2017 Just Another Day at the Mall…Full-Scale Exercise Long Term Care (LTC) Evaluation Guide Long Term Care Evaluator Comments Was your facility notified of the □ □ Yes No emergency incident by the AzHAN within 30 minutes of the incident? Did your entire facility network □ Performed without activate its Mass Casualty Plan? Challenges □ Performed with Some Challenges □ Performed with Major Challenges □ Not performed Did your facility activate its □ Performed without Command Center and Incident Challenges Command System structure? □ Performed with Some Challenges □ Performed with Major Challenges □ Not performed Was your facility provided with □ □ Yes No periodic situational updates from ESF-8? □ □ Yes No Did your facility provide situational feedback to ESF-8? Did your facility utilize available communication platforms such as telephones, and Survey □ □ Yes No Monkey, to receive or exchange information with ESF-8? Did your agency contact ESF-8 for □ □ Yes No support in requesting licensing waivers? Was your agency contacted by at least one hospital to arrange □ □ Yes No patient transfer to your facility/agency in order to
2017 Just Another Day at the Mall…Full-Scale Exercise Long Term Care (LTC) Evaluation Guide Long Term Care Evaluator Comments Was your facility notified of the emergency incident by the AzHAN within 30 minutes of the incident? □ Yes □ No Did your entire facility network activate its Mass Casualty Plan? □ Performed without Challenges □ Performed with Some Challenges □ Performed with Major Challenges □ Not performed Did your facility activate its Command Center and Incident Command System structure? □ Performed without Challenges □ Performed with Some Challenges □ Performed with Major Challenges □ Not performed Was your facility provided with periodic situational updates from ESF-8? Did your facility provide situational feedback to ESF-8? □ Yes □ No □ Yes □ No Did your facility utilize available communication platforms such as telephones, and Survey Monkey, to receive or exchange information with ESF-8? □ Yes □ No Did your agency contact ESF-8 for support in requesting licensing waivers? □ Yes □ No Was your agency contacted by at least one hospital to arrange patient transfer to your facility/agency in order to □ Yes □ No
EEG-LTC-08-27-2017.docx