Back to Top Skip to main content

Defending the Homeland: NMRTC Bremerton ensures Operational Readiness and a Medically Ready Force

Three healthcare workers wearing masks Rear Adm. Blake L. Converse, Commander, Submarine Force, U.S. Pacific Fleet, recently contacted Capt. Shannon J. Johnson, Commanding Officer, Navy Medicine Readiness and Training Command (NMRTC) Bremerton, on behalf of his submariners, thanking her command’s leadership and Sailors for their support to the Pacific Submarine Force during the COVID-19 pandemic outbreak. (Official Navy photo by Douglas H Stutz, NMRTC Bremerton public affairs officer)

Recommended Content:

Coronavirus | Health Readiness

‘Swabbie’ might be older generational slang for a Sailor, but current Navy Medicine swab testing support for the Fleet has been timely, as well as progressive.

Navy Rear Adm. Blake Converse, commander, Submarine Force, U.S. Pacific Fleet, recently contacted Navy Capt. Shannon Johnson, commanding officer, Navy Medicine Readiness and Training Command Bremerton, on behalf of his submariners, thanking her command’s leadership and Sailors for their support to the Pacific Submarine Force during the COVID-19 pandemic outbreak.

“Through these uncertain times, your team took care of my Sailors in a disciplined yet compassionate manner,” wrote Converse. “It is clear that NMRTC Bremerton has every Sailor in their best interest. Your efforts contribute to the submarine force’s mission readiness.”

Supporting mission readiness has long been a responsibility for the ready medical force of NMRTC Bremerton, ensuring that Navy ship, squadron, shore and submarine personnel are collectively a medically ready force and operationally fit to perform and deploy when called upon.

According to Navy Cmdr. Robert Uniszkiewicz, NHB/NMRTC Bremerton COVID-19 lead and Public Health Emergency Officer, the effectiveness of  the swab testing for the submarine fleet homeported in the Pacific Northwest is a direct extension of the protective measures implemented at all commands to help curtail the spread of COVID-19.

Image of Hannah Carlson wearing a mask
Navy Hospital Corpsman 1st Class Hannah Carlson, assigned to Naval Hospital Bremerton's Urgent Care Clinic, oversees daily clinical duties during the command's ongoing effort to help stop the spread of COVID-19. Carlson's efforts the past months have her highly regarded as the linchpin for the UCC.  (Official Navy photo by Douglas H Stutz, NHB/NMRTC Bremerton public affairs officer)

“Testing is not as important as physical distancing, wearing facial coverings and proper hygiene practices, explained Uniszkiewicz. “However, with these measures in place, large scale surveillance testing has provided another layer of confidence that our units preparing to deploy are both ready and safe to do so.”

The swab testing itself is unique simply because having a foreign object inserted into the nasal passage is not a common experience. The hospital corpsman inserts the swab – similar to a longer version of a Q-tip – deep into a person’s nose where it is whirled around for several seconds to collect secretion sample necessary for testing.

Taking the sample is just the initial step. Uniszkiewicz noted that NMRTC Bremerton has not been alone in the task of ensuring units are ready to deploy. It’s been a team-effort across the board with a number of support layers in place.

“Our testing efforts would not be possible without the collaboration with Madigan Army Medical Center laboratory. Additionally, serviced commands are stepping up by conducting their own contact tracing for which our Preventive Medicine team has conducted training. For large scale testing, it has been a tri-service effort to meet the demands for supply, transport, and tracking in order to preserve (COVID-free) ‘bubbles’ around units before deployment, during deployment, and after deployment when they return,” explained Uniszkiewicz.

At NMRTC Bremerton, there are noticeable safeguards added, e.g., waiting room seating has been changed to be six feet apart and areas to stand are also marked six feet apart. Per Department of Defense directive, it is also mandatory for all staff, patients and visitors to wear either a facial covering or mask. Only one visitor is allowed per patient and frequent cleaning of ‘high touch’ areas is now standard procedure, even more so that in the past. Although non-urgent surgeries have resumed and face-to-face encounters have gradually increased, virtual appointments are continuing to be offered.

Screening and testing protocol is also in place for all those eligible for care at NMRTC Bremerton.

“Screening upon entry to the facility is an invaluable mitigation strategy to keep COVID-like illness out of the hospital proper and direct it toward our Urgent Care Center and tents.  This, along with universal use of facial coverings, reassures our patients, their families, and our staff that we are dedicated to keeping them as safe as possible within our facilities,” Uniszkiewicz said.

The screening process really begins prior to an appointment as patients are contacted for pre-screening checks. Once a person arrives at the command, there are staff directing traffic flow to guide them. They are directed through the screening process which begins with a series of questions. Depending on the replies, the patient will be directed to either a treatment tent or testing area, or given the ‘green light’ to enter the hospital following the protective measures in place.

Additionally, before entering the hospital or clinic, if a person does not have a facial covering, they will be provided one to wear at all times when in the hospital.

At NHB/NMRTC Bremerton and across the Navy, medical providers and staff are ensuring patients are properly cared for in the COVID-19 environment, while still maintaining operational readiness.

You also may be interested in...

The Military Health System Celebrates Labor Day

Video
9/4/2020
The Military Health System Celebrates Labor Day

Labor Day pays tribute to the American workforce. This year, we pay tribute to the Military Health System Workforce.

Recommended Content:

Coronavirus

MHS Minute: A Call to Action for Convalescent Plasma Donation

Video
8/24/2020
Image of MHS Minute Carousel

Have you recovered from COVID-19, or tested positive for antibodies? Consider donating convalescent plasma. For eligibility requirements, and to find a donor center near you, go to https://www.militaryblood.dod.mil/Donors/COVID-19andBloodDonation.aspx

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program

Convalescent Plasma Donation PSA featuring Lt. General Place

Video
7/10/2020
Image of Lt. Gen Place

Lt. Gen Place asks servicemembers DoD-wide to consider dontating plasma in the fight against COVID-19.

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program

MHS Minute: DoD Focused on COVID-19 Testing and Treatment

Video
6/25/2020
Image of MHS Minute Carousel

Have you recovered from COVID-19, or tested positive for antibodies? Consider donating convalescent plasma. To learn how, go to https://www.militaryblood.dod.mil/

Recommended Content:

Coronavirus

MHS Minute: Military Leading the Charge on COVID-19 Research

Video
5/28/2020
Image of MHS Minute Carousel

The military continues to serve on the front lines of research and treatment in response to the COVID-19 pandemic. Tune in to the MHS Minute to learn more.

Recommended Content:

Coronavirus

Transport Vent Tutorial (ParaPAC) (March 25, 2020)

Video
5/11/2020
DHA Seal

Transport Vent Tutorial - ParaPAC

Recommended Content:

Coronavirus

Multi-Dimensional Approach To Intubation In The Setting Of COVID-19 (April 1, 2020)

Video
5/11/2020
DHA Seal

In this video, a doctor and nurse will talk you through preparing to intubate a patient. At the end of the video we highlight some special considerations for intubation in the context of COVID.

Recommended Content:

Coronavirus

Sedation and Analgesia in the ICU during COVID-19 (March 31, 2020)

Video
5/11/2020
DHA Seal

This video is intended to assist healthcare providers with the care of critically ill patients only. It is to be used as a guide ONLY for patients who have breathing tubes and are mechanically ventilated (on breathing machines). It will introduce you to sedative and analgesic medications that are used in the intensive care unit setting only. It will provide recommendations for use of sedation and analgesia in standard settings, but it will also provide recommendations for use in resource limited

Recommended Content:

Coronavirus

Airway Pressure Release Ventilation (APRV) (April 17, 2020)

Video
5/11/2020
DHA Seal

This video will explain the basics of Airway Pressure Release Ventilation, an option for mechanical ventilation, that is helpful as an oxygen salvage therapy for patients with Acute Respiratory Distress Syndrome (ARDS).

Recommended Content:

Coronavirus

Shock Basics for the Non-Intensivist (March 19, 2020)

Video
5/11/2020
DHA Seal

Shock Basics for the Non-Intensivist...in the age of COVID-19.

Recommended Content:

Coronavirus

Ventilator Basics - Part 2 (ACPC and PS) (March 25, 2020)

Video
5/11/2020
DHA Seal

This video is an introduction to pressure control and pressure support ventilator settings. If you have not yet viewed 'Vent Basics for Non-Intensivists (ACVC/VAC)", please watch that video first. This video is not intended to be all encompassing. It is intended to educate non-intensivists on basic vent settings and vent mechanics.

Recommended Content:

Coronavirus

IV Vasoactive Medication Basics for the Non Intensivist (March 19, 2020)

Video
5/11/2020
DHA Seal

This video provides a refresher/introduction to the basics of inotropes and vasopressors that may be helpful in the context of treating COVID-19 patients. It is not intended to be all-encompassing.

Recommended Content:

Coronavirus

Acute Respiratory Distress Syndrome Lecture (April 10, 2020)

Video
5/11/2020
DHA Seal

In this lecture, the topic or Acute Respiratory Distress Syndrome is reviewed. Specific discussion on diagnosis and treatment including lung protective strategies are discussed.

Recommended Content:

Coronavirus

Acid Base for the Non-intensivist (March 21, 2020)

Video
5/11/2020
DHA Seal

This video will teach you the etiologies for the various acid-base disorders as well as teach you how to interpret an ABG with a focus on metabolic acidosis and mixed disorders. This will teach you little to nothing about buffering, organic chemistry, biochemistry, etc. This is for practical application at the bedside.

Recommended Content:

Coronavirus

Ventilator Basics (ACVC) (March 19, 2020)

Video
5/11/2020
DHA Seal

Ventilator basics (one mode) for non-intensivists

Recommended Content:

Coronavirus
<< < 1 2 3 > >> 
Showing results 1 - 15 Page 1 of 3

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.