354 TFW COMMANDERS SITREP

File: aabia_10.txt
Page: 10
Total Pages: 18
    (5) (U) Ice machines, hot/cold water coolers and microwaves have
    been invaluable.
    
    (6) (U) There are serious mismatches between the TA and actual
    patient requirements. This problem is being addressed separately.
    Operational efficiency could be improved by co-locating the pharmacy
    with medical logistics. Secure controlled drug storage capabilities
    are inadequate in the pharmacy and non-existent in medical logistics.
    Access to the supply tent should be restricted. The Command Section
    and Admin Services should be physically closer together because of
    difficulty monitoring the telephones when the command section is
    unoccupied.
    
    (7) (U) Lack of ability for ATH physicians to talk/discuss cases
    with specialists in theatre has fragmented patient care and caused
    increased numbers of urgent and routine medivac fliqhts.
    
    (8) (U) Because of the number of bacteriological sampling being
    performed supplies may not be enough for 30 days. We will also be
    performing more periodic inspections of WRM in order to discard all
    expired media and or equipment. Luckily the supply system is on the
    ball in getting these items in time. Equipment and personnel are
    adequate to accomplish the mission.
    
    (9) (U) Not equipped for routine dental care according to the
    supplies on the TA.
    
    (10) (U) Needed supplies as well as resupplies are not arriving
    (back ordered). This limits the procedures the dental clinic can
    provide.
    
    (11) (U) No dental network has been established for referrals.
    
    (12) (U) Decon team is conducting training in all areas of
    operation. Members are wearing full chemical ensemble while
    practicing chemical decon. During training we discovered that ground
    crew ensembles with plastic zippers break easily. Hoods on MCU/2P
    masks come off easily.
    
    G. (U) IF I HAD IT TO DO OVER, I WOULD HAVE:
    
    (1) (U) Ensured that copies of all contingency/disaster checklists
    were included in ATH reference material
    
    (2) (U) Ensured that peacetime SRC and Medical Control Center
    staffing is selected from personnel assigned to the ATH. Care should
    also be taken to select and train non-patient care (direct or
    indirect) personnel - recommend 901X, 902X, and 906X0.
    
    (3) (U) Requested more support from Medical Logistics, other
    sections of the hospital, and the Command Section in order to
    maintain the ATH in more current status prior to deployment.
    
    (4) (U) Included enough air conditioners and tentage to support the,
    ATH as it is in it's present configuration.