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File: 102596_sep96_decls5_0003.txt
Subject: NAVGRAM LESSONS LEARNED F H F 1 JAN 91 TO 31 JAN 91
Unit: FLEET HOSP
Parent Organization: NAVCENTCOM
Box ID: BX300052
Folder Title: FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837
Document Number: 58
Folder SEQ #: 11
UNCLASSIFIED
5. NARCOTIC DISTRIBUTION TO THE WARDS.
A. OBSERVATION:
(1) THE NARCOTIC BREAKOUT LOCKER HAS LIMITED STORAGE
CAPACITY.
(2) THERE IS A SHORTAGE OF NAVMED DD-1289 SINGLE PRESCRIPTION
BLANKS.
B. DISCUSSION: WITH THE ANTICIPATED INCREASE IN THE NUMBER OF
INPATIENTS, THE BREAKOUT NARCOTIC LOCKER WILL NOT HOLD ENOUGH
MEDICATION FOR "ON DEMAND" NARCOTIC DISPENSING, WHICH WE HAVE
BEEN ABLE TO DO IN THE PAST. ACCESS TO THE MAIN NARCOTIC VAULT
IS LIMITED TO ON PHARMACIST, FOR REASONS OF ACCOUNTABILITY.
THERE IS ALSO A SHORTAGE OF DD-1289 PRESCRIPTION BLANKS, WHICH
THE NURSING STAFF USES TO ORDER THEIR NARCOTICS.
C. LESSON LEARNED: WHEN THE INPATIENT CENSUS IS HIGH, AND
NARCOTIC USE IS HIGH, THE WARDS WILL HAVE TO ANTICIPATE THEIR
NARCOTIC NEEDS AND ORDER THEM IN ADVANCE, RATHER THAN WAITING
UNTIL THEIR SUPPLY RUNS OUT.
D. RECOMMENDED ACTIONS: THE PHARMACY VAULT CUSTODIAN
CONTACTED THE NURSING STAFFS ON ALL THE WARDS AND EXPLAINED THAT
THEY WOULD HAVE TO MAINTAIN AN ADEQUATE NARCOTIC SUPPLY ON HAND
FOR THEIR PATIENT LOAD, AND THAT ALL NARCOTIC ORDERS WOULD BE
FILLED ON THE EVENING OR NIGHT SHIFT AND DELIVERED BACK TO THE
WARD BY THE PHARMACY STAFF. TO SIMPLIFY THE ORDERING PROCESS,
AND TO CONSERVE DD-1289, A NARCOTIC ORDER FORM WAS DEVELOPED,
ALLOWING THE ENTIRE NARCOTIC ORDER TO BE PLACED ON ONE FORM. THE
ORDER FORM LISTS ALL THE NARCOTICS STOCKED IN THE PHARMACY ALONG
WITH THE NUMBER OF TABLETS/TUBEXES PER PACKAGE, MAKING IT EASIER
FOR THE NURSING STAFF TO ORDER THE PROPER QUANTITY. THE BREAKOUT
LOCKER WILL ONLY BE USED FOR EMERGENCY TYPE ORDERS AND OUTPATIENT
PRESCRIPTIONS.
HIS SYSTEM IS SIMILAR TO THE NARCOTIC ORDERING
SYSTEMS USED IN MANY OF THE LARGER HOSPITALS, WHERE THE DEMAND
FOR NARCOTICS IS HIGH.
6. ENEMY PRISONERS OF WAR (EPW).
A. OBSERVATION: INADEQUATE SUPPORT AND PLANNING FOR EPW'S
B. DISCUSSION: FLEET HOSPITAL FIVE RECEIVED ONE EPW FOR
MEDICAL TREATMENT. NO GUARDS ESCORTED THE EPW VIA HELICOPTER AS
REQUIRED BY DOCTRINE. FLEET HOSPITAL FIVE PROVIDED LOCAL MASTER-
AT-ARMS GUARD AND PROTECTION FOR THE EPW. EFFORTS TO OBTAIN
MARINE CORPS GUARDS FOR THE EPW DID NOT PROVE SUCCESSFUL. THE
MARINE CORPS UNITS CONTACTED - GENERAL SUPPORT GROUP 1 (GSG - 1)
AND THE MILITARY POLICE COMPANY - INDICATED THIS WAS NOT IN THEIR
MISSION. EPW TREATED AND MEDEVACED. MEDEVAC REQUIRED ARMED
GUARDS TO ACCOMPANY PATIENT. FLEET HOSPITAL FIVE MAs DID THIS
SERVICE WITHOUT INCIDENT.
C. LESSON LEARNED: MARINE GUARDS MAY NOT BE AVAILABLE ON A
MOMENTS NOTICE TO PROVIDE REQUIRED AND ADEQUATE GUARD SERVICE FOR
EPW PATIENTS.
D. RECOMMENDED ACTION:
(1) ARRANGE AGREEMENTS WITH AREA COMMANDERS OR MILITARY
POLICE UNITS TO PROVIDE EPW GUARD SERVICE WHILE THE EPW IS IN THE
MEDICAL TREATMENT FACILITY.
UNCLASSIFIED
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Document 20 f:/Week-36/BX300052/FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837/navgram lessons learned f h f 1 jan 91 to 31 jan:1018961451347
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX300052
Unit = FLEET HOSP
Parent Organization = NAVCENTCOM
Folder Title = FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837
Folder Seq # = 11
Subject = NAVGRAM LESSONS LEARNED F H F 1 JAN 91 TO 31 JAN
Document Seq # = 58
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996