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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
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Facility Checklist
Facilities/Patient Care
Overview information for the general patient care areas in the surge facility. More detailed information to be collected by medical, facility, and supplies experts. Section is divided into sub-sections according to previous patient care purpose. Medical, supply, and administrative experts will also tour this part of the facility.
Date: ____________ Location: _______________________ Team member: __________________________
General
Description of Structural Components
| Floors: |
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| Ceilings: |
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| Windows: |
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| Doors: |
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| Missing or damaged structural components (note location): |
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Pests/Mold
| Description and location: |
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5600 Fishers Lane Rockville, MD 20857