Biomedical Engineering Reference
In-Depth Information
Appendix I Medical-Surgical Supply
Formulary by Disaster Scenario
Background
The following is a proposed starting point for plan-
ning and coordinating medical/surgical supplies
for hospitals throughout the United States during
a large scale CBRNE (Chemical, Biological,
Radiological, Nuclear, and Explosive) or Natural
disaster. These supply formularies were created
based on feed-back and input from multiple hospi-
tals and healthcare systems and have been reviewed
by AHRMM members, their clinical representa-
tives, and members of HIDA. The lists are intended
only as starting points for preparedness efforts and
should be modified to fit each hospital according
to its individual needs and feedback from its
clinicians.
“Large scale” refers to events that will produce
casualties beyond that which can be planned for by
a single hospital. By definition, the event will not
impact a single facility but will affect communities
and regions. These events will require planning
beyond the individual hospital and will include
all segments of supply and points of care in a
region. Hospitals must be self-reliant until Federal
aid arrives, within 24-72 hours after Federal Emer-
gency Management Agency (FEMA) has been
contacted and the event has been declared a Federal
disaster.
Core Formulary has the basic supplies needed
for each adult casualty in any type of disaster
scenario. The Pediatrics Formulary includes the
basic supplies needed for each pediatric casu-
alty regardless of type of disaster. The remaining
five specialty formularies are supplemental to the
Core or Pediatric Formulary and include only the
supplies specific to each type of disaster listed in
(Figure I.1). In addition to patient formularies, the
Staff Formulary contains the supplies needed for
each hospital staff person.
Considerations for Materials
Management Professionals
Hospital's Internal Supply Chain
Included in each hospital's plan should be the
ability to redirect supplies already within the
hospital's supply chain to the areas first impacted.
Step one for Materials Management is to examine
the hospital's internal supply chain. With clinical
experts, the hospital units/departments should be
identified that might be closed in the event of a
large-scale disaster.
Materials Management should identify the
supplies that might be diverted from these areas
and routed to the first response areas. Also,
stretchers from these areas should be identified, as
many of the events will produce casualties beyond
a single hospital's ability to provide available beds.
Medical/Surgical Supply Formularies
Under this plan, medical/surgical supplies are
separated into seven formularies and a staff formu-
lary. It is important to note that these formula-
ries are for medical/surgical supplies and do not
include products for Radiology or Pharmacy. The
Working with Suppliers and Others
Materials Management must determine the amount
of supplies to keep on hand until replenishment
Presented by the Association for Healthcare Resource & Materials Management (AHRMM), the Health Industry Distributors
Association (HIDA), and the Health Industry Group Purchasing Association (HIGPA).
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