Functional Needs Support Services In General Population Shelters

Presenters • Beatrice Coulter – American Red Cross – State Advisor, Health Services Volunteer

Introduction • Functional Needs Support Shelters (FNSS) Guidance • What is this plan? •

Functional Needs Support Services • What does FNSS mean for State of NH? •

Previous Sheltering Practices • • Red Cross Managed & Partnered Red Cross Supported Shelters

What does it mean to me? • Communities need to ensure evacuation plans include

Supportive Care Shelters • • • Much more then first aid. . . Providing

Nursing Facilities • If you have a Nursing Facility within your community they are

Initial Intake and Assessment Tool • Voluntary document to help those at registration identify

Scenarios • Consider a few of these issues that could likely come up in

Where do they go? • 51 year old woman that communicates exclusively with sign

Where do they go? • 67 yo female that had "heart surgery" 2 weeks

Where do they go? • 54 yo male with "kidney disease". Goes to hospital

Where do they go? • 32 yo male. Had a "bad car accident, hurt

Where do they go? • 400 lb male who needs PAS and equipment to

Where do they go? • 26 year old female, 6 months pregnant. Presents with

Where do they go? • 21 yo male in a wheelchair. States he has

Where do they go? • 45 yo female states she has "sugar problems". Gives

Where do they go? • 12 year old male diagnosed with Aspergers Syndrome. History

• “Equal access requires advanced planning”

Shelter Considerations • Resources: – Staff. From where? How obtained? – Who has best

How Can This Be Accomplished? Know your resources in your community • Durable Medical

What’s next? • FNSS Document and Curriculum information was formally released on October 5,

Slides: 25

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Functional Needs Support Services In General Population Shelters

Presenters • Beatrice Coulter – American Red Cross – State Advisor, Health Services Volunteer • Ian Dyar – American Red Cross – Regional Emergency Services Director • Kathleen Merriam – Lakes Region Partnership for Public Health – Emergency Planning Assistant Coordinator of Volunteers • Sandy Weld – DHHS, Emergency Services Unit - Operations Coordinator

Introduction • Functional Needs Support Shelters (FNSS) Guidance • What is this plan? • Why do we need it?

Functional Needs Support Services • What does FNSS mean for State of NH? • American Red Cross in NH?

Previous Sheltering Practices • • Red Cross Managed & Partnered Red Cross Supported Shelters Local Independent Shelters Special Needs Shelters – Sheltering isn’t as easy as simply opening your doors any longer…

What does it mean to me? • Communities need to ensure evacuation plans include and can accommodate citizens with functional needs. • All shelters must be ADA compliant

Supportive Care Shelters • • • Much more then first aid. . . Providing skilled nursing care Accommodating individuals with a variety of physical, cognitive and emotional needs whose needs cannot be managed in general shelters

Nursing Facilities • If you have a Nursing Facility within your community they are required by law to have an evacuation plan. • The facility will try to move to an alternate level-appropriate medical facility • If unable, shelters may receive residents at the Supportive Care Shelter…

Initial Intake and Assessment Tool • Voluntary document to help those at registration identify needs of shelter residents.

Scenarios • Consider a few of these issues that could likely come up in new sheltering guidance…

Where do they go? • 51 year old woman that communicates exclusively with sign language. • General Population or Medical Shelter?

Where do they go? • 67 yo female that had "heart surgery" 2 weeks ago. Has a small oxygen tank with her. • General Population or Medical Shelter?

Where do they go? • 54 yo male with "kidney disease". Goes to hospital 3 x a week for dialysis. • General Population or Medical Shelter?

Where do they go? • 32 yo male. Had a "bad car accident, hurt head ". Has seizures. Wearing something resembling a football helmet. • General Population or Medical Shelter?

Where do they go? • 400 lb male who needs PAS and equipment to lift himself from his chair to bed / toilet. • General Population or Medical Shelter?

Where do they go? • 26 year old female, 6 months pregnant. Presents with gestational diabetes and history of preterm labor. • General Population or Medical Shelter?

Where do they go? • 21 yo male in a wheelchair. States he has cerebral palsy, and needs help using bathroom. • General Population or Medical Shelter?

Where do they go? • 45 yo female states she has "sugar problems". Gives herself "shots". "Lost a toe in an operation and can't see well". • General Population or Medical Shelter?

Where do they go? • 12 year old male diagnosed with Aspergers Syndrome. History of impulse control issues. Parents present. • General Population or Medical Shelter?

• “Equal access requires advanced planning”

Shelter Considerations • Resources: – Staff. From where? How obtained? – Who has best source information? – Equipment. What type, from where? – Supplies. What? How much, from where? – Costs. How much, and how funded? – Who pays? – Agreements, contracts, MOUs.

How Can This Be Accomplished? Know your resources in your community • Durable Medical Equipment Vendors • Consumable Medical Supplies Identify populations with functional needs within your community Create Partnerships • MRC, MMRS, CERTs, ESAR-VHP • Stakeholders servicing populations with functional needs • Identify gaps in plan

Local Experience • Kathleen Merriam –

What’s next? • FNSS Document and Curriculum information was formally released on October 5, 2010 • The Supportive Care Shelter Guidance is available on the PH Preparedness e. Studio • If you have sheltering questions contact the DHHS-Emergency Services Unit Rick Cricenti at 603 -271 -4322