Iowa Skilled Nursing Provider COVID-19 Unit Register

Name

First Last

Facility Name

City

Phone

Email

Does your building have a separate wing or floor which can be converted to a COVID-19 isolation unit, either by relocating residents to other parts of the facility or a result of it currently being unused?

Yes
No

If yes, have you done this and are you currently prepared to care for COVID-19 positive patients?

Yes
No

If no, do you plan to convert the wing or floor to a COVID-19 isolation unit?

Yes
No

How many COVID-19 isolation units (beds) ready for patients do you currently or will you shortly [within 7 days] have available in your building?

Do you have the ability to provide staff dedicated to this unit only?

Yes
No

Is your PPE supply sufficient to supply the COVID-19 unit?

Yes
No

Click here for an IHCA PPE calculator.

If yes, for how many days at maximum capacity?

If any, what barriers are you facing which is preventing you from establishing a COVID-19 isolation unit in your facility?

Iowa Skilled Nursing Provider COVID-19 Unit Register

Please complete this survey.