SMDR REVIEW Flashcards
Daily responsibilities of the SMDR:
Sick call log - submitted daily to the CO for endorsement
Immunizations
HREC maintenance
Eight O’clock reports - submitted to the COC
Weekly responsibilities of the SMDR:
Bacteriological testing of potable water
Preventive maintenance system checks and update weekly 3-M completion SKED program.
Bi-weekly responsibilities of the SMDR:
Stretcher Bearer Training
Pest control survey / spray. Enter results into TMIP
Monthly responsibilities of the SMDR:
Verify outstanding supply requisitions via MOV
Conduct food service sanitation inspection (DD 2973) to chain of command (COC)
Quarterly responsibilities of the SMDR:
Habitability sanitation inspections (laundry, barber shop, vending machines, ships stores, fitness facilities) pursuant to NAVMED P-5010 and submit reports to COC.
CSIB - (Monthly if transaction occurred) Submit report to CO via senior member of CSIB.
Validate current CBRN inventory and command demographics on the Joint Medical Asset Repository (JMAR) web site (formally SLEP).
Drills and exercises: basic first aid (11 basic wounds) and battle dressing station.
Semiannual responsibilities of the SMDR:
Complete an inventory of all emergency authorized medical allowance list (AMAL) gear and equipment.
Conduct a mass casualty drill
Annual responsibilities of the SMDR:
Submit long range training plan (based on the training cycle) to the Command Training Officer.
Conduct bulkhead to bulkhead inventory of medical storerooms.
Fleet Commander Responsibilities:
overall program oversight and coordination
MOU / MOA
Protocols for battle group commanders
Type Commander Responsibilities:
overall control and accountability for the program
Credentialing
QA records maintenance
Force Medical Master Chief Responsibilities:
- Program manger appointed in writing
- guidance to squadron senior corpsman on program
- advises program director on idc QA
- recommendations to director for enhancing IDC training
- assign squadron senior corpsman as assistant program managers
- serves as liaison
- oversees idc QA program through the group or squadron MO who is designated as the professional advisor and “non-physician health care provider supervisor”.
- In groups / squadrons without assigned Medical Officers, TYCOM must appoint a MO to perform these duties on an ADDU basis
Commanding Officer Responsibilities:
obtain immediate QA review for “patient deaths”
adverse pt response secondary to delay in tx or evacuation - reaction to tx or meds
submit adverse reports to TYCOM w/in 48 hrs
SMDR responsibilities:
when death occurs submit MFR w/in 4hrs
inform COC immediately if any pt is beyond the scope of care
seek immediate MO consult when ever there is a questionable case
maintain skill level w/in OPNAVINST 6400.1 series
minimum CME’s are 15 annually
countersign all SF-600 entries by junior HM’s
Provide a list to CO of all OTC medications which junior HM’s are trained and authorized to dispense
Where are the following found:
- organization responsibilities, MRA, MRI
- Med dept organizational manual shall be maintained (SUBMITTED BY SMDR TO CO FOR REVIEW)
- WQSB: posted each battle dressing station and main medical minimum of 4/BDS
- post deployment after action critique (submitted to Fleet commanders w/in 30 days of return)
Chapter 1 - General
Where are the following found:
BLS/AED
Shipboard PQS / HM PQS (6months to complete)
LRTP
I-Division
Specialty medical training
PB4T (chaired by XO, SMDR is member; usually meet weekly)
Chapter 2 - Training
Where are the following found:
- AMAL
- CSIB
- Med maintenance and repair program
- NAVMED 6700/3 medical equipment and maintenance record (maintained onboard ships w/out BMET or not supported by APL)
- 3M, OMMS, SKED
Chapter 3 - Fiscal/supply management
Where are the following found:
Motion sickness
discharge from unsuitability
women’s physical exams
first aid boxes (minimum of 40 on DDG)
Chapter 4 - Health Care
Where are the following found:
PMT
BACT TEST
Calcium Hypochlorite Storage
Chapter 5 - Environmental Health and Preventive Medicine Afloat
Where is the following found:
Casualty handling
naval ready reserve
medical joining report
CASEVAC
Chapter 6 - Medical Planning
Where are the following found:
ordering blood products
blood program administration
walking blood bank
Chapter 7 - Blood Program
Readiness Evaluation 3 (READ-E3)
TYCOM led validation event including: READ E 1 validation, and Command readiness assist visit (CRAV)
Training (T-1)
*LOK exams will be conducted on DC people and an average score of 80% must be achieved
- optimizes watch proficiency
- training on med equipment, basic first aid, pt transport, program management for medical personnel
- development of watch stander first aid
MRI are conducted by the *** within ** days of deployment and every ** months to assess readiness of shipboard medical departments…
by ISIC within 90 days of deployment and every 18 months
C-2
substantially ready 80%
C-3
Marginally ready 70%
C-1
Full ready 90%
C-4
Not ready 69%
When are Dental Readiness inspections (DRI) conducted?
every 18 months or 120 days prior to deployment
DRI (dental readiness inspection) reference?
COMUSFLTFORCOMINST 6600.1 series
contains inspection checklist
IH and environmental health surveys are conducted every?
36M/3years
NAVOSH programs covered in 5100.19 series:
respiratory protection
heat stress
hearing conservation
Board of inspection survey (INSURV) is conducted every how many years?
prior to commissioning, at each ROH (about every 5 years), prior to decommissioning.
What is the purpose of INSURV (board of inspection survey)?
ship wide survey to determine the efficiency with which taxpayer money is being spent.
MFR maintained by SMDR:
-signed by MO/SMDR
(provides a medium for special occurrences that may need re-construction on a later date / account of events of historical significance)
Logs maintained by SMDR:
Training topics - RADM relational administration data management
heat stress log - TMIP
STI log - TMIP
Pest control log - TMIP
TEMP log - recorded daily (refer temps)
Med waste disposal log
OPNAVNOTE 5215
CONSOLIDATED LIST OF EFFECTIVE INSTRUCTIONS
OPNAVNOTE 5400
STANDARD NAVY DISTRIBUTION LIST
LISTS PLADs OR UICs FOR ALL DON COMMANDS
SECNAVINST 5210.11
STANDARD SUBJECT IDENTIFICATION CODES
-14 MAJOR GROUPS
4-5 DIGIT NUMBER
SECNAVINST 5216.5
NAVY CORRESPONDANCE MANUAL
-GUIDANCE FOR NAVY WRITING QUALITY
NTP-3
NAVY TELECOMMUNICATIONS USERS MANUAL
DON GENADMIN MESSAGES
USN PLAD-1
MESSAGE ADDRESS DIRECTORY
PROVIDES THE CORRECT PLAIN LANGUAGE ADDRESS (PLAD) FOR MESSAGES OF ANY TYPE
SIX PILLARS OF IMR:
INDIVIDUAL MED EQUIPMENT IMMS READINESS LAB STUDIES DENTAL READINESS DEPLOYMENT LIMITING CONDITIONS PHA
FULLY MEDICALLY READY
CURRENT IN ALL CATS / DENTAL 1 OR 2
PARTIALLY MEDICALLY READY
LACKING 1 OR MORE IMMS, READINESS LABS, OR MED EQUPMENT
NOT MEDICALLY READY
CHRONIC / PROLONGED DEPLOYMENT LIMITING CONDITION
CLASS 3 DENTAL
MEDICAL READINESS INDETERMINATE
INABILITY TO DETERMINE HEALTH STATUS:
LOST HREC, OVERDUE PHA, OR CLASS 4 DENTAL
International SOS (ISOS) will assist you with what? (OPNAVINST 6320.7 series)
- Identifying specialty care providers
- Scheduling medical appointments
Where are the locations of the THREE tri-care overseas programs? (DOD 5136.13 series)
TRICARE Pacific
TRICARE Eurasia
TRICARE Latin America & Canada (TLAC)
Tricare assistance procedures:
Help in a medical or security emergency
Refills for lost or forgotten medication
Assistance with lost passports and extending visas
PT requiring transfer to another MTF and expected to return to duty?
regulated to the closest MTF with the capability to provide the care
PT requiring transfer to another MTF and not expected to return to duty?
regulated to an MTF which is nearest the patients place of residence for humanitarian reasons
Who must immediately notify the receiving MTF of the transfer and make necessary transportation arrangements?
TRANSFERRING MTF
TRAC2ES notification is accomplished automatically when GPMRC / TPMRC validates the patient transfer and issues what?
CITE NUMBER
Emergency patient transfer’s are normally evacuated where?
MTF nearest CONUS port of entry
In emergency cases what must be submitted within 48 HRS to GPMRC / TPMRC by the transferring MTF?
AFTER THE FACT REPORT
Examples of members of a medical board? (MANMED CH18)
Commandant of the Marine Corps (CMC)
Chief of Naval Operations (CNO)
Chief, Naval Personnel
Chief BUMED
How many officers for medical board?
2 (with a third assigned at discretion of the convening authority)
If pt is a reservist?
ensure at least one board member is a reservist
Is unfit for duty within the cognizance of the medical board?
NO (ONLY FIT FOR DUTY)
OPLAN MEDICAL APPENDIX?
ANNEX Q
What does Annex Q contain?
guidance to provide medical support in an organized system during the exercise or operation
Convene a medical board when any physician trained and certified to be a member of a medical board determines that:
physical defect that may permanently interfere with duties
temporarily unable to perform full duty, but return to full duty is anticipated and it is necessary to follow the patient for more than 30 days
continued military service would result in extended hospitalization
Hospitalization of enlisted personnel in transit status?
MTF NOTIFY CO OF MEMBERS NEW DUTY STATION
AND CHIEF, NAVAL PERSONNEL COMMAND (NAVPERSCOM 40)
HOSPITALIZATION OF OFFICER PERSONNEL?
CO WILL FORWARD ASAP TO: CHIEF, NAVPERSCOM 47
OFFICER’S WILL NOT BE ISSUED TAD ORDERS BY CO
CO WILL DO WHAT FOR EACH MEMBER TRANSFERRED TO AN MTF?
ISSUE TAD ORDERS
SHORT RANGE TRAINING PLAN COVERS A PERIOD OF WHAT?
ABOUT THREE MONTHS
SPECIALTY TRAINING INCLUDES:
FOOD SERVICE POTABLE WATER BARBER SHOP LAUNDRY CHT SYSTEMS
LRTP INCLUDES A LIST OF TRAINIING, EVENTS, DRILLS, EVOLUTIONS, LECTURES, GENERAL MILITARY TRAINING (GMT), ASSISTS VISITS AND INSPECTIONS WHICH MUST BE COMPLETED THROUGHT A SHIPS OPERATIONAL CYCLE.
HOW LONG IS THIS CYCLE AND WHAT MUST IT INCLUDE?
12 MONTHS AND MUST INCLUDE:
ALL HANDS MEDICAL TRAINING
SPECIALTY TRAINING
EXAMPLES OF ALL HANDS MEDICAL TRAINING:
AID AND RESCUE / CBRE
FIRST AID / CPR
(THE MEDICAL DEPARTMENT MUST ACT AS A RESOURCE)
