The California Department of Health has issued an All Facilities Letter notifying healthcare facilities of an Excessive Heat Watch and Warning alert for Northern California. The state is now in Phase II of its Contingency Plan for Excessive Heat Emergencies. Facilities must implement precautionary measures to keep individuals safe during extremely hot weather and have contingency plans in place to deal with the loss of air conditioning or take measures to ensure patients and residents are free of adverse conditions that may cause heat-related health complications. The elderly and health-compromised individuals are more susceptible to extremes in temperature and dehydration. Facilities must monitor weather predictions and ensure appropriate air conditioning equipment is well maintained and operating effectively. Portable fans and temporary cooling devices should be used when necessary. The Department of Health recommends measures such as dressing in lightweight clothing, staying well hydrated, minimizing physical activities during the hottest parts of the day, and using cool compresses to promote cooling. Facilities must be alert to adverse changes in patient and resident conditions that may be heat-related and pay special attention to patients with medications that make them susceptible to high temperatures.

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