Georgia Hospital Profile

Healthcare Facility Emergency
Contact & Cooperative Planning Form

General Information 24 Hour Emergency Contact Numbers Facility Type Facility Name:WellStar Cobb Hospital Phone: ACUTE CARE: Address: Fax: REHAB: City:, GA Security: NURSING: Main Phone: ED: COMM. CLINIC: Emergency Planning Personnel Title: Name: Phone: Cell: Email: Safety Officer Security Director ED Director Infection Control Pharmacy Director Laboratory Director Disaster Contact Information Incident Command Center Phone Numbers: Radio Information: Primary Location: 800 MHz radio link to EMS: Alternate Location: HAM Radio Frequency(if applicable): Facility Information # of Acute Care Beds 0 # of Emergency Dept. Beds 0 # of Intensive Care Beds 0 # of Coronary Beds 0 # of Newborn Intensive Care Beds 0 # of Post Anesthesia Care Beds 0 # of Burn Unit Beds 0 # of Negative Pressure Rooms 0 # of Negative Pressure Rooms in ED 0 # of Ventilators/Respirators 0 % of Ventilators in use on a daily basis 0 Permanent Internal Decon Facility? 0 Outdoor Permanent Decon Facilities? 0 Outdoor Temporary Decon Facilities? 0 Anticipated Hourly Capacity of ALL Decon. Facilities 0 What is your Surge Capacity (% of Total Number of Beds) 0 Information Last Updated: Sat Nov 16,2013 22:35:53 (information should be updated quarterly and as needed) Trauma Center Designation                (I - II - III - IV - n/a):   N/A NDMS Facility?   0