Skip Navigation U.S. Department of Health and Human Services
Agency for Healthcare Research Quality
Archive print banner
Disaster Alternate Care Facility Selection Tool

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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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: Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to for current information.

Table 4. Level I: Hospital Augmentation/Limited ACF Cache (50 Patients)

Item Number Cost Each Item Total
Disaster/surge capacity trailer 1 10,000 10,000
Patient cots 45 50 2250
Patient cots, with wheels, collapsible 10 250 2500
Linens - Sheets (2 per patient + extras) 150 4.56 684
Linens - Blankets 75 13.5 1012.50
Linens - Pillows (disposable - case of 15) 4 43.2 172.80
Linens - Pillow cases 100 1.14 114
N95 masks (case of 210) 1 98 98
Gloves - Latex Free Exam - small (case of 1000) 1 36 36
Gloves - Latex Free Exam - medium (case of 1000) 1 36 36
Gloves - Latex Free Exam - large (case of 1000 1 38.34 38.34
Gloves - Powder Free Exam - small (case of 1000) 1 37.55 37.55
Gloves - Powder Free Exam - medium (case of 1000) 1 37.55 37.55
Gloves - Powder Free Exam - large (case of 1000) 1 39 39
Gowns ( for staff - splash resistant - case of 12) 10 39 390
Bag-valve-mask respirators 10 11 110
Blood pressure cuffs (manual) 5 40 200
Stethoscopes 10 35 350
IV Poles 25 60 1500

Return to Document

Table 5. Level II Regional ACF Cache (500 Patients)

Product Namea, b Descriptionc
Applicator, cotton tipped sterile, cotton-tipped, wood shaft; 5 yr shelf life
Bag Holder rectangular aluminum
Bag Valve-Mask (adult) Disposable
Bag Valve-Mask (infant) Disposable
Bag, Disposable Plastic, drawstring, 33 gal.
Bag, Disposable, Biohazard disposable, 2 ml, red, 33 gallon
Batteries, AA for flashlights
Bedpan pontoon type, plastic
Bedpan, Fracture Plastic, female, mauve
Blanket, Flannel  
Blanket, infant white, cotton
Blanket, thermal WHI2.2 lb 48
Blood Pressure Unit Aneroid, Adult, L/F
Blood Pressure Unit Aneroid, Child, L/F
Brief, Adult Trimline, Medium, 8/12'sF
Bungy Cords 20 piece assortment
Chair, Folding Poly
Clip Boards brown clipboard
Cots, Portable Collapsible deluxe aluminum military cot
Cots, Portable 500 lb rated 600 Denier nylon PVC-back poly on aluminum frame
Crib, Peds, Portable single drop rail
Diapers, disposable Baby, Cloth-Like CVR
Disinfectants/detergent Meritz Plus, 32 oz.
Emesis Basin  
Form, General Medicine  
Form, Laboratory, Diagnostic  
Form, Registration, English  
Form, Registration, Spanish  
Gate, Child Superyard XT Gate by Northgate Industries
Gloves Medium, powder free, chloroprene
Gloves Large, powder free, chloroprene
Gown, Patient, disposable Adult, tissue/poly-tissue, blue; 2 yr shelf life
Gown, Patient, disposable Pediatric, poly, white
Gown, Provider MEDIUM, DuPont ProVent, Open back
Gown, Provider LARGE, DuPont ProVent, Open back
Hamper Bag drawcord, p/c natural
Hamper, Linen (soiled) Rectangular stnd w/o lid
Hand Cleaner (waterless) Epi-Clenz, 4 oz 70% ethyl
ID Band, Insert Adult, vinyl, Blue
ID Band, pediatric vinyl, snap, pink
Light, Flashlight VersaBrite II, 8000 cp
Light, Headlamp Trident halogen w/cloth strap
Mask, N-95 particulate respirators Resp, 8211 N95, Cool Flw
Mask, Oxygen, Adult Medium concent w/7'
Mask, Oxygen, Pediatric Medium concen, 7'TB
Mat, Child Mahar flat rest mat/2" foam (10 yr warranty)
Mattress, Portable Crib Kolcraft, 2.5" thick, nonallergenic
Mattress Underpad, Crib Polymer, Deluxe
Name Badge & Holder, plastic clip-on inkjet/laserjet, 100/box
Notepads White, 100 pages
Pack, Ice Cold Compress
Pack, Warm Solar-Pack
Penlight, disposable 6 /pk
Pens, Standard Bic Clic Stick
Pillowcase, disposable Tissue/Poly, White
Pillows, disposable Protect a Med Cot Pillow, blue
Pole, IV 4 caster, 2 hook
Scissors, Lister bandage 5 1/2"
Screen, Privacy, 3-panel folding, w/casters, flame retardant
Sharps Containers, Biohazard 2 gal. Red
Sheets, Stretcher Tissue/Poly, Blue
Soap, Liquid Protection Plus Antimicrobial
Spectacles, Eye Protective clear, wraparound, poly
Stethoscope, dual head black, 5 yr shelf life
Storage container clear plastic, attached top
Stretcher, Folding Ferno Model 12
Stretcher, w/Wheels Ferno Model 11
Table, Folding Gray
Tape, Cloth Cloth
Tape, Duct  
Thermometer, Disposable Strips Nextemp 1 use thermometer; 5 yr shelf life
Tongue depressor  
Tourniquet latex free
Urinal, male w/Hill-Rom Compatible Handle

a The inclusion of product brand names is for identification and illustrative purposes only and does not imply any type of endorsement or specific recommendation.
b Quantities must take into consideration both the length of time the site will be in use (before re-supply can occur) and the purpose of the site.
c For storage purposes, calculate the overall space needed based on the size of boxes or containers the items will be stored in.

Return to Document

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


AHRQ Advancing Excellence in Health Care