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Medical Surge & Evacuation

evacuation siteThe following information can assist healthcare facilities with disaster preparation in cases such as pandemics or other emergencies. Guidance documents, trainings and other tools are included.


Pandemic Influenza Surge Capacity Plans

Hospital Surge Capacity Expansion Tools
  • Rapid Patient Discharge Tool (BSCET): is designed to assist hospital administrators and emergency managers in preparing for and responding to unexpected increases in patient volume by providing them with adaptable plans for rapid patient discharge based on promising bed surge capacity practices.

  • NYC Surge Capacity Toolkit: Bed Surge Capacity Expansion Tool (RPDT): is designed to identify opportunities for the creation of additional staffed and supported inpatient beds during the immediate and immediate-sustained phases of a disaster (i.e., first 24 hours).

  • Intensive Care Unit Capacity Expansion tool (ICUCET) : is a surge tool with an emphasis on helping hospital Intensive Care Units manage high patient volume through capacity expansion during a mass casualty incident such as an influenza pandemic.

Hospital Preparedness Tools, Protocols and Templates
Children in Disasters: Hospital Guidelines for Pediatric Preparedness
Hospital Screening and Isolation Documents
Hospital Guidelines for Responding to Radiation Contaminating Incident
Hospital Evacuation Plans
NY Centers for Terrorism Hospital Evacuation Plan
Hospital Evacation (California Hospital Association)

The Respiratory Surge Capacity and Capability Improvement Pilot Project (ReSCCIPP)
The goal of ReSCCIPP is to increase citywide critical respiratory care surge capacity and capability by:
  1. Increasing the number of ventilators available to hospitals that could be used during a critical
    surge event;
  2. Providing standardized, competency-based training necessary for increasing hospital
    staff capability to use the city cache ventilators during a surge event such as pandemic influenza; and
  3. Evaluating the performance of these ventilators in use by New York City hospitals, in their
    patient care units and Respiratory Therapy departments. This evaluation will inform citywide planning for a pandemic event.

Any questions regarding this project should be directed to

Special Populations
Elderly Populations in Disasters: Hospital Guidelines for Geriatric Preparedness
Children in Disasters
Hospital Trainings, Drills and Exercises
Burn Cart Drill for NYC Receiving Hospitals Experiencing a Burn Disaster: Instructions and certification sheet
Evaluation of Hospital Disaster Drills: a module based approach
Public Health Emergency Excercise Toolkit: planning, conducting, and evaluating local public health emergency exercises from the Columbia University School of Nursing
Tool for Evaluating Core Elements of Hospital Disaster Drills: from the Johns Hopkins University Evidence-based Practice Center
New York Presbyterian Hospital CBRNE Tabletop Exercise: preparation for explosive events that may cause casualties

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Last Updated: July 12, 2013