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

BUMEDINST 3440.10
20 Nov 2008
2. MTFs shall participate in the exercise planning process with the region, installation, and
civilian community to provide medically relevant exercise play that will contribute to enhanced
EM interoperability, communications, and overall readiness.
3. MTFs shall generate written AARs to capture lessons learned for future use. AARs shall be
maintained for a minimum of 2 years or until the next Joint Commission/Medical Inspector
General visit (whichever is longer). A copy of the AAR shall be forwarded to the respective
NAVMEDREG. The region will then forward the AAR to BUMED-M3/5 which is responsible
for coordination with NOMI.
4. Exercise scenarios should consider the full spectrum of possible hazards and meet requirements
set forth by reference (m) of this section.
5. When an MTF has responded to an actual event of appropriate magnitude, the respective
NAVMEDREG may exempt the MTF from participation in exercises for a period of 6-12
months.
FHP EMP Standard 11: Mitigation and Prevention
1. The Navy Medicine FHP EMP establishes mitigation and prevention standards and tools for
use by MTF commanders in support of both MTF and installation operations.
2. MTFs shall assist in the processes through which mitigation efforts may diminish the effects
of identified natural and man-made hazards. Such assistance will include providing initial site
survey as well as risk assessment assistance following an incident, as well as granting approval
for re-entry and making recommendations for proper and effective respiratory/personnel
protection for first responders/receivers.
3. Where the capability exists, MTFs shall assist in the identification and confirmation of
disease agents, and the prevention and/or mitigation of morbidity and mortality related to any
all-hazards event. MTFs shall maintain a system and process for collecting, analyzing, and
reporting installation population health that is sensitive to significant fluctuations in normal
disease rates, and is coordinated with regional and local civilian public health surveillance
systems. Those epidemiological investigative services will include and interact with clinical,
environmental health, criminal/forensic services, as well as the surveillance of animal health,
potable water and food, and air quality. In addition, MTFs shall maintain the capability to
investigate and establish whether an infectious disease outbreak is occurring, and develop a case
definition for victims of the outbreak.
4. In the event of an actual disease outbreak or CBRNE event, MTFs shall utilize their cache of
CPCs and Medical Emergency Response Pharmaceuticals (MERP) to support designated
Category 1 and 5 personnel as well as the general installation population. Furthermore, MTFs
shall provide dispensing and/or immunizing teams to screen and educate patients, dispense
pharmaceuticals, and provide post-exposure immunizations. In addition, MTFs shall be prepared
24 Enclosure (1)