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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">Reopening Shuttered Hospitals to Expand Surge Capacity</a> > Table 2</span></p>
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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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<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>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<h3>Table 2. Summary of Expected Conditions at a Partially-Shuttered Hospital</h3>
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<table border="1" cellspacing="0" cellpadding="2" width="90%">
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<thead>
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<tr valign="top">
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<th scope="col" width="24%"> Item/Issue </th>
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<th scope="col" width="38%">Typical Status at Partially-Shuttered Hospital </th>
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<th scope="col" width="36%">Additional Needs for Surge Use</th>
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</tr>
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</thead>
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<tr valign="top">
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<td scope="row" width="24%"><p>Roadway and Vehicle Access</p> </td>
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<td width="38%"> <p>Usable and Sufficient</p> </td>
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<td width="36%"><p>Minor modifications and maintenance may be needed for helipads.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"> <p>Security</p> </td>
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<td width="38%"><p>Usable and Sufficient</p> </td>
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<td width="36%"><p>Current security staff or others will need to be recruited to work during surge use.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Life Safety Systems</p> </td>
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<td width="38%"><p>Usable and Sufficient</p> </td>
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<td width="36%"><p>Department of Public Safety licensure may need to be reinstated; rapid-fire inspections conducted.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"> <p>Exterior Structural Components</p> </td>
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<td width="38%"><p>Components in place and in good condition excepting possible roof leaks in some areas.</p> </td>
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<td width="36%"><p>No action needed.<2E>Areas with roof leaks would not be used during surge.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Interior Structural Components</p> </td>
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<td width="38%"><p>Necessary components in good place and in good condition except possible water damage and missing room doors.</p></td>
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<td width="36%"><p>No action needed.<2E>Areas with water damage would not be used during surge.<2E> Replacing patient room doors is likely not necessary.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Elevators</p></td>
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<td width="38%"><p>In place and functional.</p></td>
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<td width="36%"><p>Elevator inspections and certificates may be needed.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Electric Power</p></td>
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<td width="38%"><p>Usable and sufficient. Connection to grid and back-up systems in place and functional.<2E>Wiring in good condition in usable building areas.</p> </td>
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<td width="36%"><p>Fuel may need to be obtained for back-up generators.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>HVAC</p> </td>
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<td width="38%"><p>Usable and sufficient.<2E>Heating and cooling systems in place and functional, excepting cooling under back-up power. Air handlers in place and functional.</p> </td>
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<td width="36%"><p>Fuel will be needed for on-going operation of the heating system.<2E>Fans or other back-up cooling devices may be needed.<2E>Isolation rooms may need to be re-certified.<2E> Manual conversion of some floors or areas to negative pressure may be needed for the quarantine/isolation scenario.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"> <p>Water and Plumbing</p> </td>
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<td width="38%"><p>Connection to external water source and plumbing systems usable and sufficient.<2E>Water heating systems operational.</p></td>
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<td width="36%"><p>Water will need to be returned to the system with minor plumbing replacements.<2E>Minor repairs and ramp-up of boilers will be needed.<2E>If external water source lost, truck-in of water will be needed within a few days.<2E>In areas without POTWs, on-site water treatment system may need ramp-up.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Pharmacy</p></td>
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<td width="38%"><p>Space available, computer system may be available although unlikely.</p> </td>
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<td width="36%"><p>Necessary equipment and all medications will need to be brought in.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Laboratory</p> </td>
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<td width="38%"><p>Space available but virtually all equipment gone.</p> </td>
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<td width="36%"> <p>Outsourcing of laboratory functions or rapid point of care testing is recommended during surge.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Morgue</p></td>
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<td width="38%"><p>Limited refrigerated space available.</p> </td>
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<td width="36%"><p>For surge isolation/quarantine use with a high mortality agent, refrigerated trucks or other alternative would be needed for body storage.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Cafeteria</p> </td>
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<td width="38%"><p>Functional food preparation set-up exists.</p></td>
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<td width="36%"><p>Re-charging of stove hood fire suppression systems may be needed.<2E>Food ingredients would need to be brought in after a day or two. Outsourcing of food services is also a viable option during surge.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Laundry</p></td>
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<td width="38%"><p>Not available.</p></td>
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<td width="36%"><p>Outsourcing of laundry services is recommended during surge.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Patient Rooms</p> </td>
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<td width="38%"><p>Space available in usable condition.<2E>Beds and all portable equipment
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missing.<2E>Electric outlets and patient panels in place.</p></td>
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<td width="36%"><p>Beds and all portable equipment will need to be brought in. Move-out of furniture may be needed if patient rooms currently used for offices. Significant cleaning of patient space areas will be needed.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Medical Gases</p></td>
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<td width="38%"><p>Systems delivering medical gases to patient rooms are in place, but work is needed to make functional. Bulk oxygen tanks removed, but oxygen truck connections are in place.</p> </td>
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<td width="36%"><p>Replacement of parts at outlets, cleaning of lines, verification of zone valves and alarm panels, and re-certification of system needed.<2E>Portables need to be brought in during surge use for the one to two weeks needed to get centralized system fully operational.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Ward Spaces</p> </td>
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<td width="38%"><p>While some facilities are designed primarily for single patient rooms, several available spaces for ward set-ups exist.</p> </td>
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<td width="36%"><p>Beds and all other portable equipment would need to be brought in.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Nurse Stations</p></td>
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<td width="38%"><p>Nurse station set-ups exist.</p></td>
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<td width="36%"><p>Information and communications systems would need to be re-established.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Reception/Registration</p></td>
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<td width="38%"><p>Suitable and available space exists for this function.</p></td>
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<td width="36%"><p>Information systems would need to be re-established.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Family Waiting Area</p></td>
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<td width="38%"><p>Suitable and available space exists for this function.</p></td>
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<td width="36%"><p>Chairs would need to be brought in.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Staff Sleeping Area</p></td>
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<td width="38%"><p>Suitable and available space exists for this function.</p> </td>
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<td width="36%"><p>Beds or cots would need to be brought in.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Air Containment for quarantine</p></td>
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<td width="38%"><p>Air handlers and ventilation system functional and in place.<2E>Isolation rooms likely exist.<2E> </p> </td>
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<td width="36%"><p>Isolation rooms need to be re-certified.<2E>Manual conversion of some floors or areas to negative pressure may be needed for the quarantine/isolation scenario. Anteroom
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area needs to be identified for isolation areas.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Medical and Solid Wastes</p></td>
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<td width="38%"><p>Adequate storage areas exist for containment of medical and solid wastes.<2E>Loading docks and dumpsters exist.<2E>On-site incinerators or other waste management set-ups likely do not exist.</p> </td>
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<td width="36%"><p>Medical and solid wastes will need to be picked up during surge use as during normal use of the facility.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Nurse Call System</p> </td>
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<td width="38%"><p>Likely present, may not be functional.</p> </td>
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<td width="36%"><p>Portable devices such as bells could be used for this function during the week or so needed to troubleshoot and reactivate these systems.</p></td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Code Call System</p></td>
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<td width="38%"><p>Likely present, may not be functional.</p></td>
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<td width="36%"><p>Reactivating this system would be difficult in a short timeframe.<2E>An alternative is needed under the isolation/quarantine scenario causing critical illness.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Facility-wide paging and telemetry</p></td>
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<td width="38%"><p>May or may not be present and functional.</p></td>
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<td width="36%"><p>Not necessary for surge use.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"> <p>Telephone system</p> </td>
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<td width="38%"><p>May or may not be present and functional.</p></td>
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<td width="36%"><p>Portable alternatives can be used during surge.</p> </td>
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</tr>
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<tr valign="top">
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<td scope="row" width="24%"><p>Computer Network and Internet</p></td>
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<td width="38%"><p>May or may not be present and functional.</p> </td>
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<td width="36%"><p>Portable alternatives can be used during surge.</p></td>
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</tr>
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</table>
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<p class="size2"><a href="shuthosp2.htm#Tab2">Return to Document</a></p>
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<p> </p>
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