© Hamilton County Florida Emergency Management
Special Needs A Special Needs Shelter is a shelter of last resort for people who need more medical supervision than a general population shelter can provide due to special medical needs, but they do not require hospitalization. A person with Special Needs is someone who during an evacuation, either mandatory or voluntary, will require assistance that exceeds the basic level of care provided at the general population shelter, but they will not require the level of skilled medical care provided at institutional facilities such as hospitals and nursing homes. Registration is voluntary. This registry is for planning purposes only and will not initiate any automatic services on behalf of the registrant. Assistance needed by individuals must be initiated at the time of need by the individual by calling local officials when evacuations have been ordered. All registrations expire after one year and must be updated on the anniversary of the registration. How can I register for the Special Needs Shelter? You must pre-register with the Florida Special Needs Registry on-line at https://snr.floridadisaster.org. Should you not have internet access, you may call 386-792-6647 for an application to be mailed to you. Your home health agency or local physician will also have access to the registration forms if necessary. Once the form is completed, you may mail them to: Hamilton County Emergency Management 1133 US Hwy 41 NW Jasper, FL 32052 Once it has been determined the special needs shelter will open, spaces may fill quickly. The Special Needs Shelter does not accept reservations nor does the registry save shelter spaces for individuals. Special Needs Shelter registrations must be completed accurately and in full. Registrations will NOT be reviewed for medical eligibility; however, each person seeking access to the special needs shelter will be screened for minimum medical criteria on-site at the Special Needs Shelter when you arrive at the shelter. Those that meet the minimum medical standards will be allowed access, those that do not meet the minimum standards will be referred to general shelter area, and those that exceed medical criteria will be referred to a higher level care facility such as a hospital. General medical standards for the Special Needs Shelter are generally the described below for your clarification and planning. Licensed health care facilities, such as nursing homes and adult living facilities are required to have their own safety plans in place for the well-being of its clients and staff. Clients of such facilities are not permitted at the Special Needs Shelter. Those cared for by home healthcare companies are advised to identify what the company disaster plans are and how services will continue in the event of an emergency. Home health agencies may register their clients electronically at this link: https://snr.floridadisaster.org. Paper registration forms from healthcare providers will NOT be accepted. Registrations must be submitted and managed by the healthcare provider through the on-line registration portal.  Home healthcare agencies must remain with their clients and meet their needs. All registrations will archive automatically on the anniversary date of the last update/registration and it will be important for you or your healthcare provider to review and update registrations each year. Dialysis is not provided at the Special Needs Shelter. Please coordinate with your healthcare provider regarding the options available to meet your needs. Your dialysis provider is required to coordinate services to meet your needs during disasters. Please inquire of their service options for your needs.  The Special Needs Shelter does not routinely admit pediatric (children) special needs clients. The facility and the staff are not equipped nor have the specialty training to manage pediatric special needs clients. The Special Needs Shelter will admit behavioral health clients as necessary. Each behavioral health client will be required to have a caregiver 24 hours a day for as long as the client remains in the shelter or for the duration the shelter operations remain open.  Only service animals are permitted in the Special Needs Shelter. Comfort animals and pets are not allowed. Shelter Conduct Do not bring weapons of any sort (knives, guns, etc). Alcohol is not permitted at the shelter. Weapons and alcohol will be confiscated by shelter staff and either turned over to law enforcement or will be disposed. Things to Take to a Public Shelter If you go to a public shelter, you will need to take the following items: A change of clothing Toiletries and personal items; Identification and any important papers; Games, toys, or books for children; Special items for infants or elderly family members; Any special dietary needs and non-perishable foods for snacks; Prescription medications or any over-the-counter medications you normally take. Criteria for Special Needs Shelter client may include, but is not limited to: A person with a stable medical condition requiring periodic observation, assessment, and maintenance (i.e., glucose readings, vital signs, urinary catheter) by a nurse; A person requiring periodic wound care assistance (i.e., dressing changes); A person with limitations that require nursing assistance with activities of daily living; A person requiring and needing nursing assistance with oral, subcutaneous, or topical medication; A person requiring minimal assistance with ambulation, position change and transfer (i.e., able to move more than 100 feet with or without an assistive device); A person requiring oxygen that can be manually supplied; A person medically dependent on uninterrupted electricity for therapies, including but not limited to, oxygen, nebulizer and feeding tubes. Ventilator dependent persons and those with multiple special needs requiring a higher level of care should seek assistance from a skilled medical facility; A person with mental or cognitive limitations requiring assistance who is accompanied by an appropriate full time caregiver for the duration of their stay in the shelter; A person whose weight does not exceed the safety weight restrictions of provided cots (300 lbs.); A person who can be safely transferred and does not require special lifting or transferring equipment; A person requiring a stretcher to be transported may need to be referred to a higher skilled medical facility. Persons with the following medical conditions (not an all-inclusive listing) are potentially not suitable or recommended for the Special Needs Shelter.  It is recommended that persons with medical conditions such as those listed should consult with their physician or a medical facility professional to identify the best sheltering options for their medical condition.  Third trimester pregnancy Renal dialysis Patients requiring isolation Ventilator patients IV therapy Hyperalimenation Bedridden and total care patient Acute shortness of breath Acute chest pain  Persons with the following conditions or impairments (if not combined with other qualifying conditions) do not require sheltering in a Special Needs Shelter and are suitable for a general shelter: First and second trimester pregnancy Vision impaired Hearing impaired Amputees Wheelchair bound What are the Special Needs Shelter accommodations? The severity of emergencies vary, depending on each situation. The following may be available to those staying in the shelter and their caregivers: Shower facilities; Meals up to three times per day (particular dietary needs are not available); Electrical outlets are available for medical equipment only; Smoking is not permitted inside the shelter.  A designated smoking area will be identified outdoors, weather permitting; Individuals who do not follow the shelter rules will be removed; Caregivers will receive a cot only after all special needs individuals receive one.