Sick Call Hours: Monday-Friday, 0630-0830 Overseas Screenings and Special Duty Screenings for staff and students are initiated by the NMTSC Readiness Office. Separation History and Physical Exam Some documents are presented in Portable Document Format (PDF). Of particular concern would be rising percentages or numbers of no-shows, or development of patterns with individual inmates, specific practitioners, specific clinics, inmate housing units, etc. Those who require further assessment can be scheduled for evaluation in the clinic, those who require nonemergency mental health or dental care can be scheduled based on their needs, and those with minor problems (such as colds) can be taken care of then and there according to your protocols. nasni branch medical clinic coronado photos , nasni branch medical clinic coronado location , nasni branch medical clinic coronado address , branch medical clinic north island coronado , naval medical on north island coronado . We report the same Healthcare Effectiveness Data and Information Set (HEDIS) used by many civilian health care practices to monitor quality of care provided in the MHS. (They are the same in both the jail and prison versions of the 2003 Standards for Health Services.). MondayThursday: 7:30 a.m. to 7p.m. During orientation, all hands will attend a DAPA Briefing on alcohol awareness. 2650 on Fort Sam Houstonand to schedule an appointment call (210) 221-5271/3681. Sick Call is for Active Duty Service Members seeking care for acute medical concerns (conditions occurring or exacerbated within the last 72 hours and prevent the service member from conducting physical training and/or reporting to and executing duty). NBDC NAS North Island BMC MCAS Miramar NBHC Coronado NBHC El Centro NBHC NTC San Diego . Do not jeopardize your financial integrity or your career through mismanagement of your payand allowances. Commander, Navy Installations Command, www.cnic.navy.mil does not directly endorse Google Translate or imply that it is the only language translation solution available to users. The department staff seeks to discover new knowledge that will contribute to the processes and outcomes of military healthcare. They are located in Bldg. Also, please let us know when we get it right so that we can pass that success on to our staff. If longer limitations are required, service member should be evaluated by their PCM. Immunizations are offered as part of a routine health maintenance appointment without additional scheduling. I would greatly appreciate it if you could post how the testing process went after you return. Appointments start at 7:30 a.m. and will be in order of severity/urgency. Occasionally, a measure is no longer used. This standard requires the responsible health authority to identify and eliminate any . This is the version of our website addressed to speakers of English in India. From CorrectCare Volume 17, Issue 3, Summer 2003, Certification as a Talent Management Strategy, Study of COVID-19 in Correctional Facilities, CDCs National Survey of Prison Health Care. MIL-MIL members without dependentsare considered single for pay purposes regardless ofpaygrade. Building 3600 Joint Medical Readiness Center Isnt it a violation of the standard on medical autonomy for the warden to tell us to change our sick call time when the existing schedule is preferred by the health professionals? At what percentage of no-show should we become concerned? 3320 CPL JOHNSON RD Friday: 7:30 a.m. to 4:30 p.m. Please see A-01 Access to Care, A-06 Continuous Quality Improvement Program, E-07 Nonemergency Health Care Requests and Services, E-10 Patient Escort and I-06 Right to Refuse Treatment. Initial screening and a records review will be conducted and the member will be directed to make an appointment at the Troop Medical Clinic (210) 295-4362 to finalize medical screening. MondayFriday: Check-in from Suite 5101 Bachelor of Medical Sciences (Honours) - BMedSci(Hons) 2008 - 2011. BASIC ALLOWANCE FOR HOUSING POLICY: If you are a resident of another country or region, please select the appropriate version of Tripadvisor for your country or region in the drop-down menu. I hate being early for an appt obly to be called back 30-45 min after my appt time. Friday: 7:30 to 11:30 a.m. and 1 to 4:30 p.m. Weekends andHolidays: Closed, MondayThursday: The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. Renewal of profiles, light limited duty, limited duty, referrals, medical waivers, etc. 7700 Arlington Boulevard As mentioned in the discussion section of that standard, an unreasonable barrier includes deterring inmates from seeking care for their serious health needs, such as holding sick call at 2 a.m., when this practice is not reasonably related to the needs of the institution. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Upon arriving in San Antonio, you may check your placement on the list by calling the Housing Office (Bldg. PROGRAM/SCHOOL Plus use our free tools to find new customers. Test sites have already closed down as testing requirements are getting cancelled. A PDF reader is required for viewing. Sick call patients are seen on a first come, first serve basis. If you go past 10 for sick call make sure you're dying and in that case just call and make an appt or just go to, Bring your phlip dictionary if you need to get anywhere with these idiot, I checked in at 0945 for a 1005 and didn't get seen until 1050. NAS North Island is home to two aircraft carriers, two Deep Submergence Rescue Vehicles, approximately 23 . We are continuously striving to improve your experience at our clinic so please let us know if there is ever a problem you feel is left unresolved or if there is an opportunity we might be able to capitalize upon. In the case of an emergency, site visitors would be able to visit the news page for addition information. Download Spreadsheet of Metrics The dates we report data may vary by measure. Download a PDF Readerorlearn more about PDFs. Click on one of the links to learn how we measure our performance. 60 helpful votes. One site is nearby but opening hours will change as restrictions are lifted. All site visitors may choose to use similar tools for their translation needs. Some data is reported every month or quarter and some is reported once a year. Some documents are presented in Portable Document Format (PDF). Mental Health 850-452-5261. Please refer to the Fraternization and Sexual Harassment Policies posted in the Admin Department of Bldg. Sick call is every Monday, Wednesday, Thursday and Friday morning at 0730 and Tuesday mornings at 0800. Pharmacy Refills Whether you are active duty, retiree, or a family member, the Naval Branch Health Clinic, Naval Base Coronado is here to provide you with the best health care possible, and to do our very best to ensure your complete satisfaction with your health care experience. Assistance coordinating care may be provided. TRICARE is a registered trademark of the Department of Defense (DoD),DHA. 7700 Arlington Boulevard Watch the, Don't forget to keep your family's information up-to-date in, MHS GENESIS - Your Health Electronic Record, Special Psychiatric Rapid Intervention Team, Substance Abuse Rehabilitation Program (SARP), Comprehensive Combat and Complex Casualty Care, Colorectal Cancer Screening with Colonscopy, Operational Forces Medical Liaison (OFML) & Medical Evacuation (MEDEVAC), Hosted by Defense Media Activity - WEB.mil. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. The standard on medical autonomy (A-03) addresses clinical decisions and actions regarding health care provided to inmates. 6:30 to 7:30a.m. Ron D. Lexington, Kentucky. This is a Department of Defense (DoD) Internet computer system. Im hoping to travel early August for a few weeks but have concerns about not knowing where to go or get the COVID-19 test for the US. From NCCHCs standpoint, any failure to show for sick call is a red flag that should be looked into. Emergencies are seen any time during business hours. NAS North Island - McCain Blvd, Bldg 601, Coronado, CA 92118 Acute Care Phone 619-545-9473 Main Appointment Line 619-545-6210 After Hours Assistance 888-709-0794 Pharmacy 619-545-4290 Naval Branch Health Clinic Coronado Website Tricare Website Mon 0700 - 1600 Tue 0700 - 1600 Wed 0700 - 1600 Thu 0700 - 1600 Fri 0700 - 1600 Sat Closed Sun Closed Liked by Arnar r Ptursson. It would be important to explore the reason for the proposed change during administrative meetings and that the decision be made jointly by the corrections administration and the responsible health authority. We use the latest and greatest technology available to provide the best possible web experience.Please enable JavaScript in your browser settings to continue. Appointments for TRICARE issues can be made by calling 717-861-8173. Patients should report to the Emergency Department or call 911 when the clinic is closed. Infants or toddlers are more at-risk for exposure since they can put cracked paint chips in their mouths. Sick call is ideally used for acute medical issues that need to be addressed same day. Eagle Pavilion, Floor 1, Reception 2. The scenario you describe best fits under A-01 Access to Care. Google Translate, a third party service provided by Google, performs all translations directly and dynamically. At our medium-security prison, about 10% of the sick calls are no-shows. Pensacola, FL Ste 5120. We have a zero tolerance for gender or racial discrimination, sexual harassment, fraternization or substance abuse. I just checked the http://www.testcovid.is site and it now has two booking windows, one valid until march 31st and the other one is for appointments after that. Please use this website to learn a little more about our clinic and to see what services we offer to help you maximize your health care benefits. Service members reporting for a concern not appropriate for Sick Call will be given a same or next day appointment with their PCM/PCMH if empaneled to FBCH. Please visit our, Don't forget to keep your family's information up-to-date in, Hosted by Defense Media Activity - WEB.mil, Loose teeth (adult or baby teeth) unless associated with trauma/injury, Loose permanent or temporary crowns and/or broken fillings or teeth that occur while eating. For APPOINTMENTS, please call: 1-800-TRICARE (8742273) Contact Us. Report to Navy Barracks Fralish Hall, Building 1479, located at 3320 CPL Johnson Road to have your orders stamped. Some facilities use health staff to deal with issues unrelated to health care, such as approval of extra blankets, so if your facility uses health staff in this manner, you may wish to discontinue that.For common complaints, permit inmates to purchase from the commissary OTC medications such as pain relievers, laxatives, antidiarrheic agents and cold medications.Consider offering health classes that address self-care issues or that explain health topics of interest or concern to the population (HIV, hepatitis C, alcohol use, sprained ankles, etc. Monday-Friday, 0700-1600. Suite 5101 7700 Arlington Boulevard Wed 0730 - 1600. Currently, once they have addressed them, they place them in an envelope for storage. Closed weekends and holidays. How to promote appropriate sick-call requests is a complex issue and one not addressed by NCCHC standards. TRICARE CHAMPUS ASA and DRG Weights Summary, Ultimate Caduceus 2023 Tests Defense Health Agency Readiness in Emergencies, Report Reveals Military Hearing Loss is Stable, Defense Medical Readiness Training Institute, Defense Health Program Agency Financial Report, 2020 DOD Womens Reproductive Health Survey (WRHS), Conducting Health Care Surveys in the DOD, Transition from CAHPS Version 4.0 to Version 5.0, TRICARE Inpatient Satisfaction Surveys (TRISS), 2009 Health-Related Behavior Survey - Reserve Component, 2011 Health-Related Behavior Survey Active Duty, 2014 Health Related Behavior Survey of Reserve Component Leadership Fact Sheet, 2015 Health-Related Behavior Survey Active Duty, 2018 Health-Related Behaviors Survey (HRBS), Clinical Improvement Priorities for MTF Providers, Defense Health Agency Region Indo-Pacific, Small Market and Stand-Alone MTF Organizations, Quality & Safety of Health Care (for Health Care Professionals), Patient Safety & Quality Academic Collaborative, Patient Safety Champion Recognition Program, Eliminating Wrong Site Surgery and Procedure Events, The Global Trigger Tool in the Military Health System Guide, Quality, Patient Safety & Access Information (for Patients), Comprehensive Changes to the Autism Care Demonstration, Military Medical Support Office at DHA, Great Lakes, Applied Behavior Analysis Maximum Allowed Amounts, Blend Rate Method for Radiology for Cancer and Children's Hospitals, TRICARE Rate Variables and Cost-Share Per Diems, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Limits on Number of Services without Override Code, Mental Health and Substance Use Disorder Facility Rates, Information for Patients: TRICARE Pharmacy Program, Information for Pharmaceutical Manufacturers, Contact the TRICARE Retail Refund Team and FAQs, Opioid Overdose Education and Naloxone Distribution Program, DHA Pharmacy Operations Support Contract Data Management Team, Prescription Drug Monitoring Program Procedures, Armed Forces Billing and Collection Utilization Solution, Health Plan and Policy Billing Guidelines, Health Insurance Portability and Accountability Act, UBO Standard Insurance Table (SIT)/Other Health Insurance (OHI), Air Force Wounded Warrior Northeast Warrior CARE Photo Essay, Ensuring Access to Reproductive Health Care, DoD Instruction 6040.46: The Separation History and Physical Examination (SHPE) for the DoD Separation Health Assessment (SHA) Program, DoDI 1332.18: Disability Evaluation System (DES), MILPERSMAN 1730-020 Immunization Exemptions for Religious Beliefs, DoD Instruction Number 6490.11:DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting, DoD Directive 5136.01: Assistant Secretary of Defense for Health Affairs (ASD(HA)), DoD Instruction 1100.13: Surveys of DoD Beneficiaries, Air Force Instruction 44-119: Medical Quality Operations, DoD Instruction 6040.40: Military Health System Data Quality Management Control Process, DOD Controlled Access to Health Information, TRICARE Comprehensive Autism Care Demonstration Program, BAP Meeting Minutes April 4 2023 for Feb DOD PT Committee Meeting 508 Compliant, Naval Branch Health Clinic, Naval Base Coronado, beneficiary counseling and assistance coordinator. The Integrated Referral Management and Appointment Call Center (IRMAC) can assist you with scheduling your appointment when you contact them at 1-855-CAPMED1 (227-6331) from 6:30 a.m. to 4 p.m. OR you can also use TRICARE Online (TOL) Patient Portal at tricareonline.com, 24 hours a day, 7 days a week. General Navy Medical Inquiries (to Bureau of Medicine and Surgery):usn.ncr.bumedfchva.mbx.bumed-general-inquiries@health.mil, An official website of the United States government, med.navy.afpims.mil/Nurse-Corps/#skip-target, If you are a prior student attempting to obtain a course completion certificate, please contact the, Copy of your orders with the stamp of your detaching command, Copy of military ID card (both front and back), If you have step-children, a copy of the custody paperwork, Fax all documents to (210) 270-7699. . We report some of the measures in Calendar Year (CY) and some measures in Fiscal Year (FY). A page 13 will be used for serious incidents as well as adverse performance evaluations (military bearing/character marked no higher than 1.0 and not recommended for advancement for one year). The scenario you describe best fits under A-01 Access to Care. Some documents are presented in Portable Document Format (PDF). By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. Patients should report to the Emergency Department or call 911 when the clinic is closed. Links. NBHC NAS NORTH ISLAND Naval Branch Health Clinic, Naval Base Coronado Contact Us Bldg 601 McCain Road San Diego, CA 92135-7046 Get Directions Naval Base Coronado (North Island) website 1-619-545-6210 Monday-Friday, 0700-1600. Complaints of discrimination or grievances, informal and formal procedures are presented to all staff/students during orientation via the Navy Rights and Responsibility Workshop. All personnel upon check-in and random selection are required to participate in the Urinalysis Drug Program. Falls Church, VA 22042-5120. Call (253-477-0896/3788) to schedule an appointment for all routine care. Access to Fort Sam Houston is limited, so please check the, Transfer Your Medical and Dental Records, Naval Medical Leader and Professional Development Command, Navy Medicine Operational Training Command, Medical Education & Training Campus (METC), Navy Medical Forces Support Command (NMFSC), Medical Education and Training Campus Registrar, http://www.jbsa.mil/Resources/Chaplain-Services/JBSA-Fort-Sam-Houston-Chaplain/, Joint Base San Antonio - Fort Sam Houston Housing, usn.ncr.bumedfchva.mbx.bumed-general-inquiries@health.mil, Hosted by Defense Media Activity - WEB.mil. Location. ta.queueForLoad : function(f, g){document.addEventListener('DOMContentLoaded', f);})(function(){ta.trackEventOnPage('postLinkInline', 'impression', 'postLinks-113019851', '');}, 'log_autolink_impression');Iceland? A PDF reader is required for viewing. Service members will arrive in uniform (UOD or PT). TRICARE is a registered trademark of the Department of Defense (DoD),DHA. This service is meant solely for the assistance of limited English-speaking users of the website. ).Some facilities have instituted fee-for-service programs in the belief that they help to control the volume of sick-call use. However, the time that sick call is held is not a clinical issue. Also, the American Red Cross can be utilized for members with an extreme or emergent situation. A PDF reader is required for viewing. If care is needed but not acut e or after sick call hours the Service member can call the Appointment Center for a same day appointment There is no test site at KEF airport. Commander, Navy Installations Command, www.cnic.navy.mil has no control over the features, functions, or performance of the Google Translate service. From CorrectCare Volume 22, Issue 1, Winter 2008. Marine Corps Recruit Depot San Diego Health Clinic. If you do not file the slips in the record, a log may be kept to monitor the stages of the response. All rights reserved. All rights reserved. 2006 - 2007. An official website of the United States government, All Hands Magazine is produced by the Defense Media Activity for U.S. Navy Office of Information, TR Base Support Vehicles and Equipment (BSV&E), Navy Motorcycle Rider Training Registration, Drinking Water Sampling and Testing for PFAS, Navy Fire and Emergency Services Newsletter, Commander, Navy Region Europe, Africa, Central, Hosted by Defense Media Activity - WEB.mil. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Thank you, we are not visiting till May- we want to book a tour the day before departure & just want to make sure what time they do testing. Naval Medical Center San Diego Naval Base Point Loma Health Clinic. The official text of content on this site is the English version found on this website. More activity by Owen I am pleased to share that I have been nominated for, and selected as a finalist for the 2023 ACT Woman of the Year award. Taylor's College Cambridge International AS & A Levels. "A" SCHOOL STUDENTS Falls Church, VA 22042-5101, An official website of the United States government, NHP is currently administering the COVID-19 vaccine to all TRICARE beneficiaries. All rights reserved. Level Contributor . All students who report to NMTSC before their class convening date or are awaiting transfer orders will be assigned to the Transient Monitoring Division untilmember's class convenes or orders are received. Alternatively, USMA Cadets can book an appointment within 24-48 hours at 845-938-7992; 0700-1530, Monday-Friday for routine and non-urgent matters. Appointments will be available Monday to Friday 0730 to 0930. This standard requires the responsible health authority to identify and eliminate any barriers to inmates receiving health care. Phone (619) 532-6400 Hours Open 24/7 The site offers their hours: Are we even going to need a Covid Test when traveling between the USA and (ta && ta.queueForLoad ? We are committed to operational readiness, outstanding customer service, and always delivering world-class health care. For more advice on this topic, see NCCHCs position statement. Such co-pay systems may not be the best solution, however. If you have any questions, contact the NMTSC Pay and Personnel office at 210-808-4828/1052/4838. Our goal in the clinic is to provide you with the best health care experience possible, and hope that you are completely satisfied with the service you receive. 0730 - 1600. Surveyors will look for information on the timeliness of response to sick-call slips, and if it is not in the record the facility may need to show source documents. 903 if there are any questions. Suite 5101 I hear talk of no masks on flights after April 18th ??? 34800 Bob Wilson Drive Garden International School Cambridge IGCSE. If any questions arise related to the accuracy of the information contained in translated text, refer to the English version on this website, it is the official version. Such hyperlinks are provided consistent with the stated purpose of this website. Request slips are usually filed in the health records and begin the documentation trail. "C" SCHOOL AND U.S. COAST GUARD STUDENTS The bottom line is to view no-shows as an indicator of a potential problem with access to care in which systemic issues or staff behavior may contribute to no-shows. NylanaD February 6, 2018. Report inappropriate content . Ste. I just booked my test on June 5 at 1 pm at the bus terminal. Naval Air Station North Island Health Clinic. Our clinic provides kind, compassionate medical care to all Active Duty Service Members assigned to the Naval Base Coronado/North Island Area of Responsibility and to all dependents, retirees, and federal employees. USA. We are traveling from the US to (ta && ta.queueForLoad ? JBSA FT SAM HOUSTON TX 78234, Bureau of Medicine and Surgery The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. Lo December 13, 2012. . Nurse Advice LineCall 1-800-Tricare (874-2273); Option 1, 24 hours a day, 7 days a week Download Archived Measure Metrics The clinic does not have emergency medical services available. Fort Belvoir, VA 22060 TRICARE is a registered trademark of the Department of Defense (DoD),DHA. Some items cannot be translated, including but not limited to image buttons, drop down menus, graphics, photos, or portable document formats (pdfs). Sick call hours of operation are 0630-0830 Monday through Friday except for federal holidays. From CorrectCare Volume 32, Issue 1, Winter 2018. The NMCSD emergency room is open 24-hours a day for bona fide emergencies only. branch medical clinic north island coronado nasni branch dental clinic coronado nasni branch medical clinic coronado The following are usually considered dental emergencies: The following are generally NOT considered to be dental emergencies: 450 Turner Street, Hours Monday-Friday 6:15 a.m. to 3:30 p.m. Sick Call Hours Students Monday-Friday 6:15 a.m. to 7:00 a.m. 12:00 p.m. to 12:30 p . Falls Church, VA 22042-5101, An official website of the United States government, Don't forget to keep your family's information up-to-date in, Health Insurance Portability and Accountability Act (HIPAA), Child and Adolescent Partial Hospitalization, Child and Adolescent Embedded Behavioral Health Service, Community County and Recreational Resources, Separation History and Physical Exam (SHPE), Child & Adolescent Partial Hospitalization, Child & Adolescent Embedded Behavioral Health Service, Learn more about Fort Belvoir Community Hospital's Patient Centered Medical Home, Hosted by Defense Media Activity - WEB.mil. If you have a question that cannot be answered with the information available on this page, call (210) 808-1005 or (210) 808-1018. All rights reserved. Such hyperlinks are provided consistent with the stated purpose of this website. Sometimes a smaller population can make a measure move pretty drastically from quarter to quarter, so don't be alarmed if you see a dip or a spike. will be given at. You are strongly encouraged to review your LES to make sure all pay, allowances, and other financial entitlements are in order. 7:30 to 11:30 a.m. and 1 to 6 p.m. Find theright contact infofor the help you need. The official website of Naval Medical Center San Diego. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Whats the point of being 15 min early! Naval Base . Closed weekends and holidays. Extremely happy and excited to start my career. Please make sure your keywords are spelled correctly, Get email updates for new Medical Doctor jobs in Iceland. more, You seem to have JavaScript disabled. Fiscal years begin on October 1st. As always, we thank all of you for your sacrifices to our country and hope that you have a fine Navy day. Single sailorsthat are E-5 or E-4 with more than four years of service will be eligible to receive Basic Allowance for Housing (BAH) upon reporting to Navy Medicine Training Support Center (NMTSC). Separation and Retirement Physicals (SHPEs), Obstetric care (including prenatal and postpartum), Pediatric care (including neonates and infants), Additional services include patient education, disease management, and case management for special populations at highest risk of adverse outcomes and utilization. Medical Records 850-452-5535. Download Foursquare for your smart phone and start exploring the world around you! Appointment Information. Physical Exams. ACADEMIC HONOR CODE Provides medical screening and documentation for Active and Reserve Components, and ROTC in preparation for transition to: Military Training Schools; Periodic Health Assessment (for TRICARE remote Soldiers and those not assigned a primary care manager) Fort Sam Houston is one of the Army's oldest installations. This is a test of the sitewide banner capability. For more information, visit, Anywhere within 15 miles of the US Mexico border, Navy Medicine Training Support Center is located on Joint Base San Antonio - Fort Sam Houston. MHS GENESIS Patient Portal, 9300 DeWitt Loop The answer is twofoldfrom the perspective of good clinical practice, and from the perspective of confirming compliance for accreditation purposes. Check-in is from 6:30 to 7:30 a.m. on regular duty days, excluding weekends, Federal Holidays, and days with morning clinic closure (weather delay/cancelation). (2) All Permanent party will report to sick call for acute medical care. But we continue to provide the data from past years as a reference. Have a fabulous trip! We also pride ourselves in furthering the education of medical students, physician assistants, residents, fellows, and faculty in the principles of family medicine. The book offers several suggestions for ensuring that the sick-call process is both efficient and effective. ta.queueForLoad : function(f, g){document.addEventListener('DOMContentLoaded', f);})(function(){ta.trackEventOnPage('postLinkInline', 'impression', 'postLinks-113840099', '');}, 'log_autolink_impression');Iceland or having to arrange your schedule to accommodate to accommodate them. You can see for yourself how well we are doing. www.tricare.milis an official website of the Defense Health Agency (DHA), a component of theMilitary Health System.

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nasni medical sick call hours