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(18) (U) Luckily we were able to get in on the planning of where
sinks will be installed. The Bio Lab now has a sink with running
Water which allows us to run more samples efficiently. Recommend
that this be included of all new ATH set up.

F. (U) HOW OPERATING NOW:

(1) (U) For the most part our job is complete. We are on base
power with our generators serving as back-up power. Our complement
of spare parts has proven highly inadequate. So has our small
stockpile of nuts and bolts. We presently have four pieces of
medical equipment broken awaiting spare parts from the states. The
manufactures' parts kits that came with the equipment are simply
useless. They contain 99% parts that do not fail. Our X-Ray unit
spares kit is in the same state. We have never received the second,
larger spares kit for the x-ray unit. Should something major break
on the unit our x-ray function will cease to exist.

(2) (U) Administration was only supplied with 30 days of forms.
Regulations were not in the ATH. We need two lap top computers
instead of two typewriters. Lap top computers would cut down on man
hours generating duty rosters, moral call listings etc..

(3) (U) X-Ray is operating great but at first it thought that the
film had gone bad and would be down until we got a new supply of
film. Everything made it through the heat on the flightline at
Homestead and here in Saudi.

(4) (U) Inexperience of personnel is a concern which we are
addressing through training to the greatest extent possible.

(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 colocating 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 flights.

(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

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