(6) Newborn to Pay Status . If the mother is discharged and the infant
remains, a change of status from newborn to pay status is required. Enter the date of
change of status.
d. Item 32, Units of Whole Blood/Component Transfused. Record the
number of units of whole blood or blood components transfused. (A unit is the basis of
issue of blood or blood component.) If no transfusion was given, leave this space blank.
e. Item 33, Cause of Injury.
(1) If the patient was treated for an injury (including any adverse reaction to
chemical or other external cause) or for any residual effects resulting from an injury not
previously recorded, state the circumstances under which the injury was incurred. When
recording an injury, specify the following:
(a) The external causative agent, including, in the case of acute
poisoning, the name of the poison.
(b) The circumstances under which the injury occurred, including the
activity in which the person was engaged at the time of injury, e.g., whether the person
was in action against the enemy, on work detail, marching or drilling, on an obstacle
course run, handling firearms on the range, cleaning a rifle, or participating in athletics.
For motor vehicle accidents, indicate the kind of vehicle(s) involved and the ownership
of the vehicle, e.g., military or other.
(c) Whether the injury was deliberately self-inflicted as an act of
misconduct (injury self-inflicted to avoid duties) or as an act of mental instability (a
suicide or attempted suicide), or was deliberately inflicted by another person, or
(d) The place the injury occurred, e.g., location on post such as the
barracks, dining hall, motor pool; if off post, location and status such as home on leave,
in transit when absent without leave, etc.
(e) The date the injury occurred.
(f) Whether the military member was engaged in assigned duties and
the nature of the duties.
(2) An example of properly recorded cause of injury infor mation is "Caused
by rifle bullet; accidentally incurred when patient's rifle discharged while he was cleaning
it in Barracks A, Fort Dix, NJ, 8 Jul 9X."
(3) Additional information is needed for battle casualties. This information
includes: whether the casualty was caused by enemy action, the kind of missile or