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.
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Facility Checklist
Facilities/Advanced Patient Care
Layout and potential use of former advanced care areas for general surge. Aspects being evaluated for general surge capacity, not for original purposes.
Date: ____________ Location: _______________________ Team member: __________________________
Operating Rooms
Description of Structural Components
| Floors: |
|
| Ceilings: |
|
| Windows: |
|
| Doors: |
|
| Missing, Damaged Structural Components (Note Location): |
|
Pests/Mold
| Description and location: |
|
Communications
| Nurse call system? |
|
| Other? |
|
| Telemetry system? |
|
Lighting
HVAC and Air Flow (ducts, vents, and radiators)
Air Flow:
| Y |
N |
Sinks? |
| Y |
N |
Floor drains? |
Fire Suppression:
| Y |
N |
Sprinkler heads? |
| Y |
N |
Extinguishers? |
Waste Management and Hazardous Materials:
| Y |
N |
Containment and storage capability? |
| Y |
N |
On-site treatment/management set-ups? |
Hazardous Materials Management (storage, use):
| Y |
N |
Segregated hazardous wastes storage? |
| Y |
N |
Shielded radioactives storage? |
| Y |
N |
Eye washes, drench showers? |
| Y |
N |
Flammables cabinets? |
| Y |
N |
Compressed gases chains? |
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5600 Fishers Lane Rockville, MD 20857