Patient care and support services
Continuity of essential clinical support services
1. Any record of whether procedures exist to ensure operational continuity of essential clinical support or ancillary services (e.g. laboratory, radiology, pharmacy) during emergencies and disasters. (Can be answered yes / no.)
2. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)
3. Any record of whether resources to implement the above procedures can be mobilized at all times. (Can be answered yes / no.)
Expansion of usable space for mass casualty incidents
4. Any record of whether procedures and resources exist to expand space and provide access to extra beds in mass casualty incidents. (Can be answered yes / no.)
5. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)
6. The date(s) of the most recent test(s) of the above procedures. (Can be answered with a date or dates.)
Triage for major emergencies and disasters
7. Any record of whether space has been designated and procedures exist to carry out triage during emergencies and disasters. (Can be answered yes / no.)
8. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)
9. The date(s) of the most recent test(s) of the above procedures. (Can be answered with a date or dates.)
Triage tags for mass casualty incidents
10. Any record the existence of triage tags for mass casualty incidents. (Can be answered yes / no.)
System for referral, transfer and reception of patients
11. Any record of whether procedures exist for the reception, referral and transfer of patients to and from other health facilities within and outside the geographical area where the hospital is located during emergencies and disasters. (Can be answered yes / no.)
12. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)
13. The date(s) of the most recent test(s) of the above procedures. (Can be answered with a date or dates.)
Infection surveillance, prevention and control procedures
14. Any record of whether procedures exist for infection prevention and control during emergencies and disasters. (Can be answered yes / no.)
15. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)
16. Any record of whether resources are available for implementation of the above procedures. (Can be answered yes / no.)
Psychosocial services
17. Any record of whether procedures exist for provision of psychosocial support, assessment and treatment services to patients, families and staff during emergencies and disasters. (Can be answered yes / no.)
18. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)
19. Any record of whether resources are available for implementation of the above procedures. (Can be answered yes / no.)
