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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Item/Issue |
Typical Status at Partially Shuttered Hospital |
Additional Needs for Surge Use |
Patient Care Areas |
Beds |
Very few beds available. |
Beds would need to be procured, including hospital beds or standard beds,
cots or other reasonable approximations. |
Bed Linens |
No stock of bed linens in facilities. |
Linens would need to be brought in—three sets per patient per 24 hours. |
Patient Call Buttons |
Patient call buttons may or may not be available/operational. |
Bells or buzzers could be given to each patient. |
Bathrooms |
Many patient rooms have bathrooms. |
Minor fixtures such as showerheads may be needed in some bathrooms. |
Storage |
Some patient rooms have built-in shelving or closet space. |
Each patient would need a small patient bin filled with personal supplies. |
Privacy |
Most hospital rooms lack window shades and doors. |
Curtains could be hung on doorframes or doors could be reattached. |
Nurses Stations |
Nursing Station |
Some stations have wiring for computers and telephone hook-ups. |
Each nursing station would need telephones, computers, office supplies, and chairs. |
Galley Kitchens |
May have operating kitchen on several floors. |
Ice machine would need to be cleaned and serviced, or ice could be delivered to the floors from a central ice supply. |
Utility Closet |
Most closets were stripped of shelving. |
Each floor would need supply carts and portable shelving units. |
Clean and Soiled Linen |
No operating system for clean and soiled linen. |
Large rolling carts can deliver clean linens and remove soiled linens. |
Ancillary Medical Service Areas |
Laboratories |
Laboratories not operational. |
Employ a courier service and contract with private laboratory testing companies. |
Pharmacy |
No current stock of pharmaceuticals. |
Pharmaceuticals would need to be brought in. |
Support Service Areas |
Laundry Facilities |
Linens and disposable supplies are not available. |
Use laundry vendors. |
Biohazard and Waste Disposal |
No current mechanism to dispose waste. |
6-7 large trash cans, a trash can in every patient room, 4-5 biohazard containers per floor, a hazardous materials container remover, and hazardous materials trailer. |
Receiving |
Loading docks available for receiving supplies. |
Loading dock would need one pallet jack, 3 flatbed delivery carts, and bins to hold items. |
Water Supply |
Facility has water-holding tanks. |
Need enough capacity to supply 5 gallons per patient per day. May need additional water or bottled water. |
Informational Technology and Communications |
Some communications equipment may be available. |
Equipment would be needed at nurses' stations, at a minimum. |
Morgue |
Morgues may be available but have limited capacity. |
Refrigeration units would need to be available/improved, perhaps through the use of rented trucks. |
Cafeteria |
Cafeteria operating. |
Some equipment may need thorough cleaning and recertification. Disposable dining supplies for 200-300 patients and staff; food supplies would need to be brought in. |
Miscellaneous Areas |
Visitors/Waiting/Lobby Area |
Limited furniture remains. |
If needed, furniture would need to be procured. |
Intake/Administration Areas |
Sufficient space for intake. |
Chairs, technology, and supplies would need to be brought in or moved from other sections of facility. |