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Hospital Surge Model Version 1.3: Description

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.

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Chapter 10. Botulinum Neurotoxin (continued)

10.6 Resources Consumed Per Patient Per Day

The assumed level of resource consumption per patient per day is shown in the table below:

Resource Units Category Lambdaa Child-Moderate Adult-Moderate Child-Severe Adult-Severe
ED ICU Floor ED ICU Floor ED ICU Floor ED ICU Floor
Adult med/surg bed EA (Each) Capacity 1 0.000 0.000 0.000 0.250 0.000 1.000 0.000 0.000 0.000 0.250 0.000 1.000
Adult ICU bed EA (Each) Capacity 1 0.000 0.000 0.000 0.000 1.000 0.000 0.000 0.000 0.000 0.000 1.000 0.000
Pediatric med/surg bed EA (Each) Capacity 1 0.250 0.000 1.000 0.000 0.000 0.000 0.250 0.000 1.000 0.000 0.000 0.000
Pediatric ICU bed EA (Each) Capacity 1 0.000 1.000 0.000 0.000 0.000 0.000 0.000 1.000 0.000 0.000 0.000 0.000
Burn bed EA (Each) Capacity 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
Operating room EA (Each) Capacity 0 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
Airborne isolation room EA (Each) Capacity 0.7 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
Intensivists (CCM) FTE Staff 0.9 0.021 0.031 0.000 0.021 0.031 0.000 0.042 0.031 0.000 0.042 0.031 0.000
Critical care nurses (CCN) FTE Staff 1 0.000 0.333 0.000 0.000 0.333 0.000 0.125 0.333 0.000 0.125 0.333 0.000
Surgeons FTE Staff 0 0.000 0.004 0.000 0.000 0.004 0.000 0.000 0.031 0.000 0.000 0.031 0.000
Non-intensivists (MD) FTE Staff 1 0.042 0.000 0.021 0.042 0.000 0.021 0.021 0.000 0.021 0.021 0.000 0.021
Non-critical care nurses (RN/LPN) FTE Staff 1 0.083 0.000 0.125 0.083 0.000 0.125 0.042 0.000 0.125 0.042 0.000 0.125
Pharmacists (PharmD/RPh) FTE Staff 0.7 0.000 0.021 0.000 0.000 0.021 0.000 0.042 0.021 0.000 0.042 0.021 0.000
Respiratory therapists (RT) FTE Staff 1 0.000 0.031 0.000 0.000 0.031 0.000 0.021 0.042 0.000 0.021 0.042 0.000
Mortuary FTE Staff 0 0.000 0.059 0.000 0.000 0.059 0.000 0.000 0.059 0.000 0.000 0.050 0.000
Adult mechanical ventilator EA (Each) Capacity 0.92 0.000 0.000 0.000 0.000 0.300 0.000 0.000 0.000 0.000 0.165 1.000 0.000
Pediatric mechanical ventilator EA (Each) Capacity 0.92 0.000 0.410 0.000 0.000 0.000 0.000 0.165 1.000 0.000 0.000 0.000 0.000
Adult ventilator circuit EA (Each) Equipment 0.92 0.000 0.000 0.000 0.000 0.195 0.000 0.000 0.000 0.000 0.867 0.650 0.000
Pediatric ventilator circuit EA (Each) Equipment 0.92 0.000 0.267 0.000 0.000 0.000 0.000 0.867 0.650 0.000 0.000 0.000 0.000
Closed circuit suction catheter 14F EA (Each) Equipment 0.92 0.000 0.000 0.000 0.000 0.195 0.000 0.000 0.000 0.000 0.867 0.650 0.000
Closed circuit suction catheter 8-12F EA (Each) Equipment 0.92 0.000 0.267 0.000 0.000 0.000 0.000 0.867 0.650 0.000 0.000 0.000 0.000
Humidification and filtration unit (HMEF) EA (Each) Equipment 0.92 0.000 0.267 0.000 0.000 0.137 0.000 0.867 0.650 0.000 0.607 0.455 0.000
Endotracheal tube, 6.5-8mm ID EA (Each) Equipment 0.92 0.000 0.000 0.000 0.000 0.129 0.000 0.000 0.000 0.000 0.867 0.429 0.000
Endotracheal tube, 3-6mm ID EA (Each) Equipment 0.92 0.000 0.176 0.000 0.000 0.000 0.000 0.867 0.429 0.000 0.000 0.000 0.000
Laryngoscope blades, adult EA (Each) Equipment 0.92 0.000 0.000 0.000 0.000 0.078 0.000 0.000 0.000 0.000 0.867 0.260 0.000
Laryngoscope blades, pediatric EA (Each) Equipment 0.92 0.000 0.107 0.000 0.000 0.000 0.000 0.867 0.260 0.000 0.000 0.000 0.000
Laryngoscope handles EA (Each) Equipment 0.92 0.000 0.107 0.000 0.000 0.078 0.000 0.867 0.260 0.000 0.867 0.260 0.000
Endotracheal stylette EA (Each) Equipment 0.92 0.000 0.107 0.000 0.000 0.078 0.000 0.867 0.260 0.000 0.867 0.260 0.000
Resuscitation bag, adult EA (Each) Equipment 0.92 0.000 0.000 0.000 0.000 0.078 0.000 0.000 0.000 0.000 0.867 0.260 0.000
Resuscitation bag, pediatric EA (Each) Equipment 0.92 0.000 0.107 0.000 0.000 0.000 0.000 0.867 0.260 0.000 0.000 0.000 0.000
Ventilator oxygen (O2) Liters Liquid O2 Supplies 0.92 0.000 1.292 0.000 0.000 2.361 0.000 0.788 3.150 0.000 1.968 7.870 0.000
NC oxygen (O2) Liters Liquid O2 Supplies 0.92 1.675 3.953 6.700 1.675 4.690 6.700 0.000 0.000 6.700 0.000 0.000 6.700
Pulse oximeter EA (Each) Equipment 0.92 0.007 1.000 0.007 0.007 1.000 0.007 0.250 1.000 0.007 0.250 1.000 0.007
Finger pulse oximeter strip EA (Each) Equipment 0.92 1.000 0.650 0.650 1.000 0.650 0.650 1.000 0.650 0.650 1.000 0.650 0.650
End tidal CO2 detector, adult EA (Each) Equipment 0 0.000 0.000 0.000 0.000 0.390 0.000 0.000 0.000 0.000 0.867 0.433 0.000
End tidal CO2 detector, pediatric EA (Each) Equipment 0 0.000 0.533 0.000 0.000 0.000 0.000 0.867 0.043 0.000 0.000 0.000 0.000
Oxygen tubing (high flow) EA (Each) Equipment 0.92 0.000 0.384 0.000 0.000 0.455 0.000 0.429 0.000 0.000 0.429 0.000 0.000
Oxygen tubing (low flow) EA (Each) Equipment 0.92 0.325 0.000 0.650 0.325 0.000 0.650 0.000 0.000 0.650 0.000 0.000 0.650
Nebulizer sets EA (Each) Equipment 0.92 0.650 0.267 0.215 0.650 0.195 0.215 0.650 0.650 0.215 0.650 0.650 0.215
Nasal cannulas EA (Each) Equipment 0.92 1.300 0.384 0.429 1.300 0.455 0.429 0.000 0.000 0.429 0.000 0.000 0.429
Oxygen mask,adult EA (Each) Equipment 0.92 0.000 0.000 0.000 0.000 0.429 0.000 0.000 0.000 0.000 1.300 0.429 0.000
Oxygen masks, pediatric EA (Each) Equipment 0.92 0.000 0.429 0.000 0.000 0.000 0.000 1.300 0.429 0.000 0.000 0.000 0.000
Standard radiograph EA (Each) Radiology 0.5 0.021 0.021 0.000 0.021 0.021 0.000 0.021 0.021 0.000 0.021 0.021 0.000
Computed tomography Machine Time (24h) Radiology 0 0.000 0.000 0.000 0.000 0.000 0.000 0.021 0.000 0.000 0.021 0.000 0.000
FAST Machine Time (24h) Radiology 0 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
Radiology supplies single study EA (Each) Supplies 0.9 1.300 1.300 0.000 1.300 1.300 0.000 2.600 1.300 0.000 2.600 1.300 0.000
Chemistry lab machine Machine Time (24h) Laboratory 0.9 0.021 0.021 0.010 0.021 0.021 0.010 0.042 0.021 0.010 0.042 0.021 0.010
Chemistry lab supplies advanced panel EA (Each) Supplies 0.9 1.300 1.300 0.650 1.300 1.300 0.650 2.600 1.300 0.650 2.600 1.300 0.650
Hematology lab machines Machine Time (24h) Laboratory 0.9 0.021 0.021 0.010 0.021 0.021 0.010 0.042 0.021 0.010 0.042 0.021 0.010
Hematology lab supplies advanced panel EA (Each) Supplies 0.9 1.300 1.300 0.650 1.300 1.300 0.650 2.600 1.300 0.650 2.600 1.300 0.650
Micro/Virology lab machines Machine Time (24h) Laboratory 0.9 0.021 0.021 0.000 0.021 0.021 0.000 0.042 0.021 0.000 0.042 0.021 0.000
Micro lab supplies advanced diagnostic EA (Each) Supplies 0 1.300 1.300 0.000 1.300 1.300 0.000 2.600 1.300 0.000 2.600 1.300 0.000
Chest tube drainage system EA (Each) Supplies 0.8 0.000 0.034 0.000 0.000 0.034 0.000 0.169 0.034 0.000 0.169 0.034 0.000
NG tubes sizes 6F-16F EA (Each) Supplies 0.8 0.000 0.305 0.000 0.000 0.241 0.000 0.867 0.650 0.000 0.867 0.650 0.000
Enteral feeding tube EA (Each) Supplies 1 0.000 0.267 0.000 0.000 0.195 0.000 0.000 0.650 0.000 0.000 0.650 0.000
Temperature monitor, adult Machine Time (24h) Equipment 0.9 0.000 0.000 0.000 0.007 0.042 0.014 0.000 0.000 0.000 0.007 0.042 0.014
Temperature monitor, pediatric Machine Time (24h) Equipment 0.9 0.007 0.042 0.014 0.000 0.000 0.000 0.007 0.042 0.014 0.000 0.000 0.000
Temperature monitor cover EA (Each) Supplies 1 2.600 7.800 5.200 2.600 7.800 5.200 2.600 7.800 5.200 2.600 7.800 5.200
Urine output, Foley catheter 8F-12F EA (Each) Supplies 1 0.000 0.000 0.000 0.260 0.098 0.000 0.000 0.000 0.000 0.867 0.325 0.000
Urine output, monitor bag EA (Each) Supplies 0 0.000 0.390 0.000 0.000 0.390 0.000 0.000 0.390 0.000 0.867 0.390 0.000
BP cuffs, adult Machine Time (24h) Equipment 0.9 0.000 0.000 0.000 0.021 0.083 0.021 0.000 0.000 0.000 0.021 0.083 0.021
BP cuffs, pediatric Machine Time (24h) Equipment 0.9 0.021 0.083 0.021 0.000 0.000 0.000 0.021 0.083 0.021 0.000 0.000 0.000
N95/surgical masks EA (Each) Supplies 1 3.900 2.600 2.600 3.900 2.600 2.600 3.900 2.600 2.600 3.900 2.600 2.600
Face shields EA (Each) Supplies 1 0.800 0.800 0.100 0.800 0.800 0.100 0.800 0.800 0.100 0.800 0.800 0.100
Latex, non-sterile gloves EA (Each) Supplies 1 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250
Latex-free, non-sterile gloves EA (Each) Supplies 1 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250 3.250
Latex-free, sterile gloves EA (Each) Supplies 0.8 2.600 2.600 0.000 2.600 2.600 0.000 2.600 2.600 0.000 2.600 2.600 0.000
Gown, standard EA (Each) Supplies 1 1.300 1.300 0.000 1.300 1.300 0.000 1.300 1.300 0.000 1.300 1.300 0.000
Gown, fluid resistant EA (Each) Supplies 0.7 0.975 0.975 0.000 0.975 0.975 0.000 0.975 0.975 0.000 0.975 0.975 0.000
Alcohol hand sanitizer (L) Liters Supplies 1 0.100 0.250 0.100 0.100 0.250 0.100 0.100 0.250 0.100 0.100 0.250 0.100
Bleach-based cleaner (L) Liters Supplies 1 0.100 0.100 0.100 0.100 0.100 0.100 0.100 0.100 0.100 0.100 0.100 0.100
Hazmat red bag liner EA (Each) Supplies 1 1.000 2.000 0.250 1.000 2.000 0.250 1.000 2.000 0.250 1.000 2.000 0.250
IV catheters, 18g with protectocath guard EA (Each) IV 0.92 0.390 0.130 0.130 0.390 0.130 0.130 0.390 0.130 0.130 0.390 0.130 0.130
IV catheters, 20g with protectocath guard EA (Each) IV 0.92 0.390 0.130 0.130 0.390 0.130 0.130 0.390 0.130 0.130 0.390 0.130 0.130
IV catheters, 22g with protectocath guard EA (Each) IV 0.92 0.260 0.087 0.087 0.260 0.087 0.087 0.260 0.087 0.087 0.260 0.087 0.087
IV catheters, 24g with protectocath guard EA (Each) IV 0.92 0.260 0.087 0.087 0.260 0.087 0.087 0.260 0.087 0.087 0.260 0.087 0.087
IV start kits EA (Each) IV 0.92 1.300 0.433 0.433 1.300 0.433 0.433 1.300 0.433 0.433 1.300 0.433 0.433
IV tubing w/ Buretrol drip set for peds EA (Each) IV 0.92 1.300 0.433 0.433 0.000 0.000 0.000 1.300 0.433 0.433 0.000 0.000 0.000
IV tubing w/ standard macrodrip for adults EA (Each) IV 0.92 0.000 0.000 0.000 1.300 0.433 0.433 0.000 0.000 0.000 1.300 0.433 0.433
Sodium chloride flush 0.9% 3ml EA (Each) IV 0.92 2.600 7.800 7.800 2.600 7.800 7.800 2.600 7.800 7.800 2.600 7.800 7.800
Povidone iodine 10% swab sticks triples EA (Each) IV 0.92 1.300 0.433 0.433 1.300 0.433 0.433 1.300 0.433 0.433 1.300 0.433 0.433
IV site transparent dressing EA (Each) IV 0.92 1.300 0.433 0.433 1.300 0.433 0.433 1.300 0.433 0.433 1.300 0.433 0.433
Gauze pad 4x4 EA (Each) IV 0.92 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200
Heparin lock flush kit, 100 units ml EA (Each) IV 1 2.600 7.800 7.800 2.600 7.800 7.800 2.600 7.800 7.800 2.600 7.800 7.800
Syringes, 10cc EA (Each) IV 0.92 1.430 1.430 1.430 1.430 1.430 1.430 1.430 1.430 1.430 1.430 1.430 1.430
Syringes, 3cc EA (Each) IV 0.92 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200 5.200
Needles, butterfly, 23g EA (Each) IV 0.92 0.130 0.130 0.130 0.000 0.000 0.000 0.130 0.130 0.130 0.000 0.000 0.000
Needles, butterfly, 25g EA (Each) IV 0.92 0.130 0.130 0.130 0.000 0.000 0.000 0.130 0.130 0.130 0.000 0.000 0.000
Needles, sterile 18g EA (Each) IV 0.92 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600
Needles, sterile 21g EA (Each) IV 0.92 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600 2.600
Needles, sterile 25g EA (Each) IV 0.92 0.130 0.130 0.130 0.000 0.000 0.000 0.000 0.000 0.000 0.130 0.130 0.130
Catheter interosseous EA (Each) IV 0 0.130 0.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.130 0.065 0.000
Lactated Ringers solution, IV 1000 ml EA (Each) IVF 0.92 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
Sodium chloride 0.9% solution IV, 1000 ml EA (Each) IVF 0.92 0.293 1.170 1.170 0.683 2.730 1.950 0.293 1.170 1.170 0.683 2.730 1.950
Dextrose 5% sodium chloride 0.45% Inj. 1000 ml EA (Each) IVF 0.92 0.195 0.780 0.780 0.455 1.820 1.300 0.195 0.780 0.780 0.455 1.820 1.300
D5W or sterile water piggybacks of 50-250 ml size EA (Each) IVF 1 2.600 2.600 1.300 2.600 2.600 1.300 2.600 2.600 1.300 2.600 2.600 1.300
Saline for injection, sterile 10 ml EA (Each) IVF 1 2.600 2.600 1.300 2.600 2.600 1.300 2.600 2.600 1.300 2.600 2.600 1.300
IV pole EA (Each) IVF 1 1.300 1.300 1.300 1.300 1.300 1.300 1.300 1.300 1.300 1.300 1.300 1.300

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