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Emergencies are situations that are unexpected, sudden, and often dangerous. Some emergencies are caused by natural disasters that affect a large number of people and cause great destruction, such as a flood or tornado. Large numbers of people may also be affected in a man-made disaster, such as an act of terrorism. Other emergencies may involve a person or their family, such as an accident or medical emergency.
For people with disabilities and their families, emergencies could result in a disruption of services and supports that they need to stay safe and healthy. It is important to create an Emergency Plan now - before an emergency of disaster happens.
For additional information and links, visit the Disability Rights Ohio Web
site at
http://www.disabilityrightsohio.org/
Battery-operated radio and extra batteries
Flashlight and extra batteries
Signaling device, such as a whistle, beeper
or bell
Non-perishable foods to sustain for at least
three days
Non-electric (manual) can opener
Extra blankets, especially for winter
emergencies
First-aid kit with Band-Aids, bandages, hand
sanitizer, insect repellent, topical ointments, flu and cold remedies, and
vitamins to boost general health
Extra supply of medicines you'll need to take
(if possible, a two-week supply). Check expiration dates every few months
Extra copies of prescriptions (ask your
doctors and let them know the prescriptions are for your emergency supply kit)
Ice chest, if your medication needs to be
cold (keep your ice trays filled in your freezer, in case you need ice)
Equipment and assistive devices that are easy
to locate during an emergency
Back-up equipment, such as spare batteries,
oxygen tanks, manual wheelchair
Written instructions on how to operate and
move your medical and adaptive equipment
Know where main valves and switches are for
gas, water and electricity. Get help adapting handles, valves and switches, if
it makes a difference to help you to turn them off
Fire extinguisher
An emergency plan, including transportation,
if you need to evacuate to a shelter
Written instructions and copies of important
papers
Sign language interpreter | ( ) Yes | ( ) No | |
I read others' lips | ( ) Yes | ( ) No | |
TTY or TDD (telecommunication device for the deaf) | ( ) Yes | ( ) No | |
Large print materials | ( ) Yes | ( ) No | |
Braille material | ( ) Yes | ( ) No | |
Recorded material | ( ) Yes | ( ) No | |
Someone to read and explain information to me | ( ) Yes | ( ) No | |
Other: ____________________________________ | ( ) Yes | ( ) No |
I have a hard time adjusting to new places | ( ) Yes | ( ) No | |
I have a hard time adjusting to being around people I don't know | ( ) Yes | ( ) No | |
It is difficult for me to adjust to crowded and noisy rooms | ( ) Yes | ( ) No | |
I am blind or visually impaired and need someone to help Orient me with the layout of the shelter | ( ) Yes | ( ) No | |
Braille material | ( ) Yes | ( ) No | |
Other: _____________________________________ | ( ) Yes | ( ) No |
I need help to remind me when to take medications | ( ) Yes | ( ) No | |
I am allergic to the following medications: | ( ) Yes | ( ) No | |
____________________________________________ |
I have a medical
condition that is unstable or another health issue that needs continual attention (example: seizures) |
( ) Yes | ( ) No | |
I need help with
on-going medical therapy, such as IV therapy, catheterization, or wound care |
( ) Yes | ( ) No | |
I need essential medical supplies (diabetic needles, etc) | ( ) Yes | ( ) No | |
I have a medical device
implant (heart defibrillator,
nerve stimulator, pacemaker, etc. |
( ) Yes | ( ) No | |
I have environmental allergies or chemical sensitivities | ( ) Yes | ( ) No | |
I cannot tolerate excessive heat or cold | ( ) Yes | ( ) No | |
I have a weakened
immunity system and need to stay away from others because I catch illnesses easily |
( ) Yes | ( ) No |
I use a wheelchair or other mobility device | ( ) Yes | ( ) No | |
I can walk, but have trouble standing for extended periods | ( ) Yes | ( ) No | |
I am unable to walk and
need someone to help me get into different seating or laying positions |
( ) Yes | ( ) No | |
I need a lift, such as a
Hoyer lift, to transfer me from one place to another. |
( ) Yes | ( ) No |
I use a service animal | ( ) Yes | ( ) No | |
My service animal does not adapt well to emergencies | ( ) Yes | ( ) No | |
I need help while my service animal adjusts | ( ) Yes | ( ) No |
Oxygen | ( ) Yes | ( ) No | |
Glasses | ( ) Yes | ( ) No | |
Cane/Walker | ( ) Yes | ( ) No | |
Wheelchair | ( ) Yes | ( ) No | |
Communication device | ( ) Yes | ( ) No | |
Diabetes kit | ( ) Yes | ( ) No | |
Ventilator | ( ) Yes | ( ) No | |
Feeding pump | ( ) Yes | ( ) No | |
Suction Machine | ( ) Yes | ( ) No | |
Other: ____________________________________ | ( ) Yes | ( ) No |
I need disposable undergarments | ( ) Yes | ( ) No | |
I need help changing undergarments | ( ) Yes | ( ) No | |
I need an adapted toilet | ( ) Yes | ( ) No | |
I need to be catheterized | ( ) Yes | ( ) No | |
Additional information? ____________ | ( ) Yes | ( ) No |
I need special formula | ( ) Yes | ( ) No | |
I need modified plates or silverware | ( ) Yes | ( ) No | |
I need straws or modified cups | ( ) Yes | ( ) No | |
I have food allergies | ( ) Yes | ( ) No | |
I need special food because of an illness | ( ) Yes | ( ) No |
I need help taking a shower or bath | ( ) Yes | ( ) No | |
I need help buttoning or fastening clothes | ( ) Yes | ( ) No | |
I need help with
grooming (brushing hair, brushing teeth, etc.) |
( ) Yes | ( ) No |
I need help getting into and out of bed | ( ) Yes | ( ) No | |
I need to be repositioned while I sleep | ( ) Yes | ( ) No | |
I have medical issues
when I sleep that require monitoring (sleep apnea, seizures, etc.) |
( ) Yes | ( ) No |