Nutritional Standards for Operational and Restricted rations
NSORs can be established permenantly. T or F
False: limited time periods only
How many days can MRE's be consumed as the sole ration?
What is provided when the MRE is the sole ration?
milk, bread, fresh fruits
Restricted Rations are nutrionally incomplete and should only be used for Reconnaissance, Long range patrol, and scenarios that require minimum weight to be carried/short time lenghts such as 10 days or less scenarios. Restricted rations include?
1) Food packet
2) Long-range patrol rations
NSOR's apply to survival rations. T or F
False: NSOR's do not apply to survival rations
Survival rations include?
1) GP-I: General Purpose Improved
2) Abandon Ship
3) Aircraft/Life Raft
Energy Requirements are determined by?
1) MDRIs calculations
2) Body size
3) Physical activity
4) Environmental factors
Macronutrients are made up of what?
What are carbohydrate-electrolyte beverages primarily used for?
1) Continous physical activity beyond 3 hours2) poor nutritional intake or energy deficient3) sweat loss high, electrolytes inadequate
FORMS AND REPORTS MANAGEMENT PROGRAM
What is the purpose of BUMEDINST 5210.9?
-TO ENSURE ALL NAVY MEDICAL DEPARTMENT PERSONNEL USE ONLY OFFICIAL FORMS
-TO ENSURE ALL NAVY MEDICAL DEPARTMENT FORMS ARE SIMPLE, PRACTICAL, AND UP-TO-DATE-TO MINIMIZE THE BURDEN IMPOSED BY REPORTS
-TO EXPEDITE THE FLOW OF INFORMATION THROUGH TECHNOLOGICAL ADVANCES
-TO MINIMIZE COSTS IN THESE AREAS
Responisblity of BUMEDINST 5210.9
THE MANAGEMENT OF THE INVENTORY OF ALL OFFICIAL FORMS USED BY NAVY MEDICAL DEPARTMENT PERSONNEL-PERFORM INVENTORY TO INCLUDE: PAPER FORMS, ELECTRONIC FORMS, AND AUTOMATED FORMS-REVIEWING ALL REQUESTS FOR NEW OR REVISED FORMS INIATED BY AN ACTIVITY FORMS AND REPORTS OFFICER
First Level Forms Are Standard Form(Sf)/Optional Form(Of) & Other Federal Agency Forms
Defined as: Forms Established By Gsa (General Services Administration) Or Other Federal Agencies (Such As The Office Of Personnel Management, Cdc, Etc) For Government Wide Use. Navy Medical Personnel Are Required To Use These Forms As Prescribed And Are Not Authorized To Create Any Form That Duplicates These Forms.
Second Level Forms DD Forms
Defined As: Established For DOD Wide Use. Navy Medical Personnel Are Required To Use DD Forms As Prescribed Or Adopted And Are Not Authorized To Create Any Form That Duplicates A Dd Form.
Third Level Forms Are: Department Of Navy Forms (Secnav, Opnav, Navmc)
Defined AS: Forms Established By DON For Use In More Than One Naval Command. Navy Medical Department Personnel Are Required To Use Secnav, Opnav, And Navmc Forms As Prescribed And Are Not Authorized To Create Any Form That Duplicates A Secnav, Opnav, Or Navmc Form.
Fourth Level Forms Echelon III - Bumed And Navmed Forms
Defined Forms Established By BUMED For Use In More Than One Navy Medicine Command. Navy Medical Department Personnel Are Required To Use Navmed Forms As Prescribed And Are Not Authorized To Duplicate These Forms.
Fifth Level Forms Echelon III - Navmed Region Forms: Navmedwest, Navmedeast, Navmednca, NMSC
Defined AS Forms Established By A Navy Medicine Region For Use By Navy Department Personnel In That Region
Sixth Level Forms Echelon IV & Below - Navy Medicine Activity Forms
Defined AS Forms Established By A Navy Medicine Activity For Use In More Than One Navy Medicine Command Within A Given Activity
Seventh Level Forms Echelon V & Below
The Following Forms Can Be Placed In Medical/Dental Records SF & OF, DD, Secnav, Opnav, Navmed, And Other Federal Agency Forms Prescribed Through BUMED
A Form Approved By Washington Headquarters Services (WHS) Or Executive Service Directorate (ESD) For Use By 2 Or More DOD Components
Standard Forms (SF)
Forms Developed For Use By 2 Or More Federal Agencies And Approved By The GSA For Mandatory Use
OFFICE OF THE SURGEON GENERAL AND CHIEF, BUREAU OF MEDICINE AND SURGERY ORGANIZATION
Navy Surgeon General/Chief, Bureau of Medicine an Surgery
· The principal advisor to whom on the provision of centralized, coordinated policy development, guidance, and professional advice on health service programs for Department of the Navy
· Responsible directly to CNO & VCNO for executing assigned functions and Health Service Programs
· advises the Assistant Secretary of Defense of Health Affairs (ASD(HA)) on Tri-service medical issues
· maintaining the health of Navy and Marines Corps active duty members ensuring they physically and mentally ready to carry out worldwide missions
· sponsors and coordinates the navy's deployable medical system (DEPMEDS) to include Expeditionary Medical Facilities (EMF) and hospital ships (T-AH)
· monitors Regional Commanders' effectiveness and mission performance
QUALITY ASSURANCE (QA) PROGRAM
QA PROGRAM OBJECTIVES
· Justify Resources Needed
· Communicate Important Info
· Integrate, Track, & Trend Patterns
· Support Credentials
· Indentify Education And Training Needs
· Gain & Sustain Complian W/ Joint Commission Standards
QA PROGRAM REQUIREMENTS
· PROGRAM OBJECTIVES
· ORGANIZATION AND RESPONSIBILITIES
· SCOPE OF QA PROGRAM
· REQUIRED QA FUNCTIONS
· INFO FLOW AND REVIEW NEEDS
· ANNUAL REVIEW OF PROGRAM
CHIEF OF BUMED RESPONSIBILITIES
-Interprets Policies And Provides Guidance-Monitors Implantations*Submits An Annual QA Program Summary Report-Reviews PCES & Malpractice Risk Management-Liaison W/ Deputy Asst. Judge Advocate-Maintain Risk Management Database
TYCOMS (TYPE COMMANDERS) RESPONSIBILITIES)
ENSURE QA ASSIST VISITS TO EACH SUBORDINATE MEDICAL AND DENTAL COMMAND
COs, OICs, SMOs & SDOs RESPONSIBILITIES
IMPLEMENT AN EFFECTIVE, FLEXIBLE, INTEGRATED, AND COMPREHENSIVE QA PROGRAM W/ A WRITTEN PLAN
CQI (CONTINUOUS QUALITY IMPROVEMENT)
A structured approach which continuously analyzes clinical and administrative processes with a goal to improve efficiency
MEDICAL EVENT REPORTS
What is the primary purpose of the Medical Event Reporting System?
A. It ensures a timely and adequate response to medical events.B. Takes the average of all the reports and forms an estimate of distribution, trends, and risks.C. It's also for the development and assessment of policy and resource allocation that will help control medical events.
Name two types of Medical Event Reports.
Routine and Urgent
When you submit a Medical Event Report you should use what reporting system procedures?
Naval Disease Reporting System Procedures (NDRS)
IMMUNIZATIONS AND CHEMOPROPHYLAXIS
OBJECTIVES OF THIS INSTRUCTION
-Establishes general principles, procedures, policies, and responsibilities for the immunizations program.-Implements DoD Instruction 6205.2 (Immunizations Requirements)
RESPONSIBILITES OF COMMANDERS, COs, and OICs
-Ensure all military and nonmilitary personnel under their jurisdiction receive all required immunizations.-Maintain appropriate international, Federal, state, and local records of all required immunizations.-Ensure personnel transferred to another command receive appropriate immunizations for the area which assigned.
RESPONSIBILITIES OF COMMAND MEDICAL AUTHORITY
Prescribed specific immunizations and chemoprophylactic requirements for their units performance requirements established by this publication and additional guidance provided by the SG or Commandant.
RESPONSIBILITIES COMMANDERS, CO, COMMAND SURGEON
-Ensure currently published standards are for both adult and pediatric immunizations and chemoprophylactic are reviewed.-Ensure policies and procedure are followed.-Ensured individuals administering immunizations are properly trained.
MERCURY CONTROL PROGRAM FOR DENTAL TREATMENT SPACES
The purpose of the BUMEDINST 6260.30A is to what?
Establish minimum handling procedures for elemental mercury in dental treartment spaces to minimize personnel exsopure and enviromental contamination.
What kind of solution is use as decontaminate mercury spills?