Quote:
1x Joint Casualty Treatment Ship (J[/u] (2025?)
Replacement for RFA Argus
Specifications: 200m; 35,000t; 20kt; hangar for 3 a/c with 5-spot flight deck; 2x Phalanx CIWS; 50-bed ICU, 100-bed intermediate care ward; 100-bed light care ward 100 bed recovery ward, 5x operating theatres, pharmacy, radiology labs etc; water purification in deck-borne bladder tanks; NBC protection?
Airwing: 2x HM1 Merlin
I hate to be the one who says this, but this ship, as you've described it, is not possible. The ship you have described is larger than a field hospital and biger than many metropolitan general hospitals.
The major problem people tend to forget with hospitals ships is the number of medical personnel required to run them. To run the wards alone you'll need at least 550 nurses and probably two dozen doctors. The theaters are probably even worse: to make full use of 5 theaters you'd need between 50-75 general surgeons and anesthetists, probably two dozen specialist surgeons, and probably another 200 nurses. So all up, including margins for error and support services (e.g. pathology, radiology, non-surgical referral) you're talking about a total medical compliment approaching 1,000 to service the ship you've described.
The RN/Army/RAF does not have that many medical staff available. Full stop.
A more realistic target would be a ship with:
-3 Permanent surgical theaters, each usable as double theaters in surge conditions. Normally only two operating at any time (allowing one to be down for cleaning and maintenance whilst still being able to operate on four patients at any time)
-2 x 25 bed triaging and emergency ward
-1 x 25 bed ICU
-1 x 25 bed recovery ward
-4 x 25 bed general wards (manned as required)
[Total: 6 operating tables in 3 theaters, 200 beds of all types]
-2 x dental surgeries
-Convertible hanger space in the event of uncontrolled mass casualty crisis.
A medical compliment in normal/emergency conditions of:
-3/8 general trauma surgical teams of 3 doctors (2 general surgeons, 1 anesthetist) and 4 scrub nurses each
-3/4 specialist surgical teams of 2 surgeons each (1 orthopedics team, 1 neurosurgery team, 1/2 re-constructive surgery teams)
-18/30 ward physicians (3 shifts of 10)
-100/300 ward nurses
-25/50 orderlies
-2/4 dentists and 4/8 dental nurses
-3/6 radiologists and 6/18 technicians
-2/3 pathologists
-3/6 psychologists
-at least 3 chaplains
Total (normal): 12 surgeons, 3 anesthetists, 23 physicians of all types, 2 dentists, 116 nurses of all types, 3 psychologists, 25 orderlies. 209 medical staff in total.
Total (emergency): 24 surgeons, 8 anesthetists, 39 physicians of all types, 4 dentists, 340 nurses of all types, 6 psychologists, 50 orderlies. 471 medical staff in total.
