NAVMED P-5010 Manual of Naval Prevente

CourageCourageHonorHonor

CommitmentCommitment

Medical Department Medical Department of the Navyof the Navy

A presentation by:



DefinitionDefinition

• The Medical Department of the Navy is composed of the Medical Corps, Dental Corps, Nurse Corps, Hospital Corps and Dental technicians.



Chief, Bureau of Medicine Chief, Bureau of Medicine and Surgeryand Surgery

• Ensure personnel and material readiness, develop healthcare policy, provide primary and technical support and manage the use of civilian and medical program of the uniform services(CHAMPUS) and other indirect health care delivery systems.

• Deputy, Chief Bureau of Medicine and Surgery- acts with full responsibility over BUMED and the Medical Department in the absence of the Chief of the Bureau.



BUMED StaffBUMED Staff

• Special Assistant for Equal Opportunity programs- advisor to the Chief in the command managed equal opportunity (CMEO) matters.

• Special Assistant for Equal Employment Opportunity Programs- advisor in equal employment opportunity (EEO) matters.




• Staff Chaplain- advisor on religious and moral matters.

• Force Master Chief- advisor of situations, procedures and practices that affect the enlisted personnel of Navy Medicine.

• Medical Inspector General (IG)- coordinates the Naval Command Inspection program.




• Staff Judge Advocate- provides legal advise, support and counsel regarding medico-legal matters.

• Special Assistant for Quality Management- assist formulating principles, policies and procedures that enables continuous quality improvement




• Council of Corps Chiefs and Directors- comprised of Chiefs of BUMED, Medical Corps, Dental Corps, Nurse Corps; Directors of Medical Service Corps, Hospital Corps and a senior civilian representative appointed by Chief, BUMED.

• Chief of the Medical Corps- advisor and advocate for all members of the Medical Corps.




• Chief of the Dental Corps- represent the Medical Department on policies, plans and requirements affecting Dental officers.

• Director, Medical Service Corps- develops, implements, and maintains Medical Service Corps programs.

• Director, Navy Nurse Corps- develops, implements and maintains Nurse Corps programs.




• Director, Hospital Corps- advises, assists, centralizes and coordinates guidance on enlisted community(HM and DT)

• Chief of Staff- assist Deputy, Chief in day-to-day operations of the Bureau.

• Safety Manager- manages the Occupational Safety and Health program for BUMED and ensure safe working environment.




• Special Assistant for Management Information Systems- medical management information systems.

• Special Assistant for Command Evaluation- advises in issues of efficiency, economy and effectiveness of management and procedures for the BUMED claimancy.




• Historian- maintains collection of archival and reference documents of Medical Dept.

• Director of Headquarters Administration- reviews administrative practices and procedures within the bureau.

• Secretariat- provides centralized service regarding all unclassified mail.




• Assistant Chief for Resource Management Comptroller- control financial operations, ensures optimum use of resources for the efficient delivery of health care.

• Has a Budget, Progress reports and Statistics, Accounting and Manpower and Programming divisions.




• Assistant Chief for Operational Medicine and Fleet Support- oversees the implementation of policies and directives for the conduct of occupational health, preventive medicine, safety and health promotion programs.




• Subdivided into: Assistant for Chemical, Biological and Radiological Warfare Defense, Assistant for Research and Development, Undersea Medicine and Radiation Health, Surface Medicine, Aerospace Medicine, Preventive Medicine and Occupational Health, Physical Qualification Review and Readiness Divisions.




• Assistant Chief for the Health Care Operations- oversees shore-based health care delivery programs

• Subdivided into: Direct Health care, Coordinated care, Patient Administration, Quality of Life, Quality Assessment and Improvement, Medico-legal Affairs Divisions.




• Assistant Chief for Logistics- controls logistical and material systems

• Subdivided into: Health Care Contracting, Logistics and Facilities Divisions.




• Assistant Chief for Personnel Management- reviews professional qualifications, directs career and professional development and training.

• Subdivided into: Military Personnel, Civilian Personnel and Professional Development Divisions.




• Assistant Chief for Dentistry- Develops, directs and evaluates dental health care

• Subdivided into: Resource Allocation, Dental Health Care Planning, Dental Health Care Operations, Materials and Facilities, Dental Force Requirements, Health Care Analysis




• Assistant Chief for Reserve Matters- ensure that a trained, ready and organized Naval Reserve Medical Force is capable of integrating with active duty assets.

• Subdivided into: Resources and Policy, Operational Platforms, Contributory Support and Reserve Personnel and Training.




• Assistant Chief for Plans, Analysis and Evaluation- coordinates and integrates the interdisciplinary planning, analysis and evaluation activities.

• Subdivided into: Planning, Analysis and Evaluation and Congressional and Legislative Affairs.



Medical Treatment FacilitiesMedical Treatment Facilities

• Fixed- Medical Center, Hospital and Clinic.

• Non-fixed- Medical facilities for field service with the Marine Corps, afloat and within mobile type units

• Bed Capacity- Normal is 100 to 120 square feet per bed, Expanded is 72 square feet per bed.



Bed StatusBed Status

• Operating- equipment and staff ready• Inactive- equipment ready, no staff• Transient- patient is being moved between MTF and

must stop over for a short period of time before his final destination

• Operating Bassinet- designed for the care of an infant with equipment and staff ready

• Inactive Bassinets- equipment ready, no staff



Bed StatusBed Status

• Bed Occupancy- occupied and occupied by transient patient

• Patient Classification- outpatient, inpatient, transient, quarters and unauthorized absentee.

• Inpatient Actions- admission and disposition



Inpatient Accounting TermsInpatient Accounting Terms

• Sick days- total days from admission to disposition

• Occupied bed days- patient occupied bed at the census taking hour(usually midnight)

• Subsisting out- not able to return to duty but does not require a bed

• Convalescent leave



Battle Casualty ReportingBattle Casualty Reporting

• Battle Casualty- person lost because of death, wound, missing or capture provided such loss incurred in action.

• Wounded in action

• Killed in action

• Died of wounds receive in action- after reaching any medical treatment facility



American National Red CrossAmerican National Red Cross

• Incorporated by the act of Congress of 5 January 1905 as the agency of the government to fulfill certain treaty obligations into which the US became signatory to the treaty of the Red Cross, or the treaty of Geneva of 22 August 1864.

• The Secretary of the Navy can request, the American National Red Cross, in peace time to conduct a welfare program for member of the Navy and their dependents, in war he can request these programs to be expanded.



American National Red CrossAmerican National Red Cross

• A representative, acting under the CO is responsible for coordinating all Red Cross activities.

• Volunteer aid for medical department establishments must be accepted through an agency of the American National Red Cross



Off-duty Remunerative Off-duty Remunerative Civilian EmploymentCivilian Employment

• Active duty Medical Department officers are subject by policies stated by the Chief, BUMED, SECNAV and NAVPERS.

• Shall not engage in any off duty employment without first obtaining the permission of the CO.

• If approved, employment normally shall not exceed 16 hours per week.

• Permission may be withdrawn at any time.




• Shall no be conducted on military premises, nor be in competition with local civilian practitioners in the health profession and must be carried out in compliance with all applicable licensing requirements.

• Shall not solicit or accept a fee for the care of a member, retired member, or dependent of such members of the uniformed services as they are entitled to medical or dental care by those services.




• Shall submit their NAVMED 1610/01, Off-duty remunerative professional civilian employment request to their CO and sign the Statement of Affirmation.



Witness in CourtWitness in Court

• A medical department officer who appears in court as an expert witness in litigation not related to DON must take leave and appear out of uniform.

• If the litigation is related to the DON will need approval from the officer exercising general court martial jurisdiction for a determination.

• If appears as a witness on behalf of the government, under TAD orders, the officer is compensated following the travel instructions



Witness in CourtWitness in Court

• Any medical department officer served with federal or state court civil or criminal process from actions performed in the course of official duties shall inform the CO.

• The CO shall report it to the Judge Advocate General(JAG).

• The officer may request representation by a Department of Justice attorney.



AmbulancesAmbulances

• Drivers are susceptible to efforts or requests by local police or other persons for aid in cases of accidents or emergencies.

• They should be indoctrinated to adhere to orders of picking up and transporting the patient for whom dispatched.

• To remain with the vehicle, never to stop or to leave the ambulance when halted by traffic condition and not to offer a patient care or ambulance service when under orders to pick up and carry a Navy patient.



AmbulancesAmbulances

• The medical department is expected to cooperate with local authorities in emergencies when doing so do not interfere with the medical department operations.

• In any case an ambulance carrying a patient or proceeding to pick up a patient is stopped: give courteous information about current orders, to request to not interfere with their orders and to report to the CO, who will contact JAG if there is interference.



Restrictions Relative Restrictions Relative To Prospective ApplicantsTo Prospective Applicants

• Officer of the medical or dental corps on active duty shall not undertake to operate upon or treat prospective applicants for the Navy or Marine Corps, regular or reserve, with a view to correcting defects, disqualifications and disabilities barring them from enlistment or appointment.



Any questions?Any questions?

NAVMED P-5010 Manual of Naval Prevente

Health & Medicine

Transcript of NAVMED P-5010 Manual of Naval Prevente