Navy corpsman training manual

Navy corpsman training manual DEFAULT
Summary

This Rate Training Manual and Nonresident Career Course (RTM/NRCC) form a self-study package that will enable Hospital Corps personnel to help themselves fulfill the requirements of their rating. Among these requirements are the abilities to perform duties as assistants in the prevention, recognition, and treatment of disease and injuries, and in the administration of medical departments ashore, afloat, and in the field with the Marine Corps; perform first aid; assist in the transportation of the sick and injured; assist with physical examinations; give nursing care to patients, including the administration of medicines and parenteral solutions; collect laboratory specimens and perform simple laboratory procedures; instruct in personal hygiene, first aid, and self-aid; assist in the preparation and maintenance of medical records; assist in the maintenance of approved sanitary standards; and assist in the prevention and treatment of chemical, biological, and radiological casualties. Designed for individual study and not formal classroom instruction, the RTM provides subject matter that relates directly to the occupational qualifications of the Hospital Corpsman rating. The NRCC provides the usual way of satisfying the requirements for completing the RTM. The set of assignments in the NRCC includes learning objectives and supporting items designed to lead students through the RTM. The book covers the material needed by hospital corpsmen to pass the rating in 12 units. A list of commonly used abbreviations and a glossary are contained in the appendix. (KC)

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Hospital Corpsman - NAVY BMR

1 NONRESIDENT. TRAINING. COURSE. HospitalCorpsman NAVEDTRA B. S/N LP NOTICE: NETPDTC is no longer responsible for the content accuracy of the NRTCs. For content issues, contact the servicing Center of Excellence: Navy Medicine Manpower, Personnel, Training and Education Command (NAVMED MPT . () , DSN: or COPYRIGHT STATEMENT FOR RECORD PURPOSES: This publication contains approved copyrighted material ( ). In accordance, this manual is only available for distribution through Department of Defense (DoD) restricted websites (Navy Knowledge Online (NKO), Navy Advancement Center) and Naval Supply Systems Command, Naval Logistics Library (NLL) (Hard Copy only). PREFACE. About this course: This is a self-study course. By studying this course, you can improve your professional/military knowledge, as well as prepare for the Navywide advancement-in-rate examination. It contains subject matter about day-to-day occupational knowledge and skill requirements and includes text, tables, and illustrations to help you understand the information.)

2 An additional important feature of this course is its references to useful information to be found in other publications. The well- prepared Sailor will take the time to look up the additional information. History of the course: Aug 20 0 0 : Original edition released. Apr Administrative update released. Technical content was not reviewed or revised. Jan Technical content was reviewed and revised. NAVEDTRA A COPYRIGHT MATERIAL. Copyright material has been identified, approved and is listed below within this document. Copyright Owner Date Chapter Pages Remarks American Society of Radiologic Technologist 2-DEC 17 Text Baxter Healthcare Corporation Hunt, , Hunt, M., & Tormo, OCT 18 , Text (Eds.) (). Training Manual for Intravenous th Admixture Personnel (5 ed.). Becton Dickinson Beach, Bambi. Becton 8-DEC 19 Text & Figures Dickinson Package Insert, 10% Potassium Hydroxide Best Publishing Edmonds, C.

3 (). OCT 22 , , , Figures Dangerous Marine Creatures. E-Medicine Kedlaya, D. & Kuant, T. DEC 12 , , , Text & Figures (). Assistive Devices to Improve Independence Elsevier Alexander&#;s Care of the NOV 9 , , Text th Patient in Surgery 13 ed. (text; direct or paraphrased?). Bailey & Scott, Diagnostic SEP 19 , , , Text & Figures th Microbiology, 12 ed. Biosecurity and Bioterrorism NOV 23 Text Merrill&#;s Atlas of Radiographic 5-JAN 17 , , Text Positioning and Procedures, th 11 ed. Vol. 1. Merrill&#;s Atlas of Radiographic 5-JAN 17 Text Positioning and Procedures, th 11 ed. Vol. 2. Pre- Hospital Trauma Life 7-DEC 21 , , , , , , Text, Figures, Tables th Support, Military Ed., 6 ed. 25, , , Thibedeau, & Patton, OCT 6 , , , , , , , , , Text, Figures, Tables ().

4 Anatomy and , , , , , , , th Physiology (6 ed.) , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Torres & Ehrlich: Modern 1-DEC 8, 10, 16 , , , , , , , Text & Figures th Dental Assisting 9 ed. F. A. Davis Hamening, (). Clinical Hematology 9-DEC- 19 , , , , Figures th and Fundamentals of Homeostasis (4 ed.) 16, Strausinger & DiLorenzo, Urinalysis and Bodily 9-DEC- 19 , , , , Figures Fluids 25, , th (4 ed.). Goldman, , accessed 02 OCT 2-OCT- 24 Figure Lippincott Williams & Wilkins Ansel, ().

5 Pharmaceutical NOV- 18 , , , , Text & Figures th Calculations, (13 ed.) , nd Color Atlas of Common Oral Diseases (2 ed.) DEC- 8 , , , Figures Drug Facts & Comparisons, (). 4-DEC- 18 Text th McCall & Tankersly, Phlebotomy Essentials (4 DEC- 19 , , , Text & Figures ed.) Redford, Orthotics Etcetera, 9-DEC- 12 , , , , Text nd (2 ed.) McGraw-Hill (). Current Medical Diagnosis and 2-DEC- 23 , , , , Text Treatment (44th ed.). Lange Medical 21, , , Books/McGraw Hill, New York Nursing School Entrance Exam Book OCT- 6 Text North East Regional Board of Dental Examiners, INC. 2-OCT- 24 , Figures Quintessence Terezhalmy, G. T., & Batizy, L. G. (Editors) DEC- 24 Text (). Urgent Care in the Dental Office: An Essential Handbook.

6 Seimens Siemens Healthcare Diagnostics Inc. JAN- 19 Figure & Text University of Illinois, McKinley Health Center University of Illinois. (). Using crutches. DEC- 12 Text Retrieved on August 21, Alexander , J. D. (). Walker. National DEC- 12 Text public website on assistive technology. FOREWORD AND ACKNOWLEDGEMENTS. In this edition of the HospitalCorpsman NAVEDTRA B, also referred to as, Rate Training Manual (RTM) and/or Non-Resident Training Course (NRTC), the subject matter has been revised, expanded, and brought up-to-date with the diverse medical aspects discussed in various chapters and sections. The HospitalCorpsman NAVEDTRA B is intended to serve as a general guide and reference manual for the Hospital Corpsmen of the U. S. Navy, especially those performing duty independent of Medical Department Officers. It contains information and instructions concerning the generalized duties based upon the most current occupational standards for the Hospital Corps of the Navy.

7Hospital Corpsmen, particularly those in senior ranks, are urged to make frequent references to other Navy publications for additional information and instructions not contained within. The principle subjects have been arranged in an organized manner ranging from the Heritage of the Hospital Corps to Decedent Affairs. As these subjects are presented in condensed form, readers should realize that the information contained in it must be supplemented by reference to the standard textbooks and professional journals usually available in the medical libraries of medical treatment facilities, ships, and various other stations. The Bureau of Medicine and Surgery, Navy Medicine Support Command, and Navy Medicine, Manpower, Personnel, Training and Education Command herewith expresses gratitude and appreciation to the following members of the Medical Department, Navy for the time and effort spent in preparing, reviewing, and revising the material for this manual: Bureau of Medicine and Surgery Force Master Chief and Director of the Hospital Corps, Bureau of Medicine and Surgery Force Master Chief&#;s Senior Enlisted Board of Advisors, Bureau of Medicine and Surgery Historian, Specialty Leaders, Enlisted Technical Leaders, Subject Matter Experts, and Academics and Governance Directorate (Navy Medicine Manpower, Personnel, Training and Education Command) are acknowledged.

8 SCOPE OF RATING: HospitalCorpsman (HM). Assist health care providers in delivering medical care to armed service personnel and their families. Supervises personnel in the performance of clinical or ward duties; maintains health records;. instructs medical and non-medical personnel in general and emergency medical care and in self-administration of medications. Administers first aid; assists with physical examinations and makes basic clinical assessments; assists in the transportation of the sick and injured; maintains mechanical equipment; and conducts health education training programs. They also perform medical administrative and clerical functions. Additionally, completion of Dental Assistant training allows HospitalCorpsman to perform diverse duties in the prevention and treatment of oral disease, injury and assist dental care professionals in providing quality dental care. HospitalCorpsman also serve with the Marine Corps rendering emergency and stabilization care in various combat environments while also providing administrative and technical assistance to support the mission and functions of operational units.

9 Sailor&#;s Creed I am a United States Sailor. I will support and defend the Constitution of the United States of America and I will obey the orders of those appointed over me. I represent the fighting spirit of the Navy and those who have gone before me to defend freedom and democracy around the world. I proudly serve my country&#;s Navy combat team with honor, courage and commitment. I am committed to excellence and the fair treatment of all.. TABLE OF CONTENTS. CHAPTER PAGE. 1 Heritage of the Hospital Corps .. 2 Expeditionary Healthcare Administration .. 3 Healthcare Administration 4 Medical Records .. 5 Medical Logistics .. 6 Human Anatomy and Physiology .. 7 Oral Anatomy .. 8 Oral Pathology .. 9 Preventive Medicine and Infection Control .. 10 Disinfection and Sterilization .. 11 Fundamentals of Patient Care .. 12 Inpatient Medical 13 Nutrition and Diet Therapy ..

10 14 Physical Examinations .. 15 Dental Examinations .. 16 Operative Dentistry .. 17 Radiology .. 18 Pharmacy .. 19 Clinical Laboratory .. 20 Emergency Rescue: Supplies, Equipment, and Procedures .. 21 Emergency Medical Care Procedures .. 22 Poisoning and Drug Abuse .. 23 Medical Aspects of Chemical, Biological, and Radiological Warfare .. 24 Emergency Treatment for Oral Diseases and Injuries .. 25 Decedent Affairs .. APPENDIX. I Glossary .. AI II Commonly Used Abbreviations .. AII III Prefixes and Suffixes Used in Medical Terminology .. AIII IV Trademarks .. AIV V References .. AV INDEX. Index .. Index-I.

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Chapter 1 Anatomy and Physiology
THE CELL - _12
EPITHELIAL TISSUE
Cuboidal Epithelial Tissue
MUSCULAR TISSUE
NERVE TISSUE
BONE CLASSIFICATIONS
Figure Lateral view of the skull
VERTEBRAL (SPINAL)  COLUMN
Figure Vertebral column: A. Left lateral view of vertebral column; B. Posterior view of vertebral column.
Figure Cervical vertebrae
Appendicular Skeleton
LOWER EXTREMITY
Symphysis Pubis
JOINT CLASSIFICATIONS
TYPES OF JOINT MOVEMENTS
Other Types of Movement
MUSCLE CONTRACTION
MUSCLE TISSUES
Biceps Brachii
Latissimus Dorsi
THE INTEGUMENTARY SYSTEM
BLOOD  VESSELS
THE CIRCULATORY SYSTEM
Blood Coagulation
Heart Functions
Cardiac Cycle
BLOOD VESSELS
Venous System
THREE PRINCIPAL VENOUS SYSTEMS
PATHWAYS OF THE LYMPHATIC SYSTEM
THE RESPIRATORY SYSTEM
ANATOMY OF THE RESPIRATORY SYSTEM
Pharynx
Intercostal Muscles
The Process of Respiration
Impulse Transmission
CEREBROSPINAL  FLUID
Peripheral Nervous System
Autonomic Nervous System
The Endocrine System
Pituitary Gland
Adrenal Cortex
Gonads (Testes and Ovaries)
The Sensory System
Vision Process
Hearing
TOUCH
THE DIGESTIVE SYSTEM
Table Principal Digestive Juices
Abdominal Cavity
Large Intestine
THE URINARY SYSTEM
Principal parts of the kidney
Figure The secretion process
URINARY BLADDER
Micturition (Urination)
INTERNAL ACCESSORY ORGANS - _68
FEMALE REPRODUCTIVE SYSTEM
Female Sex Hormones
INTERNAL ACCESSORY ORGANS - _71
Mammary Glands
FEMALE REPRODUCTIVE CYCLE
Chapter 2 Fundamentals of Patient Care
PATIENTS RIGHTS
PROFESSIONAL PRACTICE
PROFESSIONAL ETHICS
INTERPERSONAL  RELATIONS
RELIGION
COMMUNICATION SKILLS
PATIENT CONTACT POINT
THERAPEUTIC COMMUNICATION
Basic Guidelines for Written Entries
THE MEDICAL PATIENT
Self-Questioning Techniques for Patient Assessment and Reporting
Self-Questioning Techniques for Patient Assessment and ReportingContinued
Food and Fluid Therapy
THE SURGICAL PATIENT
ADMINISTRATIVE PREPARATION
General Anesthesia - _91
Recovery Stage
Postoperative Phase
Immobilization
SHORT  LEG  CAST
Cast Removal
THE TERMINALLY ILL PATIENT
PATIENT SAFETY
HYPOTHERMIA  BLANKETS
Fire and Explosion Precautions
GENERAL SAFETY
ENVIRONMENTAL HYGIENE
PATHOGENIC ORGANISM CONTROL
Isolation Technique
Basic Guidelines
Preparation of Supplies for Autoclaving
Rubber Latex Materials
Surgical Hand Scrub
Gowning and Gloving
Figure Gloving
MANAGEMENT OF INFECTIOUS WASTE
INFECTIOUS WASTE
SUMMARY - _
Chapter 3 First Aid Equipment, Supplies, Rescue, and Transportation
Table Essential Equipment for Ambulance ETM-Basic Level
DEFINITION OF A BANDAGE
ROLLER BANDAGE FOR ELBOW
Figure Roller bandage for the hand and wrist.
Triangular Bandage
Figure Triangular bandage for the head.
Figure Triangular bandage for the shoulder.
Figure Triangular bandage for the chest.
Figure Triangular bandage for the side of the chest.
Figure Cravat bandage for the eye.
RESCUE AND TRANSPORTATION
PROTECTIVE  EQUIPMENT
RESCUE PROCEDURES
Stages of Extrication - _
RESCUE FROM ELECTRICAL CONTACT
MOVING THE VICTIM TO SAFETY
Stretchers
Spineboards
Figure Improvised stretcher using blankets and poles
Rescue Drag and Carry Techniques
Figure Firemans carry
TWO-RESCUER   TECHNIQUES
TRANSPORTATION OF THE INJURED
Preparing the Patient for Transport
Care at the Medical Treatment Facility
Chapter 4 Emergency Medical Care Procedures
TRIAGE - _
PATIENT ASSESSMENT IN THE FIELD
PRIMARY SURVEY
Objective Examination
HEAD-TO-TOE SURVEY
Table Listing of Pupil Characteristics and the Possible Cause of Abnormailty
Step Listen for sounds of equal air entry
VITAL SIGNS
Pulse  character
BASIC LIFE SUPPORT
Complete Airway Obstruction
Figure The four steps to reposition the victims of spinal injuries
Foreign-Body Airway Obstruction Management
Figure Finger sweep
BREATHING - _
MOUTH-TO-STOMA
CIRCULATION - _
CHEST COMPRESSIONS
Two-Rescuer CPR
SYMPTOMS OF SHOCK
Shock Control and Prevention
HYPOVOLEMIC SHOCK
CARDIOGENIC SHOCK
PNEUMATIC COUNTER-PRESSURE DEVICES
Nasopharyngeal Airway
POCKET FACE MASK
SUCTION DEVICES
SOFT TISSUE INJURIES - _
MANAGEMENT OF OPEN SOFT-TISSUE INJURIES
Control of Hemorrhage
Figure Pressure points
Tourniquets
MANAGEMENT OF INTERNAL SOFT-TISSUE INJURIES
Immediate Treatment
SPECIAL WOUNDS AND THEIR TREATMENT
NEVER GIVE ANY MEDICATIONS
Facial Wounds
Figure Applying compresses to a protruding abdominal wound.
Removing Foreign Objects
Animal Bites
Suture Materials
Preparation of Casualty
General Principles of Wound Suturing - _
ORTHOPEDIC INJURIES
General Guidelines
Forearm Fracture
Thigh Fracture
Kneecap Fracture
Rib Fracture
Skull Fracture
Spinal Fractures
Pelvic Fracture
MANAGEMENT OF JOINT AND MUSCLE INJURIES
DISLOCATION OF THE FINGER
ENVIRONMENTAL INJURIES
Classification of Severity
SUNBURN - _
WHITE PHOSPHORUS BURNS
HEAT EXPOSURE INJURIES
Heat Stroke
COLD EXPOSURE INJURIES
Local Cooling - _
Superficial  Frostbite
Later Management of Cold Injuries
COMMON MEDICAL EMERGENCIES
CEREBROVASCULAR ACCIDENT
Acute Myocardial Infarction
CONVULSIONS - _
DERMATOLOGIC EMERGENCIES
COMPLICATIONS IN CHILDBIRTH
Chapter 5 Poisoning, Drug Abuse, and Hazardous Material Exposure
THE DIAGNOSIS OF POISONING
GENERAL TREATMENT
Noncorrosives
Petroleum Distillates or Hydrocarbons
Food Poisoning
INHALATION POISONS
ABSORBED POISONS
Scorpion Stings
Spider Bites
Snakebites
Figure Corals, cobras, kraits, and mambas.
TREATMENT OF SNAKEBITES
JELLYFISH  INJURIES
DRUG ABUSE
NARCOTIC INTOXICATION
Table Classification of Abused Drugs
Table Classification of Abused DrugsContinued
BARBITURATE INTOXICATION
HALLUCINOGEN INTOXICATION
HANDLING DRUG-INTOXICATED PERSONS
HAZARDOUS MATERIAL EXPOSURE
Protection Levels
Site Control
Rescue from Exclusion Zone (Hot Zone)
Diagnosis, Treatment, and Transport
Chapter 6 Pharmacy and Toxicology
MINIMUM LETHAL DOSE
Methods of Administering Drugs
DRUG CLASSIFICATIONS
CEPHALOSPORINS
ANTIPARASITICS
OPIUM AND OPIUM ALKALOIDS
Local anesthetics
Anthrax Vaccine
TOXICOLOGY - _
The Apothecary System
Table Measuring Equivalents
PERCENTAGE CALCULATIONS
ALTERNATE METHODS FOR SOLVING PERCENTAGE PROBLEMS
Application of Proportion
PHARMACEUTICAL PREPARATIONS
PHARMACEUTICAL INSTRUMENTS
Incompatibilities - _
MANIFESTATIONS OF INCOMPATIBI ITY
PRESCRIPTIONS
Figure DOD Prescription form
AUTHORIZED PRESCRIBERS
FILLING PRESCRIPTIONS
FILING PRESCRIPTIONS
CONTROLLED SUBSTANCE SCHEDULES
SURVEY OF CONTROLLED SUBSTANCES
Chapter 7 Clinical Laboratory - _
Use of Laboratory Request Forms
BLOOD COLLECTION
Figure SF, Laboratory Report Display.
Finger Puncture Procedure
Figure Venipuncture.
THE MICROSCOPE
MAGNIFICATION SYSTEM
Coarse Control Knob
COMPLETE BLOOD COUNT
Materials Required for Unopette Procedure
Figure Preparing reservoir to receive blood from the capillary tube
Figure Loading the counting chamber.
HEMOGLOBIN DETERMINATION
Figure Hemacytometer counting chamber.
TOTAL WHITE BLOOD CELL COUNT
Abnormal White Cell Counts
Unopette Procedure
DIFFERENTIAL WHITE BLOOD CELL COUNT
Figure Development of blood cells.
Materials Required for the Differential Count Procedure
STAINING THE CELLS
COUNTING THE CELLS
REPORTING THE COUNT
BACTERIOLOGY
NUTRITION  REQUIREMENTS
BACTERIOLOGIC METHODS
PROCEDURE FOR MAKING SMEARS
SEROLOGY - _
Preliminary Preparations for RPR Test
Controls for Monosticon DRI-DOT Slide Test
Monosticon DRI-DOT Slide Test Procedure
URINALYSIS - _
PRESERVATION OF URINE SPECIMENS
Microscopic Examination of Urine Sediment
SUMMARY - _
Chapter 8 Medical Aspects of Chemical, Biological, and Radiological Warfare
Table Summary of CBR Agents, Effects, and Treatment
Figure M skin decontamination kit.
DECONTAMINATION - _
Decontamination Station Organization
Figure Buttocks injection site.
Blister Agents (Vesicants)
Choking or Lung Agents
Riot-Control/Harassment Agents
BIOLOGICAL WARFARE
Group Protection
Protection of Food and Water
EXPOSURE FACTORS
EFFECTS ON PERSONNEL
PROTECTION AND TREATMENT
Treatment of Nuclear Casualties
Cleaning
CLOTHING
FOOD CLASSIFICATION
CARBOHYDRATES
VITAMINS
Table Mineral Elements in Nutrition
VITAMIN AND MINERAL SUPPLEMENTS
GUIDE TO GOOD EATING
DIET THERAPY
HIGH-PROTEIN DIET
LOW-PROTEIN DIET
LOW-SODIUM   DIET
SUMMARY - _
Chapter 10 Emergency Dental Care and Preventive Medicine
Dental Anatomy
DENTAL RECORD
FOOD-SERVICE SANITATION
WATER SUPPLY
SECTION SUMMARY
Chapter 11 Physical Examinations
Periodic Physical Examination
OCCUPATIONAL HEALTH MEDICAL SURVEILLANCE EXAMINATIONS
MEDICAL BOARD EXAMINATIONS AND REPORTS
COMPLETING REQUIRED FORMS
Figure Example of completed front side of SF 88
Figure Example of completed back side of SF
Figure Example of front side of SF 93
Figure Example of back side of SF 93
PHYSICAL EXAM TESTING PROCEDURES AND EQUIPMENT
Armed Forces Vision Tester
ELECTROCARDIOGRAM
Chapter 12 Health Records
SECONDARY MEDICAL RECORDS
CROSS-SERVICING HEALTH RECORDS
SECURITY AND SAFEKEEPING OF MEDICAL RECORDS
FILING HEALTH RECORDS
OPENING HEALTH RECORDS FOR ACTIVE DUTY OFFICERS
OPENING HEALTH RECORDS FOR RESERVISTS
Sample of completed outside front cover and inside back cover of a health record jacket
HEALTH RECORD FORMS
Table Sequential List of Health Record Forms
SUMMARY OF CARE (NAVMED /20)
Figure Summary of Care, NAVMED /20
CHRONOLOGICAL RECORD OF MEDICAL CARE
Figure Chronological Record of Medical Care, SF A. Front view.
Figure Chronological Record of Medical Care, SF B. Back view.
IMMINENT HOSPITALIZATION
IMMUNIZATION RECORD (SF )
Figure Immunization Record, SF  A. Front view.
Figure Immunization Record, SF  B. Back view.
INTERNATIONAL CERTIFICATES OF VACCINATION
Figure Abstract of Service and Medical History, NAVMED /4
ADJUNCT HEALTH RECORD FORMS AND REPORTS
Patient Information
VERIFYING HEALTH RECORDS
DESERTION
Chapter 13 Supply
TYPES OF APPROPRIATIONS
Continuing Appropriations
FEDERAL SUPPLY CATALOG SYSTEM
NATIONAL STOCK NUMBERS
PROCUREMENT - _
LEVELS OF SUPPLY
Figure Levels of supply
BUMED-CONTROLLED ITEMS
MILSTRIP requisition document:  NAVSUP Form
Urgency of Need Designator (UND)
MATERIAL RECEIPT, CUSTODY, AND STOWAGE
Custody - _
SPECIAL STOWAGE OF ITEMS
INVENTORY - _
INVENTORY PROCEDURES
STOCK RECORD CARDS
Demand Frequency Brought Forward (DFBF)
POSTING PROCEDURES
BULK CUSTODIAN
ASSEMBLING THE BLOCK
Chapter 14 Administration
MORNING REPORT OF THE SICK
MAINTAINING DIRECTIVES
ELECTRONIC MAIL
Cross-Reference Filing
DISPOSITION OF RECORDS
FLEET HOSPITALS
Security and Safety
Augmentation Sources
JOINT MEDICAL OPERATIONAL PLAN
SUMMARY - _
Chapter 15 Healthcare Administration
Eligibility
NAVY MEDICINES QUALITY ASSURANCE PROGRAM
FAMILY ADVOCACY PROGRAM
PHYSICAL READINESS PROGRAM
Figure NAVMED /1, Competence for Duty Examination request form (front).
Figure NAVMED /1, Competence for Duty Examination request form (back).
LEGAL IMPLICATIONS IN MEDICAL CARE
INCIDENT REPORTS
RELEASE OF MEDICAL INFORMATION
DELIVERY OF A PATIENT UNDER WARRANT OF ARREST
SEXUAL ASSAULT AND RAPE
CHILD AND SPOUSE ABUSE AND NEGLECT
Chapter 16 Decedent Affairs Program
RETURN OF REMAINS PROGRAM
METHOD OF REPORTING CASUALTIES
CONFIRMATION OF THE CASUALTY
IDENTIFICATION PROBLEMS
PROCURING MORTUARY SERVICES
CERTIFICATE OF DEATH (OVERSEAS)
CREMATION - _
Chartered Air Taxi
ESCORTS - _
CIVIL CERTIFICATES OF DEATH
TRANSPORTATION EXPENSES
REIMBURSEMENT PROCEDURES
NATIONAL CEMETERIES
NAVAL PLOTS AND CEMETERIES
Appendix I History of the Hospital Corps United States Navy
SURGEONS STEWARDS AND NURSES
HOSPITAL STEWARDS AND HOSPITAL APPRENTICES
PHARMACISTS MATES IN WORLD WAR I
PHARMACISTS MATES IN WORLD WAR II
A NEW HOSPITAL CORPS
HOSPITAL CORPSMEN IN KOREA
HOSPITAL CORPSMEN TODAY
Appendix II Commonly Used Abbreviations - _
Appendix II Commonly Used Abbreviations - _
Appendix II Commonly Used Abbreviations - _
Appendix III Prefixes and Suffixes Used in Medical Terminology - _
Appendix III Prefixes and Suffixes Used in Medical Terminology - _
Appendix III Prefixes and Suffixes Used in Medical Terminology - _
Appendix III Prefixes and Suffixes Used in Medical Terminology - _
Appendix III Prefixes and Suffixes Used in Medical Terminology - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix IV Common Pharmaceuticals - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix V Glossary - _
Appendix VI Trademark Companies - _
Appendix VI Trademark Companies - _
Appendix VI Trademark Companies - _
Appendix VI Trademark Companies - _
Appendix VI Trademark Companies - _
Appendix VI Trademark Companies - _
References - _
References - _
References - _
References - _
References - _
References - _
Index - _
Index - _
Index - _
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Well, well, I will not hit my face in the dirt any longer - thought Samir and, also switching to English, solidly rejected - No, thank you. Little crib, make some fresh. - the man in plaster spoke Russian, as if violating the idyll of the moment.

Training manual corpsman navy

That such "MLS", Sveta did not know, and when she typed in the search engine, the phrase "a place of deprivation of freedom". That is a prison !. The light was shocked by such desires of her husband, but at the same time she was strongly excited. After giving birth in her, something woke up and sometimes in the blood she fantasized and dreamed of a big and thick member.

These thoughts, Sveta did not even understand how quickly the park ended and she felt ahead of the high pick of the military part.

This is What Combat Corpsmen Do

During the days of pajama parties, I did not have a boyfriend and we were alone as you remember. The more I have nowhere to put you. We have one bed.

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And you will enjoy. I rub your feet. Each toe is brushed. Especially cool little fingers - they have all the tiny little feet on them.



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