Back
Financial Liability Investigation of Property Loss | Up
Content Moved | Next
Directives issuance system |
[ Back ] [ Home ] [ Up ] [ Next ]
CHAPTER 14
ADMINISTRATION
Although most of the their duties are performed in
a clinical environment, Hospital Corpsmen
may be assigned to clerical positions
aboard ship, assigned to duty with the
Fleet Marine Force, or detailed to staff
duty where a knowledge of administrative procedures
and reports is a must. Handling, correcting,
and using official directives and
publications are important
administrative duties. The efficiency of your office
depends upon the currency of its
publications and directives and how
well you know them.
As you progress in rate and assume greater
responsibilities, you will be required to maintain the
activity's Medical Department Journal, and
various logs, records, and directives.
Additionally, you may be required to
draft, type, and file correspondence. You
will use Navy directives and publications more and
more as you learn your job. You may also be
required to maintain computer data for
command use.
In this chapter we will cover medical reports, logs,
and records commonly used by the Navy
Medical Department. We will also
discuss the maintenance and disposal of
instructions and notices, preparation of
correspondence, and filing procedures. Additionally,
we will discuss the organization of the
Fleet Marine Force and Fleet Hospitals.
Finally, we will discuss the steps
required for the development of both a command
medical readiness plan (to include Mobile Medical
Augmentation Readiness Team (MMART) and
unit augmentation) and a joint medical
operation plan.
REPORTING REQUIREMENTS
LEARNING OBJECTIVE: Recognize
Medical Department reporting requirements.
As a member of the Medical Department, whether
in a clinic, on a ship, or working sick call, your duties
may include the maintenance of various logs
and the preparation of reports required
by higher authority. These reports are
in the Manual of the Medical
Department (NAVMED P-117) and in the current
version of BUMEDINST 5210.9. BUMED has
distributed numerous forms to facilitate
reporting, recordkeeping, and
administrative efficiency throughout
the Medical Department. Specific
instructions for management of reports and forms are
covered in the current version of
BUMEDINST 5210.9.
MEDICAL DEPARTMENT JOURNAL
Medical Department activities afloat are required
to keep a journal, referred to as the Medical
Department Journal. This journal contains a
complete, concise, chronological record
of events of importance or historical
value concerning the Medical Department
(other than medical histories of individuals). It lists
personnel entered onto or deleted from the
binnacle or sick list; reports of
personnel casualties, injuries, and
deaths; results of inspections of fresh provisions;
training given to nonmedical personnel;
stretcher bearers assigned; results of
inspections of medical equipment,
battle dressing stations, gun bags, and
stretchers; receipt of medical supplies; and other
general information of significance. The
journal is signed daily by the senior
medical officer, when assigned, or the
senior medical department
representative (SMDR). The journal is a permanent
record and is retired in accordance with the
current version of SECNAVINST 5212.5.
REPORTS TO THE OFFICER OF THE
DECK OR DAY (OOD)
In addition to being entered into the Medical
Department Journal, any other important occurrences
are reported by the senior representative of
the medical activity to the OOD (or
other proper official) for entry into
the duty log or journal of the command. Items
such as injuries or death of personnel and damage,
destruction, or loss of Medical Department
property are reported. The names of
patients in serious condition are
reported directly to the commanding
officer and the OOD, with the information necessary
for notification of the patient's next of
kin.
SICK CALL TREATMENT LOG
Alog referred to as the Sick Call Treatment Log is
maintained for each ship or activity. The
log contains each patient's reporting
date and time, name, rate, social
security number, command, division,
complaint, diagnosis, treatment, disposition, and
departure time from sick call. When full,
the log is retired in accordance with
SECNAVINST 5212.5.
BINNACLE LIST
The Binnacle List, NAVMED 6320/18, is used to
excuse an individual from duty for a period of 24 hours
or less. This report is prepared by the
senior medical department
representative on board and should be
submitted to the commanding officer no later than
0930 each day. This form contains a list of
individuals recommended to be excused
from duty because of illness. The list
is approved by the commanding officer,
and no names may be added without the CO's
permission.
MORNING REPORT OF THE SICK
The Morning Report of the Sick, NAVMED
6320/19, is used to excuse an individual from duty for a
period of more than 24 hours. This report
contains a list of the sick and
injured, including names, diagnoses,
and conditions. It is prepared by the senior
medical department representative on board and is
submitted to the commanding officer by 1000
daily.
When it is necessary to excuse someone from duty
after the Morning Report of the Sick is submitted, add
the patient's name to the Binnacle List, and
submit the appropriate report to the
commanding officer. If a patient is
still unfit for duty when the next Morning
Report of the Sick is submitted, add his name to the
NAVMED 6320/19 as of the date on which his
name was first entered on the Binnacle
List. If a satisfactory diagnosis
cannot be established, simply note
"Diagnosis undetermined" and indicate the chief
complaint. Report suspected cases of
malingering to the commanding officer.
TRAINING LOG
All lectures and training periods that are part of the
medical training program should be recorded
in the Training Log and a notation made
in the Medical Department Journal. The
entries should include the date,
location, type of training (GMT, etc.) or subject
matter, and what department personnel received the
training (Engineering, Deck, etc.).
IMMUNIZATION LOG
To aid you in annotating health records and filling
out monthly medical reports, develop and
maintain an immunizations log. As the
minimum, the information should include
the date; name; rank; social security
number; immunization type; duty station; and, for
personnel receiving PPDs, a contact phone
number. There should also be space for
adverse reactions.
WATER TEST LOG
The purpose of the water test log is to record the
readings of daily residual chlorine or
bromine levels and the weekly
bacteriological examinations required
on potable water aboard ship and in the field.
APPOINTMENT LOG
The purpose of the appointment log is to track
medical consultations and clinical appointments that
are scheduled by the Medical Department.
When a patient is unable to keep an
appointment, a notation indicating both
the cancellation and rescheduling of
the appointment should be made in the log. Multiple
appointment cancellations by the same member
should be brought to the attention of
the member's chain of command.
[ Back ] [ Home ] [ Up ] [ Next ]
This information is now available on CD in Adobe PDF Printable Format
| 