CARF standards and EPP

[Andrew D. McGuire]

Has anyone had experience navigating the CARF standards related to Emergency Preparedness for Rehabilitation, Skilled Nursing or the newer CARF standards for Continuing Care Retirement Communities (CCRCs)? I’m specifically looking for information or interpretation on the number of drills / exercises (separate from fire drills) that they expect annually. There is language in the standards related to testing many different scenarios (evacuation, bomb threat, active shooter, natural events like weather, etc.) on each shift annually. Do they really expect a CCRC / Skilled Nursing to conduct 15 exercises annually? Again, these are separate from monthly fire drills.

Thanks,
Andy McGuire
Sent from my iPhone

[Chelsia Elmore]

I can assist with inpatient Rehab information.  We do a full scale evacuation once a year (Bomb threat).

We provide a Business Continuity severe weather Table Top yearly. 

The unit provides 2 annual insessions or trainings based on top HVAs. 

Total of 4 activities. 

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[Jody Carter]

I think the biggest detail with the CARF standards is to ensure everything is done by shift.... their standard particularly requires an evacuation drill with the simulated evacuation of patients once per year per shift. To accomplish this at our Inpatient Rehab hospital, we conduct an unannounced drill of our evacuation sleds and use a full size mannequin to reduce staff injury potential. We do that drill once during the year for the day shift, and then a second time during the year for the night shift.

Oddly, they allow the other drill per shift to be done by way of an unannounced written test in lieu of an actual drill.

We're able to meet all of the other requirements by way of annual training. We've developed a matrix to help us keep track of all this. Let me see what I'm able to find and I'll email it over to you later today.

Jody Carter
Emergency Preparedness Coordinator
Baptist Health

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[Debra Shiflettpicardi]

Yes, it is important that it's done every shift. Absolutely. I would love to get us all on a virtual meeting so we can discuss it. 

On Thu, Feb 22, 2024, 6:20 AM Andrew D. McGuire <andrew.m...@gmail.com> wrote:

[McGuire, Andrew]

Does anyone have availability on Monday at 1pm ET to discuss the CARF standards?  I will set up a MS Teams Meeting and send out the link to everyone.

 

Thanks,

Andy

 

ANDREW D. McGUIRE, CEM, EMT-P (he/him/his)

Senior Fire + Emergency Management Consultant

CT + RI Long Term Care Mutual Aid Plans Program Manager

 

31 Cooke Street, Plainville, CT 06062

O: +1 860-390-1949 C: +1 203-648-7116 (text friendly)

andrew....@jensenhughes.com

 

Book time to meet with me

 

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From: iaem-he...@googlegroups.com <iaem-he...@googlegroups.com> On Behalf Of Debra Shiflettpicardi
Sent: Thursday, February 22, 2024 2:32 PM
To: iaem-he...@googlegroups.com
Subject: Re: CARF standards and EPP

 

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[Debra Shiflettpicardi]

No I have a drill scheduled for noon Central Time. Sorry.

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[Debra Shiflettpicardi]

The way I do the drills for CARF requirements is based on my understanding of the requirements. I conduct an unannounced drill per quarter for all Rehab areas, for all shifts. So, we have 3 floors dedicated to rehab in one facility and an entire PT floor. I conduct those drills on every floor.  The drills are specific to those areas that you presented. I had literally combined two or more elements per drills so I can complete them all. The only one I do on its own is evacuation, I conduct the vertical move alone because we do MedSled evacuations.  The answer is yet.