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

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Waiver Request in case of Naval Branch Health Clinic, Naval Air Station Jacksonville BUMEDINST 3440.10 CH-2 25 Apr 2012 Element 1. Naval Branch Health Clinic (NBHC), Naval Air Station Jacksonville, FL, UIC 34566 Element 2. Request a waiver for the total size of medical response teams as specified in standard 3, pages 6 and 7, Tables 1 and 2, of enclosure (1), BUMED Navy Medicine FHP EMP Manual, BUMEDINST 3440.10. Element 3. NBHC Jacksonville NAS is a Tier 3 MTF per Table 2 of the subject instruction and requires a minimum of33 personnel to fully staff the six medical response teams required in accordance with Table 1 of the instruction. Due to continuing individual augmentee deployments and an ongoing shortfall in hospital corpsmen manning at the E-5 and E-6 levels, the average daily staffing at the facility for the previous six months has been 28 full-time personnel, or just under 80 percent of our full allowance. The ongoing shortfall in staffing precludes fielding a minimum of33 personnel across the six medical response teams. Element 4. Due to the temporary reduction in manning at the clinic, medical response team personnel have been shifted to fully staff the decontamination, zone management, detection and patient administration teams, and the transport and triage/treatment teams have been partially staffed. Element 5. All medical response teams are considered fully mission capable and there is no impact on mission, or any problems that will interfere with safety or operating requirements if the waiver is not approved. Element 6. Once the clinic is able to return to full staffing, the waiver can be eliminated. There are no additional resources or funding required, beyond the already approved manning levels for the clinic. Element 7. As an interim measure, the clinic is working to identify personnel from other tenant commands that can be assigned to the medical response teams as a collateral duty. We are working to scrub an initial list of candidates and estimate it will take an additional 30 days to fully vet the list, select, and train candidates. However, this augmentation is still considered an interim solution and a waiver will be required until the clinic's full-time staffing is restored to the 90 percent or greater level. Element 8. Point of Contact: LCDR John Jones, DSN 123-4567, Commercial (904) 123-4567. 45 Enclosure (1)
From: To: Via: SAMPLE LONG-TERM EXCEPTION REQUEST BUMEDINST 3440.10 CH-2 25 Apr 2012 3440 Serial Date Officer in Charge, Naval Branch Health Clinic, Naval Air Station Jacksonville, FL Chief, Bureau of Medicine and Surgery (M3) (1) Commanding Officer, Naval Hospital Jacksonville, FL (2) Commander, Navy Medicine East Subj: REQUEST FOR LONG-TERM EXCEPTION TO NAVY MEDICINE FORCE HEALTH PROTECTION EMERGENCY MANAGEMENT PROGRAM Ref: (a) BUMEDINST 3440.10 Encl: (1) Long-Term Exception Request in case of Naval Branch Health Clinic, Naval Air Station Jacksonville 1. In accordance with reference (a), enclosure (1) is submitted for consideration. J. A. SAILOR 46 Enclosure (1)
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DEPARTMENT OF THE NAVY BUREAU OF ME
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3440.10 with Changes - Navy Medicine - U.S. Navy

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