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MOSTLY ONE WAY TRAFFIC FLOW.

(4)   (U)   WE SHOULD NOT HAVE TO WORRY ABOUT REMOVING OR REPLACING
SUPPLIES IN NESTING BOXES.  INSTEAD, WE SHOULD HAVE PRE-MADE SUPPLY
BOXES WHERE ALL THAT'S NEEDED TO BE DONE IS REMOVE THE FRONT PANEL,
AND LOCATE IT IN AN APPROPRIATE SPACE ON THE NURSING UNIT.  THIS
WOULD GIVE EACH UNIT MORE SPACE SINCE WE WOULD NO LONGER HAVE TO WORK
WITH THE BULK OF THE NESTING BOXES, PLUS IT WOULD CUT DOWN 18-24 HOURS
OF STOCKING, STORING, AND INVENTORYING OUR SUPPLIES.

(5)   (U)   MENTAL HEALTH SPECIFICALLY HAD TO LOCATE ABANDONED TENT
SECTIONS AT OUR TENT CITY TO CREATE TREATMENT SPACE.  NO FURNITURE,
CHAIRS OR DESKS WERE AVAILABLE IN OUR PACKAGE.

(6)   (U)   NO PATIENT CARE SUPPLIES WERE AVAILABLE EXCEPT THROUGH
OTHER ATH SECTIONS (MEDICAL WARD, SURGICAL WARD) TO PROVIDE BAREST
NECESSITIES TO PSYCHOLOGICAL CASUALTIES (TOILETRIES, PAJAMAS, BEDS OR
COTS, SHEETS, BLANKETS OR TOWELS); NOR ADMINISTRATIVE SUPPLIES; I.E.,



PAGE 06 RHIEFBA0358
SUFFICIENT SUPPLIES OF PENS AND SF 600'S.

(7)   (U)   THE OPERATING ROOM IS FUNCTIONAL.  ONLY RECENTLY DID WE
FINALLY SOLVE THE PROBLEM OF PNEUMATIC POWER FOR THE ANESTHESIA
VENTILATOR WITH THE ACQUISITION OF "LOX BOXES."  THIS IS HOWEVER IN
ITSELF A PROBLEM SINCE THE LIQUID OXYGEN BLEEDS DOWN VERY FREQUENTLY.
IF THIS WAS A MORE REMOTE LOCATION WITH LIMITED SUPPLY CAPABILITY,
THESE TOO WOULD BE INOPERABLE; A MORE VIABLE SOLUTION WOULD BE TO
PROCURE ELECTRONIC POWERED VENTILATORS.  IN ADDITION, MONITORING
CAPABILITIES ARE VERY HAMPERED, THERE ARE NOW AVAILABLE VERY PORTABLE
MONITORS WHICH INCLUDE CAPABILITIES SUCH AS 2-CHANNEL PRESSURE
RECORDERS WITH TRENDING, AS WELL AS, OXIMETRY, EKG AND CAPORGRAPHY IN
VERY COMPACT MODULES WHICH ARE READILY TRANSPORTABLE.

(8)   (U)   THERE IS A PAUCITY OF SUCTION AND OXYGEN SUPPLY EQUIPMENT
THROUGHOUT THE ATH E.G. ER, WARDS.

(9)   (U)   ARTERIAL BLOOD GAS LABORATORY CAPABILITY SHOULD BE A
REQUIREMENT TO ENHANCE OUR ABILITY TO CARE FOR CASUALTIES, EVEN IN
BT
#0358

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