Relias Course - Evac 2

Evacuation Priorities

When prioritizing your evacuation tasks, you will need to balance the following:

RESIDENT & TEAM MEMBER SAFETY

SECURING THE COMMUNITY

GATHERING SUPPLIES

EVACUATION PROCEDURES

People Are the First Priority

The procedures for evacuating the people of your community follow a specific sequence in order to keep everyone safe.

FIRST

SECOND

THIRD

FOURTH

LAST

LAST

ACCOUNT FOR ALL RESIDENTS

ALERT & ASSEMBLE

ASSISTED ASSEMBLY

ZONE SWEEPS

EVACUATE TO EAP

EVACUATE TO EAP

EVACUATION PROCEDURES: PEOPLE

Evacuating Residents with Special Accommodations

EVACUATION CHAIR

TWO-PERSON CARRY

EVACUATION PROCEDURES: SUPPLIES

Care Supplies

In order to continue providing care to our residents, it is imperative that we gather and transport these items as part of the evacuation:

MEDICATION MANAGEMENT

IMPORTANT DOCUMENTS

CARE SUPPLIES

EVACUATION PROCEDUREs: SUPPLIES

Other Supplies

If time allows, and it is safe to do so, other supplies may also be gathered and evacuated to ensure continuity of resident care, including:

FOOD & WATER

ENGAGEMENT SUPPLIES

EMERGENCY SUPPLIES

EVACUATION PROCEDURES

Additional Tasks

EMERGENCY SHUTOFFS

SECURING THE KITCHEN

EVACUATION PROCEDURES

Evacuation Strategy

If an evacuation is ordered, an evacuation strategy will be deployed.

WHERE TO GO

RETURN TO COMMUNITY

HOW TO GET THERE

Which Type of Evacuation Order is Most Appropriate?

START

A Category 3 Hurricane recently passed through your county, causing major flooding and damage to the power grid. The power company has put out an advisory that power to your neighborhood won’t be restored for 5-7 days. Which type of evacuation order is the most appropriate?

EVACUATION ORDER

SHELTER IN PLACE ORDER

SECURE IN PLACE ORDER

A Category 3 Hurricane recently passed through your county, causing major flooding and damage to the power grid. The power company has put out an advisory that power to your neighborhood won’t be restored for 5-7 days. Which type of evacuation order is the most appropriate?

EVACUATION ORDER

SHELTER IN PLACE ORDER

SECURE IN PLACE ORDER

That’s correct! An Evacuation Order is likely the best option since a prolonged power outage will disrupt the self-sufficiency of the community. Luckily, you are able to evacuate to a sister community who is able to support your residents and team members!

NEXT

There is a wildfire in the mountains to the west of your community. There is no immediate danger to your surroundings, but authorities have issued an air quality warning in your area. Which type of evacuation order is the most appropriate?

EVACUATION ORDER

SHELTER IN PLACE ORDER

SECURE IN PLACE ORDER

There is a wildfire in the mountains to the west of your community. There is no immediate danger to your surroundings, but authorities have issued an air quality warning in your area. Which type of evacuation order is the most appropriate?

EVACUATION ORDER

SHELTER IN PLACE ORDER

SECURE IN PLACE ORDER

That’s correct! A Secure In Place Order would keep everyone safe within the community. Windows and doors can be sealed to keep out poor quality air. Most community operations can continue as normal.

NEXT

Your fire warning system indicates that a smoke detector has been initiated in apartment 301, but no other smoke detectors have been affected. Which type of evacuation order is the most appropriate?

SHELTER IN PLACE JUST FOR 3rd FLOOR RESIDENTS

SECURE IN PLACE ORDER

SHELTER IN PLACE ORDER

That’s correct! The best choice is a limited Shelter In Place Order requiring only the residents and team members on the third floor to assemble in an EAA until the threat has been assessed and addressed.

NEXT

Your community just sustained a severe earthquake. Upon inspection, the Maintenance Director identified a gas leak. Which type of evacuation order is the most appropriate?

EVACUATION ORDER

SHELTER IN PLACE ORDER

SECURE IN PLACE ORDER

That’s correct! An Evacuation Order is the safest option until you can get the suspected gas leak evaluated by a professional and are given the all clear to return to the community.

FINISH

Conclusion

Congratulations! You have completed Emergency Preparedness: Evacuations - Part 2. After completing this course, you should now be able to:

• Recognize the importance of prioritizing resident safety during evacuations
• Implement efficient evacuation procedures to maximize resident safety
• Analyze various emergency scenarios and their corresponding evacuation procedures

Where to Go

Upon the need for evacuation, the Home Office will collaborate with various partners to secure safe and suitable accommodations, which may include:

• Local evacuation shelters​
• Oakmont and Ivy sister communities
• Competitors' communities
• Hotels​

Residents and families may decide to make their own arrangements, such as:

• Family pick-up​
• Independent residents may decide to find their own accommodations​

Important Note: The community remains responsible for all residents' safety and well-being regardless of their chosen evacuation method. Daily check-ins are mandatory for all residents who evacuate independently.

Zone Sweeps

After assisting resident evacuation to the EAA, each Zone Leader is responsible for systematically completing the following sweeps before returning to the EAA:

Apartment Sweeps: They will conduct a final check of apartments in their zone to ensure all residents have been vacated. The Zone Leader MUST enter every apartment to ensure it is empty. Once verified, they will hang the "room cleared" door tag on the doorknob to indicate the apartment is vacant. Common Area Sweeps: They will thoroughly check all common areas, including public restrooms, for any remaining residents. The Zone Leader MUST enter all common area spaces to verify, including storage rooms and closets in their zone. Once complete, Zone Leaders should return to the EAA to account for all residents within their zone.

Evacuate to EAP

Once each zone has completed their head count and verified all residents and team members are accounted for, the DPIC may initiate evacuation. EAA Departure: Upon initiation, residents and team members at the EAA will be escorted by Zone Leaders to the designated Emergency Assembly Point (EAP) outside the community. Alternate EAPs: If the designated EAPs are deemed unsafe, the DPIC or Zone Leaders may choose alternative locations, as necessary. Final Headcount: Upon arrival at the EAP, Zone Leaders conduct should another headcount to ensure all residents and team members from their zone are accounted for and notify the DPIC using the two-way radio.

Engagement Supplies

For all residents, especially those in Memory Care, consider evacuating engagement and comfort supplies, such as:

• Familiar personal items (photos, blankets)
• Games and activities
• Sensory and comfort supplies (animatronic pets, aromatherapy)

This threat is more serious and may require gathering residents from the affected apartment and those in surrounding apartments in one or more Emergency Assembly Areas (EAA).

This threat is not severe enough to warrant a Shelter in Place Order, which necessitates that everyone gather at the Emergency Assembly Area.

This threat is not severe enough to require all residents and team members within the community to gather in one or more Emergency Assembly Areas (EAA).

An extended power outage may disrupt the ability of your community to be self-sufficient. Evacuating to a sister community may be necessary.

This threat is more severe and requires removing everyone from the community until the suspected gas leak can be properly assessed.

An extended power outage may disrupt the ability of your community to be self-sufficient. Evacuating to a sister community may be necessary.

Emergency Shutoffs

Emergency shutoff orders can come from the authorities, the Home Office, or from the ED/DPIC. Systems and utilities that may need to be shut off include: Gas: Shut off the main gas valve to prevent leaks and fires. Water: Shut off the main water supply to prevent damage and flooding. Electricity: Turn off the main electrical supply to prevent hazards. Elevators: Turn off elevators and leave them on the ground floor. Air Intake: Shut off air intake if environment poses threats to indoor air quality. Sprinkler Systems: Leave sprinklers on in case there's a fire emergency. Shutoff instructions are detailed in the Emergency and Disaster Binder.

Secure in Place Order: An extended power outage may disrupt the ability of your community to be self-sufficient. Evacuating to a sister community may be necessary. Shelter in Place Order: An extended power outage may disrupt the ability of your community to be self-sufficient. Evacuating to a sister community may be necessary.

Two-person Carry

This carry can be used for any person who is conscious and not seriously injured.​

1. Put one arm behind the person’s thighs and the other across the person’s back.​​
2. Interlock your arms with those of a second responder behind the person’s legs and across his or her back.​
3. Lift the person in the “seat” formed by the responders’ arms. Responders should coordinate their movement, so they walk together.

Emergency Supplies

Whenever possible, transport the community's mobile emergency supply box containing essential items for residents, such as:

• Toiletries
• Overnight supplies
• Backup power sources

Return to Community

Similar to Evacuation Orders, the decision to return requires authorization from Home Office leadership or local authorities. The factors that determine a safe return vary based on the specific situation. The Home Office and community leadership team will collaborate to coordinate a safe and efficient return.

Food & Water

To ensure residents remain fed and hydrated during evacuation: To Go Meals: If possible, prepare non-perishable, "boxed lunch" style meals for transport. Snacks: Pre-packaged snacks and beverages (including water) should be readily available in evacuation vehicles. Emergency Food and Water: If time, space, and transportation allow, consider evacuating additional emergency food supplies.

Care Supplies

To ensure residents can continue to receive care during evacuation, prioritize:

Personal Protective Equipment (PPE): Gloves and other protective gear. First Aid Kits: Essential medical supplies for minor injuries. Vital Monitoring Equipment: Devices for monitoring vital signs. Incontinence Supplies: Briefs, pads, gloves, wipes, etc. Sanitizer: Hand sanitizer and disinfecting wipes. Durable Medical Equipment (DME): Walkers, wheelchairs, etc. Additional Supplies: Any other specific items required to meet the unique needs of the community's residents.

Assisted Assembly

During resident notification, Zone Leaders should identify residents that need assistance to evacuate their apartments to assemble in the EAA. Zone Leaders should follow these steps to systematically ensure all residents are accounted for:

1. Identify Residents Needing Assistance: As the Zone Leader is alerting residents, they should Place "need assistance" door tags to mark apartment homes where residents need additional evacuation assistance.
2. Assist Evacuation: After notifying all residents, systematically return to apartments with "need assistance" door tags to assist those residents needing extra help to evacuate to the EAA.
3. Seek Additional Support: If assistance is required, Zone Leaders should use two-way radios to request support, continuing this process until all residents are evacuated to the EAA.

How To Get There

Depending on the situation, the community may utilize various modes of transportation for evacuation, including:

Community vehicles: Buses, vans, or other owned vehicles Third-party partners: Transportation companies like US Coachways Emergency services: Resources provided by the American Red Cross, FEMA, or other agencies

Home Office leadership will collaborate with the community to determine the most appropriate and efficient transportation options for each evacuation scenario.

Alert & Assemble

Assemble at EAA: Residents and team members must immediately gather in their designated Emergency Assembly Area (EAA) upon receiving the Evacuation Order. Zone Leader Deployment: The DPIC assigns Zone Leader clipboards to team members, designating them as Zone Leaders. Each Zone Leader proceeds to their designated zone. Resident Notification: Zone Leaders promptly notify residents by:

• Knocking loudly on doors
• Briefly opening doors
• Calmly yet firmly instructing residents to evacuate and proceed to the EAA
• Assisting any residents that need additional help evacuating to the EAA

EAA Assistance: At least one team member must remain at the EAA to supervise and assist arriving residents. If possible, the team members supervising the EAA location should ensure residents have all needed assistive devices, important personal documents, medication and belongings, including shoes and a coat.

Securing the Kitchen

Before evacuating, secure the kitchen: Shut off utilities: Turn off gas, unplug appliances Preserve food:

• Move perishable items from reach-in refrigerators and freezers to the walk-in versions if possible.
• Freeze what can be frozen and place ice on any remaining perishables.
• Secure walk-in refrigerator and freezer doors.

Evacuate transportable food supplies: Gather and take any movable food supplies for later use.

Account For All Residents

Before evacuating the community, each zone must account for all residents and team members. EAA Headcount: The team member supervising the EAA conducts a headcount of all residents and team members upon arrival. Zone Leader Headcount: Once Zone Leaders finish sweeping their zones and return to the EAA, they account for all residents within their zone and report the headcount to the DPIC for confirmation. Unaccounted Residents: For any residents that are unaccounted for, Zone Leaders are to return to their apartments to assist them. If a resident is still not located, the DPIC should attempt to locate the resident by all means, including engaging family. If the resident is not at the community, they should assemble upon their return.

Important Documents

When preparing to evacuate, prioritize bringing the following documents:

Emergency and Disaster Binder: Contains essential emergency plans and procedures. Red Resident Health Emergency Binder: Houses individual resident health information. This includes face sheets, POLST, DNR, etc. Resident Roster: Lists all residents and their contact information. Team Member Roster: Lists all team members and their contact information. Family and RP Roster: List of all residents, families and responsible parties and their contact information. Team Member Schedules: Identifies which team members are scheduled to work. Resident Care Documentation: Charts, ADL task sheets, and other essential documentation. Digital Backup: If time allows, save all documents, including rosters, to SharePoint for secure and accessible storage after evacuation. As a best practice, all documents should be saved on SharePoint and updated monthly, or more frequently as needed.

Medication Management

To ensure residents continue to receive necessary medication, bring: Managed Medications: All managed resident medications must be evacuated in locked med carts and transported with residents. Refrigerated medications should be stored on ice packs. Medication Administration Records (MARs): Printed copies of current MARs must accompany med carts during evacuation. If time allows, download and save MARs electronically to SharePoint for secure access. Oxygen: Residents requiring oxygen should be evacuated with their equipment and a backup power source.

This threat is not severe enough to warrant an evacuation.

This threat is more severe and requires removing everyone from the community until the suspected gas leak can be properly assessed.

This threat is not severe enough to warrant an evacuation.

Evacuation Chair

Press the play button to learn more about how to operate an Evac Chair.

Secure in Place Order: An extended power outage may disrupt the ability of your community to be self-sufficient. Evacuating to a sister community may be necessary. Shelter in Place Order: An extended power outage may disrupt the ability of your community to be self-sufficient. Evacuating to a sister community may be necessary.

This threat is not severe enough to warrant a Shelter in Place Order, which necessitates that everyone gather at the Emergency Assembly Area.