Emergency Preparedness Action Checklist

EMERGENCY PREPAREDNESS ACTION CHECKLIST

Chapter 5 of The Complete Eldercare Planner

QUICK AND EASY ACCESS To Do By Completed

Set elder access goals

short-term ______❏

long-term ______❏

Know the 24-hour emergency phone numbers

doctor(s) ______❏

dentist ______❏

neighbors ______❏

friends ______❏

police ______❏

fire department ______❏

hospital ______❏

hospice ______❏

nurse ______❏

home aide ______❏

pharmacist ______❏

electrician ______❏

plumber ______❏

water company ______❏

gas company ______❏

electric company ______❏

telephone company ______❏

alarm company ______❏

locksmith ______❏

clergy person ______❏

Keep copies of emergency phone numbers

at home ______❏

at work ______❏

in car ______❏

in wallet or purse ______❏

Back up computerized information on a flash drive ______❏

Give copies of emergency phone numbers to key people ______❏

Duplicate keys ______❏

Identify and store keys and openers ______❏

Distribute keys to necessary people ______❏

Have a plan to access finances in an emergency ______❏

Have a backup plan if access to finances is denied ______❏

Consider a medical alert system ______❏

Create a check-in system ______❏

Elder has access to a telephone ______❏

MANAGING MEDICATIONS

Discuss medications with

elder ______❏

doctor ______❏

pharmacist ______❏

family members ______❏

Discuss drug

usage ______❏

purpose ______❏

alternatives ______❏

safety ______❏

Create strategies for drug safety

Implement medication reminder strategies ______❏

Take a CPR class ______❏

IF YOUR ELDER IS HOSPITALIZED

Start a file folder ______❏

Create a system for recording and filing

phone numbers ______❏

community resources ______❏

helpers ______❏

receipts ______❏

notes and documentation ______❏

bills ______❏

questions and answers ______❏

Create a list of questions for medical providers ______❏

Back up important information on the computer and on a flash drive_____ ❏

Review caregiving options ______❏

Make phone calls ______❏

Review things to do ______❏

Ask what to bring to the hospital ______❏

Get additional help from the Hospital

Patient Representative ______❏