UNIT 4-1 RECORD MANAGEMENT Flashcards
WHAT IS THE PURPOSE OF THE SERVICE TREATMENT RECORD
a chronological record of medical treatment
-has medico-legal value
WHEN DO YOU OPEN A RECORD?
- initial entry
- prior service order from National personnel Records Center w/ DD877
- midshipmen/ commissioning enlisted = continue use
WHEN DO YOU CLOSE A RECORD?
Closing entry on what form?
Whats writen on that form?
-death or no longer serving
- record closing entries on NAVMED 6150/4 Abstract of Service and Medical History
_date of separation, title of servicing activity, any explanatory circumstances
WHO HAS CUSTODIAL RESPONSIBILITIES FOR TREATMENT RECORDS? WHO DELIGATES AUTHORITY?
SMDR delegated by CO
PROCEDURES FOR THE EVENT OF HOSPITALIZATION?
at MTF=
include HREC and copy of IREC w/ patient
PROCEDURES IN THE EVENT OF UNAUTHORIZED ABSENCE
excess of 10 days, send to PSD or unit holding member’s service/pay record
PROCEDURES FOR TRANSFERING A PT RECORD TO ANOTHER DUTY STATION
verify in accordance w/ MANMED ARTICLE 16-23
- hand carry, charge out, file NAVMED 6150/7 Charge out Receipt Card, maintain for 1 year
WHAT DO YOU DO IF A RECORD IS LOST?
- open a new one
administrative remarks NAVPERS 1070/613 page 13 entry documenting circumstances
-“REPLACEMET” on jacket and all forms replaced
WHAT DO YOU DO IF A RECORD IS DAMAGED?
_open a new one
administrative remarks NAVPERS 1070/613 page 13 entry documenting circumstances
-“REPLACEMET” on jacket and all forms replaced
WHAT DO YOU DO IF A RECORD IS DESTROYED?
- DUPLICATE RECORD on the front above TREATMENT RECORD
- only part, DUPLICATE on bottom of each form
- circumstances on SF 600
- microfiche all forms replaced place in a envelope
PROPER MAINTENANCE OF TREATMENT RECORD
-terminal filling
record verification upon receipt, at exam, before transfer, annually, enter on SF 600
-charge out NAVMED 6150/7 HEALTH RECORD RECEIPT
ENTRIES REQUIRED FOR HYPERSENSITIVITY AND MEDICAL CONDITIONS
- NAVMED 6230/4 IMMUNIZATION RECORD under remarks and recommendations
- DD 2766 block 1 ADULT PREVENT. & CHRONIC CARE FLOW SHEET
- X on front alert box
- SF 600 CHRONOLOGICAL record of medical care
PURPOSE OF MEDICAL WARNING TAG
RECOGNIZE MEDICAL WARNING TAGS
- RECORDS NOT AVAILABLE
- PATIENT IS UNABLE TO MEDICAL HISTORY
RESPONSIBLE FOR NAVY/MC PRIVACY ACT
CHIEF OF NAVAL OPERATIONS
COMMANDANT OF THE MARINE CORPS
WHO HAS AUTHORITY FOR RELEASING INFORMATION
OFFICIALS HAVING COGNIZANCE OVER REQUESTED MATTER
