Special Needs Hurricane Shelter Registration

Special Needs & Equipment List

2018 Special Needs Shelter Registration Began January 1st

All persons interested in utilizing the Special Needs Shelters for the 2018 Hurricane season will need to register with the Highlands County Health Department. If you require specialized equipment for your health needs such as oxygen concentrator or other similar equipment (see list) you may want to register.

The Tanglewood Hurricane Shelter is not equipped to care for you If you require any the special needs equipment listed below or require assistance due to medical conditions as listed below, to maintain your health status. However, we ARE providing an alternative place to go by registering with the Highlands County Health Department.

Each year registration begins anew, and last year’s approval are no longer valid. If you would like to register for the 2018 season, applications are located on the credenza in the clubhouse or you can obtain an application from either your home health agency, the Highlands County Health Department (863-386-6040) or the Emergency Operations Center (863-385-1112) Registration forms are also available online http://cms2.revize.com/revize/highlandscounty/departments/emergency_management/special_needs_shelter_applications.php

EQUIPMENT LIST

Special Medical Needs

  1. Wound care daily or more often; Type of wound: _______________
  2. Ostomy care assistance
  3. Catheter care assistance
  4. Suction equipment
  5. Feeding Pump
  6. RN to assist with medicines or daily injections
  7. Requires assistance with insulin and checking blood sugar
  8. RN to assist with IV’s –
  9. *Include copy of Ventilator dependent (stable)
  10. Medicines that require refrigeration

Medical Electrical Equipment Required to Maintain Health Status:

  1. CPAP
  2. Nebulizer
  3. Other Oxygen dependent: ___ 24 hr. ___ Nighttime ___ PRN
  4. Liters per minute _____

Prescription or Written Instructions* (requiring assistance)

If you plan on staying in a special needs shelter, please bring the following items with your name on the item as it pertains to your need:

  • Glasses
  • Hearing aide(s) ___ Right Ear ___ Left Ear ___ Both Ears
  • Cane*  Walker*  Wheel chair*   Electric wheel chair*
  • Trained Service Animal

Medical Conditions *Requiring Assisted Care

  • Seizures
  • Diabetes
  • Cardiac – please specify:
    • Congestive Heart Failure ___ Angina ___
    • High Blood Pressure ___ Stroke____
  • Quadriplegic or Paraplegic, please specify:________________
  • Alzheimer’s – please specify: ___ Early ___ Moderate ___ Advanced
  • Dialysis – please specify ___ Hemodialysis ___ Peritoneal________
  • Dementia and/or Confusion – please specify:__________________
  • Immune System Problems – please specify:___________________
  • Mental Illness – please specify:_____________________________
  • Bed bound
    • Unable to transfer bed to chair
    • Unable to hold urine until bathroom is reached
    • more confused at night
    • strikes out when confused
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Pam Batey

Moved to Tanglewood in August 2016, with husband, Steve and dog, Maggie. Retired Paramedic, now continuing my hobby writing short stories and information in the "You and Your Health" Section of the newsletter. Active Member of Tanglewood Community Church.