Injuries or poisoningsLine-of-duty inquiriesBinnacle list and sick listReservist check-in and check-out statementsIMMINENT HOSPITALIZATION.—When anadmission of a patient is imminent, admission notescan be made on an SF 600. However, the use of the SF509, Medical Record-Progress Report, is preferred.The SF 509 form is routinely used for inpatientadmission notes and are filed in the patient’s IREC.Record referred or postponed inpatient admissions onthe SF 600.SPECIAL PROCEDURES AND THERAPY.—When patients are seen repeatedly for specialprocedures or therapy, such as physical andoccupational therapy, renal dialysis, or radiation, notethe therapy on the SF 600 and record interim progressstatements. Initial notes, interim progress notes, andany summaries may be recorded on any appropriateauthorized form, but should be referenced on SF 600.Write a final summary when special procedures ortherapy are ended. This summary should include theresult of evaluative procedures, the treatment given,the reaction to treatment, the progress noted, conditionon discharge (when applicable), and any otherpertinent observations.SICK CALL VISITS.—Whenever a member isevaluated at sick call, an entry will be made on an SF600 reflecting the complaints or conditions presented,pertinent history, treatment rendered, and disposition.INJURY OR POISONING.—In the event ofinjury or poisoning, record the duty status of them e m b e r a t t h e t i m e o f o c c u r r e n c e a n d t h ecircumstances of occurrence per the guidelines inBUMEDINST 6300.3, Inpatient Data System.LINE-OF-DUTY INQUIRIES.—When amember of the naval service incurs an injury that mightresult in permanent disability or results in his physicalinability to perform duty for a period exceeding 24hours, an entry should be made concerning line-of-dutymisconduct. Such entries should include facts, such astime of injury, date, place, names of persons involved,and the circumstances surrounding the injury.A line-of-duty inquiry is conducted to establishwhether the injuries the patient sustained are the resultof misconduct on the part of the member or others. Formore details on line-of-duty inquiries, see the Manualof the Judge Advocate General (JAGMAN).BINNACLE LIST AND SICK LIST.—When amember’s name is placed on the Binnacle List fortreatment, make an entry on the SF 600 showing date,diagnosis, and a summary of treatment.When an active duty member is placed on the SickList, the medical department representative (MDR)should enter information on the SF 600 about thenature of the disease, illness, or injury; pertinenthistory or circumstances of occurrence; treatmentrendered; and disposition.SERIOUSLY ILL/VERY SERIOUSLY ILL(SI/VSI) LIST.—Place personnel whose illness orinjuries are severe on the SI/VSI List (as defined inMILPERSMAN 4210100) and make appropriatenotification.RESERVIST CHECK-IN AND CHECK-OUTSTATEMENTS.—Naval Reserve personnel who arechecking in, or out on orders for annual training (AT),active duty for training (ADT), or inactive dutytraining travel (IDTT)) should sign the followingstatements. The statements should be entered on anSF 600 and signed by the reserve member and theMDR.For personnel checking in:I certify that there have been nosignificant changes in my physicalcondition since my last physicalexamination or annual certification.Furthermore, I certify that I have noillness or injury that would preclude mefrom performing this period of (circleone) AT, ADT, IDTT.(Member’s and MDR’s signature and date)For personnel checking out:I certify that I have/have not incurred oraggravated any injuries or illnessesduring the period of Naval Reserveservice.(Member’s and MDR’s signature and date)Special SF 600sTwo special SF 600s will be covered in the section.Both forms perform specific functions.SPECIAL-HYPERSENSITIVITY SF 600.—Indicate any hypersensitivity to drugs or chemicals ona separate SF 600 (fig. 12-5). The SF 600 will bemarked “SPECIAL-HYPERSENSITIVITY” at the12-16
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