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Drill Activation and Command Structure

Drill activation occurred within the planned start window critical (required)

Confirm the exercise began at the scheduled time or within the approved activation window.

Yes No N/A

Incident command was established and announced critical (required)

Verify an incident commander and command structure were identified and communicated to participants.

Yes No N/A

Command roles were staffed with designated alternates

Confirm key roles such as operations, logistics, planning, and finance/administration had assigned personnel or alternates.

Situation updates were documented at defined intervals

Verify status updates, patient counts, and resource needs were recorded during the drill.

Yes No N/A

Communications with internal departments were timely and clear

Assess whether notifications to nursing, ED, lab, radiology, security, and support services were sent without delay or confusion.

Triage and Patient Flow

Triage area was established in the designated location critical (required)

Confirm the triage zone was set up in the planned area with clear access and signage.

Yes No N/A

Triage tags or categories were applied consistently critical (required)

Assess whether patients were assigned appropriate triage categories using the approved method.

Patient flow from triage to treatment areas was controlled

Verify patients were directed to appropriate care areas without bottlenecks or unsafe congestion.

Yes No N/A

Critical patients were prioritized and escalated appropriately critical (required)

Confirm high-acuity patients were identified quickly and transferred to the correct level of care.

Yes No N/A

Triage documentation was complete and legible

Check whether triage records captured patient identifiers, category, time, and disposition.

Yes No N/A

Bed Capacity and Patient Placement

Available surge beds were identified and counted critical (required)

Record the number of usable surge beds available at the time of the drill.

Bed assignment decisions matched patient acuity critical (required)

Verify patients were placed in appropriate units or temporary care areas based on clinical need.

Yes No N/A

Overflow areas were prepared and safe for occupancy critical (required)

Confirm temporary care spaces had access to power, oxygen, lighting, and safe egress as applicable.

Yes No N/A

Patient movement between areas was tracked

Assess whether transfers, relocations, and discharges were documented during the drill.

Yes No N/A

Staffing Readiness and Resource Management

Staff recall or mobilization process was initiated promptly critical (required)

Confirm the facility activated the staff notification process and received timely responses.

Yes No N/A

Minimum staffing levels were met for the surge scenario critical (required)

Record whether the drill achieved the required staffing coverage for the simulated patient load.

Yes No N/A

Staff understood assigned roles and escalation paths

Assess whether personnel could state their responsibilities, reporting chain, and backup contacts.

Required PPE was available and used appropriately critical (required)

Verify appropriate PPE was accessible for the scenario and used according to task risk.

Yes No N/A

Fatigue management or shift relief was addressed

Check whether extended operations included relief planning, breaks, or staff rotation.

Yes No N/A

Supply Chain and Critical Supplies

Critical supplies were available at the point of use critical (required)

Confirm essential items such as triage tags, stretchers, IV supplies, oxygen, and medications were accessible where needed.

Yes No N/A

Supply shortages were identified and escalated

Assess whether shortages were communicated to logistics or supply chain leadership promptly.

Yes No N/A

Replenishment process functioned within the drill timeframe

Verify the facility could request, receive, and stage replacement supplies without excessive delay.

Vendor or internal logistics contacts were reachable

Confirm the drill tested contactability of supply chain, materials management, or vendor support as applicable.

Yes No N/A

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Run: Disaster Surge Capacity Drill Evaluation

Drill Activation and Command Structure

Triage and Patient Flow

Bed Capacity and Patient Placement

Staffing Readiness and Resource Management

Supply Chain and Critical Supplies

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