Injuries or poisonings
Binnacle list and sick list
Reservist check-in and check-out statements
IMMINENT HOSPITALIZATION.When an
admission of a patient is imminent, admission notes
can be made on an SF 600. However, the use of the SF
509, Medical Record-Progress Report, is preferred.
The SF 509 form is routinely used for inpatient
admission notes and are filed in the patients IREC.
Record referred or postponed inpatient admissions on
the SF 600.
SPECIAL PROCEDURES AND THERAPY.
When patients are seen repeatedly for special
procedures or therapy, such as physical and
occupational therapy, renal dialysis, or radiation, note
the therapy on the SF 600 and record interim progress
statements. Initial notes, interim progress notes, and
any summaries may be recorded on any appropriate
authorized form, but should be referenced on SF 600.
Write a final summary when special procedures or
therapy are ended. This summary should include the
result of evaluative procedures, the treatment given,
the reaction to treatment, the progress noted, condition
on discharge (when applicable), and any other
SICK CALL VISITS.Whenever a member is
evaluated at sick call, an entry will be made on an SF
600 reflecting the complaints or conditions presented,
pertinent history, treatment rendered, and disposition.
INJURY OR POISONING.In the event of
injury or poisoning, record the duty status of the
m 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 e
circumstances of occurrence per the guidelines in
BUMEDINST 6300.3, Inpatient Data System.
LINE-OF-DUTY INQUIRIES.When a
member of the naval service incurs an injury that might
result in permanent disability or results in his physical
inability to perform duty for a period exceeding 24
hours, an entry should be made concerning line-of-duty
misconduct. Such entries should include facts, such as
time of injury, date, place, names of persons involved,
and the circumstances surrounding the injury.
A line-of-duty inquiry is conducted to establish
whether the injuries the patient sustained are the result
of misconduct on the part of the member or others. For
more details on line-of-duty inquiries, see the Manual
of the Judge Advocate General (JAGMAN).
BINNACLE LIST AND SICK LIST.When a
members name is placed on the Binnacle List for
treatment, make an entry on the SF 600 showing date,
diagnosis, and a summary of treatment.
When an active duty member is placed on the Sick
List, the medical department representative (MDR)
should enter information on the SF 600 about the
nature of the disease, illness, or injury; pertinent
history or circumstances of occurrence; treatment
rendered; and disposition.
SERIOUSLY ILL/VERY SERIOUSLY ILL
(SI/VSI) LIST.Place personnel whose illness or
injuries are severe on the SI/VSI List (as defined in
MILPERSMAN 4210100) and make appropriate
RESERVIST CHECK-IN AND CHECK-OUT
STATEMENTS.Naval Reserve personnel who are
checking in, or out on orders for annual training (AT),
active duty for training (ADT), or inactive duty
training travel (IDTT)) should sign the following
statements. The statements should be entered on an
SF 600 and signed by the reserve member and the
For personnel checking in:
I certify that there have been no
significant changes in my physical
condition since my last physical
examination or annual certification.
Furthermore, I certify that I have no
illness or injury that would preclude me
from performing this period of (circle
one) AT, ADT, IDTT.
(Members and MDRs signature and date)
For personnel checking out:
I certify that I have/have not incurred or
aggravated any injuries or illnesses
during the period of Naval Reserve
(Members and MDRs signature and date)
Special SF 600s
Two 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 on
a separate SF 600 (fig. 12-5). The SF 600 will be
marked SPECIAL-HYPERSENSITIVITY at the