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Hospital Assessment and Recovery Guide

Public Health Emergency Preparedness

This resource was part of AHRQ's Public Health Emergency Preparedness (PHEP) program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.

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Hospital Assessment Assignments (continued)

BUILDING

Hospital Grounds

General condition of grounds (i.e., downed trees, debris, standing water) [record description and location]:

Condition of outdoor lighting:

 

 

 

 

Condition and functionality of hospital gates and fences:

 

 

 

 

If external water storage is used for sprinkler system (e.g., roof water tank used to maintain pressure in the system), assure that this is functioning properly. Notes:

 

 

 

 

 

Check that storm drains are clear of debris. Notes:

 

 

 

 

 

Condition of dumpsters/trash disposal receptacles:

 

 

 

 

Condition of parking areas (staff and visitor/patient):

 

 

 

 

Other observations related to condition of hospital grounds:

 

 

 

 

Estimated time to make necessary repairs to hospital grounds:

 

 

 

 

Building Exterior

Signs of damage to the building (i.e., cracks in foundation or fašade, broken windows, wind damage) [record description and location]:

Condition of the roof:

 

 

 

 

Condition of external signage for patients/ambulances/visitors:

 

 

 

 

Condition of external lighting on buildings:

 

 

 

Condition of building tunnels and pedestrian bridges:

Check that hospital accessibility areas are clear, undamaged, and ready for use.

  • Ambulance bays. Notes:
  • Automatic doors. Notes:
  • Fire escapes and other means of emergency egress. Notes:
  • Loading docks. Notes:
  • Helipad. Notes:
  • Other: _____________________. Notes:

Signs of pests or vermin (record description and location): Note: Consider having an exterminator inspect the buildings and grounds even if there are no obvious signs of pests.

Other observations about building exterior:

 

 

 

 

Estimated time to make necessary repairs to building exterior:

 

 

 

Building Interior (General)

___ First: If water was off, and anyone stayed behind or used building after evacuation, clear toilets of waste. Also, make sure faucets are in the "off" position before water service returns, to avoid flooding.

Signs of damage to the interior of buildings, such as cracks in walls or ceilings, water damage/mold, smoke damage/soot (record description and location): Note: If walls have been damaged, and the building is old, test for asbestos contamination.

Signs of pests or vermin (record description and location): Note: Consider having an exterminator inspect the buildings and grounds even if there are no obvious signs of pests.

Ensure that hand sinks throughout the hospital are working/unclogged. Notes:

 

 

 

 

 

Test functionality of automatic doors, including handicap automatic door entry systems:

 

 

 

 

Condition of internal hospital signage and lighting:

 

 

 

 

Other observations regarding building interior:

 

 

 

 

Estimated time to make necessary repairs to general building interior:

 

 

 

Waste Management

Check that drains and waste lines are clear of debris and blockage. Notes:

 

 

 

 

 

If hospital has onsite waste treatment, check for damage and functionality. Notes:

 

 

 

 

 

Test functioning of hospital waste water pre-treatment and containment systems. Notes:

 

 

 

 

 

Check condition and functioning of storage and removal systems for medical and bio-hazardous waste. Notes:

 

 

 

 

 

Test any internal hospital decontamination units for to determine if they are functioning properly. Notes:

 

 

 

 

 

Check condition and functioning of storage, inventory, and disposal systems for radioactive source and waste, and pharmaceutical and chemical waste. Notes:

 

 

 

 

 

Estimated time to make necessary repairs to waste management and containment systems:

 

 

 

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SUPPORT

Kitchen/Nutritional Services

Dispose of any perishable food items that were not discarded prior to evacuation, including anything left behind in freezers or refrigerators (in case proper temperature control was not maintained during closure).

Work with vendors to inspect equipment (e.g., stoves/ovens, dishwashers, oven ventilation) to identify needed repairs/replacement. Names of vendors:

 

 

 

 

Work with FACILITIES team to inspect refrigerators and freezers and identify needed repairs.

Work with SAFETY team to inspect and test kitchen fire suppression system.

Inspect canned food, dry foods, and paper products to determine what is salvageable. Notes:

 

 

 

 

 

Inventory existing usable goods, and create a resupply list.

Other observations regarding the kitchen:

 

 

 

 

Estimated time to get kitchen up and running:

 

 

 

 

Note: If food services cannot be restored in time for hospital reopening, consider temporarily contracting with outside catering services.

 

Housekeeping/Linens

Work with vendors to inspect equipment (washing machines, dryers) to identify needed repairs/replacement. List of equipment and names of vendors:

 

 

 

 

Work with MATERIALS team to inventory existing usable goods and create a resupply list.

Other observations regarding housekeeping/linens:

 

 

 

 

Estimated time to get housekeeping/linens up and running:

Note: If linen services cannot be restored in time for hospital reopening, consider temporarily contracting with an outside hospital linen service.

Patient Transport

Work with MATERIALS team to inventory wheelchairs, walkers, and gurneys throughout the hospital; determine if any were sent elsewhere with patients during the evacuation and can be retrieved, and if any need to be replaced.

Other observations regarding patient transport:

 

 

 

 

Estimated time to get patient transport up and running:

 

 

 

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The information on this page is archived and provided for reference purposes only.

 

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