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Disaster Surge Capacity Drill Evaluation

Evaluate how well your facility can expand care during a disaster surge. Capture gaps in triage, staffing, beds, and supplies so you can improve response before the next event.

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Built for: Healthcare ยท Hospitals ยท Emergency Management

What's inside this template

Drill Activation and Command Structure

  • Incident command structure activated (critical ยท weight 5.0)
    Confirm that the incident command system or equivalent emergency structure was activated according to procedure.
  • Roles and responsibilities clearly assigned (critical ยท weight 5.0)
    Verify that command, triage, treatment, logistics, and communications roles were assigned without delay.
  • Communication channels functional (weight 5.0)
    Assess whether radios, phones, overhead paging, or other designated communication methods were available and used effectively.
  • Drill objectives briefed to participants (weight 5.0)
    Confirm that participants received a clear briefing on drill objectives, scenario assumptions, and evaluation expectations.

Triage and Patient Flow

  • Triage acuity assigned appropriately (critical ยท weight 8.0)
    Evaluate whether patients were categorized according to established triage criteria and clinical urgency.
  • Triage area established and staffed (critical ยท weight 7.0)
    Verify that a designated triage area was set up and staffed with appropriate personnel.
  • Patient flow managed without unsafe bottlenecks (weight 5.0)
    Assess whether patient movement from triage to treatment, observation, transfer, or discharge remained orderly and safe.
  • Decontamination or isolation needs identified (weight 5.0)
    Confirm that any patients requiring isolation, decontamination, or special handling were identified and routed appropriately.

Bed Capacity and Patient Placement

  • Surge beds identified and opened (critical ยท weight 6.0)
    Confirm that available surge beds were identified, prepared, and opened according to the surge plan.
  • Appropriate patient placement by acuity (critical ยท weight 6.0)
    Assess whether patients were placed in units or areas matching their acuity and care needs.
  • Discharge or transfer processes used to create capacity (weight 4.0)
    Verify that discharge planning, transfer coordination, or other capacity-creating measures were initiated when needed.
  • Non-clinical spaces converted safely (weight 4.0)
    Assess whether alternate spaces were converted for patient care in a safe, organized, and compliant manner.

Staffing and Resource Management

  • Additional staff mobilized promptly (critical ยท weight 6.0)
    Confirm that on-call, float, or supplemental staff were contacted and arrived within the expected timeframe.
  • Staffing levels matched patient demand (critical ยท weight 6.0)
    Evaluate whether staffing was sufficient for triage, treatment, transport, documentation, and support functions.
  • Staff assignments posted and understood (weight 4.0)
    Verify that staff knew their assignments, reporting locations, and escalation contacts.
  • Fatigue and relief coverage addressed (weight 4.0)
    Assess whether breaks, shift relief, and fatigue mitigation were considered during prolonged operations.

Supply Chain and Critical Supplies

  • Critical supplies available at point of care (critical ยท weight 5.0)
    Verify that essential supplies such as dressings, IV materials, oxygen, and PPE were available where needed.
  • Supply chain escalation process used effectively (weight 4.0)
    Assess whether shortages were communicated and replenishment requests were escalated through the correct channels.
  • Equipment and medication tracking maintained (weight 3.0)
    Confirm that high-use equipment and medications were tracked to prevent loss, duplication, or delay.
  • Alternative supply sources identified (weight 3.0)
    Verify that backup vendors, internal caches, or mutual aid options were considered for extended surge conditions.

Common use cases

Hospital mass casualty drill reviews
Emergency department surge exercises
Facility disaster preparedness audits
After-action reviews for incident command drills
Bed expansion and staffing readiness checks

Frequently asked questions

What is this template used for?

Use it to evaluate how a hospital or facility performs during a disaster surge drill. It helps teams document whether command, triage, bed expansion, staffing, and supply processes worked as intended.

Who should use this evaluation template?

It is a good fit for emergency management, nursing leadership, operations, and quality teams involved in drill planning or after-action review. Facilities can also use it to compare performance across multiple exercises.

Can this template be adapted for different drill scenarios?

Yes. It works for mass casualty events, weather-related surges, evacuation support, and other capacity stress tests. You can customize the checklist items and scoring to match your scenario and facility size.

What outcomes should we expect from using it?

The template helps you identify bottlenecks before a real incident, such as delayed triage, unclear roles, or supply shortages. It also creates a consistent record for follow-up actions and readiness reporting.

Related templates

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