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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 12. Improvised Explosive Device (continued)

12.6 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 Subcategory Lambdaa Affected Moderate Severe
ED ICU Floor ED ICU Floor ED ICU Floor
Adult med/surg bed EA (Each) Capacity Adult Med/Surg 1 0.225 0.000 0.900 0.225 0.000 0.900 0.225 0.000 0.900
Adult ICU bed EA (Each) Capacity Adult ICU 1 0.000 0.711 0.000 0.000 0.594 0.000 0.000 0.540 0.000
Pediatric med/surg bed EA (Each) Capacity Pediatric Med/Surg 1 0.025 0.000 0.100 0.025 0.000 0.100 0.025 0.000 0.100
Pediatric ICU bed EA (Each) Capacity Pediatric ICU 1 0.000 0.079 0.000 0.000 0.066 0.000 0.000 0.060 0.000
Burn Bed EA (Each) Capacity Burn 1 0.025 0.210 0.000 0.038 0.340 0.000 0.050 0.400 0.000
Operating room EA (Each) Capacity OR 0 0.030 0.015 0.015 0.030 0.015 0.015 0.030 0.015 0.015
Airborne isolation room EA (Each) Capacity Isolation 0.7 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
Intensivists (CCM) FTE Staff CCM 0.9 0.021 0.031 0.000 0.042 0.031 0.000 0.042 0.031 0.000
Critical care nurses (CCN) FTE Staff CCN 1 0.000 0.333 0.000 0.083 0.333 0.000 0.125 0.333 0.000
Surgeons FTE Staff Surgeon 0 0.051 0.046 0.036 0.051 0.052 0.036 0.051 0.054 0.036
Non-intensivists (MD) FTE Staff MD 1 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 RN 1 0.083 0.000 0.125 0.083 0.000 0.125 0.042 0.000 0.125
Pharmacists (PharmD/RPh) FTE Staff Pharmacist 0.7 0.000 0.021 0.000 0.042 0.021 0.000 0.042 0.021 0.000
Respiratory therapists (RT) FTE Staff RT 1 0.000 0.031 0.000 0.021 0.042 0.000 0.021 0.042 0.000
Mortuary FTE Staff Mortuary 0 0.000 0.042 0.000 0.000 0.042 0.000 0.000 0.042 0.000
Adult mechanical ventilator EA (Each) Capacity Ventilator 0.92 0.000 0.189 0.000 0.051 0.306 0.000 0.060 0.360 0.000
Pediatric mechanical ventilator EA (Each) Capacity Ventilator 0.92 0.000 0.021 0.000 0.006 0.034 0.000 0.007 0.040 0.000
Adult ventilator circuit EA (Each) Equipment Ventilator Kit 0.92 0.000 0.123 0.000 0.265 0.199 0.000 0.312 0.234 0.000
Pediatric ventilator circuit EA (Each) Equipment Ventilator Kit 0.92 0.000 0.014 0.000 0.029 0.022 0.000 0.035 0.026 0.000
Closed circuit suction catheter 14F EA (Each) Equipment Ventilator Kit 0.92 0.000 0.123 0.000 0.265 0.199 0.000 0.312 0.234 0.000
Closed circuit suction catheter 8-12F EA (Each) Equipment Ventilator Kit 0.92 0.000 0.014 0.000 0.029 0.022 0.000 0.035 0.026 0.000
Humidification and filtration unit (HMEF) EA (Each) Equipment Ventilator Kit 0.92 0.000 0.096 0.000 0.206 0.155 0.000 0.243 0.182 0.000
Endotracheal tube, 6.5-8mm ID EA (Each) Equipment Intubation 0.92 0.000 0.081 0.000 0.265 0.131 0.000 0.312 0.154 0.000
Endotracheal tube, 3-6mm ID EA (Each) Equipment Intubation 0.92 0.000 0.009 0.000 0.029 0.015 0.000 0.035 0.017 0.000
Laryngoscope blades, adult EA (Each) Equipment Intubation 0.92 0.000 0.049 0.000 0.265 0.080 0.000 0.312 0.094 0.000
Laryngoscope blades, pediatric EA (Each) Equipment Intubation 0.92 0.000 0.005 0.000 0.029 0.009 0.000 0.035 0.010 0.000
Laryngoscope handles EA (Each) Equipment Intubation 0.92 0.000 0.055 0.000 0.295 0.088 0.000 0.347 0.104 0.000
Endotracheal stylette EA (Each) Equipment Intubation 0.92 0.000 0.055 0.000 0.295 0.088 0.000 0.347 0.104 0.000
Resuscitation bag, adult EA (Each) Equipment Ventilator Kit 0.92 0.000 0.049 0.000 0.265 0.080 0.000 0.312 0.094 0.000
Resuscitation bag, pediatric EA (Each) Equipment Ventilator Kit 0.92 0.000 0.005 0.000 0.029 0.009 0.000 0.035 0.010 0.000
Ventilator oxygen (O2) Liters Liquid O2 Supplies Oxygen 0.92 0.000 1.554 0.000 0.629 2.515 0.000 0.740 2.959 0.000
NC oxygen (O2) Liters Liquid O2 Supplies Oxygen 0.92 1.675 6.700 6.700 1.675 6.700 6.700 1.675 6.700 6.700
Pulse oximeter EA (Each) Equipment O2 Monitoring 0.92 0.250 1.000 0.082 0.250 1.000 0.082 0.250 1.000 0.082
Finger pulse oximeter strip EA (Each) Equipment O2 Monitoring 0.92 1.000 0.500 0.500 1.000 0.500 0.500 1.000 0.500 0.500
End tidal CO2 detector, adult EA (Each) Equipment O2 Monitoring 0 0.015 0.390 0.000 0.015 0.390 0.000 0.015 0.390 0.000
End tidal CO2 detector, pediatric EA (Each) Equipment O2 Monitoring 0 0.000 0.040 0.000 0.000 0.040 0.000 0.000 0.040 0.000
Oxygen tubing (high flow) EA (Each) Equipment O2 Monitoring 0.92 0.000 0.650 0.000 1.004 0.283 0.000 0.952 0.257 0.000
Oxygen tubing (low flow) EA (Each) Equipment O2 Monitoring 0.92 0.325 0.000 0.650 0.000 0.000 0.650 0.000 0.000 0.650
Nebulizer sets EA (Each) Equipment O2 Monitoring 0.92 0.325 0.137 0.107 0.325 0.221 0.107 0.325 0.260 0.107
Nasal cannulas EA (Each) Equipment O2 Monitoring 0.92 1.300 0.650 0.429 0.000 0.000 0.429 0.000 0.000 0.429
Oxygen mask, adult EA (Each) Equipment O2 Monitoring 0.92 0.000 0.386 0.000 0.772 0.255 0.000 0.702 0.232 0.000
Oxygen mask, pediatric EA (Each) Equipment O2 Monitoring 0.92 0.000 0.043 0.000 0.086 0.028 0.000 0.078 0.026 0.000
Standard radiograph EA (Each) Radiology CXR 0.5 0.063 0.021 0.000 0.063 0.021 0.000 0.084 0.021 0.000
Computed tomography Machine Time (24h) Radiology CT 0 0.000 0.000 0.000 0.063 0.004 0.000 0.063 0.004 0.000
FAST Machine Time (24h) Radiology FAST 0 0.000 0.000 0.000 0.006 0.000 0.000 0.006 0.000 0.000
Radiology supplies single study EA (Each) Supplies Rad Supplies 0.9 1.300 1.300 0.000 3.900 1.000 0.000 5.200 1.000 0.000
Chemistry lab machine Machine Time (24h) Laboratory Chem 0.9 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 Chem Supplies 0.9 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 Heme 0.9 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 Heme Supplies 0.9 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 Micro 0.9 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 Micro Supplies 0 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 Chest Tube 0.8 0.000 0.195 0.000 0.975 0.195 0.000 0.975 0.195 0.000
NG tubes sizes 6F-16F EA (Each) Supplies NG Tube 0.8 0.000 0.188 0.000 0.352 0.264 0.000 0.399 0.299 0.000
Enteral feeding tube EA (Each) Supplies Feeding Tube 1 0.000 0.137 0.000 0.000 0.221 0.000 0.000 0.260 0.000
Temperature monitor, adult Machine Time (24h) Equipment TempA 0.9 0.006 0.030 0.013 0.006 0.025 0.013 0.006 0.023 0.013
Temperature monitor, pediatric Machine Time (24h) Equipment TempP 0.9 0.001 0.003 0.001 0.001 0.003 0.001 0.001 0.003 0.001
Temperature monitor cover EA (Each) Supplies TempCov 1 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 Foley 1 0.000 0.061 0.000 0.295 0.099 0.000 0.347 0.117 0.000
Urine output, monitor bag EA (Each) Supplies Urinary Bag 0 0.000 0.390 0.000 0.295 0.390 0.000 0.347 0.390 0.000
BP cuffs, adult Machine Time (24h) Equipment BPCuffA 0.9 0.019 0.059 0.019 0.019 0.050 0.019 0.019 0.045 0.019
BP cuffs, pediatric Machine Time (24h) Equipment BPCuffP 0.9 0.002 0.007 0.002 0.002 0.006 0.002 0.002 0.005 0.002
N95/surgical masks EA (Each) Supplies Mask 1 3.900 2.600 2.600 3.900 2.600 2.600 3.900 2.600 2.600
Face shields EA (Each) Supplies Shield 1 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 Glove, latex 1 6.500 6.500 3.250 13.000 13.000 6.500 13.000 13.000 6.500
Latex-free, non-sterile gloves EA (Each) Supplies Glove, latex-free 1 3.250 3.250 3.250 6.500 6.500 3.250 6.500 6.500 3.250
Latex-free, sterile gloves EA (Each) Supplies Glove, sterile 0.8 2.600 2.600 0.000 2.600 2.600 0.000 2.600 2.600 0.000
Gown, standard EA (Each) Supplies Gown 1 3.900 2.600 1.300 3.900 2.600 1.300 3.900 2.600 1.300
Gown, fluid resistant EA (Each) Supplies GownFluidR 0.7 0.975 0.975 0.000 0.975 0.975 0.000 0.975 0.975 0.000
Alcohol hand sanitizer (L) Liters Supplies Sanitizer 1 0.100 0.250 0.100 0.100 0.250 0.100 0.100 0.250 0.100
Bleach-based cleaner (L) Liters Supplies Sanitizer 1 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 Bag 1 2.000 4.000 0.500 2.000 4.000 1.000 2.000 4.000 1.000

a Lambda captures the resource requirement decay rate for a resource. Lambda = 1 implies no decay; the patient requires a constant amount of the resource while s/he is hospitalized. Lambda <1 implies that less of the resource is required each day the patient is hospitalized. Go to section 2.2 for details.

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