Monthly Medical Waterfront Meeting
28 May 2014
CIC: 32nd NAVSTA San Diego
- Introductions
- CAPT Tanaka
- Force Dental
- LT Slichter: New Dental Liaison
- HM2 Bell: New LPO
- Renovations currently ongoing at 32nd Street BMC
- Mr. Sparks and Ms. Ortiz and HM2 Bell are ongoing contacts
- 619-556-3658 primary number
- Schedule 3 weeks out
- Hours 745-1100, 1230-1400, Friday afternoon no patients
- 0830 Hours on Monday, 0745 on Tuesdays-Fridays
- Reports will be generated weekly
- Patients seen
- Missed appts
- Class 3s
- Can be seen immediately as stand-bys
- Please give feedback as needed
- Please do not leave records in dental branch clinic
- HMC Borja
- May 9 and May 22: SERP updates needed (only 29 of 83 complete)
- May 30 dink list will be sent to TYCOM
- Model number, serial number, and install year
- Will be in Pascagoula next week: email SMIs if have questions
- HMCM Nafus / LT Gilman
- SAFE Examination Recertification
- Test to be administered at June Waterfront Meeting
- 15 hours CD module required to be completed before meeting
- IDC must bring certificate with them to take test
- Pharmacy Helpful Hints at Deck Plate
- LCDR Espiritu / LT Diaz-Sevilla
- List of controlled medications and unauthorized medications
- E-Pharmacy App
- Patients can utilize this app for status of their medications
- Pier Side Pharmacy Support
- Can help with chronic medication list for entire command.
- PMART
- Alpha Roster 3 months prior to scheduled deployment
- Will help create a list for all personnel that will need to be on chronically for deployments
- Turnaround is in 1 week
- Prime Vendor 619-556-0402 for bulk medications
- DPP
- Deployment Prescription Prescription
- Original signature needed
- Legible email address needed
- Regulatory Issues
- Controlled Substances
- E-7 above quarterly audit
- Destruction Report (all controlled substances)
- NEPMU-5
- CDR Natalie Well, MC, USN
- SMALLPOX
- Vaccine no longer required in CENTCOM
- QUANTIFERON
- 2001 QFT was approved by FDA
- There is no gold standard for LTBI diagnosis
- NMCSD experienced problems with QFT beginning March 2014
- Suspicion raised given high number of false positives
- Investigation resulted identified a specific ‘lot’ of collection tubes
- Negative results are considered RELIABLE
- The concern is false positives, which may have led to the unnecessary initiation of LTBI therapy
- Recommendation: Repeat QFT or place a PPD to confirm original positive QFT
- CONTINUE THERAPY until proven negative sputum.
- Measles Outbreak
- Three cases in San Diego
- If someone develops a rash, persons that they come in contact with need to be identified within the three month period
- Lessons Learned
- No active duty or health care workers identified
- Documentation is important
- Those people who don’t have documented immunity must remain out of work
- Services Provided by NEPMU-5
- HM2 Davis
- Health Promotion Events
- Tobacco, ETOH, Stress, Men’s/Women’s Health
- MWR / NMCSD Health and Wellness
- Pest and Food Safety Management Safety Courses
- : response within 24 hours
- TMIP
- Kurt Wentzell / Matt Stewart
- Half of the fleet has TMIP
- Suite of application
- AHLTA Theater
- SAMS-9 (80302)
- MEDIC (PMT)
- Points of Contact:
- On PowerPoint
- Matt Stewart for West Coast (in Mission Valley)
- Common Problems / Issues
- Please send information / offloads to representatives
- Once problem is determined, SPAWAR will come onboard for training
- Ship is responsible for upkeep
- Backups are necessary !!!
- ITs should be doing TMIP back-up, Medical SAMS back-up
- NAVY311 (Tier 1 help desk)
- 1-855-NAVY311
- Can utilize this to talk to TMIP 24/7
- TMIP Service Desk (Tier 2)
- M-F 0700-1630 EST
- After hours for urgent issues only
- Site IT and Medical personnel must BOTH be available for troubleshooting!
- ATG
- HM1 Casasflores
- Contact ATG (Medical Department): 90% qualified ATS
- Most of people in office can help complete JQR and schedule your board
- Miscellaneous Updates
- CME
- Remember to complete follow-up survey for each lecture before end of quarter
- Without completion of follow-up survey, CME will void and activity risks decertification
- Directions on IDC website
- Upcoming Lectures
- June: MH Sleep d/o
- July: Ophtho Video Game Addiction
- August: Dermatology / Suturing
- BUMED Notice 1900
- Ensure patients that are candidates for administrative separation 2/2 adjustment disorder do not have a secondary diagnosis (such as PTSD) that would preclude them from receiving treatment, undergoing MEDBOARD, etc
- SAFE Re-Certification
- All waterfront providers are required to recertify in SAFE for 2014 by September 1st
- Requirements include:
- Watch 15 hour SAFE module
- Print up certificate and bring to waterfront meeting or QA
- Take CNSP test at waterfront meeting or QA
- Examination will be administered at June 25th Waterfront Meeting
- Summer Clinic
- Contact LCDR Horn and LT Gilman to schedule appointments
- Physicals Packets will be reviewed weekly by MOs
- Physicals appointments will take place on Tuesday, Wednesday, and Thursday afternoons depending on physician availability
- Plan ahead and schedule early
- Next Waterfront Meeting
- June 25th at 1000 in CIC
- CME Speaker: CDR King-Hollis: MH and Sleep Disorders