NAVMED P-5010 Manual of Naval Prevente

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Medical DepartmentMedical Department
of the Navyof the Navy
A presentation by:

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

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Chief, Bureau of MedicineChief, 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.

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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.

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• 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.

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• 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

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• Assistant Chief for Logistics- controls logistical
and material systems
• Subdivided into: Health Care Contracting,
Logistics and Facilities Divisions.

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• 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.

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• 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

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• 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.

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• 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.

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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.

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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

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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

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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

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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

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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.

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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

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Off-duty RemunerativeOff-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.

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• 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.

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

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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

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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.

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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.

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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.

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Restrictions RelativeRestrictions 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.

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Any questions?Any questions?

NAVMED P-5010 Manual of Naval Prevente

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