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Medical Surge Plan Example


This 42-page plan was developed in order to guide the orderly response to a medical surge incident (including pandemic influenza) in a small rural/urban California county.  In particular, the plan is intended to provide the Emergency Operations Center (EOC) Medical/Health branch staff with information and guidance to effectively plan for, organize, and manage the medical response to a surge incident.  


Appendices include:

  • Surge definitions
  • Legal authorities
  • Emergency contact information
  • Incident response guide for surge response
  • Surge measures for healthcare facilities
  • Incident response guide for implementing surge response
  • Incident response guide for monitoring surge response
  • Incident response guide for recovery from surge
  • Strategies for expanding staff throughout the county
  • Alternate Care Site (ACS) patient criteria policy
  • Acronyms
  • Activation and surge capacity matrix
  • Stanislaus County EMS/hospital system saturation policy
  • Medical-health surge plan notification algorithm

 This plan was submitted as part of an H1N1 Story from the Field. The story is available here: http://www.naccho.org/topics/H1N1/h1n1story.cfm?story_id=259

Primary Toolkit:

Influenza Toolkit

Secondary Toolkits:

PPHR Toolkit

Keyword Area:

Incident Command System, Pandemic Influenza, Surge Capacity


Institutional Author:

Stanislaus County Health Department, CA





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.