Infrastructure

Door sizes adequate for gurneys

Floors

Loading dock

Parking for staff and visitors

Roof

Toilet facilities/showers (#)

Ventilation

Walls

Total Space and Layout

Auxiliary spaces (Rx, counselors, chapel)

Equipment/supply storage area

Family area

Food supply and prep area

Lab specimen handling area

Mortuary holding area

Patient decontamination areas

Pharmacy area

Staff areas

Utilities

Air conditioning

Electrical power (backup?)

Heating

Lighting

Refrigeration

Water (hot?)

Communication

Communication (# phones, local/long distance, intercom)

Two-way radio capability to main facility

Wired for IT and Internet access

Other Services

Ability to lock down facility

Accessibility/proximity to public transportation

Biohazard & other waste disposal

Laundry

Ownership/other uses during disaster

Oxygen delivery capability

Proximity to main hospital

Total Rating/Ranking (Largest # indicates best site)

Rating System:
5 = Equal to or same as hospital.
4 = Similar to that of a hospital, but has SOME limitations (e.g., quantity/condition).
3 = Similar to that of a hospital, but has some MAJOR limitations (e.g., quantity/condition).
2 = Not similar to that of a hospital, would take modifications to provide.
1 = Not similar to that of a hospital, would take MAJOR modifications to provide.
0 = Does not exist in this facility or is not applicable to this event.