BigRedSafety Toolkit - National Autism Association

Transcription

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family wandering emergency planawaare.orgMake sure your family has a plan in case of a wandering emergency. Before an emergency happens, sitdown together and decide how you will get in contact with each other, where you will go and what youwill do in an emergency. Keep a copy of this plan in your emergency supply kit or another safe placewhere you can access it in the event your child is missing.critical information to rememberMY CHILD’S TRANSMITTER TRACKING NUMBER (if applicable)MY CHILD’S OFFICIAL DIAGNOSISMY CHILD’S IDENTIFYING MARKS, BEHAVIORS, MEDICATIONS & MEDICAL NEEDSemergency steps:R ALWAYS CALL 911 IMMEDIATELY IF YOUR LOVED ONE IS MISSING FROM YOUR HOME.R IF YOUR CHILD IS ATTRACTED TO WATER, SEARCH NEARBY WATER SOURCES FIRST.R Clearly state your child's name for the 911 operator.R State that they have a cognitive impairment, provide the diagnosis, state they are endangered and have no sense of danger.R Provide your child’s radio frequency tracking number (if applicable).R Provide your child's date of birth, height, weight, and other unique identifiers (eyeglasses, braces, hand-flapping, etc.)R If your child is attracted to water, tell them to immediately dispatch personnel to nearby water sources (lakes, ponds, pools)R Tell them when you noticed that your child was missing and what clothing he or she was wearing.R Request an AMBER Alert be issued, or Endangered Missing Advisory.R Request that your child's name and identifying information be immediately entered into the National CrimeInformation Center (NCIC) Missing Person File.Search known areas your child would likely be or attracted to. If you have an emergency point person assigned to contact neighbors, pick up yourother children from school, watch your children, etc., alert them while searching known areas your child would likely be. If you have other smallchildren, never leave them unattended.TIP: create an emergency point person who can contact neighbors, fax your alert form tolocal law enforcement, and assist in making arrangements for your other children.Should your child go missing, make sure this contact has a cell phone, knows what your child is wearing, any identifyingfeatures, where you child was last seen, how long your child may have been gone, any medical needs or allergies yourchild may have, your child’s likes and dislikes and main attractions. Ideally, the emergency contact will be a relative orclose friend. Provide your emergency contact with a copy of this plan and ask them to keep it in a safe, accessible place.EMERGENCY CONTACT NAME:EMERGENCY CONTACT NUMBER:TIP: list the main places your child may likely go within the neighborhood, as well as the mostdangerous areas nearby, such as ponds, lakes, pools, etc. Search these areas first. If you have assigned“search angels” ahead of time, make sure they know which location is assigned to them. Draw maps of these locations, orphysically show the volunteers the location to which they are assigned before an emergency happens.FWEP page 1

LOCATION NAMELOCATION DESCRIPTION1.2.3.ADDRESSASSIGNED SEARCH LOCATION4.5.TIP: Before an emergency happens, assign at least five (5) willing “search angels” whowill commit to searching for your child in the event of an emergency. Make sure they would beimmediately available (are typically home), willing, and understand which search location is assigned to them.NAMENUMBERNUMBERASSIGNED LOCATIONOTHER NUMBERS:LAW ENFORCEMENT FAX NUMBERS: (in case local law enforcement does not have your child’s information on file,have your assigned emergency point person fax it.)National Center for Missing & Exploited Children (NCMEC): 1-800-THE-LOST (1-800-843-5678)LOCAL MEDIA CONTACT NUMBERS:OTHER NOTES: (make any notes you feel may be important in case of a wandering emergency.)TIPS: JOIN “NAA AUTISM & SAFETY: WANDERING PREVENTION” ON FACEBOOK so that social media tools arereadily available. Keep this document with you at all times. Keep a copy in a safe, accessible place within the home. Keep this withyour child’s first responder alert form, documentation of diagnosis, medical papers and any other important information.FWEP page 2

AUTISM ELOPEMENT ALERT FORMDate Submitted:PERSON-SPECIFIC INFORMATION for FIRST RESPONDERSIndividual’s Name(First)(M.I.)(Last)Attach currentphoto hereAddress:(Street)(City)(State)(Zip)Date of Birth Age Preferred NameDoes the Individual live alone?Individual’s Physical Description:MaleFemaleHeight:Weight:Eye color:Hair color:Scars or other identifying marks:Other Relevant Medical Conditions in addition to AutismNo Sense of DangerBlindDeafAttracted to Water Prone to Seizures(check all that apply):Non-VerbalMental RetardationCognitive ImpairmentOtherIf Other, Please explain:Prescription Medications needed:Sensory or dietary issues, if any:Calming methods, and any additional information First Resonders may need:EMERGENCY CONTACT INFORMATIONName of Emergency Contact (Parents/Guardians, Head of Household/Residence, or Care Providers):Emergency Contact’s Address:(Street)(City)(State)(Zip)Emergency Contact’s Phone Numbers:Home:Work: Cell Phone:Name of Alternative Emergency Contact:Home:FRAF page 1Work: Cell Phone:Information Specific to the Individual continued on next page.

INFORMATION SPECIFIC TO THE INDIVIDUALNearby water sources & favorite attractions or locations where the individual may be found:Atypical behaviors or characteristics of the Individual that may attract the attention of Responders:Individual’s favorite toys, objects, music, discussion topics, likes, or dislikes:Method of Preferred Communication. (If nonverbal: Sign language, picture boards, written words, etc.):Method of Preferred Communication II. (If verbal: preferred words, sounds, songs, phrases they may respondto):Identification Information. ( i.e. Does the individual carry or wear jewelry, tags, ID card, medical alert bracelets,etc.?):Tracking Information. (Does the individual have a Project Lifesaver or LoJack SafetyNet Transmitter Number?):- MANY CHILDREN WITH AUTISM ARE DRAWN TO WATER. SEARCH & SECURE NEARBY WATER SOURCES FIRST.- REVERSE 911 IS AN EFFECTIVE TOOL FOR FINDING A MISSING CHILD AND FREE TO AGENCIES. VISIT achildismissing.org.FRAF page 2

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CAREGIVER LOGawaare.orgCAREGIVER & CHILD’S NAME: DATE:my child’s wandering history:DATEWANDERED FROM WHERE/WHOMCIRCUMSTANCES OF NOTEACTIONS/STEPS TAKEN TO PREVENT WANDERINGcaregiver log page 1WAS FOUND AT

awaare.orgCAREGIVER LOGCAREGIVER & CHILD’S NAME: DATE:RESOURCES AND CONTACTSWAS FOUND ATADDRESSASSIGNED SEARCH LOCATIONNUMBERS:LAW ENFORCEMENT & PHYSICIANLOCATION DESCRIPTIONNational Center for Missing & Exploited Children (NCMEC): 1-800-THE-LOST (1-800-843-5678)OTHER CONTACT NUMBERS:OTHER NOTES:caregiver log page 2

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family wandering emergency plan Make sure your family has a plan in case of a wandering emergency. Before an emergency happens, sit down together and decide how you will get i