3440.10 with Changes - Navy Medicine - U.S. Navy

BUMEDINST 3440.10
20 Nov 2008
4. BUMED shall be responsible for ensuring that the approved FoS and BoA are updated and
maintained for all Navy Medicine facilities. Changes to the FoS and BoA will be issued via
Defense Message Traffic. GOTS CBRNE equipment shall be BUMED centrally coordinated
with CNIC, NAVSEA, and NAVFACHQ. The Interagency Board’s (IAB) Selected Equipment
List (SEL) shall serve as a basis for the selection of CBRNE-related COTS equipment by
BUMED.
5. BUMED must include procurement, life-cycle cost (LCC), and sustainment cost of assigned
equipment in appropriate budget and Program Objective Memorandum (POM) submissions.
6. Naval Medical Logistics Command (NAVMEDLOGCOM), Navy Medicine Support
Command (NAVMEDSUPCOM), and MTF Material Managers shall ensure all equipment
is reflected in Defense Medical Logistics Standard Support (DMLSS) available at:
http://www.tricare.mil/dmlss/ for accountability purposes.
7. NAVMEDSUPCOM shall work with NAVMEDLOGCOM in the standardization of
procurement and distribution of MTF-required equipment. BUMED will provide MTF
equipment requirements and program funding to ensure compliance with tier requirements.
NAVMEDLOGCOM will provide detailed, itemized quarterly reports to BUMED-M3/5
regarding procurement status.
8. Basis of Allocation. The following information contains equipment designated for use
by MTFs/personnel in the event of a CBRNE incident. All MTF personnel should note that
procurement for items used in CBRNE and emergency response must be approved by
BUMED-M3/5.
a. Personal Protective Equipment (PPE)
Level C Suits (OSHA)/Class 3 NFPA Suits. All CBRN protective ensembles fielded for
use will be in compliance with OSHA Level C/NFPA 1994 (2007) Class 3 CBRN Protective
Ensemble standards. Annual review of standards and CBRN protective ensemble selection will be
performed and any required updates or modifications will be disseminated to MTFs accordingly by
BUMED.
OSHA Level C Ensemble Components OSHA Level C Guidelines for Use
▪ Full-face or half-mask, air-purifying respirators
(NIOSH approved)
▪ Hooded chemical-resistant clothing (overalls; two-piece
chemical-splash suit; disposable chemical-resistant
overalls)*
▪ Coveralls*
▪ Gloves, outer, chemical-resistant.
▪ Gloves, inner, chemical-resistant.
▪ Boots (outer), chemical-resistant steel toe and shank*
▪ Boot-covers, outer, chemical-resistant (disposable)*
▪ Hard hat*
▪ Escape mask*
▪ Face shield*
*Optional, as applicable.
1. The atmospheric contaminants, liquid
splashes, or other direct contact will not
adversely affect or be absorbed through any
exposed skin;
2. The types of air contaminants have been
identified, concentrations measured, and an
air-purifying respirator is available that can
remove the contaminants, and;
3. All criteria for the use of air-purifying
respirators are met.
18 Enclosure (1)