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
Observations:
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Rooms
| Number of floors: | |
| Number of rooms per floor by type: | |
| Single: | |
| Double: | |
| Ward: | |
| General layout: | |
| Applicability of use: | |
| Existing fixed and removable equipment: |
| Y | N | Does the facility have medical gas outlets? |
Communications
| Nurse call system? | |
| Other? | |
| Telemetry system? | |
| Applicability for use: |
Medical/patient care issues:
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Licensing/accreditation issues:
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