OFFICE OF THE SURGGEON GENERAL AFTER ACTION REPORT ODS

File: 970101_sep96_decls4_0021.txt
Page: 0021
Total Pages: 24

Subject: OFFICE OF THE SURGGEON GENERAL AFTER ACTION REPORT ODS          

Unit: OTSG        

Parent Organization: HSC         

Box  ID: BX003205

Folder Title: OTSG OBSERVATIONS AND LESSONS LEARNED                                                           

Document Number:          2

Folder Seq  #:          9








           DASG-DBD
           SUBJECT: After Action Report


                    2. Discussion/Lessons Learned: There is no mechanism
           in the Joint Operations Plan for Emergency Situations (JOPES) to
           initiate the flow of Medical B Rations into the AO for use in
           feeding hospitalized patients and the hospital staff. There is
           also no planning guidance provided to determine quantitates of
           the various B Ration items required.  As a result there are no
           transportation requirements generated for movement of the
           rations. The Medical B Ration is the  feeding standard for
           patients as identified in the Army Medical Field Feeding Policy
           and in accordance with AR 30-21, Army Field Feeding System.

                    3. Recommended Action: That the Medical Planning
           Module of the JOPES be modified to generate a requirement,
           requisitions and transportation requirements for Medical B
           Rations in the event of deployn,.ent/mobilization.

               B. Lack of command visibility and involvement.

                    1. Observation: There was no AMSC on the command
           surgeons staff.

                    2. Discussion/Lessons Learned: It was nearly
           impossible to communicate with the AMSCs in the AO to identify
           their problems so that solutions could be generated from CONUS.
           There was no one in a key position to provide command leadership,
           liaison, policy or direction. Nearly every report received
           during ODS from active and reserve hospital nutrition care
           activities referenced this lack of support and the difficulties
           they were experiencing because of it. An additional complicating
           factor for Nutrition Care was that the food service advisor at
           brigade level was an enlisted 94B (Food Service Specialist) with
           no knowledge of the unique requirements for hospital field
ing.

                    3. Recommended Action: To put AMSC officers and
           enlisted personnel on the command structure TOES.

              C. Inadequate numbers of required and authorized 91M
           personnel.

                    1. Observation: Many hospitals reported inadequate
           number of 91M (Hospital Food Service Specialist) on their TOE.

                    2. Discussion/Lessons Learned: Not only was there an
           inadequate number of 91M on the TOE but most hospitals were not
           staffed to recognized requirements. Additionally, 94Bs filled
           some 91M slots. The 94Bs are "troop cooks" who are not trained
           in patient feeding or modified diet preparation. other factors
           which increase workload but are not used in calculating

                                           2

Document 24 f:/Week-36/BX003205/OTSG OBSERVATIONS AND LESSONS LEARNED/office of the surggeon general after action repo:1224960931165
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003205
Unit = OTSG
Parent Organization = HSC
Folder Title = OTSG OBSERVATIONS AND LESSONS LEARNED
Folder Seq # = 9
Subject = OFFICE OF THE SURGGEON GENERAL AFTER ACTION REPO
Document Seq # = 2
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 = 24-DEC-1996