Facility Checklist
Medical/Advanced Patient Care
Layout and potential use of former advanced care areas for potential general surge use. Evaluation for general surge capacity, not for original purposes.
Date: ____________ Location: _______________________ Team member: __________________________
Operating Rooms
Rooms
Number of floors: |
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Number of rooms per floor by type: |
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Single: |
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Double: |
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Ward: |
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General layout: |
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Applicability of use: |
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Existing fixed and removable equipment: |
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Y |
N |
Does the facility have medical gas outlets? |
Communications
Nurse call system? |
|
Other? |
|
Telemetry system? |
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Applicability for use: |
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Medical/patient care issues: |
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Licensing/accreditation issues: |
|
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