Unit Level Form Workbook

January 8, 2018
XLSX Attachment / 817 KB
Unit Level Form Workbook

The attached Unit Level Form Workbook contains a separate tab for each patient subcategory within the standardized bed definitions (total of 15). Each worksheet is designed to capture information for all patients requiring evacuation on a single patient unit. Staff in the Hospital Command Center, using the Pre-event Hospital Unit Crosswalk Document as a guide, would deliver the appropriate worksheet or worksheets to each unit with instructions to complete it for a specific point in time. Each worksheet captures basic information about every patient on the unit, including name, medical ID number, whether the patient meets the standard or augmented definition for the corresponding bed type, and the recommended TAL. Depending on the amount of time that elapses before evacuation is complete, Hospital Command Center staff may request that unit staff verify and update previously completed worksheets at regular intervals.