16 nov 2016 waterfront meeting - united states navymattress rotations allow for inspection and early...

16 NOV 2016 Waterfront Meeting

Speaker Topic Time

MRD-SD HMC Flores Updates 5

Fleet Optometry LT Piamonte Optometry Updates 5

NEPMU-5 LT Brennan Bed Bugs 20

MRD-SD HM1 Huntsman SAFE Suicide Prevention Part 2 60

Total 90

MRD SD Announcements

• HMC Flores - Reminders

– Flu shots

– Green H packages

• HMC Harmon

– STR

VICTORIA PIAMONTE, OD FAAO

LT MSC USN

STAFF OPTOMETRIST

NAVAL MEDICAL CENTER SAN DIEGO

Optometry Department

Branch Clinic Locations

MCAS Miramar NMCSD NTC *MCRD *NBSD (dry side) NASNI * indicates active duty clinic only To schedule an appointment at any branch clinic, call the optometry

appointment desk: 619-532-9830

Naval Station Optometry

Clinic Hours

Monday – Thursday: 0700 – 1130 & 1300 – 1530

Friday: 0700 – 1100

Closed in the afternoon for ADMIN

Clinic number: 619-556-8063

Preparing personnel for upcoming deployment

Notify our clinic at least 3 months in advance

LT Victoria Piamonte: [email protected]

PO3 Seisa: [email protected]

mailto:[email protected]


Update Regarding Walk-In Clinic

As of Tuesday 03 January 2017, walk-in clinic for full comprehensive eye exams will be discontinued.

Ocular emergencies will continue to be seen same day. No appointment required.

Paperwork for physicals, separation or retirement requirements do not need to schedule an appointment and can walk-in.

This only requires Visual Acuity (glasses only), IOP, Color Vision or Depth Perception.

QUESTIONS?

Zika Virus Guidelines

NEPMU – 5 Preventive Medicine and Entomology

(619) 556-7070

Bed Bug Resident Training

What They Are, What to Look For, and How to Keep Them Out

Know Your Enemy: Basics

• Feed exclusively on blood, about once per week

• Nocturnal and secretive

• Can survive up to one year without feeding

• Females lay 1-3 eggs every day, which hatch in about a week

• Don’t transmit disease

Know Your Enemy: Basics Bed bugs ARE NOT a cleanliness or sanitation issue! Bed bugs are expert hitchhikers and avid travelers.

Know Your Enemy: ID

• Small (< ¼” for adults), reddish-brown

• Oval or football-shaped

• Flat

• Wingless

• Can’t jump but can run quickly

• When in large numbers, can give off a sweet, musty odor

Which of these is a bed bug?

Know Your Enemy: Life Cycle

Young bedbugs look like smaller, paler versions of adult bedbugs. They still feed on blood and live in the same places

adults live.

Infestation Signs: Live Insects

Bed bugs like to hide in the seams of mattresses or the

cracks of bed frames.

Infestation Signs: Feces

Feces will look like dark, rusty spots on bedding.

Infestation Signs: Bites

• Bed bug bites generally will look like clusters of itchy red pimples or welts all over the body.

• HOWEVER…not all people react to bites!

Prevention: Laundry

• Frequent laundering of bedding in hot, soapy water will kill eggs and adults.

• Frequent sheet changes and mattress rotations allow for inspection and early detection.

Prevention: Traveling

• Bed bugs are expert hitchhikers and avid travelers. They love to get into suitcases, sea bags, and laundry to hide during the day.

If Your Room Has Them…

• DO NOT apply any pesticides (sprays, foggers, borax, etc.).

• DO NOT move personal items (clothes, luggage, electronics) to another room until clothing is laundered and a thorough inspection of all items has been made.

• DO tell your Facilities Manager right away.

• DO contact medical for bite treatment.

Remember…

• Bed bugs are not an issue of cleanliness or hygiene. Anyone can be affected at any time.

• Bed bugs do not transmit any human diseases and are not spread sexually or by direct contact between people.

• Bed bugs do not live on their host, but in the host’s mattress and surrounding furniture (unlike lice).

• Reporting bed bug issues early makes successful control more likely.

References

• http://www.cdc.gov/parasites/bedbugs/

• https://www.epa.gov/bedbugs

• OPNAVINST 6250.4C

• AFPMB Technical Guide No. 44, “Bed Bugs - Importance, Biology, and Control Strategies”

Questions?

For more information, contact:

LT James Brennan, MSC

NEPMU-5

3235 Albacore Alley

San Diego, CA 92136

[email protected]

(619) 556-7070

SN1777 © 03/2008 LivingWorks Education www.livingworks.net

Welcome to SafeTALK

Your instructor is

HM1Huntsman


Over the last 15 years, roughly four Sailors have completed suicide every month!

This makes suicide the second-leading cause of preventable deaths after

automobile crashes.

While the number of suicides in the Navy is well below the national average, the

loss of even one shipmate or friend to suicide is a painful, unnecessary, and

preventable loss.


Navy Active Duty Suicide Statistics


a suicide-safer community


1.1 safeTALK is for everyone

• identify persons with thoughts of

suicide

• connect persons with thoughts of

suicide to suicide first aid resources

This suicide alertness training program can help

you:

suicide alertness for everyone


work well live well be well

1.2 Suicide alertness and [Organization/Sponsor]

We are concerned about the safety of our friends and family members. We want to

be more alert to the risk of suicide. We want to respond quickly when someone

might be at risk of suicide. Use the steps that this program teaches and you may

help save a life.

This is a tough subject, but suicide is everyone’s business.


2 Suicide Alert and ASIST helpers

Becoming a suicide-safer community


4 You might be wondering…

wondering… You might be


L T A K

5 Tell, Ask, Listen and KeepSafe

Tell

Ask

Listen

KeepSafe

safe L T A K


8.1 Invitations: What we SEE

•care-less SEE

ACTIONS

•moody

•withdrawing

•alcohol/drug misuse


HEAR TALK

8.2 Invitations: What we HEAR

•alone

•burden

•no purpose

•escape


SENSE FEELINGS

8.3 Invitations: What we SENSE

•desperate

•hopeless

•numb

•ashamed


LEARN LIFE SITUATIONS

8.4 Invitations: What we LEARN about

•abuse

• rejection

• losses

•suicide experience


SEE actions

8.5 Invitations

HEAR talk

SENSE feelings

LEARN life situations


9.2 Reasons for Asking and then Ask

Sometimes when people are missing work,

worrying about things and withdrawing from

friends and family, they are thinking about

suicide.

Are you thinking about suicide?


Supp B Unhelpful characteristics

Not helpful • judgmental

• angry

• negative

• panicked

• advice giving

• impatient


Supp C Helpful characteristics

Helpful • sensitive

• caring

• direct

• calm

• non-judgmental

• patient


Supp A KeepSafe ideas

Now is not the time to solve all of the problems.

Now is the time to do something that keeps the

person with thoughts safe.

KeepSafe from means that might be used to harm

themselves.

Do not promise secrecy.


13 Keep yourself Safe

Never put yourself in danger.

Get or call for help instead.

Keep Safe


14 A KeepSafe connection is…

A KeepSafe connection is:

• Available: there when needed

• Approachable: accepts connections from alert helper

• Able: can increase safety


15 KeepSafe connections

KeepSafe connections

• National Suicide Prevention Lifeline

1 800-273-8255 (273-TALK)

• VA Crisis Line

1 800-784-2433

• San Diego County Suicide Crisis Line

1 800-479-3339

• Military One Source

1 800-342-9647


16.1 Connecting with an intervention resource



John, is that more or less

where we are?

This is John. He has been missing work, worrying about things and withdrawing

from friends and family, so I asked him directly if he has been thinking about

suicide and he said, “yes.” John has told me that there are several big problems

going on in his life now and he accepts the need to come and see you and get help.


17 TALK


18.2 Miss

Miss • don’t connect with suicide

• don’t consider the possibility of suicide


18.3 Dismiss

Dismiss • invitations mean the person is not serious

• suicide is so rare

• only certain kinds of people

• only people acting very strangely


18.4 Avoid

Avoid • make it worse

• don’t know what to do

• too scared to help; too scared to “catch” suicide

• don’t want to interfere; don’t want responsibility;

someone else will do it

• have my own troubles (overwhelmed, own thoughts of suicide,

burned out)


18.5 Miss, Dismiss and Avoid

Miss • don’t connect with suicide

• don’t consider the possibility of suicide

Dismiss • invitations mean the person is not serious

• suicide is so rare

• only certain kinds of people

• only people acting very strangely

Avoid • make it worse

• don’t know what to do

• too scared to help; too scared to “catch” suicide

• don’t want to interfere; don’t want responsibility; someone else will do it

• have my own troubles (overwhelmed, own thoughts of suicide, burned out)


17 TALK


19 Let’s start practicing

Sometimes when people are missing work,

worrying about things and withdrawing from

friends and family, they are thinking about

suicide.

Are you thinking about suicide?


15 KeepSafe connections

KeepSafe connections


20 Practice script

Who/Place: Two co-workers at a coffee shop

Person with thoughts missing work, worrying about things,

withdrawing from friends and family.

When someone is […] they are sometimes thinking about

suicide. Are you thinking about suicide?

I am listening…

Person with thoughts mentions they are struggling financially

and are now worried about losing their job.

This is important.

Are you OK if we contact your doctor? She can help you

KeepSafe.

Tell:

Ask:

Listen:

KeepSafe:



John, is that more or less

where we are?

This is John. He has been missing work, worrying about things and withdrawing

from friends and family, so I asked him directly if he has been thinking about

suicide and he said, “yes.” John has told me that there are several big problems

going on in his life now and he accepts the need to come and see you and get help.


2 Suicide Alert and ASIST helpers

Becoming a suicide-safer community


22 safeTALK: suicide alertness for everyone

suicide alertness for everyone


Please fill out your comment

page.

Trainer

Edwin Huntsman

Trainer Number

30153


a suicide-safer community

Patient Admin/Fleet Liaison

HIM MEDICAL RECORDS: Inpatient Records/ Non Active-Duty Medical Records

LT Jaypee Punzal - HIM Division Officer - 619-532-8459 - [email protected]

Mr. Ritchie Weir - Medical Records Supervisor - 619-532-8347 - [email protected]

Ms. Kim Borboa - Outpatient Records Supervisor - 619-532-8391 - [email protected]

Patient Admin/Fleet Liaison

MEDICAL BOARDS: LIMDU/PEB LT Jaypee Punzal - MED BOARDS Division Officer - 619-532-8459 -

[email protected] Mr. Reinaldo Rivera - MED BOARDS Supervisor - 619-532-8220 -

[email protected] PO2 Sheretta Blyther - MED BOARDS LPO - 619-532-9807 -

[email protected]

Operational Forces Medical Liaison

• Bldg 2, Deck 1

• 619-532-6430 • [email protected]

• HM2 Advincula

• HM3 Picton







• Remote access – Citrix

• SAAR-N Form

• Required forms

• Consults

• Patient Visits on ward

• LIMDU

• LAB/RAD patient notes

• Medevac Protocols


• Bldg 2, Deck 1

• 619-532-6430 • [email protected]

• HM2 Advincula

• HM3 Picton






OPERATION PINC: A Walk in Clinic for Birth Control

Process

Improvement for

Non-delayed

Contraception

WHO: All women and adolescents (active duty & dependents) in need of

birth control services

WHAT: Same day services for:

-Birth control pills prescriptions/refills

-IUD insertions

-Nexplanon

-Depo Provera

-Contraception counseling

-Emergency contraception/Plan B

First come, first served; waiting times will vary

NO APPOINTMENT NECESSARY, JUST COME ON IN!

WHERE: Naval Medical Center, San Diego (Balboa)

Department of Obstetrics and Gynecology

Building 3, 1st floor

Phone: (619) 532-7082

WHEN: Monday–Thursday 0830-1530

Fridays 1300-1530

Medical Readiness Division

[email protected]

Office: (619) 556-5191 Clinic: (619) 556-8114

Bldg 74 San Diego, CA 92136

16 nov 2016 waterfront meeting - united states navymattress rotations allow for inspection and early...

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