ee el me ee ant ——————

fe ix ae ae SCANNED Basic History a. Command Organization

(1) Commanding Officers and dates of Command: Captain C. W. Bramlett, MC, USN, 29 May 1974 to 15 July 1977 Captain D. C. Good, MC, USN 15 July 1977 -- Present.

(2) Missions and functions of the command. Existing mission remains unchanged.

b. Summary of Operations. There were 4,213 patients admitted, 513 births; 15,488 occupied bed days, and there were 91,974 outpatient visits. Detailed monthly work loads are shown in Annexes A and B of enclosure (2). January 1978

Navy Recruiting Station, Beaufort, opened in gate house, at the entrance to Naval Hospital, Beaufort.

command with educational programs.

_ February 1978

Master Chief Petty Officer of the Force, BUMED, HMCM Harry A. OLSZAK, USN, accompanied by HMCM Robert WORSHAM, MCPOC, Naval Regional Medical Center, Charleston, S. C., on board for an official visit.

Navy Exchange, Snack Bar, Optical Shop, Barber Shop and Beauty Shop renovated.

SGTMAJ VAN AUTREVE, USA Retired, representative from Non-Commissioned Officers' Association on board as a guest to inform our enlisted personnel of the NCOA's position in representing the SNCO in the Armed Forces.

March 1978

Salvaging operation of non-functioning wheelchairs undertaken to con- serve funds by command,

Storeroom 40 relocated to temporary space on A-2 to facilitate renovation project,

Training Class for Auxiliary Fire Brigade held.

€

Enclosure (1)

a a a ee a

March 1978 (Continued)

Dental Clinic opened for routine examination and treatment in renovated spaces.

Energy Conservation awareness program instituted by command. Plan of the Day notes intended to reach all hands.

COMSIX delays shift to Summer Uniform until 20 March due to unseasonal weather.

Administrative offices temporarily located on fifth floor due to renov- ation project, re-located to their original spaces on the first floor.

} RADM D. H. HOFFMAN, USN, Commandant, SIXTH Naval District, on board for official visit. |

April 1978

Training class for Auxiliary Fire Brigade held.

Civilian employees time clock relocated to A-wing from near Shipping and Receiving. .

Aeromedical Evacuation Training Team consisting of Air Force Officers conducts training session for staff personnel.

ES Safety Awareness Program instituted by command to reach all personnel.

Post Office and Mail Room temporarily relocated to A-2 to facilitate renovation project.

Electrical power to Building #7 secured for two hours to allow for maintenance/repair.

May 1978

Hospital Dining Room temporarily moved to Building #7 to facilitate renovation project.

Navy Exchange convenience store service expanded with the addition of new trailer to provide separate and larger space.

Mr. Stoddard, representative from New York State Board of Regents and Mr, Cary, Navy Campus for Achievement Counselor, on board to discuss college educational opportunities with staff members.

ENT Service relocated to Branch Clinic, MCRD, Parris Island. Eye Clinic retained at Naval Hospital, Beaufort.

Security Watch temporarily stationed at Front Gate between 0730-0800

Monday through Friday to assist in traffic control and reduce pedestrian © traffic in construction area.

2 Enclosure (1)

a SS A SS a a AN a ec

June 1978

Command Preventive Medicine Section assists research effort on Sand Fly Control Studies in conjunction with U. S. Department of Agriculture.

t | t Veterinary Service conducts rabies clinic in conjunction with pet | registration.

Renovated Pharmacy spaces opened for normal operations. Training Class for Auxiliary Fire Brigade held.

BUPERS Detailers visit command to assist enlisted personnel in duty| assignment preferences. i

BGEN MOSS, Deputy Commanding General, MCRD, Parris Island, on board; for official visit.

Hospital Corps Birthday Picnic sponsored by command.

2 k

Safety alert promulgated to occupants of family housing to inform them [

of a two-week contractor work project involving heavy equipment in use for : repair of boat ramp at Fort Frederick on station.

July 1978

Contract awarded to Carolina Elevator Co., in the amount of $8,280.00 O for elevator maintenance service, for the period 1 July 1978 through 30 June 1979.

August 1978

Voluntary blood pressure check and tuberculin skin test program insti- tuted for civil service personnel as part of the Command Occupational Health Program.

Combined meeting of Command Training Team, Human Relations Council and Equal Employment Opportunity Committee held to formulate command goals.

Command all hands personnel inspection -~ Summer Uniform held, [n- specting Officer -- Commanding Officer,

Due to shortage of OB-GYN specialists, appointments are limited at the hospital. The clinic is seeing patients on consultation only, Active duty patients are given appointments on a priority basis, dependents and retirees on a space available basis. Beneficiaries eligible for CHAMPUS are en- couraged to utilize civilian resources concerning gynecological problems,

Mr. Roy Rhodes, Senior NCFA Counselor, Regional Office, Charleston Naval Base on board to present programs sponsored by the NCFA.

Food Service re-located from Bldg, #7 to its original location following O renovation work.

Enclosure (1)

August 1978 (Continued) Ribbon-cutting ceremony held to signify completion of hospital's

three-year renovation project. Captain D. C. Good, Commanding Officer, Naval Hospital, cut ribbon in honor of the celebration.

September 1978

Civilian time clock returned to its original location.

CDR P. D. THOMSEN, MSC, USN relieved CDR J. H. GANNON, MSC, USN, as Officer in Charge, Branch Clinic, MCRD, Parris Island. CDR GANNON assumed new duties with PCS orders to Washington, D. C., as Enlisted Rating | Coordinator for CNO.

Contract awarded to Mitchell Brothers, in the amount of $7,432.00 for re-roofing of buildings 19, 21, 22 and 49.

Contract in the amount of $28,642.00, awarded to C. M. Lowther, Jr., for emergency stairwell lights.

Contract in the amount of $6,789.00, awarded to Mitchell Brothers for re-roofing of Qtrs. "B'", and building number 25.

Contract in the amount of $24,321.00, awarded to Mitchell Brothers for painting quarters.

Congract in the amount of $6,982.75, awarded to Wildwood Landscape Contractors, Inc., for concrete paving.

Contract in the amount of $9,978.00, awarded to C. M. Lowther, Jr., for replacing light fixtures in buildings 7 and 9.

Contract in the amount of $1,500.00, awarded to Goodyear Tree Co., for brush clearing.

Contract in the amount of $9,600.00, awarded to Industrial Carbonic, for Fire Extinguishing System -- kitchen hoods. October 1978

RADM Melvin MUSELES, MC, USN, Naval Inspector General, Medical, on board with official party to conduct command inspection.

I. V, Push Certification Program offered to staff personnel. COMNAVBASE, Charleston MSG 251710Z OCT 78 authorizes an optional period

for Summer and Winter Uniforms from 0001 on 01 November 1978 to 2400 on 15 November 1978 in Sub Area Alfa.

4 Enclosure (1)

ee ee we = ee ee, - as —_ ~ = - _ a ee Se a ee SS pre

a ee eee ee eee

November 1978

Command Personnel Inspection for all hands held, Commanding Officer was the inspecting officer.

Red Cross Office re-located to Solarium on A-~1.

Unofficial visit by Deputy Under Secretary of the Navy, Mrs. M. Wertheim made on 15 November 1978. The Deputy Under Secretary was escorted by MAJ. GEN. MC LERNAN, Commanding General, Marine Corps Recruit Depot, and greeted -by CAPT D. C. GOOD, Commanding Officer, who guided her on a tour of the ‘medical facilities.

Command responds to staphylococcus food poisoning episode at MCRD in- volving approximately fifty recruits. ‘Twenty~seven recruits were admitted to the hospital, although none were seriously ill, The speed and expertise exhibited by hospital staff personnel in handling this acute illness in the recruit population was praised by local Marine Corps officials.

Approximately one-hundred-thirty-four recruits, both male and female, were seen for immunization reaction. Thirty-two recruits were admitted for this reaction, which was attributed to typhoid immunization. The Commanding Officer in a Letter of Commendation to hospital staff involved, commended them for their quick response and efficiency in caring for these patients.

December 1978

Influenza Immunization Program commenced for personnel within the military communities,

5 Enclosure (1)

Se

O PART ITI

DOCUMENTARY ANNEXES

ANNEX A. Medical Services and Outpatient Morbidity Reports (NAVMED 6300-1)

ANNEX B. Inpatient Data Transmittal Record (NAVMED 6300-5) ANNEX C. Summary of Command :

ANNEX D. Organizational Manual for Naval Hospital, Beaufort, S. C. (NAVHOSPBFTINST P5400.2J of 12 July 1976 with changes)

ANNEX E. Quarterly Statistical Morbidity/Mortality Report

O

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NAYMED 6300-1

CY 78

ANNEX A

a re ene

wee ee

ee SE

MEDICAL SERVICES AND OUTPATIENT MORBIDITY REPORT REPORT SYMBOL MED 6300-1 NAVMED 6300/1 (6-73) S/N 0105-213-0100 seat ie 3

2S Sh on SS ee 0d Se eee ae oo

NAME, ADDRESS, 2!P CODE OF FACILITY FACILITY ANO LOCATION CODE REPORT PERIOD

HOSPITAL, BEAUFORT, SC SeeVeserrrirrs

j SECTION | — GENERAL WORKLOAD ACTIVE DUTY — U.S. UNIFORMED SERVICES DEPENDENTS

; 3057 118,427; 124] 39 | 30] 4015 1

Fiwarewrviens ———SSCSC*dSSsC«B YY 2 1. epra [Aowrreoroousnrers «|= ae SPECIAL CATEGORIES

QUARTERS PATIENT DAYS < E RETIRED

-_506| 55 [12,704] 8113 ee 2 ee 2-2 te

A 8 OUTPATIENT INPATIENT

353,906) 110,272 PHanmacyunts sd. . 3,, 577 29,134 |DIALYSISPROCEDURES

G MARCORPS

2)

c OUTPATIENT INPATIENT

FLUOROSCOPIC EXAMS RADIUM & RADIOISOTOPE THERAPY , el

SECTION til — OTHER SERVICES

MISCELLANEOUS

SPECTACLES ORDERED

D BIFOCAL

G OTHER COMP PHYS EXAM

H IMMUNI- ZATIONS

1 LIMITED SERVICES

E FABRICATED SINGLE VIS

F FLIGHT PHYS EXAM

SECTION V — ACTIVE DUTY AVERAGE STRENGTH

E F G H NAVY MARCORPS ARMY AIR FORCE

Bere eae ee

a za | neunosunceny | +d 2 | occurar.nmenry [Sd zs [ontuoress + + ~7572

SECTION Vi! — OUTPATIENT MORBIDITY — NEW CASES ~ ACTIVE DUTY NAVY AND MARINE CORPS

8 c NO. NEW VENEREAL DRUG AND ALCOHOL USE CASES

GONORRHEA __._ MARIHUANA

SYPHILIS CHANCROIO NARCOTIC DRUGS

LYMPHOGRANULOMA VENEREUM NON-NARCOTIC DRUGS GRANULOMA INGUINALE . COMBINATION

GENITOURINARY

:

HEMATURIA . : ie aie = ae ee oe fl

ACCIDENTS AND TRAUMA

J OTHER ACCIDENTSOR INJURIES ie ae

353,906 outpatient laboratory studies were done at Naval Hospital Of these, 157,186 were groups and types done in direct support of Marine recruits at Parris Island.

RESPIRATORY

:

INFLUENZA PHAR YNGITIS—TONSILLITIS

PLATE NO. 22119 (2)

OTHER RESPIRATORY DISEASES HAY FEVER/ASTHMA

GASTROINTESTINAL

PYODERMA CELLULITIS OERMATOPHYTOSIS ALLERGIC DERMATITIS OTHER SKIN DISEASES

J

= DIARRHEA

OTHER G.I. CONDITIONS ak

OTHER PARASITIC INFESTATION

ADVERSE EFFECTS OF IMMUNIZATION ADVERSE EFFECTS OF MEDICATION BEHAVIORAL CONDITIONS

FEVER OF UNDETERMINED ORIGIN GERMAN MEASLES MUSCULOSKELETAL COMPLAINTS OBESITY

OTITIS EXTERNA

OTITIS MEDIA

INTESTINAL PARASITES

eal | 60 | | 42 | |S > Esato aCe “a Pcl Lg ee = | 126 |

i) al I ae Ss)

Inhalation Therapy - 842 (Reported in Internal Medicine) Family Planning - 899 (Reported in Gynecology)

NAVAL MEDICAL DATA SERVICES CENTER NATIONAL NAVAL MEDICAL CENTER BETHESDA, MARYLAND 20014

OFFICER IN CHARGE

SIGNATURE AND TITLE DATE SUBMITTED

} {

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OR ery eer ee

NAVMED 6300-5 CY 78

ANNEX B

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INPATIENT DATA TRANSMITTAL RECORQ NAVMED 6300/8 (1-72) S/N 0105-213-0480 d / REPORT SYMBOL MED 6300-5

Cm: Naval Hospital Report Period: Calendar 1978

(Facility Nome} (Month) {Year}

Beaufort, S. C. 29902

(Facility Address)

Officer In Charge, Naval Medical Data Services Center, NNMC, Bethesda, Md. 20014 *) Via: Data Processing Officer, Naval Medical Regional Data Center,

Hospital, Beaufort, S. C. 29902

(Facility Name and Address}

INPATIENTS NEWBORN 5 MOTHER)

TRANSACTIONS Se oe Se NUMBER OF TRANSACTIONS NUMBER OF TRANSACTIONS

INPATIENTS REMAINING FROM PREVIOUS MONTH Reported Remaining

See ee

Totel parents i as eas Gk eae EE a

ADMISSIONS i 3543

i ae a el an aaa

Live Birth

in Sees a sisaaeee —— Sa

- DISPOSITIONS

Transfer

Newborn Retained As Inpatient (Report Same as Line 7)

[Total Dispositions | 631 || S| KCC] CC

INPATIENTS REMAINING THIS MONTH Total Patients Remaining (line 3 + line 8) — line 13 = line 14

Last Register Number Used During This Report Period: DOCUMENTS SUBMITTED: *Admission: ___ 4093 ____ Disposition: ____4}]15 . *Change Sheets:__]2 *Total: Q@299 _ *! 17. | Total Occupied Bed Days: .L5,541 Total Bassinet Days:__1 716 #| 18 | Workload Summary (3) Cards Submitted: __1 138 _ *! 19. | Admission (4) Cards Submitted: _ L850 Disposition (5) Cards Submitted: 6152 _

SIGNATURE (Commanding Officer or Designated Representative} DATE SUBMITTED

OTE: Items indicated by asterisk (*) are to be completed only by naval hospitals, U.S. naval hospitals and the Naval Submarine Medical Center.

+

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OVERALL SUMMARY OF COMMAND

January 1978

Hospitalmen DAFO, GUNNINGHAM, KANN, MILLS, RABEDEAU, SLAGER and SLOAN, attached to the Naval Hospital complex, promoted to Petty Officer status.

HM2 GABB, HM3's GREEN, HATCHELL, SMITH, THORESON, VICKERY and WULTERKENS assigned to Branch Clinic, MCRD, PISC promoted to present rates.

HM2 GAPPA and HM3 HERNANDEZ advanced to present rates.

LTs PENNINGTON, TKACS and WATKINS, Nurse Corps Officers, frocked to present rank.

CDR D. MC GUCKIN, NC, USN, retired from active service.

February 1978

LT B. E. FRANEK, NC, USNR, promoted to present rank.

LCDR W. LUDWIG, MSC, USN, honored by Beaufort County United Way organization for his dedicated work on behalf of the Navy's goal attained in the Combined Federal Campaign,

LCDR W. LUDWIG received Letter of Appreciation from Commanding Officer for his excellent performance in the collateral duty assignment of Chairman, Combined Federal Campaign.

HM2 J. R,. LEUSCHEN, USN, selected as Sailor of the Quarter.

HM2 P. LENKO, USN, promoted to present rate,

Letter of Appreciation presented to Mr. J. Truel on occasion of his retirement from civil service.

Letter of Appreciation presented to CDR J. C, WEISS, NC, USN, on the occasion of her retirement from active naval service,

LCDR GANNON, LT WAGGONER, LTJG's CHUMLEY and HARBAUGH, MSC Qfficers awarded MBA from Pepperdine University,

March 1978 Naval Hospital, Beaufort, sponsors Boy Scout Troop 252,

Command enters male and female softball teams in local league competition.

ANNEX C

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Se

rene nn mn nm mee ee ne eS Se ee ey oe

O

HMCS HOOPER and HM1 MC BRIDE recipients of Command's Annual Leadership Awards.

HMC DUPRY received Navy Good Conduct Certificate, fourth award. HM3 HIERS, Branch Clinic, MCAS, named Corpsman of the Quarter. HM2 SETLOCK advanced to present rate.

LT DRAKE, NC, USNR augmented into the U. S. Navy.

LCDR NORBET, NC, USN, promoted to present rank.

CDR John GANNON, MSC, USN, promoted to present rank.

April 1978

All hands personnel inspection by Commanding Officer. CAPT SLATER, NC, USN, Chief of Nursing Service presented Navy Commendation Medal as part of inspection ceremony.

|

LTJG BAZEMORE, MSC, USNR accepts Intramural Volleyball Championship Award on behalf of Navy team he piloted to victory,

HM1 LEUSCHEN, HM2s HENDRICK, SCHWANDT, WOOLEY and DP2 HOWARD adyanced to present rates.

HMC A. G. SINGLETON presented letter of commendation for sustained superior performance of duty.

GYSGT RAINEY, USMC, Marine Liaison, Naval Hospital, Beaufort, presented letter of appreciation for outstanding performance of duty,

Naval Hospital command -- Big Blue Football Team, takes to the field as pre-season training gets underway,

HM3 SHIREY participates in Boston Marathon after qualifying in the Marine Corps Reserve Marathon held in Washington, D, C,

HM3 L. MOORE re-enlisted in U. S,. Navy,

May 1978 LTJGs ACKLEY and REHM, NC, USNR, promoted to present rank. HM2 SALTER advanced to present rate.

LCDR QUAYLE, NC, USN, retires from active service.

LTs CHUMLEY, MARR and SEFRANEK, MSC officers receive letters of apprecia-

tion from C. 0. upon detachment from command.

HMCM HARRITY presented letter of appreciation from BRIG, GEN, TRAINOR, Deputy C, G,, MCRD, PI SC.

?

2 ANNEX C

cn pe oe a

rn a ag a Fe a ee er pp ge pe ee ee eee

HM2 LENKO presented letter of appreciation from C. 0. upon detachment from command.

Navy Nurse Corps Officers celebrate 70 years of service on anniversary date of 13 May.

Commanding Officer, Captain D. C. GOOD and LCDR W. LUDWIG, Chief, Mil- itary Personnel Service met with members of Beaufort County United Way executive committee to discuss plans for 1978 United Way and Combined Fed- eral Campaigns.

Cc. 0., CAPT GOOD, participates in seventh graduation ceremony, Pepperdine University, Beaufort Center.

June 1978

Command's womens softball team and NRMC Memphis play exhibition game for the benefit of Navy Relief fund drive.

Special Services sponsors swimming lessons for children at hospital pool.

Staff members from jogging club to promote physical fitness within the command.

HMCM HOOPER and HM2 NEIL re-enlist in U. S. Navy.

LT MARQUIS, MSC, USN, presented Certificate of Completion for Podiatry Residency.

LCDR GRAHAM, MC, LTs BORKHUIS, GOOKIN, KLOSE and PENNINGTON, NC officers promoted to present ranks.

LCDR CUMMINGS, GRIFFIN, HINDMAN, HOLMES and KLAU, Medical Corps officers presented letters of appreciation upon release to inactive duty.

Mr. Sutton, ROICC, hospital renovation project presented letter of appreciation for services from C, 0,

CDR M. GAY, MC, USN, elected as Vice-President, Beaufort Little Theatre, Mrs. Margaret Gannon, command supervisor budget analyst, named as Boss

of the Year by the Jean Ribaut Charter, Chapter of the American Business Women's Association. ;

July 1978 Staff assist in Beaufort County annual Water Festival, LCDR B, RUEDAS, MC, USN promoted to his present rank, Command float wins second place in Water Festival Parade,

HM3 SLAGER selected as Sailor of the Quarter.

3 ‘ ANNEX C

a ee a ee A ee el

f

va

vA

Dr. Moore, Civil Service staff physician, retired from federal service.

HM3s ANTHONY, COOK, FRY, HUNTER, KONKEL, LYNCH, MARTIN, MAZE, PAULK, SALTER, SEPE and WULTERKENS advanced to present rate during ceremonies held at core hospital.

HM3s BALSER, BUSH, CAEZ, DEDOMINICO, HURLEY, KNAPE, MC DONALD, MULLIN, ROBINSON, ROY, RYAN and SERRA advanced to present rate during ceremonies held at the Branch Clinic, MCRD, Parris Island.

LT LOBAUGH, MSC, USN, HM2s GAPPA and WOOLLEY presented letters of appreciation for services from Commanding Officer.

August 1978 LT K. LOVE, MSC, USNR promoted to present rank. HM3 P. SMITH re-enlists in U, S. Navy

Captain D. MC MAHON, MC, USN, CDR J, GANNON, MSC, USN and W.0, HUFFORD presented letters of appreciation from Commanding Officer.

Command Labor Day picnic held for all hands,

Mr. A. D. Flood, South Carolina Game Warden presented safety lecture on hunting to interested staff personnel as a public service.

Photography (View Finders) Camera Club formed by staff members.

September 1978

Mrs. Cory, former Red Cross Chairman of Volunteers at Naval Hospital, Beaufort, and wife of Mr. Albert Cory, staff reisdent engineer was presented

‘ a letter of appreciation from CAPT GOOD, Commanding Officer, following a

a See ee wo ee re ee ee ee ne ny py ne ene pe ee ee ee

luncheon given in her honor,

Mrs. Rigg, civil servant, Fiscal and Supply Service, presented letter of appreciation from C. 0, during her retirement ceremony,

HMCM O. HOOPER, presented letter of commendation from C. 0. during ceremonies marking his departure from the command on PCS orders,

LTs ALLISON and SCHAFER, N. C, officers, LTs DRINKWATER and MOUNTZ, MSC officers, augmented into the U, S, Navy

HM1s DILBECK and HADSOCK and PN2 DEDERT advanced to present rates,

‘October 1978

Staff men and women volleyball teams entered in local civic league and intra-mural competition. HMCS CRAWLEY at both team helms as Head Coach.

Voluntary Weight Reduction Program made available to staff personnel under the technical guidance of LT WARYWODA, MSC, USN, Chief, Food Manage-

ment Service. . ; 4 ANNEX C

a ee i a a = ee

Navy Day celebrated by command on the occasion of the 203rd anniversary of the U. S. Navy.

The Big Blue football team under the leadership of LT CHUMLEY, MSC, USN, tied with RTR; MCRD, for top slot in the local services intra-mural league.

HM2 HUTCHINS advanced to present rate.

November 1978

LT G. L. FILLERS, NC, USN, promoted to present rank. HM1 GREGORY and HM2 MC CLELLAN advanced to present rates. HM3 BINTZ selected as Sailor of the Quarter.

LCDR FULTON, chairman of the Combined Federal Campaign, W. O. HART, HM1 BALMER, HM2 GABB, HM3 MC GRATH and Mrs. Betty Haigh, secretary to the OIC, Branch Clinic, MCRD, PI SC, presented letters of appreciation from the Commanding Officer for their excellent efforts during the CFC fund drive.

December 1978

HMC J. B. JOHNSON advanced to present rate.

LTs R. HARBAUGH, MSC, and J. WATKINS, NC, USNR, presented letters of appreciation from C. 0. upon the occasion of their transfer on PCS.

LT J. F. FRETWELL presented letter of appreciation from Commanding Officer during release from active duty ceremony,

CAPT GOOD, in the company of MAJGEN MC LERNAN presented a check to United Way Executive Director MAJ GEN William COBB, U. S, Army (Retired) in the amount of. $58,173.00 from the successful CFC drive which raised 157% of its goal.

Educational Symposium held for staff personnel with representatives from Webster College, Pepperdine University, University of South Carolina (Beaufort Extension); Beaufort Technical College; and Navy Campus for Achievement.

Demonstration on Self-Defense for Women presented to female staff members as a public service,

Christmas Party held for hospital staff and their dependents,

'

NAVHOSPBFTINST P5400,2J

NAVAL HOSPITAL BEAUFORT, S. C.

NAVHOSPBFTINST 5400.2J, CH-1 Code 01 1 June 1978

NAVHOSP BEAUFORT INSTRUCTION 5400.2J, CHANGE TRANSMITTAL 1 Subj: Naval Hospital, Beaufort, S. C. Organization Manual Encl: (1) Revised and new pages

1. Purpose. To transmit Change 1 to subject instruction, which primarily deletes EENT Service, and changes Aviation Medicine Branch to Aviation Medicine Service, and also changes Optometry Branch to Optometry Service.

2. Action

a. Remove the following pages and replace with revised pages:

(1) Page iii

(2) Page iv

(3) Pages B-1, 2, 3, and 4 (4) Pages C-1 and 2

(5) Pages C-5 and 6

b. Insert new pages C-7 and C-8 and re-number old pages C-7, 8, 9, and 10 indicate they are now C-9, 10, 11 and 12.

c. Remove old pages C-11 and i2, and replace with new pages C-13 and C-14.

d. Re-number paragraphs in Section C., Clinical Services, to correspond with listing on page C-1, through paragraph 14, Occupational Env. Health Service.

e. Re-number charts in Section C., Clinical Services, to correspond with bisting on page iv, through Chart No. 11, Occupational Environmental Health

£ Re-number pages in Section C, to allow proper numerical sequence, through

g. On Chart No. li, deiete "Preventive Medicine Branch." On Page C-28 delete "Preventive Medicine Branch."

h. Insert new pages C-29, 30 and 31

i. Re-number remaining paragraph: in Section C., Clinical Services, to match listing of paragraphs on page C-1; and charts to correspond with listing on page iv. Re-number remaining pages of Section C. to allow proper numerical sequence.

j. On page E-1, deiete "Preventive Medicine Section," and "Optometry Section." On pages E-3 and E-4, delete "Preventive Medicine Section" and "Optometry Section, and re-number sub-paragraphs accordingly.

k. On Page F-1, delete "Aviation Medicine Section" and its branches. On Page F-3, delete ‘Aviation Medicine Section,'' sub-paragraph b.(1), and re-number remaining paragraphs accordingly.

1. Throughout the instruction, wherever "Annex" or "Hospital Annex," Marine Corps Recruit Depot is used, change to read "Branch Clinic."

m. Make appropriate entry on page ii, Record of Changes.

Leo

D. C. GOOD 6 Distribution:

AY "G''(25-Cent. Files)

FE SO eS ee ee a s : 4 =

NAVHOSPBFTINST 5400,2J, CH-1

1 June 1978 TABLE OF CONTENTS

Page Cover Page i Record of Changes rs Table of Contents ia, Table of Organization Charts iv General Information, Section A A-1 Office of the Commanding Officer, Section B B-1 Clinical Services, Section C C-1 Administrative Services, Section D D-1 Branch Clinic, MCRD, Parris Island, SC, Section E E-1 Branch Clinic, MCAS, Beaufort, SC, Section F F-1

ch d

NAVHOSPBFTINST 5400.2J, CH-1 I June 1978

TABLE OF ORGANIZATION CHARTS

CHART NO. TITLE PAGE NO. 1 Master Hospital Organization B-1 z Anesthesiology Service Cc-4 3 Aviation Medicine Service C-7 4 Dental Service C-9 5 Dermatology C-12 6 Family Practice Service C-14 7 Internal Medicine Service C-16 8 Laboratory Service c-18 9 Nursing Service C-20

10 Obstetrics and Gynecology Service C-23 11 Occupational Environmental Health Service C-25 12 Optometry Service C-29 13 Orthopedic Service C-32 14 Outpatient Service C-35 15 Pediatric Service C-38 16 Pharmacy Service C-40 i Radiology Service C-43 18 Surgery Service C-45 19 Civilian Personnel Service D-3

20 Data Processing Service D-6

21 Fiscal and Supply Service D-8

22 Food Management Service D-12 23 Military Personnel Service D-15 24 Navy Exchange Service D-18 25 Operating Management Service D-20 26 Patient Affairs Service D-23 27 Public Works Service D-25 28 Veterinary Service D-29 29 Branch Clinic, MCRD, Parris Island E-1

30 Branch Clinic, MCAS, Beaufort F-1

iv

ow t _

| | | | | | | | | | |

O

BOARDS §& COMMITTEES

DIRECTOR, ADMINISTRATIVE SERVICES

CIVILIAN PERSONNEL SERVICE DATA PROCESSING SERVICE FISCAL §& SUPPLY SERVICE FOOD MANAGEMENT SERVICE MILITARY PERSONNEL SERVICE *NAVY EXCHANGE SERVICE *Branch of Navy

Exchange, Charleston, S, C.

NAVAL HOSPITAL, BEAUFORT, SOUTH CAROLINA

COMMANDING OFFICER

OPERATING MANAGEMENT ANESTHES IOLOGY SERVICE SERVICE PATIENT AFFAIRS AVIATION MEDICINE SERVICE SERVICE PUBLIC WORKS SERVICE DENTAL SERVICE RELIGIOUS ACTIVITIES DERMATOLOGY SERVICE SERVICE FAMILY PRACTICE VETERINARY SERVICE SERVICE

INTERNAL MEDICINE SERVICE

BRANCH CLINIC MCRD, _PARRIS ISLAND LABORATORY SERVICE BRANCH CLINIC MCAS BEAUFORT SC NURSING SERVICE

Date: Approved:

1 June 1978

D. C. GOOD, CAPT MC USN NAVAL HOSPITAL Commanding Officer Beaufort, S. C.

a SEEcaaaanenmiemmnessceame ter — =

SPECIAL ASSISTANTS

DIRECTOR, CLINICAL SERVICES

OBSTETRICS §& GYNE- COLOGY SERVICE OCCUPATIONAL ENVIRON- MENTAL HEALTH SERVICE

OPTOMETRY SERVICE ORTHOPAEDIC SERVICE OUTPATIENT SERVICE PEDIATRIC SERVICE PHARMACY SERVICE RADIOLOGY SERVICE

SURGERY SERVICE

I-HD ‘£Z°O0vVS LSNILIGdSOHAVN

Chart No. l

8Z6T oun T

Antes ate ne a Sn A I

' NAVHOSPBFTINST 5400.2J, CH-1 2) 1 June 1978

SECTION B. OFFICE OF THE COMMANDING. OFFICER

Paragraph Page

Office of the Commanding Officer 1 B-2 The Commanding Officer 2 B-2 Boards and Committees 3 B-2 Special Assistants 4 B-5

1. Office of the Commanding Officer. The office of the Commanding

Officer consists of the Commanding Officer and other staff and clerical personnel as may be required.

Qi Commanding Officer

a. The Commanding Officer is charged with the command, organ- ization and management of the hospital for the purpose of accomplish- ing the mission as efficiently, effectively and economically as possible. Subject to the orders of higher authority, he exercises complete military jurisdiction within the command, is responsible for the professional care of inpatients and outpatients; and for the safety and well-being of the entire command. His duties are prescribed in Navy Regulations and the Manual of the. Medical Department...

b. The Commanding Officer through the Chief, Bureau of Medicine © and Surgery, provides professional direction, guidance and supervision of the Branch Clinic, Marine Corps Air Station, Beaufort, S. C., and the Branch Clinic, Marine Corps Recruit Depot, Parris Island, S. C. as assigned by the Chief of Naval Operations.

c. The Director of Clinical Services is appointed Acting Commanding Officer and shall act as Commanding Officer in his absence. The Command- ing Officer may, when not contrary to law or regulations, delegate duties to other subordinates to the maximum extent consistent with the retention of control. Such delegation of authority, however, shall in no way relieve the Commanding Officer of continued responsibility for the safety, well-being and efficiency of the entire command.

d. The Commanding Officer is a qualified health professional officer of the medical department.

3. Boards and Committees

a. Boards and committees are.appointed by the Commanding Officer to meet standards for accreditation set by the Joint Commission on Accreditation of Hospitals (JCAH); to conform to the requirements of law or regulation; and to advise the Commanding Officer on matters of policy or particular interest.

b. The standing boards and committees of this hospital are O identified and described as follows:

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NAVHOSPBFTINST 5400.23, CH-1 1 June. 1978.

(1) The Executive Committee. (Commanding.Officer's Conference), in consonance with JCAH requirements, serves aS the committee for communica- tions between the commanding officer and the clinical_and administrative staffs of the command. The committee is composed.of the commanding officer, director of clinical services, and all chiefs of services. Responsibil- ities of the committee are consideration and submission of recommendations to the commanding officer for action on all matters.of a medical-adminis- trative nature; implementation of policies approved by the commanding officer; ensuring ethical .conduct’ of. staff_members and initiating appro- priate corrective measures;’ reporting accountability for health care rendered to patients; and keepinp the clinical and-administrative staff abreast of the JCAH accreditation program and informed of the accreditation status of the hospital. The committee- shail meet monthly with a written report of proceedings prepared for inclusion in JCAH files.

(2) The Medical Care Evaluation Committee (Audit Committee), under the director of clinical services serves, asa fact finding and educational body to the commanding officer to ensure that health care delivery within the hospital is of the highest quality. The committee establishes criteria for medical care evaluation to ensure that professional activities are conducted in accordance with applicable policies and. procedures; and pro- motes and maintains high quality health care through systematic analysis, review and evaluation of the ciinical practice that exists within the hospital. The committee provides an appropriate peer group method by which the required: basic functions of medical, surgical and obstetrical audit are thoroughly performed at least monthly; reviews periodically the utilization of bed facilities and diagnostic, nursing and therapeutic resources with. respect to availability to patients in accordance with need and recognition of responsibility for the cost of health care. The utilization review function includes factors such as admissions and lengths of stay, professional services provided, use of consultants, availability and use of outside medical: facilities, analysis of emergency services, outpatient clinics and special care units. The committee meets monthly with written reports of proceedings submitted to the commanding officer for inclusion in the JCAH files.

(3) The Budget Advisory Committee assists the commanding officer in the control and utilization of the financial resources of the hospital; advises and assists in the presentation and defense.of resource require- ments budgeted for operation of the Naval Hospital Health Care System; reviews budgets and program requirements developed by the clinical and administrative services to ensure relationship to and support of the ob- jectives of the individual services and the budgetary program of the hospital; monitors and reports program performance against financial management objectives in terms of dollars, manpower and workload recommending any adjustments required; ensures accommodation of program decisions affecting the budget and advises of budget .decisions/actions having programming impact; makes recommendations for programming and budgeting of personnel, facilities, equipment and supplies; and advises on budget systems, procedures and related matters. The.committee meets quarterly and submits written reports of proceedings to the commanding officer. A copy of these reports should be included in the JCAH files.

NAVHOSPBFTINST 5400.2J, CH-1 1 June 1978

(4) The Medical Records Committee {Accreditation and. Utilization) established in accordance with JCAH standards, reviews medical records to ensure that recorded clinical information is adequate for use in medical care evaluation. The committee meets monthly and submits a written report of its findings to.the commanding officer.

(5) The Tumor Board functions in a consulting capacity to the clinical staff of the hospital and controls the registry for all cases of malignant neoplasms. Ali tumors suspected or established as being malignant shatl be registered with the board. -While the recommenda- tions of the board are not binding, treatment contrary to the board's recommendations shall not be instituted without the approval of the commanding officer.

(6) The Medical Library Committee establishes and maintains, in accordance with current Bureau. directives, an adequate medical inhrary service; screening all requests by the command for procure- ment Ur nseriodicals, journals, professional books and other communi- cation media ox a technical.or professional nature.

{7) The Tissue and Transfusion Committee reviews and reports on the agreement, or disagreement, between preoperative diagnosis and pathological diagnosis.on ail tissue removed during operations. Addi- tionally, the committee is to make a monthly review of all transfusions of blood and blood derivatives administered in this hospital. The committee meets at least once a month and submits a written report to the commanding officer for inclusion. in the JCAH files.

(8) The Pharmacy and Therapeutic Committee serves as an ad- visory group to the.commanding officer, the medical staff, and the chief, pharmacy service, on matters pertaining to the selection of non-standard drugs; evaluates clinical data concerning new drugs requested for use in the hospitai;,; and develops and maintains a standard formulary, or drug list, of accepted non-standard drugs for the hospital. The committee meets at least once every three months to.review.the non-standard drug list and to discuss other pertinent data concerning drugs. Recommenda- tions are submitted ts the commanding officer for approval..

(9) The Education and Training Committee 1s responsible for all training and education inciuding continuing education, orientation, hospital corps training and advancement in rate, general military train- ing and civilian employee training. The committee shall have appropriate

representatives from all Corps and the civilian personnel office.

(10) The Morbidity Mortality Statistical Board meets at least once each quarter. e chief ofeach clinical service presents a brief summary of admissions, discharges, and work performed with discussion of unusual cases handled by his service during the quarter, including a discussion of deaths when applicable. The statistics are compiled by the chiefs of the clinical sez1vices with the assistance of the chief, patient affairs service.

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SECTION C. CLINICAL SERVICES

Paragraph Page introduction 1 C-1 Establishment 2 C-1 Director of Clinical Services 3 C-1 Chiefs of Clinical Services 4 C-2 Anesthesiology Service 5 C-4 Aviation Medicine Service 6 C-7 Dental Service 7 C-9 Dermatology Service 8 C-12 Family Practice Service 9 C-14 internal Medicine Service 10 C-16 Laboratory Service il C-18 Nursing Sex rice i2 Cc-20 Obstetrics and Gynecology Service 13 C-23 Occupationa: Environmental Health Service 14 C-25 Optometry Service 15 C-29 Orthopedic Service 16 C-32 Outpatient Service 17 C-35 Pediatric Service 18 C-38 Pharmacy Service i9 C-40 Radiology Service 20 C-43 Surgery Service 21 c-45

O 1. Introduction, This section contains organization charts and narrative statements that deveiop the clinical services.

2, Estat..chnent. The above iusted clinical services are hereby established in accordance with gsrerence (ay, and each service 15 an organizationally independent and 2stGaomvus unit reporting directly to the Director of Clinical Services, ‘Chirers ot Service will be officers of the Medical Corps, except that the ¢hisi or Dental Service will be an officer of the Dental Corps, the Chiefs ot Cptons-., sid Pharmacy Services will be officers of the Medical Servics Comptcaca whe Chief of Nursing Service will be an officer of the

Nurse Co.fs.

3. Directs. cl t.nical Servaces

a, Respeusiois.ty The dixector of clinical services 1s responsible to the conmand ng orticer rox the coordination and efficient operation of the clin.sal funcs.ons of the command. All crders.of the director of clinical sesvices shal: be zegarded as proceeding from the commanding officer, whose poiicies ana orders shail be conformed with and executed.

b. functions. The primary function of the director of clinical ser- vices is to assist the commanding officer in discharging those responsibil- ities for the-care and treatment of patients; the clinical training of the staff; the formuiation of clinical policies, standards and directives, and coordination of the clinical matters of the command. He shail assure that the standards for delivery of health care established by the Joint Commission ees) on Accreditation of Hospitals are followed in maintaining the overall quality

of heaith care. at the optimal level and heads the Medical Care Evaluation Committee. He directs the occupational environmenta] health program.

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4. Chiefs of Clinical Services report to and are directly responsible to the director of clinical services and shall perform the following general functions:

a. Patient Care

(1) Insure the highest standards of clinical practice are maintained, that every effort is made to keep the quality of health care at the optimal level; that the standards for the delivery of health care are suitable to the modern state-of-the-art and conform to requirements set by the Joint Commission on Accreditation of Hospitals, including prescribed staff meetings, recording minutes of these meetings, and timely submission of reports.

(2) Provide technical guidance, and assume responsibility for the clinical practice of medicine by physicians assigned to the services; and evaluate the performance of paramedical personnel.

(3) Inform and advise the director of clinical services regarding all activities, including the care and condition of patients, especially the seriously and very seriously ill.

(4) Collaborate with the other clinical and administrative services to promote patient comfort and welfare, and to speed patient recovery.

® (5) Participate in staff conferences and provide consultation ser- vices as requested

(6) imsuxe the prompt and proper disposition of patients as provided by law and regusations.

b. Education, Training, Clinical Study and Research

(1) Partucapate in and conduct appropriate portions of the hospital educational programs.

(2) Confer with civilian consultants on professional matters. .\3) Pzomote the continuing education of staff officers. (4) Supervise, direct and support, as applicable, the practical phase of formal training ccurses tor hospitai corpsmen and provide on-the-job

training for paramedicai personne: assigned to the clinical service.

(5) Initiate, conduct or participate in clinical and/or research studies, as appropriate, for professional growth and development.

(6) Encourage participation of staff physicians in clinical investi- gation and supervise approved studies.

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5. Anesthesiology Service

a. The anesthesiology service shall provide safe and effective anesthesia for patients undergoing surgical and obstetrical operations or diagnostic procedures; make consultative services available in the fields of resuscitation; provide a qualified anesthesiologist designated as the head, intensive care branch; and provide a training program for recovery room nurses, corpsmen, and.others as appropriate.

b. The anesthesia service is divided into a clinical branch, a con- sultative branch and an intensive care branch.

(1) Clinical Branch shall:

(a) Perform a preoperative evaluation of