Speaker Topic Time Lecture Pretests 10 MRDSD HMCS Hildebrand Opening Remarks 5 NEPMU5 LT Sammons Preventative Medicine 45 NEPMU5 LT Wedeman Potable Water 20 Fleet Dental LCDR Chilcutt ID: 502430
Download Presentation The PPT/PDF document "1 9 NOV 2015 Waterfront Meeting" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
19 NOV 2015 Waterfront Meeting
SpeakerTopicTimeLecture Pretests10MRD-SDHMCS HildebrandOpening Remarks5NEPMU-5LT SammonsPreventative Medicine 45NEPMU-5LT WedemanPotable Water20Fleet DentalLCDR ChilcuttDental Updates5MRD-SDHMCS HildebrandUpdates5Lecture Posttests10Total100Slide2
Pre Test
Please start on the quizzes as soon as you find a seat! Put your name on the quiz and pass to the end of the row (left) when you are done. Thank you!Slide3
Medical Readiness Division
MRD_SD_GMO@navy.mil(619) 556-5191Bldg 116San Diego, CA 92136Clinic (619) 556-8114Slide4
Preventive Medicine Brief
LT Alicia SammonsEnvironmental Health OfficerNavy Environmental and Preventive Medicine Unit FIVE (NEPMU-5)Slide5
Chapter 5Environmental Health Programs Afloat
“Throughout America’s first 145 years of war, far more of the country’s military personnel perished from infectious disease than from enemy action”. -V.J. Cirillo Slide6
Section 1: Sanitation
Food SafetyTri-Service Food Code (NAVMED P-5010, Chapter 1)All ships should have implemented this program by now. New form is DD2973.All operational galleys must be inspected monthly.Inspections must be routed to the proper Chain-of-Command: CO, XO, FSO, SUPPO.Food Service Worker Physicals.No longer required by the Tri-Service Food Code but still required via the COMNAVSURFPACINST 6000.1 Shipboard Medical Department Procedures Manual.Optional Form: DD2971,Conditional Employee or Food Employee Reporting Agreement Filling out the forms properly:Follow-up on uncorrected critical violations w/in 5 days.Closure and Opening MemosBarge galleys have to be inspected too!Re-Opening inspections by PMA prior to food service.Slide7
Section 1: Sanitation
Sanitation of Living SpacesShips are required to conduct a quarterly inspection of the following items:Berthing and headsBarber ShopsPotable Water Systems and SuppliesCHT/MSDTraining completion and documentationShip’s Store and Vending MachinesLaundryFitness FacilitiesBrigIf applicableNo standard forms. Work w/ colleagues, MRD, NEPMU FIVE to improve ship’s local forms.Slide8
Section 2: Medical Waste
A paper or electronic copy of the Afloat Medical Waste Management Guide, OPNAV P-45-113-1-99, must be available.Proper disposal procedures followed. Properly stored onboard.Is it secure?Sharps containers <3/4 full?ALL OFFLOADING OF MEDICAL WASTE MUST BE LOGGED!Slide9
Section 3: Pest Control
TrainingAll larger decks with Preventive Medicine Technicians (LHAs, LHDs, LPDs, LDSs) must have completed CAT 8 Pesticide Applicator Course (CIN: B-322-1050)All IDCs must have completed Shipboard Pest Management Course (CIN: B-322-1075)Other corpsmen who are involved in pest management should complete SPM Course as well.PPEWhat pesticides does your ship have? And what pesticides does your ship anticipate getting in the future?Any pyrethroid sprays, you better have respirators!All PPE and their NSNs are in the Shipboard Pest Management Manual, NAVMED P-5052-26.Recommended items include:Face ShieldsRespiratorsEye ProtectionImpervious GlovesProtective ClothingSlide10
Section 3: Pest Control
Pest LogsPest surveillance is required at a minimum of every two weeks. Areas that need to be included:Food Service AreasSculleriesMess DecksShip’s Store (e.g., soda storage areas)Snack AreasHeads and ShowersDry Provision Storage AreasBerthing AreasLaundry and Dry-Cleaning ShopsCleaning Gear LockersGarbage Collection AreasLog is to be put into SAMs. However, it is recommended to have a back-up copy of pest control logs in the event SAMS is down on the day of your ship’s inspection.Ex. Green log bookAll pesticide use shall be documented monthly on DD form 1532-1. Slide11
Section 3: Pest Control Log
Ship Sanitation Control Certificate ProgramWhat is a Ship Sanitation Control Certificate anyway?Required to be renewed every 6 months.This is a service NEPMU-5 provides to every ship.Email us at Fleetsupport@med.navy.milIf your ship is in a yard period or a maintenance period, this can lapse. Items inspected during your SSCC.Food Inspection Logs, Pest Logs, Water Logs, Habitability Logs, Training Records, Previous MRI. Slide12
Section 4: Potable Water Sanitation
TestingWATER BIBLE: NAVMED P-5010 Ch. 6 - Water Supply Afloat. This instruction tells you exactly how many halogen samples and bacteriological samples must be taken and from where on the ship depending on:Crew sizeShip location (underway vs. port)Water source (approved vs. unapproved)LOGS!It is a best practice to have back up hard copy of water logs as well, in the event SAMS goes down during your ship’s inspection. Ex. Green log bookSlide13
Section 4: Potable Water Sanitation
Items of Interest: Your ship must have a Water Sanitation Bill. Posted in conspicuous places. An example of a water sanitation bill can me found in the NAVMED P-5010 Chapter 6: Water Supply Afloat.Positive and Negative Controls.These must be done monthly and logged into your water logs. Approved water sources during deployment.Contact NEPMU-5 in the event your ship has a question about a potable water source in a foreign country. Slide14
Section 5: Tuberculosis Control Program
ALL CONVERTERS MUST HAVE AN ANNUAL FORM IN THEIR RECORD WITHIN THE LAST YEAR.NAVMED 6224/8Provider must make risk determination and sign/date form.Any new reactors must have been evaluated by a provider. All converters must have completed documentation of LTBI treatment therapy, such as INH or Rifampin or there must be documentation of why active TB was ruled out in their record signed by a provider. *This is a critical section. This program should be of high importance!If you have concerns about TB, contact us!Slide15
Section 6: Health Maintenance
Health RecordsAnnual health record verificationCurrent documentation on the DD 2766 formPHAsTB Annual Risk Assessment Forms for EVERYONE! Pap Smears (specific periodicity found here: NAVMED P-117, Article 15-112.3.(d).4.a-d) Annual Well Woman Physicals HIV every 2 years (100% compliance)DNABlood TypeG6PDSickle CellImmunizations on SF 601 form (documented shot administration or positive titers)Slide16
Section 6: Health Maintenance
Occupational HealthMembers assigned to specialty programs on Medical Surveillance Questionnaire (OPNAV 5100/15)Required specialty exams documented in health recordAudiologyBaseline Audiograms required for every person.Non Hearing Conservation personnel are required to get an audiogram every 5 years. Hearing Conservation Program personnel are required to get an audiogram every year. Personnel on the HCP should be identified on each ships Industrial Hygiene Survey. Slide17
According to the new Tri-Service Food Code Instruction, what is
the maximum amount of time that uncorrected critical violations have to be followed up by? a. 5 business daysb. 5 calendar daysc. 7 calendar daysd. 7 business daysSlide18
According to the new Tri-Service Food Code Instruction, what is
the maximum amount of time that uncorrected critical violations have to be followed up by? a. 5 business daysb. 5 calendar daysc. 7 calendar daysd. 7 business daysSlide19
Which of the spaces are required to be inspected on a quarterly basis?
a. Berthingsb. Laundryc. Barber Shipsd. All of the AboveSlide20
Which of the spaces are required to be inspected on a quarterly basis?
a. Berthingsb. Laundryc. Barber Shopsd. All of the AboveSlide21
Which medical staff are required to have a current Category 8 PesticideApplicator certificate?
a. SMOb. Dental Docc. IDCd. PMTSlide22
Which medical staff are required to have a current Category 8 PesticideApplicator certificate?
a. SMOb. Dental Docc. IDCd. PMTSlide23
What is a Ship Sanitation Control Certificate?
a. A Certificate stating the ship is free of infection, infestation andcontamination. b. Permission to enter.c. Certificate of Prophylaxisd. Certificate of pesticide application.Slide24
What is a Ship Sanitation Control Certificate?
a. Certificate stating the ship is free of infection, infestation and contamination. b. Permission to enter.c. Certificate of Prophylaxisd. Certificate of pesticide application.Slide25
True of False. The same Annual TB Risk Assessment form is to be used forboth PPD converters and everyone else.
a. Trueb. FalseSlide26
True of False. The same Annual TB Risk Assessment form is to be used forboth PPD converters and everyone else.
a. Trueb. FalseSlide27
Questions?
Contact us at fleetsupport@med.navy.mil619-556-7070Slide28
Fleet Dental
Sara A. Chilcutt LT DC USNFleet Division Officer/ Fleet Liaison OfficerNBHC Naval Base San DiegoFleet Office: (619) 556-4797Front Desk: (619) 556-8239/40sara.a.chilcutt.mil@mail.milSlide29
Medical Readiness Division
MRD_SD_GMO@navy.mil(619) 556-5191Bldg 116San Diego, CA 92136Slide30
Active Duty Clinic-Gen Surgery
Director, MRD CDR Hoang has volunteered to see common general surgery pathology on Fridays at Dept of Surgery, NMCSD to fast track fleet referrals, including:Soft tissue (lipoma, epidermal inclusion cyst, pilonidal cyst); Anal disease (hemorrhoid, anal/rectal abscess); Screening colonoscopySymptomatic cholelithiasisHernia (ventral, incisional, inguinal, umbilical)Gen surg matrix referral rules still apply. Conditions requiring long term follow up will not be included in active duty clinic, unless discussed with MRD Physician Supervisors.Include “forward to Dr. Hoang” in body of the referral.Slide31
Upcoming Meetings
December NO MEETING!Have a Merry Christmas, Happy Hanukkah, and Life-changing Kwanzaa!January 27th @ 1000-1200Hypo/HyperthermiaSurgical Abdomen Part 2Slide32
CME – Registration Help
Following the meeting:Computers in lobbyRegister and/or Login to redeem CME’sSlide33
CME – how toSlide34
CME – how toSlide35
CME – how toSlide36
CME – how toSlide37
CME Information
CME Code (To claim credit online): 8107Closing Date (To claim credit online): 27 NOV 2015To complete CME Log onto the MRD IDC website and click on the CME credit linkorGo to NMCSD SEAT SharePoint site (via citrix or NMCSD/BMC computer) and click on MRDSD Waterfront Meeting http://nmcsd-as-spfe05/sites/dpe/setd/Lists/cmesurvey/Item/newifs.aspx?List=be0f840e%2D0489%2D4b5a%2Db8de%2D9c4cd1a323e5&Web=0901130e%2Dd444%2D45b8%2D8bc7%2D5b9ec10dca77Slide38
Post Tests
Please put your name on the quiz!CME Code: 8107