Transitional Learning Center, Galveston, TX 77550, USA.
Rehabil Psychol. 2010 Aug;55(3):247-54. doi: 10.1037/a0020599.
To describe the iterative process of emergency planning and preparedness: risk assessment, planning, rehearsal, implementation, and refinement.
A narrative reflection of two complete facility evacuations in advance of major hurricanes in 2005 (hurricane Rita) and 2008 (hurricane Ike) conducted by a postacute rehabilitation facility located on the Texas gulf coast.
Facility staff involved in the evacuation and ongoing care post evacuation, and adults with moderate to severe acquired brain injury receiving residential postacute rehabilitation and long-term care services.
Experiences from two evacuations revealed that planning and preparation beyond what is required by licensing and accrediting agencies is necessary; attending to the needs of staff during and after and the emergency is a critical component of planning and preparedness; and the necessity of incorporating "lessons learned" into refinement of emergency preparedness plans.
Facilities providing residential services to persons with neurological injury are potentially vulnerable to a number of natural and manmade disasters. Careful planning, preparation, and practice are necessary to ensure safe evacuation of persons served and facility personnel in response to an emergency. Experiences (i.e., "lessons learned") from each evacuation, subsequent changes to emergency preparedness plans, and recommendations for emergency preparedness beyond a natural disaster, such as a hurricane, are presented.
描述紧急规划和准备的迭代过程：风险评估、规划、演练、实施和改进。
位于德克萨斯湾沿岸的一家急性后期康复机构在 2005 年（飓风丽塔）和 2008 年（飓风艾克）两场重大飓风之前进行的两次完整设施疏散的叙述性反思。
参与疏散和疏散后持续护理的设施工作人员，以及接受住宅急性后期康复和长期护理服务的中度至重度后天性脑损伤成人。
两次疏散的经验表明，有必要进行超出许可和认证机构要求的规划和准备；在紧急情况下和之后关注员工的需求是规划和准备的关键组成部分；并且必须将“经验教训”纳入应急准备计划的改进中。
为神经损伤患者提供住宅服务的设施容易受到多种自然灾害和人为灾害的影响。为了确保所服务人员和设施人员在紧急情况下安全疏散，需要仔细规划、准备和实践。介绍了每次疏散的经验（即“经验教训”）、对紧急准备计划的后续更改，以及除飓风等自然灾害以外的紧急准备建议。
