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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.

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Table 6. Equipment Considerations for Level III Comprehensive ACF Medical Cache (50 Bed Unit)

Equipment Infectious Non-Infectious Quarantine
Beds/Cots (with extra) 52 52 52
Chairs correlation with staffing level 12 12 4
Desks correlation with staffing level 6 6 2
Fax Machine 1 1 ?
Housekeeping Cart with supplies 1 1 1
Internet email Access 1 1 1
IV Poles 50 50 0
Linens (sheets/pillows/pillow cases/hand towels/ bath towels) 100 100 100
Patient Commodes 4 4 1
Pharmacy Carts 2 2 1
Privacy Dividers 25 25 25
Refrigerators (food/meds) 3 3 1
Stretchers 2 2 0
Supply Carts 3 3 1
Telephones 5 5 5
Treatment Carts 2 2 0
Washing Machine 1 1 1
Wheelchairs 2 2 1

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Table 7. Patient Care-Related Consumables for Level III Comprehensive ACF Medical Cache (50 Bed Unit)

Item Description Calculations of Quantities Total Item Count Unit of Issue Total UoIs Required
Alcohol pads (multiple widespread use) 2-4 Boxes per 24 hours 14-28 Box 1 Box
Catheters, intraosseous module blue (pediatric use) May use 1/day max. 6-7/wk of 1 standard size Each 7 Each
Intermittent IV access device (lock) 50 pts initially (first day) then 10% 250/wk 50/Box 5 Boxes
IV catheters, 18g with protectocath guard 40% of pts req IVs 150/wk 50/Box 3 Boxes
IV catheters, 20g with protectocath guard 40% of pts req IVs 150/wk 50/Box 3 Boxes
IV catheters, 22g with protectocath guard 10% of pts req IVs 25/wk 50/Box 0.5 Boxes
IV catheters, 24g with protectocath guard 10% of pts req 25/wk 50/Box 0.5 Boxes
IV fluid bags, NS, 1000cc (required by 60% of patients) (50% of pts(25)/day x 3L/pt)x 315 L/wk 12/Case 18 Cases
IV fluid bags, D5 1/2NS, 1000cc (required by 40% of patients)l (50% of pts(25)/day x 3L/9t)x 210 L/wk 12/Case 18 Cases
IV start kits Same # as intermittent access device 60 25/Box 2.5 Boxes
IV tubing w/ Buretrol drip set for peds 10% peds/wk 25/wk 20/Case 1.25 Cases
IV tubing w/ standard macrodrip for adults Same # as intermittent 250/wk 48/Case 5 Cases
Needles, Butterfly, 23g 10% peds/wk 25/wk 50/Box 0.5 Boxes
Needles, Butterfly, 25g 10% ped/wk 25/wk 50/Box 0.5 Boxes
Needles, sterile 18g 1 box/day 7 boxes/wk 100/Box 7 Boxes
Needles, sterile 21g 1 box/day 7 boxes/wk 100/Box 7 Boxes
Needles, sterile 25g 1 box/day 7 boxes/wk 100/Box 7 Boxes
Saline for injection 10cc bottle 50 bottles/day 350 bottles/wk 24 /Box 14.5 Boxes
ABD bandage pads, sterile 10% pts/day = 5 pads/day+35 pads/wk 7 boxes/wk 50/Box 7 Boxes
BandAids 1 box/day 7 boxes/wk 50/Box 7 Boxes
Basins, bath 20 pts/day 140/wk 100/Case 1.5 Cases
Bathing supply, prepackaged (e.g.Bath in a Bag (TM)) 50 pts every day 350/wk   350
Bedpans - regular 40 pts/day initially then 10% 65/wk 50/Case 1.25 Cases
Toilet Paper 25 rolls/day 175 rolls/wk   175 Rolls
Blankets 50 pts/day; changed daily 50/day or 350/wk   350/Week
Carafes - 1 liter (for variety of uses) 30/day 210/wk   210/Week
Cart, supply 3/unit (1 for IV's;1 for Pt 3/unit    
Chux protective pads (many uses) 3/pt q3hrs = 24 chux/pt/day x 50 pts + 1200/day 8400/wk 50/Box 168 Boxes
Cots (have extras available to replace broken equipment) 50/unit plus 2 extra 52/unit   52/Unit
Curtains, privacy (wheeled) 25 (every other bed) 25/unit   25/Unit
Diapers - adult 10/day 70/wk 72/Case 1 Case
Diapers - infant 8/day/infant x 5 infants/day 280/wk 144/Case 3 Cases
Diapers - pediatric 5/day/ped x 5 peds/day = 25/day 175/wk 144/Case 1.25 Cases
Emesis basins 100/wk 100/wk 250/Case 0.5 Case
Facial tissue, individual patient box 1 box/pt/day 350 boxes/wk 200 Boxes 1.75 Cases
Feeding tubes, pediatric        
- 5 French 10/wk 10/wk 10/Box 1 Box
-8 French 10/wk 10/wk 10/Box 1 Box
Foley Catheters - 16F Kits (includes drainage bag) >50% of pts wk 100/wk 10/Case 10 Cases
Gloves non-sterile, small/medium/large (latex and non latex) 6 boxes/day 42 boxes/wk 100/Box 42 Boxes
Goggles / face shields, splash resistant, disposable 6 boxes/day 42 boxes/wk 100/Box 42 Boxes
Gown, splash resistant, disposable 3/staff/shift = 36/day 252/wk Box 42 Boxes
Mask, N95, for staff (particulate respirator) 36/day 252/wk 210/Case 1.2 Cases
Gown, patient 75/day 525/wk    
Mask, 3M 1800 for patient 150/day 1050/wk    
Gauze pads, non-sterile, 4x4 size, 400/day 2800/wk    
Hand cleaner, waterless alcohol-based 1 per handwash station/day x 28/wk 25 Bottles/Case 1 Case
Paper Towels 25 rolls/day 175 rolls/wk   175 Rolls
Lubricant, Water soluble   1-2 boxes wk 25 Boxes 0.5 Boxes
Medicine cups, 30ml, plastic 2/pt/day = 100/day 700/wk   700/Week
Morgue Kits Tularemia: 15pt/day mortality 300/wk   300/Week
Nasogastric tubes - 18F   25/wk 50/Case 0.5 Cases
OB Kits   1/wk   1/Week
Pen lights   12/unit 6/Box 2 Boxes
Povidone-iodine bottles, 12 oz 2/day 14/wk 48 Bottles 0.25 Cases
Restraints, Extremity, soft - adult   25/wk 48/Case 0.5 Cases
Sanitary pads (OB pads) 2 women/wk; 10 pads/day 20 pads/wk 12 Pads 2 Boxes
Sharps disposal containers - 2 gallon 2-4/wk/unit 2-4/wk 20/Case 0.25 Cases
Sheets, disposable, paper, for stretchers & cots 100/day 700/wk   700/Week
Syringes, 10cc, luer lock 4 boxes/wk (100 ct box) 400 wk 100/Box 4 Boxes
Syringes, 3cc, luer lock, w/ 21g 1.5" needle 200/day 1400/wk 100/Box 14 Boxes
Syringes, catheter tip 60cc   25/wk 50/Box 0.5 Boxes
Syringes, Insulin 4/day 28/wk 100/Box 0.25 Boxes
Syringes, TB 2/day 14/day 100/Box 0.4 Boxes
Tape, silk - 1 inch 12/day 96/wk 12 Rolls/Box 8 Boxes
Tape, silk - 2 inch 6/day 42/wk 12 Bolls/Box 3.5 Boxes
Toilet tissue 25 rolls/day 175 rolls/wk   175 Rolls
Tongue depressors   2 boxes/wk 500/Box 2 Boxes
Tubex [TM] pre-filled syringe holders 1 per staff member plus 12/sub-unit 50/Case 0.25 Cases
Urinals   50/wk 50/Case 1 Case
Washcloths, disposable   10/pt/day 3500/Wk 3500/Week
Water, bottled 1 liter (for mixing ORT) 1/patient 200/wk   200/Week
Water container, 1 gallon potable   125/wk   125/Week
Drinking cups        
Diagnostic Supplies
Glucometer   1 per unit Each  
Glucometer test strips   2 bottles/wk 50 Strips/Viles 2 Viles
Probe covers for thermometers 4 boxes/day 28 boxes/wk 20/Box 28 Boxes
Protocol unit (or other brand), 02 sat monitor, thermometer, BP, HR   4 per unit Each  
Protocol unit, disposable plastic BP covers 200/day 1400/wk    
Single Use Shielded Lancets 25/day 175/wk   1 Box
Stethoscopes   12/unit Each 12

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Table 8. Administrative Consumables for Level III Comprehensive ACF Medical Cache (50 Bed Unit)

Item Description
Pens - Black ballpoint
Pens - Red ballpoint
Stapler
Staples
Tape
Tape dispenser
Paper clips
Paper punch (3- or 5-hole based on chart holders)
Chartholders/Clip boards
File Folders - letter size, variety of colors
Namebands for Identification and Allergies
Batteries - 9V
Batteries - AA
Batteries - C
Batteries - D
Clipboards
Chalk or white boards
Dry-erase markers
Chalk
Trashcans and liners
Flashlights
Plastic bags for patient valuables
Floor lamps
Table lamps
Lightbulbs
Plain paper
Filing cabinets - rolling
Black permanent markers
Yellow highlighter markers
Time cards
Generic sign-in, sign-out forms
Pre-printed admission Order forms
Blank physician order forms
Multidisciplinary progress notes
Nursing flowsheets
Admission history & physical forms (include area for Nrsg Hx)
Death certificates/Death packets

Table 9. Oxygen and Respiratory-Related Equipment Considerations for Level III Comprehensive Medical Cache (50 Bed Unit)

Item Description Quantity
Bag-Valve-Mask w/adult and peds masks - adult 1600 ml reservoir 1
Cascade gauge for oxygen cylinders 14
Catheters, suction 20
Connector, 5 in 1 8
Cylinder holders for E Cylinder oxygen tanks 4
Mask, oxygen - nonrebreather, pediatric 10
Mask, oxygen - nonrebreather, adult 20
Nasal cannula, adult 40
Nasal cannula, pediatric 10
Regulator, Oxygen (Flow meter) 14
Suction unit - Collection System 2
Suction unit - Portable 1
Suction unit Battery 1
Tank, Oxygen "E" cylinder (700 L O2) 4
Tank, Oxygen "H" cylinder (7000 L O2) 10
Tubing, oxygen - with connector 40
Tubing - suction, connector 10
Tubing, suction, 10F 10
Wrench, Oxygen tank 2
Yankaur Suction Catheter 10
Intubation equipment with oral airways/ET tubes; adult & peds 1 set
Ventilators 1

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

 

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