Care and Disposition of Remains - Army Publishing Directorate ...

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h. (3.3.1) Simultaneous cremation. The simultaneous cremation of more than one human remains within the same cremation chamber is specifically forbidden. i. (3.3.2) Identification. Immediately prior to being placed within the cremation chamber, the identification of the human remains shall again be verified by the crematory authority. Upon verification, the identification from the outside of the hardwood casket shall be removed and placed near the cremation chamber control panel where it shall remain in place until the cremation process is complete. j. (3.4) Processing of cremated remains. See the following paragraphs. k. (3.4.1) Removal from cremation chamber. Upon completion of the cremation, insofar as is humanly possible, all residual of the cremation process shall be removed from the cremation chamber and the chamber swept clean. The residual shall be placed within a container or tray that will ensure against commingling with other cremated remains. The identification shall be removed from the control panel area and attached to the container or tray to await final processing. l. (3.4.2) Final processing. All residual of the cremation process shall undergo final processing. The residual shall be manually cleaned of anything other than bone fragments and the fragments shall then be processed so as to reduce them to unidentifiable dimension, less than one-eighth inch in size. m. (3.4.3) Prostheses, bridgework, or similar items. All body prostheses, bridgework, or similar items removed from the cremated remains shall be destroyed by the crematory authority unless authorization to do otherwise is specifically granted in writing by the authorizing agent. n. (3.5) Packaging of cremated remains. See the following paragraphs. o. (3.5.1) Sealable container. The entire processed remains shall be placed in a sealable container. The sealable container contents shall not be contaminated with any other object. p. (3.5.2) Temporary sealable container. The sealable container together with the identification of the cremated remains shall be placed within a temporary sealable container. Should the cremated remains within the sealable container not completely fill the container, the extra space shall be filled with clean absorbent cotton and the lid or top then securely closed. q. (3.5.3) Second sealable container. If the entire processed remains will not fit within the sealable container, the remainder shall be placed in a second, separate sealable container. r. (3.5.4) Boxed sealable container. When a sealable container is used to return the processed remains, the container shall be placed within a corrugated box and all box seams shall be taped closed to increase the security and integrity of that container. The outside of the container shall be clearly identified with the name, rank, and social security number of the deceased person whose processed remains are contained therein. s. (3.6) Release of containerized cremated remains. See the following paragraph. t. (3.6.1) Release authority. The crematory authority shall release and give the containerized cremated remains to the contract funeral service establishment and escort the same day the processed cremated remains are containerized. Appendix H Checklist for Inspection of Funeral Homes Before Award of Contract for Care of Remains H–1. Appearance and location Investigate establishment as to appropriate appearance and location. H–2. Business and financial reputation Investigate the business and financial reputation of the firm as well as its community standing. H–3. Facilities, equipment, and supplies Investigate facilities, equipment, and supplies to ascertain the following: a. External appearance of the building gives the impression of being well maintained. It does not need to be pretentious or imposing. b. Furniture and furnishings present a clean and well-kept appearance. Decorating is in good taste and well maintained. c. Preparation room is clean, sanitary, and well ventilated, and proper equipment is available. (This equipment will include instruments, embalming supplies, stationary operating table, hot and cold running water, waste disposal facilities, cosmetics, and so forth.) d. Establishment has an adequate chapel, reposing room or rooms, storage facilities, music equipment, office facilities, and equipment necessary for religious services. e. Embalmers are licensed. f. Firm has sufficient employees to care for the normal workload and can obtain sufficient assistance from other local firms in an emergency. 110 AR 638–2 • 22 December 2000
g . C a s k e t s a n d t h e o u t e r s h i p p i n g c o n t a i n e r t h e c o n t r a c t o r p r o p o s e s t o p r o v i d e c o n f o r m t o a r m e d s e r v i c e s specifications. h. Establishment has, either through outright ownership or rental agreement, suitable rolling stock (funeral coach, passenger car, and so forth) to satisfy contract requirements. Vehicles are to be clean and in good condition. i . B i d d e r u n d e r s t a n d s m i n i m u m r e q u i r e m e n t s o f t h e c o n t r a c t f o r c a r e o f r e m a i n s , e s p e c i a l l y a r m e d s e r v i c e s specifications. Appendix I Armed Forces Public Health Guidelines I–1. Purpose The purpose of this appendix is to provide procedural guidelines in the areas of public health, personal hygiene, and safety, as they pertain to the practices of personal and environmental disinfection and decontamination by practitioners of mortuary services. Prevention of the following is a reasonable expectation of the proper practice of these guidelines: a. Transmission of actual (recognized) or opportunistic pathogens from human remains to the embalmer. b. Transmission of pathogens from embalmer to susceptible hosts within the mortuary facility environment or to members of the embalmer’s family. c. Transmission of pathogens from preparation room environment to family and friends of the deceased or to other visitors to the mortuary. I–2. Premise a. Many infectious agents associated with medical and paramedical environments are classified as “opportunistic” pathogens or microbial agents normally considered to be of low virulence. Such organisms commonly are associated with human remains and environmental areas adjacent to the storage of these remains. b. Postmortem anatomic translocation and multiplication of these “opportunists” together with the necessary handling and manipulation during transfer, pathologic examination, and embalming may enhance the exiting of the contaminants from natural body orifices or body openings resulting from routine postmortem handling. I–3. Concurrent disinfection and decontamination a. Human remains. (1) Thoroughly cleanse and disinfect body surface and orifices with a suitable generic category of chemical disinfectant (for example, 100–105 ppm of an Iodophor or a 1:200 (0.5 percent) use-concentration of a phenyphenol). Case evaluation or analysis may be performed during this sanitation procedure, with special emphasis on observation for puncture or missile wounds, neoplasms, necrotic lesions, gas gangrene, and so forth. ( 2 ) T h o r o u g h l y r i n s e s a n i t i z e d s u r f a c e s , e s p e c i a l l y i f r e m a i n s h a s b e e n e x p o s e d t o a c c i d e n t a l o r t h e r a p e u t i c radiation. (3) Injection and drainage protocol should include the following recommended guidelines when applicable. (a) Multipoint or multisite injection and drainage. (b) Continuous injection and intermittent (interrupted) drainage to enhance chemical distribution and penetration. (c) Use of minimum of a 2.0 percent by volume concentration of an aldehyde or aldehyde derivative preservative for arterial injection. (d) Each primary cavity (thoracic and abdominal) should be treated with a minimum of 16 ounces of concentrated cavity chemical, or a minimum of 32 ounces per adult case. b. Embalmer. (1) Always wear an outer protective garment, preferably one that is impervious to penetration of liquids and aerosols, for example, a rubber or plastic wrap-around apron or gown. (2) Always wear rubber or plastic gloves during handling of human remains. The gloves should be discarded after each use, especially in cases of known reportable infectious diseases or in cases of gangrene. (3) Wear protective head and shoe coverings, especially in handling of autopsied cases or infectious disease cases. ( 4 ) W e a r a p r o t e c t i v e o r a l - n a s a l m a s k d e s i g n e d t o p r e v e n t i n h a l a t i o n o f i n f e c t i o u s o r h a z a r d o u s c h e m i c a l particulates. (5) Rinse gloved hands in appropriate dilution of chemical disinfectant periodically during preparation of the remains to minimize transfer of contaminants to skin surfaces of the embalmer. (6) Concurrently immerse instruments in separate pan or container of chemical disinfectant between actual use during preparation of remains. c. Air handling in preparation room. (1) An efficient air exhaust system or air purification system is highly recommended to be in operation during AR 638–2 • 22 December 2000 111
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Army Regulation 638-2 Deceased Pers
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Headquarters Department of the Army
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Contents—Continued Assistance in
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Contents—Continued Costs for reco
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Contents—Continued Chapter 14 Non
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Contents—Continued Effects of pri
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Part One Care and Disposition of Re
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j. Heads of other organizations hav
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. Secondary care. Secondary care is
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Table 1-4 Authorized and unauthoriz
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. Casualty area commanders. The cas
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. The responsible mortuary affairs
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Table 2-1 Mortuary benefits for eli
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2-4. Army National Guard soldiers T
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e. The unremarried former spouse of
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contracting officer. The contractin
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3-7. Responsibilities of the parent
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(4) Parents in order of seniority (
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PADD’s choice of caskets is annot
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CAC that first learns of the death
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(3) The mortuary services that are
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a. Armed services specifications, w
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States when they are released for l
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(3) Nonappropriated fund (NAF) empl
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Table 6-1 List of mortuary supplies
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Joint Operations provides procedure
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d. When remains involved in a multi
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(d) DD Form 2 (Active) (Armed Force
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. Cremated remains of other than so
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d. Travel entitlement is as follows
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eceiving funeral, ground transporta
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11-20. Dependents of civilian emplo
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(1) Neat in appearance. Military es
Page 71 and 72: insurance, gratuities, arrears in p
Page 73 and 74: d. Proposed date and time for inter
Page 75 and 76: 14-4. Reimbursement of memorial ser
Page 77 and 78: 16-2. Application for headstone or
Page 79 and 80: (5) Personal hygiene articles (shav
Page 81 and 82: 18-9. Format The SCMO report will b
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Page 85 and 86: section. The PE section will invent
Page 87 and 88: The acceptance by the consular repr
Page 89 and 90: . Foreign civilian employees. The c
Page 91 and 92: 22-6. Property of persons hospitali
Page 93 and 94: AR 190-47 The Army Corrections Syst
Page 95 and 96: DD Form 2062 Record of Preparation
Page 97 and 98: Appendix B Management Control Check
Page 99 and 100: d. (5.1.3) Wounds and stains. All l
Page 101 and 102: sufficient time to ensure cremation
Page 103 and 104: c. (2.1.2) Oversize 18-gauge metal
Page 105 and 106: The gasket systems with the lids in
Page 107 and 108: Table C-1 Standards of grade 1 —C
Page 109 and 110: Figure D-1. Sample hardwood casket
Page 111 and 112: Table D-1 Classification of casket
Page 113 and 114: E-5. (5) Quality assurance provisio
Page 115 and 116: Figure E-1. Illustrations of milita
Page 117 and 118: thin coating or no coating. The urn
Page 119 and 120: Table F-1 Classification of urn def
Page 121: Appendix G Armed Services Specifica
Page 125 and 126: c. Different addresses for the pare
Page 127 and 128: Figure J-2. Sample letter to divorc
Page 129 and 130: Figure J-4. Sample letter to divorc
Page 131 and 132: Glossary Section I Abbreviations AA
Page 133 and 134: FOB free on board GPL general price
Page 135 and 136: SSN social security number STANFINS
Page 137 and 138: Body ledge See Top body molding. Bo
Page 139 and 140: Casualty status A term used to clas
Page 141 and 142: Contract A legally enforceable agre
Page 143 and 144: Directing (actuating) Regulating th
Page 145 and 146: Flaring square A casket shell desig
Page 147 and 148: Head panel A component part of the
Page 149 and 150: Inactive National Guard Army Nation
Page 151 and 152: ownership and negotiated at a later
Page 153 and 154: Returned to military control The st
Page 155 and 156: Acquired immunodeficiency syndrome
Page 157 and 158: Surface embalming. Direct contact o
Page 159 and 160: Restorative fluid (humectant) Suppl
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