What will you do when the lights goes out

1
What will you do when the lights goes out?

• Power outages and Assisted Living
• Michael Fraley
• Silver Tree Place AFH

2
Silver Tree Place

• 4 Bed Adult Family Home
• Advanced Age/ Irreversible Dementia
• Ambulatory and Semi-ambulatory
• Private residence converted into an AFH
• 1 story, wood construction, ranch home

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Silver Tree Place

• Located on the south end of Minocqua
• 3.3 miles from all-volunteer Fire Department
• No sprinkler system
• 1 Resident Assistant awake 24/7
• Total of 6 staff

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Owners

• Michael Fraley, BS, NREMT-P
• 17 years as a Paramedic
• Worked on emergency preparedness with EMS and
  large small hospitals
• Colleen Herda, RN
• 18 years experience as a nurse in critical care
  units, emergency departments and ground
  helicopter transportation services

5
WHEPP Project

• Wisconsin Hospital Emergency Preparedness Program
• Long-term Care Demonstration Project
• Small, medium and large facilities
• 17 sets of MLoP indicators
• ICS, Alerts, IC, Communications, Decon, Supplies
  Equipment, Transportation

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Silver Tree Place HVA

• Natural Threats
• Tornado 63
• Severe Thunderstorm 50
• Blizzard 56
• Ice Storm 56
• Technologic Events
• Electrical Failure 61
• Fire 28
• Hazardous Material Events
• None

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Types of residents in AFHs

• Developmentally Disabled
• Advanced age
• Dementia
• Physically disabled
• Mentally ill
• Traumatic brain injury
• AIDS
• Terminally ill
• Alcohol/ drug addiction

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Quick survey

• 10 facilities
• AA, DD, PD
• 2 said they could maintain for long period of
  time
• 3 others had generators but could not power most
  of home
• Rest would need to relocate

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Important equipment

• Wheelchairs
• Oxygen concentrators
• Nebulizer machines
• Suction machines
• Vents/ CPAP

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Less essential equipment

• Alarms
• Chair/ Bed
• Door
• Call lights
• Specialized mattresses/ beds
• Lift assist devices Lift chairs
• Feeding tube pumps
• IV pumps

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Facility

• Well
• Heat
• Cooking
• Sump pump
• Septic lift pump

• Lights
• Food Storage
• Fire alarm
• Phone
• TV !!!!!

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Silver Tree Plan

• Portable AC/ Heater
• Bottled water (fresh expired)
• Extra blankets
• Flashlights/ lamps extra batteries
• Bar-b-que for cooking
• Extra tank
• Evaluate weather, projected re-power time,
  current resident needs
• Re-locate residents

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Back-up power source

• Portable generator
• House transfer switch
• Required to power heat, well pump and septic/
  sump pumps
• 1400 estimate
• Fuel
• How much should I store? How much does it use?

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Facilities in your area

• 1 2 bed facilities licensed by county
• 3 4 bed AFHs and all CBRFs licensed by DHS
  DQA Bureau of Assisted Living
• http//dhs.wisconsin.gov/rl_DSL/AdultFamilyHomes/A
  FHintro.htm
• http//dhs.wisconsin.gov/rl_DSL/CBRF/CBRFintro.htm
  

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Getting Facilities Involved

• Send out Planning Checklists
• Fact sheets about how many power outages tend to
  occur in an area and how long
• Provide templates developed in the WHEPP project
• Respect limited resources

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Contact Information

• Michael Fraley
• fraleym_at_charter.net
• www.SilverTreePlace.org