Corrective Actions

Topics: Physical examination, Medical record, Gramophone record Pages: 6 (1320 words) Published: December 5, 2014
01 Dec 14

From: HM1 (FMF/SW/AW) Jakarta D. Crafton
To: HMC (SS) Richard Tapia

Subj: ORSE REPORT ON CORRECTIVE ACTIONS

Ref: (a) NAVMED P-5055, Radiation Health Protection Manual (b) NAVSEA S9213-33-MMA-000/(V), Radiological Controls For Ships
(c) NAVSEA TW120-AAPRO-10, Nuclear Weapons Radiological Controls Program
(d) NAVMED P-117, Manual of the Medical Department
(e) COMSUBLANT/COMSUBPACINST 6470.5, Submarine Radiation Health Manual
(f) BUMEDNOTE 6470, dtd 16 Jun 2003

1. The following is a listing of all corrective actions noted during recent ORSE from 08 Aug 2014.

2. The below are all the areas audited with the corrective actions listed below:

Discrepancy
Root Cause
Corrective Action
The MDR did not have a process in place to audit records, no way to prove that records were being audited upon completion of Radiation Medical Examinations. MDR did not utilize ref (e) to audit records upon completion of Radiation Medical Examination. MDR will utilize ref (e) upon completion of Radiation Medical Examination to properly audit health records. E5418 – Block 23 did not indicate the level of training for the physician (UMO, RAM, or RHI). MDR did not utilize ref (e) to audit records upon completion of Radiation Medical Examination. MDR will utilize ref (e) upon completion of Radiation Medical Examination to properly audit health records. P1135 – Incomplete information pertaining to the Examining Facility. MDR did not utilize ref (e) to audit records upon completion of Radiation Medical Examination. MDR will utilize ref (e) upon completion of Radiation Medical Examination to properly audit health records. W7909 and H3324 – Missing exposures, corrections made, but were made incorrectly on multiple occasions. MDR did not utilize ref (e) to audit records of NAVMED 6470/10. MDR will utilize ref (e) upon completion of NAVMED 6470/10 to properly correct health records. P1135 – Corrections improperly made on multiple occasions. MDR did not utilize ref (e) to audit records of NAVMED 6470/10. MDR will utilize ref (e) upon completion of NAVMED 6470/10 to properly correct health records. Contrary to Ref (a), article 5-2(1) (C), MDR did not retain last two quarters of exposure information. MDR utilized one disc to save all quarters of exposure information. MDR has multiple discs to retain information of quarterly exposure. Contrary to reference (b) article 216.3.4.1, Electronic Pocket Dosimetry readings were not crossed out upon receipt of final exposure in block 18 of the Exposure Record Cards on multiple occasions. MDR improperly implemented changes to reference (b) article 216.3.4.1 to complete Exposure Record cards. MDR aware of changes and will properly utilized reference (b) article 216.3.4.1 to complete Exposure Record cards. Contrary to reference (b), article 216.3.4.1, the Chemical and Radiological Controls Assistant (CRA) did not initial block 21 of one exposure record card. Due to a previous error, exposure record card was recreated with an oversight by CRA. CRA will complete exposure record cards IAW reference (b), article 216.3.4.1. Contrary to reference (b), article 216.3.4, block 6/7 on one occasion did not have the appropriate month, day; year dosimetry was issued and will expire. Due to a previous error, exposure record card was recreated with an oversight by CRA. CRA will complete exposure record cards IAW reference (b), article 216.3.4.1. Contrary to reference (b), article 216.3.4, dosimetry numbers were not annotated in block 8 on multiple occasions. Due to a previous error, exposure record card was recreated with an oversight by CRA. CRA will complete exposure record cards IAW reference (b), article 216.3.4.1. Contrary to reference (e), article 2.7.c(6) (a), the XO did not on one occasion sign as verifying on the NAVMED 6470/3 when submitting the dosimeters for processing. Due to a previous error, exposure...
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