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Page Title: MORNING REPORT OF THE SICK
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Chapter 14 Administration
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MAINTAINING DIRECTIVES
SICK CALL TREATMENT LOG A log 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. DIRECTIVES ISSUANCE SYSTEM LEARNING  OBJECTIVE:   Recall   the policies   and   procedures   for   maintaining directives,   drafting   correspondence,   and filing. As   a   Hospital   Corpsman   in   an   administrative billet,  you  may  be  responsible  for  maintaining  your command’s  files  and  the  CD-ROM  library  of  Navy directives. Refer   to   SECNAVINST   5215.1   for complete details of your responsibilities. TYPES AND PURPOSES OF DIRECTIVES A  directive   may   be   an   instruction   (same   as   a Marine Corps order), a notice (same as a Marine Corps bulletin), or a change transmittal.  Directives prescribe or establish policy, organization, conduct, methods, or 14-2

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