The administrators were questioned on the following preparedness items:

1. Plan to transport essential workers in case of lack of gasoline or road blocks. (weather)
2. Alternate water source if public water is cut off.
3. Alternate power for basic lights,etc. in case of power outage. In each home, heating is dependent on electricity. Ways to preserve body warmth would be critical: blankets,etc., or evacuation plan to heated shelter.
4. Source of oxygen for patients dependent on electrically powered concentraters. Reserve of tank oxygen.
5. Reserve of essential medications in event that resupply not possible.

Survey #1 - Results:

• #1: (Plan to transport essential workers): A plan is in place
• #2: (Alternate water source): A small storage tank - capacity?
• #3: (Alternate power source): Have generator (generator fuel supply not given)
• #4: (Source of oxygen): No O2 tanks, would order
• #5: (Reserve of essential medications): One month supply of drugs kept.

RECOMMENDATIONS: Stock oxygen tanks. Plan for some chemical toilets. Review plan for emergency transport of workers with employees. Stock extra paper towels.

Survey #2 - Results:

• #1: (Plan to transport essential workers): Most staff are close by; if roads open can be picked up by employees.
• #2: (Alternate water source): Have some water storage; capacity not given. Could not flush toilets.
• #3: (Alternate power source):Have stand-by generator and fuel tank. Capacity not given. Have blankets.
• #4: (Source of oxygen):Have reserve oxygen tanks. not allowed to have more than 4 O2 dependent persons.
• #5: (Reserve of essential medications):Have one month supply of essential medicines.

RECOMMENDATIONS: Review emergency personnel transport plan with staff. Increase capacity of potable water storage. Increase generator fuel capacity. Set up for propane cooking. Prepare to heat one large room with alternate fuel heat source. Stock additional month's supply of essential drugs. Stock extra paper towels.

Survey #3 - Results:

• #1: (Plan to transport essential workers):With advance warning can transport some workers. And have quarters for staff to stay overnight and resume care after rest.
• #2: (Alternate water source):No alternate water source, except some drinking water on site. Has contract with tanker to bring water. No way to flush toilets without city water.
• #3: (Alternate power source):Have generator for basic lights. Fuel storage capacity not reported. If building not inhabitable, rescue shelter is next door school building. Have extra blankets.
• #4: (Source of oxygen):Have few oxygen tanks for short period of power outage.
• #5: (Reserve of essential medications):Has emergency pharmacy with IV fluids,etc. Patient's drugs: one month's supply.

RECOMMENDATIONS: Prepare plan and review with workers how essential care would be continued if road access were cut off. Prepare water cistern/tank to enlarge storage capacity. Review with staff plan for transporting residents to the school shelter. Encourage residents to obtain a set of warm clothing to have handy. Stock extra paper towels.

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