Personal Emergency Preparation Plan

Instructions:

Complete for each participant
Use participant’s support plan to complete details
Tailor this plan to the participant’s living situation and home environment e.g. evacuate or isolate them.
Trial this plan (essential part of your compliance agains NDIS Standards)
Adjust the plan using input from participant, family, workers and any other relevant persons.
Train all staff in this plan
Provide staff and participants access to this plan e.g. on app or copy to be held at the participant’s home

Note: Emergency may include fire, flood, pandemic or any other emergency situation.

1. Participant Detail

NDIS NUMBER

Participants Name

Participants Address

Participants Phone

Participants Email

Preferred communication method

Emergency Contact person (family, friend, advocate)

Emergency Contact Number

Emergency Contact Email

2. Organisation Contact Details

Allocated Employee Contact

Employees Contact Number

Employee Contact Email

3. Personal Support Planning

Physical needs

Mealtime requirements (e.g. dysphagia needs)

Information location

Instruction : (Covid19, influenza, shingle ..)

Additional information

List of support workers

Digital copy of support plan

Browse

4. Living situation

Safe Environment Checklist used to create an evacuation plan

Isolation practice 1. Participant needs to be isolated

Isolation practice 2. others at the location need to be isolated

5. Communication Planning

Preferred Communication method

Communication Devices

Data and credit to allow the participant to keep in touch

Current communication apps (if relevant)

Contact point

6. Health Management

Critical health information list of important health information, current medication, essential supplies

Medication

Medication documentation locations

Medication equipment (as required)

Special foods

Requirements to manage health for at least a week

Exercise routine (for use during isolation)

Mental health management

7. Transportation

Transport method currently used to move around the community

Method to move in time of emergency

8. Assistive Technology

Type (if relevant)

Cords, batteries, recharging (e.g. equipment, hearing aids)

If AT breaks down and it is an urgent emergency repair, call the NDIA

9. Evacuation Points

Location

Schedule for practice evacuations

10. Acknowledge and Review

Personal Emergency Preparation Plan Consultation (list all people who actively participated)

Participant

Organisation

Plan development date

Plan testing date

Plan review date

(Note: Plan must be updated at least annually or when circumstances change)

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