Use this checklist to start stockpiling the necessities you shouldn t be without.
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- Peregrine Dennis Gardner
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1 Last revised 4/01/2017 SMART 911: Very important; no cost; no personal info requested. EMERGENCY: Create a personal safety net by organizing these items into go-to kits in case of a natural disaster-be it tornados, floods, earthquakes, fire or flood and hurricanes. Use this checklist to start stockpiling the necessities you shouldn t be without. FIRST-AID KIT- Tailor this kit to your specific need. Check expiration dates every six months. Resupply as needed. 1. Prescription medication and equipment 2. Sterile gloves (2 pairs) 3. Sterile dressings, adhesive and band aids 4. Multipurpose pocket knife ( Swiss Army knife) 5. Soap 6. Antibiotic ointment 7. Burn ointment 8. Eyewash for flushing 9. Cash money, have small bills, businesses may not be able to make change for large denominations 10.. Thermometer 11. Aspirin/pain reliever 12.Antacid 13. Anti-diarrhea medications 14. Laxatives 15. Sanitation Items (toilet paper, plastic cups, plastic bags, hand sanitizer, feminine hygiene supplies, baby diapers and supplies 16. Tooth brushes, toothpaste 17. Hearing aids extra batteries (if needed) 18. Spare Glasses / contact lenses Ready-to- Go Container- In case of an evacuation, pack theses important items along with your Firstaid-kit and essential papers. 1. One gallon of water per person (3 day supply) 2. Food: nonperishable, ready to eat items (MRIs). Pet food 3 day supply. 3. Whistle 4. Battery powered radio and extra batteries 5. Flashlights and extra batteries 6. Spare Cell phone charges 7. Extra set of car keys and house keys (garage door opener) 8 Matches in waterproof container
2 10. Extra clothes( check seasonal attire) 11. Maps Stay at Home Stash 1. One gallon of water per person (14 day supply) 2. Food: nonperishable, ready to eat items (MRIs). Pet food 14 day supply (Dog plastic poop bags). 3. Manual Can opener 4. Plates utensils (paper), paper towels and napkins, plastic trash bags 5. Plastic mask for mold and dust 6. Work Gloves 7. Fire extinguisher 8. Small toolbox including wrenches, pliers, screw drivers (Phillips and flat head). 9. Plastic sheeting and duct tape for sealing windows and doors 10. Chlorine bleach with medicine dropper 11. Extra blankets, sleeping bags, and pillows 12. Foul weather gear, (rain, winter clothes) 13. Ensure your home insurance updated to current replacement values and also any new items that been recently added to your personnel belongings. Essential Papers- copy or scan and burn to CD, also have money in a sealed container to be able to grab and run. Send a copy of the CD with all your scanned documents to a trusted family member or legal adviser or trusted friend. Update as needed 1. Emergency contact information: Doctors family CD Recipients insurers 2. ID cards photo Ids passports Medical card / Medicare /Medicare cards or photo copies Social Security cards Personnel Health care cards 3. Family records Birth certificate Marriage certificates Medical records if at home, PERSCRIPTIONS 4. Wills, insurance policies, automobiles titles, deeds 5. Bank and credit numbers, retirement accounts, investment records 6. Videos or pictures of your valuables and the interior of your home, cash and change Beware that CELL phone service may not readily be available in the affective area, have an out of area
3 friend or relative to call. Cell service may not be strong or down, try to text, texting takes a very small amount of band-width and will get thru to your party when calls won t. Also have a copy of the medication and medical conditions action sheet, and a HIPPA form signed by all family member with those who can ask about your condition and power of approval, have this signed and notarize and have a code on the form so when the person calls can give the code for authorization Please remember these items are not all inclusive; you may/ should add things that are needed or appropriate for your family use. A document stating who can be given/ and or be informed of medical condition of husband, wife children; notarize if possible. All sign and add a code for verification at emergency medical services (hospitals). MEDICAL AND MEDICAL CONDTIONS ACTION SHEET MEDICATION DOSAGE & HOW OFTEN PHYSICIAN PHARMACIST POTENTIAL EFFECTS
4 SPECIAL INSTRUCTIONS: CAREGIVER TELELPHONE NUMBERS NAME - NUMBER XXX-XXX-XXXX EXTENSION MAKE A PLAN: 1. Meet with family members or household members 2. Discuss how to prepare and respond to emergencies that are most likely to happen where you live, learn, work and play. 3. Identify responsibilities for each member of your household and plan to work together as a team. PLAN WHAT TO DOIN CASE YOU ARE SEPARATED DURING AN EMERGENCY 1. Choose two places to meet: Right outside your home in case of sudden emergency such as fire A known place outside your neighborhood, in case you cannot return to your home and are asked to evacuate. 2. Choose an out of area emergency contact person. It may be easier to text or call long distance if local phone lines are overloaded or out of service. Everyone should have emergency contact information in writing or programmed into their cell phones. PLAN WHAT TO DO IF YOU HAVE TO EVACUATE 1. Decide where you would go and what route you would take to get there. You may choose to go to a hotel / motel. Stay with friends or family in a safe location or got a designated shelter if necessary. 2. Practice evacuating your home twice a year. Drive your planned evacuation route and plot an alternate route on your map in case roads are impassable (GPS may be out of service).
5 3. Plan ahead for your pts. Keep a phone number of PET_FRIENDLY hotels / motels and animal shelters that are along your evacuation route. EMERGENCY CONTACT CARDS FOR ALL HOUSEHOLD MEMERS (see separate file) Additional Information for time spent away from home. (Travel-Vacations) 1. Prescription and over-the counter medications in your carry on bag 2. Insurance ID card (s) 3. Immunization records (out of country travel) 4. Names and phone numbers of your pharmacist and health care providers. 5. List of allergies to medicines, food, insects, and animals; and ongoing health conditions such as heart disease or diabetes ; and your blood type. 6. Glasses and contact lenses in a carry- on bag. 7. Prescriptions for medication and corrective lenses. ANY QUESTION OR CONCERNS, PLEASE Contact: JOE HEALY (Sr. Disaster Recovery / Business Continuity Analysis)- Ret. choascoach113@yahoo.com
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