GCM Disaster Plan Archives ⋆ Cathy Cress

PRISON INMATES AND NURSING HOME PATIENTS NOT 6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19. In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection It took the rebellion to get the coronavirus testing PPE and care. The Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

Two States that require testing for coronavirus of ALL residents of nursing homes are Maryland where 556 have died as of the Washington Post article. and Tennessee

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing.

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

Do you have procedures for an emergency at your agency?

The coronavirus has put home care and geriatric care management agencies in a terrible bind. Most GCM ‘s or home care agencies had no emergency procedure in place for any disaster but even if they did a pandemic was not anticipated by almost anyone in the catalog of emergencies.

AGING LIFE CARE ASSOCIATION HELP WITH CORONAVIRUS

Now that it is upon us geriatric care managers can benefit from the Aging Life Care Association’s webinars on Zoom to help their ALCA and geriatric Care Management agencies. The ability of any care management agency, serving frail elders, to function despite an emergency is critical. For example for members the have an upcoming Webinar through Zoom-TAKING ON NEW CLIENTS WHILE BEING “QUARANTINED”, which is incredibly valuable

They offer a daily blog for geriatric care managers with updates on an ALCA of GCM Practice under the coronavirus threat and are much-needed resources in these highly traumatic times. With agencies unable to directly see clients in states where like California have imposed at Stay at Home order where geriatric care manager cannot see their clients except virtually and on top of that both care staff and care management staff may have come down with the virus, information about how to keep your agency going is invaluable. Membership in ALCA could be very valuable to geriatric care managers. If you join tell them I sent you.

NEED FOR AN EMERGENCY PLAN FOR EVERY DISASTER

An emergency plan for all emergencies is necessary for all geriatric care management and ALCA agencies. With massive hurricane Dorian lasting 2 weeks last year and the west once again facing massive wildfires, tornados already wreaking devastation this season and the polar vortex perhaps coming again next year-do you have emergency procedures?

Informal agency emergency procedures work in a start-up care management business but what if the solo practitioner is ill and out?

If illness, accident, some other unforeseen event overtakes an owner or manager, no emergency procedures can be suicide in an emergency, not to mention liability to your elderly clients.

You could be like these two GCM’s who lost their businesses in weather events that knocked them out.

PARADISE FIRE DEVASTATION OF A GERIATRIC CARE MANAGEMENT PRACTICE

GCM Jim Boyd of Paradise, California lost everything in the catastrophic fire in the town of Paradise, where he lived and practiced. He was trying to check on an aging client in Paradise, located in the midst of the Sierra forest when the huge forest fire immolated the entire town. Although a Go Fund Me started by the Aging Life raised almost $10,000 for Jim, he did not have enough to rebuild his home where he had his home-based GCM business. Then he and 90% of the residents of Paradise never returned.

Every geriatric care professional needs a formal, written backup plan that dictates action, should a disaster or emergency arise.

It ‘s necessary to assess your company’s risk of temporary or permanent service disruption if a disaster or emergency is experienced. This may seem an overwhelming task at first, but when you break it down into pieces, it becomes workable.

Learn about preparing for emergencies how you can prepare you, your clients and staff for disasters and absences of key personnel.

With pandemic’s, global warming’s effects causing floods, larger hurricanes, and the specter of more catastrophic weather events, you need to prepare now. Get the new Handbook of Geriatric Care Management 4th edition now– or out in Kindle or hardback with an excellent chapter on how to prepare your agency for disasters, plus forms to use, by GCM President Liz Barlow.

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