Ventilator Request Guidelines
Please follow the listed steps to
request ventilator distribution
if you are in need of immediate
resource support.
It is the intent of Maricopa County Public Health to distribute ventilators in the most optimal, effective,
equitable, and efficient manner.
Please follow the steps below to submit your request:
1. Review CDC’s Strategies to Allocate Ventilators from Stockpiles to Facilities. This guidance details how ventila-tors will be strategically and ethically distributed among healthcare facilities in Arizona during COVID-19
2. Determine your need. Consider the number of and preferred type of ventilator. Please refer to the Ventilator Request Guidelines for a complete list of considerations.
3. Please submit a healthcare order form through the fol-
lowing link:
https://forms.gle/qHcx3wGpn2oM6LoP7
DON’T FORGET!
Please keep EMResource
updated! Your request will be
compared against EMResource
data provided at the date/time
of your request.
Ventilator Distribution Considerations:
Number of hospitalizations
Percentage of hospitalizations with critical
illness requiring critical care
Percentage of critically-ill patients need-
ing ventilator support
Number of ventilators already present in
facility
Number of ventilators anticipated to be
available from surge contracts of sharing
agreements
Ventilators in use that may be available
for future use
Number and Type of Ventilators needed Next Steps…
1. A ventilator request will be created on your behalf by MCDPH
2. MCDPH will assist you in procuring a ventilator from the following sources:
- Local Warehouse
- Hospital Partners
- DEMA Request As of: 15 July 2020
For More Information:
Please reach out to us at 602-359-1495 or
