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Surge Tool Kit and Facility Checklist

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.

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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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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Facility Checklist

Supplies/Surge Capacity Potential

Partially Shuttered Hospital Facility Walk-through

Date:


Location:


Team member:


Title:


Affiliation:


 

Overall Findings and Recommendations

For each of the statements below, circle the scenario(s)—if any—for which the statement is true.

Scenario A = Non-critical medical/surgical patients are moved to this facility to create space for critical patients/incident victims at the major hospitals.

Scenario B = This entire facility becomes a quarantine/isolation facility for victims.

The plan is for the shuttered facility to be brought up to active status within 3 to 7 days of a major terrorist incident or public health emergency. There is no intention to set up surgical facilities at the facility under either scenario.

 

Based on the walk-through, my finding is:

       Scenario
A B No potential for surge capacity use.
A B Potential for consolidation (i.e., facility may not be returned to full original capacity, but could be made usable for a certain number of beds by consolidating equipment in current space).
A B Potential for surge capacity use with extensive refitting/renovation.
A B Potential for surge capacity use with moderate refitting/renovation.
A B Potential for surge capacity use with limited refitting/renovation.

 

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

 

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