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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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

Facility Checklist

Supplies/Advanced Patient Care

Tour the former advanced patient care areas to discover existing equipment, determine goods currently in the space, and help calculate the needs for additional equipment. These areas will not be equipped for their original service but refitted to provide additional general patient surge capacity.

Date: ____________  Location: _______________________  Team member: __________________________

Emergency Room Area




Existing fixed equipment:  


Existing removable equipment:  


Current goods that must be removed:  


Potential number of patients housed:  


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


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