COMPREHENSIVE Flashcards
State the periodic responsibilities of the SMDR. (COMNAVSURFORINST 6000.1 series)
SMDR Periodic Responsibilities
(1) DAILY
(a) Potable water halogen residuals while underway or in non U.S. controlled ports.*
(b) Sick Call Log
1) Submitted daily to the CO for endorsement
(c) Situational examinations
(d) Routine examinations
(e) Immunizations
(f) Health record maintenance*
(g) Inspection of cooks and food service attendants
(h) Walk-through of messing and berthing spaces
(i) Eight O’clock Report Submission to the Chain of Command
(2) WEEKLY(Periodicity – Once each week) NO FORMAL WEEKLY REPORT REQUIRED
(a) Safety/Sanitation inspection walkthrough to include habitability and berthing.*
(b) Bacteriological testing of potable water*
(c) Conduct crews’ medical training in accordance with the Long Range Training Plan (LRTP). Attend Planning Board for Training (PB4T).
(d) Conduct Preventative Maintenance System checks and update weekly 3-M completion SKED program.*
(e) Ensure IMR report is uploaded/transmitted to Navy Medicine Online (NMO.)
(f) TMIP-M computer system re-index and backup.
(3) BIWEEKLY (Periodicity – Approximately every two weeks).
(a) Stretcher Bearer Training*
(b) Pest control survey/spray. Enter results into TMIP.
(4) MONTHLY (Periodicity – every thirty days)
(a) IMR into TMIP
(b) Verify outstanding supply requisitions via Material Obligation Validation.
(c) Conduct Food Service Sanitation Inspection (DD 2973) to Chain of Command (CoC).
(5) QUARTERLY (Periodicity – every three months)
(a) Conduct habitability sanitation inspections (i.e. laundry, barber shop, vending machines, ships store, fitness facilities) pursuant to NAVMED P-5010 and submit reports to CoC.*
(b) Report of potable water system inspection.
(c) Controlled Substance Inventory and Report.
Note: Required monthly if a transaction occurred. Report will be submitted to the CO by the Senior Member of the Controlled Substances Inventory Board (CSIB).*
(d) Validate current CBRN inventory and command demographics on the Joint Medical Asset Repository (JMAR) web site (formally SLEP).*
(e) Drills and Exercises
1) Basic First Aid (11 Basic Wounds)
2) Battle Dressing Station
3) Personnel Casualty Transportation
4) Cardiac Life Support and Emergency resuscitation response.
(f) Training report to Training Officer. Include completed training for previous quarter and propose training schedule for the next quarter.
(6) SEMIANNUAL (Periodicity – every six months).
(a) Shipboard Sanitation Control Exemption Certificate (SSEC)*
(b) Shipboard Sanitation Control Certificate (SSCC)*
(c) Operational and safety checks by Bio Medical Equipment Technician (BMET) on all medical department equipment.
(d) Complete an inventory of all emergency Authorized Medical Allowance List (AMAL) gear and equipment.**
(e) Conduct a health and dental record audit (ships without dental divisions will audit dental records as well).*
(f) Conduct a mass casualty drill*
* When you are in the Yards and on a barge, you dont need a SSEC/SSCC.
(7) ANNUAL (Periodicity – every 12 months)
(a) Submit Long Range Training Plan (based on the training cycle) to the Command Training Officer.*
(b) Submit exposure to Ionizing Radiation (NAVMED 6470/1 per NAVMED P-5055) as required. (NOT ON TEST)
(c) Request assistance from local MTF to conduct required external (out of house) Radiation Health Audit. (NOT ON TEST)
(d) Submit annual medical/dental centrally managed equipment budget requirement to
the Supply Officer.
(e) Conduct bulkhead to bulkhead inventory of medical storerooms.*
(f) Annual calibration x-ray equipment as required. (NOT ON TEST)
(g) Retire files per current Navy directives.
(h) Conduct medical/dental records verification per current Navy directives.
(i) Schedule annual calibration of audiometers and audiometric booths as required. (NOT ON TEST)
(j) PHA’s completed in AHLTA (use DD 2766 from SAMS to update record).
(k) Submit Shipboard Equipment Replacement Program (SERP) information to Force BMET.
(l) Ensure annual calibration of anesthesia machines. (NOT ON TEST)
(8) BIENNIAL (Periodicity – every two years)
(a) Request radiation health survey of x-ray equipment (NOT ON TEST)
(b) Request Laboratory Assessment – Clinical Laboratory Improvement Program form MTF (Annual for AMPHIB only).
(9) TRIENNIAL (Periodicity – every three years)
(a) Industrial Hygiene Survey (requested by the command).
(10) SITUATIONAL
(a) Memorandum for the record (MFR)*
1) As needed to document significant events
(b) Medical Event Report (MER) submission via Disease Reporting System Internet (DRSi).
(c) Maritime public health declaration prior to port visit.
(d) Report of Heat/Cold Injury (NAVMED 6500/1 revision 5-99) with copies to the TYCOM, Navy and Marine Corps Public Health Center (NMCPHC), and the NEPMU for the current Area of Operation (AO).
(e) Inpatient disposition record (Medical Officer (MO) ship only) (NOT ON TEST)
(f) Accident/Injury Report Signed original to be maintained by the command safety officer with a signed copy for medical. Report is entered into web-enabled safety system (WESS) by the safety officer.
(g) Medical joining report when entering a command region or zone (INCHOP) message to new AOR.
(h) Appointment letters for Controlled Substances Inventory Board members and stock custodians.
1) Senior member, members, working stock custodian, bulk stock custodian, and authority to countersign prescriptions (if authority is delegated by Commanding Officer.**
(i) Accidental Exposure to ionizing radiation (NAVMED 6470/1). (NOT ON TEST)
(j) MEDEVAC message (required if patient is transferred for other than routine care or any care to be received in a non-US medical facility).
(k) Report of hospitalization at non-federal facilities (via situation (SITREP) in accordance with NAVPERS 15560D, Naval Military Personnel Manual article
1770-030). (OPS DOES THIS)
(l) Competence for duty exam. (if in port send to ED) (CANT DO ONE W/O COS APPROVAL)
(m) Death report
(n) Aviation accident report
(o) Heat Stress survey
(p) Post deployment critique to appropriate Fleet Commander (Medical) via CoC.
(q) Submit MRI/MRA inspection discrepancy follow-up reports to CoC no less frequently than monthly.
(r) Dosimeter report as required (about every 6 weeks per the Navy Dosimetry Program). (NOT ON TEST)
(s) Acknowledge SERP equipment received onboard the ship in the Fleet Procurement
Program data base.
(t) Operational and safety checks performed by the BMET on medical equipment per 3-M schedule.
(u) Pre-deployment, Post-deployment Health Assessment, Post-deployment Health Reassessment screenings.
1) Are only required for personnel who have returned from a deployment under one or more of the following conditions:
a) 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). (NONE)
b) Individual and unit deployments to United States Central Command (USCENTCOM) or other areas designated by appropriate authority. (PDHA)
c) 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).
2) Service members assigned to ships and squadrons conducting routine deployments with their ship or squadron are exempt from this requirement
unless paragraph (a) and (c) above applies.
a) For further guidance refer to OPNAVINST 6100.3, Deployment Health Assessment Process (NONE)
DISCUSS the responsibilities of the Quality Assurance Program.(COMNAVSURFORINST
6000.1 series)
Purpose of Quality Assurance (QA)
(1) Definition
(a) Quality Assurance 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.
(2) Purpose
(a) To improve quality of health care through problem identification and resolution.*
(b) Focus is on clinical problems.
(3) Goals
(a) Maintain high level of unit wellness to meet mission needs.
(b) Improve quality of health care given by all providers.
(4) Responsibilities
(a) Fleet Commander
1) Assumes overall program oversight and coordination*
2) Establish Memorandum of Understanding (MOU)/Memorandum of Agreement (MOA) with geographic BUMED facilities to obtain needed support/assistance.
3) Establish protocols for battle group commanders to monitor and control medical
care within TYCOM lines during operations.
(b) Type Commander (LIKE SURFPAC)
1) Exercise overall control and accountability for the program.*
2) QA records maintenance
3) Credentialing
4) Reporting requirements
(c) Force Medical Officer
1) IDC Program Director, appointed in writing by United States Fleet Forces Command (USFFC).
2) Appoints sufficient physician supervisors to ensure adequate oversight of the IDC’s clinical activities.
3) Ensures a viable training program is maintained by each operational group (COMPHIBGRU, COMCRUDESGRU, COMDESRON, etc.).
4) Provides a structured orientation for physician supervisors, outlining administrative and supervisory responsibilities
5) Monitors and ensures compliance with all QA directives.
(d) Force Medical Master Chief (TELLS MRD WHAT TO DO)
1) Program Manager, appointed in writing.
2) Provides specific guidance and orientation to group and squadron senior corpsmen on program administration.
3) Advises the Program Director of discrepancies in regard to IDC QA.
4) Makes recommendations to Program Director to enhance IDC training and QA program.
5) Identify and assign in writing, designated group/squadron senior corpsmen as assistant IDC Program Managers.
6) Serves as liaison for group/squadron corpsman for sources of QA services when
CNSP assets are not available (RSO) Group/Squadron Commander.
7) Oversees IDC QA Program through the Group or Squadron Medical Officer who is designated as the professional advisor and “non-physician health care
provider supervisor.”
8) In groups/squadrons without assigned Medical Officers, TYCOM must appoint
a MO to perform these duties on an ADDU basis.
(e) Group/Squadron Senior Corpsmen (LIKE MRD)
1) Serve as Assistant Program Managers for TYCOM, assisting with Administrative aspects of the IDC QA Program.
2) Maintain administrative files of IDC certification/re-certification, QA reviews, CME’s.
3) Provides updates to TYCOM database when personnel change.
4) Conduct quarterly QA reviews for IDC’s.
a) Requirement may be extended to 6 months for deployed ships, greater than 6 months in cases of operational necessity.
b) QA reviews must be documented in a QA Report, as well as in the Medical Department Daily Journal. (ON 8 O’s)
(1 All problems identified will be brought to the C.O.’s attention.
c) Training conducted to correct deficiencies identified through QA process.
(f) Commanding Officer (C.O.)
1) C.O. shall obtain immediate QA review for the following:
a) Patient death*
2) Adverse patient response secondary to delay in treatment or evacuation.
a) Unexpected adverse reaction to treatment or medication.
b) QA review can be episode/incident related, periodic, or a special procedure.
c) All adverse reports are to be submitted to TYCOM within 48 hours after event discovery.*
(g) Senior Medical Department Representative (SMDR)
1) When a death occurs within a command, the SMDR shall submit, within four hours, a Medical Department Memorandum for the Record (MFR) noting all events.*
2) Within the individual IDC’s experience and expertise, provide for the health and welfare of the crew to the utmost of their ability.
3) Ensure all areas of responsibility maintained in a high state of readiness.
4) Inform the chain of command immediately of any patient beyond the scope of care for the IDC.*
a) Seek immediate Medical Officer consultation for any questionable case.*
b) Maintain skill levels within the scope of care for an IDC as delineated in OPNAVINST 6400.1 series ***, and seek all opportunities to maintain skills through training At fixed MTF’s and various authorized avenues.
c) Minimum required CME’s are 15 annually.
5) Work closely with assigned physician supervisor on resolution of identified QA problems.
6) Countersign all SF-600 entries by junior HM’s.
a) Provide a list to CO of all OTC medications which junior HM’s are trained and authorized to dispense
DESCRIBE the components of the Shipboard Medical Procedures Manual.
(COMNAVSURFORINST 6000.1 series)
Components of the Shipboard Medical Procedures Manual
(1) Chapter 1 - General
(a) Organization and Responsibilities, Medical Department Administration/Medical Readiness Assessment (MRA), QA, Certification, Training and Review, Medical Readiness Inspection (MRI).
(b) Medical Department mission is to promote, maintain, and preserve the health of the crew aboard ship.
(c) Medical Department Organizational Manual shall be maintained for each ship.
1) It must be submitted by the current Department Head/SMDR and approved by the Commanding Officer with annual review.
(d) Watch, Quarter, and Station Bill (WQSB)
1) Current and posted in each Battle Dressing Station and Main Medical.
2) Must include non-medical BDS phone talkers and Stretcher Bearers (minimum 4/BDS).
(e) Post-Deployment After Action Critique
1) Submitted to appropriate Fleet Commanders within 30 days of return from deployment.
2) Outlines problem areas, unusual medical problems, unexpected diseases, major injuries /accidents, medical intelligence, lessons learned, recommended changes to current publications, supply support problems, other areas of interest.
(f) IDC continuing education program, Medical Readiness Assessment, will be discussed in Lesson Topic 3.4.
(2) Chapter 2 – Training
(a) Crew General Medical Training
(b) Medical Department Personnel Training
1) BLS-AED (Basic Cardiac Life Support – Automated External Defibrillator).
2) Shipboard PQS/HM PQS
3) Pest Control Operator Training and Certification
4) Cardiac Life Support Drills
5) Immunizations
6) Chemical, Biological, Radiological and Nuclear (CBRN) training.
(c) Long Range Training Plan (LRTP) to include:
1) I Division (INDOC)
2) All Hands Medical Training.(see appendix I)
3) Specialty Medical Training
4) First Aid and Rescue
5) CBRE Training
6) Stretcher Bearer Training
7) GMT
8) Drills and Exercises COMNAVSURFPAC/COMNAVSURFLANTINST 3502.7
series and ATGPACINST 3502.1 Surface Force Training Manual.
9) Medical Department Training; 12 month cycle.
10) Rescue/SAR Swimmer First Aid Training.
11) Other Training: Toxic gas drill, man overboard.
(d) Planning Board for Training (PB4T)
1) Chaired by XO; SMDR is member; usually meet weekly to plan ship’s training schedule; SMDR must be pro-active.*
(e) Medical Training Team (MTT)
1) Will be discussed in a later lesson.
(3) Chapter 3 - Fiscal/Supply Management.*
(a) Authorized Medical Allowance Lists (AMAL); Medical Department Funding (Annual Budget); Operating Target (OPTAR); Medical Department Equipment Funding; Requisitioning Standard and Non-Standard Stock Material; Quality Control Surveillance, Joint Medical Assest Repository (JMAR) (formally Shelf Life
Extension Program (SLEP)), Survey/Disposal of Medical Material; Medical Waste Management; Medical Waste Management.
(b) Drugs Requiring Special Custodial Care
1) Controlled substances security, custody, inventory, dispensing, and transfer.
(c) Medical Equipment Maintenance and Repair Program
1) NAVMED 6700/3 Medical and Dental Equipment Maintenance Record will be maintained for the following:
a) Equipment not supported by APL.
b) On all equipment for ships without onboard BMET.*
c) Document all maintenance performed on the equipment.
2) Authorized parts list
3) Material Maintenance Management (3M) system implementation to include OMMS- NG, and SKED.
(4) Chapter 4 - Health Care
(a) Administration
1) Records and logs maintained
2) Health records
3) Medical consultations
4) Referral for admissions
5) Treatment of Military Personnel in non-federal medical facilities.
6) Unreasonable refusal of medical, dental, or surgical treatment.
7) Motion sickness
8) Recommendations for discharge by reason of unsuitability.*
9) Competence for duty exams.
10) Disposition for members not suitable for shipboard duty.
11) Decedent Affairs Procedures
12) Removal from duty for medical reasons
(b) Clinical Health Care
1) Responsibilities of Medical Department Representatives in commands without a Medical Officer.
2) IDC’s shall seek consultation with a Medical Officer whenever there is a doubt about a patient’s condition or treatment including the following situations:*
a) Fever (oral temperature) equal to or greater than 103 degrees Fahrenheit.
b) Fever (oral temperature) greater than 100.4 degrees Fahrenheit and less than 103 degrees Fahrenheit, persistent for 48 hours.
c) Respirations greater than 28 per minute without apparent reason.
d) Pulse greater than 120 per minute without apparent reason.
e) A persistent diastolic blood pressure exceeding 105 mm/HG over a three-day period.
f) Any suspected case of hepatitis, tuberculosis, malaria, syphilis, disseminated gonorrhea, or gonorrhea second-time treatment failure.
g) Any patient with chest pain believed to be cardiac in origin or dyspepsia unrelieved by antacids.
h) Any abdominal pain associated with fever or an elevated white count.
i) Any patient with persistent or worsening abdominal pain.
j) Any patient with hematemesis, hemoptysis, or hematochezia.
k) Any patient with sudden testicular pain where testicular torsion is a possible diagnosis.
l) Any patient with traumatic or unexplained loss of consciousness.
m) Any patient with a compromised airway (Note: A minimally compromised airway associated with pharyngitis, other head and neck infections, or head
and neck trauma may rapidly progress to a life-threatening emergency. Act expeditiously when confronted with any degree of airway compromise).
n) Any return visit within a reasonable time frame, for the same complaint that has not resolved when compliance to treatment is assured.
o) Eye injury or significant visual changes.
3) Ophthalmic services
4) Periodic Health Assessment and Specialty Physical examinations.
5) Active Duty Women’s Physical Examination Standards
6) Sick call and Ship’s Brig Sick Call
7) Management and care of patients with altered state of consciousness
8) Patient berthing
9) Medical Standbys
10) Immunotherapy (Allergy shots)
11) Dental care
12) Rape/Sexual Assault
13) Pre-Deployment Screening of US Government Civilian Employees, Contract Personnel and Guests.
14) X-ray Services
15) Laboratory Services
16) Pharmacy Services
17) Inpatient
18) Operating Rooms
19) Manning of Sick Bay
20) Alcohol and Substance Abuse
21) Diving Medicine
22) Aviation Medicine
23) Embarked Personnel
24) Suicide Prevention
25) Mental Health
26) Medical and Dental Care for Personnel other than Active Duty.
27) Pre-confinement Physical/Screening.
(c) Shipboard Emergency Medical Readiness
CH3 IS SUPPLY BUT CH4 HAS EMERGENCY SUPPLIES
1) Sickbay Emergency Medical Material
2) IDC Emergency Kit
3) Battle Dressing Stations (BDS)
4) Mass Casualty Boxes (MCB)
5) First Aid Boxes (FAB’s)
6) Gun Bags
7) Boat Boxes
8) Stretchers and Litters
9) Decontamination (DECON) Lockers
10) CBRN Force Health Protection (FHP)
11) Non-Combatant Evacuation Operation (NEO) material.
12) Oxygen supply (Medical Gases)
13) Surgical Instrument Sets, Sterilization procedures, and Sterilization Log.
(5) Chapter 5 – Environmental Health and Preventive Medicine Afloat
(a) Preventive Medicine
1) Inspection and reporting procedures*
2) Sanitation bill
3) Quarantine bill
4) Quarantine regulations
(b) Food Safety
1) Food Safety Sanitation Training Program
2) Health Standards for Food Service Personnel
3) Foodborne Illnesses
4) Routine Overhaul
(c) Water Supply Afloat
1) Water Sanitation Bill
2) Water Treatment and Halogen Testing (Bromine/Chlorine).
a) Water Production
b) Testing from Halogen Residuals
c) Potable Water Connection, Hoses and Lockers
3) Bacteriological Testing
4) Calcium Hypochlorite Storage
(d) Habitability*
1) Barbershop
2) Laundry
3) Fitness/Exercise Facilities
4) Ship Store/Vending Areas
5) Brig (if applicable)
(e) Insect and Rodent Control
1) Pest Control Procedures
2) Rodent Control
(f) Communicable Diseases
1) Sexually Transmitted Diseases (STDs)
2) TB Control Program requirements
3) Hepatitis guidance
4) Malaria guidance
5) Immunizations
6) Human Immunodeficiency Virus (HIV) Testing Program
(g) Safety/Industrial and Occupational Health
1) Medical IH responsibilities IAW OPNAVINSTs 5100.19 series and 5100.23 series.
2) Safety
a) Hearing Conservation Program (HCP)
b) Sight Conservation
c) Asbestos Surveillance Monitoring Program (AMSP)
d) Lead Control
e) Metal Fumes Exposure
f) Shipboard Sewage Systems
g) Heath Care Workers (HCW)
(6) Chapter 6 – Medical Planning
(a) General Information
(b) Casualty Handling
(c) Naval Ready Reserve Personnel*
(d) Medical augmentation
(e) Medical Joining Report*
(f) Medical regulating
(g) Casualty evacuation***
(h) Landing force
(7) Chapter 7 – Blood Program
(a) Blood Program Administration
1) Ordering Blood Products (large decks)
2) Transportation of Blood Products
3) Storage of Blood Products
4) Administration of Blood Products
5) Return of Blood Products
6) Communication
7) Walking Blood Bank
(b) Guidance and Procedures
(8) Appendices
(a) Common Acronyms
(b) Safe to Sail Checklist
(c) TEMADD Assist Message Template
(d) Plan of Actions and Milestones (POA&M) for Hull Swap Preparation of Afloat Medical Departments.
(e) Plan of Actions and Milestones (POA&M)
(f) Deployment Plan of Action and Milestone (POA&M) for Pre-Deployment Preparation of Afloat Medical Departments.
(g) Mass Casualty Bill Template
(h) Medical Department Battle Bill Template
(i) Crew Medical Training Requirements
(j) Medical Department Personnel Qualifications Standards (PQS) for Junior Hospital Corpsman.
(k) Shipboard Equipment Replacement Program (SERP) Equipment List
(l) Fleet Instruments Sets Matrix
(m) Diving Accidents
(n) Aviation Medicine and Accidents
(o) Emergency Medical Requirements
(p) Non-Combatant operation (NEO) Material
(q) Oxygen Handling and Stowage Precautions
DESCRIBE the medical department inspections.
(COMNAVSURFPAC/COMNAVSURFLANT INST 3502.7 series and ATGPACINST
3502.1)
Shipboard Medical Inspections
(1) Readiness Evaluations (READ-Es). READ-Es are designed to assess a ship’s readiness across the full spectrum of manning, material, and training, and to provide periodic feedback to the appropriate ISIC and TYCOM. Each READ-E consists of multiple, complementary assessments consolidated into a distinct evaluation period to ensure the ship is ready to proceed to the next readiness milestone.
(2) Readiness Evaluation 1 (READ-E 1)
(a) Ship self-assessment executed during the Sustainment Phase, typically while on deployment.
(b) Ship will self-assess using RE matrix
(c) Opportunity of the ship to evaluate manning, material, schooling, and other requirements to support training and mission in the upcoming Fleet Response Plan.
(3) Readiness Evaluation 2 (READ-E 2)
(a) TYCOM-led assessment of material condition executed during the Sustainment Phase following READ-E 1. Typically conducted during an underway period and must be completed before the start of the Maintenance Phase. FSO-M training is not normally part of READ-E 2.
(4) Readiness Evaluation 3 (READ-E 3)
(a) TYCOM-led validation event that is conducted during the Sustainment Phase. Comprised of three primary events:
1) READ E 1 validation
2) Safety Survey
3) Command Readiness Assist Visit (CRAV)**
(b) Purpose is to validate the READ-E 1. Used to establish the amount of training required for the upcoming Basic Training Phase. Consists of material validation, program review, and demonstration of Repetitive Exercises (RE):
1) RE-01 Conduct First Aid Drills (11 Basic Wounds) - 3 Departments, 3 Wounds each.
2) RE-02 Conduct Patient Transport - 1 BDS selected by ATG.
3) RE-03 Conduct BDS Operations - 1 BDS selected by ATG.
4) RE-04 Mass Casualty Drill
(c) Event may be tailored into an administrative review
(5) Basic Phase
(a) The purpose of Basic Phase is to provide unit level Mobility and Tactical training in order to support shipboard operations. Basic Phase begins when the ship meets exit criteria after successful completion of a yard period with Contractor Sea Trials or when directed by TYCOM.
(b) Administrative Review (A-1)
1) The Administrative Review is a five-day training event conducted in port/underway by ATG. The training will focus on preparing the ship for the mission area certification.
2) Mission objectives:
a) Conduct training for Training Teams to include the following:
(1 Conduct Patient Transport training with all Stretcher Bearers
(2 Conduct BDS Operations training with all BDS personnel
(3 Conduct Mass Casualty table-top training with all key personnel
b) Review all line items on CE-02 grade sheet per references
c) Review all line items on CE-03 grade
d) Review ORM Program Assessment checklist
(c) Material (M-1)
1) Material Assessment conducted by each FCA’s Medical Readiness Division (MRD). Emergency AMALs will be maintained at 100% onboard and functional.
a) IDC Bag
b) Medical Officer’s Response Kit
c) Jr HM Response Kit
d) Battle Dressing Station
e) Mass Casualty Boxes
f) First Aid Boxes
g) Boat Boxes
(d) Training (T-1)
1) To reinforce and optimize watch stander and watch team proficiency in FSO-M mission area task through classroom lecture and practical application.
2) Training is conducted in a classroom environment. Topics include medical
equipment/material familiarity, basic first aid, patient transport and program management (for medical personnel).
3) Focus on developing individual watch standers basic first aid skills.
4) Level of knowledge (LOK) exams will be administered to all DC-qualified
personnel. An average score of greater than or equal to 80% must be achieved in order to be recommended for certification (upon completing Certification (C-1)).
(e) Assessment (As-1)
1) During this event the MTT will demonstrate the ability to Plan, Brief, Execute, and Debrief (PBED) drill scenarios. ATG will observe MTT’s execution of the
scenario to validate their ability to train and assess watch standers safely and effectively.
2) Mission objectives:
a) Conduct review of the following programs:
b) To train and assess MTT ability Plan, Brief, Execute, and Debrief (PBED) drill scenario IAW FSO-M CE-01 grade sheet.
c) To train and assess individual and watch team proficiency in First Aid, Patient Transport, BDS Operations, and Mass Casualty Response IAW FSOM
CE-04-CE-07 grade sheets.
3) Mission Exit Criteria:
a) Successfully complete CE-04 First Aid drills for each department.
b) Successfully complete CE-05 Patient Transport drills for each BDS.
c) Successfully complete CE-06 BDS Operations drills for each BDS.
d) Successfully complete CE-07 Mass Casualty drill for ship.
(f) Certification (C-1)
1) “Game Day” Mission Purpose. Certification event will require demonstrating the required knowledge level and proficiency within the FSO-M Mission Area through the completion of applicable CEs.
2) Mission objectives:
a) Assess the following CEs:
(1 CE-01 Demonstrate Training Team ability to Plan, Brief, Execute, and Debrief (PBED) drill scenario grade sheet for MTT and LOK.
(2 CE-04 Conduct First Aid Drills (minimum 80% for each department).
(3 CE-05 Conduct Patient Transport (minimum 80% for each BDS).
(4 CE-06 Conduct BDS Operations (minimum 80% for each BDS).
(5 CE-07 Conduct Mass Casualty Drill (minimum 80%).
b) Reassess outstanding discrepancies from the following CEs during ADMIN and Material events:
(1 CE-02 Review Administration (minimum 80%).
(2 CE-03 Review SOH Programs (minimum 80%).
c) If a single CE does not receive a passing score, the certification recommendation will be withheld until remediation is conducted for that
event.*
d) If two or more CEs do not receive a passing score the Certification event will be repeated in its entirety.*
(6) Sustainment
(a) Begins immediately upon certification
(b) Ship will maintain REs as periodicity dictates
(c) Upon entering the Maintenance Phase, FSO-M certification will remain in place, however it will be tailored to reflect the needs of the shipyard environment.
(7) Certification Validation (CV)
(a) Used for ships that do not have a dedicated CNO Availability between scheduled deployments remain in Sustainment and will execute a Certification Validation to support certification extension.
(b) CV consists of material validation, program review, and demonstration of REs.
(8) Medical Readiness Inspection (MRI)
(a) Conducted by ISIC within 90 days of major deployment or every 18 months to assess readiness of shipboard medical departments to perform their mission in support of ship’s operations. Ran by MRD*
(b) Identifies both areas of strengths and areas of weakness in programs governing medical services aboard ship, medical training, environmental health, medical administration, medical supplies, and equipment management.
(c) Inspection checklists are located in COMNAVSURPACINST 6000.2/
COMNAVSURFLANTINST 6000.2 Series.*
1) Checklists are utilized during quarterly ISIC QA visits over an 18-month time frame to complete the assessment.
(d) Overall MRI C-Status is determined by the reporting format for use by all medical personnel authorized to conduct a MRI.
(e) The checklist contains six (6) sections:
1) Section 1 – Administration and Training
2) Section 2 – Supplies and Equipment
3) Section 3 – Emergency Medical Preparedness
4) Section 4 – Ancillary Services
5) Section 5 – Environmental Health Services
6) Section 6 – Occupational Health Programs
(f) Grading Criteria
1) C-Status Determination
a) C-1 Full Ready > = 90%
b) C-2 Substantially Ready > = 80%
c) C-3 Marginally Ready > = 70%
d) C-4 Not Ready < 69%
2) A follow-up report must be submitted to TYCOM every 30 days after MRI, outlining progress made towards correction, with final disposition report due no later than 6 months following MRI.
(9) Medical Readiness Assessment (MRA)
(a) Conducted 3-6 months prior to final assessment.
(b) A satisfactory result on MRA could be up-graded to the final MRI grade.
(c) Follow-up assessments are set up by Expeditionary Health Services for correction of
discrepancies.
(10) Dental Readiness Inspection (DRI)
(a) Conducted to assess readiness of shipboard medical departments in the area of dental health care.
(b) Conducted every 18 months or 120 days prior to a deployment.*
(c) Areas covered include:
1) Dental administration
2) DENCAS utilization
3) Infection control
4) Dental training
5) Dental supply and record administration
(d) The reference for the DRI is the COMUSFLTFORCOMINST 6600.1 series which
contains the inspection checklist.
(e) Dental classification status must be 95% or >(Class 1 and/or 2) for a grade of C-1*
(f) Results sent to the ship’s CO, ISIC, Fleet/Force Dental Officer
(11) NAVOSH and Environmental Protection Assessment
(a) Baseline industrial hygiene survey conducted on pre-commissioning ships.
(b) Industrial hygiene and environmental health surveys are conducted every 3 years.
(c) Areas evaluated include all applicable NAVOSH Programs covered in OPNAVINST 5100.19 series.
1) Asbestos Control
2) Respiratory Protection
3) Heat Stress
4) Hearing Conservation
5) Sight Conservation
6) Hazardous Materials
7) Mishap Reporting
(d) Primary cognizance for NAVOSH programs rests with the Safety Officer, SMDR responsible for medical aspects of various programs and assisting Safety Officer.*
(e) Results submitted by letter to CO
(12) Supply Management Inspection (SMI)
(a) Conducted every 18 months to assess the ship’s overall supply department and its interaction with other departments.
(b) Not specifically directed towards medical, but medical responsibilities do exist in areas of Food Service sanitation, barber and laundry sanitation, OPTAR management, repair parts program, and HAZMAT program.
(c) SMDR should be prepared to show:
1) All monthly food service sanitation inspection reports.
2) All health records for CS/FSA/Mess Deck MAA and RS’s for screening physical examinations.
3) Training records for CS/FSA/MDMAA for food-service sanitation training
4) All weekly/quarterly sanitation inspection reports for barber shop/laundry/vending machines/ship’s store.
5) All outstanding requisitions verified
6) All COSAL supported equipment in SNAP III, equipment files validated.
7) CSMP validated
(13) Board of Inspection and Survey (INSURV)
(a) Periodicity
1) Conducted prior to commissioning, at each ROH (about every 5 years), prior to decommissioning.
(b) Purpose
1) Ship-wide survey to determine the efficiency with which taxpayer money is being spent.
2) Reported to Congress via the chain of command
(c) Areas covered include:
1) Supply
2) Combat systems
3) Aviation operations
4) Engineering procedures
5) Structural condition of the ship
6) Navigation Equipment
7) NAVOSH programs
8) Habitability
9) And others
(d) Will have numerous personnel aboard, surveying all areas.
(14) May have underway periods during survey
LIST the administrative documents maintained by the SMDR.
COMNAVSURFORPACINST/COMNAVSURFLANTINST 6000.1 Series
a. Administrative Documents Maintained by the SMDR
(COMNAVSURFORPACINST/COMNAVSURFLANTINST 6000.1 Series)
(1) Memorandum for the Record
(a) Account of events of historical significance, not otherwise recorded.
(b) Signed by MO/SMDR
(c) QA visit item, retained per SECNAVINST 5212.5
(d) Provides a medium for recording special occurrences that might need to be reconstructed in detail at a future time.
(e) Minimum entries required:
1) Personnel casualties or death
2) Serious or very serious list
3) Stock inventories recorded elsewhere
4) Recommendations not followed at the CO’s discretion
5) Assessments from outside sources not officially reported
(2) Sick Call Log
(a) Log of patients evaluated and treated
1) Modified SAMS
2) Submitted to CO daily via Eight O’ clock Report
3) QA visit item
(3) Training Log
(a) Log of training topic conducted/ presented, list of attendees and date of training.
1) Normally Relational Administrative Data Management (RADM).
(4) Heat Stress Log
(a) Log of heat stress surveys conducted by Medical Department
1) TMIP for all heat stress surveys done by Medical Department
2) Engineering non-TMIP heat stress surveys retained by Medical Department
(5) Sexually Transmitted Infection (STI) Log
(a) List of patients evaluated for STI treatment and disposition
1) TMIP
(6) Potable Water Log
(a) Log of halogen testing and bacteriological testing of potable water
1) TMIP
(7) Pest Control Log
(a) Log of Pest Surveys conducted, treatment measures and follow-up surveys
1) TMIP
(8) Temperature Log
(a) Checked and recorded at least daily
(9) Medical waste/disposal log
(a) Log documenting proper processing and disposal of shipboard medical waste.
(10) Consultation Log
(a) Log of consultations placed for patients seen documenting location of consultation, provider, and appointment date/time.
DESCRIBE the responsibilities for maintaining references and publications applicable to a
shipboard Medical Department. (OPNAVNOTE 5215 series)
Current Manuals and Directives
(1) NAVMED Publications
(2) SECNAV Instructions
(3) OPNAV Instructions
(4) CINCPAC/LANTFLT Instructions
(5) TYCOM Instructions
(6) BUMED/NAVMEDCOM Instructions
(7) BUPERS Instructions
b. Uses of Manuals and Directives
(1) Consolidated List of Effective Instructions (OPNAVNOTE 5215).
(a) A semi-annual listing of valid instructions issued by Washington, DC, Headquarters Organizations (OPNAV, BUMED, JAGC, NAVAIR, SECNAV, etc.).
(2) Standard Navy Distribution List (OPNAVNOTE 5400)
(a) Provides proper mailing address and titles for Naval correspondence for all Department of Navy (DON) activities.
1) Addresses limited to those as authorized by CNO/CMC or higher authority.
2) Also lists PLAD’s or UIC’s for all DON commands.
3) Homeports of ships/squadrons are also listed.
(3) Standard Subject Identification Codes (SECNAVINST 5210.11 series)
(a) Provides guidelines for segregation, filing, and charging out of USN/USMC records.
1) List of SSIC’s
a) 14 Major groups; can be subdivided to reflect more specific topics
2) Construction of SSIC
a) 4-5 digit number
b) Identifies particular subject (primary, secondary, tertiary)
c) Useful for filing by subject matter
(4) Navy Correspondence Manual (SECNAVINST 5216.5 series)
(a) Provides guidance and standardization to DON for writing quality, correspondence format, and personnel management.
(5) Navy Telecommunications User’s Manual (NTP-3 series)
(a) Provides concise procedures for the drafting and preparation of DON GENADMIN messages.
(6) Message Address Directory (USN PLAD-1)
(a) Used for providing the correct Plain Language Address (PLAD) for messages of any type.
c. Maintenance and Change Procedures
(1) New pages are identified with a number, which indicates the sequence of the Change,
(i.e., CH-1, CH-2, etc.).
(a) Record of Change Page
1) These are found in instructions and publications
2) They are always located near the front
3) Used to list any changes to the instruction, the date of the change, the date the change was entered, and by whom the change was entered.
Reference Instructions
(1) Requirements are determined by:
(a) NAVMEDCOMINST 6820.1 Series, and
(b) COMNAVSURFORINST 6000.1 Series
DESCRIBE the Individual Medical Readiness (IMR) Program. (COMNAVSURFORINST
6000.2 series, BUMED 6110.14 series, DODI 6025.19)
Individual Medical Readiness (IMR) Program
(1) Purpose IMR
(a) Implements policy, assigns responsibilities, and prescribes procedures to improve
medical readiness through monitoring and reporting on Individual Medical
Readiness (IMR). IMR provides operational commanders, Military Department
le\ aders and primary care managers the ability to monitor the medical readiness
status of their personnel, ensuring a healthy and fit fighting force medically ready to
deploy.
(b) Establishes defined, measurable medical elements for all Services. It tracks key
7elements of IMR across the Department of Defense, and provides operational
commanders and Service headquarters the ability to continuously monitor their
military personnel for medical readiness and d2eployability.
(2) Six Pillars of IMR:
(a) Individual Medical Equipment
(b) Immunizations
(c) Readiness Laboratory Studies
(d) Dental Readiness
(e) Deployment Limiting Conditions
(f) Periodic Health Assessment
(3) IMR assessment status:
(a) Each Service will assess the overall IMR of each Service member according to the following criteria:
(b) Fully medically ready. Current in all categories including dental class 1 or 2.
(c) Partially medically ready. Lacking one or more immunizations, readiness laboratory studies, or medical equipment.
(d) Not medically ready. Existence of a chronic or prolonged deployment limiting condition including Service members who are hospitalized or convalescing from serious illness or injury, or individuals in dental class 3.
(e) Medical readiness indeterminate. Inability to determine the Service member’s current health status because of missing health information such as a lost medical record, an overdue PHA or being in dental class 4.
MANAGE medical department training and perform the medical training duties of the Senior
Medical Department Representative (SMDR), in accordance with Surface Force Training
Manual, COMNAVSURFORINST 3502.1 Series
Indoctrination of Newly Reported Personnel
(1) The SMDR shall give the following training to all newly reporting personnel during “I” Division (Indoctrination) and/or during check-in procedures:
(a) Describe onboard medical and dental services available to the crewmember and procedures for receiving such services.
(b) Disseminate information regarding the prevention of disease, including sexually
transmitted diseases, and other subjects pertaining to hygiene and sanitation.
(c) Disseminate information regarding the prevention of injury and the management of
personnel casualties.
(d) Describe services provided by ashore medical facilities (federal and nonfederal) and
the procedures for receiving such services.
(e) Explain location, purpose and use of emergency medical facilities and equipment
throughout the ship during required orientation tour of the ship.
1) First Aid Boxes (FAB)
2) Litters and Stretchers
3) Mass Casualty Boxes (MCB)
4) Battle Dressing Station
(f) Explain to all hands medical training requirements and resources onboard and at
shore facilities to meet these requirements.
(g) Describe the Hearing Conservation and Heat Stress Programs.
(h) Discuss TRICARE as a medical program for active duty and qualified family members and assist in signing-up for this program.
b. All Hands Medical Training
(1) Planning and implementation
(a) All hands medical training planning and implementation shall be performed by Planning Board for Training (PB4T).
(b) The SMDR as a member of PB4T will act as a resource for the design and implementation of medical training and will provide appropriate recommendations and advice regarding required subjects.
(c) Requirements for all hands medical training shall be included in each long and short range training schedule and incorporated in ship’s training programs.
(d) Training schedules shall be submitted to the ship’s Training Officer.
(e) Required medical and general military training are identified in OPNAV 1500.22
series General Military Training Program,
COMNAVSURFORPACINST/COMNAVSURFLANTINST 6000.1 series and
COMNAVSURFORINST 6000.2 series
c. Aid and Rescue/CBRE Training
(1) Each crewmember must be knowledgeable in, and be able to demonstrate, the principles
of first aid and rescue.
(a) All hands must be prepared to apply lifesaving procedures either to themselves or to
shipmates in emergency or combat situations.
(b) First aid, CPR and rescue training shall be continuously emphasized in the shipboard training program to ensure that each individual can satisfactorily perform first aid and rescue procedures at any time.
(c) The medical department shall act as a resource and provide appropriate training to
all hands in the medical aspects of CBRE.
(d) The following directives and publications shall be used to establish basic first aid and rescue personnel qualification standards for all hands:
1) NAVEDTRA 10054s, Basic Military Requirements
2) NAVEDTRA 43119s, Basic/General Damage Control
3) NAVEDTRA 43119s, Advanced Damage Control, Emergency Partie
4) Chemical, Biological, Radiological and Environmental (CBRE) training
d. General Military Training
(1) The medical department shall act as a resource for all health related GMT subjects.
(2) The medical department shall coordinate with the PB4T, DCTT, and ITT to ensure medical training drills and exercises with personnel casualty handling factors are conducted and evaluated per SFTM and Surface Ship Survivability Manuals.
e. Stretcher Bearer Training
(1) Four non-medical personnel are designated and assigned to each Battle Dressing Station. Their primary task is to support the medical department during medical contingencies.
(2) Provide on scene patient resuscitation, stabilization, triage and possess first aid skills
more advanced than those of average crewmembers.
(3) Training is required every two weeks and shall be scheduled into the LRTP.
(4) Stretcher bearers shall have completed all DC training requirements and be PQS qualified as stretcher bearers prior to assignment.
f. Medical In Service Training
(1) Medical department PQS shall be met within six months after reporting to the ship and
shall be signed off by the SMDR, MO and/or division officer.
(2) All medical department personnel shall be trained and certified in CPR.
(3) All IDCs must be trained per OPNAVINST 6400.1 series, Certification Supervision and Employment of Independent Duty Corpsman.
(4) Medical department personnel shall complete final qualification in basic DC and 3M
within six months of reporting aboard.*
g. HM Striker Training
(1) The concept of the striker program is to identify and prepare eligible enlisted for attendance at “A” school.
(2) Striker must complete training required for all hands plus appropriate training for required in preparation for “A” school.
(a) The following references shall be completed prior to HM “A” school:
1) NAVEDTRA 14295, Hospital Corpsman RTM.
(3) Training Course
(a) Strikers shall not be assigned professional or technical duties normally assigned to HMs.
1) However, striker may be utilized as directed by the SMDR.
(b) Within six months of assignment as a striker, considered motivated and capable of completing “A” school, striker may apply per ENLTRANSMAN, Article 7.071
h. Required Training Topics
(1) All Hands Medical Training Requirements
(a) Medical Programs:
1) Onboard Medical Services
2) Shore Based Medical Services
3) Tricare Options and Procedures
4) Location of Emergency
5) Food Safety
6) BLS Certification
7) Basic First Aid
8) Poison and Antidotes
9) Aspects of CBRN Warfare
(b) Health Promotions and Wellnesses Programs:
1) Suicide Awareness and Prevention
2) Personal Hygiene
3) Tricare Options and Procedures
4) Drug and Alcohol Prevention
5) Nutrition
6) Physical Readiness
7) Stress Management/Hypertension
8) STD and Pregnancy Awareness
9) Tobacco Cessation
(c) Navy Safety and Occupational Health Program
1) Asbestos
2) Heat Stress
3) Hearing Conservation
4) Sight Conservation
5) Electrical Safety
6) Lead Control
7) Marine Sanitation Device Health Hazards
(2) Specialty Training.
(a) Includes topics primarily given to those personnel involved with the following
activities:
1) Food Service
2) Potable Water
3) Barber Shop
4) Laundry
5) CHT systems
(b) Topics include:
1) Marine Sanitation Devices
a) Potable Water Sanitation
b) Laundry and Barbershop Sanitation
c) Food Service Sanitation
LIST the components of a Long-Range Training Plan (LRTP).
COMNAVSURFORPACINST/COMNAVSURFLANTINST 6000.1 series
Long Range Training Plan (LRTP)
(1) A comprehensive list of training events, drills, evolutions, lectures, General Military Training (GMT), assist visits and inspections which must be completed throughout the ship’s operational cycle will be reflected in a 12-month LRTP.*
(2) The LRTP must include all required all hands medical training and specialized training.*
(3) Successful training programs have been based on one lecture given daily with one or two divisions or departments attending each presentation or to duty sections, including all officers, CPO’s and enlisted personnel.
b. Short Range Training Schedule
(1) Derived from the LRTP and prepared for each department.
(2) Should cover a period of about three months and shall include all training events planned for each department.*
c. Construction of LRTP
(1) List ship’s divisions and departments for scheduling purposes.
(2) List training topics to be discussed.
(3) List the periodicity of training to be conducted for divisions and departments.
(4) List contingencies for missed training.
DESCRIBE the elements necessary to debrief an objective-based medical training exercises.
(COMNAVSURFPACINST/COMNAVSURFLANTINST 3502.7 series)
Briefing Requirements:
(1) Medical Training Team
(2) Trusted Agent
(3) Watch standers
(4) MTT Brief
(a) A pre-brief must be conducted prior to each training event for training team members and the watch team being trained. The following items are to be discussed during a MTT brief:
1) Purpose of exercise and scenario overview
2) Safety precautions and risk management controls
3) Terminal/Enabling Objectives to be met during drill set
4) Review of time line of events
5) Description of procedures and events including any authorized simulations to be used during the drill.
6) Safety walk through shall be conducted one hour prior to all drills*
LIST the officials to be notified by the Medical Treatment Facility (MTF) when personnel are
hospitalized (BUMEDINST 6320.1 series)
MTF Notification Requirements
(1) Hospitalization of enlisted personnel (Reference: NAVPERS 15909F Enlisted Transfer Manual):
(a) Member’s Commanding Officer shall be notified by the Medical Treatment Facility (MTF).
1) Commanding Officers shall issue individual Temporary Additional Duty (TAD) orders for each member transferred to a MTF.
(2) Hospitalization of enlisted personnel in a leave/liberty status:
(a) If personnel are hospitalized from a leave or liberty status, the MTF shall notify the member’s Commanding Officer as soon as possible prior to the expiration of that leave or liberty if possible.
(3) Hospitalization of enlisted personnel in a transit status:
(a) The MTF will notify the Commanding Officer of the member’s new duty station and Chief, Naval Personnel Command (NAVPERSCOM 40).*
(4) Hospitalization of officer personnel:
(a) Officers will not be detached unless under orders by Chief, NAVPERSCOM.*
(b) Officer’s Commanding Officer will forward as soon as possible an officer hospitalization report to Chief, NAVPERSCOM 47, with information copy to MTF.
STATE the purpose of the International SOS (ISOS), TRICARE Overseas Program
(OPNAVINST 6320.7 series)
International SOS (ISOS)
(1) Provides integrated medical, clinical, and security services to organizations with international operations. Services include planning and preventative programs, incountry expertise, and emergency response.
(2) International SOS will assist you with:
(a) Provide assistance in an emergency
(b) Locating network primary
(c) Identifying specialty care providers
(d) Medically monitoring your care
(e) Provide you with medical advice, guidance when self-treating minor illnesses.
(f) Scheduling medical appointments
(g) Help ensure you receive the most appropriate care.
(h) If necessary, move you or your family to another area to seek care.
(3) The ISOS Call Center will coordinate this process with TPLA and the local military.
b. Tricare Overseas Program
(1) TRICARE has partnered with International SOS to establish the TRICARE Global Remote Overseas Healthcare Program (TGRO) - a network of healthcare providers in select remote locations of Europe, the Pacific, Canada and Latin America.
(2) The TRICARE Overseas Program consists of three***
(3) programs:
(a) TRICARE Pacific
(b) TRICARE Euasia-Africa
(c) TRICARE Latin America & Canada (TLAC)
LIST the procedures for obtaining assistance through ISOS, Tricare Overseas Program (DoD
5136.13 series)
Assistance Procedures
(1) To access assistance, members can simply call any alarm center 24/7 to receive help with all sorts of medical, security, and travel issues. International SOS arranges for local support from our providers worldwide – accredited physicians, hospitals, pharmacies and more. Assistance can include:
(a) Health and safety advice
(b) Help in a medical or security emergency
(c) Refills for lost or forgotten medication
(d) Arranging for delivery of medical equipment
(e) Assistance with lost passports and extending visas
(f) Getting a doctor’s referral or a hospital appointment
(g) Arranging for further vaccination
(h) Support replacing lost credit cards or tickets
(i) Getting a medical second opinion
(j) Arranging for an interpreter
(k) Getting answers to personal, travel or legal question
LIST the procedures for transferring a member from overseas to CONUS (DODI 6000.11
series)
Transferring a patient from overseas to CONUS:
(1) Requests for transfer of patients to CONUS are normally sent via the Transportation Command Regulating and Command & Control Evaluation System (TRAC2ES) or message to Global Patient Movement Regulating Center/Theater Patient Movement Regulating Center (GPMRC/TPMRC).
(2) Request includes:
(a) Patient’s name
(b) SSN
(c) Status
(d) Grad
(e) Age
(f) Sex
(g) Weight
(h) Place of residence
(i) Classification cod
(j) Originating MTF.
(k) Medical specialty and diagnoses codes.
(l) Accepting physician
(m) Appointment or surgery date.
(n) Approval authority number.
(o) Information regarding special medical requirements.
(p) Information whether the patient will or will not return to duty.*
(q) GPMRC/TPMRC transmits the hospital destinations to the requesting MTF by TRAC2ES, message, or telephone.*
1) Patients transferred to another MTF and who are expected to return to duty are regulated to the closest MTF having the capability to provide the care.*
2) Patients transferred to another MTF who are not expected to return to duty are regulated to an MTF which is nearest the patient’s place of residence for humanitarian reasons.*
(3) Transferring MTF must immediately notify the receiving MTF of the transfer and make necessary transportation arrangements.
(4) Notification by TRAC2ES is accomplished automatically when GPMRC/TPMRC validates the patient transfer request and issues a cite number.
LIST the procedures for transferring a member within CONUS (DODI 6000.11 series)
Transferring a Member within CONUS
(1) Requests are submitted to GPMRC/TPMRC by TRAC2ES, message, or telephone.
(a) GPMRC/TPMRC transmits the hospital destinations to the requesting MTF by TRAC2ES, message or telephone.
1) Patients transferred to another MTF and who are expected to return to duty are regulated to the closest MTF having the capability to provide the care.
2) Patients transferred to another MTF who are not expected to return to duty are regulated to an MTF which is nearest the patient’s place of residence for humanitarian reasons.
(b) Transferring MTF must immediately notify the receiving MTF of the transfer and make necessary transportation arrangements.
(c) Notification by TRAC2ES is accomplished automatically when GPMRC/TPMRC validates patient transfer request and issues a cite number.
