BLOCK 4 - DAMAGE ASSESSMENT (NO or YES) |
BLOCK 5 SERVICES- (YES or NO) |
[4A] Damage Assessment
{var sd4A} |
[5A] All services are available |
{var sd5A} |
[4B] Evacuating hospital |
{var sd4B} |
[5B] Emergency Department functioning |
{var sd5B} |
[4C] Internal disaster |
{var sd4C} |
[5C] Laboratory functioning |
{var sd5C} |
[4D] Flooding |
{var sd4D} |
[5D] Operation Rooms functioning |
{var sd5D} |
|
|
[5E] Pharmacy functioning |
{var sd5E} |
|
|
[5F] Radiology functioning |
{var sd5F} |
|
|
[5G] Nutrition/Environmental functioning |
{var sd5G} |
[4E] Remarks
{var sd4E}
|
[5H] Behavioral Health Unit functioning |
{var sd5H} |
[5I] Morgue/Mass Fatality Area |
{var sd5I} |
[5J] Remarks
{var sd5J} |