Medical Surge

Expanding Medical Surge Outside Hospital Settings

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Medical surge response capability has been defined by The Trust for America’s Health as “the ability of public health and medical systems to care for a massive influx of patients during public health emergencies.”

To respond appropriately, one needs to know the current capacity of the public health system and understand the practical upper limits of what surge response might be expected given different scenarios.

The Texas Public Health and Medical Emergency Management 2012-2016 Strategic Plan lists as a goal the desire to “Effectively manage, from a systems approach, the health care surge needs of the community resulting from a public health emergency.” This requires rapidly expanding the capacity of the existing healthcare system in order to provide triage and subsequent medical care without disruption of operations.

By the end of this training, you will be prepared to begin development of an Emergency Operations Plan for an FQHC in order to meet the goal of increasing clinical capacity in a public health emergency. You will be able to work with your team and determine how to maintain operational viability during an emergency.

CEUs: 1 contact hour (0.1 CEUs) awarded upon successful completion


By the end of the ‘Expanding Medical Surge outside Hospital Settings’ course, the learner will be able to:

  • Develop an emergency operation plan (EOP) which provides for continuity of operations (COOP) in an CHC;
  • Create protocols that will allow an CHC or RHC to serve as supplementary care providers outside a hospital during an emergency;
  • Cultivate relationships with other community partners to meet the needs of a community before, during and after an incident.
  • Organize a Healthcare Coalition



Capability 1: Community Preparedness

2- Build community partnerships to support health preparedness

Capability 10: Medical Surge

1- Assess the nature and scope of the incident

2- Support activation of medical surge



  • 1. Model Leadership

1.1 Solve problems under emergency conditions

1.4 Maintain Situation Awareness

1.6 Act within the scope of one’s legal authority

2.      Communicate and Manage Information

2.1 Manage information related to an emergency

2.4 Collect data according to protocol

2.5 Manage the recording and/or transcription of data according to protocol

3.      Protect Worker Health and Safety

 4.2 Employ protective behaviors according to changing conditions, personal limitations, and threats

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