Special Operations Forces Medical Handbook

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Operational Issues: Hospital Survey

1. City/Country:


2. Hospital name:


3. Trauma level:


4. Address:


5. Hospital operator telephone #:


6. Date of assessment:


7. Assessor:


8. Primary Point of Contact (POC)

a. Name, title and position:

b. Office telephone:

c. Home telephone:

d. Cell phone:

e. Pager:

f. Fax:

g. E-mail:

9. Patient admissions/information POC and telephone #:


10. Security POC and telephone #:


11. Emergency department

a. Location (floor, wing):

b. Number of trauma beds:

c. Trauma capacity (case load at one time):

d. POC:

e. 24 hour desk phone #

1) Primary:

2) Secondary:

3) Alternate:

f. Radio frequencies

1) Primary:

2) Secondary: