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<td height="30px"><span class="title"><a name="h1" id="h1"></a> Reopening Shuttered Hospitals to Expand Surge Capacity</span></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
<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>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<h3>Table 17. Summary of Current Status of Former 'Shuttered' Hospitals for Use as Surge Facilities in a Mass Casualty Event</h3>
<table border="1" cellspacing="0" cellpadding="2" width="90%">
<thead>
<tr valign="top">
<th scope="col" width="190">Topic</th>
<th scope="col" width="309">Typical Status at Partially Shuttered Hospital </th>
<th scope="col" width="389">Additional Needs for Surge Use</th>
</tr>
</thead>
<tr valign="top">
<td scope="row" width="190"><p>Facility Structure and Status</p></td>
<td width="309"><p>The condition of structural components, fixed equipment, and systems is generally good enough such that they could be brought to full operation status within the 3-7 days.<2E> Design and layout are well suited for intended medical use.</p></td>
<td width="389"><ul>
<li>Fuel.</li>
<li>Refrigerated space for morgue.</li>
<li>Replacement of outlet parts may need to be brought in. Information and communications systems would need to be re-established. </li>
<li>Licensure of life safety systems, elevators, isolation rooms, may need to be re-certified.</li>
</ul>
</td>
</tr>
<tr valign="top">
<td scope="row" width="190"><p>Equipment and Supplies</p> </td>
<td width="309"><p>There is limited available equipment and supplies.</p></td>
<td width="389"><p>Most equipment and supplies would need to be brought in:</p>
<ul>
<li>Patient beds.</li>
<li>Linens.</li>
<li>Bathroom amenities.</li>
<li>Pharmaceuticals.</li>
<li>Portable storage units.</li>
<li>Portable oxygen.</li>
<li>Water.</li>
<li>IT/communication equipment. </li>
</ul>
</td>
</tr>
<tr valign="top">
<td scope="row" width="190"><p>Staffing</p></td>
<td width="309"><p>Existing staff employed by companies/individuals that leased space in building. Only Security staff is possibly available.</p></td>
<td width="389"><p>Most staff would need to be brought in: </p>
<ul>
<li>Physicians.</li>
<li>Physician extenders.</li>
<li>Nursing staff.</li>
<li>Allied health staff.</li>
<li>Ancillary staff such as security, laundry and kitchen staff.</li>
</ul>
</td>
</tr>
<tr valign="top">
<td scope="row" width="190"><p>Patient Transportation</p></td>
<td width="309"><p>Facility sufficiently close to a city, so transportation would be sufficiently expedient.<2E>Facility is available by bus, ambulance, van, and helicopter.</p></td>
<td width="389"><ul>
<li>Combination of buses, vans of ambulances will be used to transport patients. </li>
<li>A standardized medical record for transfer and emergency provision of uncommon medications to be transported with patients would expedite patient transport and ensure quality care.</li>
</ul>
</td>
</tr>
<tr valign="top">
<td scope="row" width="190"><p>Patient Information</p> </td>
<td width="309"><p>Little information technology remaining in facility.</p> </td>
<td width="389">
<ul>
<li>A paper records system would be used. </li>
<li>It would need to be determined who owns these medical records.</li>
</ul>
</td>
</tr>
</table>
<p class="size2"><a href="shuthosp8.htm#Tab17">Return to Document</a></p>
<p>&nbsp;</p>
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<p> The information on this page is archived and provided for reference purposes only.</p></div>
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