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PIECE OF EQUIPMENT THEY WERE BOUGHT FOR.  ESTABLISHING A CREDITABLE
RESUPPLY LINE WITH MEDSOM HAS BEEN DISAPPOINTING.

(3)   (U)   SUFFICIENT AND RELIABLE VEHICLES HAVE BEEN A PROBLEM.  WE
HAVE FIVE AMBULANCES.  THE TWO FIELD AMBULANCES ARE USED FOR PRIMARY
RESPONSE, BUT ARE NOT GOOD HIGHWAY VEHICLES.  THE THREE MODULAR
AMBULANCES ARE BETTER HIGHWAY VEHICLES, BUT DUE TO MAINTENANCE
HISTORY ARE CONSIDERED UNRELIABLE FOR LITTER PATIENT TRANSPORT OFF
BASE TO OTHER BASES FOR AEROMEDICAL EVACUATION.  ONLY THE FIELD
AMBULANCES ARE EQUIPPED WITH RADIOS.  THE PREPOSITIONED MODULAR UNITS
WERE NOT EQUIPPED WITH RADIOS; HOWEVER, WE ARE PURSUING A RADIO BUY.
WE ALSO HAVE FOUR AUTOMOBILES AND A SIX-PAX TRUCK.  TWO AUTOMOBILES
ARE USED PRIMARILY BY THE COMMANDER AND HIS DEPUTY.  THAT LEAVES TWO
AUTOMOBILES AND THE SIX- PAX TO MEET ALL OTHER TRANSPORTATION NEEDS.
THEY HAVE PROVEN TO BE INSUFFICIENT TO MEET OUR NEEDS.

(4)   (U)   PATIENT REFERRAL/CONSULTATIVE NETWORKS WERE NONEXISTENT
UPON OUR ARRIVAL.  THIS WAS VERY FRUSTRATING FOR BOTH THE
PROFESSIONAL AND ADMINISTRATIVE STAFF.  POLICY AND GUIDANCE FOR



PAGE 04 RHIEFB0362
OB/GYN CARE WAS NOT ESTABLISHED IN THE THEATER.  BY TRIAL AND ERROR
PLUS A LOT OF HAND WORK, SPECIALTY SERVICES WERE IDENTIFIED AND USED.
THE RECENT ADDITION OF A 400 BED ARMY EVAC HOSPITAL TO OUR LOCATION
HAS MADE SPECIALTY CONSULTATION MUCH SIMPLER TO ACQUIRE.

(5)   (U)   NURSING SERVICES DISCOVERED A NUMBER OF DEFECTIVE ITEMS
UPON ARRIVAL DUE TO MARSHALED PALLETS SITTING IN THE SUN FOR AN
EXTENDED PERIOD.  TAPE WAS MELTED, IV TUBING BRITTLE, ORAL
THERMOMETERS BROKEN OR SEPARATED, AND DRY ROTTED CANVAS ON PATIENT
BEDS.  INITIAL OPERATIONS WERE HAMPERED, BUT PROBLEMS HAVE BEEN
OVERCOME.

(6)   (U)   FURTHER PLANNING NEEDS TO BE COMPLETED TO CLARIFY THE ROLE
OF MENTAL HEALTH UNDER FIELD CONDITIONS.  ATH DESIGNS DO NOT
INCORPORATE THE SERVICE PROVISION AND SPACE ALLOCATION FOR MENTAL
HEALTH PROVIDERS.  ALSO, THERE IS NO TA FOR MENTAL HEALTH.

H.   (U)   "IF I HAD TO DO IT AGAIN I WOULD HAVE..."



PAGE 05 RHIEFBA0362
(1)   (U)   DENTAL:  BROUGHT ADDITIONAL DENTAL INSTRUMENTS FOR ROUTINE
CARE.

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