Sample Pediatric Disaster Plan and Implementation Checklist

Policies Procedures Protocols - small

Resource Overview

  • Sample tools to strengthen hospital pediatric disaster preparedness that includes a planning template and implementation checklist.
  • Aligns with EOPs, regulatory requirements, and pediatric readiness standards.
  • Addresses surge, evacuation, transfer, reunification, and special pediatric considerations.

How to Use This Resource

  • Use the Planning Template to build or update your pediatric disaster plan
  • Use the Implementation Checklist to track operational readiness and monitor progress.
  • Conduct a gap analysis by crosswalking both tools with your current emergency preparedness program.
  • Incorporate into drills, exercises, and annual emergency management review cycles.

Structured template to guide development or revision of a comprehensive pediatric disaster annex or stand-alone plan.


Operational checklist to help track completion of pediatric disaster planning elements and readiness activities.