CHAPTER 14 ADMINISTRATION Although most of the their duties are performed in a clinical environment, Hospital Corpsmen may be assigned to clerical positions aboard ship, assigned to duty with the Fleet Marine Force, or detailed to staff duty where a knowledge of administrative procedures and reports is a must. Handling, correcting, and using official directives and publications are important administrative duties. The efficiency of your office depends upon the currency of its publications and directives and how well you know them. As you progress in rate and assume greater responsibilities, you will be required to maintain the activity’s Medical Department Journal, and various logs, records, and directives. Additionally, you may be required to draft, type, and file correspondence. You will use Navy directives and publications more and more as you learn your job. You may also be required to maintain computer data for command use. In this chapter we will cover medical reports, logs, and records commonly used by the Navy Medical Department. We will also discuss the maintenance and disposal of instructions and notices, preparation of correspondence, and filing procedures. Additionally, we will discuss the organization of the Fleet Marine Force and Fleet Hospitals. Finally, we will discuss the steps required for the development of both a command medical readiness plan (to include Mobile Medical Augmentation Readiness Team (MMART) and unit augmentation) and a joint medical operation plan. REPORTING REQUIREMENTS LEARNING OBJECTIVE: Recognize Medical Department reporting require- ments. As a member of the Medical Department, whether in a clinic, on a ship, or working sick call, your duties may include the maintenance of various logs and the preparation of reports required by higher authority. These reports are in the Manual of the Medical Department (NAVMED P-117) and in the current version of BUMEDINST 5210.9. BUMED has distributed numerous forms to facilitate reporting, recordkeeping, and administrative efficiency throughout the Medical Department. Specific instructions for management of reports and forms are covered in the current version of BUMEDINST 5210.9. MEDICAL DEPARTMENT JOURNAL Medical Department activities afloat are required to keep a journal, referred to as the Medical Department Journal. This journal contains a complete, concise, chronological record of events of importance or historical value concerning the Medical Department (other than medical histories of individuals). It lists personnel entered onto or deleted from the binnacle or sick list; reports of personnel casualties, injuries, and deaths; results of inspections of fresh provisions; training given to nonmedical personnel; stretcher bearers assigned; results of inspections of medical equipment, battle dressing stations, gun bags, and stretchers; receipt of medical supplies; and other general information of significance. The journal is signed daily by the senior medical officer, when assigned, or the senior medical department representative (SMDR). The journal is a permanent record and is retired in accordance with the current version of SECNAVINST 5212.5. REPORTS TO THE OFFICER OF THE DECK OR DAY (OOD) In addition to being entered into the Medical Department Journal, any other important occurrences are reported by the senior representative of the medical activity to the OOD (or other proper official) for entry into the duty log or journal of the command. Items such as injuries or death of personnel and damage, destruction, or loss of Medical Department property are reported. The names of patients in serious condition are reported directly to the commanding officer and the OOD, with the information necessary for notification of the patient’s next of kin. 14-1