UNIT 4 MED ADMIN Flashcards
What is the purpose of a medical treatment record?
A chronological record of medical treatment afforded members of the naval service
When is a medical record typically opened?
At MEPS, upon entry to regular or reserve naval service
When is a dental record opened?
At the first appointment
What form is used to request medical/dental records?
DD form 877
What is the name of the place you request records from?
National Personnel Records Center
Is a new record created when a midshipman or enlisted member commissions?
No, just make necessary grade changes
What do you do and fill out when someone commissions?
Keep record
SF 600
NAVMED 6150/4 > Include date, place and grade appointed.
When do you close a medical record?
In summary, When someone is not coming back to work.
Who is in charge of medical records?
The commanding officer
Who has custodial authority of medical records?
The SMDR/SMO
How many days can someone be UA before their record is sent to PSD?
10 days
What do you do with a record upon member transferring?
Verify
Fill out NAVMED 6150/7 “Charge out”
What is the NAVMED 6150/7?
Pink Card
Medical record charge out
How long is the NAVMED 6150/7 maintained for?
1 year
What do you do if a medical record is lost or missing?
- Fill out a NAVPERS 1070/613 documenting the circumstances
- Write “REPLACEMENT” on newly created record
- SF 600 documenting the circumstances of the new record
What do you do with the replacement record if the original is found?
Insert the replacement into the original
What are the actions that should be taken if a record is destroyed?
- “DUPLICATE” is written on duplicated items
- SF 600 documenting the circumstances
How are medical records filed?
Terminal digit filing system
When is a medical record verified?
- Upon check in
- annually
- At time of physical exam
- When member transfers
What is written on a NAVMED 6150/7?
Members prefix code and SSN
Members Name
Ship/Station
Signatures in record must be_______
Identifiable; not legible
What is DD form 2766 and where is it filed in the medical record?
Adult preventative and chronic care flow sheet
Part 1
What is NAVMED 6230/4? Where is it filed?
Immunization Record
Part 1
What is NAVMED 6000/2
Chronological record of HIV testing
PART 1
What is DD Form 2215
Reference Audiogram
Part 1
What is DD form 2216
Hearing Conservation data
Part one
What is OPNAV 5100/15?
Medical surveillance questionnaire
Part 1
What is SF 600?
Chronological Record of Medical Care
Part 2
What is SF 513?
Consultation sheet
Part 2
What is SF 509?
Progress notes
Part 2
What is SF 522?
Request for administration of anesthesia
What is DD form 2005?
Privacy act statement
Part 2 - preprinted
What is NAVMED 1300/1?
Medical, Dental, and Educational Suitability Screening for Service and Family Members
what is NAVMED 1300/2?
Medical, Dental, and Educational Suitability Screening for Service and Family Members Checklist and Worksheet
what is NAVPERS 1300/16?
Report of Suitability for Overseas Assignment Parts I, II, and III
What is DD form 2808
Report of medical examination
What is DD form 2807-1?
Report of medical history
What is NAVMED 6150/4?
Abstract of Service and Medical History
What is the required entries for Hypersensitivity/Allergies?
NAVMED 6230/4 - Immz record under remarks and recommendations
Placing “X” on front of medical record
SF 600 entry of the hypersensitivity/allergy to the drug or chemical
What is the form dental uses for hypersensitivities/allergy?
EZ 603/603A
What is the purpose of a medical warning tag?
To recognize special health problems when:
Medical records are not available
Patient is unable to give medical history
What is dental class 1?
(white)
Individuals having no pathological oral conditions and requiring no treatment
Exam and cleaning is completed
What is dental class 2?
(green)
Individuals with minor pathological oral conditions for which early clinical treatment is indicated
Exam done, cleaning is needed
What is dental class 3?
Yellow
Individuals with pathological oral conditions for which early clinical treatment is indicated
Non-deployable, dental condition that could become an emergency within the next 12 months
What is dental class 4?
Red
Individuals whose classification is unknown because they have not received an oral examination by a Dental Officer within the past 12 months or for whom no dental record exists.
What chapter of MANMED do we reference for medical records?
16
What is the largest article we use in MANMED chapter 16?
Article 23
16-23 is most useful
If a member is seen at the VA what are we going to do with their records?
A VA only gets a copy
Record is maintained at their MTF
How do you make a correction in a medical record?
One line and initial
What is NAVMED 6224?
TB
Key personnel responsible for administrating and supervising the execution of the privacy act
Navy - CNO who is also the secretary for the SECNAV
Marines- Commandant
What is HIPAA?
Health Insurance Portability and Accountability Act
Who is authorized to release medical information?
officials having cognizance
What is the OPNAV 5211/9
Record of disclosure. Used in an investigation/ NCIS
Who is responsible for providing documentation (proof) to amend a record?
the individual
When amending a record what is the time line?
10 working days = acknowledgment
30 working days = completed
What is the maximum criminal penalty for a violation of the Privacy act?
Three criminal penalties are authorized against individuals for violation of the Privacy Act
All three are misdemeanors punishable by fines up to $5,000
Courts may also award civil penalties
- no jail time
HIPPA violation criminal penalties
Wrongful disclosure of individually identifiable health information includes the following penalties:
Fine of $50,000 and up to one-year imprisonment, or both
If committed under false pretenses, a fine of not more than
$100,000 and up to five years imprisonment, or both
If the wrongful conduct involves the intent to sell, transfer, or use individually identifiable health information for commercial advantage, personal gain, or malicious harm; a fine of not more than $250,000 and up to ten years imprisonment, or both
If a person does not sign the privacy act statement what do you do?
SF 600
What is the purpose of the 3M program?
managing maintenance and maintenance support to help achieve maximum equipment operational readiness
What are the objectives of the 3M program?
standardization efficiency documentation analysis configuration status accounting scheduling
What does the 3M system NOT apply to?
does not apply to nuclear propulsion plants and associated test equipment, fleet ballistic missile systems, or aeronautical support equipment
Who has OVERALL responsibility of the 3M program?
The CO
Who is the 3M MANAGER?
The XO
Who is the 3M FUNCTIONAL MANAGER?
3-M System Coordinator
Who can be a 3-M System Coordinator?
This is a primary duty for an officer, CPO, or senior PO1, who has been assigned a secondary NEC of 9517; 3-MC is the ship’s subject matter expert in all aspects of the 3-M system
What is the Dept. Head responsibility in 3M?
Effective operation of the department
Reviews and signs cycle and quarterly cycles
What is the responsibility of the DLCPO in 3M?
Shall be accountable to the department head
What is the division officers responsibility in 3M?
Responsible to the Department Head and will be qualified in the 3-M System; the Division Officer assists in managing the maintenance required for the equipment within division responsibility
Reviews and approves the weekly schedules, conducts weekly spot checks to ensure maintenance is being properly performed, ensures the departmental quarterly schedule is updated weekly
What is the WCS responsibility in 3M?
The senior person will be designated as the work center supervisor and are responsible for the effective operation of the 3-M system within the work Center
This responsibility shall not be delegated to subordinate maintenance personnel
Schedules weekly work center maintenance and supervises its proper accomplishment
Maintains a detailed working knowledge of all equipment deficiencies within the work center maintains all documentation and files applicable to the 3-M system within the work center
What is the responsibility of the Maintenance person in 3M?
Responsible to the work center supervisor; perform assigned scheduled maintenance requirements as indicated by the weekly schedule and promptly notify the work center supervisor of the status of maintenance including any problems encountered in its performance
What is the difference between preventative and corrective Maintenance?
Preventative: prevent or discover functional failures
Corrective: actions taken to fix equipment that have failed, or are not working to design specifications
What is the PMS Manual also known as?
43P1
What is in a PMS Manual or 43P1?
lists of effective pages (LOEP’s), MIP’s and MRC’s that apply to the work center
It is designed to provide a ready reference of planned maintenance requirements for the work center supervisor, and should be retained in the work area
What does the LOEP provide listings of?
maintenance index pages
What does the MIP identify?
Identifies the system, subsystem, or component involved and gives a brief description of each maintenance requirement
What does the MRC provide?
Provides detailed guidance for accomplishing each maintenance requirement
Each MRC explains how to perform the maintenance task in terms that everyone should understand and list tools and materials needed for the job
What color of stock paper is a classified MRC printed on?
Pink
When several identical components are covered by one MRC what is used?
an equipment guide list (EGL)
What does the EGL contain?
The EGL contains:
Controlling MRC code
Name of the components concerned and serial number if applicable
Location of each component
What is a Feedback Report (FBR) used for?
Used by shipboard personnel to notify Fleet Technical Support Centers (FTSCLANT/FTSCPAC) or the Type Commander (TYCOM) on matters related to PMS
What are the 3 types of feedback reports?
Category A, Category B and Urgent
What are the 3 types of feedback reports?
Category A, Category B and Urgent
What does a Category A feedback report mean?
Non-technical in nature
What does a Category B FBR mean?
Technical in nature
- submitted by the ship’s 3M coordinator for the following:
Technical discrepancies inhibiting PMS performance
Notification of shift of maintenance responsibilities
TYCOM assistance
What does a URGENT feedback report mean?
Safety of personnel
Safety of ship
Potential for damage to equipment and relates to the technical requirements of PMS
What is the Allowance parts list?
Identification of PMS part requirements in the Navy supply system
What is the Current Ship’s Maintenance Project (CSMP)?
A detailed or summary listing of deferred maintenance information; a management tool for guiding the accomplishment of repairs in the work center
What is the equipment status log? (ESL)
Used to verify the status of all equipment
What is the Allowance Equipment list? (AEL)
All equipage items and any other special tools/materials not covered under other categories will be supported through the AEL
What is COSAL?
Coordinated Shipboard Allowance List (COSAL)
What is listed in the COSAL?
Lists the following:
- Equipment installed on a ship to perform its operational mission
- Repair parts and special tools required for the overhaul and repair of equipment
- The items and consumables necessary for the safety, care, and upkeep of the ship
What is the standard pms item name? (SPIN)
A numbering system used for tools, parts, material, and test equipment
what is Standard PMS Materials Identification Guide (SPMIG)?
A reference guide which lists the SPIN and has the corresponding stock number identification (NSN)
What does the periodicity code R mean?
Situational
How long do you maintain weekly maintenance schedules?
13 weeks
What is the purpose of the suitability screening program?
Determines suitability for overseas, remote or operational assignments by identifying “special needs”
Match needs to capability of local medical, dental, school and community facilities
What is considered reasonable travel time?
2 hours one way by land
What instruction governs the suitability screening program?
BUMEDINST 1300.2B as of 23 JUN 06
if it has 1300 its suitability
What is the responsibility of the MTF in the suitability screening process
Provides a suitability recommendation to transferring command
Does medical/dental/educational screening
What responsibility does BUMED have regarding the Suitability Screening Program?”
Prescribe procedures for medical, dental, and educational screening
Monitor the execution of screening procedures
Determine the cause and institute corrective action for screening deficiencies
what is the responsibilities of the SSC (suitability screening coordinator)
Designated by MTF commander
Coordinates suitability screening process
Performs paperwork review/preliminary screening
Refers to MTF/DTF staff for screenings
Forwards suitability inquiry to gaining MTF
Provides recommendation to transferring command
As required, coordinates to NAVPERSCOM, PSD, HRO, etc…
what is the purpose of the EFM program?
Assist SM in providing for the special needs of their EFM before, during, and after relocation required by change of duty assignments
What is the instruction governing the EFM program?
EFM is a mandatory program governed by the OPNAVINST 1754.2C
What is the enrollment criteria for EFMP?
Family member with long term or chronic medical, psychological, or educational needs
Enrolled in DEERS
Resides with sponsor
Exception: Geo-Bachelor
what is category I of EFMP?
Monitoring Purposes
what is category II of EFMP?
Pinpoint overseas assignment
what is category III of EFMP?
No overseas assignment
What is category IV?
Assignments near major medical facilities INCONUS
what is category V?
Homestead