General Observation and Documentation
Addendum
This module was developed by the Johns Hopkins Evidence-based
Practice Center under Contract No. 290-02-0018 from the Agency for Healthcare
Research and Quality, Rockville, MD. The content of this module is intended
to provide guidance for hospital disaster drill evaluation and should not be
construed as representing standards of care or recommendations on how to respond
to specific types of disasters. No statement in this module should be construed
as an official position of the Agency for Healthcare Research and Quality or
of the U.S. Department of Health and Human Services.
Instructions: Enter time
and describe any activities in this zone related to the drill. This listing
should include direct response to patients, information received, staffing,
supplies, etc. It should also include any activities (such as real emergencies)
that may delay or prevent drill activities in this zone.
Observer: ______________________________________________________________ Date: ____/____/____
Observer title: ___________________________________________________________
Zone: __________________________________________________________________
Hospital: _______________________________________________________________
Period of time of evaluation: _____________ AM / PM (Circle one)
to _____________ AM / PM (Circle one)
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