Facility Checklist

Medical/Ancillary Services

Availability of space for ancillary services. Information on existence of ancillary service areas and, very generally, possibility of operation when surge facility opens. If the medical personnel determine that locations such as pharmacy or lab could be operational, additional specialized inspections may be necessary.

Date: __________  Location: ________________  Team Member: _______________________________

Laboratory

 

Observations:

 

General condition:

 

Existing fixed and removable equipment:

 

Condition:

 

General layout:

 

Licensing issues:

 

Applicability of use:

 

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