CMD RPT ODS 17 MAR 91 AMD CDRS SUMMARY 17 MAR 91

File: 980811_sep96_decls6_0003.txt
Page: 0003
Total Pages: 17
Subject = CMD RPT ODS   17 MAR 91 AMD CDRS SUMMARY   17 MAR 91

Box ID = BX003208

Folder Title = 251ST EVAC HOSP-ANNEX E ODS

File Cabinet = Week-38

Parent Organization = HSC
























          medical supply system being used.     Specifically, items not in the
          32nd MEDSOM inventory were passed to the 47th MEDSOM; many o+ these
          items were never received by this unit.     Once these items were
          passed, the order had to be filled in the name of the 251st
          Evacuation Hospital by the 47th MEDSOM through the 32nd MEDSOM.       The
          32nd MEDSOM apparently could not fill the request once it was
          passed, even though the items may have become stocked items
          following the intial request by the unit.     Some revision to the
          computer program used by the MEDSOMS is recommended to correct this
          problem.

              NBC: The 251st Evacuation Hospital experienced several
          equipment shortages that could not be filled at Fort Jackson nor in
          theater.   The shortages of M258AI decon kits, M17AI masks, PB and
          CIPRO tablets, cana injectors, and atropine were rioted.     Through the
          dilligent efforts of the unit NBC officer and NCO, the above
          shortages were obtained after the first week in theater.      The NBC
          training, alert procedure, information dissemination, supplies, and
          etc. were coordinated properly by the 803rd NBC officer.      The
          planning of NBC training for the 251st Evacuation Hospital decon
          site was not coordinated properly between the 803rd and 251st NBC
          officers.   This resulted in decon team members being utilized as
          graders rather than participants and no ambulance support for mock
          casualties.   The host nation could not provide engineers to complete
          the 251st decon site therefore, the 114th Evacuation Hospital, who
          had prepared its own decon site, was tasked with providing decon +or
          all the area evacuation hospitals.

              Rations:   Initial planning provided for the 251st Evacuation
          Hospital to draw rations from the Saudi system.      Due to fragmented
          delivery of rations and non-availability of certain foodstuffs, unit
          food service personnel were forced to supplement the Saudi system by
          unauthorized use of the US and other means of procurement.

              Staffing:   The MTOE of an evacuation hospital has no provision
          for additional staffing needed for an emergency room, pro and post
          op areas, burn unit, SICU and MICU.     The burn team from Fort Sam
          Houston, TX, had to be augmented plus nursing staff was provided to
          open a 8 bed SICU, a 8 bed MICU, seven medical/surgical wards and an
          annex of 150 beds.    Additionally, 13 ORs were staffed when only 6
          are required by MTOE.    An international mix of nurses caused many
          problems and concerns.    Despite the great language barrier between
          American, Fillapina, Egyptians, and Polish nurses, the following
          concerns prevailed. A mixture of four different nursing education
          systems, all expected to conform to one, i.e. the American Nursing
          Process. Cultural differences also interplayed and caused many
          frustrations among all nurses.     The American nurses were always "in
          charge" and had set the tone of the units.     American nurses were
          expected to teach and supervise the other nurses in the American way
          of caring for multinational forces and civilian populations.        The
Unit = OTSG        
Parent = HSC