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 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 |
| TOTAL EQUIPMENT COSTS |
$19,605.74 |
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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 |
| IV Set |
15DR/ML, LL,NO |
| 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.
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