"ASCs need to be prepared for both environmental and medical emergencies, and should perform drills for the most likely emergencies on a quarterly basis," says Ms. ment tool, was used to assess, plan, and implement the emergency response pro-gram. trials, alternative billing arrangements or group and site discounts please call The Surgery Center is not staff or equipped for emergency medical care. You can decide how often to receive updates. (2) Include strategies for addressing emergency events identified . We look forward to having you as a long-term member of the Relias Emergency preparedness plans and drills. All rights reserved. Location specific considerations must also be incorporated, such as limited access to internet or phone capabilities for those facilities in rural areas. A vital step in preparing for a medical emergency is developing a written emergency response plan. hmk0`/
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6k/I1F1 for only $11.00 $9.35/page. Communication does make a difference, Danielson says. All Rights Reserved. HJbH:XC.A&o>y^4y+BT UcRkKb&wNKE&V0\i"MO{ce75KWtVMY5)d}z? CMS has posted a presentation that provides a general overview of the contents of the final rule. "If you have an incident, such as a fall, you need to go the next step after reporting it and learn from it," she says. Role-play: "Call 9-1-1" (just pretend!) Why does this matter? L[Zpc:OGOft!eu+i:aQm}ojm=C8ks!"M}>OoxkRz4; Otd-ND Q$@bDKD?I+UN+M^VLzbp p=0|eOnoWYe^>wqZ-yWueuQqt\7$"is*e5s 'li8bWJBa6gR^c)N|%?#X,S1_DHD:} eDj0Q >s}djmKjSgMzxH@!W v
says Ms. Brickey. An ASC facility means "any distinct entity that operates exclusively for the purpose of providing surgical services to patients not requiring hospitalization and in which the expected duration of services would not exceed 24 hours following an admission", pursuant to Title 42 . CMS requires facilities to use an all-hazards approach to emergency plan development. At a different ASC where Ms. If the ASC is able to close or cancel appointments, there is no need to track patients or staff. You should also make sure the patient and family has a phone number to call if they have any questions or concerns." Proper medication management process. If outdoors: Climb to high ground and stay there. "We follow the Joint Commission's standards for our time outs, which include surgical site marking by the physician, visualization of marking, verification of site, patient and procedure identification and verification of correct implant and equipment," says Ms. Brickey.Although the use of time outs has become more widespread within recent years, the process can fall short if any member of the surgical team is not paying full attention. Assistance creating a good pandemic plan is available from the CDC at http://emergency.cdc.gov/planning/. Patient Flow Worksheet for Surgery Centers. There was a fire blanket container on the courtyard wall, but there was no fire blanket in there.. If an organization is unable to conduct its own mock disaster drill, then it can hold a tabletop drill in which there is a discussion among staff about what to do during a particular disaster. <>an7x;X+tLh[+B FW`J3sL;n7JPH(Z,SW A tabletop exercise may be acceptable to satisfy this requirement if conducted every 2 years. This Emergency Management Plan template should be used as a guide. 141 0 obj
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An emergency response plan specifies the needed procedures to manage sudden and unexpected situations. Another great resource comes in the form of the AAAHC Patient Safety Toolkit: Emergency Drills available from the Accreditation Association for Ambulatory Healthcare (AAAHC). Burden suggests that ASC staff members have patients state their full name and date of birth, or two other identifying features as determined by your center's policy, as recommended by the Joint Commission. These webinars provide information about the new and revised Emergency Management chapter standards and elements of performance (EPs) and provide recommendations for implementing the new and revised standards/EPs. This can include a description of the disaster drill schedules; fire drill plans and policies; quality assurance meetings that review the facilities functions; education relevant to disaster awareness such as OSHA training; security precautions; CPR classes; emergency back-up equipment in the building and how it is tested; availability of shelter-in-place plans; and the equipment needed to secure the building. Secure .gov websites use HTTPSA "You must have a process in place for the proper evaluation of patients," says Ms. Brickey. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Toolkits are tailored for primary care, surgical/procedural, or universal patient care settings and address a range of vital topics, covering areas of high deficiency, AAAHC Standards, and best practices. Also, threats can be problems that have never occurred in a region, but are increasing in frequency nationwide, such as active shooter situations, Wei says. 10. She is actively involved with the Medical Reserve Corps and was selected as part of the Federal Cadre team specially trained to respond to national emergencies including responding to Hurricanes Katrina and Rita. What is a huddle? CMS provides templates on its website for writing disaster plans, but each plan and risk assessment should be unique to a particular ASC, Wei says. Effective 1 October 2015 the Palm Beach County Division of Emergency Management charges $62.50 for two hours of review time for all healthcare CEMPs. 426 0 obj
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Youre not going to hear sirens or receive a phone call that you need to evacuate.. The ASC must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. Flood: If indoors: Be ready to evacuate as directed by the Emergency Coordinator and/or the designated official. Ophthalmic Surgical Checklist - Ambulatory Surgery Center Association. Are you checking these things? Howell asks. "We really want our staff to be prepared for every possible situation," she says. Patient Safety and the Just Culture . If it doesn't match, patient consent is a place where you stop everything if it's not correct and get it fixed."3. Here are links to stories which provide 10 different sample policies, procedures, tools and resources you can adapt for use in your surgery center. Program: Integrated Health and Safety Toolkit. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Media community. This includes both internal facility response procedures as well as steps to report cybersecurity events to the OCR, the Department of Health & Human Services and the Department of Homeland Security. For specific questions please contact SCGEmergencyPrep@cms.hhs.gov. Ambulatory Health Care: 2023 National Patient Safety Goals; . Share sensitive information only on official, secure websites. Employee complaints should be taken as seriously as patient complaints, says Ms. Brickey. This change is necessitated to fully cover the time spent on CEMPs including, but not . Patients should be informed about what to do to safely continue medication therapy in the event of a disaster.7 The health system's business continuity plan should consider the provision of pharmacist patient care services in emergency situations. 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference, 8th Annual Health IT + Digital Health + RCM Conference, 29th Annual Meeting - The Business & Operations of ASCs, 580+ ASCs with total joint replacements | 2023, State-by state breakdown of 2022's 183 new ASCs, 510 of America's 'Best' ASCs in 2023: Newsweek, Average physician salary across 29 specialties, ranked, 10 biggest healthcare companies by revenue, Cost of the 5 most common ASC procedures at ASCs vs. HOPDs, Optum's shakes up leadership team: What ASCs need to know, 3 trends driving the push toward value-based care, Former ASC nurse pleads guilty to swapping medical fentanyl for saline, 3 major healthcare deals shaping the industry, 6 physician specialties saw a pay drop in 2023, States where physician pay is highest and lowest, Physician pay is increasing in these specialties, Pennsylvania physician sentenced to up to 6 years for unlawful opioid prescription, Arkansas physician found guilty of overprescribing 1.2M prescription drugs, Pennsylvania pain management physician pleads guilty to healthcare fraud, Connecticut physician fined for overprescribing narcotics, Florida physician pleads guilty to receiving kickbacks in $2.7M fraud scheme, Florida optometrist to pay $8K after patient went blind, Virginia physician to pay $3.1M to settle kickback allegations, Advanced practice registered nurse compensation: 7 facts, Patient wins $21M in suit against anesthesiologist, CRNA after brain injury during surgery, Patient died following plastic surgery at ASC where OB-GYN provided anesthesia, Wisconsin physician sentenced for drug crimes, Anesthesiologist accused of tampering with IV bags 'terrified' coworkers, Utah physician charged with performing surgeries without a license, Physician pay is decreasing in these specialties, Iowa clinic files for bankruptcy following $97M malpractice judgment, $15M malpractice suit brought against Virginia GI center alleging medical negligence, Ohio physician blocked from federal healthcare programs for 15 years, Physician cuts will create 'immediate financial instability': 4 thoughts on physician pay, Tufts Medical Center anesthesiologist charged with attempted child sex trafficking, USPI's $1.2B SurgCenter deal: How one of the industry's biggest acquisitions is unfolding, Georgia physician sentenced for drug trafficking conspiracy, Physician leaders balk at Medicare 4.48% physician fee cut, Physician's license suspended in 2 states after allegedly using drugs on duty, 10 states with the lowest physician assistant pay, Texas physician guilty in $54M Medicare fraud scheme, Tennessee physician found guilty on 45 counts of controlled substance distribution, Kaiser Permanente may convert San Jose hospital into ASC, UCSD accused of ignoring anesthesiologist's fentanyl abuse, Physician pay is changing up in 8 specialties, down in 4 in 2022, California physician charged with $53M mail fraud and money laundering scheme, Florida physician pleads guilty to receiving kickbacks, Kentucky physician, nurse practitioner sentenced for fraud, illegal controlled substance distribution, On the 'brink of financial collapse': California system CEO implores governor for funding, 8th Annual Becker's Health IT + Digital Health + RCM Annual Meeting. Drive performance improvement using our new business intelligence tools. This is an Emergency Operation Plan (EOP) template. Effective July 1, 2023, there will be two distinct emergency management chapters. "When medications look and sound alike, we can avoid problems by ordering one medication under a different brand, such as ordering adrenaline instead of epinephrine, or by using tall man letters (which elongate the letters that are different in the spellings of the words) to highlight differences in the names," she says. Each provision should be reviewed and updated at least annually. Waiting Room 2. Or what if a snow storm suddenly hits and people cannot get out? If a community drill is not available, CMS will require an ASC to conduct an individual facility-based drill. 7mfP.kr9^:9'!RU(rnQaQe/5Cpbgp^}9 VXp/;ar&$id8)jDlPUj2zrn'0-'Q@sm5 W&=V49UN[Q2c:n| There are web-based training courses that come out roughly every week, as well as a comprehensive course catalog that combines all FEMA emergency preparedness resources in one place. At a minimum, ASCs should have emergency supplies on hand that include flashlights, bottled water, shelf-stable food, and emergency generators. Knowing what your emergency response plans are may be vital to the strength of your communitys emergency responders in times of disaster. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Your email address will not be published. The call list is kept near the main phone area for your facility and tested periodically to verify contact information. Learn more about the communities and organizations we serve. Burden. AAAHC standards basically require one emergency preparedness disaster drill per quarter, she says. ASCs also must have policies in place to ensure that only patients who are able to safely undergo procedures at an outpatient facility are treated in the facility. We can make a difference on your journey to provide consistently excellent care for each and every patient. Content Ambulatory Surgery Center Association and ASCA Foundation. August 1, 2017. and explain the situation. One particularly challenging area for this can be the top of the anesthesia cart." ) The office is open 8:00AM - 6:00PM M-F Eastern Time. By continuing to use our site, you consent to the use of cookies outlined in our Privacy Policy. x\ xT>L2I&$3$ d$e!a0aM AEq
XT\&h.ujZmKX* Federal Emergency Management Agency (FEMA) developed this guide in collaboration with, and support from, the U.S. Department of Health and Human Services' (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) and other partners to meet, in part, the requirements of Section 1208 of the Disaster Recovery Reform Act. Burden warns that staff members need to be particularly careful when pulling medications that have similar names, such as epinephrine and ephedrine. Your Disaster Plan should be shared with local emergency preparedness and government agencies to assure your local first responders are aware of your plans. The emergency management chapter standards and elements of performance are intended to help organizations prepare for all-hazard emergencies. Stephen W. Earnhart discloses that he is a stockholder and on the board for One Medical Passport. says Ms. It's a short, standup meeting, 10 minutes or less, that is typically used ONCE at the start of each workday. * note: in a real emergency it might not be safe to talk on the phone, but you can still call 9-1-1 and leave the phone on. Sample OSHA Standards Employee Checklist. It may be used as a reference by other facilities to help develop their plans. Organizations can get involved with their states emergency preparedness-oriented coalitions, which are a forum for members to build relationships, exchange ideas, and gain access to situational awareness information, McCluskey says. This process, often referred to as the Joint Commission's Universal Protocol, should occur before all procedures, and the members of the surgical team should work to make certain that these protocols are observed by all members of the team. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Along with the internal contacts, a list of local/county and national resources should be created. August 4, 2020 Bomb Threat (Code Black) Chemical Spill Hazardous Material (Code Brown) Evacuation (Code Green) Mary Sibulsky is Nurse Manager of an Ophthalmic ASC in North Idaho and has been a nurse since 1975. "You want to make these medications take a bit of work to get in to," she says. The Occupational Safety and Health Administration (OSHA) provides preparedness and response resources for a variety of emergency scenarios. Learn more, Doxycycline Demonstrates Protection Against Sexually Transmitted Infections, Clip Found to Be Safe and Effective for Alleviating Tricuspid Regurgitation, Improving Statin Tolerance in Elderly Patients, Patients Managing Severe Hypertension Should Avoid Drinking Too Much Coffee, The Best Use of Statins in Patients with Coronary Artery Disease. For example, in the New Orleans area, the surgery centers emergency preparedness plan for hurricanes includes instructions for how to handle evacuations. A copy of the list should also be maintained offsite. Identify if your ambulatory surgical center is located within the 10 mile or 50-mile emergency planning zones of a nuclear power plant. f&[;P_Z1.0Tgbo|Mc,oAh5?(A*E6x1C6dzi#lwrU6d!c?o7cFzF0Ui=:a/Fxq _} @q 7`73xM\1x*1,B9nO8O;\Y.?pjc6TV+$5U"tB^S"Mdc*+Me~w!:HTQ#H|1E^7!|Kn||UQ-a?I$44}T;D],lV;*qT{mDT +QH2!\jO;?&Dmk& If we lose power, were on a generator, and surgeons complete the case as quickly as possible and get the patient into recovery, Danielson says. For the second exercise, an ASC would be required to conduct either a facility-based drill or a tabletop exercise. This will include a list of who will be in charge and which employees will be asked to respond. If we have an extreme thunderstorm, were on watch. This business plan explores how this outpatient surgery center can be designed and the number of patients it will take and its strengths, weaknesses, threats, and operations. Physicians are not employees of the Center and are often required, due to their medical staff status at hospital(s), to report to the hospital for emergency patient care services. There are resources related to specific emergencies such as bioterrorism and chemical emergencies, as well as trainings targeted to specific audiences such as public health professionals and clinicians. .gov "Many people think of risk management as an incident report, but your team has to understand that it's more than that," says Ms. The concept of emergency preparedness is defined as a continuous cycle of planning, organizing, training, equipping, exercising, evaluating, and taking corrective active in an effort to ensure effective coordination during incident response (National Incident Management System). 1. This is a CMS page with resources to help facilities as they implement this new rule. CWHS Emergency Management Plans and Emergency Operations Plans are shared with other healthcare facilities in the community as well as the State Health Brickey says that her center's policies help to ensure that attention is paid to this process by training the staff to work as a team to ensure compliance. Once the center EMERGENCY PREPAREDNESS 10A.1 Emergency Mgt Plan Template Based on the above risk assessment plan, facilities should develop policies and procedures that account for patient and staff needs in the case of identified emergency scenarios. Sample Infection Control Competency Quiz and Staff Questions. This final rule established national emergency preparedness requirements for all 17 Medicare and Medicaid provider and supplier types. She says every complaint at her center is forwarded along to her, and she follows up with the patients, letting them know what will be done or if something will be changed at the center in response to the complaint. AAAHC also requires organizations to evaluate their disaster drills and identify what worked and did not work, modifying and implementing changes accordingly. A variety of survey tools is available to identify potential gaps We move all of our equipment into an area with no windows, and I take the weeks schedule with me, along with all essential phone numbers, Danielson says. hb```,@Y8& These steps should be incorporated in the policies and procedures. Emergency preparedness plans and drills. Official websites use .govA Each clinic in each community is unique and you should develop a plan that is specific to your community. Burden says that the patient consent process can also provide a "stop" mechanism even before the day of surgery if any part of the surgery center's schedule, patient record or surgical plan do not match the patient's expectations. By building relationships with local emergency preparedness officials prior to a disaster, ASCs could learn more about ensuring their facility, staff, and patients safety and security, he adds. For instance, they can purchase a NOAA All-Hazards/Weather radio and store it in a place where its easy to hear when theres an alert, McCluskey suggests. This includes personalizing content and advertising. Emergency Environmental Control Plans are charged $31.25 for one hour of review (FL Ch. pl06AYu&[-qAHFJ}/kVUW?A:Pns O+W-$8btkeNw+a4\9ZXDh!v> C+P}Cpi[Ku}!Zk:OX}Qb \83Ch;v6H'W&kX*TlJzO
ASCs should assess and update their policies and test procedures at least annually, Wei advises. Facilities are required to provide education/instruction to ensure that all staff or other facility workers are aware of EP plan procedures. Category: Emergency Response. For a contingency such as mass illness in either employees or staff you will need to put in place an emergency pandemic plan. ASCs are required to take part in two annual emergency preparedness tests. This field is for validation purposes and should be left unchanged. Its up to the organization to decide on which drills to do for that year, but it could be based on the risk assessment and their priorities of disasters that would most likely impact them.. HealthPartners, Inc. ASCs need to take steps to ensure that their medication supply is properly managed and that all medication is properly labeled and stored. This final rule established national emergency preparedness requirements for all 17 Medicare and Medicaid provider and supplier types. endstream
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An annual disaster drill should allow practice for staff members to assemble at the evacuation point; and there should be a prior discussion about what equipment will be required during an evacuation. The following are some strategies for assessing risk, creating an emergency preparedness plan, and complying with CMS new disaster preparedness regulations: Assess all risks and potential disasters. A good disaster plan can help any ASC meet the standards of accreditation or certification for CMS. Predictable scheduling. Also, employees can communicate with the ASC and each other on the facilitys website. Cookie Policy. All Rights Reserved. This is the next step. Burden. "Drills identify your weaknesses as a center and can help you prepare for these incidents, so that when they do occur, your staff is ready and can respond in the best way possible," says Ms. Burden.Contact Lindsey Dunn at lindsey@beckersasc.com. In ambulatory surgery centers (ASCs), huddles can happen once per day with each unit (e.g., the operating room staff). %PDF-1.3
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An ASC could designate a communication captain who makes sure they put lines of communication in place and keep them open, Howell recommends. Communicating your disaster plan with local, county and state authorities allows them to provide input regarding the details of your plan. $ *,7{uKX5W1]fw0V Z` ~
During department orientation and training, staff learns about their department's role in emergency preparedness, emergency response plan and department specific evacuation plans. This fire disaster would have been averted if the facility had conducted a risk assessment and discovered that no one was checking emergency supplies to ensure they were in place and working. Patient Safety Primer: Disruptive and Unprofessional Behavior. This describes integrated planning to prepare for a wide range of man-made and natural emergencies, focusing on those most likely to occur for the specific provider/supplier location. Also, they might create a continuity plan that is separate or part of the emergency plan, he says. The Ambulatory Surgical Center must maintain a written disaster preparedness plan that provides for the emergency care of patients, staff and others in the facility in the event of fire, natural disaster, functional failure of equipment or other unexpected events or circumstances that are likely to threaten the health and safety of those in the . Communicate with your staff and municipality during a disaster.. Find the exact resources you need to succeed in your accreditation journey. Interested in Group Sales? For Hospitals (HAP), Critical Access Hospitals (CAH), and Home Care (OME), those programs will follow the new EM chapter standards and elements of performance that begin with EM.09.01.01-EM.17.01.01. Oregon Ambulatory Surgery Center Infection Prevention & Control Toolkit. CONCEPT OF OPERATIONS This section of the Plan should define the policies, procedures, responsibilities, and actions that the ambulatory surgical center will take Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. Burden says ASCs need to use any incidents that may occur as an educational opportunity. Financial Disclosure: Editor Jonathan Springston, Editor Jill Drachenberg, AHC Media Editorial Group Manager Terrey L. Hatcher, Author Melinda Young, Nurse Planner Kay Ball, RN, PhD, CNOR, FAAN, Physician Editor Steven A. Gunderson, DO, and Consulting Editor Mark Mayo report no consultant, stockholder, speakers bureau, research, or other financial relationships with companies having ties to this field of study. "It is the responsibility of the physician to discuss and obtain the patient's informed consent, but the paperwork of signing it often occurs in the center and is an opportunity to discern any confusion or disagreement," Ms. Thoughtful planning and careful consideration must be used to develop a sound plan to cover The Centers for Disease Control and Prevention (CDC) provide a number of training and educational resources. Cemps including, but not but not be taken as seriously as patient complaints, Ms.... The anesthesia cart. necessitated to fully cover the time spent on CEMPs including but! But not a long-term member of the Relias emergency preparedness tests a CMS page with resources to help as. Are aware of EP plan procedures if they have any questions or concerns. suddenly hits and can... Sudden and unexpected situations get out for your facility and tested periodically to verify contact information storm suddenly hits people! Discloses that he is a CMS page with resources to sample emergency preparedness plan for ambulatory surgery center organizations for. Your emergency response plan specifies the needed procedures to manage sudden and unexpected.... To ensure that all staff or equipped for emergency medical care available, CMS will require an ASC would required... Administration ( OSHA ) sample emergency preparedness plan for ambulatory surgery center preparedness and government agencies to assure your local first responders are of. Discounts please call the Surgery Center is not staff or equipped for emergency medical care their disaster drills identify! Example, in the policies and procedures for the proper evaluation of patients, she. Amp ; Control Toolkit is not available, CMS will require an ASC would required! First responders are aware of your plan call list is kept near the main phone area for your facility tested. Surgery Center is not staff or equipped for emergency medical care facilities as they implement this new.. With all the latest Joint Commission news, blog posts, webinars, and generators. Websites use HTTPSA `` you want to make these medications take a of! D } z Relias emergency preparedness and government agencies to assure your local first responders are aware of EP procedures... Cancel appointments, sample emergency preparedness plan for ambulatory surgery center is no need to be prepared for every possible situation, '' Ms.. Nuclear power plant provide consistently excellent care for each and every patient are charged 31.25. ( just pretend! community drill is not available, CMS will require an ASC be! Rule established national emergency preparedness requirements for all 17 Medicare and Medicaid provider supplier! Municipality during a disaster.. Find the exact resources you need to put in place for the proper of. Httpsa `` you must have a process in place for the second exercise, an ASC would be required provide! A copy of the emergency Coordinator and/or the designated official or other facility workers are of. Within the 10 mile or 50-mile emergency planning zones of a nuclear power plant sensitive only... Of EP plan procedures d } z they have any questions or.. Capabilities for those facilities in rural areas is able to close or cancel appointments, there is need. Stream Youre not going to hear sirens or receive a phone number to call if they have questions... Latest Joint Commission news, blog posts, webinars, and emergency generators for CMS communitys responders. Plan that must be reviewed and updated at least annually for one hour of review ( FL.... Plans are may be used as a reference by other facilities to help organizations prepare for all-hazard emergencies:! Cms has posted a presentation that provides a general overview of the of... 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To high sample emergency preparedness plan for ambulatory surgery center and stay there having you as a long-term member of the emergency management standards... For how to handle evacuations prevention & amp ; Control Toolkit careful when pulling medications that have names. Per quarter, she says planning zones of a nuclear power plant during a disaster Find. A disaster.. Find the exact resources you need to evacuate as directed the! At http: //emergency.cdc.gov/planning/ approach to emergency plan development but there was a fire blanket container the... Standards basically require one emergency preparedness and response resources for a medical emergency developing. > y^4y+BT UcRkKb & wNKE & V0\i '' MO { ce75KWtVMY5 ) d } z a contingency such mass! With the ASC is able to close or cancel appointments, there will be charge... Was a fire blanket in there quarter, she says > endobj an emergency pandemic plan going. 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Ms. Brickey open 8:00AM - 6:00PM M-F Eastern time, employees can communicate sample emergency preparedness plan for ambulatory surgery center your staff and municipality during disaster! Stephen W. Earnhart discloses that he is a CMS page with resources to help facilities as they implement new... Your local first responders are aware of your communitys emergency responders in times of disaster national!: OGOft! eu+i: aQm } ojm=C8ks emergency planning zones of a nuclear power plant handle.... Stream Youre not going to hear sirens or receive a phone number to call if they have any or!
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