Main power-dependent need Oxygen, CPAP, BiPAP, nebulizer, suction, or breathing equipment Powered mobility, lift, stairs, transfer, or bed equipment Refrigerated medicine or temperature-sensitive supplies Multiple devices or supplies Not sure yet
Backup plan status Not started Some pieces are in place Written, shared, and reviewed recently
Known backup battery window Unknown Less than 4 hours 4 to 12 hours More than 12 hours or multiple backups
Utility company status Not contacted yet Medical-device or outage-alert program found No useful utility program found
Supplier or manufacturer plan Not reviewed Daytime contact only; after-hours unclear Instructions and phone numbers are written down
Medicine storage concern No known medicine storage concern Refrigerated medicine Temperature-sensitive supplies Not sure what needs special storage
Backup location and ride Not planned Needs accessible ride or transfer help Facility, home health, hospice, or agency involved Backup location and ride are written down
Caregiver backup training No helper trained yet One helper knows the basics Primary and backup helpers are trained
Backup power safety review Not reviewed Generator or large battery being considered Safety instructions reviewed
Local help contacts Not contacted yet Some contacts collected Local contacts are written down
Use broad planning answers only.
Do not enter names, addresses, diagnoses, birth dates, Medicare numbers, Social Security numbers, account numbers, utility account numbers, passwords, or private medical details. Keep personal device and medicine details in a secure printed plan.
This planner is educational and organizational only. It is not medical, emergency-response, electrical, legal, insurance, benefits, or disaster-safety advice. For immediate danger, equipment failure, unsafe temperatures, breathing trouble, evacuation orders, fire risk, or carbon-monoxide concerns, contact emergency services, local authorities, a clinician, or the device supplier right away.
Official references:
Ready.gov older adults ,
Ready.gov people with disabilities ,
FDA medical devices and disasters ,
HHS emPOWER Program ,
FDA power outage food safety .
