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EMERGENCY MANAGEMENT PLANNING CRITERIA FOR ADULT DAY CARE FACILITIES The following criteria are to be used for the development of Comprehensive Emergency Management Plans (CAMP) for Adult Day Care
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How to fill out adult day care emergency

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Who needs adult day care emergency?

01
Adult day care emergency is needed for individuals who require immediate medical attention, assistance, or intervention while attending an adult day care center.
02
This service is particularly relevant for older adults who may have pre-existing medical conditions or disabilities that could result in emergencies while at the center.
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Adult day care emergency may also be necessary for individuals who have recently undergone surgery or have chronic illnesses that require frequent monitoring and medical intervention.
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Additionally, individuals who have a history of falls, seizures, heart problems, or other health issues may also require adult day care emergency services to ensure their safety and well-being while participating in day care activities.

How to fill out adult day care emergency:

01
Provide personal information: Begin by filling out the personal information section of the adult day care emergency form. This may include details such as full name, date of birth, address, contact numbers, emergency contact information, and any medical conditions or allergies one may have.
02
Medical history: Include any relevant medical history, such as existing medical conditions, recent surgeries or procedures, chronic illnesses, allergies, and medications being taken. It is important to provide accurate and up-to-date information to ensure proper care during emergencies.
03
Emergency contact information: Provide the contact details of a trusted emergency contact person who can be reached in case of an emergency. This should include their full name, relationship to the individual, phone numbers, and any other relevant details.
04
Physician information: Include the name and contact information of the primary care physician or specialist who manages the individual's health. This information is crucial for communication and coordination in case of emergencies.
05
Insurance details: If applicable, provide the necessary information regarding insurance coverage and policies. This may include policy numbers, insurance provider contact information, and any specific instructions or requirements related to emergency care coverage.
06
Signature and consent: Ensure that the form is signed and dated by the individual or their legal guardian if applicable, indicating consent for emergency care services and confirmation of the provided information's accuracy.
07
Review and update regularly: It is important to review and update the adult day care emergency form regularly to reflect any changes in medical conditions, contact information, or emergency contacts. This helps to ensure that the information provided remains current and relevant.
Remember, it is crucial to consult with the specific adult day care facility about their specific emergency procedures and requirements, as their forms and protocols may vary.
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