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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 7. 1 KT and 10 KT Nuclear Device (continued)

Resources Consumed Per Patient Per Day, continued

Resource Units Category Subcategory Lambda1 Trauma-Collapse Light Trauma-Collapse HiRise
ED ICU Floor ED ICU Floor
Med/Surg bed One Bed Capacity Floor 1 0.083 0 0 0.083 0 0
ICU bed One Bed Capacity ICU 1 0 1 1 0 1 1
Burn bed One Bed Capacity Burn 1 0 0 0 0 0 0
Operating room One OR Suite Capacity OR 1 0.167 0 0 0.167 0 0
Airborne isolation room One Bed Capacity Isolation 0.9 0 0 0 0 0 0
Intensivists (CCM) FTE Staff CCM 0.7 0.083 0.083 0 0.083 0.083 0
Critical care nurses (CCN) FTE Staff CCN 1 0.25 0.5 0 0.25 0.5 0
Surgeons FTE Staff Surgeon 0.3 0.167 0.167 0.042 0.167 0.167 0.042
Non-intensivists (MD) FTE Staff MD 0.9 0.167 0 0.042 0.167 0 0.042
Non-critical care nurses (RN/LPN) FTE Staff RN 1 0.042 0 0.146 0.042 0 0.146
Respiratory therapists (RT) FTE Staff RT 0.7 0.083 0.083 0.042 0.083 0.083 0.042
Radiology machines Machine Time Lab/Radiology Radiology 0.3 0.042 0.042 0 0.042 0.042 0
Radiologic technicians FTE Staff Rad Tech 0.3 0.042 0.042 0 0.042 0.042 0
Pharmacists (PharmD/RPh) FTE Staff Pharmacist 0.7 0.021 0.042 0.042 0.021 0.042 0.042
Mechanical ventilator Machine Time Capacity Ventilator 0.9 1 1 0 1 1 0
Ventilator equipment One Ventilator Equipment Vent Tubing 0.9 0 1 0 0 1 0
Oxygen (O2) 24h O2 for Vent Supplies Oxygen 0.9 1 2 1 1 2 1
Oxygenation monitoring equipment Machine Time Equipment O2 Monitoring 0.9 0.25 1 1 0.25 1 1
Surgical supplies Trauma Set Supplies Surgical 0.3 1 0.25 0.125 1 0.25 0.125
Radiology supplies Radiographic Film Supplies Radiological 0.3 1 1 0 1 1 0
Ciprofloxacin or doxycycline 400mg/100mg bid Pharmacy Antibiotics 1 0 0 0 0 0 0
Rifampin or other 2nd line agent 600mg po bid Pharmacy Antibiotics 1 0 0 0 0 0 0
Antibiotics for secondary pneumonia Assorted Pharmacy Antibiotics 1 0 1 0 0 1 0
Surgical Infection prophylaxis/treatment Assorted Pharmacy Antibiotics 1 1 1 1 1 1 1
Neutropenia prophylaxis/treatment Assorted Pharmacy Antibiotics 1 0 0 0 0 0 0
Antibiotics intravenous infusion set One IV Piggyback Supplies IV set 1 1 0.5 0.5 1 0.5 0.5
Hemodynamic medications Assorted Pharmacy Hemodynamic 0.7 1 1 0 1 1 0
Intravenous fluids 24h LR or equiv. Pharmacy IVF 0.7 1 1 1 1 1 1
Intravenous infusions set One IV Set Supplies IV Set 0.7 1 1 1 1 1 1
Laboratory machines Machine Time Lab/Radiology Laboratory 0.7 0.083 0.083 0.042 0.083 0.083 0.042
Laboratory supplies CBC/CMP Reag. Supplies Laboratory 0.7 2 2 2 2 2 2
Temperature monitoring equipment Machine Time Equipment Temperature 1 0.25 1 1 0.25 1 1
Thromboembolism prophylaxis Enoxaparin 40mg sc qd Pharmacy DVT Prophylaxis 1 0 1 1 0 1 1
Urine output monitoring equipment Catheter and Bag Equipment U/O 1 0 1 1 0 1 1

Universal precautions PPE

Glove/gown/mask PPE Universal 1 1 1 1 1 1 1
Chemical PPE Level D PPE Chemical 0.3 0 0 0 0 0 0
Radiological PPE Level D PPE Radiological 0.3 1 1 0 1 1 0
Waste disposal Level D PPE Decon Waste 0.3 1 1 1 1 1 1
Mortuary decontamination materials Level D PPE Mortuary 0.3 0 0 0 0 0 0
Atropine sulfate 2mg Pharmacy Atropine 0.1 0 0 0 0 0 0
Pralidoxime 2g Pharmacy Pralidoxime 0.1 0 0 0 0 0 0
Diazepam 10mg Pharmacy Diazepam 0.1 0 0 0 0 0 0
EEG Machine Time Equipment Chemical 0.1 0 0 0 0 0 0
IV steroids Hydrocortisone 50mg IV q6h Pharmacy Steroids 0.7 0 0 0 0 0 0
DPTA 1g IV Pharmacy DPTA 0.1 1 1 1 1 1 1
Prussian blue 3mg po tid Pharmacy Prussian Blue 1 1 1 1 1 1 1
Growth factors Pegfilgrastim 6mg sc qw Pharmacy Growth factors 1 0 0 0 0 0 0
Stem cell transfusion Unit of Use Heme/Onc Stem Cell Trans 1 0 0 0 0 0 0
Geiger counter Machine Time Equipment Radiation 0.1 0.42 0.21 0.21 0.42 0.21 0.21
Enteral feedings (3/day/patient) Unit of Use Nutrition Enteral 1 0 0.5 0 0 0.5 0
Oral food (3 meals/day/ patient) Unit of Use Nutrition Oral 1 0 0.5 1 0 0.5 1
Sheet change 1 linen change Housekeeping Laundry 1 1 1 1 1 1 1
Patient infection control FTE Epidemiology Infection Control 0.5 0.042 0.042 0.021 0.042 0.042 0.021
Engineering FTE Engineering Facility 0.7 0.042 0.083 0.042 0.042 0.083 0.042
Janitorial/Housekeeping FTE Housekeeping Janitorial 1 0.125 0.125 0.083 0.125 0.125 0.083
Nutrition FTE Nutrition Counseling 0.5 0 0.083 0.083 0 0.083 0.083
Psychological support FTE Ancillary Psychologist 0.5 0 0 0.042 0 0 0.042
Mortuary FTE Mortuary Morgue 0.1 0 0.042 0.042 0 0.042 0.042

Resources Consumed Per Patient Per Day, continued

Resource Units Category Subcategory Lambdaa Radiation-Mild Radiation-Moderate Radiation-Severe
ED ICU Floor ED ICU Floor ED ICU Floor
Med/Surg bed One Bed Capacity Floor 1 0.083 0 0 0.083 0 0 0.083 0 0
ICU bed One Bed Capacity ICU 1 0 1 0 0 1 0 0 1 0
Burn bed One Bed Capacity Burn 1 0 0 0 0 0 0 0 0 0
Operating room One OR Suite Capacity OR 1 0 0 0 0 0 0 0 0 0
Airborne isolation room One Bed Capacity Isolation 0.9 0 0 0 0 0 0 0 0 0
Intensivists (CCM) FTE Staff CCM 0.7 0.083 0.083 0 0.083 0.083 0 0.083 0.083 0
Critical care nurses (CCN) FTE Staff CCN 1 0.083 0.33 0 0.083 0.33 0 0.083 0.33 0
Surgeons FTE Staff Surgeon 0.3 0 0.042 0 0 0.042 0 0 0.042 0
Non-intensivists (MD) FTE Staff MD 0.9 0.167 0 0.042 0.167 0 0.042 0.167 0 0.042
Non-critical care nurses (RN/LPN) FTE Staff RN 1 0.042 0 0.146 0.042 0 0.146 0.042 0 0.146
Respiratory therapists (RT) FTE Staff RT 0.7 0.083 0.083 0 0.083 0.083 0 0.083 0.083 0
Radiology machines Machine Time Lab/Radiology Radiology 0.3 0.021 0.021 0 0.021 0.021 0 0.021 0.021 0
Radiologic technicians FTE Staff Rad Tech 0.3 0.021 0.021 0 0.021 0.021 0 0.021 0.021 0
Pharmacists (PharmD/RPh) FTE Staff Pharmacist 0.7 0.021 0.042 0.042 0.021 0.042 0.042 0.021 0.042 0.042
Mechanical ventilator Machine Time Capacity Ventilator 0.9 0 1 0 0 1 0 0 1 0
Ventilator equipment One Ventilator Equipment Vent Tubing 0.9 0 1 0 0 1 0 0 1 0
Oxygen (O2) 24h O2 for Vent Supplies Oxygen 0.9 1 2 0 1 2 0 1 2 0
Oxygenation monitoring equipment Machine Time Equipment O2 Monitoring 0.9 0.083 1 0 0.083 1 0 0.083 1 0
Surgical supplies Trauma Set Supplies Surgical 0.3 0 0.25 0 0 0.25 0 0 0.25 0
Radiology supplies Radiographic Film Supplies Radiological 0.3 1 1 0 1 1 0 1 1 0
Ciprofloxacin or doxycycline 400mg/100mg bid Pharmacy Antibiotics 1 0 0 0 0 0 0 0 0 0
Rifampin or other 2nd line agent 600mg po bid Pharmacy Antibiotics 1 0 0 0 0 0 0 0 0 0
Antibiotics for secondary pneumonia Assorted Pharmacy Antibiotics 1 0 1 0 0 1 0 0 1 0
Surgical Infection prophylaxis/treatment Assorted Pharmacy Antibiotics 1 0 0 0 0 0 0 0 0 0
Neutropenia prophylaxis/treatment Assorted Pharmacy Antibiotics 1 0 0 0 1 1 1 1 1 1
Antibiotics intravenous infusion set One IV Piggyback Supplies IV set 1 0 0.5 0.5 1 0.5 1 1 0.5 1
Hemodynamic medications Assorted Pharmacy Hemodynamic 0.7 0 1 0 0 1 0 0 1 0
Intravenous fluids 24h LR or equiv. Pharmacy IVF 0.7 1 1 1 1 1 1 1 1 1
Intravenous infusions set One IV Set Supplies IV Set 0.7 1 1 1 1 1 1 1 1 1
Laboratory machines Machine Time Lab/Radiology Laboratory 0.7 0.083 0.166 0.083 0.083 0.166 0.083 0.083 0.166 0.083
Laboratory supplies CBC/CMP Reag. Supplies Laboratory 0.7 3 6 3 3 6 3 3 6 3
Temperature monitoring equipment Machine Time Equipment Temperature 1 0.083 1 0 0.083 1 0 0.083 1 0
Thromboembolism prophylaxis Enoxaparin 40mg sc qd Pharmacy DVT Prophylaxis 1 0 1 0 0 1 0 0 1 0
Urine output monitoring equipment Catheter and Bag Equipment U/O 1 0 1 0 0 1 0 0 1 0

Universal precautions PPE

Glove/gown/mask PPE Universal 1 1 1 1 1 1 1 1 1 1
Chemical PPE Level D PPE Chemical 0.3 0 0 0 0 0 0 0 0 0
Radiological PPE Level D PPE Radiological 0.3 1 0 0 1 0 0 1 0 0
Waste disposal Level D PPE Decon Waste 0.3 1 1 1 1 1 1 1 1 1
Mortuary decontamination materials Level D PPE Mortuary 0.3 0 0 0 0 0 0 0 0 0
Atropine sulfate 2mg Pharmacy Atropine 0.1 0 0 0 0 0 0 0 0 0
Pralidoxime 2g Pharmacy Pralidoxime 0.1 0 0 0 0 0 0 0 0 0
Diazepam 10mg Pharmacy Diazepam 0.1 0 0 0 0 0 0 0 0 0
EEG Machine Time Equipment Chemical 0.1 0 0 0 0 0 0 0 0 0
IV steroids Hydrocortisone 50mg IV q6h Pharmacy Steroids 0.7 0 0 0 0 0 0 0 0 0
DPTA 1g IV Pharmacy DPTA 0.1 1 1 1 1 1 1 1 1 1
Prussian blue 3mg po tid Pharmacy Prussian Blue 1 0 0 0 0 0 0 0 0 0
Growth factors Pegfilgrastim 6mg sc qw Pharmacy Growth factors 1 0 1 1 0 1 1 0 1 1
Stem cell transfusion Unit of Use Heme/Onc Stem Cell Trans 1 0 1 0 0 1 0 0 1 0
Geiger counter Machine Time Equipment Radiation 0.1 0.42 0.21 0.21 0.42 0.21 0.21 0.42 0.21 0.21
Enteral feedings (3/day/patient) Unit of Use Nutrition Enteral 1 0 0.5 0.5 0 0.5 0.5 0 0.5 0.5
Oral food (3 meals/day/ patient) Unit of Use Nutrition Oral 1 0 0.5 1 0 0.5 1 0 0.5 1
Sheet change 1 linen change Housekeeping Laundry 1 1 1 1 1 1 1 1 1 1
Patient infection control FTE Epidemiology Infection Control 0.5 0.021 0.042 0.042 0.021 0.042 0.042 0.021 0.042 0.042
Engineering FTE Engineering Facility 0.7 0.042 0.083 0.042 0.042 0.083 0.042 0.042 0.083 0.042
Janitorial/Housekeeping FTE Housekeeping Janitorial 1 0.125 0.125 0.083 0.125 0.125 0.083 0.125 0.125 0.083
Nutrition FTE Nutrition Counseling 0.5 0 0.083 0.083 0 0.083 0.083 0 0.083 0.083
Psychological support FTE Ancillary Psychologist 0.5 0 0 0.042 0 0 0.042 0 0 0.042
Mortuary FTE Mortuary Morgue 0.1 0 0.042 0.042 0.042 0.042 0.042 0.042 0.042 0.042

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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