Executive Summary

Executive Summary
LevelCPPE Hospital Operational Continuity Preparedness Model

Hospitals are the first receivers during regional contamination incidents. Patients will arrive regardless of the hospital's preparedness.

Our goal is to help your hospital remain open and
Safely receive and treat contaminated patients for 72+ hours.

The determining factor is not the existence of a written emergency plan.
The determining factor is the hospital's operational capability to protect first receivers and to continue receiving contaminated patients during the first 72 hours of a chemical, biological, radiological, or nuclear contamination event.

The LevelCPPE Hospital Operational Continuity Preparedness Model
defines five tiers of Hospital Preparedness to keep the ED open to receive contaminated patients without contaminating the facility or the hospital first receivers for over 72 hours.

Most hospitals operate between Tier 1 and Tier 2, where plans exist, but operational protection for staff and first-receiver departments remains limited.

LevelCPPE helps hospitals achieve Tier 3 and Tier 4 readiness by protecting essential first-receiver departments, enabling leadership to issue coordinated response orders, and allowing the hospital to maintain operations while safely receiving contaminated patients.

Achieving this level of readiness requires three operational capabilities.

Executive decision continuity
Leadership must have a structured response framework to coordinate actions during the first hours of an incident.

Protected personnel
Essential staff must have deployable respiratory and protective equipment capable of sustained operations.

Operational endurance
Hospitals continue to provide core services even if external help gets delayed.

The LevelCPPE preparedness system supports these capabilities through the Level-C PPE Push Pack and a structured CBRN Response Strategy Checklist designed for the first 72 hours of a contamination event.

Each configuration includes full-barrier Level-C protective equipment with powered air-purifying respirators for assigned personnel, supported by personal radiation alerting devices and survey instruments to improve situational awareness and decision support.

The system is based on a NIOSH-approved powered air-purifying respirator platform. This platform reduces breathing resistance and fatigue, enabling extended operational use during high-stress response conditions.

When combined with the LevelCPPE executive response checklist, the
Level-C PPE Push Pack becomes more than protective equipment.
It becomes a continuity system that protects personnel, supports leadership decisions, and preserves the hospital’s ability to remain open during contamination incidents.

Hospitals implementing the LevelCPPE model strengthen their ability to maintain operations, protect staff, and safely receive contaminated patients during the most unstable phase of a regional emergency.

Hospitals that attain Tier-3 to Tier-5 contamination preparedness have:
The correct Level-C PPE with PAPR, radiation alerts, deployable decontamination units, backup communications, and a self-sufficient
3-day CBRN Shelter Kit.
All in compliance with TJC EM.09 to EM.17 et al.
Schedule a CBRN Response Strategy Consultation.

LevelCPPE.com
CBRN Response Consultation–$200

727-580-5997
Doug@LevelCPPE.com

-------------------------------------------------------------------------------------------------

Here is a small example of a CBRN Response Checklist Template Intended for Executive Officers during the first 72 hours of a CBRN Contamination Event within 100 miles.

Your Preparedness Consult contains a 111-item
CBRN Response Checklist Template.

• Phase 1: Immediate Response (0-2 Hours)
  

  • CEO: Activate crisis management, establish command, and coordinate with authorities.
    

  • CFO: Release emergency funds, implement protocols, and assess initial impacts.
    

  • COO: Secure systems, define containment, and initiate evacuation.
    

  • CIO: Enable emergency IT systems, protect data, and establish remote command.
    

  • CMO: Initiate crisis communications, notify stakeholders, and issue public updates.
    

• Phase 2: Extended Response (2-24 Hours)
  

  • CEO: Maintain organizational unity, brief stakeholders, and review continuity plans.
    

  • CFO: Conduct financial analyses, secure additional funding, and track costs.
    

  • COO: Oversee decontamination, resource deployment, and assess facility integrity.
    

  • CIO: Maintain backups, monitor cyber threats, and ensure network stability.
    

  • CMO: Manage media relations, update stakeholders, and monitor public and internal communications.
    

• Phase 3: Recovery (24-72 Hours)
  

  • CEO: Guide recovery, assess effects, plan restoration, and maintain trust.
    

  • CFO: Project financial outlook, develop recovery budget and strategy.
    

  • COO: Plan facility restoration, establish return protocols, and review supply chain.
    

  • CIO: Verify system integrity, restore technology, and document the incident.
    

  • CMO: Craft recovery messaging, manage reputation, and document response effectiveness.
    

SUMMARY:

LevelCPPE systems help hospitals and critical organizations remain operational during contamination incidents and safely receive contaminated patients for 72 hours or longer.

The Level-C PPE Push Pack provides hospitals with a structured, rapidly deployable capability to protect first receivers and essential personnel while maintaining clinical operations during a regional contamination event.

The LEVELCPPE system allows emergency departments, first receiver departments, decontamination teams, security personnel, and operational leadership to avoid personnel and departmental contamination and closure.

The Level-C PPE Push Pack supports a hospital’s operational continuity posture to stay open.

It aligns with federal preparedness expectations, including CMS Emergency Preparedness requirements, Joint Commission Emergency Management standards, and ASPR Hospital Preparedness Program capabilities. and FEMA-approved equipment guidance.

LevelCPPE converts written preparedness plans into real operational capability. The system integrates three core components that allow hospitals to remain open and safely receive contaminated patients during the critical first 72 hours of a contamination incident.

First is an executive-directed response framework that enables leadership to order operational changes rapidly, protect essential personnel, maintain hospital continuity, and keep the ED open.

Second is a structured 72-hour operational checklist that guides executive officers and emergency managers through the key decisions required to stabilize operations while contamination conditions develop.

Third is a Level-C PPE capability that protects first receivers and other essential personnel. Survey Meter triage, decontamination, and when cleared, admitted to the ED or discharged home. First receivers have full-barrier Level-C PPE with PAPR.

The Process: A CBRN Response Consultation with a CBRN Response Consultant and Level-C PPE Analyst.

Choose a pre-configured Tier-3 or Tier-4 Level-C PPE CBRN Push Pack. The consultation includes a customized 111-item CBRN Response Strategy Checklist Template designed to guide executive officers and emergency managers. Add details and orders for planned critical operational decisions during the first 72 hours of a contamination incident.

We're offering 5-day rapid fulfillment for a Tier-3 Base Configuration for
20 first receivers and 50 contaminated patients over 72 hours.

Level-C PPE Push Pack that is appropriate for the organization’s operational environment. The pre-configured Push Packs are complete.

The Tier-0, Tier-1, and Tier-2 configurations are inadequate. See Tier-3.

The Tier-3 configuration is a more robust system for teams of 20-30 essential first-receiver personnel who float to first-receiver departments as needed.

This configuration serves the plan for Decontamination, ED, and Transfer.
Complete with the correct PPE, PAPR, radiation alerts, ambulatory decontamination unit, backup communications, and a 3-day
self-sufficient shelter.

The Tier-4 configuration is a truly robust system for 72 first-receivers.
A complete configuration for float as needed first-receivers in 8 departments:
Decontamination, ED, Trauma ICU, Burn ICU, Security, Maintenance, Incident/Hospital Management, Incoming Support.

The Tier-5 configuration extends Tier-4 and becomes an anchor for the community and a regional hub.
Ready access to multiple Tier-3 and Tier-4 configurations.

Professional-grade Level-C PPE and related gear are expensive.
Our prices are always near retail.
Learn about the FEMA grant pathway.

All equipment is premium-grade and sourced from approved manufacturers. Equipment selections align with FEMA's guidance for approved equipment. Hospitals and emergency management organizations commonly reference these selections in their preparedness frameworks.

LevelCPPE operates as a specialized CBRN Response Consultancy and
Level-C PPE equipment brokerage, supporting hospitals, corporate campuses, civic centers, and other organizations responsible for protecting essential personnel and maintaining operational continuity during contamination incidents.

We handle all consultations and orders confidentially.
Approved suppliers fulfill equipment orders and ship them solely to
U.S. addresses. We cannot exchange PPE. All sales are final.

To schedule a $200. CBRN Response Consultation, contact LevelCPPE.com at 727-580-5997 or Doug@LevelCPPE.com.