DEPARTMENT OF THE NAVY COMMANDER ... - …

1 DEPARTMENT OF THE navy COMMANDER , NAVAL SURFACE FORCE UNITED STATES PACIFIC FLEET 2841 RENDOVA ROAD SAN DIEGO, CALIFORNIA 92155-5490 COMMANDER NAVAL SURFACE FORCE ATLANTIC BOX 168, 1751 MORRIS STREET NORFOLK, VA 23511-2808 IN REPLY REFER TO COMNAVSURFPACINST COMNAVSURFLANTINST N01H 6 Mar 14 COMNAVSURFPAC/COMNAVSURFLANT INSTRUCTION From: COMMANDER , Naval Surface Force, Pacific Fleet COMMANDER , Naval Surface Force Atlantic SUBJ: SHIPBOARD MEDICAL DEPARTMENT PROCEDURES MANUAL Encl: (1) Shipboard Medical DEPARTMENT Procedures Manual 1.

2 Purpose. To establish policies for the operation of Medical Departments within the Surface Forces. 2. Cancellation. COMNAVSURFORINST 3. Scope. This manual applies to all Medical Departments under COMMANDER , Naval Surface Force, Pacific Fleet (COMNAVSURFPAC) and COMMANDER , Naval Surface Force Atlantic (COMNAVSURFLANT). 4. Administration. COMNAVSURFPAC and COMNAVSURFLANT are responsible for the administration and update of this instruction. 5. Action. Ensure widest dissemination and implementation of this instruction.

3 6. Records Management. Records created as a result of this instruction, regardless of media and format, shall be managed per Secretary of the navy (SECNAV) Manual D. M. NASHOLD F. J. OLMO Chief of Staff Chief of Staff Distribution: Electronic only, via COMNAVSURPAC Directives Web site, COMNAVSURFPACINST COMNAVSURFLANTINST 6 Mar 14 Enclosure (1) SHIPBOARD MEDICAL DEPARTMENT PROCEDURES MANUAL PUBLISHED BY.

4 COMMANDER , NAVAL SURFACE FORCE, PACIFIC FLEET AND COMMANDER , NAVAL SURFACE FORCE ATLANTIC (N01H) FORCE HEALTH OFFICES COMNAVSURFPACINST COMNAVSURFLANTINST 6 Mar 14 ii Enclosure (1) Table of Revisions/Changes COMNAVSURFPACINST COMNAVSURFLANTINST Basic Consolation and Re-issuance Date Change Number Revision Date COMNAVSURFPACINST COMNAVSURFLANTINST 6 Mar 14 iii Enclosure (1) EXECUTIVE SUMMARY While the directives and the information the Shipboard Medical DEPARTMENT Procedures Manual (SMDPM)

5 Are not all encompassing, they address the common medical administrative situations and issues encountered by Medical Departments within the Surface Forces. This instruction is a complete revision from the previous guidance and should be reviewed in its entirety. Since medical policy and procedures evolve dynamically causing medical instructions to change frequently, each Medical DEPARTMENT is expected to post such changes as they are issued. The SMDPM has been designed to replace many ship-specific instructions and may be adopted verbatim, with a minimum of additions, to compensate for varied ship types.

6 As such, Medical DEPARTMENT personnel will use this instruction supplemented by the various references listed within this manual for the basic operation of their departments. Forward recommended changes to this instruction to: Pacific Fleet Command Atlantic Fleet Command COMMANDER NAVAL SURFACE COMMANDER NAVAL SURFACE FORCE US PACIFIC FLEET FORCE ATLANTIC FORCE HEALTH OFFICE FORCE HEALTH OFFICE 2841 RENDOVA ROAD 1430 MITSCHER AVE SAN DIEGO CA 92155-5490 NORFOLK VA 23551-2494 COMNAVSURFPACINST COMNAVSURFLANTINST 6 Mar 14 iv Enclosure (1)

7 TABLE OF CONTENTS Executive Record of Table of Chapter 1 - Section 1 Section 2 Organization and Section 3 Medical DEPARTMENT Section 4 Quality Assurance, Certification, Training and Section 5 Medical Readiness Inspection (MRI)..29 Chapter 2 - Section 1 General Medical Section 2 Medical DEPARTMENT Personnel Chapter 3 - Fiscal/Supply Section 1 Supply Section 2 Drugs Requiring Special Custodial Section 3 Medical Equipment Maintenance and Repair and Repair Program/3M Chapter 4 - Health Section 1 Section 2 Clinical Health Section 3 Shipboard Emergency Medical Chapter 5 - Environmental Health and Preventative Medicine Section 1 Preventive Section

8 2 Food Section 3 Water Supply Section 4 Section 5 Insect and Rodent Section 6 Communicable Section 7 Industrial Hygiene and Occupational Chapter 6 - Medical Section 1 Section 2 Casualty Chapter 7 - Blood Section 1 Section 2 Usage of Blood Section 3 Walking Blood COMNAVSURFPACINST COMNAVSURFLANTINST 6 Mar 14 V Enclosure (1) APPENDICIES Appendix A - Appendix B - Safe-to-Sail Appendix C - TEMADD Assist Message Appendix D - Plan of Action and Milestone (POA&M) for Hull Swap Preparation of Afloat Medical Appendix E - Plan of Action and Milestone (POA&M) for Routine Overhaul (ROH) Preparation of Afloat Medical Appendix F - Deployment Plan of Action and Milestone (POA&M)

9 For Pre-Deployment Preparation of Afloat Medical Appendix G - Mass Casualty Bill Appendix H - Medical DEPARTMENT Battle Bill Appendix I - Crew Medical Training Appendix J - Medical DEPARTMENT Personnel Qualification Standards (PQS) for Junior Hospital Appendix K - SERP Equipment Appendix L - Fleet Instrument Sets Appendix M - Diving Appendix N - Aviation Medicine and Appendix O - Emergency Medical Appendix P - Non-Combatant Evacuation Operation (NEO) Appendix Q - Oxygen Handling and Stowage COMNAVSURFPACINST COMNAVSURFLANTINST 6 Mar 14 Enclosure (1) CHAPTER 1 - GENERAL Ref.

10 (a) BUMEDINST , Continuing Education Programs for Medical Corps and Nurse Corps Officers (b) BUMEDINST CH-4, Credentials Review and Privileging Program (c) BUMEDINST , Health Services Augmentation Program (HSAP) (d) COMNAVSURFOR MSG DTG 111532Z MAY 06, Policy on Employment of Medical Personnel on VBSS Teams (e) COMNAVSURFORINST , Naval Surface Forces, Force Regulations (f) COMFLTFORCOMINST , Dental Standard Operating Procedures (SOP) for Operational Units (g) COMNAVSURFPAC/COMNAVSURFLANTINST , Surface Force Readiness Manual (h) COMNAVSURFPAC/COMNAVSURFLANTINST CH-1, Medical Readiness Inspection Program (i) COMNAVSURFPAC/COMNAVSURFLANTINST , Health Services, Credentials Review/Privileging and Quality Assurance Programs (j)