Hospital Emergency Operations Plan (EOP) TEMPLATE

List of Appendices
Hospital Emergency Operations Plan (EOP) Template
Appendix A JCAHO Standards
Appendix B Emergency Management Acronyms
Appendix C Emergency Management Glossary
Appendix D Assessments/Checklists
Appendix D.1 Hospital Hazard Vulnerability Analysis (HVA)
Appendix D.2 Management of Environment Hazard Surveillance/Risk
Assessment Form
Appendix D.3 Structural and Non-Structural Hazard Mitigation Checklists
Appendix E Hospital Response Roles and Requirements
Appendix F Organizational Tools
Appendix F.1 Day-To-Day Org Chart / EMG Assignment
Appendix F.2 Emergency Management Organization Chart
Appendix F.3 EOC Job Action Sheets
Appendix G - Training and Exercises
Appendix H Facility Plans
Appendix H.1 Emergency Procedures
Appendix H.2 Emergency Code Examples
Appendix H.3 Hospital Floor Plan
Appendix H.4 Utility Shutoff
Appendix H.5 Hospital Evacuation Plan Template
Appendix H.6 Shelter-In-Place Guidelines
Appendix I Home Preparedness Guidelines
Appendix J Contacts
Appendix J.1 Staff Call Back
Appendix J.2 Basic Hospital Support Call List
Appendix J.3 Incident Contacts
Appendix L Support Facilities
Appendix L.2 Health Care Alternate and Referral Facility Locations
Appendix L.4 County Supply Allocation Matrix
Appendix M Mental Health Coordinator Checklist
Appendix N Patient Decontamination Plan and Personal Protective Equipment
Appendix O EOC Forms
Appendix O.1 Situation Status Report Form
Appendix O.2 Action Planning
Appendix O.3 Basic EOC Forms
Appendix O.4 Financial Tracking Forms
Appendix O.5 Hospital Incident Status report form
Appendix P Training and Exercise Forms
Appendix P.2 EOC Activation and Setup
Appendix P.3 Command and Control
Appendix P.4 Communications
Appendix P.5 Information and Intelligence
Appendix P.6 Public Information
Appendix P.7 EOC Relocation
Appendix P.9 After Action Report
Appendix Q Volunteer and Donations Procedures
Appendix Q.1 Volunteer Management Policies and Procedures
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