Hospital Surge Plan Checklist

Form Template

This Hospital Surge Plan Checklist Mobile App is designed to assist hospitals in developing and/or updating their plans for response to a significant surge event, as well as to provide tools, examples and guides to assist with plan development and implementation.

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Use this form template to best inform emergency preparedness in the case of a medical surge by building your healthcare emergency plan. Expand your emergency plan in order to increase your surge capacity and overall preparedness. Use this app to best inform emergency management protocol that factors in risk management practices. For the best emergency response to a surge that requires critical care of patients due to a disaster, use this self-assessment tool to best prepare incident response procedures.

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