sizable number of ground forces. Moderatelysophisticated care is provided, along with resuscitativemedical and surgical care, and selected specialty care.Fleet hospitals are substantially self-supporting andrelocatable; however, relocatability varies with thehospital size.MissionA fleet hospital’s mission depends on its type andthe operation in which it will be used. The type isdetermined by bed size and echelon of care. Fleethospitals are designed and staffed to provide EchelonIII or Echelon IV levels of patient care.DesignationFleet hospitals designated as active duty facilitieswill be manned by active duty personnel, with acommand staff assigned from one particular navalhospital using the Medical Augmentation Program(MAP). Naval Reserve fleet hospitals will be staffedby preassigned Naval Reserve personnel. Afteractivation, fleet hospitals are deployed to anoperational theater where command and control passto an operational commander.OrganizationThe internal organization of the fleet hospital issimilar to a shore-based MTF. It consists of thecommand staff (commanding officer, executiveofficer, command master chief, and special assistants)and five directorates (nursing service, medicalservices, surgical service, ancillary service, andadministrative service).Security and SafetyA deployed fleet hospital must have a security planthat addresses security precautions, threat response,and disaster recovery. The security program coversphysical, informational, and classified materialaspects normally included in the area of operation(AO) security plan. Physical security for fleethospitals is both internal and external.Fleet hospitals will follow the same OPNAV safetyprogram as other operational units. Hospitalcommanders establish a safety program and an internalorganization to address safety issues and appoint asafety officer.LogisticsLogistics for a fleet hospital include medicalsupplies, equipment, and services. Logisticalrequirements can range from acquiring raw material todelivering medical supplies to a field hospital, orreturning medical equipment to a theater after a patientevacuation. Tasks of fleet hospital logistics includecontracting, host-nation support, equipment manage-ment, facilities management, transportation, gravesregistration, and postal service. All of the fleet hospitalsupply department operations are conducted inaccordance with NAVSUP P-485.PersonnelStaffing for active duty fleet hospitals comes fromseveral CONUS MTFs, while designated reserve unitsstaff a particular reserve fleet hospital. Each fleethospital has its own active manning document(AMD). Personnel are normally issued TAD orders forless than 180 days. If the operation exceeds 179 days,PCS orders may be issued. Replacements are handledthe same way as in any fixed MTF.TrainingBUMED is responsible for monitoring the trainingof all authorized personnel assigned to fleet hospitalmobilization billets. COMNAVSURFRESFOR isresponsible for overseeing the training of NavalReserve personnel assigned to staff Naval Reservefleet hospitals.COMMAND MEDICAL READINESSPLANLEARNING OBJECTIVE:Recall thepolicies and procedures for the drafting of acommand medical readiness plan, and recallmobile medical personnel augmentationprocedures.As you advance in the Hospital Corps, you may beinvolved in assisting in the development of a commandreadiness plan. This is the process by which wartimemedical requirements are filled by active duty andreserve personnel to bring units to their full or partialwartime allowance.14-8
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