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«READY NOW! Emergency Preparedness Tool Kit For People with Disabilities Oregon Office on Disability and Health (OODH) Institute of Development & ...»

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Help I May Need in an Emergency:

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Building Exits Are there other exits you can use if the elevator in your building is not working?

 My Abilities Today:

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Help I May Need in an Emergency:

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Getting Help How will you call for the help you will need to leave the building?

 My Abilities Today:

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Help I May Need in an Emergency:

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Mobility Aids What will you do if you can’t find your mobility aids or equipment you need for your service animal?

 My Abilities Today:

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Help I May Need in an Emergency:

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Ramp Access What will you do if the building ramps have been damaged and can’t be used?

 My Abilities Today:

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Help I May Need in an Emergency:

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Service Animals and Pets Will you be able to care for your animal during and after an emergency?

 My Abilities Today:

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Help I May Need in an Emergency:

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Emergency Support Group

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Pick at least three people to be your emergency contacts that will check on you during an emergency to be sure you’re okay and provide help. It is important to select more than one person in case someone is not available when you need help.

People You May Want to Include in Your Personal Support Group:

• Family

• Friends

• People you work with

• Personal care attendant

• Neighbors

• Roommates

• People who go to your church, temple, or place of worship

Important things to discuss with your Personal Support Group:

• Pick and practice a communication method. Think about how you would communicate if your telephone was not working, if your electricity shuts off, or both.

• Give a set of your keys to someone you trust.

Show your support people where you keep your emergency supplies.

• Share copies of your escape plan, emergency documents, and health information card with your support people.

• Let your support people know when you will be out of town.

• Practice your emergency plans with your support people to make sure they are able to help you. Are they strong enough? Can they communicate clearly? Can they guide you safely?

• Place reminders on your calendar to check that your support people are still able to help you.

Source: Krumpe A., White E., Virginia Leadership Education in Neurodevelopmental Disabilities. Emergency Preparedness Tool Kit for People with Disabilities, 2007. Retrieved November 2008 from www.vcu.edu/partnership/PDF/EmergencyPrepToolkit.pdf Emergency Contact Lists

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Source: June Isaacson Kailes, Disability Consultant, Playa del Rey, California and the Center for Disability Issues and the Health Profession, Western University of Health Sciences, Pomona, CA www.cdihp.org This page purposefully left blank.





Your Name: _________________________ Date last updated: ___/___/____

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Your Name: _________________________ Date last updated: ___/___/____ Emergency Information List My Information Name: ___________________________________________

Birth date: ____________________

Social Security Number: _____________________

Address: ____________________________________________________

____________________________________________________________

Home phone: __________________________

Cell phone: ____________________________

Local Emergency Contact: Out of Town Emergency Contact:

Name: __________________________ Name: __________________________

Address: ________________________ Address: ________________________

________________________________ ________________________________

Home phone: ____________________ Home phone: ____________________

Cell phone: ______________________ Cell phone: ______________________

Work phone: _____________________ Work phone: _____________________

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How best to communicate with me:

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Other Information:

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Your Name: _________________________ Date last updated: ___/___/____

Medical Information List Primary Physician: ____________________________________________________

Telephone: __________________

Address: _____________________________________________________________

_____________________________________________________________________

Specialist #1 Name: ____________________________________________________

Telephone: __________________

Address: _____________________________________________________________

_____________________________________________________________________

Specialist #2 Name: ____________________________________________________

Telephone: __________________

Address: _____________________________________________________________

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Hospital affiliation: ______________________________________________________

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Type of Health Insurance: ________________________________________________

Policy Number: ________________________________________________________

Blood Type:___________________________________________________________

Allergies and sensitivities: ________________________________________________

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Think about the important papers you may need if you have to move to a new city or state. Add these to your emergency supply kit. Think about how you will store these papers. A waterproof binder or folder that can fit in a bag is a good way to keep them safe and dry. You may also want to make photocopies of all these papers and send them to a trusted friend or relative who lives in another part of the country. You could put the copies in a sealed envelope that is not to be opened unless there is an emergency.

Another way to easily store copies of important documents is to use a scanner to make electronic copies onto a computer, a computer flash drive or CD. [Note: Some people like to have their family photographs converted to a computer format so that those special memories can be saved in an emergency, too.]

Emergency Papers Include:

• Social Security Card/Number

• Passport

• Map of Your Area (showing where your house is)

• List of Your Medical Equipment/Supply Needs

• Style/Serial Numbers of Medical Devices (e.g., pacemakers)

• Health History Information Card

• Legal Papers, like Wills/Deeds/Marriage Certificate/ Divorce Papers

• Bank Account Information (Including Name of Bank & Contact Information)

• Insurance Policy Numbers and Agent and Company Contact Numbers

• Inventory of Household Goods

• School Papers, like Diplomas

• Any Professional Certificates/ Licenses

• Military Discharge Papers

• Credit Card Account Numbers and contact information for the company Adapted from the ‘Emergency Preparedness Tool Kit for People with Disabilities’ from the Occupation Therapy Department at VCU & Virginia Leadership Education in Neurodevelopmental Disabilities (Va-LEND) 2007.

Tips for Specific Disabilities

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Different people have different disabilities. You should think about things that you need and steps you may need to take related to your own disability.

Communication Disabilities Communication Aids Put paper, pencils or pens, and a written statement that describes how you can communicate what you need during an emergency in your emergency supply kit.

Emergency Health Information Make sure your emergency health information card includes the best way for people to communicate with you.

Powering Your Communication Find batteries or another way to make sure your communication aid can stay on for a long time in an emergency situation.

Speech-to-Speech (STS) Relay Service STS is a form of telephone relay service that helps people with speech disabilities who have difficulty being understood on the phone.

Communications Assistants (CAs) have been especially trained to recognize many different speech patterns. The CAs act as interpreters for people with Cerebral Palsy, Parkinson’s disease, a laryngectomy, ALS, stuttering, muscular dystrophy, stroke, and other conditions affecting clarity of speech. This service can be used at no charge, at any time of day or night.

In an emergency, either the person with speech difficulty or a first responder can call that state’s toll-free STS phone number. In Oregon, the number is 1-877-735-7525 (to find the toll-free number if you are in another state, look online at http://www.fcc.gov/cib/dro/sts.html to find the right number for that state). The Communications Assistant will call the other party and repeat the words exactly. If you are a person with a communication difficulty, it is a good idea to make up a card you can carry with you that says something like, “People sometimes cannot understand my speech. Please use your phone to call the Speech-toSpeech relay service at 1-877-735-7525. Have the CA (operator) call my number: [insert your phone number]. She or he will help you understand what I am trying to tell you.” The person with speech difficulty can make the call to the STS service and have the CA place a call to the first responder’s cell phone if that feels more comfortable for him or her. In that case, the card that person carries should read something like, “People sometimes cannot understand my speech. I will call the Speech-to-Speech relay service and ask the CA (operator) to call you. She or he will help you understand what I am trying to tell you. Please tell me your phone number.” Checklist Find a way to talk to people during an emergency and practice it.

Put communication aids in your emergency supply kit.

Put batteries for your communication aids in your emergency supply kit.

Cognitive Disabilities Practice Practice what to do during and after an emergency.

Practice leaving places you spend your time until you feel confident you will know what to do if there is an emergency.

Emergency Plan Write your emergency plan on a piece of paper. Keep it with you and at places you spend a lot of your time. Make sure it is easy to read and understand.

Think about the things you will need to do after an emergency and how you can do them.

Keep a list of things you need to do to help you remember them if an emergency happens.

Communication Think about what a police officer or firefighter might need to know about you. Be prepared to say it, or write it down on paper and keep it with you.



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