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Reopening Shuttered Hospitals to Expand Surge Capacity

Public Health Emergency Preparedness

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

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Table 9. Acute Care Center Recommended Staffing

Staff Type Position(s)
Administrator One person—may be an administrator, nurse, or physician executive
Communications Section Director and a Communications Specialist
Security/Safety Section Director and enough Security Guards for every entry point and potentially high risk areas, e.g., pharmacy
Community Liaison Section Director and Liaison Assistant
Records/Planning Section Director
Admission/Registration (one Clerical Supervisor and 2-4 Clerks),
Labor Pool Leader
Volunteers (admissions, nursing area, morgue, supply, and transportation)
Internal Patient Transportation (Clerk and 6 Transporters)
Medical Operations Director
Patient Care Coordinator
Staffing for nursing subunits (see above)
Pharmacy Unit Leader, Pharmacist and Pharmacy Technician
Family Services—a licensed Social Worker or Chaplain with volunteers to assist
Temporary morgue—Unit Leader, one Clerk and one Volunteer
Supply/Logistics Section Director
Maintenance Unit Leader, Clerk and five Volunteers
Transportation Unit Leader, Transporters
Food Service Supervisor, one Ordering Clerk and four Food Handlers per 12 hour shift for each 250-bed pod. (Food is prepared offsite for patients and staff.)
Housekeeping Supervisor and 1-2 per nursing subunit, 1 for administrative areas and volunteers
Finance Section Director
If needs/resources available, may add cost accounting, time, and procurement.

Sources: Skidmore, S, Wall, WT, Church, JK. 2003. Modular Emergency Medical System: Concept of Operations for the Acute Care Center (ACC).

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