Functional Needs Support Services

FNSS TOOLKIT

Review the FNSS toolkit components Examine each FNSS Toolkit Tab for further

clarification

Objectives

Planning ToolsPart 1

3rd party MOU’s and responder compliance with ADA

Ensuring plans include individuals with disabilities

Seek input from people with disabilities

Tab A – Planning Assessment

Government organizations Associations and Institutions participants Advocacy groups

Tab B – Planning for Inclusion of People with Disabilities

Texas Accessibility Checklist for Emergency Shelters

Based on accessibility requirements contained in the Texas Accessibility Standards

Guidance for ensuring shelters meet Texas Accessibility standards

Temporary solutions for emergency Sheltering ramps

Tab C –Texas (TAS) Compliant Checklist

Disability Contacts Excel Spreadsheet for Texas

http://disabilityresources.tamu.edu/

Tab D – Statewide Disability Stakeholders

Tab E – Selected County Demographic Functional and Medical Needs Data

• Important of knowing who is in your community• Source of data differs from jurisdiction• American Community Survey• Best way to know is by talking with your

disability partners

Considerations for planning Developing partnerships with providers

◦ MOU’s Resource providers

◦ Medtrans/Public Transit◦ Local public and private school districts◦ Commercial vendors◦ Faith-based organizations◦ Dial-a-ride◦ Taxi cab companies (with accessible vehicles)◦ Assisted living facilities/senior centers◦ Airport shuttle buses◦ Rental car companies

Tab F – Transportation Planning

Operational ToolsPart II

FNSS Shelter positions◦ PAS◦ Medical staffing◦ DME/CMS supplies◦ Effective Communications Leader◦ Emergency Case Managers◦ Staff for Health/FNSS Intake◦ Medical Appointment/Dialysis Coordinator

Home and Community Support Services: TX Department of Aging and Disability Services http://www.dads.state.tx.us/providers/HCSSA/hha.pdf

Tab G – Shelter Staffing Recommendations For FNSS

Functional Needs Assessment Form Identifies FNSS needs Communication needs Ambulation ability DME CMS PAS Medical conditions Dietary

Tab H – Rapid Assessment Form

• Used by triage personnel at evacuation hub.

• Used to select best form of transport based on their functional or medical needs

Shelter Placement GuideShelter Placement Guidance

Medical Support Required

911-HospitalAcute Medical

Emergency

Skilled Nursing

Care Required

24/7

Medical or General Shelter (Client’s Choice)

Medical Shelter

Recommended

General Shelter

YES

YES

YES

NO

Description: An individual who requires emergency care.

Examples

•Difficulty breathing

•Chest pain

•Hemorrhaging

•Diabetic shock

•Acute psychosis

NO

NODescription: Individuals who require active monitoring, management, or intervention by a medical professional to manage their medical condition.

Examples

•Hospice patient

•Ventilator patient

•Tracheotomy which requires suctioning

•Extensive wound management

•Requiring isolation due to infectious disease

•Dysrhythmia monitoring/management

•Receives skilled nursing care at home.

•Nursing home patient with no access to nursing home.

Description: Individuals who have a medical condition which can be controlled through a combination of personal caregiver, medication, and complex medical equipment.

Examples

•Unaccompanied with Alzheimer’s or dementia

•Asthma with nebulizer

•Chronic Obstructive Pulmonary Disease (COPD) on daily oxygen

•Unaccompanied individuals with a disability and medical conditions who require a caregiver

•Pregnancy requiring bed rest

•Morbidly Obese

•Dialysis patients with underlying medical conditions.

Examples

•Oxygen dependent.

•Mobility disability/self-ambulating, with or without DME, including wheelchair.

•Deaf / hard of hearing and blind/low-vision, with or without service animal.

•Diabetes, insulin and diet controlled.

•Persons with no functional or medical needs.

Description: Individuals who are able to meet their daily needs either by themselves or with a caretaker, and may require some assistance from volunteers to assist with personal care.

Attachment 1 – Behavioral Health Attachment 2 – Durable Medical Equipment Attachment 3 – Consumable Medical

Supplies Attachment 4 – Oxygen Support Attachment 5 – Pharmacy Support Attachment 6 – Kidney Dialysis Attachment 7 – Public Health Shelter

Checklist

Tab I – Medical Services

Attachment 1 – Tips for Interacting with People with Disabilities, Functional and Access Needs During Disasters

Attachment 2 – Talk Boards Attachment 3 – Pictograms Attachment 4 – Signage Attachment 5 –Emergency Sign Language &

Deafblind Guidelines Attachment 6 –Communication Resource Specialists Attachment 7-Low Vision Font Attachment 8&9-Video Remote Providers/ Hardware

& Software Specifications

Tab J – Effective Communications

Checklist◦ Water and Waste Management◦ Fire Services◦ Law Enforcement◦ Power◦ Hospitals/Healthcare◦ EMS◦ Public Works◦ Communications◦ Public Health

Tab K – Support Capabilities for Repatriation

Tab L – Medical/ Functional Needs Discharge Assessment

Support services Transportation needed Medications Oxygen Pets

Assess the appropriate transportation for use within the shelter

Assess the appropriate transportation need when discharged from shelter

Tab M – Medical/Functional Needs Shelter Transportation Request Form

Additional ResourcesPart III

An ADA Guide for Local Governments: Making Community Emergency Preparedness and Response Programs Accessible to People with Disabilities

The Texas Department of Assistive and Rehabilitative Services (DARS) Resource Specialists

The Interagency Coordinating Council on Emergency Preparedness and Individuals with Disabilities

Texas Prepares website Additional links

Tab N – Quick Links

Emergency First Responder: The Community Emergency Preparedness Information Network

ASL Preparedness Video for People who are Deaf or Hard of Hearing

Northeast Texas Public Health District National Community Emergency Response

Team (CERT) Videos Texas Prepares Videos Just Ask (Blind Assistance Video)

Tab O – Available Videos

FUNCTIONAL NEEDS SUPPORT SERVICES TOOLKIT

https://www.preparingtexas.org/preparedness.aspx?page=32137bc8-eed7-42bb-ad7e-2765fd8abdb9

Toolkit Link