Audit

Decon equipment

How long can you sustain a decon operation before you would need mutual aid?

Decon tent?

Is it serviceable?

Does it fit the needs of your hospital

Do you have a Hospital Decon policy?
copy must be attached with this audit.

PAPR's

How many does your hospital have?

When are they checked?

Who checks them? (Name)

Where are the inspection sheets kept?

Does your hospital have an adequate amount?

Do you have filters that are still in date?

Do you have infection control PAPR'S?

List serial numbers of all PAPR's

Where are they kept?

How many batteries do you have?

What model # are they?

What model charger do you have?

Do you have enough batteries for your hospitals usage in an event

Surge Supplies

Do you have a portable cots for surge?

If yes how many?

Where are they located?

Do you have linen assigned for them?

Have you ever set them up ?

How many ventilators does your hospital have?

Does your hospital have a surge plan?
A copy must be attached to this audit.

Has your hospital signed a draft of the regional Crisis Standard Of Care plan?
A copy must be attached to this audit.

Mass Fatality Supplies

Does your hospital have post Mortum kits?

How many?

Does your hospital have any other mass fatality supplies?

What is the morgue space of your facility?

Does your county Public Health have a mass fatality trailer?

Does your hospital have a mass fatality plan?
A copy must be attached to this audit.

Does your county have a mass fatality plan?
A copy must be attached to this audit.

Isolation supplies

Do you have a Mintie Isolation unit?

Where is it located?

Have you ever set it up an trained with it?

Generators

How many kilowatts does your hospital generator produce?

Do you have any portable generators?

If so, how many?

What is their wattage?

How often do they get checked?

Communications

Where is your southern link located?

Does it work?

Do you have radios other than the ER EMS radio that you can use to talk to the county EOC?

If so where is it located?

When was it tested last?

Does your hospital have other radios you use?

Do the staff know how and when to use them?

Have you used your regional radio?

Can you reach all of the region L hospitals with it?

Evacuation

If your hospital had to evacuate where would you go?

How long would it take to remove all of you patients to another location?

Have you ever exercised this process?

Do you have adequate equipment for a total evacuation?

Water shortage

Do you have water stored for emergency usage?

How long can you sustain yourself before you would need mutual aid?

Do you have a plan for sewage disposal in the event of a prolonged water outage?

Does you hospital have a water outage plan?
A copy must be attached to this audit.

Pharmacitucal

Do you have a cache of drugs that used only in the event of an emergency?

If so list type and quanity

Are you a Chem-PAC location?

What is the procedure for requesting a Chem PAC to be sent to your hospital?

Alternate care sites

How many do you have an MOU with?

When was the last time the MOU was updated?

Have you visited the sites lately to see if they still meet your needs?

How long will it take you to open up a Surge site when the need for one becomes a reality?

What equiptment do you currently have on hand that is designated for surge site operations?

Do you have staffing to support a surge site operation past 24 hours?

Do you have electronic device operations in these surge sites?

If not how do you plan on keeping clerical and clinical records?

Have you trained staff on this procedure?

RCH role

In a disaster what are your hospitals expectations of the RCH?

What supplies do you need the region to stock pile for an emergency?

How can the RCH help you more efficiently on a daily basis in an non emergency role.

Regional command center

Would a member of your organization be willing to become a part of a regional ICS structure in the event of an emergency?

Public health roles

What is you're expectation of pubic health in an emergency?

Have you worked with your local health department in stock piling supplies for your hospital in the event of a disaster?

What do you expect from the public health HCL person in our region?

Receiving patients

Has you hospital per accepted patients from the coastal area if there is a hurricane evacuation?

If so how may can you recieve?

Could your local EMS provider respond to the coast and pick those patients up if needed.

What type of supplies would you need to receive these patients?

Medical supplies

Do you have a cache of medical supplies for disaster use only?

If so, have these supplies been rotated and inspected within the past year?

What supplies do you stock pile?

Can these supplies be used by other healthcare facalities if needed?

What supplies do you need stock piled in the region for this?

Percentage

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.