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					Evacuation of
Sensory-Impaired
Patients



  OSHA Training Institute   1
Objectives
   Describe the special considerations for
    sensory-impaired individuals in evacuation

   Practice the evacuation
    techniques unique to these
    individuals


                   OSHA Training Institute   2
Impairments
 Hearing Impaired
 Sight Impaired
     Guide   Dogs
   Mentally Impaired

   Greater risk of injury and death for this
    group

                     OSHA Training Institute    3
Hearing Impaired
   28 million documented hearing impaired
    people in US
     Plus undiagnosed and patients in denial
     Portion of deaf are also blind

   Impaired ability to hear alarms, rescuer
    instructions, other hazards
     Lookfor the Deaf on site
     Background noise=chaos

                     OSHA Training Institute    4
Hearing Impaired: Use Visual Cues

   Visual Alarms
     Strobe, colored, flashing lights
     Vibrating alarms

   Visual Communications
     Lipreading
     Head shaking
     Gesticulation


                      OSHA Training Institute   5
Hearing Impaired: Use Visual Cues

   Problems
     Responders    often wear masks
     Visual alarms not universally located
     Traditional alarms set slightly above ambient
      noise
         People with partial hearing loss may not hear
          alarm unless it significantly above ambient noise
     Day   vs. night
         Darkness adds additional element of confusion
                         OSHA Training Institute              6
Hearing Impaired
   Incorporate evacuation impaired individuals into
    your disaster drills
   Have individual employees with impairments
    make it clear what their needs are
      Verbal communications
      Written emergency instruction


   Frustration for impaired individuals when only
    traditional alarm methods are used

                      OSHA Training Institute          7
Visually Impaired
   10-18 million documented visually
    impaired people in US
      Portion of deaf are also blind
      70% of people over age 65 have a severe
       visual impairment
   Newly visually impaired have not adjusted other
    senses to make up for visual loss
   Temporary visual impairments count!
      Surgery, medications, injury

                      OSHA Training Institute         8
Visually Impaired
   Hearing or smell are the likely
    first indicators of danger
      Can have difficulty localizing the threat in
        order to escape from it
   Senses can be overwhelmed
      High decibel alarms cause difficulty
        processing audible clues and instructions
      Background noise=chaos



                       OSHA Training Institute        9
Visually Impaired
   Practice the escape plan
      Visually impaired often overlooked in plans
      They can help themselves, but know limitations
      Can save precious time by incorporating visually
       impaired persons in drills/plans
   New Environments = Difficult Evacuation
      The visually impaired rely solely on tactile and
       verbal stimuli to escape
   Smoke alarms for early detection and early
    evacuation
                      OSHA Training Institute      10
Other Considerations
   Utilization and evacuation
    of an individuals guide dog
      The animals are trained
       to lead their owners
       away from danger
      Still possible for animals to become
       frightened and panicked
   Mentally Impaired
      Similar considerations as in pediatrics
                       OSHA Training Institute   11
Summary
 Many of our co-workers and patients will
  have sensory impairments
 Utilize sensory specific alarms and signs
  in your facility
 PRACTICE evacuation plans with those
  that have impairments
     They can help themselves in many ways
     You can help them stay out of harms way

                    OSHA Training Institute     12
References
 An ADA Guide for Local Governments: Making
  Community Emergency Preparedness and
  Response Programs Accessible to People with
  Disabilities
http://www.ada.gov/emergencyprepguide.htm
 Fire Risks for the Deaf and Hard of Hearing;
  TriData Corp, Ogilvy Public Relations Worldwide
  for the US Fire Administration
 Fire Risks for the Blind or Visually Impaired;
  TriData Corp, Ogilvy Public Relations Worldwide
  for the US Fire Administration
                   OSHA Training Institute      13
Demonstrations
   Lifts/Carries

   Human Chain




                    OSHA Training Institute   14

				
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posted:10/15/2011
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