1-6
d.
- Operating room
a. Location (floor, wing):
b. Number of suites:
- Intensive care unit
a. Location (floor, wing):
b. Number of beds:
c. Number of ventilators:
- Indicate in-hospital availability of service or specialist, and response times for service or
specialist if/when not in hospital
1) Emergency dept:
CT scan/technician:
MRI/technician:
X-ray/technician:
Radiologist:
Clinical lab:
Whole blood:
Pathologist:
Internist:
10) Cardiologist:
11) Coronary care unit:
12) Anesthesiologist:
13) General surgeon:
14) Thoracic surgeon:
15) Orthopedic surgeon:
16) Neurosurgeon:
17) Operation team:
18) Intensive car unit:
19) Hazardous material casualty care:
20) Air EVAC:
21) Ground EVAC: