759 lines
33 KiB
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759 lines
33 KiB
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<title>Tool for Evaluating Core Elements of Hospital Disaster Drills: Modules and Addenda</title>
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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> > <a href="." class="crumb_link">Tool for Evaluating Core Elements of Hospital Disaster Drills</a> > Modules and Addenda (continued)</span></p>
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<tr>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a>Tool for Evaluating Core Elements of Hospital Disaster Drills</span></td>
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</tr>
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<tr>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
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<p>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.</p>
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<!-- <p>Now this resource is supported by the <a href="http://emergency.cdc.gov/">Centers for Disease Control and Prevention</a> (CDC).</p> -->
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<p>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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<a name="biol" id="biol"></a>
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<h3>Biological Incident Addendum</h3>
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<p><strong>Instructions</strong>: Attach to Incident Command, Triage, and Treatment Zone Modules for biological drills.<br />
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<strong>Note</strong>: Circle or check as indicated. Y=Yes; N=No; U=Unclear; NA=Not applicable</p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>Observer: _________________________________________ Date: ____/____/_______</p>
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<p>Observer title: ____________________________________________________________</p>
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<p>Hospital: ________________________________________________________________</p>
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<p>Period of time of evaluation: ______ AM/PM (<strong>Circle one</strong>.) to _____ AM/PM (<strong>Circle one.</strong>)</p></td>
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</tr>
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</table>
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<p><strong>1. Time Points</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>1a. Time that the zone became aware that victims were affected by an illness caused by a biological agent.: <strong>(Circle one.)</strong> ______ AM / PM / U</td>
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</tr>
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</table>
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<p><strong>2. Information Flow</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>Were the following informed that a biological agent may be involved?</p>
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<p><strong>If not informed, circle "N" in column "A" and go to the next line.</strong></p></td>
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</tr> <tr>
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<td>
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<table cellspacing="0" cellpadding="8" border="1" width="99%">
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<tr align="left">
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<th scope="col">A. Informed</th>
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<th scope="col">B. Time Notified</th>
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</tr>
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<tr>
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<td scope="row">2a. Incident commander Y / N / U</td>
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<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
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<p>>2 hrs Unclear NA</p></td>
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</tr>
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<tr>
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<td scope="row">2b. Hospital epidemiologist or designee Y / N / U</td>
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<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
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<p>>2 hrs Unclear NA</p></td>
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</tr>
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<tr>
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<td scope="row">2c. Local and/or state health department Y / N / U</td>
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<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
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<p>>2 hrs Unclear NA</p></td>
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</tr>
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<tr>
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<td scope="row">2d. Occupational health Y / N / U</td>
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<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
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<p>>2 hrs Unclear NA</p></td>
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</tr>
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<tr>
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<td scope="row" colspan="2">2e. Was a "chain of custody" implemented?<a href="#ast">*</a> Y / N / U</td>
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</tr>
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<tr>
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<td colspan="2"><p class="size2"><a name="ast" id="ast">*</a> Chain of custody is defined as securing items continuously and marking evidence gathered by date, time, location, and when, how, and by whom acquired. It includes signatures of all persons successively responsible for custody. It must be conducted so the validity of the chain of custody will hold up in court.</p></td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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<p><strong>If using Biological Incident Addendum in the Incident Command Zone, stop here. Do not complete the rest of module.</strong></p>
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<p><strong>3. Victim Diagnosis</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>3a. Was the suspected illness caused by a biological agent known prior to the arrival of affected victims in this zone? Y / N / U</td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>3b. If the cause of the illness was not known prior to victim arrival, how long after the first victim arrived was the cause of the illness identified? (<strong>Check one</strong>.)</p>
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<p>___ < 1 hr ___ 1 - 4 hrs ___ 5 - 8 hrs</p>
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<p>___ > 8 hrs ___ Never identified ___ NA</p>
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</td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>3c. What was the cause of the illness? (<strong>Check all that apply</strong>.)</p>
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<p>a. ___ Anthrax b. ___ Botulinum toxin</p>
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<p>c. ___ Plague d. ___ Influenza</p>
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<p>e. ___ Smallpox f. ___ Tularemia</p>
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<p>g. ___ Viral hemorrhagic fever h. ___ Unknown</p>
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<p>i. ___ Other (specify): _____________________________________________________________</p></td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>3d. What resources were used to make the diagnosis(es)? (<strong>Check all that apply</strong>.)</p>
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<p>a. ___ Consultation with an in-hospital expert</p>
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<p>b. ___ Consultation with an expert from state/local health department</p>
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<p>c. ___ Consultation with the Centers for Disease Control and Prevention (CDC)</p>
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<p>d. ___ History and physical exam by the treating health care provider</p>
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<p>e. ___ Microbiological data</p>
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<p>f. ___ Radiologic data</p>
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<p>g.___ Telemedicine</p>
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<p>h.___ NA</p>
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<p>i. ___ Other (specify): _____________________________________________________</p></td>
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</tr>
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</table>
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<p><strong>4. Safety: Isolation Precautions</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>4a. Was isolation required for the suspected illness involved? Y / N / U</p>
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<p><em>Isolation required for smallpox, plague, viral hemorrhagic fever, certain pneumonias or rashes, and other symptoms suggestive of a contagious infection outbreak.</em></p>
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<p><strong>If no isolation was required, skip to the <a href="#screening">Screening and Prophylaxis section</a>.</strong></p></td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>4b. Were there delays in placing victims in isolation rooms? Y / N / U</p>
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<p><strong>If there were delays, specify in comment box at the end of this module.</strong></p></td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>4c. Were there enough isolation rooms? Y / N / U</td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>4d. If insufficient isolation rooms, how were victims isolated? (<strong>Check all that apply.</strong>)</p>
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<p>a. ___ Conversion of other rooms/area (specify): _________________________________</p>
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<p>b. ___ Existing isolation room in other area (specify): _____________________________</p>
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<p>c. ___ Overflow victims not isolated</p>
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<p>d. ___ Victims with the same suspected illness caused by a biological agent placed in the same isolation room</p>
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<p>e. ___ NA</p>
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<p>f. ___ Other (specify): ______________________________________________________</p></td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>4e. Were there signs on victims' doors that described the type of isolation required? Y / N / U</td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>4f. Were any breaches in isolation precautions identified? Y / N / U</p>
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<p><strong>If there were any breaches in the isolation precautions, specify in comment box at end of this module.</strong></p></td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>4g. Did representatives from infection control arrive in the zone to assess the appropriateness of isolation precautions? Y / N / U</td>
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</tr>
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</table>
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<p><strong>5. Safety: Personal Protective Equipment (PPE)</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>5a. Given the suspected illness caused by a biological agent, was PPE used to protect healthcare workers? Y / N / U</p>
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<p><strong>Isolation required for smallpox, plague, viral hemorrhagic fever, certain pneumonias or rashes, and other symptoms suggestive of a contagious infectious outbreak.</strong></p></td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>5b. Did you observe staff without PPE interacting with potentially contagious victims? Y / N / U / NA</td>
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</tr>
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</table>
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<a name="screening" id="screening"></a>
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<p><strong>6. Screening and Prophylaxis</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>6a. Were prophylactic medications available for staff? Y / N / U / NA</td>
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</tr>
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</table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>6b. Were prophylactic and/or treatment medications available for victims? Y / N / U / NA</td>
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</tr>
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</table>
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<p>7<strong>. Laboratory Specimens</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>7a. Were guidelines available for packaging and transporting microbiological specimens?
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<blockquote>Y / N / U</blockquote></td>
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</tr>
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</table>
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<table width="95%" cellspacing="0" cellpadding="8" border="1">
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<tr valign="top">
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<td height="100"><strong>Comments (If comment refers to a specific item, give the item number.):</strong></td>
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</tr>
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</table>
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<p class="size2"><a href="index.html#contents">Return to Contents</a></p>
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<a name="rad" id="rad"></a>
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<h3>Radiological Incident Addendum</h3>
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<p><strong>Instructions</strong>: Attach to Incident Command, Triage, and Treatment Zone Modules for radiological drills.<br />
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<strong>Note</strong>: Circle or check as indicated. Y=Yes; N=No; U=Unclear; NA=Not applicable</p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>Observer: _________________________________________ Date: ____/____/_______</p>
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<p>Observer title: ____________________________________________________________</p>
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<p>Hospital: ________________________________________________________________</p>
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<p>Period of time of evaluation: ______ AM/PM (<strong>Circle one</strong>.) to _____ AM/PM (<strong>Circle one.</strong>)</p></td>
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</tr>
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</table>
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<p><strong>1. Time Points</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td>1a. Time that this zone became aware that radiological victims were involved: <strong>(Circle one.)</strong> ______ AM / PM / U</td>
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</tr>
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</table>
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<p><strong>2. Information Flow</strong></p>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>2a. How did this zone become aware that radiological victims were involved? (<strong>Check all that apply.</strong>)</p>
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<p>a. ___ Informed by fire department b. ___ Informed by incident command center</p>
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<p>c. ___ Onsite alarm d. ___ Other (specify): _________________________</p></td>
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</tr></table>
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<table cellspacing="0" cellpadding="8" border="1" width="95%">
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<tr>
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<td><p>Were the following informed that a radiological agent may be involved?</p>
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<p><strong>If not informed, circle "N" in column "A" and go to the next line.</strong></p></td>
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</tr><tr>
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<td>
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<table cellspacing="0" cellpadding="8" border="1" width="100%">
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<tr align="left">
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<th scope="col">A. Informed</th>
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<th scope="col">B. Time Notified</th>
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</tr>
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<tr>
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<td scope="row">2b. Incident commander Y / N / U</td>
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<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
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<p>>2 hrs Unclear NA</p></td>
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</tr>
|
|
<tr>
|
|
<td scope="row">2c. Radiation safety officer or designee Y / N / U</td>
|
|
<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
|
|
<p>>2 hrs Unclear NA</p></td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">2d. Local and/or state health department Y / N / U</td>
|
|
<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
|
|
<p>>2 hrs Unclear NA</p></td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">2e. Hazard materials (HAZMAT) official Y / N / U</td>
|
|
<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
|
|
<p>>2 hrs Unclear NA</p></td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">2f. Occupational health Y / N / U</td>
|
|
<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
|
|
<p>>2 hrs Unclear NA</p></td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">2g. Municipal wastewater treatment officials Y / N / U</td>
|
|
<td><p>< 30 min 30-59 min 1 - 2 hrs</p>
|
|
<p>>2 hrs Unclear NA</p></td>
|
|
</tr>
|
|
</table></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><strong>3. Materials and Supplies</strong></p>
|
|
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td>3a. If prophylaxis for the given agent was indicated, was it available? Y / N / U / NA</td>
|
|
</tr>
|
|
</table>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td>3b. Were specialized cleaning supplies available for contaminated equipment? Y / N / U / NA</td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><strong>If using Radiological Incident Addendum in the Incident Command Zone, stop here. Do not
|
|
complete the rest of module.</strong></p>
|
|
|
|
<p><strong>4. Zone Description</strong></p>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td>4a. Was the radiological decontamination zone separate from the triage zone? Y / N / U</td>
|
|
</tr>
|
|
</table>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td>4b. Was the integrity of the boundary between the radiological decontamination zone and the triage zone assessed by the use of radiation detectors? Y / N / U / NA</td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><strong>5. Safety: Precautions</strong></p>
|
|
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td>Were the following available? </td>
|
|
</tr> <tr>
|
|
<td>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="99%">
|
|
<tr align="left">
|
|
<th scope="col">Safety material</th>
|
|
<th scope="col">Yes/No/Unknown</th>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">5a. Dosimeters</td>
|
|
<td>Y / N / U</td> </tr>
|
|
<tr>
|
|
<td scope="row">5b. Floor covering</td>
|
|
<td>Y / N / U</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">5c. Radiation signs</td>
|
|
<td>Y / N / U</td> </tr>
|
|
<tr>
|
|
<td scope="row">5d. Radiation survey meters</td>
|
|
<td>Y / N / U</td> </tr>
|
|
<tr>
|
|
<td scope="row">5e. Striped tape</td>
|
|
<td>Y / N / U</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">5f. Radioactive and mixed waste (Bio/Rad) disposal containers</td>
|
|
<td>Y / N / U</td>
|
|
</tr>
|
|
<tr>
|
|
<td scope="row">5g. Other (specify): ________________________________________________</td>
|
|
<td>Y / N / U</td></tr></table></td>
|
|
</tr>
|
|
</table></div></td>
|
|
</tr>
|
|
</table>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td><p>5h. Were breaches in precautions observed? Y / N / U </p>
|
|
<p><strong>If breaches in precautions were observed, specify in comment box at end of this module.</strong></p></td>
|
|
</tr>
|
|
</table>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td>5i. Did the institutional safety officer arrive in this zone to assess the activity? Y / N / U / NA</td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><strong>6. Safety: Personal Protective Equipment (PPE)</strong></p>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td>6a. Was PPE used to protect healthcare workers? Y / N / U</td>
|
|
</tr>
|
|
</table>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="95%">
|
|
<tr>
|
|
<td><p>If needed, were these safety materials available for the healthcare workers? </p>
|
|
<p><strong>If safety materials were not available, circle "N" in column "A" and go to the next row.</strong></p> </td>
|
|
</tr> <tr>
|
|
<td>
|
|
<table cellspacing="0" cellpadding="8" border="1" width="99%">
|
|
|
|
<tr valign="top">
|
|
<th scope="col" width="20%">Safety material</th>
|
|
<th scope="col" width="20%">A. Available?</th>
|
|
<th scope="col" width="20%">B. Used by staff?</th>
|
|
<th scope="col" width="20%">C. Adequate supply?</th>
|
|
<th scope="col" width="20%">D. Problems with use?<br />
|
|
(e.g., donning)</th>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6b. Face shields</td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6c. Passive (negative pressure) filtration (e.g., N95 or N99 masks) </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6d. Respirators (e.g., powered air purifying respirator) </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6e. Protective suit </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6f. Waterproof gowns </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6g. Hoods</td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6h. Boots</td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6i. Waterproof shoe covers </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6j. Gloves, chemical resistant </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6k. Double latex gloves </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6l. Apron </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6m. Surgical caps </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
<tr valign="top">
|
|
<td scope="row">6n. Other (specify): ____________________ </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
<td>Y / N / U / NA </td>
|
|
</tr>
|
|
</table></td>
|
|
</tr>
|
|
</table><table width="95%" cellspacing="0" cellpadding="8" border="1">
|
|
<tr>
|
|
<td>6o. Did you observe staff without PPE interacting with contaminated victims? Y / N / U / NA </td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p> </p>
|
|
|
|
<table width="95%" cellspacing="0" cellpadding="8" border="1">
|
|
<tr valign="top">
|
|
<td height="500"><strong>Comments (If comment refers to a specific item, give the item number):</strong></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p class="size2"><a href="index.html#contents">Return to Contents</a></p>
|
|
|
|
<a name="group" id="group"></a>
|
|
<h3>Group Debriefing Module</h3>
|
|
|
|
<p><strong>Note:</strong> The debriefing session(s) should be recorded by audiotape or scribe. Each item is relevant to every zone involved in the drill. Delete items on decontamination if not relevant to drill. Debriefing participants <strong>should state their zone when responding.</strong></p>
|
|
|
|
<p>1. Did you feel you were notified of the disaster in a timely fashion?</p>
|
|
|
|
<p>2. Did the incident command center work effectively?</p>
|
|
|
|
<p>3. Did any zone receive incorrect information from the incident command center?</p>
|
|
|
|
<blockquote>4. If not correct, what specifics do you recall about incorrect information?</blockquote>
|
|
|
|
<p>5. Was the information from the incident command center received by other zones in a timely way?</p>
|
|
|
|
<p>6. Were there problems with information flow within the hospital?</p>
|
|
|
|
<p>7. Were memorandums of understanding (MOUs) with outside agencies (e.g., police) activated?</p>
|
|
|
|
<p>8. Did nurses and physicians respond quickly to the disaster call?</p>
|
|
|
|
<p>9. Was the zone set up when the first mock victim arrived?</p>
|
|
|
|
<p>10. Was security in place before the first mock victim arrived?</p>
|
|
|
|
<p>11. Did people have a good understanding of their roles, as defined in the disaster plan?</p>
|
|
|
|
<p>12. Did the decontamination system work effectively?</p>
|
|
|
|
<p>13. Did you have any problems with the decontamination equipment?</p>
|
|
|
|
<blockquote>14. Functioning properly?</blockquote>
|
|
<blockquote>15. Adequate number of units?</blockquote>
|
|
<blockquote>16. Participants used correctly?</blockquote>
|
|
|
|
<p>17. Were there delays in decontamination?</p>
|
|
|
|
<blockquote>18. If so, what triggered these delays?</blockquote>
|
|
|
|
<p>19. Did the triage system work effectively?</p>
|
|
|
|
<p>20. Were there delays in triage?</p>
|
|
|
|
<blockquote>21. If so, what triggered these delays?</blockquote>
|
|
|
|
<p>22. Did the treatment system work effectively?</p>
|
|
|
|
<p>23. Were there delays in treatment?</p>
|
|
|
|
<blockquote>24. If so, what triggered these delays?</blockquote>
|
|
|
|
<p>25. Was personal protective equipment (PPE) used correctly?</p>
|
|
|
|
<p>26. Were you able to function in the PPE?</p>
|
|
|
|
<p>27. Were you rotated adequately when wearing the PPE?</p>
|
|
|
|
<p>28. Was security adequate?</p>
|
|
|
|
<p>29. Was staffing adequate?</p>
|
|
|
|
<p>30. Were supplies adequate?</p>
|
|
|
|
<p>31. Was the equipment adequate?</p>
|
|
|
|
<blockquote>32. If not, what equipment was not adequate (give specifics)?</blockquote>
|
|
|
|
<p>33. Were there problems with transporting patients?</p>
|
|
|
|
<p>34. Were there problems with communication devices (e.g., equipment failure)?</p>
|
|
|
|
<p>35. Did the hospital appear to work well with city and/or regional disaster agencies?</p>
|
|
|
|
<p>36. Were there problems with information flow between the hospital and outside agencies?</p>
|
|
|
|
<blockquote>37.If yes, which agencies?</blockquote>
|
|
|
|
<p>38. Were there bottlenecks?</p>
|
|
|
|
<p>39. Was workspace adequate?</p>
|
|
|
|
<p>40. Did you feel you could accomplish what you were assigned to do during the drill?</p>
|
|
|
|
<p>41. What did you learn from participating in the drill?</p>
|
|
|
|
<p>42. Overall, what parts of the drill went well?</p>
|
|
|
|
<p>43. What could have been done differently to make the drill run better?</p>
|
|
|
|
<p class="size2"><a href="index.html#contents">Return to Contents</a></p>
|
|
|
|
<p class="size2"><em>AHRQ Publication No. 08-0019<br />
|
|
Current as of June 2008</em></p>
|
|
<!-- <hr />
|
|
|
|
<p class="size2"><strong>Internet Citation:</strong></p>
|
|
<p class="size2">Cosgrove SE, Jenckes MW, Wilson LM, et al.<em> Tool for Evaluating Core Elements of Hospital Disaster Drills</em>. AHRQ Publication No. 08-0019, June 2008. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/prep/drillelements/</p>
|
|
|
|
<hr /> -->
|
|
|
|
<p> </p>
|
|
<div class="footnote">
|
|
<p> The information on this page is archived and provided for reference purposes only.</p></div>
|
|
<p> </p>
|
|
|
|
</div>
|
|
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|
|
</tr>
|
|
</table>
|
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