354TFW/23TFW SITREP

File: aaasg_21.txt
Page: 21
Total Pages: 27
                                     PRIORITY



PAASZYUW RHIEFBA0362 3421239	-RHIUFAA.
ZNY
P 080830Z DEC 90
FM 354TFW//CC/23TFW/CC//
TO USCENTAF FORWARD//DO/LG/DE/SG//
BT
			SECTION 8 OF 10
COMMANDER FOR RESOURCE MANAGEMENT AND PERSCO REPRESENTATIVES MET US
AND WE WERE EFFICIENTLY TRANSPORTED TO TENT CITY TO OBTAIN BILLETING.
TEMPER TENT BILLETS HAD NOT BEEN PROPERLY ERECTED AND TOO FEW
SUPPLIES FOR PROPER ERECTION WERE IMMEDIATELY AVAILABLE TO COMPLETE
THE JOB SELF-HELP.

F.   (U)   SET UP BEGAN THE EVENING OF 7 SEP 90 AND WE WERE OPEN FOR
BUSINESS ON 12 SEP 90.  ONE NIGHT WAS ESSENTIALLY LOST WHEN
ENVIRONMENTAL CONDITIONS FORCED TENT ERECTION TO STOP.  ALL THE WORK
WAS DONE AT NIGHT DUE TO THE INTENSE DAYTIME HEAT.  TOTAL SET-UP TIME
WAS FOUR NIGHTS.  WE WOULD HAVE BENEFITED FROM AN ADVON TEAM.  PEOPLE
EXPERIENCED IN  SITE SELECTION AND EXPERTISE IN ATH ERECTION COULD
HAVE POSSIBLY RESULTED IN A BETTER ATH SITE WITHOUT EXPENDITURE OF
EXCESSIVE EVALUATION TIME.



PAGE 02 RHIEFBA0362
G.   (U)   OPERATIONS - THE ATH IS UP AND RUNNING.  WE ARE BASICALLY
PRACTICING MEDICINE IN A PEACETIME MODE AT THIS TIME.  OUTPATIENT
VISITS AVERAGED 44.7 AND THE AVERAGE DAILY PATIENT LOAD WAS 2.7
DURING SEPTEMBER AND OCTOBER 90.

(1)   (U)   THE LOW PRODUCTIVITY COMPARED TO UNIT MANNING NATURALLY
LEAVES PLENTY OF FREE TIME.  WE USE THE EXTRA TIME TO TRAIN, EXERCISE
AND MAKE IMPROVEMENTS TO THE ATH.  WE HAVE CONVERTED TO COMMERCIAL
POWER (WITH GENERATOR BACK-UP); ADDED RUNNING WATER; COMPLETELY
FURNISHED THE ATH WITH CE BUILT DESKS, SHELVES AND WORKSTATIONS; LAID
ASPHALT TO AID IN DUST CONTROL AND PATIENT CARE/MOVEMENT; ERECTED A
RECREATION TENT; AND CONSTRUCTED PATIENT LATRINES AND SHOWERS.

(2)   (U)   OPERATION OF THE SUPPLY ACCOUNT IN THIS DEPLOYED AOR HAS
BEEN LIKE STARTING FROM SCRATCH.  THERE WAS NO VAULT OR SECURED BOX
TO STORE THE CONTROLLED MEDICAL ITEMS.  THERE WERE NO SHELVES TO
STOCK SUPPLIES TO AID STORING AND RETRIEVAL.  NO FORMAL GUIDANCE ON
HOW TO OPERATE AN ATH FIELD MEDICAL SUPPLY ACCOUNT WAS AVAILABLE.
MANY AIR FORCE PURCHASED MEDICAL SUPPLIES DID NOT FIT THE INTENDED



PAGE 03 RHIEFBA0362