RIMPAC 2014 USNS MERCY (T-AH 19) Humanitarian Assistance Disaster Relief Capabilities and Limitations

Mission 2 Hospital Ships 5-Day Activation Primary Mission USNS COMFORT (T-AH 20) 5-Day Activation Primary Mission Combat Trauma Support Secondary Missions Humanitarian and Civic Assistance (HCA) Disaster Relief Homeland Security Combat Trauma is easy -Get U/W with a hospital and wait for patients to arrive. -Established ROC/POE strategy for accomplishing this mission. Humanitarian assistance is hard -We are writing the book -No established methodology for how to plan and execute the mission -No established personnel requirements -No established supply requirements -Organic ship to shore lift becomes vital -much greater coordination that is required while operating spread out in the littorals. COMMS, security and supply.

Shipboard Capabilities Partner with Non-Governmental Organizations Project HOPE Flight deck (Two H-60’s) Capable of receiving helos in size up to CH-46 Two ambulance boats with embarkation platform 70 ambulatory patients or 8 litters

Comms/IT Infrastructure NIPR SIPR Separate NGO Network Network Drops Additional computers and improved internet access NGO Internet Cafe COMMS/IT – Pre deployment completion will require concerted efforts of all Working group developing solution for deployment Due to timeline, designs are following installation Funding above the original $1.3M and $400K will require CPF funds and therefore approval for MSC to execute These upgrades are critical for post deployment installation of TMIP and ADNS J NIPR- Replaced aging network infrastructure. Total upgrade/overhaul of the Network. To include new switches/routers/servers etc to prepare us for the upcoming deployment. SIPR- Replaced aging network infrastructure. Total upgrade/overhaul of the Network. To include new switches/routers/servers etc to prepare us for the upcoming deployment. Included running SIPR capability into the MOC to make it operations ready. Network Drops- Installing 127 new Network drops and will repair 54 network drops to ensure the medical providers have the tools they need to provide the best medical care. Additional Computers - we received 85 computers from Balboa and anticipate receiving an additional 100 computers to meet our expanding needs for electronic medicine. NGO Internet Café- We are setting up both an NGO internet café and an NGO workspace for easy communications and improved access for NGOs to communicate with their families and businesses.

Medical Capabilities Shipboard Capabilities Ashore Capabilities 62 Ward Beds 6 ICU Beds 11 Isolation unit beds 22 Hotel beds Operating Rooms: 2 + 1 Emergency OR Capability expanded based on augmentees: Each additional 22 bed ward requires 6 RN’s + 9 nursing support (HM’s) Ashore Capabilities SMEE/Training as requested by Host Nation

USNS MERCY – Services Surgical Specialties Medical Services General Surgery Orthopedics Physical Therapy Ophthalmology Oral Maxillofacial Plastics OB/GYN Anesthesiology Capacity Building Preventive Medicine & Environmental Health Subject Matter Expert Exchange Biomedical Equipment Repair Medical Services Immunizations (Limited) Primary Care Pediatrics Optometry Dental Care Medical Specialties Pulmonology Hematology/Oncology Nephrology Dermatology Mental Health Clinical Support Services Pharmacy (Limited) Radiology Laboratory Blood Bank

Limitations Staffed primarily for SMEE vice clinical care Cannot land any helicopter larger than a CH-46 Small inventory of immunizations and pharmacy Sea state requirements for Computed Tomography (CT)

USNS MERCY (T-AH 19)