CHAPTER 14ADMINISTRATIONAlthough most of the their duties are performed ina clinical environment, Hospital Corpsmen may beassigned to clerical positions aboard ship, assigned toduty with the Fleet Marine Force, or detailed to staffduty where a knowledge of administrative proceduresand reports is a must. Handling, correcting, and usingofficial directives and publications are importantadministrative duties. The efficiency of your officedepends upon the currency of its publications anddirectives and how well you know them.As you progress in rate and assume greaterresponsibilities, you will be required to maintain theactivity’s Medical Department Journal, and variouslogs, records, and directives. Additionally, you may berequired to draft, type, and file correspondence. Youwill use Navy directives and publications more andmore as you learn your job. You may also be requiredto maintain computer data for command use.In this chapter we will cover medical reports, logs,and records commonly used by the Navy MedicalDepartment. We will also discuss the maintenance anddisposal of instructions and notices, preparation ofcorrespondence, and filing procedures. Additionally,we will discuss the organization of the Fleet MarineForce and Fleet Hospitals. Finally, we will discuss thesteps required for the development of both a commandmedical readiness plan (to include Mobile MedicalAugmentation Readiness Team (MMART) and unitaugmentation) and a joint medical operation plan.REPORTING REQUIREMENTSLEARNING OBJECTIVE: RecognizeMedical Department reporting require-ments.As a member of the Medical Department, whetherin a clinic, on a ship, or working sick call, your dutiesmay include the maintenance of various logs and thepreparation of reports required by higher authority.These reports are in the Manual of the MedicalDepartment (NAVMED P-117) and in the currentversion of BUMEDINST 5210.9. BUMED hasdistributed numerous forms to facilitate reporting,recordkeeping, and administrative efficiencythroughout the Medical Department. Specificinstructions for management of reports and forms arecovered in the current version of BUMEDINST5210.9.MEDICAL DEPARTMENT JOURNALMedical Department activities afloat are requiredto keep a journal, referred to as the MedicalDepartment Journal. This journal contains a complete,concise, chronological record of events of importanceor historical value concerning the Medical Department(other than medical histories of individuals). It listspersonnel entered onto or deleted from the binnacle orsick list; reports of personnel casualties, injuries, anddeaths; results of inspections of fresh provisions;training given to nonmedical personnel; stretcherbearers assigned; results of inspections of medicalequipment, battle dressing stations, gun bags, andstretchers; receipt of medical supplies; and othergeneral information of significance. The journal issigned daily by the senior medical officer, whenassigned, or the senior medical departmentrepresentative (SMDR). The journal is a permanentrecord and is retired in accordance with the currentversion of SECNAVINST 5212.5.REPORTS TO THE OFFICER OF THEDECK OR DAY (OOD)In addition to being entered into the MedicalDepartment Journal, any other important occurrencesare reported by the senior representative of the medicalactivity to the OOD (or other proper official) for entryinto the duty log or journal of the command. Itemssuch as injuries or death of personnel and damage,destruction, or loss of Medical Department propertyare reported. The names of patients in seriouscondition are reported directly to the commandingofficer and the OOD, with the information necessaryfor notification of the patient’s next of kin.14-1
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