Chapter 2 Flashcards
Expeditionary Healthcare Administration
The SMDR can be the senior medical or dental officer or it can be the Independent Duty Corpsman (IDC).
Items that need to be reported include severe injuries, conditions that can affect the health of the crew, and damage or loss of medical and dental equipment.
The names of patients in serious condition are reported directly to the Commanding Officer and the OOD, with the information necessary for notification of the patient’s next of kin.
Memorandum for the Record may be drafted for any serious injury or death, patients who refuse treatment or are noncompliant, or when recommendations to the command in regards to the health and safety of the crew are not followed due to the Commanding Officer’s discretion.
SAMS is an administrative management tool that tracks the medical and dental readiness of Navy and Marine Corps operational units.
Additionally SAMS is used to track supply inventory, log preventative medicine inspections, report and receive radiation exposure data, and manage medical training.
MRRS is an administrative management tool that is used to track the medical and dental readiness of every active duty and reserve Sailor or Marine. It is an Internet based communication program that allows for health care providers to update and manage a member’s readiness regardless of the member’s permanent duty station.
The Sick Call Treatment Log is maintained in SAMS for each ship or activity. The log contains each patient’s reporting date and time, name, rate, division, chief complaint, diagnosis, treatment, and disposition. The report is forwarded to the Commanding Officer on a daily basis.
TRAINING LOG All lectures and training periods that are administered by the medical department should be recorded in the training management module of SAMS. The entries should include the date, title of the lecture, division of personnel attending, duration of the lecture, and the number of Officers, Chiefs, and E-6 and below attending.
The purpose of the potable water log is to record the readings of daily residual chlorine or bromine levels and the weekly bacteriological examinations required on potable water aboard ship and in the field. Records will be maintained IAW the, Manual of Naval Preventive Medicine, NAVMED P-5010, chapter 6. Record the results using the SAMS Environmental Management Module.
TYPES AND PURPOSES OF DIRECTIVES
There are two basic types of directives: permanent and temporary. Permanent directives regulate administration, establish policy, delegate authority, and assign a mission function or task.
Temporary directives are normally issued as a notice to request comments or approval, and announce information such as a change of command or education and promotion opportunities. Notices cannot remain in effect for more than a year.
CHANGE TRANSMITALS
A change transmittal is used to issue changes to instructions and notices. Change transmittals are numbered consecutively. That is, the first change transmittal to an instruction is Change Transmittal 1, the second 2, and so on.
NOTICES:
Because of the brief duration, notices ordinarily do not need to be filed in the master file (main files of instructions).
SSICs are found in the SECNAVINST 5210.11 series, Department of the Navy Standard Subject Identification Codes. They serve as file numbers for and are required on all Navy and Marine Corps letters, messages, directives, forms, and reports.
SSICs are divided into 13 major groups: 1000 series – Military Personnel 2000 series – Telecommunications 3000 series – Operations and Readiness 4000 series – Logistics 5000 series – General Admin & Management 6000 series – Medicine and Dentistry
7000 series – Financial Management 8000 series – Ordnance Material 9000 series – Ships Design and Material 10000 series – General Material 11000 series – Facilities and Activities Ashore 12000 series – Civilian Personnel 13000 series – Aeronautical and Astronautical Material 16000 series – Coast Guard Missions
SSIC:
For example: 6421
6000 Medicine and Dentistry
6400 Special Fields (Primary)
6420 Submarine and Diving Medicine (Secondary)
6421 Hyperbaric Treatment – Diving Accidents (Tertiary)
The SECNAVINST 5210.8 series, Department of the Navy Records Management Program, provides guidance for records maintenance, use, and disposition. The Records Management Program is designed to retain records that are needed to execute the mission and dispose of records that have expired.
The PHA is used to review and correct any IMR deficiencies. The PHA provides the opportunity to assess changes in a member’s health on an annual basis that could potentially impact the ability to perform military duties and deploy worldwide.
BATTALION AID STATION:
The BAS of an infantry battalion is the most forward deployed and most mobile. It is normally comprised of two medical officers and up to 65 HMs
FLEET HOSPITALS:
HMs deploy with Expeditionary Medical Facilities (EMF) with up to 500 beds, to be organized and scaled to fit the requirements identified by the Combatant Commander (COCOM).
Fleet hospitals are designed to be used in operations greater than 60 days.
NMCBs
Medical support to the Naval Mobile Construction Battalions (NMCBs) is provided at the battalion level by medical and dental personnel assigned to the NMCBs. There are a total of eight NMCBs home ported in Gulfport, MS and Port Hueneme, CA.