I didn't sign up to be a policy wonk

So, I am kind of sort of in charge while people are out on Christmas R and R. You have two choices here, you can try and do as little as you can get away with, which some people do when they get to the end of their contracts, "EOC" as we call it, or you can stay engaged and try and get stuff done. I am trying to get stuff done. We have two new docs at KAF and I am trying to use and abuse them to get policies written and make changes for the better.
We are the physical exam center or "PEC" for Southern Afghanistan. We are supposed to do 20 physicals a day for people who are renewing their contract. We can't do twenty because we are using the clinic and have people come in at 0500 before sick call hours. We have been fighting to get a tent to make it a dedicated area to physicals only. We finally got the tent and they have been working on it, building walls, etc. to make it a free standing facility. We went over their to look at it yesterday and after many hours of work they have built two rooms. One of which we can use as an exam room, so we have gained exactly nothing.  They have one huge room to weigh people and draw their blood. It is about 5 times bigger than it needs to be. And we have one room to do EKGs and one room with paper thin walls to be an exam. We asked the power that be why it was designed this way and the answer was "that's how the do it in Fort Worth." Fort Worth is a hotel. And it's in... Fort Worth. We are a tent in...Afghanistan. Also the construction work is shoddy at best. It looks like a 6 grader did it after a night of drinking. Where are my movie construction dudes when I need them? We will make it work, we always do. Why is nothing easy here?
We have had a couple of people stick themselves with needles here. That's not good. So, I decided that we need a needle stick policy because we don't really have one. We have some policies but they are vague and hard to follow, so I tasked one of the Docs to write one. He banged one out in a few hours and it was good. I made the mistake of sending it out for comment. It went from two pages to 20, then down to nine. Turns out that someone else had written one a month ago but it was given to administration, never to be heard from again. No one told me about it. Then we got into an argument about where to put commas. Instead of two hours to get it approved, it is taking two days. It has been rewritten many times. It's back to 9 pages. I just made some changes and wrote "approved' by me and sent it out. Except I forgot to attach it to the email. Like you've never done that. And I sent it out in the wrong format. Word, .pdf, what do I know? But it's out and I now have another headache, Oy.