Medical Equipment Issues in Disaster Preparedness and Recovery Lex Frieden ILRU Program at TIRR Memorial Hermann and UT Health Science Center

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1 Medical Equipment Issues in Disaster Preparedness and Recovery Lex Frieden ILRU Program at TIRR Memorial Hermann and UT Health Science Center Houston, Texas

2 Outline Disability Key Disability Concepts Best Practice Summary Medical Equipment Evacuation and Sheltering Other Considerations Training Needs

3 Stimulus for Involvement

4 Disability Physical, Visual, Hearing Impairment Cognitive/Intellectual Deficits Psychiatric/Mental Health Issues Severe/Chronic Medical Condition

5 Disability Definition = Wide Range of Services

6 Disability Disaster Services Disability-specific, not disaster-specific

7 Key Concepts in Disability Integration Equal-Access Self-Determination Physical Access Effective Communication Reasonable Modification

8 Best Practice Summary Utilize disability specialists Capitalize on available disability data bases Secure permission to use staff assigned to other grants for emergency situations Collaborate with main stream agencies Partner with social service, non-profit and faith-based organizations

9

10 Focus: Disability Needs

11 About Medical Equipment Often called DME (durable medical equipment) Also called Adaptive Technology Almost always Disability and Person Specific Often Customized Often Delicate Often Expensive Sometimes Heavy or Difficult to Move Often Irreplaceable or Hard-to-Get

12 Medical Equipment Air Cleaners Air Conditioners Air-Fluidized Bed Alternating Pressure Pads and Mattresses Audible/Visible Signal Pacemaker Monitor Augmentative Communication Device Bathtub Lifts Bathtub Seats

13 Medical Equipment Bed Baths Bed Lifter Bedboards Bed Pans Bed Side Rails Beds Blood Glucose Analyzer/Reflectance Colorimeter Blood Glucose Monitor

14 Medical Equipment Canes Catheters Commodes Communicator Continuous Passive Motion Devices Continuous Positive Airway Pressure (CPAP) Crutches

15

16 Medical Equipment Hospital Beds Humidifiers Hydraulic Lift Incontinent Pads Infusion Pumps Injectors (hypodermic jet pressure powered devices for injection of insulin

17 Medical Equipment IPPB Machines Iron Lungs Irrigating Kit Lymphedema Pumps Massage Devices Mattress Medical Oxygen Regulators Mobile Geriatric Chair

18 Medical Equipment Muscle Stimulators Nebulizers Oscillating Beds Overbed Tables Oxygen Oxygen Humidifiers Oxygen Tents

19 Medical Equipment Parallel Bars Patient Lifts Percussors Portable Oxygen Systems Portable Room Heaters Portable Whirlpool Pumps Postural Drainage Boards Preset Portable Oxygen Units

20

21 Medical Equipment Pressure Leotards Pulse Tachometer Quad-Canes Raised Toilet Seats Reflectance Colorimeters Respirators Rolling Chairs

22 Medical Equipment Toilet Seats Traction Equipment Trapeze Bars Treadmill Exerciser Ultraviolet Cabinet Urinals Vaporizers Ventilators

23 Medical Equipment Walkers Water and Pressure Pads and Mattresses Wheelchairs Whirlpool Bath Equipment Whirlpool Pumps

24

25 Other Considerations Conditions such as diabetes and heart conditions require monitoring devices and medication to ensure proper treatment. These conditions may require specific diet needs as well. It is vital that these considerations be taken into account when planning for disaster preparedness.

26 This Is Personal

27 Evacuation and Shelter: Equipment Considerations Make and Maintain a Medical Equipment and Supply Inventory Make sure medical equipment is in good working order and batteries are charged If evacuation involves a personal vehicle, make sure it can accommodate needed equipment Provide medical equipment details to 2-1-1

28 Evacuation: Go Bags Include medications, copies of prescriptions, and eye glasses (extras if available). Include important personal papers; medical supplies and devices; extra clothes, snacks, a radio and a pillow.

29 Other Considerations A supply of prescriptions should be kept on hand for disaster preparation, but attention should be paid to expiration dates.

30

31

32 Resilience Roles of family, friends and neighbors Roles of voluntary associations and service organizations Roles of equipment dealers Preparation assistance needs

33 Mitigation Recovery Disaster Response

34 Training Issues Call Center staff First Responders Shelter staff Transport staff Medical Unit staff National Guard personnel

35 Contact Information Lex Frieden Professor of Health Informatics University of Texas Health Science Center at Houston ILRU Program TIRR Memorial Hermann Ext. 124

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