CONTINGENCY PLANNING STAFFING DISRUPTIONS...sterilisers, refrigeration, cooking, dishwashers,...
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CONTINGENCY PLANNING Contingency Planning – Reviewed 23/01/2015 – Page 1 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007 STAFFING DISRUPTIONS Description: Interruption to safe staffing levels Impact Rating: Extreme Consequences of Resource Failure: Inability to provide nursing and personal care Inability to provide ancillary services, e.g. catering, housekeeping, laundry Contingency Plan Activated by: Facility Management Team Contingency Strategy Options: Staff includes Casuals Reallocate essential staff duties Agency (temporary) Staff Alternate/Other Hardi Aged Care centre staff Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 48 hours to discuss alternate sources of staff Evacuation How long can operations continue in contingency mode: 48 hours Trigger Event: Staff shortage, i.e. external disaster, transport disruption, outbreak Emergency Response Criteria for returning to normal operating mode: Resumption of normal staffing levels for greater than 48 hours Impact Contingency Actions Inability to provide resident care and services Utilise existing staff Identify minimum safe staffing levels Contact existing staff, including casuals Promote team work and diversity of job roles Reallocate essential staff duties Contact Agency staff Contact next of kin to arrange resident social leave, where possible Contact volunteers, as appropriate Inability to provide resident care and services Utilise alternate staff Contact other Hardi Aged Care centres to locate appropriate staff to maintain care and services Emergency Response - increased staff Roster additional staff Place staff on Alter staffing numbers required for each 24 hour period Monitor staff fatigue
Transcript of CONTINGENCY PLANNING STAFFING DISRUPTIONS...sterilisers, refrigeration, cooking, dishwashers,...
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 1 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
STAFFING DISRUPTIONS Description: Interruption to safe staffing levels
Impact Rating: Extreme
Consequences of Resource Failure: Inability to provide nursing and personal care
Inability to provide ancillary services, e.g. catering, housekeeping, laundry
Contingency Plan Activated by: Facility Management Team
Contingency Strategy Options: Staff includes Casuals
Reallocate essential staff duties
Agency (temporary) Staff
Alternate/Other Hardi Aged Care centre staff
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 48 hours to discuss alternate sources of staff
Evacuation
How long can operations continue in contingency mode:
48 hours
Trigger Event: Staff shortage, i.e. external disaster, transport disruption, outbreak
Emergency Response
Criteria for returning to normal operating mode:
Resumption of normal staffing levels for greater than 48 hours
Impact Contingency Actions
Inability to provide resident care and services
Utilise existing staff
Identify minimum safe staffing levels
Contact existing staff, including casuals
Promote team work and diversity of job roles
Reallocate essential staff duties
Contact Agency staff
Contact next of kin to arrange resident social leave, where possible
Contact volunteers, as appropriate
Inability to provide resident care and services
Utilise alternate staff
Contact other Hardi Aged Care centres to locate appropriate staff to maintain care and services
Emergency Response - increased staff
Roster additional staff Place staff on
Alter staffing numbers required for each 24 hour period
Monitor staff fatigue
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 2 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
workload call Reallocate essential staff duties
Utilise alternate staff
Contingency Failure
Emergency Evacuation
Initiate Emergency Evacuation Procedures
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 3 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
ACCOMMODATION LOSS Description: Disruption to resident accommodation due to emergency
response or required evacuation
Impact Rating: Extreme
Consequences of Resource Failure: Inability to provide care and services at the facility
Contingency Plan Activated by: Emergency Coordinator
Contingency Strategy Options: Notify Facility Management Team, Hardi Aged Care Executive Team
Liaise with emergency services and authorities
Implement Memorandum of Understanding for alternative accommodation
Ensure appropriate accommodation for residents with challenging/absconding behaviours
Transfer staff with residents to maintain continuity of care
How long can operations continue in contingency mode:
48 hours
Trigger Event: Global/local emergency event requiring evacuation
Disruption to facility services requiring evacuation
Criteria for returning to normal operating mode:
Resumption of regular services for greater than 24 hours
Impact Contingency Actions
Critical disruption to resident accommodation and services
Arrange suitable alternative emergency accommodation for 48 hours.
Initiate Emergency Evacuation Procedures
Transfer residents requiring complex nursing care to hospital(s)
Contact next of kin to arrange resident emergency accommodation, where possible
Notify parties to Memorandum of Understanding
Transfer residents to pre-arranged emergency accommodation options
Transfer staff/clinical records/medications/supplies with residents to maintain continuity of care
Notify next of kin (NOK) of resident location
Notify LMOs and pharmacy of resident location
Critical disruption to resident accommodation and services
Arrange medium to long term alternative accommodation
Notify Hardi Aged Care Executive Team to assist with medium to long term resident relocation
Liaise with local area health service and planning authorities
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 4 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Contact next of kin to arrange resident social leave, where possible
Transfer residents to other Hardi Aged Care facilities in consultation with NOK
Transfer residents to other local aged care organisations in consultation with NOK
Memorandum of Understanding for Alternative Accommodation:
Memorandum of Understanding for Alternative Transport:
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 5 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
ELECTRICITY SUPPLY DISRUPTION Description: Disruption of supply of electricity to facility
Impact Rating: Extreme
Consequences of Resource Failure: Inability to supply normal services to the facility
Electrical equipment not functioning, including lighting, air conditioning, heating, lifts, security systems, electric doors, call bells, electric beds, electric lifters, pressure relieving devices, oxygen concentrators, enteral feeding pumps, nebulisers, sterilisers, refrigeration, cooking, dishwashers, telephone systems, information technology systems, laundry equipment
Contingency Plan Activated by: Person in charge
Contingency Strategy Options: Notify Supplier to resume services and/or estimate length of disruption
Notify Facility Management Team
Refer to alternative contingencies below for specific actions
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 24 hours to discuss emergency power generator
Liaise with emergency services and authorities
Transfer residents requiring complex nursing care to hospital(s)
How long can operations continue in contingency mode:
Without generator - 24 hours With generator – dependent on generator capacity
Trigger Event: Electricity supply disruption – planned or emergency
Criteria for returning to normal operating mode:
Resumption of regular services for greater than 1 hour
Electricity Supplier:
Energy Australia – 131 388
HSFAC, Emergency Control Centre (24 hours) Location of Mains:
Main Electrical Switchboard –
Master keys are located in the key safe -
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 6 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Air Conditioning Natural ventilation
Relocate resident to cooler areas and provide adequate hydration, refer to Heatwave Plan
Closely monitor at risk residents
Make use of natural ventilation (i.e. open windows as appropriate)
Call bells Nursing staff to increase frequency of rounds Hand held bells
Inform residents and staff of the situation
Increase frequency of nursing/care staff rounds
Provide hand bells
Relocate at risk residents to ensure frequent staff monitoring
Dishwasher Use disposable crockery/cutlery
Provide alternate menu as appropriate
Use disposable crockery/cutlery from emergency supply
Electric Cooking and Urn
Use gas cooking and/or BBQ Alternate menu
Provide alternate menu as appropriate
Ensure adequate alternate fluids are available to maintain resident hydration
Electric Beds Battery back-up Manual Handling equipment Additional staff
Ensure battery back-up of electrical equipment is available
Use alternative safe manual handling equipment, e.g slide sheets, pelican belts
Arrange additional staff to maintain care and services safely Limit non-essential manual handling and duties
Electric Doors Determine impact Additional staff
Relocate at risk residents to safer areas with constant staff supervision
Monitor location of residents, especially absconders and those with dementia
Arrange for staff to monitor front/other door security
Electric Lifters Battery back-up Alternative Manual Handling equipment Additional staff
Ensure battery back-up of electrical equipment is available
Use alternative safe manual handling equipment, e.g slide sheets, pelican belts
Arrange additional staff to maintain care and services safely
Limit non-essential manual handling and duties
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 7 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Emergency Systems/Fire Indicator Panel
Battery back-up Staff to patrol facility
Ensure battery back-up is used
Staff to closely monitor facility
Enteral Feeding Pumps
Bolus Feed Gravity Feed packs
Alternative emergency supply to be used
Inform residents and staff of the situation
Senior nursing staff to review enteral feeding regime and implement alternative
Closely monitor at risk residents
Freezer Esky Dry Ice
Maintain Food Safety Plan with additional monitoring – arrange for alternate storage is possible
Store frozen food in Eskys with dry ice and a cold chain indicator to ensure acceptable temperatures are maintained
Limit staff access to correctly stored food
Discard food outside acceptable limits
Review menu and provide suitable temperature controlled alternative
Contact suppliers for alternate/suitable deliveries
When appropriate, order replacement stock
Heating Natural heating Additional clothing/blankets
Relocate at risk residents to warmer areas
Close windows and doors and make use of natural heating (i.e. north facing windows, etc)
Provide additional clothing and blankets
Closely monitor at risk residents
Information Technology systems
Battery back-up UPS for server
Contact IT Contractor to safety shut down server while still using UPS
Laptops have battery back-ups – rotate use of laptops to continue clinical documentation. Shut down computers/laptops not in use.
Contact Hardi Head Office to provide additional IT resources
Use paper-based systems as available.
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 8 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Lifts –also refer to ‘Lift Failure’
Determine impact Additional staff
Remain in contact with anyone inside lift
Contact Supplier for manual over-ride to remove anyone trapped
Alert residents to remain in area/room
Arrange additional staff to maintain care and services safely using stairs (internal and external)
Lighting Torches Distribute torches and spare batteries to staff
Contingency stock cupboard
Nebuliser Use oxygen cylinder Puffer with spacer
Contact LMO/pharmacy for alternative
Senior nursing staff to access emergency supply and implement alternatives
Closely monitor at risk residents
Oxygen concentrator
Use oxygen cylinder
Emergency oxygen cylinder supply to be used
Inform residents and staff of the situation
Senior nursing staff to review oxygen care and implement alternative
Closely monitor at risk residents
Paging system Mobile phones Appoint messenger(s) Additional staff
Distribute facility mobile phone(s) for internal communications
Appoint messenger(s) for facility areas
For extended periods, maintain a register of staff mobile phones for staff to carry and use as emergency contact/pagers
Pressure relieving devices
Alternative pressure area care Additional staff
Inform residents and staff of the situation
Senior nursing staff to review pressure area care and implement alternatives
Closely monitor at risk residents
Arrange transfer to hospital, as required
Refrigeration - Food
Eskys Ice Cold chain indicator Alternate menu
Maintain Food Safety Plan with additional monitoring
Store cold food in Eskys with ice and a cold chain indicator to ensure acceptable temperatures are maintained
Limit staff access to correctly stored food
Discard food outside acceptable limits
Review menu and provide suitable temperature controlled alternative
Contact suppliers for alternate/suitable deliveries
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 9 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
When appropriate, order replacement stock
Refrigeration - Medical
Eskys Ice Packs Cold chain indicator
Maintain medical items with additional monitoring
Store refrigerated items in Eskys with ice pack and a cold chain indicator to ensure acceptable temperatures are maintained
Limit staff access to correctly stored medical items
Discard items outside acceptable limits
Contact pharmacy for alternate deliveries and replacement stock
Security Determine impact Additional staff
Relocate at risk residents to safer areas with constant staff supervision
Monitor location of residents, especially absconders and those with dementia
Arrange for staff to monitor front/other door security
Steriliser Disposable items Hospital grade disinfectant
Use disposable/single use items where possible
Use hospital grade disinfectant for appropriate items
Implement “same pan for same resident” method
Suction equipment
Supply twin vac to oxygen unit
Emergency Supplies to be used
Telephone Use red phones (emergency only) Use facility mobile phone(s) Use blue pay phones
Distribute facility mobile phone(s) for internal communications
Use Blue pay phones for external communications
For extended periods, maintain a register of staff mobile phones for staff to carry and use as emergency contact/pagers
Washing machines & dryers
Use linen stores Linen contractor
Use excess linen stores
Limit laundry and linen changes to essential changes only
Contact external linen contractor to maintain supply, as necessary
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 10 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
NATURAL GAS SUPPLY DISRUPTION Description: Disruption of supply of natural gas to facility
Impact Rating: High
Consequences of Resource Failure: Inability to:
Supply hot water for resident hygiene
Supply hot water for laundry/cleaning and dryer
Cook using microwave, fryer, etc
Provide heating for gas heaters
Contingency Plan Activated by: Person in Charge
Contingency Strategy Options: Notify Supplier to resume services and/or estimate length of disruption
Notify Facility Management Team
Refer to alternative contingencies below for specific actions
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 48 hours
How long can operations continue in contingency mode:
48 hours
Trigger Event: Loss of natural gas supply
Criteria for returning to normal operating mode:
Resumption of regular services for greater than 1 hour
Electricity Supplier:
AGL –
HSFAC, Emergency Control Centre (24 hours) Location of Mains:
Mains Gas –
Master keys are located in the key safe -
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 11 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Clothes Dryer Use linen stores Linen contractor
Use excess linen stores
Limit laundry and linen changes to essential changes only
Contact external linen contractor to maintain supply, as necessary
Uses clothes line, external and internal
Gas Cooking Use electric cooking, microwave and/or BBQ with bottle
Provide alternate menu as appropriate
Ensure adequate alternate fluids are available to maintain resident hydration
Heating Natural heating Additional clothing/blankets
Relocate at risk residents to warmer areas
Close windows and doors and make use of natural heating (i.e. north facing windows, etc)
Provide additional clothing and blankets
Closely monitor at risk residents
Hot Water - Catering
ZIP or electric kettle Disposable crockery/cutlery
Use alternate hot water source, e.g. ZIP or electric kettle
Use disposable crockery and cutlery
Hot Water - Cleaning
Substitute method
Use hospital grade disinfectant in addition to neutral detergent
Use disposable cloths/cleaning equipment
Hot Water - Laundry
Use linen stores Linen contractor
Use excess linen stores
Limit laundry and linen changes to essential changes only
Contact external linen contractor to maintain supply, as necessary
Hot Water – Hygiene and Infection Control
Disposable items Hospital grade disinfectant Alcohol based hand hygiene Personal hygiene – wet wipes, etc
Use disposable/single use items where possible
Use hospital grade disinfectant for appropriate items
Distribute alcohol based hand hygiene products and instructions
Distribute alternative disposable hand hygiene products
Contact Suppliers for additional stock
Limit personal hygiene to essential care needs
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 12 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
WATER SUPPLY DISRUPTION Description: Disruption of water supply to facility
Impact Rating: High
Consequences of Resource Failure: Inability to supply water for resident hydration, resident hygiene, catering, cleaning, laundry, Infection Control
Contingency Plan Activated by: Person in Charge
Contingency Strategy Options: Notify Supplier to resume services and/or estimate length of disruption
Notify Facility Management Team
Refer to alternative contingencies below for specific actions
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 48 hours
How long can operations continue in contingency mode:
48 hours
Trigger Event: Loss of water supply
Criteria for returning to normal operating mode:
Resumption of regular services for greater than 1 hour
Water Supplier:
Sydney Water – 132090
HSFAC, Emergency Control Centre (24 hours) Location of Mains:
Mains Water –
Master keys are located in the key safe -
Impact Contingency Actions
Toilets Limit flushing Limit flushing to essential use only
Flush manually with bucket, as appropriate
Extended period water loss – contact Hardi Executive Team to arrange alternative, i.e. Commodes, Portaloo, etc
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 13 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Water - Catering Bottled water Disposable crockery/cutlery
Use bottled water
Use disposable crockery and cutlery from emergency stock
Provide alternate menu as appropriate
Ensure adequate alternate fluids are available to maintain resident hydration
Water - Cleaning Substitute method
Use hospital grade disinfectant in addition to neutral detergent
Use disposable cloths/cleaning equipment
Water – Hygiene and Infection Control
Disposable items Hospital grade disinfectant Alcohol based hand hygiene Personal hygiene – wet wipes, etc
Use disposable/single use items where possible
Use hospital grade disinfectant for appropriate items
Distribute alcohol based hand hygiene products and instructions
Distribute alternative disposable hand hygiene products
Contact Suppliers for additional stock
Limit personal hygiene to essential care needs
Water - Laundry Use linen stores Linen contractor
Use excess linen stores
Limit laundry and linen changes to essential changes only
Contact external linen contractor to maintain supply, as necessary
Water – Resident Hydration
Bottled Water Distribute bottled water
Contact Supplier for additional stock
Extended period water loss – Sydney Water will connect water tank to mains water supply
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 14 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
WASTE AND SEWERAGE DISRUPTION Description: Disruption of functioning waste and sewerage systems to
facility
Impact Rating: Medium – High (dependant on length of disruption)
Consequences of Resource Failure: Toilets/drains build up resulting in health hazard
Waste build up impacting on resident care
Contingency Plan Activated by: Facility Management Team
Contingency Strategy Options: Notify Supplier, including plumbers, to resume services and/or estimate length of disruption
Refer to alternative contingencies below for specific actions
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 48 hours
How long can operations continue in contingency mode:
48 hours
Trigger Event: Loss of waste disposal/sewerage systems
Criteria for returning to normal operating mode:
Resumption of regular services
Sewerage Supplier:
Sydney Water – 132090
HSFAC, Emergency Control Centre (24 hours) Waste Supplier:
General Waste –
Clinical Waste -
Impact Contingency Actions
Sewerage system Limit flushing Limit flushing to essential use only
Flush manually with bucket, as appropriate
Extended period water loss – contact Hardi Executive Team to arrange alternative, i.e. Commodes, Portaloo, etc
Waste Services – Clinical
Alternate supplier
Contact alternate supplier for removal
Contact local hospital for assistance
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 15 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Waste Services – General
Alternate supplier Additional bins
Limit use of disposable items
Dispose of used continence aids separately and store in sealed bin away from resident areas
Separate waste - clean recyclable waste may be stored separately on site, e.g. cardboard, paper
Contact alternate supplier for removal
Allocate suitable external area for waste storage until waste can be removed, i.e. away from resident areas
Contact local council for assistance
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 16 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
SUPPLIER DISRUPTION Description: Supplier Disruption
Impact Rating: Moderate - High
Consequences of Resource Failure: Inability to have supplies delivered to facility to maintain normal service delivery
Contingency Plan Activated by: Facility Management Team
Contingency Strategy Options: Utilise normal stock supplies appropriately
Contact alternate supplier, if appropriate
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 48 hours
How long can operations continue in contingency mode:
48 hours
Trigger Event: Inability of suppliers to deliver to centre
Criteria for returning to normal operating mode:
Resumption of normal services
Impact Contingency Actions
Food Supply Use existing stock
Ration by altering menu and cooking practices to use stock on hand
Contact alternate sources of prepared food, e.g. other Hardi Aged Care facilities, Meals on Wheels, etc
Linen Supply Use linen stores Linen contractor
Use excess linen stores
Limit laundry and linen changes to essential changes only
Contact external linen contractor to maintain supply, as necessary
Medical Supply – continence aids, oxygen, pharmacy
Use existing stock
Review current stock levels
Prioritise allocation of available stock
Contact alternate suppliers
Contact other Hardi Aged Care facilities
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 17 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
LIFT FAILURE Description: Failure of lift, with or without persons inside
Impact Rating: High
Consequences of Resource Failure: Inability to move residents, supplies and equipment between levels
Person(s) in a confined space
Contingency Plan Activated by: Person in Charge
Contingency Strategy Options: Notify Supplier to resume services and/or estimate length of disruption
Notify Facility Management Team
Refer to alternative contingencies below for specific actions
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than 24 hours
How long can operations continue in contingency mode:
24 hours
Trigger Event: Failure of lift
Criteria for returning to normal operating mode:
Resumption of regular operations
Lift Service Supplier:
Location of Lift Motor Room:
Master keys are located in the key safe -
Impact Contingency Actions
Lift – Occupied Determine seriousness
Remain in contact at all times
Contact supplier for emergency assistance
Use manual over-ride to open lift door and extract person from lift
If emergency and no response from supplier – Contact Fire & Rescue NSW
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 18 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
Impact Contingency Actions
Lift - Unoccupied Additional staff Alert residents to remain in area/room
Arrange additional staff to maintain care and services safely using stairs (internal and external)
Limit movement of supplies to essential
CONTINGENCY PLANNING
Contingency Planning – Reviewed 23/01/2015 – Page 19 of 19 Copyright Hardi Nursing Home Management Pty Ltd – created 01/07/2007
CONTINGENCY TEMPLATE Description:
Impact Rating: Extreme / High / Moderate / Low
Consequences of Resource Failure:
Contingency Plan Activated by:
Contingency Strategy Options: Notify
Obtain
Notify Hardi Aged Care Executive Team if disruption is anticipated to be longer than
How long can operations continue in contingency mode:
(approximate hours)
Trigger Event:
Criteria for returning to normal operating mode:
Supplier:
Location of:
Master keys are located in the key safe -
Impact Contingency Actions
