Once a disaster has been declared, or is threatening, the designated agency personnel will notify the local emergency squad of the patient's need and their level status. If time does allow, LEVEL 1 patients will be communicated to the emergency squad.
If the roads are open, management will determine which visits can be made. If telephones are intact, the Highway Patrol will be called for road conditions, and the patients and caregivers contacted for input on the condition of their roads. Management will contact staff members with four-wheel drive vehicles, and secure assistance from county or township staff to gain access to patients having difficulties, or under treatment which requires immediate attention. When possible, back up generators will be placed. Temporary transfer of patients, in immediate danger, to acute facilities will take place until conditions are under control, and care be resumed in the home setting, Personnel will be sent to visit patients only if staff safety is not jeopardized.