Prevmed 2 Flashcards
What is distillation?
Total process of distilling plant forms, including evaporation and condensation.
Who is responsible for promulgating instructions for SHIP-TO-SHORE potable water connections?
Naval Facilities Engineering Command (NAVFACENGCOM)
Whos is responsible for establishing HEALTH STANDARD for water quality AFLOAT?
Chief BUMED
Who is responsible for RECIEVING, STORAGE, DISTRIBUTION, PRODUCTION,AND TREATMENT of potable water?
Engineering Department
Water hour gallons?
2 gallons per man per day
NON water hour gallons?
50 per man per day
Approved sources for SHORE-TO SHIP delivery?
Environmental Protection Agency (EPA)
State and Territory Public Water System
We accept water from U.S. military under the cognizance of?
British Royal Navy
Canadian Forces
Royal Australian Navy
2 types of Reverse Osmosis?
Single Pass - Additional disinfection required
Triple Pass - NO additional Disinfection required
Tank coating standards are set by who?
NSF
ANSI
What does CHT stand for?
Collection Holding and Transfer
Color of connection hoses for Potable Water?
Dark Blue
Characteristics of Potable Water Hose Locker?
- Vermin Proof
- Locked
- 18in of the deck
- Water bill CONSPICUOUSLY posted inside the locker
What is the purpose of bacteriological testing?
- Ensure fitness for human consumption
- Assess adequacy of disinfection process
Minimum halogen residual for doubtful quality?
2 parts per million
What are the 2 types of DPD?
DPD# 1
DPD# 4
What does DPD 1 test for?
FAC - Free Available Chlorine
TBR - Total Bromine
What does DPD 4 test for?
Test for Chloramines ( total chlorine ) residual
Least desirable method of water disinfection?
Batch Method (Manual Chlorine Disinfection)
HTH?
Calcium Hypochlorite
Halogen residual for APPROVED source?
0.2 PPM FAC/TBR - 30 min contact time
Halogen residual for UNAPPROVED sources?
2.0 PPM FAC/TBR - 30 min contact time
Method 1 hold time?
24 hrs
Steam method approved by?
NAVSEASYSCOM
Request outside assistance from?
NEPMU Via TYCOM Med Officer
Storage of HTH 65-70% available chlorine (Ready to use):
- 6 ounce bottles
- 3 1/4 holes
- No more than 7 days stock
Storage of HTH 65-70% available chlorine (store room stock):
- Located where maximum temp will not exceed 100
- Located 5ft away from 140
- 48 6 ounce bottles
- Labeled HAZMAT calcium hypochlorite RED letters WHITE background
Who promulgates the Water Sanitation Bill?
CO ultimately responsible
How long do you maintain Water Log?
2 years by MDR
Waste Water hazard training conducted when?
Periodically
What are the 3 methods CHT operates in?
- Restricted waters
- At sea
- In port
What type of marine sanitation device do ships use?
Type 2 Bravo
Pump room should have what specific breathing device?
2 EEBD
Toxic or explosive gases associated with CHT?
Methane
Ammonia
Carbon Dioxide
Hydrogen Sulfate - smell like rotten eggs
Practices of CHT workers required to prevent disease?
Personal Hygiene
EPA approved disinfectant for spills in medical, foodservice, and breathings?
Germicides
- Iodine
- Phenolic
Color coding for pipes of the valve handles?
Gold
Where do you transfer CHT(sewage/grey water) in port?
Sewer RISER
Who is responsible for construction of ground forces collection, operation, and distribution of potable water?
Engineering Officer
When medical treats water it becomes?
Potable Water
What type of tanks hold 3,000 gallons?
ONION
Semitrailer- Mounted Fabric Tank holds?
3,000 - 5,000 gallons
Definition of Surge?
Refers to personnel during special operations or exercises
What are the minimum standards of heating?
65 degrees F
What type of pillow is prohibited?
Polyurethane
How often are trash cans cleaned?
Daily
IDC will ensure inspection of sanitation and habitability will be conducted?
Quarterly
Disinfectants must meet what standards?
EPA
What garment is worn by barbers and patrons?
Smock
Sanitation requirements for barbershops?
Hot and Cold running water
Practices prohibited by barber?
Pimples
Ingrown hairs
Compressed air in a barber shop will not exceed what PSI
15
Laundry Facilities should use what method to clean floors?
Dustless
Equipment louder than what DB requires hearing PRO?
84
Hygienically safe laundry should be washed in?
120 - 140 degree F warm water without bleach
Handling contaminated laundry by?
Double sealed water soluble biohazard bag
Contaminated linen must not be sorted
When chlorine bleach is not included in formulation what is the necessary step?
Hot air dryer
What bacteria causes Cholera?
Bacterium Vibrio Chlorae
How can you get Cholera?
Contaminated water and food
Were does cholera live?
Brackish rivers
Costal waters
Yellow fever is caused by what mosquito?
Aedes Aegypti
What is the small pox virus?
Variola Virus
Small pox skin eruptions occur in how many days?
2-4 days
Stocks of the Variola Virus(small pox) are held where?
CDC Atlanta Georgia
Centre of Biology and Biotechnology, Koltsovo Russia
What immunization is used for small pox?
Vaccinia Virus
Quarantine Regulation of the Navy:
OPNAVINST 6210.2
With in how many hours does the CO message/radio the Senior Naval Officer in Command before entering port when there is a quarantinable disease on board?
12-72 hours
What are the 5 elements of the TB program?
- TB Screening
- Preventative Therapy
- TB Case ID
- TB Patient Management
- Contact Investigation
Method used to give TST?
Mantoux Method
What is the preferred product for TST?
Tubersol
What is BCG and who is it given to?
- Vaccine for TB named after French scientists Calmette and Gurin
- Often given to infants and small children in countries where TB is common
When are military personnel screened for TB? what is the document used?
Anual PHA
NAVMED 6224/8
When there is no documentation of previous positive exposure to TB?
Proceed with skin testing
What do you look for in chest x rays for TB?
Fibrotic Changes
When placing a TST what is the wheel size?
6-10 mm
When is a PPD read?
48-72 hrs
Who can rule out ACTIVE TB?
MO
NP
PA
IDC
When are sputum examination performed?
Radiographs shows signs of active TB
What form is used for Monthly evaluation of TB?
NAVMED 6224/9
Who do you consult for non-compliance of TB meds?
EPMU
What is Direct Observed Therapy?
tool used to ensure compliance
In cases where active TB is suspected or confirmed who does the MDR notify?
Cognizant NEPMU
Local Health Department
The contact investigation report goes what 3 places?
Members Command
Cognizant FLEET/TYCOM surgeon
NMCHPC
What are the 4 drugs used to treat TB?
INH - Ionized
RIF - Rifampin
PZA - Purazinamide
EMB - Ethambutol
What are Reportable medical events?
Event that poses and inherent, significant threat to public health and military operations.
What is the official system to capture, store and communicate information related to RME?
Disease Reporting System internet (DRSi)
NMCHPHC-TM 6220.12
Medical Surveillance and Medical Event Reporting Technical Manual
Who is the primary consultant resource as well as where should findings be reported to?
NEPMU
What are the 2 types of reports?
Urgent - must be submitted within 24hrs
Routine - no later than 7 calendar days
Communicable diseases required to be reported within 24hrs:
Anthrax Botulism Diphtheria Hemorrhagic fever Influenza A, Novel Malaria Measels (Rubella) Meningococcal Plague Polio Rabies SARS Smallpox TB Tularemia Outbreak or Disease Cluster
What kind of report is used for an outbreak?
Narrative
Who do you consult if you think the MER may have an adverse impact on operational unit or national security?
Information Security Officer
CO
A diagnosis, case, or medical event becomes reportable once it has been classified as:
Suspected
Probable
Confirmed
How often is the Typhoid booster given with continued exposure to type organism?
Every 2 years
Immunization refrigerator temps?
2 - 8 degrees Celsius
36 - 46 degrees Fahrenheit
What drug must be readily available at all vaccine sites?
Epinephrine in case of anaphylaxis
What must provided to patients prior to administering a vaccine?
Vaccine Information Sheet (VIS)
Will you perform pregnancy test prior to administering live virus vaccines?
NO
What do you do for short notice deployments?
Administer primary dose and make arrangements to complete series
Who makes the VIS?
U.S. Department of health and Human Services, Centers for Disease Control and Prevention
What instruction states that IDCs cannot give Yellow Fever?
COMNAVSURFINST 6000.1
Religious exemption to immunizations is command discussion made with whose advice?
Medical
Judge Advocate
Chaplain
Who grants waivers for religious exceptions?
Chief, Bureau of Medicine and Surgery
What forms are used to document patient immunizations?
NAVMED 6230/4 - Adult Health Record Immunization Record
CDC 731 - Internal Certification Of Vaccination
DD 2766 - Adult Preventative and Chronic Care Flowsheet
Can you use sea water for marine sanitation devices?
YES
Who must be medically screened to be free of communicable diseases prior to initial assignment?
Barber shop employees
Where can 65-70% HTH NOT be stored?
Area where paint, oil, grease, or other combustable organic materials are stored
When not able to transfer of off-ship immediately, where is it stored?
Holding Tanks
What is the treatment for disinfecting natural surface or well water?
5 ppm FAC after 30 min contact time
Alternative procedures for chlorinating water?
10 ppm FAC
Plague is spread by what flea?
Rodent Flea
Methods for controlling plague?
- Education
- Rat proofing
- Storage and disposal of garbage
- Patient isolation and concurrent disinfection
- Clothing repellants
Where is the water sanitation bill posted?
Conspicuously in areas where potable watered associated material are processed, treated and stored
What is the most important source of water contamination?
Cross connections with non-potable systems
What should water sanitation bills consist of?
Sources
Connection procedures for
- Ship to ship
- Sip to shore
Potable water tanks Storage tanks Disinfection procedure Halogen residual testing Bacteriological testing Temp, PH and Salinity testing Disinfection of tanks and distribution systems Distribution systems Records
What is CHT also know as?
Marine Sanitation Device
What can you use in place of TST?
QFT ( QuantiFERON TB GOLD, and GOLD +
High Risk
- 5mm +
- Recent close contact
- Chest radiograph consistent with prior TB
- Suspected of having active TB
Medium Risk
- 10 mm +
- Recent Immigrants within 5 years
- Health care worker/ Occupational risk
- Clinical conditions
Low Risk
- 15 mm +
- No Risk
Non active duty personnel who are enrolled in a contact investigation will f/u where?
Local Public health department
VA