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Advances in operational medicine for Navy Medicine and Defense Health Agency was on full display with the annual Continuous Process Improvement Fair held at Naval Hospital Bremerton, May 10-13, 2025. Lt. Justin Roelofs pointed out that the Neurology Clinic, with project leads Lt. Cmdr. Margaret Mitzkewich, himself and team members Hospital Corpsman 1st Class William Brown and HM2 Kyle Champion, determined that they were retrieving approximately 16 vials per week of Botulinum from the inpatient pharmacy. Not a difficult task, but time consuming. Due to the constant need for refrigeration and inability to pick up in bulk, there was the continuous need to only pick up one order at a time. Until a properly suited refrigerator was identified and relocated in the clinic (Official Navy photo by Douglas H Stutz, NHB/NMRTC Bremerton public affairs officer).
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