Family Disaster Plan

Transcription

1 Family Disaster Plan Wilson County 2011 Note: It is important to store this document in a secure location to reduce the risk of losing personal information that could lead to possible ID theft and fraud. In addition, this document should be stored in a water tight container and on a computer disk. 1 P a g e

2 About your Family Disaster Plan This booklet is a plan template and is intended to give you a format and possible suggestions about information you might want to include in a family disaster plan. It is not all inclusive and should be modified by the user as needed. Each individual or family should adapt this plan to their specific needs or requirements Update and review plan Last Update Next Update 2 P a g e

3 Household Members Household Members Relation/Birthday Social Security No. Pets Pet Rabies Vaccination Number Vet Name and Number 3 P a g e

4 Household Information Home Address: Phone 1 Phone Car Information: Make Model Year License # Emergency Numbers Call 911 for EMERGENCY (Note: After a disaster, 911 may not be working. Use Numbers you listed below) Department Name Phone # Fire Police Ambulance Poison Control Hospital Emergency Room Pharmacy Date confirmed 4 P a g e

5 Primary Care Doctor Psychiatrist Provider Agency Therapist Insurance/Medicaid Number/Other Information (health, auto, home, and life) Name/Company Type of Coverage Policy Number Phone NOTES 5 P a g e

6 Household Members Medication List User s Name Medication Name Dosage/Frequency Reason for Taking Doctor Prescription # Pharmacy Phone # Date Start/End Location of Meds User s Name Medication Name Dosage/Frequency Reason for Taking Doctor Prescription # Pharmacy Phone # Date Start/End Location of Meds User s Name Medication Name Dosage/Frequency Reason for Taking Doctor Prescription # Pharmacy Phone # Date Start/End Location of Meds 6 P a g e

7 User s Name Medication Name Dosage/Frequency Reason for Taking Doctor Prescription # Pharmacy Phone # Date Start/End Location of Meds User s Name Medication Name Dosage/Frequency Reason for Taking Doctor Prescription # Pharmacy Phone # Date Start/End Location of Meds User s Name Medication Name Dosage/Frequency Reason for Taking Doctor Prescription # Pharmacy Phone # Date Start/End Location of Meds 7 P a g e

8 Allergies to Medication/Food/Other Family Member s Name Medication Food Other Health/Disability Information Family Member s Name Health Problem /Disability Special Needs, Equipment, and Supplies Family Member s Name Special Needs/ Equipment/Supplies 8 P a g e

9 Contacts Utility and Service Water Name Address Phone Number Electric Gas Phone Cable Medical NOTES 9 P a g e

10 Know What to Do in Case of Emergency It is important to make sure that the entire family is prepared and informed in the event of a disaster or emergency. You may not always be together when these events take place and should have plans for making sure you are able to contact and find one another. The American Red Cross suggests some basic steps to make sure you remain safe: Meet with your family or household members. Discuss how to prepare and respond to emergencies that are most likely to happen where you live, learn, work and play. Identify responsibilities for each member of your household and plan to work together as a team. If a family member is in the military, plan how you would respond if they were deployed. Plan what to do in case you are separated during an emergency Choose two places to meet: Right outside your home in case of a sudden emergency, such as a fire Outside your neighborhood, in case you cannot return home or are asked to evacuate Choose an out-of-area emergency contact person. It may be easier to text or call long distance if local phone lines are overloaded or out of service. Everyone should have emergency contact information in writing or saved on their cell phones. Plan what to do if you have to evacuate Decide where you would go and what route you would take to get there. You may choose to go to a hotel/motel, stay with friends or relatives in a safe location or go to an evacuation shelter if necessary. Practice evacuating your home twice a year. Drive your planned evacuation route and plot alternate routes on your map in case roads are impassable. Plan ahead for your pets. Keep a phone list of pet-friendly hotels/motels and animal shelters that are along your evacuation routes. 10 P a g e

11 Let Your Family Know You're Safe If your community has experienced a disaster, register on the American Red Cross Safe and Well website to let your family and friends know you are safe. You may also call RED CROSS ( ) and select the prompt for "Disaster" to register yourself and your family. Robeson Co IMPORTANT It is important to have a place to meet if roads are impassable to your house. (Such as the Wal-Mart parking lot,middle school, etc.) If we can t get home, our designated place to meet is: 11 P a g e

12 Nash Co Sampson Co P a g e

13 Family/Friends/Neighbors (Identify two neighbors. Agree to check on each other) Name Address Phone Cell Phone Number Out-of Area Contact (During Disasters, use phones for ER only. Local phone lines may be tied up. Make one call to your out-of-area designee to report in. Let this person contact others) Name Address Home Phone # Cell Phone # NOTES 13 P a g e

14 Home Layout/Diagram Draw a layout of your home. Make sure you include locations of utility shutoffs and safety equipment like fire extinguishers, disaster supplies, evacuation plans, etc. 14 P a g e

15 Utility Control Electricity: In the event that you need to turn off the electricity in your house, go to the breaker box and do the following: 1) Turn off the smaller breakers one by one 2) Flip the main breaker last. To reenergize your home, reverse the pervious steps. Water: In the event you need to shut water off inside your home, find the main water valve and turn it to your right. To open the flow of water back into the house, turn it to your left. Gas: IMPORTANT - Only turn off your gas at the meter if you smell gas! To turn off natural gas in your house, take a wrench and tighten it on to the quarter turn valve that is on the pipe that feeds into the gas meter. Turn it one quarter turn to make the indicator parallel to the ground. In most locations, once you do this you cannot turn the gas back on to the house without the utility company. Propane: If you live in an area that uses outdoor propane or LP Gas you will find this outside the home. Open the top of the tank and you will see either a regular turn knob or a quarter turn value. Turn the knob to your right to shut off the flow of propane into your house. For quarter turn valve see above. Portable Electric Generator: Using a generator indoors CAN KILL YOU IN MINUTES. Exhaust contains carbon monoxide, a deadly poison gas you cannot see or smell. Be sure to read and adhere to the manufacturer's directions for safe operation. Never use a generator indoors or in an attached garage and don't connect your generator directly to your home's wiring. Do not plug a portable generator into an electrical outlet in your home or garage. It can still 'back feed' power into the utility company lines, which can injure or kill utility workers fixing on the downed power lines. And make sure your generator is properly grounded to avoid electrical shocks. 15 P a g e

16 Disaster Supply Kit Water at least 1 gallon daily per person for 3 to 7 days Food at least enough for 3 to 7 days Non-perishable packaged or canned food/juices Foods for infants or the elderly Snack foods Non-electric can opener Cooking tools/fuel Paper plates/plastic utensils Blankets / Pillows Clothing seasonal/raingear/sturdy shoes First Aid Kit/Medicine/Prescription drugs Special items for babies, the elderly, and for pets Toiletries/Hygiene items/moisture wipes Flashlight/Batteries /Radio- Battery operated and NOAA weather radio Cash (with small bills) Keys Banks and ATMs may not be open for extended periods Toys, Books and Games Important Documents (in a waterproof container) Tools keep a set with you during the storm Vehicle fuel tanks filled 16 P a g e

17 NOTES 17 P a g e

18 This booklet was provided by Eastpointe MCO. For Behavioral Health Services please call P a g e