almost one-third of facilities lost telephone service and almost half lost electrical power during one or more of the hurricanes. Key topics noted by both evacuating facilities and those that sheltered in place were 1) decision-making, 2) planning, support, and supplies, 3) communication, and 4) electricity. Unique to assisted living facilities is the role of residents’ family in assuming responsibility for evacuation and shelter during hurricanes. Facility staff at both evacuating and sheltering facilities indicated that the decision to evacuate or to shelter in place was difficult and the electrical power was critical to resident well-being. Assisted living facilities should develop disaster preparedness plans in conjunction with local and state emergency offices. Adequate disaster preparedness has implications for residents’ safety as well as assisted living facility staff during disasters.
    Current Psychology 07/2015; DOI:10.1007/s12144-015-9361-7 · 0.27 Impact Factor
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    • "Blanchard and Dosa (2009) found that residents declined post-evacuation as they and the facilities struggled to regain normalcy. Castle (2008) has identified a lack of research about the long-term effect of resident relocation after a disaster. A few studies have attempted to examine the resilience and coping strategies of older adults in the context of evacuation care and stabilization (Bolin, 1999; Greene, 2002). "
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    ABSTRACT: Despite problematic evacuation and sheltering of nursing home residents during Hurricanes Katrina and Rita, an exploration of the experiences of Veterans Health Administration (VHA) nursing homes (VANHs) is necessary for a comprehensive examination of the healthcare community's response to these disasters. VANH evacuations during these hurricanes have not been widely studied. This exploratory project aimed to provide information about the evacuation experiences and characteristics of vulnerable nursing home residents. Interviews with key informants from VHA facilities with nursing home staff and representatives revealed that physical harm, psychological distress, cognitive decline and increased social isolation were areas that deserved special attention for this vulnerable population. Moreover, physical, psychological and social needs were interconnected in that each influenced the others. Findings contribute to the general conversation about meeting the biopsychosocial needs of nursing home residents in an integrated healthcare delivery system and more broadly, the role of long-term care facilities in general in planning for future disasters.
    Archives of gerontology and geriatrics 08/2012; 56(1). DOI:10.1016/j.archger.2012.07.010 · 1.85 Impact Factor
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    ABSTRACT: Data from a large sample of nursing homes were used to examine the cross-sectional association between workplace injuries and organizational factors, caregiver staffing levels, and quality. Three sources of data were used, the Occupational Safety and Health Administration data initiative for 2004, the Online Survey Certification and Recording system representing 2004, and the 2004 Area Resource File. For the organizational characteristics of interest, the results show that for-profit facilities were less likely to report high injury rates and that facilities with a higher average occupancy and belonging to a chain were more likely to report high injury rates. For the staffing characteristics of interest, facilities with high staffing levels of registered nurses were more likely to report high injury rates, whereas those with high staffing levels of nurse aides were less likely to report high injury rates. For the quality characteristic of interest, facilities of low quality (as measured by quality-of-care deficiency citations) were more likely to report high injury rates. Workplace injuries are associated with organizational, caregiver, and quality characteristics of nursing homes. This may present an opportunity to reduce high injury rates.
    Health care management review 01/2009; 34(1):92-103. DOI:10.1097/01.HMR.0000342981.37673.74 · 1.30 Impact Factor
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