NAVGRAM LESSONS LEARNED F H F 1 JAN 91 TO 31 JAN 91

File: 102596_sep96_decls5_0005.txt
Page: 0005
Total Pages: 20

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




              D. RECOMMENDED ACTION:    THE FIRST STEP IN DEVELOPING A MEAL
          TRAY SYSTEM WAS TO IDENTIFY A SOURCE FOR MOBILE FOOD CARTS. SIX
          SURVEYED FOOD CARTS WERE DISCOVERED AT A LOCAL HOST NATION
          HOSPITAL, AND TRANSFERRED TO THE FOOD SERVICE DEPARTMENT AT FLEET
          HOSPITAL FIVE.     THESE CARTS WERE FITTED ON BOTH SIDES WITH
          SHELVES TO HOLD TRAYS, BEVERAGES, CONDIMENTS AND UTENSILS.
          BECAUSE THE METAL TRAYS INCLUDED IN OUR AMAL WERE TOO BIG TO FIT
          IN THE FOOD CARTS AND FURTHERMORE THOSE TRAYS COULD NOT BE
          PREPARED IN THE GALLEY AND TRANSFERRED TO THE WARDS WITHOUT
          SPILLAGE, AN ALTERNATE PATIENT TRAY WAS SOUGHT.        THE TRAY OF
          CHOICE DELIVERED FROM HOST NATION, WAS A DISPOSABLE STYROFOAM
          CARRY-OUT DINNER TRAY WITH LID. THESE LIGHT WEIGHT TRAYS CAN BE
          STACKED IN THE FOOD CARTS APPROXIMATELY 120 PER CART, AND
          TRANSFERRED TO THE WARDS WITHOUT SPILLAGE.        MEAL SERVICE FOR
          BREAKFAST, LUNCH, AND DINNER COMMENCES AT 0600, 1045, AND 1615
          RESPECTIVELY. THE CARRY OUT TRAYS ARE PREPARED IN THE GALLEY
          FROM THE STEAM TABLE.      ONE CART IS COMPLETELY STOCKED WITH
          BEVERAGES, DESERT, SILVERWARE, NAPKINS, AND CONDIMENTS. ANOTHER
          CART IS RESERVED FOR LIQUID DIETS WHICH IS PUSHED THROUGHOUT THE
          HOSPITAL SERVING ALL WARDS WITH LIQUID DIETS.            AFTER ALL
          PREPARATIONS ARE COMPLETED IN THE GALLEY, THE THREE CARTS ARE
          MANNED BY THREE MESS SPECIALIST AND ARE PUSHED OVER WOODEN
          PLATFORMS BUILT OVER THE NUMEROUS HOSES, INTO THE HOSPITAL.
          STOPPING AT EACH WARD, THE MESS SPECIALIST DISPENSE BEVERAGES AND
          AUGMENT EACH CARRY-OUT TRAY WITH DESSERTS, BREAD, BUTTER, ETC.,
          WHICH WE PLACED IN THE TRAY LID BEFORE PASSING TO THE WARD
          CORPSMAN FOR DISBURSEMENT TO PATIENTS. THE DISPOSABLE TRAYS ARE
TER THAN THE HEAVY METAL TRAYS, EASIER TO HANDLE, AND
          FIT VERY NICELY ON PATIENT BEDSIDE TABLES. AFTER PATIENTS FINISH
          MEALS, SOILED GEAR IS SIMPLY DISPOSED OF.
              E. COMMENTS: CURRENTLY ONLY THREE MESS SPECIALISTS ARE
          INVOLVED IN PATIENT TRAY DELIVERY. AT MAXIMUM HOSPITAL CAPACITY,
          SIX MESS SPECIALISTS WILL BE UTILIZED TO PUSH ALL SIX CARTS TO
          THE WARDS.   MEAL SERVICE SHOULD BE ACCOMPLISHED IN TWO HOURS,
          VICE FOUR HOURS. MAN HOURS WILL BE SAVED IN RETRIEVAL AND CLEAN-
          UP OF SOILED BEAR AND PATIENTS WILL RECEIVE HOT HIGH QUALITY FOOD
          IN A TIMELY MANNER.


          9. REPLACEMENT PERSONNEL.
              A. OBSERVATION: REPLACEMENT PERSONNEL MAY REPORT IN THEATER
          WITHOUT PROPER UNIFORM OR PROTECTIVE GEAR.
              B. DISCUSSION: FLEET HOSPITAL FIVE IS OUTFITTED WITH LIMITED
          QUANTITIES OF PERSONNEL PROTECTIVE GEAR.         THAT EQUIPMENT IS
          RETAINED ON SITE AND REISSUED. HOWEVER CBR GEAR AND CAMIE BDU'S
          ARE NOT A PART OF THE HOSPITAL IOL.
              C. LESSONS LEARNED: PERSONNEL FROM SOME CONUS SUPPORTING
          FACILITIES ARE SENT INTO THEATER WITHOUT APPROPRIATE UNIFORM
          OUTFITTING AND NO CBR GEAR (GAS MASK, MOPP GEAR).
              0. RECOMMENDED ACTION: ALL COMMANDS SUPPORTING OPERATIONS
          MUST BE DIRECTED TO AND ENSURE THAT PERSONNEL BEING TRANSFERRED
          TO FLEET HOSPITALS BE APPROPRIATELY OUTFITTED WITH UNIFORMS AND
          CBR BEAR.




                                            UNCLASSIFIED

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