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/niosh/topics/pandemic/conserving.html
- Strategies for Optimizing the Supply of Facemasks: https://www.cdc.gov/niosh/topics/pandemic/strategies-n95.html
- Strategies for Optimizing the Supply of Eye Protection: https://www.cdc.gov/niosh/topics/pandemic/strategies-eye.html
- Strategies for Optimizing the Supply of Isolation Gowns: https://www.cdc.gov/niosh/topics/pandemic/strategies-gowns.html
- Strategies for Optimizing the Supply of Disposable Medical Gloves: https://www.cdc.gov/niosh/topics/pandemic/strategies-gloves.html
- Summary for Healthcare Facilities: Strategies for Optimizing the Supply of PPE during Shortages: https://www.cdc.gov/niosh/topics/pandemic/strategies-ppe.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: Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats
Subject: Treatment & Care
Item Type: Publication
Date Last Updated: 2020-03-28
Description: This publication articulates the guiding principles, key elements, and core messages that undergird Crisis Standards of Care decision-making at all levels.In response to a request from the Office of Science and Technology Policy (OSTP), the National…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: University of Nebraska Medical Center / Nebraska Medicine
Subject: Infection Control
Item Type: Hyperlink
Date Last Updated: 2020-04
Description: Designed by leading health experts at the University of Nebraska Medical Center, the 1-Check COVID app features an easy to use interface that asks you to complete a series of questions about your symptoms, travel, medical conditions, and exposure.…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: By John L. Hick, Dan Hanfling, Matthew K. Wynia, and Andrew T. Pavia
Subject: Treatment & Care
Item Type: Publication
Date Last Updated: 2020-03-05
Description: The novel coronavirus SARS-CoV-2 and resulting disease state COVID-19 pose a direct threat to an over-burdened U.S. medical care system and supporting supply chains for medications and materials.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: Emory
Subject: Infection Control
Item Type: Video
Date Last Updated: 2020-03-23
Description: For more videos visit med.emory.edu/PPE https://youtu.be/j57qqjNCrckExtended reuse protocol for face and eye protection when supplies are low and the provider is treating a cohort of confirmed or suspected COVID-19 patients. This was created March…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: University of Nebraska Medical Center / Nebraska Medicine
Subject: Infection Control
Item Type: Guide
Date Last Updated: 2020-03-21
Description: The ongoing pandemic of SARS-CoV-2 resulting in COVID-19 has severely stressed the worldwide healthcare system and has created dangerous shortages of personal protective equipment (PPE) including N95 filtering facepiece respirators (N95 FFRs). In an…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: Emory
Subject: Infection Control
Item Type: Video
Date Last Updated: 2020-03-23
Description: Putting on ACE airborne PPE - Donning video with conservation of resourcesWatch this video on Youtube.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: University of Nebraska Medical Center / Nebraska Medicine
Subject: Training and Exercises
Item Type: Protocol
Date Last Updated: 2016-06-01
Description: Leadership Toolbox, Preparedness: Policies and Procedures Manual Provider Down ProtocolExample 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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