Contingency and Crisis Capacities
This is a collection of Contingency and Crisis capacity resources. What are Contingency and Crisis capacities?
This collection of resources contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
Contingency and then crisis capacity measures augment conventional capacity measures and are meant to be considered and implemented sequentially (CDC). They are recommended in the following sequence:
- Conventional capacity include measures consisting of engineering, administrative, and personal protective equipment (PPE) controls that should already be implemented in general infection prevention and control plans in healthcare settings.
- Contingency capacity measures may be used temporarily during periods of expected shortages. Contingency capacity strategies should only be implemented after considering and implementing conventional capacity strategies.
- Crisis capacity strategies are not commensurate with U.S. standards of care but may need to be considered during periods of known shortages. Crisis capacity strategies should only be implemented after considering and implementing conventional and contingency capacity strategies.
Key Facts:
- When using these strategies, healthcare facilities should (CDC):
- Consider these options and implement them sequentially
- Understand their current PPE inventory, supply chain, and utilization rate
- Train healthcare personnel on PPE use and have them demonstrate competency with donning and doffing any PPE ensemble that is used to perform job responsibilities
- Once PPE availability returns to normal, promptly resume conventional practices
Where to Start:
- Consult the CDC guidance on optimizing Personal Protective Equipment (PPE) supplies here: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html
- Strategies for Optimizing the Supply of Facemasks: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html
- Strategies for Optimizing the Supply of Eye Protection: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/eye-protection.html
- Strategies for Optimizing the Supply of Isolation Gowns: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/isolation-gowns.html
- Strategies for Optimizing the Supply of Disposable Medical Gloves: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/gloves.html
- Summary for Healthcare Facilities: Strategies for Optimizing the Supply of PPE during Shortages: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/strategies-optimize-ppe-shortages.html
- See NETEC's selection of tools on PPE (COVID-19) Use and Conservation.
Contingency and Crisis Capacity Resources:
Browse through the resources at the bottom of this page, under Collection Resources, to find strategies to help with reuse and extended use of supplies.
N95 Flowchart - are Crisis Capacity Strategies necessary?
Start with the flowchart below to see how to determine when contingency and crisis capacity strategies are necessary.
Collection Resources
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Creator: ASPR TRACIE
Subject: Emergency Management
Item Type: Hyperlink
Date Last Updated: 2022
Description: The Disaster Available Supplies in Hospitals (DASH) Tool is an interactive tool that can help hospital emergency planners and supply chain staff estimate supplies that may need to be immediately available during various mass casualty incidents (MCI)…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
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Creator: CDC
Subject: Emergency Management
Item Type: Hyperlink
Date Last Updated: 2021-04-09
Description: This summary is intended to help healthcare facilities optimize supplies of disposable N95 filtering facepiece respirators when there is limited supply during the COVID-19 pandemic. The strategies are categorized in a continuum of care and further…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
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Creator: CDC
Subject: Infection Control
Item Type: Hyperlink
Date Last Updated: 2020-06-03
Description: A variety of infection control guidance for healthcare professionals about COVID-19: Guidance Infection Control Guidance Postmortem Guidance Guidance by Facility Type Alternate Care Sites Ambulatory Care Settings Blood and Plasma…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
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Creator: CDC
Subject: Emergency Management
Item Type: Guide
Date Last Updated: 2021-09-16
Description: Audience: These considerations are intended for use by federal, state, and local public health officials, respiratory protection program managers, leaders in occupational health services and infection prevention and control programs, and other…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
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Creator: CDC
Subject: Emergency Management
Item Type: Guide
Date Last Updated: 2020-10-19
Description: The CDC flowchart attached to this page guides you through determining if an N95 FFR Crisis Capacity strategy is needed.Implementing Filtering Facepiece Respirator (FFR) Reuse, Including Reuse after Decontamination, When There Are Known Shortages of…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
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Creator: Fintzi J, Bonnett T, Sweeney DA, Huprikar NA, Ganesan A, Frank MG, McLellan SLF, Dodd LE, Tebas P, Mehta AK.
Subject: Treatment & Care
Item Type: Publication
Date Last Updated: 2021-08-19
Description: The Adaptive COVID-19 Treatment Trial-1 (ACTT-1) found that remdesivir therapy hastened recovery in patients hospitalized with COVID-19, but the pathway for this improvement was not explored. We investigated how the dynamics of clinical progression…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
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Creator: NYC Health + Hospitals
Subject: Emergency Management
Item Type: Guide
Date Last Updated: 2021-01
Description: Infection Prevention and Control and Environmental Health and Safety for COVID-19 Isolation and Quarantine Hotels: Tailoring Existing Recommendations and Implementing Innovative Strategies Within the Hotel SettingExample only: NETEC provides this item for reference purposes but does not endorse its content. Newer versions may be in place at the providing institution.
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Creator: Emory
Subject: Infection Control
Item Type: Guide
Date Last Updated: 2020-08-13
Description: ACE PAPR (reuse) Launderable gown (reuse) Double gloves Instructions for ACE PPE. Useful for when you are... ...experiencing PPE supply issues. ...caring for a symptomatic patients. ...performing aerosolizing procedures. These instructions were last…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
Example only: NETEC provides this item for reference purposes but does not endorse its content. Newer versions may be in place at the providing institution.
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Creator: Emory
Subject: Infection Control
Item Type: Guide
Date Last Updated: 2020-08-17
Description: COVID-19: Printable PDFPutting PPE ON, Extended Wear, Taking PPE OFFInstructions for ACE PPE. Useful for when you are... ...experiencing PPE supply issues. ...caring for a symptomatic patients. ...performing aerosolizing procedures. These…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
Example only: NETEC provides this item for reference purposes but does not endorse its content. Newer versions may be in place at the providing institution.
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Creator: Emory
Subject: Infection Control
Item Type: Guide
Date Last Updated: 2020-08-17
Description: COVID-19: Printable PDFPutting ON PPE, Extended Wear, Taking OFF PPEInstructions for ACE PPE. Useful for when you are... ...experiencing PPE supply issues. ...caring for a symptomatic patients. ...performing aerosolizing procedures. These…Conservation strategies: This resource contains recommendations facilitating conservation of equipment and supplies during contingency (expected shortages) and crisis (known shortages) capacities and should not be applied as guidance when conventional capacities are available.
Example only: NETEC provides this item for reference purposes but does not endorse its content. Newer versions may be in place at the providing institution.
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