7.1 Administration

Question 1

What are the daily SMDR Responsibilities?

Answer 1

Potable water halogen residuals while underway or in non U.S. controlled ports,

Sick Call Log - Submitted daily to the CO for endorsement,

Situational examinations,

Routine examinations,

Immunizations,

Health record maintenance,

Walk-through of messing and berthing spaces,

Eight O’ Clock Report submission to the Chain of Command.

Question 2

What are the weekly SMDR responsibilities?

Answer 2

Safety/Sanitation inspection walkthrough to include habitability and berthing. (No formal report required),

Bacteriological testing of potable water and ice machines,

Conduct crews’ medical training in accordance with the Long Range Training Plan (LRTP).

Attend Planning Board for Training (PB4T),

Conduct Preventative Maintenance System checks and update weekly 3-M completion SKED program,

Ensure IMR report is uploaded/transmitted to Navy Medicine Online (NMO),

TMIP-M computer system re-index and backup,

Question 3

What are the bi-weekly SMDR responsibilities?

Answer 3

Stretcher Bearer Training,

Pest control survey/spray. Enter results into TMIP.

Question 4

What are the monthly SMDR responsibilities?

Answer 4

Address IMR deficiencies in TMIP,

Verify outstanding supply requisitions via Material Obligation Validation,

Conduct Food Service Sanitation Inspection (DD 2973) and submit to Chain of Command (CoC).

Question 5

What are the quarterly SMDR responsibilities?

Answer 5

Conduct habitability sanitation inspections and submit reports to CoC,

Report of potable water system inspection,

Controlled Substance Inventory and Report,

Validate current CBRN inventory and command demographics,

Drills and Exercises,

Training report to Training Officer.

Question 6

What are the habitability areas?

Answer 6

Laundry,

Barber shop,

Vending machines,

Ships store,

Fitness facilities.

Question 7

A controlled substance inventory board report is required monthly, if what happens?

Answer 7

If a transaction occurs.

Question 8

Validate current CBRN inventory and command demographics using what software?

Answer 8

Joint Medical Asset Repository (JMAR),

Web site formally (SLEP).

Question 9

What are included in the Drills and Exercises?

Answer 9

Battle Dressing Station,

Personnel Casualty Transportation,

Cardiac Life Support and Emergency resuscitation response.

Question 10

What are the semiannual SMDR responsibilities?

Answer 10

Shipboard Sanitation Control Exemption Certificate (SSEC),

Shipboard Sanitation Control Certificate (SSCC),

Operational and safety checks by Bio Medical Equipment Technician (BMET) on all medical department equipment,

Complete an inventory of all emergency Authorized Medical Allowance List (AMAL) gear and equipment,

Conduct a health and dental record audit (ships without dental divisions will audit dental records as well),

Conduct a mass casualty drill.

Question 11

What are the annual SMDR responsibilities?

Answer 11

Submit Long Range Training Plan (based on the training cycle) to the Command Training Officer,

Submit exposure to Ionizing Radiation (NAVMED 6470/1 per NAVMED P-5055) as required,

Request assistance from local MTF to conduct required external (out of house) Radiation Health Audit,

Submit annual medical/dental centrally managed equipment budget requirement to the Supply Officer,

Conduct bulkhead to bulkhead inventory of medical storerooms,

Annual calibration x-ray equipment as required,

Retire files per current Navy directives,

Conduct medical/dental records verification per current Navy directives,

Schedule annual calibration of audiometers and audiometric booths as required,

PHA’s completed in AHLTA (use DD 2766 from SAMS to update record),

Submit Shipboard Equipment Replacement Program (SERP) information to Force BMET,

Ensure annual calibration of anesthesia machines.

Question 12

What are the biannual SMDR responsibilities?

Answer 12

Request radiation health survey of x-ray equipment,

Request Laboratory Assessment – Clinical Laboratory Improvement Program from local MTF.

Question 13

What are the triannual SMDR responsibilities?

Answer 13

Industrial Hygiene Survey,

(requested by the command).

Question 14

What are the situational SMDR responsibilities?

Answer 14

Memorandum for the record (MFR),

Medical Event Report (MER),

Maritime public health declaration prior to port visit,

Inpatient disposition record (Medical Officer (MO) ship only),

Accident/Injury Report,

Medical joining report when entering a command region or zone (INCHOP) message to new AOR,

Appointment letters for Controlled Substances Inventory Board members and stock custodians,

Accidental Exposure to ionizing radiation,

MEDEVAC message,

Report of hospitalization at non-federal facilities (via situation,

Competence for duty exam,

Death report,

Aviation accident report,

Heat Stress survey,

Post deployment critique to appropriate Fleet Commander (Medical) via CoC,

Submit MRI/MRA inspection discrepancy follow-up reports to CoC,

Dosimeter report as required,

Acknowledge SERP equipment received onboard the ship in the Fleet Procurement Program data base,

Operational and safety checks performed by the BMET on medical equipment per 3-M schedule,

Pre-deployment, Post-deployment Health Assessment, Post-deployment Health Reassessment screenings.

Question 15

What is a memorandum for the record (MFR)?

Answer 15

As needed to document significant events.

Question 16

Accident/Injury Reports are entered into what software?

Answer 16

Web-Enabled Safety System (WESS),

By the safety office.

Question 17

Who gets appointment letters for the CSIB?

Answer 17

Senior member,

Members,

Working stock custodian,

Bulk stock custodian,

And authority to countersign prescriptions (if authority is delegated by Commanding Officer.)

Question 18

When are MEDEVAC messages required?

Answer 18

If patient is transferred for other than routine care or any care to be received in a non-US medical facility.

Question 19

Where do you send a competence for duty exam, if in port?

Answer 19

Send to ED.

Question 20

Submit MRI/MRA inspection discrepancy follow-up reports to CoC at what frequency?

Answer 20

Monthly.

Question 21

How often is a dosimeter report required?

Answer 21

About every 6 weeks per the Navy Dosimetry Program.

Question 22

Health deployment assessments reason 1?

Answer 22

Deployment ashore of more than 30 days with duties involving outside the continental United States operations without a fixed U.S. Military Treatment Facility (MTF).

Question 23

Health deployment assessments reason 2?

Answer 23

Individual and unit deployments to United States Central Command (USCENTCOM) or other areas designated by appropriate authority.

Question 24

Health deployment assessments reason 3?

Answer 24

Commander exercising operational control (regardless of deployment area, duration, or MTF support) determines a health threat exists (e.g., a deployed ship conducts operations that may expose service members to contaminants, disease, or traumatic events).

Question 25

Service members assigned to ships and squadrons conducting routine deployments with their ship or squadron are exempt from this requirement unless what?

Answer 25

Reason 1 and 3 applies.

Question 26

What is the definition of the Quality Assurance program?

Answer 26

It is a structured/systemic process for evaluating the entire spectrum of clinical care provided by an organization with a designated process for the resolution of previously unidentified or unresolved problems.

Question 27

What is the purpose of the Quality Assurance program?

Answer 27

To improve quality of health care through problem identification and resolution,

Focus is on clinical problems.

Question 28

What are the goals of the Quality Assurance program?

Answer 28

Maintain high level of unit wellness to meet mission needs,

Improve quality of health care given by all providers.

Question 29

Quality Assurance Responsibilities:

Fleet Commander?

Answer 29

Assumes overall program oversight and coordination,

Establish Memorandum of Understanding (MOU)/Memorandum of Agreement (MOA) with geographic BUMED facilities to obtain needed support/assistance,

Establish protocols for battle group commanders to monitor and control medical care within TYCOM lines during operations.

Question 30

Quality Assurance Responsibilities:

Type Commanders?

Answer 30

Exercise over all control and accountability for the program,

QA records maintenance,

Credentialing,

Reporting requirements.

Question 31

Quality Assurance Responsibilities:

Force Medical Officer?

Answer 31

IDC Program Director, appointed in writing by United States Fleet Forces Command (USFFC),

Appoints sufficient physician supervisors to ensure adequate over sight of the IDC’s clinical activities,

Ensures a viable training program is maintained by each operational group (COMPHIBGRU, COMCRUDESGRU, COMDESRON, etc.),

Provides a structured orientation for physician supervisors, outlining administrative and supervisory responsibilities,

Monitors and ensures compliance with all QA directives.

Question 32

Quality Assurance Responsibilities:

Force Medical Master Chief?

Answer 32

Program Manager appointed in writing,

Provides specific guidance and orientation to group/squadron senior corpsmen on program administration,

Advises the Program Director of discrepancies regarding IDC QA (like
recommendations to training and QA Program),

Identify and assign Squadron/Group Senior Corpsmen as assistant IDC
program manager

Serves as Liaison for group/squadron for sources of QA services when CNSP assets are not available (RSO) Group/squadron
commander

Oversees IDC QA Program through Group/squadron MO who is designated as professional advisor and “non-physician health care provider supervisor,”

TYCOM Must appoint an MO for these on ADDU if there isn’t one in the group/squadron.

Question 33

Quality Assurance Responsibilities:

Group/Squadron Senior Corpsman?

Answer 33

Assistant Program Manager for TYCOM, assisting with Admin aspects of the IDC QA program,

Maintain admin files of IDC Certs/Re-Certs, QA reviews, CMEs,

Provides updates to TYCOM database when personnel change,

Conduct quarterly QA reviews for IDCs,

Req may be extended to 6 months for deployed ships or greater in cases of operational necessity,

QA Reviews documented in a QA report, as well as in the Medical Dept Daily Journal,

All problems identified will be brought to CO attention,

Training conducted to correct deficiencies identified through QA process.