patient’s reporting date and time, name, rate, Social Security Number, command, division, complaint, diagnosis, treatment, disposition, and departure time from sick call. Use the information in this log to prepare the Medical Services and Outpatient Morbidity Report. The log is retired in accordance with SECNAVINST 5212.5 series.
BINNACLE LIST (FORMERLY NAVMED-S)
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 representative of the medical activity on board and is submitted to the commanding officer by 0930 daily. The form contains a list of individuals recommended to be excused from duty because of illness. The list must be approved by the commanding officer, and no names may be added without his or her permission. No quarter patient days may be counted for individuals on the Binnacle List.
MORNING REPORT OF THE SICK (FORMERLY NAVMED-T)
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 representative of the medical activity on board and is submitted to the commanding officer by 1000 daily. One quarter patient day is counted for each day an individual is included on the morning report.
When it is necessary to excuse someone from duty after the Morning Report of the Sick is submitted, add his or her name to the Binnacle List, and submit the appropriate report to the commanding officer. If the patient is still unfit for duty when the next Morning Report of the Sick is submitted, add his or her name to the NAVMED 6320.19 as of the date on which his or her 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 training program are to be recorded in the Training Log and the Medical Department Journal.
IMMUNIZATIONS LOG
As an aid in filling out the monthly Medical Services and Outpatient Morbidity Report, keep an Immunizations Log. As a basic 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 this log is to maintain 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
Medical consultations and clinical appointments are scheduled by the medical department and canceled if t he patient is unable to keep them.
MEDICAL SERVICES AND OUTPATIENT MORBIDITY REPORT
Accurate workload and morbidity statistics concerning the health of the Navy and Marine Corps are essential to the effective administration of the Medical Department. These data are used in preparing budget estimates, establishing personnel requirements, and determining facility requirements. The validity and usefulness of all statistical data depends heavily on the accuracy, completeness, and timely submission of source data. The collection of morbidity data also provides direction to, and measures the results of, the preventive medicine programs. Any deficiencies in the data submitted could result in an invalid decision being made.
Strict adherence to the definitions in BUMEDINST 6300.2 series is necessary to ensure comparability of the data submitted by different commands. It is important to report accurately and completely all medical services provided by each command. The reported condition will be the final diagnosis of the patient, not the initial complaint. The Medical Services and Outpatient Morbidity Report (figs. 13-1 and 13-1A) is a monthly
