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