O-12-930 Emergency Plan Cross-Reference Tipsheet
π― Purpose
Identifies the corresponding areas within PointCare and Admission Paperwork where the Client's Emergency Plan is captured. Intended to be used as a tool to ensure that the documentation in the medical record coincides with the plan in the Client Calendar/Individualized Plan of Care.
π Process
The Emergency Plan is documented in the following locations:
- Start of Care (SOC) Assessment (PointCare)
- Emergency Plan/Responsible Party Form (Admission Packet β Electronic Form via Forcura)
- Client Calendar/Individualized Plan of Care (Admission Packet β Paper Form)
Emergency Plan/Responsible Party:
Completed electronically by SOC clinician via Forcura Mobile Application. After completion, this form is mailed out to clientβs home following receipt and review in the office.
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Designation of Essential vs Non-Essential Services:

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Emergency Contact/Responsible Party/Primary Caregiver Information:

Client Calendar/Individualized Plan of Care:
Paper copy filled out and left in clientβs home chart at the time of the SOC so it is immediately available following the SOC assessment.
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Disaster Risk, Individualized Client Emergency Preparedness Plan, Plan of Action

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Vendor Contact Information:

SOC Assessment (PointCare):
Clinician will document assessment findings and establish the Emergency Preparedness plan within their SOC Assessment. Following a SOC, it can subsequently be updated in the back office as needed as well.
Designation of Essential vs Non Essential, Disaster Risk, Individualized Emergency Preparedness Plan/Plan of Action:
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In SOC Assessment, go to Visit Actions β Demographics (this is a required field on the SOC):

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Select Emergency Preparedness:

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Select Edit:

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Enter an Evacuation Location:

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Select Acuity Status and choose from Low, Average, High Risk:

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Select Disaster Risk and choose from Essential vs Non Essential:

Emergency Contact/Responsible Party/Primary Caregiver Information/Other Contacts (ie. Vendors):
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In Visit Actions β Demographics, select Contacts:

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Select Edit to Add New or Edit existing contact information:

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Select Add to add new:

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Select

π Effective: 05/07/2024ββ|βββ Approved by: AM













