SMDR 9.1

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WHAT IS THE GENERAL DUTY AND RESPONSIBILTY OF THE SMDR?: Represent the U.S. Navy Surgeon General in all Medical functions.
WHAT ARE THE DUTIES AND RESPONSIBILITIES OF THE SMDR?: 1. General
2. Responsible to the CO
3. Direct access to the CO regarding health of personnel.
4. Report to the XO in all the matters.
5. Attached to the Medical Division or to the cognizant dept. in accordance with the ship's organization.
6. Performance eval are not to be delegated below the XO.
7. Perform clinical px commensurate to training and experience.
8. NAVREG 1990 forbids assignment of medical personnel to duties unrelated to their specialties while assigned to a combat area during periods of armed conflict.
DESCRIBE THE SMDR'S RESPONSIBILITIES TO THE CO?: 1. The care fo the sick, wounded and dead.
2. Sanitation and hygiene of the command.
3. Medical aspects of occupational health.
4. Health record maintenance.
5. Perparation of medical reports and records.
6. Maintenance of medical supplies and equipments.
7. Training of medical and non-medical personnel.
WHAT REGULATIONS FORBIDS ASSIGNMENTOF MEDICAL PERSONNEL TO DUTIES UNRELATED TO THEIR SPECIALTIES WHILE ASSIGNED TO A COMBAT AREA DURING PERIODS OF ARMED CONFLICT?: NAVREGS 1990
WHAT REPORTS SHOULD BE SUBMITTED DAILY?: 1. Potable water halogen residuals while underway or in non U.S. controlled ports.
2. Sick Call log.
3. Special Exams
4. Routine Exams
5. Immunizations
6. Health Record maintenance
7. Inspection of cooks and food service attendants.
8. Walk-through of messing and berthing spaces.
9. SAMS computer systems re-index and backup.
WHAT REPORTS ARE SUBMITTED WEEKLY?: 1. Safety/sanitation inspection
2. Safety/Sanitation inspection of the Collection, Holding and Transfer(CHT)/Marine Sanitation Devices(MSD)System
3. Bacterological testing of potable water. Halogen testin of potable water in ports controlled by the US.
4. Conduct training in accordance with the Long Range Training Plan(LRTP).
5. Update weekly 3M completion.
6. Potable water testing while in port CONUS.
7. Immunization report to Naval Medical Information Management Center(NMIMC).
WHAT ARE SUBMITTED BIWEEKLY(Approx. every 2 wks)?: 1. Stretcher Bearer Training.
2. Pest Control Survey.
WHAT REPORTS ARE SUBMITTED MONTHLY(Every 30 days)?: 1. Update immunizations requirements.
2. Verify STD and TB follow-up.
3. Verify outstanding supply requisitions.
4. Sterilize cloth/paper wrapped packs not sealed in plastic.
5. Food Service Sanitation Inspection.
6. Pest control survey/spray.
7. Inspection discrepancy follow up report to Immediate Supervisor In-charge(ISIC).
WHAT REPORTS ARE SUBMITTED QUARTERLY(Every 3 mons)?: 1. Quarterly operational dental classification report.
2. Training report to training officer.
3. OPTAR funding requirements to Supply Officer.
4. Sanitation inspections.
5. Report of potable water system inspection.
6. Controlled Medicinals Inventory Report.
7. Drills and exercises- Basic first Aid.
WHAT NEEDS TO BE SUBMITTED SEMIANNUALLY(Every 6 mons)?: 1. Deratting/Deratting exemption cert.
2. Operational and safety checks by
Bio Medical Equipment Tech(BMET) on all medical dept equipment.
3. Inventory of all emergency gear and equipment.
4. Health and dental record audit.
5. Drills and exercises.
6. Sterilize surgical packs(steam sterilization).
WHAT NEEDS TO BE SUBMITTED TO THE CO FOR ENDORSEMENT DAILY?: Sick Call Log
WHAT WEEKLY REPORT DOES NOT NEED FORMAL REPORT REQUIRED?: Safety/Sanitation inspection. Marine Sanitaion Devices(MSD) component limited to drip pan in food services areas and living spaces.
WHAT WEEKLY REPORT NEEDS TO BE SUBMITTED WITH FORMAL REPORT BY THE ENGINEERING DEPT TO THE CO VIA THE MEDICAL DEPT?: Safety/Sanitation inspection of the Collection, Holding and transfer(CHT)/Marine Sanitation Devices(MSD) System.
WHAT NEEDS TO BE INCLUDED WITH TRAINING REPORT SUBMITTED TO TRAINING OFFICER?: 1. Completed training for the previous quarter.
2. Proposed training schedule for the next quarter.
WHAT NEEDS TO BE SUBMITTED MONTHLY IF A TRANSACTION OCCURRED?: Controlled Medicinals Inventory and Report.
WHAT ARE THE EXAMPLES OF DRILLS AND EXERCISES?: 1. Battle Dressing Station( Personnel Casualty Transportation)
2. Mass Casualty
3. Cardiac Life Support and Emergency resuscitation response.
WHAT REPOSRTS ARE SUBMITTED ANNUALLY(Every 12 mons)?: 1. Long Range Training Plan
2. Exposure to Ionizing Radiation as required.
3. External Radiation Helath Audit.
4. Annual medical/dental centrally managed equipment.
5. Bulkhead to bulkhead inventory of medical storerooms.
6. Annual calibration x-ray equipment as required.
7. Retire files per current Navy directives.
8. Sterilize plastic covered autoclaved surgical packs.
9. Verify medical/dental records per current Navy directives.
10. Annual TB report cognizant EPMU by 28 Feb.
11. Annual calibration of audiometers and audiometric booths as required.
WHAT SURVEY IS DONE BIENNIALLY(Every 2 yrs.)?: Radiation health survey of x-ray equipment.
WHAT FORM IS USED ON EXPOSURE TO IONIZING RADIATION?: NAVMED 6470/1
WHERE CAN YOU FIND INSTRUCTIONS REGARDING EXPOSURE TO IONIZING RADIATION?: NAVMED P-5055
WHAT REPORTS ARE SUBMITTED WHEN A SITUATION PRESENTS ITSELF?: 1. Medical Dept Memorandum for the record(as needed).
2. Medical Event report (MER).
3. Letter/message report of TB contact.
4. Letter/message report of Malaria control and prevention.
5. Maritime public health declaration.
6. Report of Heat/Cold Injury.
7. Inpatient disposition record.
8. Accident/Injury Report
9. Medical joining report.
10. Mass prophylaxis for infectious hepatitis.
11. special epidemiological report.
12. Madical assistance report.
13. Appt letters for CSIB.
14. Exposure to ionizing radiation.
15. Personnel casualty report.
16. Report of hospitalization at non-federal facilities.
17. Diving accidents.
18. Competence for duty exam.
19. Venereal disease contact report.
20. Aviation accident report.
21. Heat stress survey.
22. Post deployment critique to appropriate CINC(Medical) via COC.
23. Death report.
WHAT IS SUBMITTED AS NEEDED TO DOCUMENT SIGNIFICANT EVENTS?: Medical Dept Memo for the record.
WHERE DO YOUR SEND COPIES OF REPORT OF HEAT/COLD INJURY?: 1. TYCOM (Type Commander)
2. IH (Industrial Hygiene)
WHAT IS NAVMED 6500/1?: Report of Heat/cold Injury.
STATE PX FOR RELIEF AND ASSUMPTION OF DUTY(SMDR)?: 1. Incoming SMDR shall accomplish turnover in company of outgoing SMDR.
2. TAV can be performed by group/squadron medical.
3. Required reports must be current and properly submitted.
4. Environmental Health(EH)/Industrial Hygiene(IH)surveillance programs must be in place and current.
5. Training must be properly conducted and documented.
6. Complete Medical Rediness Assessment(MRA) checklist and attach this to the Letter of Relief.
7. Letter of relief must be submitted within 10 days of turnover px. Adjudication of discrepancies noted upon relief will be handled as a matted of individual command prerogative.
WHAT SHOULD BE INCLUDED DURING TAV?: 1. Ongoing actions affecting status of medical materiel and spaces must be documented and understood by relieving SMDR.
2. All AMMAL/ADAL required items must be on board and in good operating conditions.
3. SAMS database must be accurate for storeroom supply inventory and locations.
LIST THE GENERAL MEDICAL PROGRAMS ADMINISTERED TO ALL HANDS.: 1. Routine/Emergency clinical care, including dnetal care and specialty referrals.
2. Health/Dental Record maintenance.
3. Patient Administration
4. Industrial hygiene and occ safety and health programs.
5. Environmental health and preventive medicine programs.
6. Training; including All Hands, Indoctrination, GMT, Specially, and medical personnel.
WHAT ARE INCLUDED WITH PATIENT ADMINISTRATION?: 1. Admissions
2. Discharges
3. Non-naval medical/dental care
4. Medical boards
LIST CONDITIONS REQUIRING MEDICAL OFFICER ADVICE.: 1. Fever of 103F(oral) or greater.
2. Persistent diastolic BP greater than 105 mm/Hg for 3 days.
3. Any systemic heat casualty.
4. Any suspected case of hepatitis, TB, malaria, syphilis, disseminated gonorrhea, or gonorrhea 2nd time tx failures.
5. Any chest pain believed to be cardiac in origin or dyspepsia unrelieved by antacids.
6. Any abdominal pain associated with a fever or an elevated WBC count.
7. Any persistent or worsening abdominal pain.
8. All cases of hematemesis, hemoptysis, or hemtochezia.
9. Any sudden testicular pain where torsion of the testicle is a poss dx.
10. Any traumatic or unexplained loss of consciousness.
11. Any pt with a compromised airway.
12. Any unscheduled return visit for identical complaint13. Whenever there is doubt aboout a pt's condition or tx.
WHAT ARE THE RESPONSIBILITIES OF THE SMDR CONCERNING CBRE HAZARDS?: 1. Maintain knowledge of current medical aspects of CBRE?
2. Advise CO on the tx and handling of CBRE casualties.
3. Ensure proper decontamination and tx of casualties.
4. ensure the ship's CBRE bill includes the duties and reponsibilities of the medical dept.
WHAT DOES CHT MEAN?: Collection, Holding and Transfer
WHAT DOES MSD MEAN?: Marine Sanitation Devices
WHEN DO YOU SUBMIT BACTEROLOGY TESTING OF POTABLE WATER?: Weekly (Once each week)
WHEN DO YOU SUBMIT THE ANNUAL TB REPORT TO COGNIZANT EPMU?: By 28 Feb - annually
WHAT FORM IS USED FOR REPORT OF HEAT/COLD INJURY?: NAVMED 6500/1
WHEN SHOULD YOU GET TECHNICAL ASSIST VISIT?: As soon as you get to the ship.
WHAT FOR IS USED TO TRACK UNSCHEDULED EQUIPMENT MAINTENANCE?: NAVMED 6700/3
WHAT IS THE PURPOSE OF MEDICAL EQUIPMENT MAINTENANCE AND REPAIR?: Develop and maintain a viable maintenance and repair capability to ensure optimum equipment readiness in support of operating forces.
WHAT SOPE ARE COVERED BY MEDICAL EQUIPMENT MAINTENANCE AND REPAIR?: 1. All equipment onboard is covered under the mmaintenance and material management (3M) system and the Consolidated Ship's Allowance List (COSAL).
2. All medical equipment is required to have a NAVMED 6700/3.
DEFINE QUALITY ASSURANCE?: A structured/ systemic process for evaluating the entire spectrum of clinical care provided by an organization with a designated process for the resolution of previously unidentified or unresolved problems.
WHAT ARE THE PURPOSE OF QUALITY ASSURANCE?: 1. To improve quality of health care through problem identification and resolution.

2. Focus is on clinical problem.
WHAT ARE THE GOALS OF QUALITY ASSURANCE?: 1. Maintain high level of unit wellness to meet mission needs.

2. Improve quality of health care given by all providers.
WHAT IS THE RESPONSIBILITY OF THE FLEET COMMANDER?: Assumes overall program oversight and coordination.
WHAT ARE THE DUTIES OF THE FLEET COMMANDER?: 1. Establish Memorandum of Understanding (MOU)/Memorandum of Agreement (MOA) with geographic BUMED facilities to obtain needed support/assistance.

2. Establish protocola for battle group commanders to monitor and control medical care medical care within TYCOM lines during operations.
WHAT IS THE RESPONSIBILITY OF THE TYPE COMMANDER?: Exexrcise overall control and accountability for the program.
WHAT ARE THE DUTIES OF THE TYPE COMMANDER?: 1. QA records maintenance.

2. Credentialing

3. Reporting requirements
WHAT ARE THE RESPONSIBILITIES AND DUTIES OF FORCE MEDICAL OFFICER?: 1. Program Director, appointed in writing by TYCOM.

2. Appoints sufficient physician supervisors to ensure adequate oversight of the IDC's clinical activities.

3. Ensure a viable training origram is maintained by each operational group )COMPHIBGRU, COMCRUDESGRU, COMDERSON, etc.).

4. Provides a structured otrientation for physician supervisors, outlining administrative and supervisory responsibilities.

5. Monitors and ensures compliance with all QA directives.
WHAT ARE THE RESPONSIBILITIES AND DUTIES OF THE FORCE MEDICAL MASTER CHIEF?: 1. Program Manager, appointed in writing

2. Provides specific guidance and orientation to group and squadron senior corpsmen on program administration.

3. Advises the Program Director of discrepancies in regard to IDC QA.

4. Make recommendations to Program Director to enhance IDC training and QA program.

5. Identify and assign in writing, designated group/squadron senior corpsmen as assistant IDC Program Managers.

6. Serves as liaison for group/squadron corspman for sources of QA services when CNSP assets are not available (RSO).
WHAT ARE THE RESPONSIBILITIES AND DUTIES OF GROUP/SQUADRON COMMANDER?: Oversees IDC QA Program through the Group or Squadron Medical Officer who is designated as the professional advisor and "non physical health care provider supervisor". In groups/squadrona without assigned MOs, TYCOM must appoint an MO to perform these duties and an ADDU basis.
WHAT IS THE RESPONSIBILITY OF THE GROUP/SQUADRON CORPSMEN?: Serve as Assistant Program Managers for TYCOM, assisting with Administrative aspects of the IDC QA Program.
WHAT ARE THE DUTIES OF THE GROUP/SQUADRON CORPSMEN?: 1. Maintain administrative files of IDC certification/re-certification, QA reviews, CME's.

2. Provides updates to TYCOM database when personnel change.

3. Conduct quarterly QA reviews for IDC's
HOW FAR OUT CAN THE QA REVIEWS MAY BE EXTENDED?: 1. 6 mons deployed ships

2. >6 mons in cases operational necessity
WHERE SHOULD THE QA REVIEWS BE DOCUMENTED?: 1. QA Report

2. Medical Dept Daily Journal
TO WHO'S ATTENTION SHOULD YOU BRING ALL THE PROBLEMS IDENTIFIED?: The CO's
WHAT SHOULD BE CONDUCTED TO CORRECT DEFICIENCIES IDENTIFIED THROUGH QA PROCESS?: Training
WHAT QA REVIEWS SHOULD THE CO OBTAIN IMMEDIATELY?: 1. Patient death

2. Adverse patient response secondary to delay in Tx of evacuations.
TO WHOM DO YOU SUBMIT ADVERSE REPORTS?: TYCOM
WHEN ARE ADVERSE REPORTS SUBMITTED TO TYCOM?: Within 48 hrs. after event discovery.
WHAT ARE THE RESPONSIBILITIES AND DUTIES OF THE SMDR?: 1. Within the individual IDC's experience and expertise, provide for the health and welfare of the crew to the utmost of their ability.

2. Ensure all areas of responsibility maintained in a high state of readiness.

3. Inform the COC immediately of any patient beyond the scope of care for the IDC.

4. Work closely with assigned physician supervisor on resoution of identified QA problems.

5. Countersign all SF-600 entries by junior HM's.
WHAT SHOULD THE IDC DO FOR ANY QUESTIONABLE CASE?: Seek immediate Medical Officer consultation.
WHERE COULD YOU FIND THE OUTLINE OF NEEDED REQUIREMENTS TO MAINTAIN SKILL LEVELS WITHIN THE SCOPE OF CARE FOR AN IDC?: OPNAVINST 6400.1
WHAT IS THE MINIMUM CEU'S SHOULD AN IDC OBTAIN ANNUALLY?: 12 CEU's
WHAT LIST SHOULD BE PROVIDED TO THE CO CONCERNING THE JUNIOR CORPSMEN?: All OTC meds which junior HM's are trained and authorized to dispense.
WHAT IS THE NUMBER OF THE MRI PACKET?: CINCPACFLT/CINCLANTFLTINST 6000.1A
WHAT INSTRUCTION CONTAINS THE MINIMUM REQUIREMENTS TO HAVE ON BOARD SHIPS?: COMNAVSURFORINST 6000.1
WHAT IS THE PURPOSE OF THE SHIPBOARD MEDICAL PX MANUAL?: 1. To define shipboard medical px for all subordinate units of the Type Commander (TYCOM).

2. Standardizes operations fleet wide.
WHAT OTHER DIRECTIVES CONTAIN THE SHIPBOARD MEDICAL PX GUIDANCE?: 1. Navy Regs 1993

2. SECNAV/OPNAV Directives

3. BUPERS DIRECTIVES

4. Fleet Commander Regs

5. TYCOM Directives

6. NAVMED Publications

7. NAVMEDCOM/BUMED Directives

8. Naval Medical Logistics Command (NAVMEDLOGCOM) Messages/Bulletins

9. Senior Officer Present Afloat (SOPA)
WHAT DOES SORM STANDS FOR?: Ship's Organization and Regulations Manual
WHAT PARTICULAR TYCOM DIRECTIVES CONTAIN OTHER GUIDANCE FOR SHIPBOARD MEDICAL PX?: 1. TYCOM Regulations

2. Ship's Organization and Regulations Manual (SORM).
WHAT PARTICULAR NAVMED PUBLICATIONS CONTAIN THE SHIPBOARD MEDICAL PX?: 1. NAVMED P-117

2. NAVMED P-5010
WHAT IS NAVMED P-117?: Manual of the Medical Dept
WHAT IS P-5010?: Manual of Naval Preventive Medicine
HOW MANY DIVISIONS DOES THE SHIPBOARD MEDICAL GUIDE HAVE?: 9 divisions
STATE DIVISIONS AND THEIR TITLES?: Chapter 1 - General/Introduction

Chapter 2 - Training

Chapter 3 - Fiscal/Supply Management

Chapter 4 - Health Care

Chapter 5 - Environmental Health and Preventive Medicine Afloat

Chapter 6 - Medical Planning

Chapter 7 - SNAP Automated Medical System (SAMS)

Chapter 8 - Blood Program

Appendices
WHAT DOES CHAPTER ONE CONTAIN?: 1. Organization and Responsibilities, Medical Dept Admin/Medical Readiness Assessment (MRA), QA, Certs, Training and Review, Medical Readiness Instpection (MRI)

2. Medical Dept Mission: to promote, maintain, and preserve the health of the crew aboard ship.

3. Watch, Quarter, and Station bill (WQSB)

4. Post-Deployment After Action Critique

5. IDC Continuing education program, Medical Readiness Assessment.
WHAT SHOULD BE INCLUDED ON THE WATCHBILL?: Non-medical BDS phone talkers and Stretcher Bearers
WHERE SHOULD THE WATCHBILL BE POSTED?: In Sickbay
WHEN SHOULD THE POST-DEPLOYMENT AFTER ACTION CRITIQUE BE SUBMITTED?: Within 30 days of return from deployment
WHAT DOES CHAPTER TWO CONTAIN?: 1. Crew General Medical Training

2. Medical Dept Personnel Training

3. Long Range Training Plan (LRTP)

4. Planning Board for Training (PB4T)

5. Madical Training Team (MTT)
WHAT ARE INCLUDED IN MEDICAL DEPT PERSONNEL TRAINING?: 1. BCLS-AED

2. Shipboard PQS

3. Pest control Operator Training and Cert

4. Cardiac Life Support Drills
WHAT SHOULD THE LONG RANGE TRAINING PLAN INCLUDE?: 1. I Division
2. All Hands Medical Training
3. Specialty Medical Training
4. First Aid and Rescue
5. CBRE Training
6. Stretcher Bearer Training
7. GMT
8. Drills and Exercises IAW FXP-4
9. Medical Dept Training; 12 month cycle
10. Rescue/SAR Swimmer First Aid Training
11. Toxic Gas Grill, Man Overboard
WHAT DOES SMI STAND FOR?: Supply Management Inspection
WHAT IS CSIB?: Controlled Substance Inventory Board
WHAT DOES CHAPTER THREE CONTAIN?: 1. Authorized AMMAL; Medical Dept Funding; Quality Control Surveillance IAW Defense Logistics Agency Manual (DLAM)
2. Drugs Requiring Custodial Care
3. Medical Equipment Maintenance and Repair Program
WHAT DOES DRUGS REQUIRING SPECIAL CUSTODIAL CARE CONTAIN?: Controlled substances security, custody, inventory, dispensing, and transfer
WHAT ARE INCLUDED IN MEDICAL EQUIPMENT MAINTENANCE AND REPAIR PROGRAM?: 1. MAVMED 6700/3

2. Consolidated Ship's Allowance List (COSAL) support.

3. Material Maintenance Management (3M) system implementation.
WHAT ADMINISTRATION DOES CHAPTER FOUR CONTAIN?: 1. Records and logs maintained
2. Health records
3. Medical consultations
4. Medical boards
5. Pt admissions, discharges, and duty status
6. Referral for admissions
7. Non-federal medical Tx
8. Dispositions of members refusing medical, or surgical Tx
9. Motion sickness
10. Recommendations for discharge by reason of unsuitability
11. Competence for duty exams
12. Disposition for members not suitable for shipboard duty.
13. Decedent Affairs Px
WHAT CHAPTER OF SHIPBOARD MEDICAL PX MANUAL CAN YOU FIND DRUGS REQUIRING SPECIAL CUSTODIAL CARE?: Chapter 3 - Fiscal/Supply Management
WHAT CHAPTER OF SHIPBOARD MEDICAL PX MANUAL CAN YOU FIND THE RECOMMENDATIONS FOR DISCHARGE BY REASON OF UNSUITABILITY?: Chapter 4 - Health Care
WHAT CHAPTER OF SHIPBOARD MEDICAL PX MANUAL CAN YOU FIND THE DECEDENT AFFAIRS PX?: Cha[ter 4 - Health Care
WHAT CLINICAL HEALTH CARE DOES CHAPTER FOUR CONTAIN?: 1. Responsibilities of Medical Dept Reps in commands without an MO.
2. IDC's requiring MO assistance/advice
3. Ophthalmic services
4. Physical exams
5. Women's health
6. Sick call
7. Care of pts with altered state of consciousness
8. Pt berthing
9. Cold weather medicine
10. Medical standbys
11. Allergy Tx
12. Dental
13. Rape/Sexual assault
14. Pre-Deployment Screening of US Gov't Civilian Employees, Contract Personnel and Guests
WHAT SHIPBOARD EMERGENCY MEDICAL READINESS DOES CHAPTER FOUR CONTAIN?: Sickbay Emergency Medical Material
1. IDC Emergency Kit
2. Battle Dressing Stations
3. Mass Casualty Boxes
4. First Aid Boxes
5. Gun Bags
6. Boat Boxes
7. Antidote Locker
8. Stretchers and Litters
9. Decon Lockers
10. CBRE defense material
11. Civilian Evacuation
material
12. Mass Casualty supplies
13. Oxygen supply
14. Surgical Instrument
Sets and Sterilization
Px
WHAT PREVENTIVE MEDICINE DOES CHAPTER FIVE CONTAIN?: 1. Inspection and reporting Px
2. Sanitation Bill
3. Quarantine Regulations
WHAT FOOD SAFETY DOES CHAPTER CONTAIN?: 1. Food Safety Sanitation Training Program

2. Health Standards for Food Service Personnel
WHAT WATER SUPPLY AFLOAT DOES CHAPTER FIVE CONTAIN?: 1. Water Sanitation Bill
2. Water Tx and Halogen Testing
3. Bacteriological Testing
4. Calcium Hypochlorite Storage
WHAT COMMUNICABLE DISEASES DOES CHAPTER FIVE CONTAIN?: 1. STDs
2. TB Control Program requirements
3. Hepatitis guidance
4. Malaria guidance
5. Immunizations
6. HIV Testing Program
WHAT SAFETY/INDUSTRIAL AND OCCUPATIONAL HEALTH DOES CHAPTER FIVE CONTAIN?: Medical IH responsibilities IAW
WHAT INSTRUCTION COVERS IH RESPONSIBILITIES AFLOAT?: OPNAVINST 5100.19D
WHAT INSTRUCTION COVERS IH RESPONSIBILITIES ON SHORE?: OPNAVINST 5100.23
WHAT DOES CHAPTER FIVE CONTAIN?: 1. Preventive Medicine
2. Food Safety
3. Water Supply Afloat
4. Habitability
5. Insect and Rodent Control
6. Communicable diseases
7. Safety/Industrial and Occupational Health
WHAT DOES CHAPTER SIX CONTAIN?: 1. General Information
2. Casualty Handling
3. Naval Ready Reserve Personnel
4. Medical Augmentation
5. Medical Joining Report
6. Medical Regulating
7. Casualty Evacuation
WHAT CHAPTER COVERS NAVAL READY RESERVE PERSONNEL?: Chapter 6 - Medical Planning
WHAT DOES CHAPTER SEVEN CONTAIN?: 1. SAMS
* Assistance/support
resources
* System security
2. ADP equipment
WHAT DOES ADP MEAN?: Automated Data Processing
WHAT DOES CHAPTER EIGHT CONTAIN?: 1. Storage of blood products

2. Walking blood bank requirement
WHAT DOES THE APPENDICES CONTAIN?: A. Common Acronyms
B. Professional Books, Publications and Instructions
C. Preparation of Shipboard Medical Dept for Overhaul
D. Sample Mass Casualty Bill
E. Sample Medical Battle Bill/CBR Bill
F. Crew Training Requirements
G. Personnel Quals Standards (PQS) for Junior HM's
H. AMMAL Change Request (ACR)
I. Diving Accidents
J. Aviation Medicine and Accidents
K. Emergency Medical Requirements
L. Oxygen Handling and Stowage Requirements
M. Fleet Instrument Sets
WHAT IS CART?: Command Assessment of Readiness and Training
WHAT ARE THE TWO PHASES OF CART?: 1. CART I - Self-assessment completed by ship prior to end of deployment cycke and before overhaul/major maintenance availability.
2. CART II - conducted by Afloat Training Organization (ATO)
WHAT DOES CART II CONSISTS OF?: Performance based assessment of individual and team proficiency in areas of:
1. Basic first aid
2. Casualty transportation
3. Medical organization
4. Material preparedness
WHAT IS THE USE OF CART II RESULTS?: To construct a unit-training package for execution during Tailored Ship Training Availability (TSTA)
WHAT ARE THE SMDR'S RESPONSIBILITIES DURING MRI?: 1. Medical Administration: CART Phase I Medical Ready to Train Goals (Completed prior to CART II)
2. Ship to Develop Training Teams. Medical Depts are designed to train, plan and execute Medical Casualty Drills that are scenario driven.
3. Basic Training Phase goals of DCTT/MTT
4. Identify and correct any deficiencies in the crew's knowledge and proficiency in first aid Px.
5. Inspection and inventory of all Emergency Medical Equipment with 100% on hand or on order.
6. Manning
7. Medical training completed for the crew.
8. Medical CART II Admin/Matrial/Operatons Issues Verify Medical "Ready to Train" Goals status.
WHAT MANNING IS THE SMDR RESPONSIBLE FOR?: 1. Stretcher bearers - 4
2. Non-medical phone talkers assigned and PQS qualified pers BDS - 1
WHAT ARE INCLUDED AS EMERGENCY MEDICAL EQUIPMENT?: 1. First Aid Boxes
2. IDC or MO Kits
3. Junior HM Kits
4. Gun Bags
5. Litters/stretchers
6. Vest assembly/Extraction Gear
7. CBR Defense Medications
8. Installed Medical Equipment (eye wash station)
WHAT ARE INCLUDED IN MEDICAL MATERIAL READINESS CHECKS?: 1. Battle Dressing Stations
2. Emergency Medical Equipment
3. Review training aids and training devices (Moulage)
4. Assess a ship executed ATG provided scenario (drill package)
5. Review Watch Quarter and Section Bill for personnel assignments during GQ Conditions III, II amd I for HM, stretcher bearers and non-medical phone talkers.
6. Check training rosters to verify training is being conducted for crew, HM, stretcher-bearers and non-medical phone talkers
WHAT DOES FEP MEAN?: Final Evaluation Period
WHEN IS IT CONDUCTED?: At the end of each training cycle.
WHEN WILL CART BE CONDUCTED FOR SHIPS WHICH DO NOT REGULARLY DEPLOY?: Every 18 mons to 2 yrs.
WHICH PERSONNEL MUST HAVE 100% SIGNED OFF PQS?: 1. Stretcher bearers

2. BDS Phone Talkers
WHAT SHOULD THE MONITOR ENGINEERING WATCH STANDER CONDUCT?: 1. WBGT Survey

2. Verify readings are accurate

3. Supervisory personnel take correct actions when completed.
ABOVE WHAT NOISE LEVEL SHOULD YOU WEAR HEARING PROTECTION?: 104 db
WHAT KINDS OF HEARING PROTECTION ARE USED FOR DOUBLE PROTECTION?: 1. Insert type

2. Circumaural (muff)
WHEN DOES ALL ENGINEERING PERSONNEL RECEIVE HEARING CONSERVATION TRAINING?: 1. Prior to working in noise hazardous areas.

2. Annually
WHAT'S THE PURPOSE OF CONDUCTING MULTIPLE CASUALTY DRILLS?: To assess the knowledge and proficiency of watch standers to perform self-aid and buddy-aid in a condition 1 multi-threat environment.
WHAT DOES TSTA STAND FOR?: Tailored Ship's Training Availability
WHAT IS TAILORED SHIP'S TRAINING AVAILABILITY?: 1. Conducted by ATO utilizing unit-training package.

2. Conducted during CART to continue the basic phase of training.

3. Ship will be assigned to continue with FEP.

4. Normally lasts a total of 7 weeks (Engineering and non-engineering phases).
WHY IS FEP CONDUCTED?: As a comprehensive assessment of exercises outlined in Fleet Publication (FXP-4) prior to assignment to numbered Fleet Commander.
WHAT DOES TSSE STAND FOR?: Total Ship Survivability Exercise
WHAT DOES FEP CONSIST?: 1. Comprehensive assessment of exercises potlined in Fleet Exercise Publication (FXP-4) prior to assignment to numbered Fleet Commander.
2. Simulated battle and damage control problems, including Total Ship Survivability Exercise (TSSE), with multiple personnel casualties vice mass casualties.
3. Normally lasts 3 days.
4. Concludes ship's basic training phase.
WHEN IS MRI CONDUCTED?: 1. Within 90 days of major deployment.

2. Every 18 mons to assess readiness of shipboard medical depts to perform their mission in support of ship's oerations.
WHERE ARE THE MRI INSPECTION CHECKLISTS LOCATED?: COMNAVSURFORINST 6000.1
WHEN IS THE INSPECTION CHECKLIST UTILIZED?: During quarterly ISIC QA visits over an 18-month timeframe to complete the assessment.
HOW MANY SECTIONS DOES THE MRI INSPECTION CHECKLIST CONTAIN?: 6 sections
WHAT ARE THE 6 SECTIONS OF THE MRI INSPECTION CHECKLIST?: 1. Section A - Administration and Training
2. Section B - Supplies and Equipment
3. Section C - Emergency Medical Preparedness
4. Section D - Ancillary Services
5. Section E - Environmental Health Services
6. Section F - Executive Summary
WHAT ARE THE GRADING CRITERIA OF THE C-STATUS DETERMINATION?: 1. C-1 Full Ready > = 90%

2. C-2 Substantially Ready > = 80%

3. C-3 Marginally Ready > = 65%

4. C-4 Not Ready < 65%
WHEN MUST A FOLLOW-UP REPORT BE SUBMITTED TO TYCOM?: Every 30 days after MRI.
WHAT SHOULD THE FOLLOW-UP REPORT CONTAIN?: 1. Outlining progress made towards correction.

2. Final disposition report due no later than 6 mons following MRI.
WHEN IS THE FINAL DISPOSITION REPORT DUE?: No later than 6 mons following MRI.
WHEN IS A TAV CONDUCTED?: 3-6 mons prior to final assessment
WHAT DOES DRI STAND FOR?: Dental Readiness Inspection
WHEN IS DENTAL READINESS INSPECTION (DRI) CONDUCTED?: 1. Every 18 mons

2. 120 days prior to a deployment.
WHAT ARE THE AREAS COVERED DURING THE DRI?: 1. Dental administration
2. SAMS utilization
3. Infection control
4. Dental training
5. Dental supply and record administration
WHAT INSTRUCTION CONTAINS THE DENTAL READINESS INSPECTION CHECKLIST?: CINCLANT/PACINST 6600.42
DENTAL CLASSIFICATION STATUS MUST BE WHAT PERCENTAGE FOR A GRADE OF C-1?: 95% or > Class 1 and/or 2
WHERE ARE THE RESULTS OF DRI SENT TO?: 1. Ship's CO

2. ISIC

3. Fleet/Force Dental Officer
WHAT IS ISIC?: Immediate Superior In Command
WHEN IS BASELINE INDUSTRIAL HYGIENE SURVEY CONDUCTED?: On pre-commissioning ships
WHEN IS INDUSTRIAL HYGIENE AND ENVIRONMENTAL HEALTH SURVEYS CONDUCTED?: Every 18 mons
WHERE ARE ALL APPLICABLE NAVOSH PROGRAMS FOUND?: OPNAVINST 5100.19
WHAT ARE THE NAVOSH PROGRAMS COVERED IN OPNAVINST 5100.19?: 1. Asbestos Control
2. Respiratory Protection
3. Heat Stress
4. Hearing Conservation
5. Sight Conservation
6. Hazard Materials
7. Mishap Reporting
WHAT IS SMI?: Supply Management Inspection
WHEN IS THE SUPPLY MANAGEMENT INSPECTION CONDUCTED?: Every 18 mons
- to assess the ship's overall supply dept and its interaction with other depts.
WHAT PART OF SMI IS THE RESPONSIBILITY OF MEDICAL?: 1. Food service sanitation
2. Barber and laundry sanitation
3. OPTAR management
4. Repair parts program
5. HAZMAT program
WHAT SHOULD THE SMDR BE READY FOR DURING SMI?: 1. All monthly food service sanitation inspection reports.
2. All health records fo r MS/FSA/Mess Deck MA and SH's for screening physical exams.
3. Training records for MS/FSA/MDMAA for food service sanitation training.
4. All weekly/quarterly sanitation inspection reports for barber shop/laundry/vending machines/ship's store.
5. All outstanding requisitions verified.
6. All COSAL supported equipment in SNAP III, equipment files validated.
7. CSMP validated.
WHEN IS ENGINEERING QUALIFICATIONS (E-QUAL) CONDUCTED?: Every 18 mons
WHAT ARE THE TWO MAJOR ADMINISTRATIVE PROGRAMS REVIEWED DURING E-QUAL?: 1. Heat stress

2. Hearing conservation
WHAT ARE INCLUDED IN HEAT STRESS REVIEW?: 1. Surveys for last year (including engineering dept).
2. All heat stress temp logs for galley, scullery, and laundry
3. Emergency Medical Gear
4. Medical Training
WHAT ARE INCLUDED IN HEARING CONSERVATION REVIEW?: 1. Audiograms
2. Rosters of all personnel in the HCP
3. Current sound level survey
4. Noise hazard areas posted
5. Observation of PPE use by crew.
WHEN IS INSURV CONDUCTED?: 1. Prior to commissioning
2. At each ROH (Routine Overhaul),about every 5 yrs
3. Prior to decommissioning
WHAT IS INSURV?: Board of Inspection and Survey
WHAT IS THE PURPOSE OF INSURV?: Ship-wide survey to determine the efficiency with which taxpayer money is being spent.

2. Reported to Congress via the COC.
WHAT ARE THE AREAS COVERED DURING INSURV?: 1. Supply
2. Combat Systems
3. Aviation ops
4. Engineering Px
5. Structural condition of the ship
6. Navigation Equipment
7. NAVOSH Programs
8. Habitability
WHAT ARE THE LOGS AND JOURNALS MAINTAINED BY THE SMDR?: 1. Memorandum for the record
2. Sick call log
3. Training log
4. Heat stress log
5. STD log
6. Potable water log
7. Pesy control log
8. Temperature log
9. Medical waste/disposal log
WHO SIGNS THE MEMORANDUM FOR THE RECORD?: MO/SMDR
WHAT IS THE USE OF THE MEMORANDUM FOR THE RECORD?: 1. Account of events of historical significance, not otherwise recorded.
2. Signed by MO/SMDR
3. QA visit item, retained per SECNAVINST 5212.5
4. Provides a medium for recording special occurences that might need to be reconstructed in detail at a future time.
WHAT ARE COVERED IN MEDICAL WASTE/DISPOSAL LOG?: 1. Log documentating proper processing and disposal of shipboard medical waste.
2. It is very important to keep log for sharps containers.
HOW DO YOU INITIATE A MEMORANDUM FOR THE RECORD?: 1. Header
*Ship's Name
*Hull #
*SMDR Name and Rank
*Date
2. Begin with time of first entry and write what occurred.
3. Include only info not repeated on other ship's log.
WHAT DIRECTIVE IS CONSOLIDATED SUBJECT INDEX?: OPNAVNOTE 5215
WHAT IS A CONSOLIDATED SUBJECT INDEX?: A semi-annual listing of valid instructions issued by WA DC, Headquarters Organizations (OPNAV, BUMED, JAGC, NAVAIR, SECNAV, etc.).
WHAT DIRECTIVE IS STANDARD NAVY DISTRIBUTION LIST?: OPNAVNOTE 5400
WHAT IS A STANDARD NAVY DISTRIBUTION LIST?: Provides proper mailing address and titles for Navy correspondence for all Dept of Navy (DON) activities.
GIVE SPECIFIC INFO CONTAINED IN SNDL?: 1. Addresses authorized by CNO/CMC or higher authority
2. Also lists PLAD's or UIC's for all DON commands.
3. Homeports of ships/squadrons are also listed.
WHAT DIRECTIVE IS STANDARD SUBJECT IDENTIFICATION CODES?: SECNAVINST 5210.11
WHAT IS AN SSIC?: Provides guidelines for segregation, filings, and charging out of USN/USMC records
HOW MANY MAJOR GROUPS DOES THE SSIC CONSIST?: 14 Major groups
WHAT DIRECTIVE IS THE NAVY CORRESPONDENCE MANUAL?: SECNAVINST 5216.5
WHAT IS A NAVY CORRESPONDENCE MANUAL?: Provides guidance and standardization to DON for writing qyality, corrspondence format, and personnel management.
WHAT IS NTP-3 SERIES?: Navy Telecommunications Users Manual
WHAT IS THE NAVY TELECOMMUNICATIONS USERS MANUAL?: Provides concise Px for the drafting and preparation of DON GENADMIN messages.
WHAT IS USN PLAD-1?: Message Address Directory
WHAT IS THE PURPOSE OF MESSAGE ADDRESS DIRECTORY?: Used for providing the correct Plain Language Address (PLAD) for messages of any type.
WHERE CAN YOU FIND THE RECORD OF CHANGE PAGE?: Always located near the front.
WHAT ARE INCLUDED IN THE LIST OF ANY CHANGES TO THE INSTRUCTION?: 1. Date of the change

2. Date the change was entered.

3. By whom the change was entered.
WHAR IS THE PURPOSE OF PEN AND INK CHANGES?: 1. Used to make minor changes.

2. The issuing authority will provide any special instructions.
WHICH MANUAL IS PEN AND INK CHANGES PROHIBITED?: Naval Military Personnel Manual (MILPERSMAN)
WHAT KIND OF CHANGES ARE NOT AUTHORIZED?: "Paste-in-Changes"
WHAT DIRECTIVE IS PROFESSIONAL MEDICAL REFERENCE MATERIALS AND PUBLICATIONS?: NAVMEDCOMINST 6820.1

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Number of cards 186