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DEPARTMENT OF THE AIR FORCE CFETP 4N0X1
Headquarters US Air Force Parts I and II
Washington, DC 20330-1030 24 JULY 2020
AFSCs 4N0X1X
AEROSPACE MEDICAL SERVICE
CAREER FIELD
EDUCATION AND TRAINING PLAN
ACCESSIBILITY: Publications and forms are available on the e-publishing website at www.e-publishing.af.mil
for downloading or ordering.
RELEASABILITY: There are no releasability restrictions on this publication.
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SUMMARY OF CHANGES. As a result of the 12-16 March 2018 Utilization and Training Workshop (U&TW)
the Specialty Training Standards (STSs) contained in this Career Field Education and Training Plan (CFETP) have
significant changes in Core Tasks, proficiency codes, and STS line item numbers.
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CAREER FIELD EDUCATION AND TRAINING PLAN
AEROSPACE MEDICAL SERVICE AFSC 4N0X1X
Table of Contents
PART I
Preface ............................................................................................................................. 1
Abbreviations/Forms/Terms Explained ......................................................................... 3
Section A, General Information ...................................................................................... 7
Purpose Use Coordination and Approval
Section B, Career Progression and Information .............................................................. 10
Specialty Descriptions
Skill and Career Progression
Apprentice Level (3)
Journeyman Level (5)
Craftsman Level (7)
Superintendent Level (9)
Chief Enlisted Manager Level (0)
Enlisted Development Team (EDT)
Training Decisions
Community College of the Air Force (CCAF) Enlisted
Career Path
Section C, Skill Level Training Requirements ...................................................................... 20
Purpose
Training Requirements
Apprentice Level (3)
Journeyman Level (5)
Craftsman Level (7)
Superintendent Level (9)
Section D, Resource Constraints ........................................................................................... 22
Section E, Transitional Training Guide ................................................................................. 22
PART II
Section A, Specialty Training Standards ............................................................................... 23
STS Aerospace Medical Service (4N0X1)
STS Squadron Medical Element (SME)
STS Allergy/Immunization (4N0X1D)
STS Hemodialysis (SEI 486)
STS Critical Care Technician (SEI 487)
STS Hyperbaric Medical Technician (SEI 490)
STS Aeromedical Evacuation (SEI 494)
STS Neurodiagnostic Technologist (4N0X1B)
STS Independent Duty Medical Technician (4N0X1C) (SEI 496)
STS Special Operations Command Medic (SEI 455)
STS Flight and Operational Medical Technician (4N0X1F) (SEI 470) STS
National Registry Paramedic (SEI 456)
Training Reference Bibliography of Commercial and Other Service Publications Section B,
Course Objective List …………………………………………………..97
Section C, Support Materials …………………………………………………….....97
Qualification Training Packages (QTP)
Section D, Training Course Index …………………………………………………102
Section E, MAJCOM-Unique Requirements ……………………………………...103
Air Force Reserve
Air National Guard
Section F, Documentation of Training …………………………………………… 104
Part 1 – Total Force Training Record (TFTR) Part
2 – Work Center Training Binder
Part 3 – TFTR Documentation Examples
Curriculum Development Memorandum …………………………………………. 103
STS 4N0X1 (Pre-publication) V5
OPR: HAF/SG1E
Certified by: CMSgt Taliah Wilkerson (AFMRA/SG1E)
Supersedes: CFETP 4N0X1, 25 June 2014
Pages: 88
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PART I
PREFACE
CAREER FIELD EDUCATION AND TRAINING PLAN
AEROSPACE MEDICAL SERVICE AFSC 4N0X1X
1.
The ever-changing Air and Space Expeditionary Force (AEF) environment requires vision, preparation,
and attention to ensure people have the right skills and tools to deliver the capabilities and the support
required by the war fighter in meeting the Air Force mission of today and vision of the future. Declining
resources, expanding mission diversity, and new technologies in the Air Force are impacting the readiness of
our most valuable resource—people. These factors will continue to exist in the future, making it essential for
the workforce to be effectively and efficiently trained to perform duties within each skill level of an Air Force
Specialty (AFS). To meet the challenges of tomorrow, the Air Force must place a greater emphasis on career
field training today.
2.
The 4N0 Career Field Education and Training Plan (CFETP) is a comprehensive core training document
that identifies the legal scope of practice within the Air Force Medical Service, life-cycle education and
training requirements, training support resources, and core task requirements for this specialty. The CFETP
will provide personnel a defined career path to success and instills rigor in all aspects of career field training.
The clear expectation is that Aerospace Medical Service personnel be utilized to the full extent of their scope
of practice and responsibility.
3.
The CFETP consist of two parts that must be utilized; the supervisors plan as well as management and
control of training within the specialty.
3.1.
Part I provides information necessary for overall management of the specialties. Air Force Career Field
Manager (AFCFM) directs that a copy of Part I be maintained in every work center.
2.1.1. Section A explains how everyone will use the plan.
2.1.2. Section B identifies career field progression information, duties and responsibilities, training strategies,
and career field path.
2.1.3. Section C associates each skill level with specialty qualifications (knowledge, education, experience,
training).
2.1.4. Section D identifies resource constraints and impacts. Some examples are funds, manpower,
equipment, facilities.
2.1.5. Section E identifies transition training guide requirements for Staff Sergeant (SSgt) through Master
Sergeant (MSgt).
2.2. Part II contains six sections. At unit level, supervisors and trainers use Part II to identify, plan, and
conduct training to commensurate with the overall goals of this plan.
2.2.1. Section A: contains the most current version of the STS which identifies the specialty training
standard (STS) and includes duties, tasks, technical references to support training, Air Education and Training
Command (AETC) courses, USAF School of Aerospace Medicine (USAFSAM) courses, tasks identified as
having a QTP, core tasks, and correspondence course requirements.
2.2.2. Section B: contains the course objective list (COL) and training standards, which supervisors will use
to determine if Airmen have satisfied training requirements.
2.2.3. Section C: identifies available OJT support materials such as, AF Qualification Training Packages
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(QTPs), which are developed to support proficiency training.
2.2.4. Section D: contains the training course index supervisors can use to determine resources available to
support training. Included here are both mandatory and optional courses.
2.2.5. Section E: identifies Major commands (MAJCOM) -unique training requirements that supervisors can
use to determine additional training required for the associated qualification needs.
2.2.6. Section F: is specific to medical AFSCs providing guidance on required documentation in the
Electronic Training Record (ETR). It describes the master training plan (MTP) and training documentation.
3. Use of the guidance provided in this CFETP, will ensure individuals in this specialty receive effective and
efficient training at the appropriate points in their career. This plan will enable us to train today’s work force
for tomorrow’s jobs.
To read, review, or print a copy of the current CFETP, go to http://www.e-publishing.af.mil.
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ABBREVIATIONS/FORMS/TERMS EXPLAINED
FORMS
AF Form 623, Individual Training Record Folder
AF Form 623a, On-The-Job Training Record-Continuation Sheet
AF Form 797, Job Qualification Standard Continuation/Command JQS
AF Form 803, Report of Task Evaluations
AF Form 1098, Special Task Certification and Recurring Training
AF Form 1256, Certificate of Training
AF Form 2096, Classification On-The-Job Training Action
Advanced Training (AT). Formal course providing individuals who are qualified in one or more positions of their
Air Force specialty (AFS) with additional skills and knowledge to enhance their expertise in the career field; training is
for selected career Airmen at the advanced level of the AFS.
Aeromedical Evacuation (AE). Regulated patient movement on fixed wing aircraft.
Air Force Career Field Manager (AFCFM). The Air Force focal point for the designated career field within a
functional community. Serves as the primary advocate for the career field, addressing issues and coordinating functional
concerns across various staffs. Responsible for the career field policy and guidance.
Air Force Medical Modeling and Simulation Training (AFMMAST) Program. Entity designated as the
Center for Excellence for Medical Modeling and Simulation (MM&S) and has oversight of all MM&S training
throughout the Air Force Medical Service (AFMS).
AFMMAST Portal. MM&S community of practice source for the AFMS located at:
https://intelshare.intelink.gov/sites/afmmast/SitePages/Home.aspx
Air Reserve Components (ARC). Term is used as an overarching term when referring to both the Air
National Guard (ANG) and Air Force Reserve Command (AFRC) together.
Career Development Course (CDC). Nonresident, student instruction materials (self-study correspondence
course) designed to provide Airmen with the fundamental knowledge of their AFS.
Career Field Education and Training Plan (CFETP). CFETP is a comprehensive core training document
that identifies: life-cycle education and training requirements; training support resources, and minimum core task
requirements for a specialty. The CFETP aims to give personnel a clear path and instill a sense of industry in career field
training. It is the formal training contract between the AFCFM and AETC for formal accession and life-cycle skills
training. *NOTE: The 4N0X1X CFETP establishes the legal scope of practice/responsibility for Aerospace Medical
Service Technicians.
Casualty Evacuation (CASEVAC). The movement of a casualty from the point of injury to medical
treatment using a platform of opportunity.
Certification. A formal indication of an individual’s ability to perform a task to required standards.
Core Task. Tasks the AFCFM identify as minimum qualification requirements for everyone within an AFSC.
Course Objective List (COL). A publication, derived from initial/advanced skills course training standard,
identifying the tasks and knowledge requirements, and respective standards provided to achieve the initial
3-skill level and subsequent SEIs in this career field. Supervisors use the COL to assist in conducting graduate evaluations in
accordance with AFI 36-2651, Air Force Training Program.
Exportable Training. Additional training via computer assisted, paper text, interactive video, or other
necessary means to supplement training.
Functional Manager (FM). Senior leaders, designated by the appropriate functional authority who provide day-to-
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day management responsibility over specific functional communities at the MAJCOM, field operating agencies (FOA),
direct reporting unit (DRU), or ARC level. While they should maintain an institutional focus in regards to resource
development and distribution, FMs are responsible for ensuring their specialties are trained, equipped, developed, and
sustained to meet the functional community’s mission as well as encourage force development opportunities to meet
future needs of the Department of the Air Force mission.
Go. In On-the-Job Training (OJT), the stage at which a trainee has gained skill, knowledge, and experience to
perform the tasks without supervision. (“Go” level equates to 3c in the STS proficiency code key.)
Home Station Training. Includes all training required to perform in the current duty position to include duty
position tasks, core tasks, READY program tasks, contingency tasks, and additional duty tasks.
Immunization Augmentee (IA). 4N0X1s trained to assist with mass military immunizations programs
administering only one vaccine at a time. The IA will work under the supervision of an Allergy/Immunization (A/I)
Technician or Immunization Back-up Technician.
Immunization Back-Up Technician (IBT). 4N0X1 personnel trained to administer immunizations in the
Immunizations Clinic, and other outpatient clinics, in support of mobility processing lines as determined by Medical
Treatment Facility (MTF) and the Master Training Plan. IBTs may serve as NCOIC of Immunizations Clinics. IBTs
are not qualified nor will they administer allergy and related immunotherapy treatments. NOTE: All IBTs will train to
the knowledge level on anthrax and smallpox. Those appointed in writing will receive administration training and will
be authorized to administer these vaccinations. Appropriate documentation will be made on electronic AF Form 623a.
Initial Skills Training. A formal school course that results in an AFSC 3-skill level award for enlisted or
mandatory training for upgrade to qualify for officers.
Instructional System Development (ISD). A deliberate and orderly, but flexible, process for planning,
developing, implementing, and managing instructional systems. ISD ensures personnel are taught, in a cost efficient
way, the knowledge, skills, and attitudes essential for successful job performance.
Master Task List (MTL). A comprehensive list (100%) of all tasks performed within a work center and
consisting of the current CFETP or Air Force Job Qualification Standard (AFJQS) and locally developed
AF Form 797, (as a minimum). Should include tasks required for deployment and/or Unit Type Code (UTC) requirements.
Master Training Plan (MTP). Employs a strategy for ensuring the completion of all work center job requirements by using
a MTL and provides milestones for task, CDC completion, and prioritizes deployment/UTC, home station training tasks,
upgrade, and qualification tasks.
Medical Evacuation (MEDEVAC). The movement of a casualty from the point of injury to medical
treatment using medically equipped vehicles or aircraft.
Medical Treatment Facility (MTF). Any DoD facility (area medical center, regional hospital, clinic, or other medical
unit) that provides health care to active duty members and their dependents, or retired military members and their
dependents. MTFs are also locations where patient care training is conducted.
MM&S. Discipline that encompasses the development and/or use of medical models and simulation.
No Go. Trainee has not gained skill, knowledge, and experience to perform task without supervision. Does not meet
task standard.
Occupational Analysis Report (OAR). A detailed report showing the results of an occupational survey of
tasks performed within a particular AFS.
On-the-Job Training (OJT). Hands-on, directly supervised training conducted to certify personnel in both
upgrade (skill level award) and job qualification (duty position certification) training.
Phase II Training. Clinical training that is a continuation of a formal resident course that provides Airmen with
realistic hands-on experience before beginning OJT at the permanent duty location.
Qualification Training (QT). Hands-on performance training designed to qualify personnel in a specific
position. This training occurs both during and after upgrade training to maintain up-to-date qualifications.
Qualification Training Package (QTP). An instructional package designed for use at the unit to qualify, or aid
qualification, in a duty position or program, or on a piece of equipment. It may be printed, computer-based, or in other
audiovisual media.
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Comprehensive Medical Readiness Program (CMRP). The readiness portion of AFSC-specific
sustainment training designed to ensure all members with a fully qualified AFSC maintain the currency of
skills to perform their duties in a deployed setting. NOTE: Refer to the following website for AFSC specific
readiness skills training https://kx.health.mil/kj/kx9/cmrp/Pages/home.aspx
Resource Constraints. Resource deficiencies, such as money, facilities, time, manpower, and equipment that preclude
desired training from being delivered.
Scope of Practice/Responsibility. The extent or range of subject knowledge, task knowledge, and task
performance that Aerospace Medical Service personnel apply in the performance of duty at the appropriate skill level.
Procedures to request a Scope of Practice Waiver are outlined in AFI 44-119, Medical Quality Operations.
Seasoning Training Program (STP). Seasoning training is intended for members who are not in or pursuing a
related civilian occupation or assigned to a unit that does not have the capability or accessibility to any facilities by
which the member would acquire skill proficiency verification for 3-level and possibly 5-level upgrade may utilize this
training.
Simulation. A method for implementing a model over time.
Special Experience Identifier (SEI). A three-number code that identifies special experience and training not
otherwise identified in the personnel data system.
Specialty Training Standard (STS). An Air Force publication (typically inserted as Part 2 of the CFETP)
describing an Air Force specialty in terms of tasks and knowledge an Airman in that specialty may be expected to
perform or to know on the job. Also identifies the training provided to achieve a 3-, 5-, or 7-skill level within an enlisted
AFS. It further serves as a contract between AETC and the functional user to show which of the overall training
requirements for an Air Force specialty code (AFSC) are taught in formal schools and correspondence courses.
Standard. A predetermined quality or quantity, against which performance skills and knowledge is measured. An
exact value, a physical entity, or an abstract concept, the appropriate authority, custom, or common consent sets up and
defines to serve as a reference, model, or rule in measuring quantities or qualities, developing practices or procedures,
or evaluating results. A fixed quantity or quality.
Sustainment Training. Recurring training required to maintain skills of a qualified individual to perform the duties
required by the 4N0X1X AFSCs. To include but not limited to: formal training courses, TCCC, EMT, BLS, ACLS, in-
service training, and readiness training/exercises.
Task. An observable and measurable unit of work activity or operation that forms a part of a duty, with one or more
duties making up a job.
Task Analysis. A detailed analysis of tasks for a particular AFS to be included in the training decision
process.
Third Party Certification. Is an evaluation of completed training conducted by the task certifier, and is only
required when directed by the AFCFM.
Total Force. All collective Air Force components (active, reserve, guard, and civilian elements) of the United States
Air Force.
Trainer. A trained and qualified person who teaches personnel to perform specific tasks through OJT
methods. Also, equipment that the trainer uses to teach personnel specified tasks.
Training Capability. The ability of a unit or base to provide training. Authorities consider the availability of
resources (such as equipment, reference materials, qualified trainers, etc.) when determining a unit’s training capability.
Upgrade Training (UGT). Mandatory training that leads to the attainment of a higher level of proficiency.
Utilization and Training Workshop (UTW) /Specialty Training Requirements Team (STRT). Meetings, in
partnership with the Air Education Training Command Training Pipeline Manager or USAF School of Aerospace
Medicine, to develop and review life-cycle AF Specialty performance and training requirements. AETC or
USAFSAM Training Managers attends the Specialty Training Requirements Team in an advisory capacity.
Incorporates the expertise of MAJCOM functional managers (MFMs), subject matter experts (SME), AETC, 711 HPW
and other training personnel to determine career ladder training requirements.
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SECTION A – GENERAL INFORMATION
Purpose of the CFETP
1.
The CFETP provides information necessary for the 4NXXX AF Career Field Manager (AFCFM), 4N0X1
MAJCOM Functional Managers (MFMs), Commanders (CCs), Unit Training Managers (UTMs), supervisors,
and trainers to plan, develop, manage, and conduct an effective and efficient career field education and training
program. The plan outlines training for 4N0X1X Airmen to develop, progress, and succeed in the career field.
The plan identifies initial skills, upgrade, qualification, advanced, proficiency, and continuation training.
1.1. Initial skills training is the AFSC specific training an individual receives upon entry into the Air Force or
upon retraining into this specialty for award of the 3-skill level. The 59th Training Group at Joint Base San
Antonio (JBSA), Fort Sam Houston, TX and USAF School of Aerospace Medicine (USAFSAM) at Wright-
Patterson AFB, OH, provides initial and advanced skills training.
1.1.1. Upgrade training (UGT) identifies the mandatory courses, task qualification requirements, and
correspondence course completion requirements for award of the 5-, 7-, and 9-skill level.
1.1.2. Qualification and/or job proficiency training (along with job experience) is actual hands-on task
performance training designed to qualify an Airman in a specific duty position. This training program occurs
both during and after the UGT process. It provides the performance skills and knowledge required to do the
job.
1.1.3. Advanced training is formal specialty training that provides individuals who are qualified in one or
more position of their specialty with additional skills and knowledge to enhance their expertise in the career
field. Training is for selected Career Airmen at the advanced level of their AFS.
1.1.4. Proficiency training is additional training, either in-residence or exportable advanced training courses,
or OJT, provided to personnel to increase their skills and knowledge beyond the minimum required for
upgrade.
1.1.5. Continuation training is additional advanced training exceeding the minimum UGT requirements with
emphasis on present or future duty assignments.
1.2. The CFETP has several purposes—some are:
1.2.1. Serve as a management tool to plan, develop, manage, conduct, and evaluate a career field training
program. Also, ensures that established training is provided at the appropriate point in an individual’s career.
NOTE: This CFETP is to be utilized as a credential file for all 4N0X1Xs, and is the guide to establish scope
of practice/responsibility for each individual.
1.2.2. Identifies task and knowledge training requirements for each skill level in the specialty and
recommends training throughout each phase of an individual’s career. It describes the scope of
practice/responsibility in the Aerospace Medical Service specialty.
1.2.3. List training courses available in the specialty, identifies sources of training, and the training delivery
method.
1.2.4. Identify major resource constraints that impact full implementation of the desired career field
training program.
2.
CFETP Use. The CFETP is maintained and certified by the 4NXXX AFCFM. The AFCFM is the
approval authority for the CFETP and will initiate an annual review of this document to ensure currency and
accuracy. The training plan will be used by MFMs and supervisors at all levels to ensure comprehensive and
cohesive training programs are available for each individual in the specialty.
2.1.
AETC and USAFSAM training personnel will develop and or revise formal resident, non-resident, and
exportable training based upon requirements established during Utilization and Training Workshops
(U&TWs) and documented in Part II of this CFETP. They will also work with the AFCFM to develop
procurement and acquisition strategies for obtaining resources needed to provide the identified training.
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2.2.
4N0 MFMs will ensure their training programs complement the CFETP mandatory initial skill, upgrade,
and proficiency requirements. Coordinated planning between the MAJCOMs and AFCFM enables a holistic
approach to address independent and global Total Nursing Force perspectives by aligning strategy, operating
concepts, and capability development for the nursing practice, readiness, sustainability, infrastructure, and
modernization/recapitalization of the Total Force Nursing Services enterprise.
2.2.1. 4N0 MFMs in coordination with the MAJCOM SGN will also identify the needed AF Job
Qualification Standards (AFJQS)/AFQTPs) to document unique UGT and continuation training requirements.
Requirements are satisfied through OJT, resident training, contract training, or exportable courseware/courses.
2.2.2. MAJCOM-developed training to support this AFSC must be identified for inclusion into this plan. As
such, MAJCOMs must ensure that no training or documentation of training is developed, when such training
is satisfied by existing courses and is effectively documented as prescribed in AFI 36-2651 and this CFETP
using the higher headquarters’ generated Training Record (TR) Program and associated forms. (Ref. AFI 33-
360, Publications and Forms Management)
2.2.3. MAJCOMS, AETC, and the USAFSAM training personnel will use the AFCFM’s annual CFETP
review to coordinate training needs and requirements; in addition to, active engagement in the UTW and
STRT processes as required.
2.3. Individual 4N0X1 personnel will complete the mandatory specialty training requirements specified in this
plan to include respective UGT and continuation training plus associated third party certifications. To request a
waiver for required items in the CFETP, refer to AFI 36-2651, Air Force Training Program.
2.4. Scope of Practice/Responsibility. Total Force 4N personnel may be asked to perform tasks beyond
their normal training plus scope of practice and responsibility outlined in terms of this CFETP. Scope of
practice and responsibility is defined as the extent or range of subject knowledge, task knowledge, and task
performance that 4N personnel apply in the performance of duty at the appropriate skill level.
2.4.1. When the leadership (MTF or Line of the AF) team validates requirements to utilize 4N0X1X Airmen,
in the grades of E1-E8, to perform tasks (clinical or non-clinical) outside his/her scope of practice; the
organization must request approval for scope of practice/responsibility waiver. Procedures to request a scope
of practice/responsibility waiver are outlined in the following paragraphs 2.4.2. – 2.4.5.:
2.4.2. The utilization of total force 4N0X1X technicians for extended scope of practice must meet three (3)
criteria:
2.4.2.1. The expanded scope of practice/responsibility of the task must be mission essential.
2.4.2.2. The member must be trained and certified for the expanded scope by a competent and certified trainer
and the training must be documented. Training requirements must meet the standards established in Air Force
Instruction (AFI) 36-2651, Air Force Training Program.
2.4.2.3. The expanded role is restricted solely to military mission performance and it requires annual review
and approval.
2.4.3. The AFCFM is the final waiver authority for enlisted scope of practice/responsibility waivers. Contact
the respective 4N0 MFM prior to formal coordination to ensure chain of command is aware of AF-wide
mission and resource needs and changes. When requesting the scope of practice/responsibility waivers for
4N0X1X, the process starts with completing the steps outlined at the following site: 4N Scope of Practice
Waiver Process Kx Link.
2.4.3.1. Members receiving a selective reenlistment bonus (SRB) must request a waiver through the MPS prior
to performing duties outside of their CAFSC. In addition to guidance in AFI 36-2101, refer to AFI 36-2606,
Reenlistment in the United States Air Force, for further guidance pertaining to SRB recipients serving outside
their SRB specialty within a 360 day period.
2.4.4. All waiver requests must be resubmitted annually for re-verification and approval.
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2.4.5. In all cases, training and periodic requirement, knowledge and skill certifications are formally certified
on AF IMT 797, Job Qualification Standard Continuation/Command JQS or AF IMT 1098, Special Task
Certification and Recurring Training, and maintained in the individual’s electronic Training Record. Training
references for all tasks beyond any individual’s scope of practice/responsibility or the CFETP will be maintained
in the duty section where these tasks are performed.
3. CFETP Coordination and Approval. The AFCFM is the approval authority for any official change(s)
made to the CFETP. The 4N0X1X AFSC Training Manager officially initiates and coordinates the annual
CFETP review and reports deficiencies to the AFCFM at least 45 days before the anniversary date of the CFETP
IAW AFI 36-2651. MAJCOM representatives, AETC, and USAFSAM training personnel will identify and
coordinate on the career field training requirements. Using the list of courses in Part II, they will eliminate
duplicate training. They will submit, through proper channels, all initial and subsequent changes to the CFETP.
Additionally, this document has been reviewed by the Chief, Nurse Corp.
3.1. Submit any CFETP suggestions and corrections to the USAF 4N Career Field Manager at DHHQ, Attn:
AF/SG1E, Bldg 7700, Room 4NW221, Falls Church, VA 22034 or call DSN: 761-7580 COMM: (703) 681-
7580. At a minimum, submissions will be reported in writing to the respective MFM and MAJCOM SGN for
situational awareness and suggested course of actions or actions taken to remedy. Also consult with the CFM
and/or 4N Force Manager for policy interpretations associated with any part of this CFETP.
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SECTION B – CAREER PROGRESSION AND INFORMATION
1.
Specialty Description.
1.1.
Specialty Summary. Plans, provides, and evaluates routine patient care and treatment of beneficiaries
to include flying and special operational duty personnel. Organizes, coordinates, executes, and evaluates
nursing activities in the medical environment as a Licensed Practical Nurse (LPN)/Licensed Vocational Nurse
(LVN). Performs and directs support activities for patient care situations, including contingency operations
and disasters. Performs duty as Flight and Operational Medical Technician (FOMT), Independent Duty
Medical Technician (IDMT), Aeromedical Evacuation Technician (AET), Allergy and Immunization
Technician (AIT), Special Operations Command (SOC) Medic, Critical Care Technician (CCT), National
Registry Paramedic (NRP), Neurodiagnostic Technologist (NDT), Dialysis Medical Technician (DMT), or
Hyperbaric Medical Technician (HBMT). Related DoD Occupational Subgroup: 130000
1.2.
Duties and Responsibilities.
1.2.1.
Provides, supervises and manages patient care of beneficiaries to include flying and special
operational duty personnel. Performs nursing tasks. Acts as Air Force Medical Home (AFMH) member or
team leader. Front-line preventionist who identifies potential health risks and provides preventative
counseling. Performs paraprofessional portions of preventative health assessments and physical examinations.
Monitors and records physiological measurements. Orients patients to the hospital environment. Admits,
discharges, and transfers patients as directed. Observes, reports, and records observations in patient progress
notes and team conferences. Performs portions of medical treatment, diagnostic, and therapeutic procedures.
Cares for, observes, and reports on pre/post-operative, seriously or critically ill, and injured patients. Records
treatments and procedures rendered and observes effects. Performs postmortem care. Identifies patient
problems and assists in developing and evaluating patient care plans. Assembles, operates, and maintains
therapeutic equipment. Provides field medical care in contingency operations and disasters. Performs basic
life support, tactical combat casualty care (TCCC) and triage in emergency situations. Serves as member of
primary emergency medical response to in-flight emergencies and potential mass casualty scenarios for on-
and off-base incidents. Operates emergency medical and other vehicles. Loads and unloads litter patients.
Participates in contingency or disaster field training, exercises, and deployments. Augments search and rescue
flying squadrons. Obtains and maintains linen and supplies/areas. Disposes of medical waste. Maintains
inpatient and outpatient medical records. Screens medical records for deployability and other medical
administrative requirements. Prepares and submits administrative reports. Manages supplies and equipment,
submits and executes budgets. Coordinates medical service activities with execution and clinical management
teams. Utilizes the nursing process for promoting and maintaining patient health. Provides disease and
disability education, care, and evaluation of nursing care. Participates in and leads the planning,
implementation, and evaluation of nursing care. Performs assessment and analysis of patient health status,
identifies health goals, recognizes subtle changes in conditions, interprets these changes, and immediately
determines appropriate course of action.
1.2.2.
Supervises personnel, conducts training, and creates duty schedules. Schedules and/or conducts in-
service training on procedures, techniques, and equipment. Schedules and/or conducts periodic disaster
training and evacuation procedures. Provides training to medical and non-medical personnel; training may
include areas such as emergency medical technician (EMT), TCCC, and required basic life support training.
1.2.3.
Performs Flight and Operational Medicine duties. Assists flight surgeon with aircraft mishap and
physiological incident response, investigation, and reporting. Supports flight surgeon to develop flying safety
and deployment briefings. Assists healthcare provider teams with interpretation and application of medical
standards to determine medical qualifications for occupational duty, worldwide duty, special operation duty,
mobility status, flying status, special duty, security clearance, professional military education (PME),
retraining, commissioning, and transition to Air Force Reserves or Air National Guard. Provides
administrative management of duty limiting conditions reports. Assists with oversight of waiver management
utilizing the Aircrew Information Management Waiver Tracking System (AIMWTS). Maintains grounding
management on all aircrew assigned utilizing the Aeromedical Services Information Management Systems
(ASIMS). Performs the paraprofessional portion of initial flying class/special operational duty (SOD)
physicals. Conducts clinical entries for data into the Physical Examination Processing Program (PEPP) and
10
manages physical until completion. Provides first point of contact for non-empanelled patients requiring
physical examinations (i.e. Department of Defense Medical Examination Review Board (DoDMERB),
Reserve Officer Training Corps (ROTC), and others that are an extension of the occupational exam).
Performs preventive health assessment (PHA) physicals for flying status and non-flying status personnel and
updates results of required tests and examinations into ASIMS.
1.2.4.
Performs duty as an IDMT at home station and deployed locations, remote sites and alternate
care locations. Renders medical, dental, and emergency treatment; recommends and coordinates evacuations
for definitive medical treatment. Performs pharmacy, laboratory, bioenvironmental, immunizations, public
health, medical logistics and medical administration duties. Establishes preceptorship and provides forward
area health care IAW applicable guidelines in an austere or bare-base environment.
1.2.4.1.
Special Operations Command (SOC) Medics perform special operations medical support providing
initial combat point of injury care, on-going field trauma care, and Casualty Evacuation (CASEVAC) to
definitive care.
1.2.4.2.
SOC medics are ideally suited to Special Operations Forces (SOF) and Combat Search and Rescue
(CSAR) mission support for establishing bare-base encampments.
1.2.5.
Performs Aeromedical Evacuation (AE) ground and/or flight duties. Performs pre-flight/inflight
patient care and documentation. Provides emergency care for patients in event of medical and/or aircraft
emergencies. Functions as an aeromedical evacuation crewmember (AECM). Prepares patients, equipment
and aircraft for flight. Enplanes and deplanes patients. Loads and unloads baggage. Operates specialized
aircraft flight equipment, medical devices and aircraft systems related to patient care. Performs AE mission
planning and management.
1.2.6.
Performs allergy and/or immunization (AI) duties.
1.2.6.1.
Allergy: Manages immunotherapy care and performs diagnostic tests as ordered by physician.
Prepares allergenic extracts and/or specific allergy treatment extracts. Performs allergy, skin and anergy
testing.
1.2.6.2. Immunization: Manages computer based patient information. Performs tuberculosis skin testing.
Administers vaccines IAW current guidelines. Provides emergency care for treatment of anaphylaxis.
Provides patient education regarding expected reactions and proper post-vaccination care. Provides oversight
of immunization processes and programs. Manages the IBT/IA program.
1.2.7.
Performs Neurodiagnostic duties. Assists physician with and prepares patients for examination,
treatment, and diagnostic procedures. Assembles, operates, maintains and performs routine user maintenance
of electroencephalographic and electromyographic equipment. Perform with special electroencephalographic
and electromyographic procedures. Ensures appropriate completion and storage of procedure logs.
1.2.8.
Performs critical care duties. Prepares patient with special equipment for transfers. Performs and
assists with examinations and special procedures including mechanical ventilation, cardiovascular and
neurovascular procedures and dialysis.
1.2.9.
Performs hyperbaric medical duties. Prepares patients and equipment for hyperbaric dive. Provides
wound care and debridement. Prepares hyperbaric chamber and properly positions patients. Functions as
hyperbaric dive crewmember. Assists hyperbaric nurse or provider with patient care during and post
treatment. Provides emergency care for patients in event of medical or hyperbaric chamber emergencies.
1.2.10.
Performs dialysis duties. Prepares patients and equipment for specialized renal acute/chronic.
Performs hemodialysis machine maintenance and water treatment system component maintenance, IAW
Advancement of Medical Instrumentation (AAMI) and local policy standards. Provides troubleshooting
capabilities, and critical thinking skills in the event of machine/patient emergencies.
1.2.11.
Nationally Registered Paramedic (NRP). Provides Advanced Emergency Medical Services (EMS)
IAW with USAF Pre-Hospital Protocols. Individuals who hold a current NRP certification must maintain
certification following initial certification.
2.
Skill and Career Progression. Adequate training is essential to timely progression of personnel from
apprentice to the superintendent skill levels and training also plays an important role in the Department of the
11
Air Force’s ability to accomplish its mission. Everyone involved in training must do their part to plan,
manage, and conduct effective training programs. The guidance provided in this part of the CFETP will
ensure each individual receives viable training at appropriate points in their career.
2.1.
Apprentice/3-Skill Level. Initial skills training in this specialty consist of the tasks and knowledge
training provided in the 3-skill level in-resident course conducted at JBSA, Medical Education and Training
Campus, Fort Sam Houston, TX. This course includes 2 days of Expeditionary Medical Readiness Course. In
addition, successful completion (no more than 3 attempts) and award of the NREMT certification is
mandatory. Upon graduation from the in-resident course, students will attend the 3-skill level Phase II course
located at one of the Phase II training facilities. Individuals must successfully complete both the in-resident
and Phase II courses to be awarded AFSC 4N031. NOTE: Refer to the Education and Training Course
Announcements (ETCA) at https://cs2.eis.af.mil/sites/app10-ETCA/SitePages/Home.aspx for current course
numbers.
2.2. Journeyman/5-Skill Level. Upgrade training to the 5-skill level in this specialty starts immediately after
assignment to the duty position as an apprentice/3-skill level.
2.2.1. Upgrade Requirements. Specific knowledge, education, training, experience, other requirements along with,
training resources plus implementation of journeyman training requirements. Training requirements are: (1) CDC
4N051A and 4N051B set completion; (2) all STS core tasks (including core task QTPs); and (3) Current
certification as an NREMT is mandatory.
2.2.1.2. Approval Authority. Must be recommended by the supervisor plus approved by the commander for
formal skill upgrade via AF 2096. UTMs assist the supervisor and commanders in this process as specified
in AFI 36-2651.
2.3. Craftsman Level (7). Upgrade training to the 7-skill level starts on the first day of the promotion
cycle once selected for promotion to the rank of SSgt. In the case of SSgt retrainees (if applicable), UGT
starts upon award of the 5-skill level.
2.3.1. Upgrade Requirements. Completion of (1) CDC 4N071; (2) all STS core tasks (including core task
QTPs).
2.3.2. Approval Authority. Must be recommended by the supervisor plus approved by the commander for
formal skill upgrade via AF 2096, Classification/On-The-Job-Training Action. UTMs assist the supervisor
and commanders in this process as specified in AFI 36-2651.
2.4. Superintendent Level (9). Upon promotion to SMSgt, satisfaction of requirements outlined in AFI
36-2101, and completion of an AF 2096, Classification/On-The-Job-Training Action, AFSC 4N091 will be
awarded. Current certification as an NREMT is mandatory.
2.5. Chief Enlisted Manager Level (0). AFSC/CEM code 4N000 awarded upon selection for promotion to
CMSgt. Current certification as an NREMT is mandatory when filling a 4N091 UTC requirement.
2.5.1. Enlisted Deliberate Development. Occurs through the guidance, direction and execution of Enlisted
Development Teams (EDT). Through EDTs, enlisted career field leadership executes planning and
succession planning to ensure Air Force specialties are effectively equipped, developed and sustained to
provide the required capabilities to accomplish the mission. Succession planning is the responsibility of
EDTs and entails identifying key developmental positions (KDPs) and key leadership positions (KLPs).
2.6.1. EDT. Provide vectors based on projected (or anticipated) aggregated requirements by grade, level, and
position type. A vector is an EDT’s collective recommendation for an experience level, training or education
opportunity, or position type for an Airman’s next or subsequent assignment. EDTs ensure a career field’s
senior leadership becomes familiar with Airmen assigned to their functional area and assesses Airmen’s
qualifications and potential for future opportunities. EDTs must be executed in the most cost-efficient manner
possible. This includes taking full advantage of remote capabilities, conducting EDTs in conjunction with
other scheduled meetings, and minimizing the need for AFPC support and resources to execute EDTs.
2.6.2. KDPs/KLPs. CAFSC specific. Identified by AFCFM and approved by MFMs (Final approval,
AFCFM). Positions develop 4Ns for future leadership and strategic roles. KDPs/KLPs are reviewed annually.
Below is a brief list of approved KDPs/KLPs:
12
AFS
Position Title
Identify
KDP or
KLP
Skill
Level
Req
Grade
Position Requirements (if any)
4N1
Associate Career Field Manager
KDP
4N191
SMSgt
CST Highly Desired
4N0
4N Force Manager
KDP
4N091
SMSgt
LPN Highly Desired
4N0
AFRC 4N Force Manager
KLP
4N091
SMSgt
LPN Highly Desired
4N0
AMSA, Course Supervisor
KLP
4N091
SMSgt
LPN Highly Desired
4N0
Functional Mgr, Medical Ops
Assignments
KLP
4N091
SMSgt
LPN Highly Desired
4N0
AF Global Strike Cmd Functional
Mgr
KLP
4N091
SMSgt
LPN Highly Desired
4N0
AF Special Operations Cmd
Functional Mgr
KLP
4N091
SMSgt
SEI 455/456/496
4N0
Space Force Functional Mgr
KLP
4N091
SMSgt
LPN Highly Desired
4N0
AFDW Functional Mgr
KDP
4N091
SMSgt
LPN Highly Desired
4N0
AE Sq Superintendent
KDP
X4N091
SMSgt
SEI 494
4N0
AE Formal Training Unit
Superintendent
KDP
X4N091
SMSgt
SEI 494
4N0
Mgr, Flight Med Branch (Consultant)
KDP
4N091
SMSgt
LPN Highly Desired
4N0
AF EMS State Director
KDP
4N091
SMSgt
LPN Highly Desired
4N0
Supt, USAFSAM (Office of the Dean)
KDP
4N091
SMSgt
LPN Highly Desired
4N0
IDMT Course Supervisor
(Consultant)
KDP
4N091
SMSgt
LPN Highly Desired/SEI 496
4N0
AMWD Superintendent
KDP
4N091
SMSgt
4N0X1F/SEI 470
4N0
Flt and Operational Med Course
Supervisor
KDP
4N071F
MSgt
LPN Highly Desired
4N0
Mgr, Medical Modernization Division
KDP
4N071
MSgt
LPN Highly Desired/ Operational
Experience
4N0
Mgr, Flt and Operational Med
KLP
4N071F
MSgt
LPN Highly Desired
4N0
Command AE Eval Tech Examiner
KDP
X4N071
MSgt
SEI 494
4N0
USAF EMS Program Manager
KDP
4N071
MSgt
SEI 456 Highly Desired
4N0
CDC Writer
KDP
4N071
MSgt
LPN Highly Desired
4N0
Supt, FOMT-BOMC Development
Cell
KLP
4N071F
MSgt
LPN Highly Desired
4N0
Integrated Operations Support
KDP
4N071
MSgt
LPN Highly Desired/ Operational
Experience
4N0
NCOIC, Tech Mgmt and Integration
KDP
4N071
TSgt
LPN Highly Desired
3. Training Decisions. The CFETP uses a building block approach (simple to complex) to encompass the entire spectrum of
training requirements for the Aerospace Medical Service specialty. The spectrum includes a strategy for when, where, and
how to meet training requirements. The strategy must be apparent and affordable to reduce duplication of training and
eliminate a disjointed approach to training. Initial skills and UGT requirements were reviewed, updated, and expanded during
the 4N0X1 U&TW held 12-15 March 2018 and 27-30 November 2018 at Medical Education and Training Campus, Fort Sam
Houston, Texas. The decision to train specific tasks and knowledge items in the initial skills course and 4N0 non-resident
medical training program is based on Occupational Survey Report (OSR) data, Training Requirements Analysis (TRA) data,
and input from 4N0X1 SMEs. Task and knowledge training requirements are identified in the STS (Part II, Section A of this
CFETP). The following training decisions were made during the U&TW:
3.1. The STS was reviewed and updated to include the following changes.
3.1.1. Multiple new and redundant line items were added to clean up the task descriptors, as well as task performance
requirements for both the 5-skill level and 7-skill level trainees.
3.1.2. Multiple line items’ proficiency codes were adjusted to eliminate skill gaps and to correct instructional delivery system
administrative requirements identified during site visits, gap analysis, and from U&TW SME feedback.
3.1.3. Multiple tasks’ were added to meet readiness training needs and requirements based upon Defense Health
Agency (DHA)-Health Affairs (HA) Joint Knowledge, Skills, and Abilities (JKSA) and AFSC CMRP skills.
13
3.2. Initial (3-level) Skills Training. The U&TW changed tasks and proficiency codes in the 3-level course column to
reflect the career field’s desire to increase the amount of hands-on training and increase on areas of weakness.
3.3. 5-skill level UGT Requirements. The U&TW revised the 5-skill level OJT and CDC columns to align and
increase proficiency in the subjects and tasks introduced in initial skills training.
3.4. 7-skill level UGT Requirements. The U&TW revised the 7-skill level OJT and CDC columns to align and
increase proficiency in the subjects and tasks introduced in initial skills and 5-skill level training.
3.5. Proficiency Training. The 4N AFSC must be fully capable of performing mission critical tasks in support of
expeditionary operations. The 4N career field continues to need a critical skills sustainment framework that includes
approved and standardized common operating practices and supports standardized proficiency training expectations in
the COL. More proficiency and competency training is needed with a standard required level of performance within
the constraints of competing demands for a 4Ns time. To maintain currency/qualification in special tasks and
positions, the 4N AFSC will focus on central development of standardized supplement training tools that support the
right balance of OJT, proficiency training, continuation training, as well as certification. Core tasks, QTPs, and other
requirements for 5-and 7-levels have been established updated and reviewed. All other STSs were reviewed, updated
and approved.
3.6. Tactical Combat Casualty Care (TCCC) Certification.
On 16 Mar 2018, the revised Department of Defense
Instruction (DoDI) 1322.24, Medical Readiness Training, was published mandating role-based TCCC training
every 36- months for all Service members and some Expeditionary Civilians. The Defense Health Agency (DHA),
in coordination with the Services, is in the process of developing four TCCC courses: All Service Members (Tier
1), Combat Lifesaver (Tier 2), Combat Medic/Hospital Corpsmen (Tier 3), and Combat Paramedic/Provider (Tier
4). Until the DHA approved TCCC curriculum is finalized, the AF/SG has directed active duty 4N0X1 and
4N1Xl personnel to complete the current National Association of Emergency Medical Technician (NAEMT)
TCCC for Medical Personnel.
(ref: 13 Aug 19 memo)
https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/Forms/AllIt
ems.aspx
. Course completion will be documented in the Medical Readiness Decision Support System.
3.6.1.
All 4N0X1 personnel will complete the DHA TCCC Combat Medic (Tier 3) curriculum once finalized with
training recertification every 24-months (Reg-AF) and every 36-months (ARC) unless tasked for deployment.
NOTE: TCCC does NOT need to be re-accomplished unless member is due to recertify.
If tasked to deploy,
must be current within 12-months. Initial TCCC training to be accomplished at the 4N0 non-resident medical
phase II program.
3.6.2.
All 4N0X1C (IDMTs) and 4N NRPs will complete the DHA TCCC Combat Paramedic/Provider (Tier 4)
curriculum once finalized with training recertification every 24-months (Reg-AF) and every 36-months (ARC)
unless tasked for deployment. If tasked to deploy, must be current within 12-months.
3.7. USAF Emergency Medical Services (EMS) Program.
3.7.1. Responsibilities:
3.7.1.1. Approves continuing education (CE). These include any subject covered in the National EMS Educational
Guidelines. Other topics must be approved by the USAF EMS Program Manager prior to the offering date.
3.7.1.2. Notifies NREMT and Emergency Medical Technician (EMT) training sites of CE approval.
3.7.1.3. Provides guidance to NREMT and course coordinators on EMS CE within Air Force Aerospace Medical
Service arena.
3.7.1.4. Investigates possible breeches of program integrity.
3.7.1.5. Air Force liaison to Board of Directors NREMT. Personnel should contact the USAF EMS Program Manager
or State Director on all matters prior to contacting the NREMT.
3.7.1.6. Conducts medical incident investigations and functions as the subject matter expert in malpractice cases
involving enlisted personnel in the performance of EMT and/or Paramedic duties, as requested.
14
3.7.2. MTF.
3.7.2.1. Ensures appropriate volume of SKT study material for 4N personnel.
3.7.2.2. Ensures availability of proper equipment/supplies for NREMT Training.
3.7.2.3. Coordinates funding for NREMT recertification vouchers for all assigned 4Ns.
3.7.2.4. MTF 4N Functional. Ensure that all newly assigned 4Ns/members who have never taken the protocol test
complete the USAF Pre-Hospital Protocols test within 6 months of assignment. If assigned to an EMS unit, the test
must be completed within 30 days of assignment. All results must be documented into their training record.
3.7.3. Medical Director. A licensed physician responsible for the overall management, maintenance, and integrity of
local program.
3.7.4. EMT Course Site Coordinator.
3.7.4.1. Acts as liaison between students, MTF executive staff, local medical community, and USAF EMS Program
Manager.
3.7.4.2. Coordinates and/or conducts didactic and skills training for all assigned NREMT personnel.
3.7.4.3. Ensures all documentation on NREMT recertification application is complete and accurate by 31 January of the
recertification year before signing.
3.7.4.4. Notifies MTF/Unit SGN and 4N Functional Manager if personnel are not current or miss deadline.
3.7.5. Supervisor.
3.7.5.1. Ensures each member has resources required for training and testing.
3.7.5.2. Reviews and ensures accuracy of documentation before re-registration form is submitted to EMT Course
Coordinator for validation.
3.7.5.3. Works with EMT Course Coordinator and individual EMTs and NRPs ensuring no lapse in recertification.
3.7.5.4. Refers individuals to EMT Course Coordinator for remedial training when required.
3.7.5.5. Acts as liaison between EMT and Course Coordinator.
3.7.5.6. With EMT Course Coordinator approval, supervisors (that have complete the train-the-trainer course) may sign
off EMT/NRP skills during unit training commensurate to their level of training.
3.7.6. EMT and Nationally Registered Paramedic (NRP).
3.7.6.1. The EMT and NRP are ultimately responsible for successful completion of all training and testing
requirements.
3.7.6.2. Completes all requirements for recertification by NREMT ensuring no lapses in recertification occur.
3.7.6.3. Works with supervisor and EMT Course Coordinator to ensure access to required training.
3.7.6.4. Ensures all tasks are properly documented in electronic training record and on NREMT site.
3.7.6.5. If pre-deployment timeline permits, personnel coming due for recertification during deployment should contact
the USAF EMS Program Manager as soon as the individual is notified of deployment.
3.7.6.6. Requests remedial training when needed.
3.7.6.7. Ensures required funding and documents are forwarded with NREMT recertification package.
3.7.6.8. 5-level NREMTs and NRPs assigned to Emergency Services (Emergency Department, Emergency Care
Center, Urgent Care Center, etc.) or Ambulance Services are authorized to administer the medications commensurate
with their certification via approved routes (IN, IV, IO, IM, Oral, SL, Buccal) as listed in the USAF EMS Protocols.
Members must have completed the USAF Medication Administration course and been signed off on IV, IO, IN, IM,
Oral, SL, Buccal Medication Administration tasks in their electronic training record prior to administering medications
3.7.7. Recertification documentation.
3.7.7.1. NREMT recertification application will be completed on the NREMT website by 31 January of the
15
recertification year. Recertification documentation must be uploaded to the NREMT website as required by National
Registry.
3.7.7.2. Contingency Recertification Procedures. Personnel currently deployed in support of contingency operations
should contact the USAF EMS Program Manager for guidelines on conducting training and possible recertification
extension.
3.7.8. Expired Registration.
3.7.8.1. A healthcare professional who does not obtain an active, current, valid, unrestricted license/cerification or other
authorizing document will not practice independently.
3.7.8.2. Individuals who allow their NREMT or NRP certification to lapse will be decertified in all NREMT skills
listed as an NREMT core task and will neither perform pre-hospital emergency care nor be assigned duties on
ambulances or in emergency services. Once expired, individuals will have 6 months to complete all recertification
requirements as mandated by the NREMT and the AF EMS State Office. These individuals are not deployable assets,
and therefore, must not be assigned to a deployable UTC position.
3.7.8.3. Individuals who fail to maintain or re-obtain this mandatory certification within 6 months of expiration will
have the AFSC withdrawn IAW AFI 36-2101, Classifying Military Personnel (Officers and Enlisted).
3.7.8.4. AFSC withdrawal process starts 1 October of the recertification year.
3.7.9. NREMT Exemptions. 4N0X1 personnel completing special duty assignments outside CAFSC (to include MTL,
MTI, PME, etc.) are highly encouraged to maintain their certification while performing those duties (i.e. coordinate with
local MTF for training or coordinate with USAF EMS Program for suitable CEU based refresher approval), and will
have up to 6 months upon returning to the 4N0X1 career field to re-establish their NREMT certification.
Community College of the Air Force (CCAF).
4. CCAF Degree. CCAF is one of several federally charted degree-granting institutions; however, it is the
only 2-year institution exclusively serving military enlisted personnel. The college is regionally accredited
through Air University by the Commission on Colleges of the Southern Association of Colleges and Schools
to award Associate in Applied Science (AAS) degrees designed for specific Air Force occupational
specialties and is the largest multi-campus community college in the world. Upon completion of basic
military training and assignment to an AF career field, all enlisted personnel are registered in a CCAF
degree program and are afforded the opportunity to obtain an AAS degree. In order to be awarded, degree
requirements must be successfully completed before the student separates from the Air Force, retires, or is
commissioned as an officer. See the CCAF website for details regarding the AAS degree programs.
4.1. Professional Certifications. Certifications assist the professional development of Airmen by
broadening their knowledge and skills. Additionally, specific certifications may be awarded collegiate credit
by CCAF and civilian colleges. To learn more about professional certifications and certification programs
offered by CCAF, visit the CCAF website.
4.1.1. Certification Opportunities within the 4N0 AFSC. The programs and governing bodies listed
below are certifications the 4N0 AFSC can obtain as noted in AFI 41-104, Professional Board and National
Certification Examinations.
16
Governing Body/Agency
Certification/Title
National Registry of Emergency Medical Technicians
Emergency Medical Technician
National Registered Paramedic
National Council of State Boards of Nursing-Licensed Practical Nurse
(NCSBN-LPN)
Licensed Practical Nurse/Licensed Vocational
Nurse
Certifying Board of the American Association of Medical Assistants
(AAMA)
Certified Medical Assistant
American Board of Electroencephalongraphic (EEG)
Technologists/CAAHEP-COA
EEG Technologists (R. EEG T)
University of Maryland, Baltimore County (UMBC) Emergency Health
Services
Critical Care Paramedic (CCEMT-P)
Pediatric & Neonatal Critical Care Transport
Program (PNCCT)
Board for Critical Care Transport Paramedic Certification (BCCTPC)
Critical Care Paramedic - Certified (CCP-C)
Tactical Paramedic - Certified (TP-C)
International Board of Specialty Certification (IBSC)
Certified Flight Paramedic (FP-C)
National Society of Health Coaches
Health Care Life Coach
The National Board of Diving and Hyperbaric Medical Technology
Hyperbaric Technologist Certification (CHT)
Board of Nephrology Examiners Nursing and Technology
Certified Hemodialysis Technologist/Technician
5. Career Field Education and Training Requirements/Opportunities.
Education and Training Requirements
Rank
Careerfield Opportunities
Upgrade to Journeyman
A1C/SrA
• Flight & Operational Medicine Technician (FOMT)
(5-Skill Level)
• Independent Duty Medical Technician (IDMT)
• Certified in all STS Core Tasks
• Aeromedical Evacuation Technician (AET)
• Minimum NREMT
• Hyperbaric Technician (HBMT)
• Tactical Combat Casualty Course-Combat
Medic or Medical Provider
• Complete all duty position training
• QTPs for assigned position
• Neurodiagnostic Technologist (NDT)
• Allergy/ Immunization Technician (A/I)
• Squadron Medical Element (SME)
• National Registered Paramedic (NRP)
• Critical Care Technician
• License Practical Nurse/License Vocational Nurse
Upgrade to Craftsman
(7-Skill Level)
• Minimum NREMT certification
• QTPs for assigned position
• Complete all duty position training
requirements
SSgt/TSgt
• Medical Development NCO
• Special Operations Command Medic
• Aeromedical Consultation Service
• Technical Training Instructor
• Phase II Training Instructor
Flight/Squadron/Division Superintendent
Senior 4N0
MSgt
• International Health Specialist (IHS)
• Key Development/Leadership Positions
Upgrade to Superintendent (9-Skill Level)
• NREMT certification
SMSgt
• Squadron Superintendent
• Key Development/Leadership Positions
• MAJCOM Functional Manager
Chief Enlisted Manager (CEM) (4N000)
• CLC
CMSgt
• MAJCOM level assignments
• MAJCOM Functional Manager
• Medical Group Superintendent
• Air Force Career Field Manager (AFCFM)
17
Enlisted Career Pyramid
(Figure 5-1)
18
(Figure 5-2)
SECTION C – SKILL LEVEL TRAINING REQUIREMENTS
1.
Purpose. Skill level training requirements in this specialty are defined in terms of tasks and knowledge
requirements. This section outlines the specialty qualification requirements for each skill level in broad, general
terms and establishes the mandatory requirements for entry, award, and retention of each skill level. The specific
task and knowledge training requirements are identified in the STS at Part II, Sections A and B of this CFETP.
2.
Specialty Qualification.
2.1.
Skill Level Training.
2.1.1.
Specialty Qualification.
2.1.1.1.
Knowledge. The following knowledge is mandatory for award of AFSC indicated:
2.1.1.1.1.
4N0X1/X. Medical terminology, anatomy and physiology; nursing theory, techniques and
procedures; nursing assessment; team nursing; patient needs; emergency medical treatment to include
cardiopulmonary resuscitation; aseptic technique; medical ethics and legal aspects; prescribed
drugs/immunizations and their administration; population health concepts; operating and maintaining therapeutic
equipment; transportation of sick and wounded; risk management; military hygiene and sanitation; fundamentals
of primary care management (PCM); preventive medicine and counseling techniques; physical examinations and
standards, contingency operations, disaster preparedness and chemical warfare; flight physiology fundamentals;
maintenance of the human weapon system; and operational readiness of the war fighter.
2.1.1.1.2.
4N0X1B. Neurological patient examination, treatment, and diagnostic procedures; -operation and
user maintenance of electroencephalographic, electromyographic, and other neurodiagnostic equipment.
2.1.1.1.3.
4N0X1C. Medical, dental, and emergency treatment; disorders; advanced cardiac and disease
management; epidemiology; and entomology. Pharmacy, laboratory, bioenvironmental, immunizations, public
health, medical logistics, and medical administration.
2.1.1.1.4.
4N0X1D. Immunotherapy injection, immediate and delayed skin testing, mixing and diluting of
allergen extracts, spirometry, vaccine storage and handling procedures; disease prevention through
vaccinations.
2.1.1.1.5. 4N0X1F. Physical examinations procedures, aircrew medical waivers, medical standards, and duty
limiting conditions.
2.1.1.2. Education. For entry into this specialty, member must meet initial accession requirements as annotated in
AFI 36-2002. Courses in general science, biology, psychology, and chemistry is desirable.
2.1.1.3. Training. The following training is mandatory for the award of the AFSC indicated:
2.1.1.3.1. 4N031. Completion of Aerospace Medical Service Apprentice (AMSA) Course Phases I and II.
2.1.1.3.2. 4N0X1B. Completion of a neurodiagnostic technician course, current NREMT certification is mandatory.
2.1.1.3.3. 4N0X1C. Completion of Independent Duty Medical Technician Course and initial certification at
the host medical treatment facility is mandatory.
2.1.1.3.4. 4N0X1D. Completion of Allergy/Immunology Technician Course.
2.1.1.3.5. 4N0X1F. Completion of Flight and Operational Medical Technician course.
2.1.1.4. Experience. The following experience is mandatory for the award of AFSC indicated:
2.1.1.4.1.
4N051/4N051X. Qualification in and possession of AFSC 4N031/31X. Experience performing
functions such as care and treatment of patients, operating and maintaining therapeutic equipment.
2.1.1.4.2.
4N071/4N071X. Qualification in and possession of AFSC 4N051/51X/1X. Experience
performing or supervising functions such as nursing activities; care and treatment of patients; operating and
maintaining therapeutic equipment; and conducting paraprofessional portions of physical examinations.
2.1.1.4.3.
4N091. Qualification in and possession of AFSC 4N071/71X. Experience managing functions
such as medical and related patient care and administrative activities.
2.1.1.5.
Other. The following are mandatory as indicated:
2.1.1.5.1.1.
AFSCs 4N0X1/X1X:
19
2.1.1.5.1.2.
No record of emotional instability according to the provisions of AFI 48-123.
2.1.1.5.1.3.
See attachment 4 of the (AFECD) for additional other entry requirements.
2.1.1.5.1.4.
Certification from the National Registry of Emergency Medical Technicians (NREMT) as an emergency
medical technician is mandatory. After initial certification, continued certification is mandatory. NOTE: Individuals
who possess Nationally Registry Paramedic certification exceed the NREMT requirement and are not required
to also maintain a NREMT certification.
2.1.1.5.2. For award and retention of these AFSCs, must maintain local network access IAW AFI 17-130,
Cybersecurity Program Management and AFMAN 17-1301, Computer Security.
2.1.1.5.3. For award of AFSCs 4N051/51X/4N071/71X/4N091/91X:
2.1.1.5.3.1. Must pass the National Council Licensure Examination in Practical Nursing (NCLEX-PN) and maintain
Practical Nursing (LPN/LVN) credential with unrestricted practice (excludes temporary restrictions) IAW AFI 44-
119, Medical Quality Operations.
2.1.1.5.3.1.2. Applicable NLT dates for credential is contained in AF/SG1E- Practical Nurse (LPN/LVN) Credential
Interim Policy memo. (ref 16 May 19 memo)
https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/Forms/AllItems.aspx
2.1.1.5.3.1.3. Exception- Airmen with an approved separation or retirement date as of the LPN/LVN requirement
date are not required (but highly encouraged) to complete the LPN credential.
2.1.1.5.4. For entry into 4N0X1B, prior qualification in and possession of PAFSC 4N051/71.
2.1.1.5.4.1. For award and retention of the AFSC 4N051B, certification as a Registered Electroencephalographic
Technologist (R. EEG T.) or other professional recognized national certification a registration examination within the
NDT field must be accomplished within one year of graduation from the NDT Program.
2.1.1.5.4.2. After initial certification, continued certification is mandatory while assigned duties as a NDT.
2.1.1.5.5. For entry, award, and retention of 4N0X1C, the following are mandatory:
2.1.1.5.5.1. Prior qualification in and possession of PAFSC 4N031/51/71.
2.1.1.5.5.2. Qualification to perform duties at an isolated location according to the provisions of AFI 48-123 and
Medical Standards Directory.
2.1.1.5.6. For entry into 4N0X1D, prior qualification in and possession of PAFSC 4N031/51/71.
2.1.1.5.7. For entry into 4N0X1F, prior qualification in and possession of PAFSC 4N031/51/71.
2.2. Training Sources/Resources. Completion of the AMSA Phase I course, which is to include NREMT
certification training and testing, at JBSA, Fort Sam Houston, TX, and the Aerospace Medical Service
Apprentice Phase II course satisfies the knowledge and training requirements specified in para 2.1.1.1.1., for
award of the 3-skill level.
2.3. Implementation. After 3-skill level graduation, job qualification training starts when individuals are
assigned to their first duty positions. Thereafter, it is initiated anytime individuals are assigned duties they are
not qualified to perform. QTPs will be used concurrently to obtain necessary duty position qualifications. QTPs
are Air Force publications that have been developed and are mandatory for use during upgrade/qualification
20
training when available for a duty position, program, or piece of equipment.
2.4. Medical Modeling and Simulation (MM&S) Training
2.4.1. MM&S is an important tool to develop and maintain technical skills, enhance communication and refine
critical thinking skills as a component of the overall Education and Training (E&T) program. The Air Force
Medical Modeling and Simulation Training (AFMMAST) Program has been designated as the Center of
Excellence for MM&S and has oversight of all MM&S training throughout the AFMS. AFMMAST supports
process improvement and research initiatives related to MM&S, and works with SMEs to align E&T
requirements and objectives within standardized MM&S scenarios to improve the efficiency and effectiveness
of MM&S across the E&T continuum. AFMMAST is co-located with DoD (tri-service) and DHA J-7 in the
Defense Medical Modeling and Simulation Office (DMMSO).
2.4.2. MM&S is a broad concept that encompasses advanced information technology solutions and diverse
teaching modalities including a distributed human patient simulator network of high & low fidelity manikins,
human simulator task trainers, serious medical games, integration of augmented reality/virtual reality/mixed
reality, and standardized patients. To address the specific training needs of a learning objective, the optimal
MM&S tool(s) must be selected. AFMMAST experts assist and mentor AFMS personnel in selecting the best
MM&S tool or combination of tools that meet the requirement within any budgetary, equipment, and
infrastructure constraints. AFMMAST can provide any MM&S operations, logistical, IT, curricula, and data
analysis support or guidance needed.
SECTION D – RESOURCE CONSTRAINTS
1. There are currently no resource constraints. This area is reserved.
SECTION E – TRANSITIONAL TRAINING GUIDE
1. LPN Pathway. Resources can be found on link below to include 4N App (Apple iOS and Android devices)
https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Documents/LPN%20Dpcuments/LPN%20Program%20Guid
e%202019%20with%20embeded%20files.xlsx
21
PART II
SECTION A – SPECIALTY TRAINING STANDARD (STS) FOR AFSC 4N0X1/X AND APPLICABLE
SHRED OUT/SEI
1.
Implementation. This STS will be used for Aerospace Medical Service Apprentice technical training
provided by METC for classes beginning no earlier than October 2020. The 4N051A CDC need date (date the
CDC should be available to the field) is March 2021; 4N051B CDC need date is July 2021. The 4N071 CDC
need date is 1 Jan 2021. All other portions are effective immediately upon publication.
2.
Purpose. As prescribed in AFI 36-2651, Air Force Training Program, this STS:
2.1.
In Column 1 (Task, Knowledge, and Technical Reference) lists the most common tasks, knowledge, and
technical references (TR) necessary for airmen to perform duties in the 3-, 5-, and 7-skill level.
2.2.
In Column 2 (Core Tasks) identifies the core task requirements. Core task requirements are met after
individuals successfully complete the appropriate upgrade training for their skill level, the 3-skill level course
(Aerospace Medical Service Apprentice Course), the entire 4N051 CDCs and the entire 4N071 CDC.
2.3.
In Column 3, is used to record completion of tasks and knowledge training requirements as is the
certification for OJT. Use the automated electronic training record to document technician qualifications.
2.4.
In Column 4, shows formal training, correspondence course, and QTP requirements. It also shows the
proficiency to be demonstrated on the job by the graduate as a result of training on the task and knowledge and the
career knowledge provided by the correspondence course. For a list of QTP volume numbers and titles, refer to
Part II Section C.
2.5.
Proficiency Code Key/Qualitative Requirements precede the specific STS listings and contains the
proficiency code key used to indicate the level of training and knowledge provided by resident training and career
development courses.
2.5.1. The STS serves as a JQS for OJT when placed in AF Form 623, Individual Training Record Folder, and
used according to AFI 36-2651. When used as a JQS, the following requirements apply:
2.5.1.2. Documentation. Document and certify completion of training in accordance with AFI 36-2651.
Identify duty position requirements by circling the subparagraph number next to the task statement. As a
minimum, complete the following columns in Part 2 of the CFETP: Start Date, Training Completed, Trainee
Initials, Certifier Initials (if applicable). An AFJQS may be used in lieu of Part II of the CFETP only upon
approval of the AFCFM. NOTE: The AFCFM may supplement these minimum documentation procedures as
needed or deemed necessary for their career field.
2.5.2. Transcribing to new CFETP. Transcribing documentation to a new CFETP is an administrative
function, not a re-evaluation of training. Upon publication of a new CFETP, transcribe IAW AFI 36-2651.
2.5.2.1. For tasks previously certified and still required in the current duty position, enter the current date in the
completion column, trainee initials in the trainee column, and the current tasks certifier or supervisor/trainer
initials in the trainer column.
2.5.2.2. For tasks previously certified but not required in the current duty position, transcribe only the previous
certification dates (no initials). If the task later becomes required in the duty position, recertify using current
dates and initials.
2.5.2.3. Annotate the AF Form 623a, (for example, - I certify the information contained in the CFETP dated
XX was transcribed to the CFETP dated XX, and the trainee was given the superseded CFETP. Signed and
dated by the supervisor and trainee).
2.5.3. Documenting Career Knowledge. When a CDC is not available, the supervisor identifies STS training
references the trainee requires for career knowledge and ensures, at a minimum, the trainees cover mandatory
items in the Enlisted Classification Directory. For two-time CDC course exam failures, See AFI 36-2651, Air
Force Training Program, for specific instructions. Note: Career knowledge must be documented prior to
22
submitting a CDC waiver.
2.5.4. Decertification. When an Airman is found to unqualified on a task previously certified for his or her
position, the supervisor utilizes the decertification feature found in TFTR. Then appropriate remarks are
entered on the AF Form 623a, documenting the reason for decertification. See AFI 36-2651 for specific
instructions.
2.5.5. Training Standard. Trainees are trained, evaluated, and certified to the go/no-go level. Go means the
individual can perform the task without assistance and meets requirements for accuracy, timeliness, and correct
use of procedures. Supervisors and superintendents will manage this process by assessing 4N0X1
qualifications.
2.5.5.1. Trainers must be recommended by their supervisors, qualified to perform the task being trained and
have completed the Air Force Training Course.
2.5.5.2. Certifiers must be at least a Staff Sergeant, capable of evaluating the task being certified, be someone
other than the trainer, and complete the Air Force Training Course. Possession of at least a 7-skill level is
desired, but not required.
2.6. The Training Standard is a guide for development of promotion tests used in the Weighted Airman
Promotion System (WAPS). Specialty Knowledge Tests are developed at the USAF Occupational
Measurement Squadron by SNCOs with extensive practical experience in their career fields. Questions are
based upon study references listed in the Enlisted Promotions References and Requirements Catalog. WAPS is
only applicable to AD forces.
3.
Recommendations. Identify inadequacies and recommend changes to this training standard through
channels at 59 TRG/TGE, 2931 Harney, JBSA, Fort Sam Houston, TX 78234. A Customer Service Information
Line (CSIL) is available for the supervisor's convenience to identify graduates who may have received over or
under training on task/knowledge items listed in this specialty training standard. For quick responses to
problems, call our CSIL, DSN 420-1080 (commercial 210-808-1080) or email usaf.jbsa.937-trg.list.937-trg-
[email protected] to report your findings.
Attachments (13)
1.
Qualitative requirements
2.
STS: Aerospace Medical Service (4N0X1/SEI 480)
3.
STS: Squadron Medical Element
4.
STS: Allergy/Immunization (4N0X1D)
5.
STS: Hemodialysis (SEI 486)
6.
STS: Critical Care Technician (SEI 487)
7.
STS: Hyperbaric Medical Technician (SEI 490)
8.
STS: Aeromedical Evacuation (X4N0X1X/SEI 494)
9.
STS: Neurodiagnostic Technologist (4N0X1B)
10.
STS: Independent Duty Medical Technician (4N0X1C/SEI 496)
11.
STS: Special Operations Command Medic (SEI 455)
12.
STS: Flight and Operational Medical Technician (4N0X1F/SEI 470)
13.
STS: Nationally Registry Paramedic (SEI 456)
23
BY ORDER OF THE SECRETARY OF THE AIR FORCE
OFFICIAL DOROTHY A. HOGG
Lieutenant General, USAF, NC Surgeon
General
24
ATTACHMENT 1
STS 4N0X1/X
Name Of Trainee
Printed Name (Last, First, Middle Initial)
Initials (Written)
SSAN (Last 4)
Printed Name Of Trainer, Certifying Official And Written Initials
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
N/I
QUALITATIVE REQUIREMENTS
Proficiency Code Key
Scale
Value
Definition: The individual
Task
Performance
Levels
1
IS EXTREMELY LIMITED (Can do simple parts of the task. Needs to be told or shown how to do most of the
task.)
2
IS PARTIALLY PROFICIENT (Can do most parts of the task. Needs only help on hardest parts.)
3
IS COMPETENT (Can do all parts of the task. Needs only a spot check of completed work.)
4
IS HIGHLY PROFICIENT (Can do the complete task quickly and accurately. Can tell or show others how to do
the task.)
Task
Knowledge
Levels
a
KNOWS NOMENCLATURE (Can name parts, tools, and simple facts about the task.)
b
KNOWS PROCEDURES (Can determine step by step procedures for doing the task.)
c
KNOWS OPERATING PRINCIPLES (Can identify why and when the task must be done and why each step is
needed.)
d
KNOWS ADVANCED THEORY (Can predict, isolate, and resolve problems about the task.)
Subject
Knowledge
Levels
A
KNOWS FACTS (Can identify basic facts and terms about the subject.)
B
KNOWS PRINCIPLES (Can identify relationship of basic facts and state general principles about the subject.)
C
KNOWS ANALYSIS (Can analyze facts and principles and draw conclusions about the subject.)
D
KNOWS EVALUATION (Can evaluate conditions and make proper decisions about the subject.)
Explanations
A task knowledge scale value may be used alone or with a task performance scale value to define a level of knowledge for a specific task.
(Examples: a and 1a, b and 2b, or c and 3c)
A subject knowledge scale value is always used alone to define a level of knowledge for a subject not directly related to any specific task, or for a
subject common to several tasks.
- This mark is used alone instead of a scale value to show that no proficiency training is provided in the course or CDC.
X This mark is used alone in the course columns to show that training is required but not given due to limitations in resources.
/x This mark is used with a proficiency code in the course columns to show that training is required but not given due to limitations in resources.
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
25
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To
Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2. AEROSPACE MEDICAL SERVICE
2.1. Doctrine, Mission, & Duties
2.1.1. Medical doctrine
TR: ANNEX 4-02 Medical Operations,
https://www.doctrine.af.mil/Doctrine-Annexes/Annex-4-02-Medical-
Ops/
2.1.1.1. Center for Clinical Inquiry (C2I)/Evidence Based Practice
(EBP)
TR:https://kx.health.mil/kj/kx2/CenterForClinicalInquiry/Pages/Best-
Practice-BLAST.aspx
B
2.1.2. Medical Readiness
TR: (DoDI) 1322.24, Medical Readiness Training/AFI 41-106,
Medical Readiness Program Management/AFI 10-301, Managing
Operational Utilization Requirements of the Air Reserve Component
Forces
2.1.2.1. Expeditionary Medical Readiness Course (EMRC)
2.1.2.2. Obtain/Maintain Tactical Combat Casualty Course (TCCC)
(Medical Provider (MP)/Combat Medic)
NOTE: TCCC certifications listed in part 1 of this CFETP meet
requirements.
3c
2.1.2.3. Air Reserve Component roles and relationships
2.1.2.4. Medical Readiness Decision Support System (MRDSS)
2.1.3. AFSC Scope of Practice/Responsibilities
TR: CFETP Pt 1/AFI 36-2651, Air Force Training Program
2.1.3.1. 4N031
A
2.1.3.2. 4N051
A
2.1.3.3. 4N071
A
2.1.3.4. 4N091
A
2.1.3.5. 4N000
A
2.2 INTERPERSONAL RELATIONS
TR: Mosby's Essentials for Nursing Assistants, Kinn's The Medical
Assistant
2.2.1. AFMS Customer Service
2.2.1.1. Customer needs and expectations
B
2.2.1.2. Customer Service Basics
2.2.1.2.1. Listening techniques
A
2.2.1.2.2. Face-to-face contact (non-verbal communication)
A
2.2.1.2.3. Telephone Etiquette
A
2.2.1.2.4. Perform electronic communication (Netiquette)
2.2.1.2.5. Patient Advocacy Program
2.2.1.2.6. Conflict resolution
A
B
2.2.1.2.7. Customer service surveys
B
2.2.2. Professional Standards And Ethics
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of
Nursing
2.2.2.1. Standards of conduct for patient care
A
B
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
26
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.2.2.2. Patient rights and responsibilities
A
B
2.2.2.3. Death and dying
A
B
2.2.2.4. Psychological First Aid
B
2.2.3. Legal Aspects Of Patient Care
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.2.3.1. Health Insurance Portability Accountability Act
(HIPAA) TR: AFI 41-200
B
2.2.3.2. National Practitioner Databank (NPDB)
TR: DoDM 6025.13, Encl 9, pgs 68-73
B
B
2.2.3.3. Privacy Act
TR: AFI 33-332
A
2.2.3.4. Adverse Actions
TR: DoDM 6025.13, Encl 7, pgs 52-62
B
B
2.2.3.5. Consent for treatment
A
B
2.2.3.6. Standards of care
A
B
2.2.3.7. Documentation
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.2.3.7.1. Medical terminology and abbreviations
B
2.2.3.7.2. Use of medical terms in reporting and recording
5
2b
2.2.3.7.3. Legal aspects
B
2.2.3.7.4. Document nursing assessments
5
2b
c
2.2.3.7.5. Document interventions/procedures
5
2b
c
2.2.3.7.6. Document patient education
5
2b
c
2.2.3.8. Advanced Directives
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.2.3.8.1. “Do Not Resuscitate” (DNR) orders
A
B
2.2.3.8.2. Living wills
A
B
2.2.3.8.3. Durable power of attorney
A
B
2.2.4. Professional Relationships
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.2.4.1. Staff
B
2.2.4.2. Patient
B
2.2.4.3. Stress management
B
2.2.4.4. Patient sensitivity
B
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
27
1. Tasks, Knowledge and Technical References2
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.2.4.5. Emotional support for patient and significant others
B
2.2.4.6. Diversity (cultural, spiritual, religious)
B
2.3. MILITARY HEALTH SYSTEM (MHS)
TR: AFI 41-210
2.3.1. Components of MHS
TR: https://www.health.mil/
B
2.3.2. Health care benefits options
TR: AFMAN 41-210
B
2.3.3. Patient Centered Medical Home (PCMH)
TR: AFI 44-171, Air Force Medical Home, AFMRA AFMH
Orientation Checklist
(http://www.usafp.org/wp-
content/uploads/2013/12/MHSPCMHGuide.pdf)
2.3.3.1. Concepts of AFMH Operations
2.3.3.2. Purpose and Core Principles
2.3.3.3. MHS Quadruple Aim Goals
2.3.3.4. Team Member Roles/Responsibilities
2.3.3.4.1. Health Care Provider
2.3.3.4.2. Nurse
2.3.3.4.3. Medical Technician
2.3.3.4.4. Admin Support
2.3.3.4.5. Team Huddles
2.3.3.4.5.1. Weekly
2.3.3.4.5.2 Daily
2.3.3.4.6. MHPI Performance Measures
2.3.4. Information Systems
TR: AFI 44-102, AFMAN 41-210; KX
2.3.4.1. Overview of information systems
A
B
2.3.4.2. Electronic Health Record
A
B
2.3.4.2.1. Perform Order Entry (Radiology/Laboratory)
2.3.4.3. Appointment Scheduling
2.3.4.4. Tri-Service Workflow Forms (TSWF)
TR: www.tswf-mhs.com
A
B
2.3.4.5. Outpatient Coding
B
2.3.4.6. CarePoint TR: https://carepoint.health.mil/
B
2.3.4.7. Knowledge Exchange (Kx)
TR: kx.health.mil
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
28
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.3.4.8. Utilize Deployable Medical Record System
2.3.4.9. Utilize TRANSCOM Command and Control
Evacuation System (TRAC2ES)
2.3.5. USAF Aeromedical Services Information
Management System (ASIMS)
TR: AFIs 10-250, 48-110; AFMAN 41-210
2.3.5.1 Individual Medical Readiness (IMR)
A
B
B
2.3.5.2. Immunizations
A
B
B
2.3.5.3. Quarters
A
B
B
2.4. Understand Population Health Management
Principles (Continuum of Care)
TR: A Guide to Population Health; Medical
Management Guide
2.4.1. Case Management
A
2.4.2. Disease Management
A
2.4.3. Utilization Management
A
2.4.4. Referral Management
A
2.4.5. Health Care Integrator (HCI)
A
2.5. RESOURCE MANAGEMENT
2.5.1. Defense Medical Human Resource System
internet (DMHRSi) TR: AFI 41-102
A
2.5.2. Manpower Considerations and Documents
TR: AFIs 36-2110, 38-101; Personnel System
Management MilPDS PSD Guide,
https://mypers.af.mil/app/answers/detail/a_id/26564
2.5.2.1. Unit Manpower Document (UMD)
A
B
2.5.2.2. Authorization change request
(ACR)/authorization change notice (ACN)
A
B
2.5.2.3. Unit personnel management roster (UPMR)
TR: https://mypers.af.mil/app/answers/detail/a_id/26564
A
B
2.5.2.4. Manning assistance
A
B
2.5.2.5. Manpower Validation Process (MVP)/Overseas
Contingency Operations (OCO)
A
B
2.5.3. Equipment/Supply
TR: AFMANs 41-209, 41-216, 23-122; Kinn's The
Medical Assistant
2.5.3.1. Budget development and management
A
B
2.5.3.2. Perform daily inventory and equipment checks
(e.g. crash carts, ambulance, treatment room etc)
5
2b
2.5.3.3. Accountability and responsibility
B
2.5.3.4. Report of survey
A
B
2.5.4. Records
TR: AFMAN 41-109, 23-122, 41-216
2.5.4.1. Activity issue/turn-in
A
2.5.4.2. Backorder report
A
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
29
4. Proficiency Codes Used To Indicate
Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.5.4.3. Custody Receipt Locator List
(CRLL) actions/custodial report listing
A
2.5.4.4. Equipment authorization list
(allowance standard)
B
2.5.4.5. Inventory
2.5.4.6. Ordering and Turn-in
2.5.4.7. Equipment replacement plan
B
2.5.4.8. Defense Medical Logistics
Supply System (DMLSS)
2.5.5. Maintenance
2.5.5.1. Operator responsibilities
A
B
2.5.5.2. Reports
A
B
2.5.5.2.3. Repair/calibration requests
A
B
2.5.5.2.4. Tag In /Tag Out Process
A
2.6. SAFETY/RESOURCE
PROTECTION TR: AFIs
90-802, 90-821, 91-202, 91-204
2.6.1. Principles of general safety
B
2.6.2. Workplace hazards
2.6.3. Hazard/accident/incident reporting
A
2.6.4. Hazard Communication
(HAZCOM)
A
2.6.5. Safety Data Sheets (SDS)
A
A
B
2.6.7. AF Form 55
A
2.7. SUPERVISION
TR: Unit Requirements, CFETP, AFH
36-2618, AFI 1-1
2.7.1.Personnel Requirements
2.7.1.1. Daily Operations
A
B
2.7.1.2. Set priorities
A
B
2.7.1.3. Develop duty schedule
A
B
2.7.1.4. Work Center Orientation
A
B
2.7.2. Position Descriptions
A
B
2.7.3. Performance Standards
A
B
2.8. TRAINING
TR AFI 44-119, AFI 36-2651
2.8.1. Enlisted Specialty Training
TR: CFETP 4N0X1X
2.8.1.1. Career Field Education and
Training Plan (CFETP), Part I & Part II
STS (i.e. scope of practice) overview
A
B
2.8.2. Maintain electronic training record
documentation
5
b
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
30
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-
lvl
5-lvl
7-lvl
9-lvl
2.8.2.1. Components of Electronic Training Record
7
b
c
2.8.3. Identify personnel training needs
a
b
2.8.4. Develop and present in-service training
a
b
2.8.5. Develop unit training program
2.8.5.1. Master Training Plan
7
b
c
2.8.5.2. Master Task List
7
b
c
2.8.5.3. Duty Task List
7
b
c
2.8.5.4. Evaluate personnel in upgrade training
7
b
c
2.8.6. Evaluate training effectiveness
2.8.6.1. Task knowledge
7
b
c
2.8.6.2. Task proficiency
7
b
c
2.8.7. Recommend personnel for Training
2.8.7.1. Retraining opportunities
7
b
c
2.8.7.2. Formal training
7
b
c
2.9. Human Anatomy and Physiology 101
TR: Fundamental Concepts and Skills for Nursing; Hole's
Human Anatomy and Physiology
2.9.1. Human Anatomy
2.9.1.1. Descriptive terms and topographic anatomy
B
B
2.9.1.2. Major organs and systems
B
B
2.9.2. Human Physiology
2.9.2.1. Fluid, electrolyte, and acid-base balance
B
B
2.9.2.2. Functions and adaptations of cells and tissues
B
B
2.9.2.3. Thermal regulation
B
B
2.9.2.4. Metabolism/energy production
B
B
2.9.2.5. Oxygenation and circulation
B
B
2.9.2.6. Nutrition and elimination
B
B
2.9.2.7. Activity and rest
B
B
2.9.2.8. Protection and regulation
B
B
2.9.2.9. Reproduction
B
B
2.9.2.10. Human growth, development, and the aging
process
B
B
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
31
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.10. HUMAN DEVELOPMENT
TR: Fundamental Concepts and Skills for Nursing;
Fundamentals of Nursing; Mosby's Essentials for
Nursing Assistants
2.10.1. Basic human needs theory
B
B
2.10.2. Personal hygiene
B
B
2.10.3. Environmental/community health
B
B
2.10.4. Nutrition and exercise
B
B
2.10.5. Psychological adjustments/mental health
B
B
2.10.6. Substance abuse
B
B
2.10.7. Body defenses and healing processes
B
B
2.11. NURSING 101
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing; AFI 44-108 Infection
Prevention
2.11.1. Infection Control
B
C
2.11.1.1. Body substance isolation
B
C
2.11.1.2. Asepsis
B
C
2.11.1.3. Sterility of supplies/equipment
B
C
2.11.2. Communicable Disease Management
TR: Control of Communicable Disease Manual
2.11.2.1. Infectious hazards reporting procedures
B
2.11.2.2. Infectious processes; modes of transmission
B
2.11.3. Procedures
TR: Clinical Nursing Skills: Basic to Advanced Skills;
Fundamental Concepts and Skills for Nursing; Surgical
Technology Principles and Practice
2.11.3.1. Perform hand-washing
5
3c
2.11.3.2. Don/doff sterile gloves
5
3c
2.11.3.3. Don/doff non-sterile gloves
2b
2.11.3.4. Don/doff sterile gown
5
3c
2.11.3.5. Don/doff non-sterile gown
2b
2.11.3.6. Set-up/maintain sterile field
3c
2.11.3.7. Prepare supplies/equipment for sterilization
2b
c
2.11.3.8. Perform sterilization procedures
a
b
2.11.3.9. Perform High Level Disinfection (HLD)
procedures
a
b
2.11.3.10. Dispose of contaminated materials
2b
c
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
32
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.11.3.11. Clean patient unit
b
c
2.11.3.12 Perform isolation precautions
2b
c
2.11.3.13. Perform housekeeping duties
2.11.4. Measure And Record Patient Parameters
TR: Basic to Advanced Skills; Fundamental Concepts
and Skills for Nursing;
2.11.4.1. Record Temperature
3c
2.11.4.2. Assess Pulse rate
3c
2.11.4.3. Assess Respiratory rate
3c
2.11.4.4. Assess Skin characteristics
3c
2.11.4.5. Blood pressure
2.11.4.5.1. Perform Auscultation
3c
2.11.4.5.2 Perform Palpation
3c
2.11.4.6. Assess Pain scale
3c
2.11.4.7. Perform Height (standing) and weight
3c
2.11.4.8. Perform Orthostatic vital signs
b
c
2.11.4.9. Perform Neuro checks
2b
c
2.11.4.10. Perform Pulse oximetry/oxygen saturation
2b
c
2.11.4.11. Perform Intake and output
2b
c
2.11.4.12. Record Body/abdominal girth/circumference
b
2.11.4.13. Perform Spirometry/Pulmonary Function
Testing
b
2.11.4.14. Perform 12-lead EKG
2b
c
2.11.4.15. Perform Peak expiratory flow
2b
2.11.4.16. Perform Visual acuity test
2b
c
2.11.5. Assist With Specimen Collection
TR: Basic to Advanced Skills, Fundamental Concepts
and Skills For Nursing
2.11.5.1. Cerebral Spinal Fluid (CSF)
b
2.11.5.2. Cytology
b
2.11.5.3. Prepare requisitions for tests/procedures
2.11.5.3.1. Collect And Label
2.11.5.3.1.1. Emesis
b
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
33
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.11.5.3.1.2. Urine
b
2.11.5.3.1.3. Sputum
b
2.11.5.3.1.4. Stool
b
2.11.5.3.1.5. Drainage
b
2.11.5.3.2. Perform and Label
2.11.5.3.2.1. Venipuncture
5
2b
c
2.11.5.3.2.2. Throat Swab
5
2b
c
2.11.5.3.2.3. Strain urine for calculi
-
b
2.11.5.3.2.4. Urine Reagent Stick
-
c
2.11.5.3.2.5. Capillary Stick
5
2b
c
2.11.5.3.2.6. Use blood glucose meter
2b
c
2.11.5.3.2.7. Pregnancy Test
2.11.5.3.2.8. Nasal Swab
2.11.5.3.2.9. Nasal Wash and Irrigation
2.11.5.3.2.10. Blood Cultures
2.12. PHARMACOLOGY
2.12.1. Calculations
TR: Fundamentals of Nursing
2.12.2 Metric System
B
2.12.3. Medical Calculations
2.12.3.1. Perform metric conversions
5
2b
2.12.3.2. Calculate weights and measures
5
2b
2.12.4. Medication and Fluid Therapy
TR: Fundamental Concepts and Skills for Nursing;
Fundamentals of Nursing; Mosby's Essentials for
Nursing Assistants
2.12.4.1. Safety factors in administration of medications
and fluid therapy
B
B
2.12.4.2. Pharmacological abbreviations
B
B
2.12.4.3. Medication Reconciliation
B
B
2.12.4.4. Authorized Drug List (ADL)
TR: Kx (https://kx.health.mil): ED & Trng
Documents/4N_MedAdmin folder
B
B
2.12.5. Administer Medications/Medication Actions,
Side Effects, and Guidelines For Administration
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Lippincott's Physician's Drug
Book, Mosby's Essentials for Nursing Assistants
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
34
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.12.5.1. Anesthetic-local
2b
2.12.5.2. Antacids/Antiflatulents
2b
2.12.5.3. Anticholinergics
2b
2.12.5.4. Anticoagulants
2b
2.12.5.5. Antidiabetics
2b
2.12.5.6. Antidiarrheals
2b
2.12.5.7. Antiarrhythmics
2b
2.12.5.8. Antiemetics
2b
2.12.5.9. Antiinfectives
2b
2.12.5.10. Antifungals
2b
2.12.5.11. Antihistamines
2b
2.12.5.12. Antihypertensive
2b
2.12.5.13. Antimigraine Agents
2b
2.12.5.14. Antineoplastic
2b
2.12.5.15. Hormone Contraceptives
2b
2.12.5.16. Antipsychotics
2b
2.12.5.17. Antitoxins and Antivenins
2b
2.12.5.18. Antitussives/expectorants
2b
2.12.5.19. Antivirals
2b
2.12.5.20. Benzodiazepines
2b
2.12.5.21. Bronchodilators
2b
2.12.5.22. Cholinergics
2b
2.12.5.23. Corticosteroids
2b
2.12.5.24. Diuretics
2b
2.12.5.25. Immune Serums
2b
2.12.5.26. Laxatives
2b
2.12.5.27. Nonopioid Analgesics
2b
2.12.5.28. Nonsteriod anti-inflammatories
2b
2.12.5.29. Opioid Analgesics
2b
2.12.5.30. Opioid antagonists
2b
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
35
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.12.5.31. Salicylates
2b
2.12.5.32. Vaccines and Toxoids
2b
2.12.5.33. Vitamins
2b
2.12.6. Medication Administration
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Mosby's Drug Reference
2.12.6.1. Patient’s Rights in Medication
Administration
5
2b
2.12.6.2. Document medication administration and
fluid therapy
5
2b
2.12.6.3. Oral medication
5
2b
2.12.6.4. Subcutaneous injection
5
2b
2.12.6.5. Intramuscular injection
5
2b
2.12.6.6. Intradermal injection
2b
2.12.6.7. Agents in prefilled or Tubex syringes
5
2b
2.12.6.8. Auto injector
TR: Kinn’s Medical Assistant
2b
2.12.6.9. Rectal suppository
2b
2.12.6.10. Vaginal suppository
2b
2.12.6.11. Ophthalmic ointments and drops
2b
2.12.6.12. Otic drops
2b
2.12.6.13. Topical medication
2b
2.12.6.14. Via updraft nebulizer
B
2.12.6.15. Via prescribed inhaler
2b
2.12.6.16. Intranasal medication
2b
2.12.6.17. Intravenous medication
7
2b
2.12.6.18. Sublingual medication
2b
2.12.7. Administer Scheduled Medications (Schedule
II-V)
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.12.7.1. Schedule II
2.12.7.1.1. Oral administration
5
2b
2.12.7.1.2. Intramuscular (IM)
5
2b
2.12.7.1.3. Intravenous (IV)
5
2b
2.12.7.1.4. Intraosseous (IO)
5
2b
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
36
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.12.7.2. Schedule III
2.12.7.2.1. Oral administration
7
2.12.7.2.2. Intramuscular
7
2.12.7.2.3. Intravenous
7
2.12.7.2.4. Intraosseous
7
2.12.7.3. Schedule IV
2.12.7.3.1. Oral administration
7
2.12.7.3.2. Intramuscular
7
2.12.7.3.3. Intravenous
7
2.12.7.3.4. Intraosseous
7
2.12.7.4. Schedule V
2.12.7.4.1. Oral administration
7
2.12.7.4.2. Intramuscular
7
2.12.7.4.3. Intravenous
7
2.12.7.4.4. Intraosseous
7
2.12.7.5. Intravenous Fluid and Blood Administration
2.12.7.5.1. Blood Administration
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.12.7.5.1.1. Obtain blood/blood products from blood
bank TR: Local Procedures
2b
a
2.12.7.5.1.2. Set-up blood warmer and pump
TR: User Manual
2b
2.12.7.5.1.3.Monitor Patient for adverse reactions
during blood transfusion
2b
a
2.12.7.5.1.4. Demonstrate Administration of blood
products to a trauma casualty in tactical field care
TR: naemt.org, Joint Trauma System
2b
a
2.12.7.5.1.5. Walking Blood Bank
TR: naemt.org, Joint Trauma System
2b
a
2.12.7.6. Parenteral Fluid Therapy
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.12.7.6.1. Set-up and Insert
2.12.7.6.1.1. Intravenous fluid administration
2b
2.12.7.6.1.2. Intraosseous fluid administration
2b
2.12.7.6.1.3. Saline lock
2b
2.12.7.6.2. Regulate and monitor
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
37
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.12.7.6.2.1. Intravenous fluid administration
2b
2.12.7.6.2.2. Intraosseous fluid administration
2b
2.12.7.6.2.3. Saline lock
2b
2.12.7.6.2.4. Apply arm board or restraints to secure
infusion
2b
2.12.7.6.2.5. Set-up and regulate infusion
pumps/controllers
2b
2.12.7.6.2.6. Calculate drip rates
2b
2.12.7.6.2.7. Set-up and regulate infusion pressure bag
2b
2.12.7.6.2.8. Change intravenous fluid bags/bottles
2b
2.12.7.6.3. Discontinue
2.12.7.6.3.1. Intravenous fluid administration
2b
2.12.7.6.3.2. Intraosseous fluid administration
2.12.7.6.3.3. Saline lock
2.12.8. Patient Transfer Techniques
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.12.8.1. Principles of proper body mechanics
A
B
2.12.8.2. Mechanical aids for lifting and moving
A
B
2.12.8.3. Assist To And From
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.12.8.3.1. Bed
2b
2.12.8.3.2. Wheelchair/chair
2b
2.12.8.3.3. Bathtub/shower seat
2b
2.12.8.3.4. Commode
2b
2.12.8.3.5. Automobile (litter/gurney)
2.12.8.3.6. Ambulance
2b
2.12.8.3.7. Stair Chair
2b
2.12.8.3.8. Stretcher/gurney
2b
2.12.8.3.9. Examining table
2b
2.12.8.3.10. Ambulate patients
2b
2.12.8.3.11. Move patients on/off elevators in
wheelchair/stretcher/beds
2b
2.12.8.4. Prepare Patient Transfer With
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
38
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.12.8.4.1. Monitoring system
2b
2.12.8.4.2. Oxygen
2b
2.12.8.4.3. Drainage system
2b
2.12.8.4. Intravenous lines
2b
2.12.8.5. Immobilization devices
a
2.12.9. MEDICAL EXAMINATIONS/SPECIAL
PROCEDURES
2.12.9.1. Assemble Supplies and Equipment/Assist
those authorized/licensed to perform the task
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Lippincott Manual of
Nursing Practice
2.12.9.1.1. Chest tube insertion/water seal drainage
5
a
2.12.9.1.2. Pelvic examination
a
b
2.12.9.1.3 Paracentesis/thoracentesis
b
2.12.9.1.4. Lumbar puncture
b
2.12.9.1.5. Biopsy
TR: Kinn’s Medical Assistant
a
b
2.12.9.1.6. Tympanometry
b
2.12.9.1.7. Minor surgery
a
c
2.12.9.1.8. Sigmoidoscopy, proctoscopy, and
colonoscopy
b
2.12.9.1.9. Bronchoscopy
TR: Kinn’s Medical Assistant
b
2.12.9.1.10. Radial arterial blood gas (ABG) sample
percutaneously
5
2.12.9.1.11. Endotracheal intubation
2.12.9.2. Perform
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Lippincott Manual of
Nursing Practice
2.12.9.2.1. Perform basic physical examination
5
2b
2.12.9.2.2. Incentive spirometer
a
b
2.12.9.2.3. Sitz bath
2.12.9.2.4. Diabetic foot exam
1a
b
2.12.9.2.5. Endotracheal care
c
2.12.9.2.6. Tracheostomy care
c
2.12.9.2.7. Contact lens removal
a
b
2.12.9.2.8. Fluorescein eye stain
a
b
2.12.9.2.9. Ear irrigation
5
a
b
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
39
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.12.9.2.10. Eye irrigation
5
a
b
2.12.9.2.11. Tepid/sponge-bath for fever
2.12.9.2.12. Skin Patch Testing
2.12.9.2.13. Laser Therapy Treatment
2.12.9.2.14. Photo Dynamic Therapy
2.12.9.2.15. Perform Clinical Support Staff Protocol
(CSSP)
5
2b
2.12.9.2.16. Toenail Removal
2.12.9.2.17. Battlefield Accupuncture
2.12.9.3. Wound Management
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Lippincott Manual of
Nursing Practice
2.12.9.3.1. Principles Of
2.12.9.3.1.1. Complicated wounds
A
B
2.12.9.3.2. Perform
2.12.9.3.2.1. Wound evaluation
2b
2.12.9.3.2.2. Burns evaluation (TBSA, Depth, etc.)
2b
2.12.9.3.2.3. Wound irrigation/scrub
2b
2.12.9.3.2.4. Wound debridement
5
2b
2.12.9.3.2.5. Burn debridement
5
2b
2.12.9.3.2.6. Subungual hematoma evacuation
2b
2.12.9.3.2.7. Vacuum drainage system management
2b
2.12.9.3.3. Administer Local Anesthetic Agents
2.12.9.3.3.1. Topical
b
2.12.9.3.3.2. Local infiltration
b
2.12.9.3.3.3. Digital block
b
2.12.9.3.4. Wound Closure and Care
2.12.9.3.4.1. Apply Sterile tape strips
5
2b
2.12.9.3.4.2. Perform Stapling
5
2b
2.12.9.3.4.3. Perform Suturing
5
2b
2.12.9.3.4.4. Apply Surgical glue
5
2b
2.12.9.3.4.5. Suture and staple removal
5
2b
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
40
1. Tasks, Knowledge and Technical References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.12.9.3.5 Sterile Dressings Application and Change
2.12.9.3.5.1. Apply Dry
5
2b
2.12.9.3.5.2. Apply Wet-to-dry
1a
b
2.12.9.3.5.3. Apply Wet-to-wet
1a
b
2.12.9.3.5.3. Apply Wound packing
5
2b
2.12.9.3.5.4. Apply Heat and cold treatments
5
2b
2.13. CONSIDERATIONS FOR PATIENTS WITH
ACCESS AND FUNCTIONAL NEEDS
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Lippincott Manual of
Nursing Practice
2.13.1. Hazards of immobility
A
B
2.13.2. Visually impaired
A
B
2.13.3. Hearing impaired
A
B
2.13.4. Diabetic
A
B
2.13.5. Paralyzed
A
B
2.13.6. Elderly
A
B
2.13.7. Infant/child/adolescent
A
B
2.13.8. Developmental Delays
A
B
2.13.9. Post-Traumatic Stress (PTS)
A
B
2.13.10. Cancer
A
B
2.13.11. Seizure
A
B
2.13.12. Amputees
A
B
2.13.13. Unconscious
A
B
2.13.14. Immunodeficiency disorder
A
B
2.13.15. Dialysis
A
B
2.13.16. Abusive/self-abusive
A
B
2.13.17. Electrosensitive
A
B
2.13.18. Traumatic Brain Injury (TBI)
A
B
2.13.19. Non-English speaking
A
B
2.13.20. Terminally ill
A
B
2.13.21. Abused/neglected
A
B
2.13.22. Sexual Assault
A
B
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
41
1. Tasks, Knowledge and Technical References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.13.23. Burns
A
B
2.14. PRE-AND POST OPERATIVE CARE
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.14.1. Assist With
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.14.1.1. Checklists and instructions
2.14.1.2. Universal Protocol Concept
A
B
2.14.1.3. Anesthesia-related safety measures
b
c
2.14.1.4. Post op exercises
b
c
2.14.2. Perform
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing
2.14.2.1.Time Out Procedures
2b
2.14.2.2. Shaves/scrubs
b
2.14.2.2. Reporting complication
b
2.14.2.3. Post -operative procedures per Local
Protocol
2.14.2.4. Elastic stocking application
2.14.2.5. Intermittent Pneumatic Compression
Device (IPCD)/Sequential Compression Device
(SPD) application/removal
b
2.15. ORTHOPEDIC PROCEDURES
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Lippincott Manual of
Nursing Practice
2.15.1. Teach and assist patients ambulating with
walkers, canes, and crutches
5
2b
2.15.2. Apply simple splint
5
2.15.3. Apply elastic wraps
2b
2.15.4. Measure for crutches
5
2b
2.15.5. Apply/remove orthopedic braces
2.15.6. Apply/Remove Simple Cast
2.15.6.1. Short arm
2.15.6.2. Long arm
2.15.6.3. Short leg
2.15.6.4. Long leg
2.15.6.5. Thumb spica
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
42
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.15.6.6. Bivalve cast
2.15.6.7. Trim/petal cast
2.16. NUTRITION AND ELIMINATION
PROCEDURES
TR: Fundamental Concepts and Skills for Nursing
2.16.1. Patient dietary considerations
A
B
2.16.2. Assist with patient feeding
a
b
2.16.3. Prepare patient for meal
b
2.16.4. Pass water/appropriate fluids
b
2.16.5. Assist/monitor with tube feeding
a
b
2.16.6. Administer retention enema
b
2.16.7. Assist with continuous/intermittent bladder
irrigations
b
2.16.8. GASTROINTESTINAL
PROCEDURES/MANAGEMENT
TR: Fundamental Concepts and Skills for Nursing,
Fundamentals of Nursing, Lippincott Manual of
Nursing Practice
2.16.8.1. Insert Nasogastric Tube
2b
2.16.8.2. Irrigate Nasogastric Tube
2b
2.16.8.3. Remove Nasogastric Tube
2b
2.16.8.4. Administer cleansing enema
2.16.8.5. Perform colostomy care
2.16.8.6. Remove fecal impaction
2.16.8.7. Apply/Insert and Remove
2.16.8.7.1. External condom catheter
a
2.16.8.7.2. Female external catheter
a
2.16.8.7.3. Foley catheter
2b
2.16.8.7.4. Straight catheter
2b
2.16.8.7.5. Pediatric Urine collection bag
a
2.16.8.7.6. Maintain closed urinary drainage system
2b
2.17. CARDIOVASCULAR PROCEDURES
2.17.1. Obtain and Maintain Basic Life Support
Healthcare Provider certification
TR: American Red Cross (ARC),
https://www.redcrosslearning.com/auth/login
3c
2.17.2. Perform cardiac defibrillation under the
supervision of a credentialed healthcare provider
TR: Emergency Care and Transportation of the Sick
& Injured (AAOS)
2.17.3. Assist with central venous/arterial
monitoring set-up
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
43
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.17.4. Assist with arterial line insertion
2.17.5. Assist with central venous line insertion
2.17.6. Telemetry Monitoring
5
2.17.7. Set-up
2.17.7.1. Cardiac monitor/defibrillator
5
2b
2.17.7.2. External pacemaker
2b
2.17.7.3. Recognize/Report Normal Sinus
Rhythms
5
1a
c
2.17.7.4. Recognize/Report Ventricular
Tachycardia
5
1a
c
2.17.7.5. Recognize/Report Ventricular
Fibrillation
5
1a
c
2.17.7.6. Recognize/Report Pulseless Electrical
Activity (PEA)
1a
c
2.17.7.7. Recognize/Report Asystole
1a
c
2.17.7.8. Transvenous Pacing Catheter Placement
2.18. PATIENT PROTECTIVE DEVICES
TR: Mosby's Essentials for Nursing Assistants
2.18.1. Apply protective devices
b
2.18.2. Use manual holds
b
2.19. OXYGEN THERAPY
Fundamental Concepts and Skills for Nursing,
Lippincott Manual of Nursing Practice,
Transportation of the Sick and Injured (AAOS
edition)
2.19.1. Assemble/interchange fixed and portable
oxygen delivery system
3c
2.19.2. International markings
2.19.3. Apply nasal cannula
3c
2.19.4. Apply simple face mask
3c
2.19.5. Apply nonrebreather mask
3c
2.19.6. Apply Venturi mask
a
2.19.7. Assemble and apply Aviator’s positive
pressure mask
2.20. INPATIENT
2.20.1. Patient Instruction or Guidance
2.20.1.1. Unit orientation and policy
2.20.1.2. Fire/disaster evacuation plan
2.20.1.3. Maintain inpatient medical records
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
44
Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.20.2. Planning Patient Care
TR: Fundamental Concepts and Skills For
Nursing
2.20.2.1. Assist with patient admission,
discharge, and transfer
2b
2.20.2.2. Assist with patient care planning
2b
2.20.2.3. Identify problems and special needs
2b
2.20.2.4. Instruct patients regarding tests and
procedures
2b
2.20.2.5. Prepare patient for aeromedical
evacuation
2.20.2.6. Perform post mortem care
a
b
2.21. PATIENT SAFETY
TR: AHRQ and Partnership for Patients
Implementation Guidelines:
https://www.jointcommission.org/standards_info
rmation/npsgs.aspx; Local MTF policy
2.21.1. National Patient Safety Goals
TR: AHRQ
2.21.2. TeamSTEPPS
2.21.3. Principles of Trusted Care/High Reliable
Organization (HRO)
a
2.21.4. Patient Safety Reporting (PSR)
2.21.4.1. Near Miss
2.21.4.2. Harms
2.21.4.3. Sentinel Events
2.21.4.4. Root Cause Analysis (RCA)
2.21.5. Strategies for Preventing Harms
TR: Partnership for Patients:
https://partnershipforpatients.cms.gov/; Local
MTF policy
2.21.5.1. Falls
2.21.5.2. Pressure Ulcers
2.21.5.3. Hospital Acquired Infections
2.21.5.4. Bedside Handoffs
2.21.5.5. Comfort Rounds (4Ps, pain, proximity,
position, potty)
2.22. PATIENT COMFORT AND HYGIENE
TR: Fundamental Concepts and Skills For
Nursing
2.22.1. Assist patient
2b
2.22.2. Place patient on fracture bedpan
2.22.3. Perform bed bath
2b
2.22.4. Make Beds
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
45
1. Tasks, Knowledge and Technical
References
2.
Task
s
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.22.4.1. Unoccupied
2b
2.22.4.2. Occupied
2b
2.22.4.3. Surgical
2b
2.22.4.4. Aeromedical evacuation litter
2b
2.22.5. Oral Hygiene
2.22.5.1. Provide denture care
a
2.22.5.2. Assist with brushing teeth, oral swabs,
lip balm, and flossing
a
2.22.6. Provide Skin Care
TR: Basic to Advanced Skills; Fundamental
Concepts and Skills for Nursing, Mosby's
Essentials for Nursing Assistants
2.22.6.1. Back massage
b
2.22.6.2. Perineal hygiene
b
2.22.6.3. Shampoo
b
2.22.6.4. Shave
b
2.22.6.5. Foot care
b
2.22.6.6. Turn and position patient
2b
2.23. PULMONARY PROCEDURES
TR: Fundamental Concepts and Skills for
Nursing
2.23.1. Perform chest percussion and postural
drainage
b
2.23.2. Hood
b
2.23.3. Croup tent
b
2.23.4. Humidified oxygen
a
b
2.24. MUSCULOSKELETAL
TR: Fundamental Concepts and Skills for
Nursing, Lippincott Manual of Nursing Practice
2.24.1. Set-up skeletal traction
2.24.2. Check/correct traction
alignments/weights
TR: Lippincott Nursing Manual
2.24.3. Apply skin traction
a
2.24.4. Care for external fixation device and pin
b
2.24.5. Position patient with head halter/cervical
tongs
c
2.24.6. Instruct patients regarding isometric or
active exercises
c
2.24.7. Perform passive or passive assisted
exercise
c
2.24.8. Use Continuous passive motion (CPM)
device
2.25. OBSTETRICAL PATIENT CARE
TR: AWHONN Perinatal Nursing (Simpson and
Creehan), Lippincott Manual of Nursing Practice
2.25.1. Antepartum/Intrapartum care
2.25.2. Obtain fetal heart tones with Doppler
2.25.3. Operate/troubleshoot Electronic Fetal
Monitor (EFM) equipment safely
2.25.4. Enter obstetrical patient information into
system
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
46
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.25.5. Assemble and apply external fetal monitor
2.25.6. Assist with application of fetal scalp
electrode/TOCO Transducer
2.25.7. Assist with application of intrauterine
pressure catheter
2.25.8. Assist with Non-Stress Test (NST)
2.25.9. Assist with Amnioinfusion
2.25.10. Assist with medication checks
2.25.11. Assess/record deep tendon reflexes
2.25.12. Monitor/record intake and output
2.25.13. Assess/report edema
2.25.14. Recognize normal fetal monitor tracing
2.25.15. Report abnormal tracings to
nurse/provider
2.25.16. Assist with patient positioning during
epidural/intrathecal placement
2.25.17. Assist with fetal resuscitation measures
2.25.18. Reposition patient
2.25.19. Apply oxygen
2.25.20. Assist with Normal Vaginal Delivery
2.25.21. Assemble equipment/set-up delivery
table
2.25.22. Assemble equipment/set-up infant
warmer
2.25.23. Assist with Operative Vaginal Delivery
2.25.24. Gather equipment/set up
2.25.25. Assist with Routine Cesarean Section
Delivery
2.25.25.1. Admission Paperwork
2.25.25.2. Pre-operative teaching
2.25.25.3. Notify appropriate resource personnel
2.25.26. Assist with Emergent Delivery
2.25.26.1. Precipitous Vaginal Delivery
2.25.26.2. Unplanned/Emergent Cesarean Section
Delivery
2.25.26.3. Operating Room Familiarization
2.25.27. Obtain/label specimens
2.25.27.1. Cord blood for Ph and gases
2.25.27.2. Placenta for pathology
2.25.27.3. Delivery room cleaning
2.25.27.2. Postpartum care
2.25.28. Perform/record fundal
examination/massage
2.25.29. Perform perineal care
2.25.29.1. Assist with sitz bath
2.25.29.2. Assess for hemorrhoids
2.25.29.3. Provide comfort measures
2.25.30. Observe/record lochia flow for color,
amount, consistency
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
47
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.25.30.1. Report abnormal findings
2.25.31. Inspect wound for intactness/drainage;
report abnormal findings
2.25.31.1. Episiotomy
2.25.31.2. Perineal laceration
2.25.31.3. Surgical incision
2.25.32. Perform post-operative teaching
2.25.33. Obtain/assist patient with application of
abdominal binder
2.25.34. Administer required immunizations
2.25.34.1. Identify Rh negative mother
2.25.35. Maternal/Fetal Loss
2.25.35.1. Familiarize and assist with
bereavement TR: MTF Policy
2.25.36. NEWBORN CARE
TR: American Academy of Pediatrics NRP;
AWHONN Perinatal Nursing, Lippincott Manual
of Nursing Practice
2.25.36.1. Obtain/Maintain Neonatal
Resuscitation Program (NRP) and STABLE
Certification
2.25.36.2. Familiarization of Kangaroo Board
2.25.36.3. Assess APGAR
TR: American Academy of Pediatrics NRP
2.25.36.4. Prevent hypothermia
2.25.36.5. Perform suction
2.25.36.6. Perform identification procedures
2.25.36.7. Obtain body measurements
(Occipital/Frontal/Chest/Abdominal
Circumference)
2.25.36.8. Perform Newborn Height/Weight
2.25.36.9. Calculate Growth Chart
2.25.36.10. Bathe infant
2.25.36.11. Administer hemorrhagic/ophthalmic
prophylaxis
2.25.36.12. Perform umbilical cord care
2.25.36.13. Operate incubators
(fixed/transport)/infant care center
2.25.36.14. Set-up and monitor oxygen levels on
newborn
2.25.36.15. Set-up/monitor phototherapy
2.25.36.16. Perform/record transcutaneous
bilirubinometry
2.25.36.17. Obtain serum bilirubin specimen
2.25.36.18. Obtain Newborn Screening
TR: per protocol
2.25.36.19. Perform newborn hearing screening
2.25.36.20. Educate parents/assist with newborn
care
2.25.36.21. Educate parents on newborn nutrition
requirements
2.25.36.21.1. Breastfeeding
2.25.36.21.2. Bottle-feeding
ATTACHMENT 2
Aerospace Medical Service (4N0X1) STS
48
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.25.36.21.3. Assess/document infant intake and
output
2.25.36.21.4. Set-up/assist with circumcision
2.26. CLINICAL PROCEDURES
TR: Lippincott Manual of Nursing Practice; AFIs
36-2110, 44-170, 46-101, 48-123
2.26.1. Administer pseudofolliculitis barbae
(PFB) treatments
2.26.2. Administer wart (verrucae) treatments
2.26.3. Prepare and Document Report of Care and
Treatment
TR: AFIs 41-210, 44-102, 44-170; 48-203; DoDI
13-04.03
2.26.3.1. SF 600
2b
c
2.26.3.2. SOAPP Note
TR: Fundamental Concepts and Skills For
Nursing
5
2b
2.26.3.3. SF 507, Continuation Sheet
2b
2.26.3.4. AF Form 469
2b
2.26.3.5. AF Form 422, Physical Profile Serial
Report to include 31/37/81 report and assignment
Limitation Code-C
2b
2.26.3.6. SF 558, Emergency and Treatment
Record
2b
2.26.3.7. DD Form 2766/2766C, Adult
Preventive and Chronic Care Flowsheet
2b
2.26.3.8. DD Form 2808, Report of Medical
Examination
2b
2.26.3.9. DD Form 2807, Report of Medical
History
2b
2.26.4. Preventive Health Assessment (PHA)
TR: AFI 44-170
2.26.4.1. Update ASIMS database
a
2.26.4.2. Coordinate with Unit Health Monitors
(UHM)
2.26.4.3. Schedule PHA
2.26.4.4. Conduct medical record reviews
TR: AFMAN 41-210
1a
2.26.4.5. Military (mobility) unique requirements
A
B
2.26.4.6. Conduct patient interview
2b
2.26.4.7. Record medical history
2b
2.26.4.8. Provide primary preventive counseling
2.26.5. Medical Evaluation Board (MEB)
Process TR: AFIs 36-3212, 48-203, AFMAN 41-
210
2.26.5.1. Overview of MEB process
A
B
2.26.5.2. Integrated Disability Evaluation System
(IDES) & Deployment Availability Working
Group (DAWG)
A
B
2.26.5.3. Temporary Disability Retirement
Limitations (TDRL)
A
B
2.26.5.4. Assignment Limitation Code (ALC)
A
B
2.26.5.5. Physical Exam Board Liaison Officer
(PEBLO) responsibilities
A
B
ATTACHMENT 3
Squadron Medical Element (4N0X1) STS
49
1. Tasks, Knowledge and Technical References
2.
Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
2.26.5.6. Record review in lieu of board roles
2.26.6. Medical Treatment Record Review
TR: AFMAN 41-210
2.26.6.1. Permanent change of station
A
B
2.26.6.2. Security clearance
B
2.26.6.3. Mobility/deployment
A
B
2.26.6.4. Personnel Reliability Program (PRAP)
TR: AFI 31-207
A
B
2.26.6.5. Roster validation (31/37/81 Report)
B
2.27. NATIONAL REGISTRY EMERGENCY
MEDICAL TECHNICIAN
TR: National Highway Traffic Safety
Administration EMT- National EMS education
standards; https://www.nremt.org/rwd/public
2.27.1. Obtain and Maintain National Registry
Emergency Medical Technician Certification
(NOTE: EMT certifications listed in part I
section B para 2 of this CFETP meet
requirements)
5
3c
2.27.2.Perform Ambulance/Emergency Response
Vehicle Operations
TR: AFI 11-2AE Vol 3, Emergency Care of the
Sick and Injured (AAOS Edition)
2.27.2.1. Flight line operations
b
2.27.2.2. In-flight emergency procedures
b
2.27.2.3. Perform loading/unloader stretcher
2b
2.27.2.4. Radio Communications
b
2.27.2.5. Perform grid map plotting
b
2.28 OPERATE EXPEDITIONARY
EQUIPMENT
TR: JTTS Clinical Practice Guidelines
2.28.1. Portable blood analyzer (ISTAT)
TR: Operation Manual
2.28.2. Portable digital radiology (LUMISYS)
TR: Operation Manual
2.28.3. Deployable oxygen systems (PTLOX/E-
DOX) TR: Operating Manual
2.28.4. Focused Assessment with Sonography for
Trauma (FAST Exam) TR: Operating Manual
2b
c
2.28.5. Triple Channel IV Pump
TR: Operating Manual
2.28.6. Wound Vacuum (e.g. KCI Wound Vac)
TR: Operating Manual
2.28.7. Bair Hugger
TR: Operating Manual
2.28.8. Intracranial Pressure Monitoring Device -
Intraventricular Drainage System
TR: Operating Manual
ATTACHMENT 3
Squadron Medical Element (4N0X1) STS
50
1. Tasks, Knowledge and Technical
References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Tng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
3. SQUADRON MEDICAL
ELEMENT
3.1. Obtain and record medical
history
TR: AFMAN 41-210
3.2. Intravenous (IV) Therapy
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
3.2.1. Determine need for IV therapy
3.2.2. Determine IV equipment needs
3.2.3. Assemble equipment
3.2.4. Insert peripheral IV lines
3.2.5. Establish drip rates
3.2.6. Monitor
infusion/complications
3.3. Assist With Advanced Airway Management
TR: Fundamental Concepts and Skills for Nursing
3.3.1. Advanced foreign body
removal
3.3.2. Endotracheal intubation
3.3.3. Needle thoracentesis
3.3.4. Cricothyroidotomy
3.3.5. Supraglottic Airway Devices
3.4. Minor Surgical Procedures
TR: Fundamental Concepts and Skills for Nursing
3.4.1. Apply aseptic and infection
control procedures
3.4.2. Use of local anesthetic
3.4.3. Insert sutures
3.4.4. Remove sutures
3.5. Perform basic splinting
techniques
3.6. Perform Immunization Backup Technician (IBT) Duties
TR: AFIs 44-102, 48-110; CFETP Attachment 4
3.6.1. Determine immunization
requirements
3.6.2. Administer immunization
3.6.3. Recognize and Treat Adverse
Reactions
3.6.4. Document immunizations in
ASIMS
3.6.5. Storage Handling
3.6.6. Obtain/Maintain IBT
Certification (Attach 4)
3.7. Basic Laboratory Procedures TR: Lippincott, Manual of Nursing Practice
3.7.1. Collect Samples
3.7.1.1. Tissue
3.7.1.2. Fluid
3.7.2. Perform Rapid Reagent Tests
3.7.2.1. Blood
ATTACHMENT 3
Squadron Medical Element (4N0X1) STS
51
1. Tasks, Knowledge and Technical
References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate Training
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
3.7.2.2. Urine
3.8. Assess injuries with dental
complications
3.9. Pharmacology TR: AFI 44-102; Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott's Physician's Drug Book
3.9.1. Identify Commonly Used
Drugs
3.9.1.1. Uses
3.9.1.2. Complications
3.9.1.3. Precautions
3.9.2. Identify Schedule Drugs
3.9.2.1. Drug inventory
3.9.2.2. Maintain AF Form 579
3.10. Deployment Actions
TR: AFI 10-206
3.10.1. MEDRED C
TR: AFI 41-106
3.10.2. Disease Non-Battle Injury
(DNBI) Report
TR: AFI 48-105
3.10.3. On-site (SITREP)
3.10.4. After-action report
TR: AFI 44-106
3.11. Deployment Medical Material (ATC, ATTU, PAM, etc.)
3.11.1. Concept of operations
3.11.2. Resource management
3.11.3. Set-up and utilization
3.12. Site Selection/Field Sanitation Activities
3.12.1. Conduct food inspections
TR: AFI 48-116
3.12.2. Waste disposal procedures
TR: AFH 10-222V1
3.12.3. Conduct industrial hygiene
inspections TR: AFMAN 48-146
3.12.4. Perform water
sampling/testing TR: AFI
48-144; AFMANs 48-138_IP, 10-246
3.13. Preventive Health Assessment (PHA) for Flyers/SOD/MOD/other Non-Flyers
TR: TR: Kx; ASIMS User guide; AFMAN 41-210; AFIs 10-250, 44-170, 48-110; DoDi 6200.06
3.13.1. ASIMS database
5
3c
3.13.2. Coordinate with Unit Health
Monitors (UHM)
-
3.13.3. Schedule PHA
-
3.13.4. Run Squadron reports
a
3.13.5. Generate DD Form 2992,
Medical Recommendation for Flying
or Special Operational Duty
3c
3.13.6. Notify Squadrons
a
3.13.7. Initial
Waivers/Renewals/Interim
Evaluations
B
3.13.8. Conduct medical record
reviews
a
3.13.9. Military (mobility) unique
requirements
A
3.13.10. Conduct patient interview
1a
3.13.11. Record medical history
1a
ATTACHMENT 4
Allergy/Immunization (4N0X1D)
52
1. Tasks, Knowledge And
Technical References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
4. Administrative Management
of the Allergy / Immunization
Clinic TR: Local Standard
Operating Procedures
4.1. Mass Immunization Programs
4.1.1. Anthrax Vaccine
Immunization Program (AVIP)
TR: Current DHA Policy
B
4.1.2. Smallpox Vaccination
Program (SVP)
TR: Current DHA Policy
B
4.1.3. Influenza
B
4.2. Operating instructions
B
4.3. Continuing education
B
4.4. IBT program overview
A
4.5. Epidemiology of vaccine
preventable disease
B
4.6. ALLERGY
4.6.1 Principles Of Allergies TR: Allergic Principles and Practices, Volume I and II (Middleton)
4.6.1.1. GELL and Coomb's Type of Allergic Reaction TR: Allergy/Clinical Immunology Technician Course Manual
4.6.1.1.1. Type I, immediate
B
4.6.1.1.2. Type II and III
A
4.6.1.1.3. Type IV, delayed
B
4.7. Pollen Agents TR:
Allergy/Clinical Immunology
Technician Course Manual
4.7.1. Local allergy-causing pollen
B
4.7.2. Seasons of specific allergy-
causing pollen
B
4.8. Principles Of Patient
Presentation
4.8.1. Rhinitis TR:
Allergy/Clinical Immunology
Technician Course Manual
4.8.1.1. Seasonal
B
4.8.1.2. Perennial
B
4.8.1.3. Sinusitis
B
4.8.2. Non-allergic rhinitis
B
4.8.3. Stinging insect
hypersensitivity
B
4.8.4. Anaphylaxis
B
4.8.5. Food allergy
B
4.8.6. Medication/vaccine
hypersensitivity
B
4.8.7. Irritants and physical agents
B
4.8.8. Dermatological Manifestations TR: Allergic Diseases Diagnostic and Management (Patterson)
ATTACHMENT 4
Allergy/Immunization (4N0X1D)
53
1. Tasks, Knowledge And
Technical References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complet
e
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
4.8.8.1. Urticaria
B
4.8.8.2. Angioedema
B
4.8.9. Asthma
B
4.9. Diagnostic Procedures TR: Allergic Principles and Practices, Volume I and II (Middleton)
4.9.1. Perform prick skin test
2b
4.9.2. Perform intradermal
skin test
2b
4.9.3. Oral challenge
a
4.10. Perform Specialized Skin Testing TR: Allergy/Clinical Immunology Technician Course Manual
4.10.1. Perform
Venoms/hymenoptera
b
4.10.2. Perform Vaccines
b
4.10.3. Perform Latex
b
4.10.4. Perform Medication
b
4.10.5. Grade/document skin
tests
2b
4.10.6. Perform routine
spirometry/flow volume loops
2b
4.10.7. Perform pre- and post-
bronchodilator studies
2b
4.10.8. Perform asthma
challenge test
a
4.10.9. Perform peak flow
meter studies
2b
4.11. Prepare And Administer Respiratory Medication TR: Allergy/Clinical Immunology Technician Course Manual
4.11.1. Metered dose inhaler
1b
4.11.2. Hand held/updraft
nebulizer
1b
4.11.3. Document pulmonary
diagnostic and therapeutic
procedure
3c
4.12. Preventive Treatment TR: Allergy/Clinical Immunology Technician Course Manual
4.12.1. Relocation from the
source of irritants
B
4.12.2. Air conditioning
B
4.12.3. House dust mite
precaution and avoidance
program
B
4.12.4. Mold/fungal avoidance
B
4.12.5. Animal
B
4.12.6. Stinging insects
B
4.13. Pharmacological Treatment TR: Allergy/Clinical Immunology Technician Course Manual
4.13.1. Antihistamines
B
4.13.2. Decongestants
B
4.13.3. Bronchodilators
B
4.13.4. Expectorants
B
4.13.5. Steroids
B
ATTACHMENT 4
Allergy/Immunization (4N0X1D)
54
1. Tasks, Knowledge And
Technical References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complet
e
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
4.13.6. Blood pressure/cardiac
medications (beta-blockers)
B
4.13.7. Antidepressants
B
4.13.8. Biologics
B
4.14. Immunotherapy TR: Allergy/Clinical Immunology Technician Course Manual
4.14.1. Types
4.14.1.1. Aeroallergens
2b
4.14.1.2. Environmentals
2b
4.14.1.3.Venoms/hymenoptera
2b
4.14.2. Calculate
dosage/schedule
3c
4.14.3. Perform proper
injection technique
3c
4.15. Administrative Procedures
4.15.1. Mixing lab
A
4.15.2. Procurement of skin
test trays
A
4.15.3. Procurement of
immunotherapy kits
A
4.15.4. Screen/educate patients
2b
4.15.5. Perform
Documentation
2b
4.16. Identify/Treat Adverse Reactions TR: Elsevier
4.16.1. Vasovagal
c
4.16.2. Local
3c
4.16.3. Systemic/anaphylactic
3c
4.17. Extract
Composition/Measurement
TR: Allergy/Clinical
Immunology Technician
Course Manual
4.17.1. Aqueous
B
4.17.2. Alum-precipitated
B
4.17.3. Freeze-dried
B
4.17.4. Weight/Volume (w/v)
B
4.17.5. Biological allergen unit
(BAU)
B
4.17.6. Protein nitrogen units
(PNU)
B
4.17.7. Allergy units (AU)
B
4.17.8. Micrograms (mcg)
B
4.17.9. Milligrams (mg)
B
4.17.10. Volume/Volume (v/v)
B
4.18. Diluents TR: Immunofacts (Grabenstein)
4.18.1. Human serum albumin
(HSA)
B
4.18.2. Sterile normal saline
with phenol
B
4.18.3. Glycerin
B
4.18.4. Mix 10-fold dilutions
3c
4.18.5. Label extract vial
3c
ATTACHMENT 4
Allergy/Immunization (4N0X1D)
55
1. Tasks, Knowledge And
Technical References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
4.19. IMMUNIZATION TR: AFI 44-102/48-110
4.19.1. Principles Of Immunization TR: Epidemiology and Prevention of Vaccine-Preventable Diseases (Pink Book)
4.19.1.1. Active immunization
B
4.19.1.2. Passive immunization
B
4.19.2. Adult/Military Vaccines TR: Immunofacts (Grabenstein)
4.19.2.1. Types
C
4.19.2.2. Composition
C
4.19.2.3. Dosages
C
4.19.2.4. Schedules
C
4.19.2.5. Storage/handling
C
4.19.2.6. Purpose
C
4.19.2.7.
Precautions/contraindications
C
4.19.2.8. Side effects
C
4.19.2.9. Administer Medications and Vaccines TR: General Recommendations on Immunization Practices of the Advisory Committee on Immunization Practices (ACIP)
4.19.2.9.1. Subcutaneous
3c
4.19.2.9.2. Intramuscular
3c
4.19.2.9.3. Intradermal
3c
4.19.2.9.4. Oral
3c
4.19.2.9.5. Intranasal
a
4.19.2.9.6. Scarification
technique
a
4.19.3. Pediatric Vaccines TR: Immunofacts (Grabenstein)
4.19.3.1. Types
C
4.19.3.2. Composition
C
4.19.3.3. Dosages
C
4.19.3.4. Advisory Committee
on Immunization Practices
(ACIP) recommended schedules
C
4.19.3.5. Storage/Handling
C
4.19.3.6. Purpose
C
4.19.3.7. Precautions /
contraindications
C
4.19.3.8. Side effects
C
4.19.3.9. Administer Medications and Vaccines TR: Immunofacts (Grabenstein)
4.19.3.9.1. Subcutaneous
3c
4.19.3.9.2. Intramuscular
3c
4.19.3.9.3. Intradermal
3c
4.19.3.9.4. Oral
3c
ATTACHMENT 4
Allergy/Immunization (4N0X1D)
56
1. Tasks, Knowledge And
Technical References
2. Tasks
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
4.19.4. Document IAW TR: AFI 48-110
4.19.4.1. Immunization record
2b
4.19.4.2. Electronic Medical
record (EMR)
2b
4.19.4.3. USAF Aeromedical
Services Information
Management System (ASIMS)
TR: ASIMS AF User Guide
2b
4.19.4.4. CDC 731
2b
4.19.5. Administer/Read Delayed Skin Tests
TR: Allergy/Clinical Immunology Technician Course Manual
4.19.5.1. Tuberculin unit (5TU)
purified protein derivative
(PPD) IAW 48-105
2b
4.19.5.2. Candida albicans
a
4.19.6. Administrative Considerations
4.19.6.1. Geographical
requirements (Center for
Disease Control (CDC), World
Health Organization (WHO),
International, and command
specific)
A
4.19.6.2. Requirements for
administration of
immunizations outside
MTF/Medical Unit
A
4.19.6.3. Waivers TR: AFI 48-110IP
4.19.6.3.1. Medical
-
4.19.6.3.2. Administrative
-
4.19.6.3.3. Religious
-
4.19.6.3.4. Declination of
recommended immunizations
-
4.19.6.3.5. Serologic Testing
-
4.19.7. Administrative Procedures TR: AFI 48-110IP
4.19.7.1. Prepare/transcribe
immunization records
2b
4.19.7.2. Use standard
ACIP/Centers for Disease
Control (CDC) abbreviations
2b
4.19.7.3. Provide and document
Vaccine Information
Statements (VIS) IAW AFI 48-
110
2b
4.19.7.4. Complete Vaccine
Adverse Event Reporting
System (VAERS) form
2b
4.19.7.5. Statistical reports
-
4.19.8. Identify And Initiate Treatment of Adverse Reactions
TR: AFI 48-110
4.19.8.1. Vasovagal
3c
4.19.8.2. Local
3c
4.19.8.3. Systemic/anaphylactic
3c
ATTACHMENT 5
Hemodialysis (SEI 486)
57
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
5. HEMODIALYSIS SPECIALTY
5.1. Renal Anatomy and Physiology TR: ANNA, Core Curriculum for Nephrology Nursing; Amgen Core Curriculum for the Dialysis Technician
5.1.1. The Kidney
+
-
5.1.1.1. Structure
+
-
5.1.1.2. Function
+
-
5.2. Chronic Kidney Disease TR: ANNA, Core
Curriculum for Nephrology Nursing; Amgen Core
Curriculum for the Dialysis Technician
5.2.1. Stages of Chronic Kidney Disease (CKD) 1-
5
+
-
5.2.2. Contributing Factors
+
-
5.3. Hemodialysis Physiological Basis and
Treatment TR: ANNA, Core Curriculum for
Nephrology Nursing; Amgen Core Curriculum for
the Dialysis Technician
5.3.1. Indications for hemodialysis
+
-
5.3.1.1. End Staged Renal Disease (CKD 5)
+
-
5.3.1.2. Acute Kidney Failure
+
-
5.3.1.2.1. Drug intoxication
+
-
5.3.1.2.2. Fluid Overload
+
-
5.3.1.2.3. Hyperkalemia
+
-
5.3.1.2.4. Severe acidosis/alkalosis
+
-
5.4. Dialysis Delivery Methods TR: ANNA,
Core Curriculum for Nephrology Nursing; Amgen
Core Curriculum for the Dialysis Technician
5.4.1. Chronic Hemodialysis
+
-
5.4.2. Acute Hemodialysis
+
-
5.4.3. Continuous renal replacement therapy
(CRRT)
+
-
5.4.4. Continuous ambulatory peritoneal dialysis
(CAPD)
+
-
5.4.5. Continuous cyclic peritoneal dialysis
(CCPD)
+
-
ATTACHMENT 5
Hemodialysis (SEI 486)
58
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via
ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
5.5. Universal Precautions TR: Medical
Education Institute (MEI) Core Curriculum for the
Dialysis Technician
5.5.1. Personal Protective Equipment (PPE)
+
-
5.5.2. Isolation Precautions
+
-
5.5.3. HAZCOM
+
-
5.5.4. Vaccinations
+
-
5.6. Perform Patient Evaluation Procedures TR:
Medical Education Institute (MEI) Core
Curriculum for the Dialysis Technician
5.6.1. Nursing assessment
+
-
5.6.1.1. Obtain vital signs
+
-
5.6.1.2. Obtain pre-treatment weight
+
-
5.6.1.3. Review pt history for dry weight
+
-
5.6.1.4. Calculate target loss/ultrafiltration
+
-
5.6.1.5. Review lab history
+
-
5.6.2. Conflict resolution
+
-
5.6.3. Give patient instructions on dialysis tx
+
-
5.6.4. Document on electronic medical record
+
-
5.7. Prepare for Dialysis Treatment TR: Medical
Education Institute (MEI) Core Curriculum for the
Dialysis Technician
5.7.1. Water Treatment System Overview TR:
Medical Education Institute (MEI) Core
Curriculum for the Dialysis Technician
+
-
5.7.1.1. Locate Components of Water System TR:
Medical Education Institute (MEI) Core
Curriculum for the Dialysis Technician
Advancement of Medical Instrumentation (AAMI)
standards; Local policy; Local Operator's Manual
+
-
5.7.1.1.1. Feed Water Components
+
-
5.7.1.1.1.1. Backflow Prevention Device
+
-
5.7.1.1.1.2. Temperature Blending Valve
+
-
5.7.1.1.1.3. Booster Pump
+
-
5.7.1.1.2. Pretreatment Components
+
-
5.7.1.1.2.1. Chemical Injection Systems
+
-
5.7.1.1.2.2. Sediment Filters
+
-
5.7.1.1.2.3. Water Softener
+
-
5.7.1.1.2.4. Carbon Tanks
+
-
5.7.1.1.2.5. Reverse Osmosis (RO)
+
-
5.7.1.1.2.6. Deionization
+
-
5.7.1.1.2.7. Ultraviolet Light
+
-
5.7.1.1.2.8. Submicron & Ultrafilters
+
-
ATTACHMENT 5
Hemodialysis (SEI 486)
59
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
5.7.1.2. Test Water System Components TR:
Medical Education Institute (MEI) Core
Curriculum for the Dialysis Technician,
Advancement of Medical Instrumentation
(AAMI) standard; Local Policy
5.7.1.2.1. RO Product Water
+
-
5.7.1.2.2. RO Loop Pre
+
-
5.7.1.2.3. RO Loop Return
+
-
5.7.1.2.4. Water Softener
+
-
5.7.1.2.4.1. Hardness test
+
-
5.7.1.2.5. Carbon Tank
+
-
5.7.1.2.5.1. Chlorine test
+
-
5.7.1.2.6. Dialysis Machine
+
-
5.7.1.3. Perform Machine Maintenance TR:
Local Model Operator's Manuals; Local Policy;
MDGI/OI
5.7.1.3.1. Internal disinfection/cleaning
+
-
5.7.1.3.1.1. Heat Disinfect
+
-
5.7.1.3.1.2.. Rinse
+
-
5.7.1.3.1.3. Acid Clean
+
-
5.7.1.3.1.4. Chemical/Rinse/Dwell
+
-
5.7.1.3.1.5. DIASAFE Filter
+
-
5.7.1.3.2. External disinfection
+
-
5.7.1.3.2.1. Hospital approved disinfectant
+
-
5.8. Perform Dialysis Machine Set-Up TR:
Local Model Operator's Manual; Local Policy
5.8.1. Mix dialysate bath solutions
+
-
5.8.2. Machine Self Test
+
-
5.8.2.1. Pressure test
+
-
5.8.2.2. Alarm test
+
-
5.8.3. Reverse osmosis (RO) water test
+
-
5.8.4. Conductivity limits
+
-
5.8.5. Prime extracorporeal blood
circuit/dialyzer
+
-
5.8.6. Recirculation
+
-
5.8.7. Blood pressure monitor function test
+
-
5.8.8. Set treatment parameters per physician
prescription
+
-
5.8.9. Portable reverse osmosis (RO)
+
-
5.9. Set-up Peritoneal Cycler TR: ANNA,
Core Curriculum for Nephrology Nursing;
Local Model Operator's Manual; Local Policy
5.9.1. Select ordered dialysate solution
+
-
5.9.2. Machine Self-Test
+
-
5.9.3. Prime peritoneal circuit/drain bags (adult
& pediatric)
+
-
5.9.4. Enter treatment prescription
+
ATTACHMENT 5
Hemodialysis (SEI 486)
60
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
5.10. Set-up Manual Peritoneal Dialysis System
TR: ANNA, Core Curriculum for Nephrology
Nursing
5.10.1. Manifold
+
-
5.10.2. Prime Y-Set circuit/drain bags (adult &
pediatric)
+
-
5.11. Perform access of patient's vascular system
for dialysis TR: ANNA, Core Curriculum for
Nephrology Nursing; Amgen Core Curriculum for
the Dialysis Technician
5.11.1. Arterial-venous (AV) graft/fistula
+
-
5.11.1.1. Access maturity/patency
+
-
5.11.1.1.1. Thrill and Bruit
+
-
5.11.1.1.2. Anastomosis
+
-
5.11.1.1.3. Signs of infection/infiltration
+
-
5.11.1.1.4. Arterial/venous area
+
-
5.11.1.2. Cannulation of needles
+
-
5.11.1.2.1. Rope Ladder technique
+
-
5.11.1.2.3. Collect blood specimen
+
-
5.11.1.2.3. Collect blood specimen
+
-
5.11.2. Perform corrective actions for
complications during tx
5.11.2.1. Dislodged needle
+
-
5.11.2.2. Infiltration
+
-
5.11.2.3. Bleeding at cannulation sites
+
-
5.11.2.4. Thrombosis
+
-
5.11.2.5. Recirculation
+
-
5.11.2.6. Cramping
+
-
5.11.3. Long Term Complications of fistula/graft
5.11.3.1. Steal Syndrome
+
-
5.11.3.2. Aneurysm
+
-
5.11.3.3. Stenosis
+
-
5.11.4. Perform termination of Dialysis via
fistula/graft
5.11.4.1. Needle removal
+
-
5.11.4.2. Hemostasis of cannulation sites
+
-
5.11.5. Central Venous Catheters (CVCs) for
Dialysis (Temporary and Long Term)
5.11.5.1. Set-up/assist with external CVC
placement
+
-
5.11.5.2. Assess patency of CVC
+
-
5.11.5.2.1. Unpack each lumen
+
-
5.11.5.3. Perform dressing change using aseptic
technique
+
-
5.11.5.3.1. Identify signs of infection
+
-
ATTACHMENT 5
Hemodialysis (SEI 486)
61
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cer
t^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
5.11.6. Perform corrective actions for complications
during treatment
5.11.6.1. Bleeding around catheter site
+
-
5.11.6.2. Kink or blockage
+
-
5.11.6.3. Sluggish normal saline flushes
+
-
5.11.7. Long term complications of CVC use
5.11.7.1. Blood infections
+
-
5.11.7.2. Inflammation/clotting in vessels
+
-
5.11.7.3. Sluggish normal saline flushes
+
-
5.11.7.4. Lower blood flow rates/inadequate
dialysis
+
-
5.11.8. Perform termination of Dialysis via CVC
5.11.8.1. Insert anticoagulant packing into each
lumen
+
-
5.11.8.2. Apply sterile caps to each lumen
+
-
5.12. Perform Physician ordered modifications
during treatment TR: ANNA, Core Curriculum for
Nephrology Nursing; Local Model Operator's
Manual
5.12.1. Increase/decrease target ultrafiltration goal
+
-
5.12.2. Increase/decrease dialysate bath electrolyte
levels
+
-
5.12.3. Increase/decrease blood flow rate
+
-
5.12.4. Infuse blood/blood products via machine
+
-
5.12.5. Termination of tx & blood return
+
-
5.12.6. Temperature Management
+
-
5.13. Perform Emergency Operations TR: Local
Model Operator's Manual; Local Policy
5.13.1. Termination of dialysis via manual controls
+
-
5.13.1.1. Electrical failure
+
-
5.13.1.2. Mechanical emergencies
+
-
5.13.1.3. Clotted dialyzers
+
-
5.13.1.4. Blood leak
+
-
5.13.2. On-call procedures
+
-
5.13.3. Evacuation Procedures
+
-
5.14. Patients With Specific Disorders/Emergency
Conditions TR: ANNA, Core Curriculum for
Nephrology Nursing; Amgen Core Curriculum for
the Dialysis Technician; Local Policy
5.14.1. Cardiac arrest
+
-
5.14.2. Air embolus
+
-
5.14.3. Hypotension
+
-
5.14.4. Hypertension
+
-
5.14.5. Arrhythmias
+
-
5.14.6. Disequilibrium Syndrome
+
-
5.14.7. Syncope
+
-
ATTACHMENT 5
Hemodialysis (SEI 486)
62
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
5.14.8. Shock
+
-
5.14.9. Hemolysis
+
-
5.14.10. Nausea/vomiting
+
-
5.14.11. Seizures
+
-
5.14.12. Hypoxia
+
-
5.15. Dialysis Medications TR: A Medical
Education Institute (MEI) Core Curriculum for the
Dialysis Technician, Physician's Desk Reference
(PDR)
5.15.1. Administer medications per physician's
orders
5.15.1.1. Anticoagulants
+
-
5.15.1.2. Local Anesthetics
+
-
5.15.1.3. Albumin
+
-
5.15.1.4. Normal Saline
+
-
5.15.1.5. Oxygen
+
-
5.15.2. Working Knowledge of Other Medications
5.15.2.1. Thrombolytic agents
+
-
5.15.2.2. Erythropoietin
+
-
5.15.2.3. Paricalcitol
+
-
ATTACHMENT 6
Critical Care Technician (SEI 487)
63
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
6. CRITICAL CARE
6.1. Pathophysiology of Hemodynamics TR: AACN
Procedure Manual for Critical Care; Hemodynamic
Monitoring: Invasive and Non-invasive Clinical
Application
6.1.1. Recognize hemodynamic values
6.1.1.1. Adult
+
B
6.1.1.2. Pediatric
+
B
6.1.3. Monitor Patients On Telemetry
6.1.3.1. Telemetry Course
+
6.2. Critical Patient Transport Considerations
TR: AACN Procedure Manual for Critical Care
6.2.1. Recognize stable patient
+
C
6.2.2. Recognize unstable patient
+
C
6.3. Prepare/Transport Patient with Special Equipment
for Critical Care Transfer TR: AACN Procedure
Manual for Critical Care
6.3.1. Assembles transport supplies/equipment adult
+
3c
6.3.2. Assembles transport supplies/equipment
pediatric
+
2b
6.3.3. Prepare/Setup/Operate Pediatric Transport
Isolette
+
2b
6.3.4. Transfer Patient Between Stationary
Ventilator/Portable Ventilator
+
3c
6.3.5. Medical Examinations/Special Procedures
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-
invasive Clinical Application
6.3.5.1. Set-up and Assist Pericardiocentesis
+
2b
6.3.5.2. Set-up and Assist Percutaneous (bedside)
tracheostomy placement
+
2b
6.3.5.3. Perform Bladder Scan
+
3c
6.3.5.4. Set-up and Assist Intubation/extubation
+
3c
6.3.5.5. Assist with pronation of intubated patient
+
2b
6.3.5.6. Assist with supination of intubated patient
+
2b
6.3.5.6. Perform PEEP-Saver Valve
+
3c
6.3.5.7. Perform enteral feeding access and support
+
2b
6.3.5.8. Perform inline suction
+
2b
6.4. Sonography
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-
invasive Clinical Application
6.4.1. Assist Ultra Sound guided Central Line
+
2b
6.4.2. Assist with FATE
+
2b
6.4.3. Assist with Ultra Sound ICP
+
2b
6.4.4. Assist with Ultra Sound Guided Fluid
Resuscitation
+
2b
ATTACHMENT 6
Critical Care Technician (SEI 487)
64
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via
ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
6.5. Mechanical Ventilation Classifications
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.5.1. Timed Cycled
+
B
6.5.2. Pressure Cycled
+
B
6.5.3. Volume Cycled
+
B
6.5.4. Understanding Principles Of Mechanical
Ventilation
6.5.4.1 Modes of ventilation
+
B
6.5.4.2. Ventilator Settings
+
B
6.5.4.3. Continuous Positive Airway Pressure (CPAP)
+
B
6.5.4.4. Bi-level Positive Airway Pressure (BiPAP)
+
B
6.5.4.5. Weaning Parameters
+
B
6.5.5. Ventilation Operations
6.5.5.1. Assist with set-up and operation of ventilator
+
2b
6.5.5.2. Assist with and attach ventilator circuit to
patient
+
2b
6.5.5.3. Perform Ventilator Alarm Circuit
Troubleshooting
+
3c
6.5.5.4. Monitor Patient Alarms on Mechanical
Ventilator
+
2b
6.6. Identify Principles Of Patient Management in
Critical Care Environment
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.6.1. Cardiovascular Disorders
+
B
6.6.2. Pulmonary Disorders
+
B
6.6.3. Neurologic Disorders
+
B
6.6.4. Gastrointestinal Disorders
+
B
6.6.5. Renal Disorders
+
B
6.6.6. Endocrine Disorders
+
B
6.6.7. Hematological Disorders
+
B
6.6.8. Multisystem Disorders
+
B
6.7. Identify Principles of Blood Gas Values
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.7.1. Blood Gas Results
+
B
6.8. Setup and Assist with Cardiovascular Procedures
ATTACHMENT 6
Critical Care Technician (SEI 487)
65
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.8.1. Continuous Cardiac Output/Mixed Venous
(CCO/SVO2VIP)
+
2b
6.8.2. Flow directed pacing catheter placement
+
2b
6.8.3. Synchronized Cardioversion
+
3c
6.8.4. Obtain/maintain Advanced Cardiac Life Support
(ACLS)
+
-
6.9. Perform/Obtain Measurements and Operations
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.9.1. Central venous pressure measurements (CVP)
+
2b
6.9.2. Cardiac output measurements
+
2b
6.9.3. Central Line Blood Sample
+
2b
6.9.4. Monitor SVO2
+
2b
6.9.5. Transurethral Bladder Pressure
+
2b
6.9.6. ABG Percutaneous Collection
+
3c
6.9.7. Obtain ABG Sample from Arterial Line
Manifold
+
3c
6.10. Identifying Neurological Monitoring
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.10.1. Invasive Methods
+
B
6.10.2. Non-Invasive Methods
+
B
6.11. Set-up/Maintain and Perform
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.11.1. Fiber optic sensor for Intracranial Pressure
(ICP) Monitoring
+
2b
6.11.2. Ventriculostomy drain
+
2b
6.11.3. Cold calorics
+
2b
6.11.4. Assist with Central Venous Monitoring Set-up
+
2b
6.11.5.Assist with Arterial Monitoring Set-up
+
2b
6.11.6.Assist with Central Venous Line Insertion
+
2b
6.11.7.Assist with Arterial Line Insertion
+
2b
6.11.8.Perform Square Wave Test
+
3c
6.11.8. Identify and Troubleshoot Arterial Waveforms
+
c
6.11.8. Perform Central Line Dressing Changes
+
3c
6.11.8. Perform Arterial Line Dressing Changes
+
3c
6.11.8. Perform Central Line Removal
+
3c
6.11.8. Perform Arterial Line Removal
+
3c
6.12. Principles and Management of Hemodialysis
TR: AACN Procedure Manual for Critical Care;
Hemodynamic Monitoring: Invasive and Non-invasive
Clinical Application
6.12.1. Acute Kidney Injury
+
B
6.12.2. Fluid Overload
+
B
6.12.3. Acidosis/alkalosis
+
B
6.12.4. Continuous Renal-to-Replacement Therapy
(CRRT)
+
B
ATTACHMENT 7
Hyperbaric Medical Technician (SEI 490)
66
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
C
ore/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
7. HYPERBARIC SPECIALTY
7.1. Hyperbaric Medicine
7.1.1. Purpose and evolution
TR: Physiology and Medicine of Hyperbaric Oxygen
Therapy/ Hyperbaric Medicine Practice
+
C
7.1.2. Physiological Principles of the Hyperbaric
Environment
TR: Physiology and Medicine of Hyperbaric Oxygen
Therapy/ U.S. Navy Diving Manual Revision 7
7.1.2.1. Decompression physiology
+
C
7.1.2.2. Decompression tables
+
C
7.1.3. Physiological Basis and Treatment for
Disorders with Hyperbaric Medicine TR: UHMS
Hyperbaric Oxygen Therapy Indications
7.1.3.1. Acute disorders
+
B
7.1.3.2. Chronic disorders
+
B
7.1.3.3. Experimental
+
B
7.1.3.4. Indications for hyperbaric therapy
+
B
7.2. Hyperbaric Chamber
7.2.1. Principles of managing and organizing
hyperbaric treatment facilities
+
A
7.2.2. Principles Of Hyperbaric Chamber Systems
TR: Physiology and Medicine of Hyperbaric Oxygen
Therapy/ Hyperbaric Medicine Practice
7.2.2.1. Air pressurization
+
C
7.2.2.2. Fire suppression
+
C
7.2.2.3. Communication
+
C
7.2.2.4. Mask breathing system (MBS)
+
C
7.2.2.5. Liquid oxygen (LOX)
+
C
7.2.2.6. Console controls
+
C
7.2.2.7. Suction
+
C
7.2.2.8. Gas analysis
+
C
7.2.2.9. Escape hood
+
C
7.2.3. Team duties and responsibilities
TR: AFI 48-112, para 3.5
+
C
7.2.4. Perform Hyperbaric Chamber Crew Duties
7.2.4.1. Crew Chief
+
b
7.2.4.2. Chamber operator
+
b
7.2.4.3. Medical attendant
+
b
7.2.4.4. Inside Observer
7.2.4.4.1. Clinical
+
c
7.2.4.4.2. Operational
+
c
ATTACHMENT 7
Hyperbaric Medical Technician (SEI 490)
67
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
7.2.5. Appropriate safety procedures when working
in hyperbaric facilities
TR: National Fire Protection Agency (NFPA) 99 Ch.
14
+
C
7.2.6. Manage Chamber Emergencies
TR: per local Operating Instructions/ Hyperbaric
Facility Safety: A Practical Guide. Workman, W.
(1999)/ NFPA 99 Ch. 14
7.2.6.1. Mechanical emergencies
+
c
7.2.6.2. Power loss
+
c
7.2.6.3. Loss of accumulator air supply
+
c
7.2.6.4. Interior/exterior chamber fire
+
c
7.2.6.5. Contaminated air supply
+
c
7.2.6.6. Compressor failure
+
c
7.2.6.7. Loss of breathing gases
+
c
7.2.6.8. Window failure
+
c
7.2.7. Operate pass-thru lock
+
c
7.2.8. Obtain/maintain Advanced Cardiac Life
Support (ACLS) certification
+
c
7.2.9. Hyperbaric Maintenance
TR: Per local Operating Instructions/NFPA 99 Ch.
14
7.2.8.1. Perform daily inspections and maintenance
on hyperbaric
+
c
7.2.8.2. Perform basic troubleshooting procedures on
hyperbaric systems
+
c
7.3. Hyperbaric Patient Care
TR: Hyperbaric Nursing/ Hyperbaric Medicine
Practice
7.3.1. Manage Patient Needs with Specific
Disorders/Emergency Conditions
TR: Physiology and Medicine of Hyperbaric Oxygen
Therapy/ Hyperbaric Medicine Practice/Hyperbaric
Nursing
7.3.1.1. Cardiac arrest
+
c
7.3.1.2. Oxygen seizure
+
c
7.3.1.3. Hypoglycemic reaction
+
c
7.3.1.4. Anxiety
+
c
7.3.1.5. Claustrophobia
+
c
7.3.1.6. Decompression sickness
+
c
7.3.1.7. Arterial gas embolism
+
c
7.3.1.8. Barotrauma (ears, sinuses, lungs)
+
c
7.3.1.9. Combative patient
+
c
7.3.2. Ancillary Medical Equipment
TR: Hyperbaric Nursing/ Hyperbaric Medicine
Practice/Manufactures Manual
7.3.2.1. Cardiac monitor/defibrillator
+
B
7.3.2.2. BVM
+
C
7.3.2.3. Suction device
+
C
7.3.2.4. Infusion pump
+
B
7.3.2.5. Glucose monitor
+
B
7.3.2.6. Ventilator
+
A
7.3.2.7. Pulse oximeter
+
A
7.3.2.8. Oxygen hoods/nebulizer
+
B
ATTACHMENT 7
Hyperbaric Medical Technician (SEI 490)
68
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
Trng Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
7.3.2.9. Tracheostomy cuffs
+
A
7.3.3. Monitor IVs during hyperbaric treatment
+
b
7.3.4. Surgical drains
TR: Hyperbaric Medicine Practice
+
A
7.3.5. Schedule/assist in patient evaluation
TR: Hyperbaric Nursing
+
a
7.3.6. Assist with/perform wound care
TR: Wound Care Practice/Lippincott
+
b
7.3.7. Assist With/Apply Complex Dressings
TR: Wound Care Practice/Manufacture Instructions
7.3.7.1. Negative Pressure Therapy
+
7.3.7.2. Four Layer Compression Dressing
+
7.3.7.3. Unna boot
+
7.3.7.4. Biologically Derived Skin Substitutes
7.3.7.5. Biomaterial Wound Matrix Dressing
+
7.3.8. Assist with/perform transcutaneous oxygen
monitoring (TCPO2)
TR: Hyperbaric Nursing
+
3c
7.3.9. Perform ankle-brachial index (ABI)
+
7.4. Hyperbaric Administration
TR: Wound Care Practice/Manufacture Instructions
7.4.1. Hazardous duty pay qualification procedures
A
7.4.2. Schedule/conduct tour and briefings
+
7.4.3. Schedule test of pressure dives
+
7.4.4. Prepare and maintain call rosters
+
7.4.5. Schedule daily chamber activities
+
7.4.6. Orient Medical Supplemental Team Members
TR: AFI 48-112/ per local Operating Instructions
7.4.6.1. Administrative procedures
+
7.4.6.2. Inside observer duties
+
7.4.6.3. Principles of hyperbaric chamber safety and
equipment familiarization
+
7.4.7. Documentation And Forms
7.4.7.2. AF Form 1389, Clinical Hyperbaric
Treatment Record
+
B
7.4.7.3. Personnel documentation (Dive Folders)
+
A
ATTACHMENT 8
Aeromedical Evacuation (X4N0X1X/SEI 494)
69
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
A
B
C
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
3-lvl
5-lvl
7-lvl
8. AEROMEDICAL EVACUATION (AE)
8.1 Stresses of flight
+
C
8.2. Perform Inflight Patient Care TR: AFI 48-307
Vol 1, Vol 2, Vol 3
8.2.1. Patient assessment
+
3c
8.2.2. Respiratory disorders
+
3c
8.2.3. Cardiac disorders
+
3c
8.2.4. Neurological disorders
+
2b
8.2.5. Pediatrics
+
2b
8.2.6. Obstetrics
+
2b
8.2.7. Orthopedic disorders
+
3c
8.2.8. EENT disorders
+
2b
8.2.9. GI/GU disorders
+
2b
8.2.10. Burns
+
3c
8.2.11. Mental health
+
3c
8.2.12. Decompression sickness
+
2b
8.2.13. Blood dyscrasias
+
2b
8.2.14. Diabetes
+
2b
8.2.15. Unconscious/Difficult to Arouse Patients
+
2b
8.2.16. Wound management
+
3c
8.2.17. Pain assessment and management
+
3c
8.2.18. Infection control
+
3c
8.2.19. Patient care documentation
+
3c
8.3. Respond To Patient Emergencies TR: AFI 48-307 Vol 1, AFI
11-2AE Vol 3
8.3.1. Cardiac/respiratory arrest interventions
+
3c
8.3.2. Shock
+
3c
8.3.3. Hyperventilation/hypoxia
+
3c
8.4. Operate AE Medical Equipment TR: AFI 11-2AE Vol 3;
AFMAN 10-2909; Aeromedical Evacuation Equipment
Compendium
8.4.1. Chest drainage devices
+
3c
8.4.2. Wound Vac/Negative Pressure
+
2c
8.4.3. Oxygen analyzer/MiniOX
+
b
8.4.4. Ventilator
+
b
8.4.5. Cardiac monitor/defibrillator
+
3c
8.4.6. Litter and backrest
+
3c
8.4.7. Use of Restraints
+
3c
8.4.8. Pulse oximeter
+
3c
ATTACHMENT 8
Aeromedical Evacuation (X4N0X1X/SEI 494)
70
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
A
B
C
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
3-lvl
5-lvl
7-lvl
8.4.9. Suction devices
+
3c
8.4.10. Electrical Cable Assembly Set (ECAS)
+
b
8.4.11. Infusion pumps
+
3c
8.4.12. Vital signs monitor
+
3c
8.4.13. Bag valve mask
+
3c
8.4.14. Airway adjuncts
+
3c
8.4.15. Neonatal transport device
+
a
8.4.16. Next-Generation Portable Therapeutic Liquid Oxygen
(NPTLOX) System
+
3c
8.5. Locate Supplies In AE Inflight Kit
+
2b
8.6. Patient movement items/plexus
+
b
8.7. AE Technician (AET) Duty Progression TR: AFI 11-2AE
Vol’s 3; AFMAN 11-2AE Vol 1; AFMAN 11-2AE Vol 2
8.7.1. AET (X4N0X1)
+
A
8.7.2. AET flight instructor
+
A
8.7.3. AET flight examiner
+
A
8.8. Perform Cockpit/crew resource management (CRM)
TR: AFIs 11-290, 36-2243
+
3c
8.9. Aircraft/Flightline Safety TR: AFI 11-2AE Vol 3, T.O. 1-
CXXX-1, T.O 1-KCXXX, AFMAN 11-2AE Vol 3 ADDENDA-A
8.9.1. Engine air intake and exhaust
+
3b
8.9.2. High-intensity sound
+
3b
8.9.3. Propeller/rotor planes of rotation
+
3b
8.9.4. Aircraft electrical system safety
+
3b
8.9.5. Aircraft oxygen system safety
+
3b
8.9.6. Aircraft fire extinguishers
+
3b
8.9.7. Foreign object damage (FOD)
+
3b
8.9.8. Safe handling of weapons in the aviation environment
+
3b
8.9.9. Vehicle operations on the flightline
+
3b
8.9.10. Safety during refueling operations
+
3b
8.10. Security TR: AFI 11-2AE V3
8.10.1. Flightline security procedures
+
3b
8.10.2. Anti-hijacking procedures
+
3b
8.10.3. Anti-terrorism
+
3b
8.11. Publications TR: AFI 11-201; AFI 11-202 V2; AFI 11-2AE
V3
8.11.1. Apply Aircrew publications
+
3b
ATTACHMENT 8
Aeromedical Evacuation (X4N0X1X/SEI 494)
71
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
A
B
C
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
3-lvl
5-lvl
7-lvl
8.11.2. Locate information in technical orders and standard
publications applicable to AE duties and functions
+
3b
8.11.3. Complete applicable forms
+
3b
8.11.4. Review flight crew information file
+
3b
8.11.5. Posting changes to standard publications
+
3b
8.11.6. Use abbreviated checklist
+
3b
8.12. Aircrew Management
TR: AFIs 11-202 series, -401, -402, -11-2AE Vol 3; AFMAN 11-
2AE Vol 1; AFMAN 11-2AE Vol 2
8.12.1. Functions of aviation resource managers
+
3b
8.12.2. Aviation Resource Management System report
+
3b
8.12.3. Flight records folder (FRF)
+
3b
8.12.4. Aircrew Training Program
+
3b
8.12.5. Flight authorization
+
3b
8.12.6. Aircrew Standardization/Evaluation Program
+
3b
8.12.7. Flight evaluation folder (FEF)
+
3b
8.12.8. General flight rules
+
3b
8.12.9. Flight currency
+
3b
8.12.10. Aircrew scheduling restrictions
+
3b
8.12.11. Calculate crew duty time/crew rest
+
3b
8.12.12. Calculate flight duty periods
+
3b
8.13. AE Aircrew Duties/Activities TR: AFI 11-2AE Vol 3,
AFMAN 10-2909
8.13.1. Perform Preflight duties
+
3b
8.13.2. Perform medical equipment preflight
+
3b
8.13.3. Perform medical equipment functional checks
+
3b
8.13.4. Crew duties (CAET, 2AET, 3AET)
+
3b
8.13.5. Perform patient briefings
+
3b
8.13.6. Perform Actions Associated with:
8.13.6.1. Inflight door warning light
+
3b
8.13.6.2. Ditching
+
3b
8.13.6.3. Crash landing
+
3b
8.13.6.4. Fuselage fire/smoke-fumes
+
3b
8.13.6.5. Emergency signals
+
3b
8.14 Demonstrate Mission Planning/Management
TR: AFI 11-2AE Vol’s 3; AFMAN 11-2AE Vol 1; AFMAN 11-
2AE Vol 2
8.14.1. Patient preparation for AE
+
3b
8.14.2. Transport of blood products
+
3b
8.14.3. Border clearance procedures
+
3b
8.14.4. Remain overnight (RON) mission management
+
3b
ATTACHMENT 8
Aeromedical Evacuation (X4N0X1X/SEI 494)
72
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW and/or
course
Core/Cert^
Deployment*/SEI+
A
B
C
D
A
B
C
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
3-lvl
5-lvl
7-lvl
8.14.5. Perform patient enplaning/deplaning procedures
+
3b
8.14.6. Develop patient positioning plan
+
3b
8.14.7. Perform mission launch/recovery procedures
+
3b
8.14.8. Apply Patient Administrative Management
TR: AFI 11-2AE Vol 3; AFI 48-307
8.14.8.1. Do Not Resuscitate
3b
8.14.8.2. Sign-out of AE system
3b
8.14.8.3. Powers-of-attorney
3b
8.15. Demonstrate Aeromedical Evacuation Aircraft
TR: Applicable T.O. 1C-XX-1, AF 11-2AE Vol 3; T.O. 1-
CXXX-1; T.O 1-KCXXX; AFMAN 11-2AE Vol 3, ADDENDA-
A
8.15.1. Capabilities of Air Mobility aircraft
+
3b
8.15.2. Provide patient oxygen using aircraft therapeutic oxygen
system
+
3b
8.15.3. Provide electrical power for medical equipment using
aircraft electrical system
+
3b
8.15.4. Configure aircraft for AE mission
+
3b
8.15.5. Floor load litter patients for AE mission
+
3b
8.15.5. Operate Doors/Hatches
+
3b
8.15.6. Emergency equipment
+
3b
8.15.7. Fire extinguisher
+
3b
8.15.8. Oxygen mask/goggles
+
3b
8.15.9. Emergency passenger oxygen
+
3b
8.15.10. Crash axe
+
3b
8.15.11. Escape ropes
+
3b
8.15.12. Emergency crew oxygen sources
+
3b
8.16. Demonstrate Aeromedical Evacuation Operations
TR: AFTTP 3-42.5 AFI 11-2AE Vol. 3; AFI 48-307
8.16.1. Patient movement request
+
3b
8.16.2. Patient movement requirements centers (PMRC)
+
3b
8.16.3. AE command & control (C2) agencies
+
3b
8.16.4. Classification of AE patients
+
3b
8.16.5. Movement precedence of AE patients
+
3b
8.16.6. Responsibilities of originating facilities
+
3b
ATTACHMENT 9
Neurodiagnostic Technologist (4N0X1B)
73
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To
Indicate Training/Information
Provided via ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
9. NEURODIAGNOSTIC SPECIALTY
9.1. Patient Management TR: Principles of Neurophysiologic
Testing: EEG; Fundamentals of EEG Technology Vol’s 1 & 2;
Rowan's Primer of EEG; Back to Basics: A Handbook of EEG
Technology
9.1.1. Schedule patient for examination
-
9.1.2. Review patient referral prior to appointment
-
9.1.3. Develop rapport with patient
c
9.1.4. Obtain pertinent patient history
c
9.1.5. Brief patient on examination procedures
c
9.1.6. Maintain required records
-
9.2. Clinic, Laboratory and Equipment Management
9.2.1. Develop and maintain provider schedules
1a
9.2.2. Maintain neurodiagnostic referral queue
1a
9.2.3. Maintain clinic & laboratory with necessary supplies
1a
9.2.4. Schedule required maintenance for NDT
equipment/software
1a
9.2.5 NDT Equipment Safety Precautions and Maintenance
TR: Fundamentals of EEG Technology Vol 1; Equipment
Operators Manual
9.2.5.1. Types of exam locations to be avoided
B
9.2.5.2. Non-physiological interference management
B
9.2.5.3. Maintain filing system for records and reports IAW local
record management
-
9.2.5.4. Proper handling & storage
B
9.2.5.5. Perform minor maintenance
1a
9.2.5.6. Replace worn-out diagnostic supplies
3b
9.2.5.7. Report major equipment breakdown to manufacturer
-
9.2.5.8. Maintain required maintenance records
-
9.3. Neuroanatomy & Physiology 201 TR: Fundamentals of
EEG Technology Vol 1; Principles of Anatomy & Physiology;
Practical Guide for Neurophysiologic Testing: EEG
9.3.1. The nerve cell
C
9.3.2. Neuroglia
C
9.3.3. Central nervous system (CNS)
C
9.3.4. Cerebral protection & circulation
C
9.3.5. Peripheral nervous system (PNS)
C
9.3.6. Cranial nerves
C
9.3.7 Understand Common NDT Diseases & Disorders
TR: Fundamentals of EEG Technology Vol 1; Principles of
Anatomy & Physiology; Practical Guide for Neurophysiologic
Testing: EEG
9.3.7.1. Brain Tumors
B
9.3.7.2. Aneurysms
B
9.3.7.3. Encephalopathies
B
9.3.7.4. Headaches/Migraines
B
9.3.7.5. Traumatic Brain Injuries (TBI)
B
ATTACHMENT 9
Neurodiagnostic Technologist (4N0X1B)
74
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To
Indicate Training/Information
Provided via ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
9.3.7.7. Cerebrovascular Accidents (CVA)
B
9.3.7.8. Demyelinating diseases
B
9.3.7.9. Infectious diseases/disorders
B
9.3.7.10. Cerebral Palsy
B
9.3.7.11. Degenerative diseases
B
9.3.7.12. Non-epileptic seizures/behavioral disorders
B
9.3.8. Seizure Disorders
TR: Fundamentals of EEG Technology Vol 1; Principles of
Anatomy & Physiology; Practical Guide for Neurophysiologic
Testing: EEG
9.3.8.1. Seizure classifications
C
9.3.8.2. Epilepsy
C
9.3.8.3. Antiepileptic drugs & treatments
B
9.3.8.4. Seizure safety
C
9.4. Introduction to Neurodiagnostic Technology TR:
Fundamentals of EEG Technology Vol 1; Rowan's Primer of
EEG
9.4.1. Voltage, resistance and electrical safety
B
9.4.2. Amplifiers & impedance
B
9.4.3. Filters & display time
B
9.4.4. Digital EEG instrumentation
B
9.4.5. Troubleshooting the EEG operating system
3b
9.4.6. Localization & polarity
B
9.5. Introduction to Electroencephalography (EEG) TR:
Fundamentals of EEG Technology Vol’s 1 & 2; Principles of
Neurophysiologic Testing: EEG; Rowan's Primer of EEG; Atlas
of Adult Electroencephalography
9.5.1. History of EEG
B
9.5.2. EEG indications
B
9.5.3 Physiology of EEG Waveforms TR: Fundamentals of
EEG Technology Vol’s 1 & 2; Principles of Neurophysiologic
Testing: EEG; Rowan's Primer of EEG; Atlas of Adult
Electroencephalography
9.5.3.1 Determine waveform frequency
3b
9.5.3.2. Determine waveform amplitude
3b
9.5.3.3. Determine waveform duration
3b
9.5.3.4. Identify correct location & occurrence
3b
9.5.3.5. Identify sleep waveforms & patterns
3b
9.5.3.6. Determine sleep stages during EEG
3b
9.5.3.7 Identify Benign EEG variants
3b
9.5.3.8. Identify & Correct physiological and non-physiological
EEG Artifacts
3b
9.5.3.9. Identify activation procedure results
3b
ATTACHMENT 9
Neurodiagnostic Technologist (4N0X1B)
75
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To
Indicate Training/Information
Provided via ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
9.5.3.10. Identify maturation changes affecting the EEG
3b
9.6. EEG Procedure
TR: Rowan's Primer of EEG 2nd Edition" and ACNS
Guidelines
9.6.1. Infection control techniques & PPE
B
9.6.2. Measure patient head IAW: I10-20 System of
Electrode Placement
3b
9.6.3. Understand difference between I10-20 and I10-10
Systems
A
9.6.4. Apply appropriate type of electrodes IAW I10-20
System
3b
9.6.5. Electrode Types & Uses
TR: Current Practice of Clinical Electroencephalography 3rd
Edition
9.6.5.1. Disc electrodes
B
9.6.5.2. Subdermal/Needle electrodes
A
9.6.5.3. Depth electrodes
A
9.6.5.4. Sphenoidal electrodes
A
9.6.5.5. Grid electrodes
A
9.6.5.6. Nasopharyngeal electrodes
A
9.6.5.7. Clip-on electrodes
B
9.6.5.8. Physiological monitoring electrodes
B
9.6.5.9. Electrocorticography/Wick electrodes
A
9.6.5.10. Subdural electrodes
A
9.6.5.11. Epidural electrodes
A
9.6.6. Perform Basic EEG Procedures
TR: Fundamentals of EEG Technology: Basic Concepts and
Methods Vol 1 & 2nd TR: American Clinical
Neurophysiology Society (ACNS) Guidelines
9.6.6.1. Paste method
3b
9.6.6.2. Collodion method
3b
9.6.6.3. Electrode cap method
3b
9.6.6.4. Perform instrument Calibration
3b
9.6.6.5. Perform Biological Calibration
3b
9.6.6.6. Bipolar Montage
3b
9.6.6.7. Transverse Montage
3b
9.6.6.8. Referential Montage
3b
9.6.6.9. Ensure technical adequacy of recording
3b
9.6.6.10. Identify & eliminate artifact
3b
9.6.6.11. Complete technologist report
3b
9.6.6.12. Provide interpretation to ordering medical provider
3b
9.7. Perform EEG on Patients with Special Considerations
ATTACHMENT 9
Neurodiagnostic Technologist (4N0X1B)
76
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To
Indicate Training/Information
Provided via ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
TR: Spehlmann's EEG Primer 3rd Edition; American
Clinical Neurophysiology Society (ACNS) Guidelines
9.7.1. Intubated patients
3b
9.7.2. Spinal injury patients
3b
9.7.3. Burr holes
2b
9.7.4. Bone flaps
2b
9.7.5. Comatose
3b
9.7.6. Ventilated patients
3b
9.7.7. Mentally impaired patients
3b
9.7.8. Non-cooperative patients
3b
9.7.9. Neonates
2b
9.7.10. Brain death
2b
9.8. Abnormal EEG Waveforms & Patterns
TR: Spehlmann's EEG Primer 3rd Edition
9.8.1. Spike
B
9.8.2. Sharp wave
B
9.8.3. Spike & wave complexes
B
9.8.4. Paroxysm
B
9.8.5. Polyspike
B
9.9. Assist Neurologist with Additional Procedures
TR: Practical Guide for Neurophysiologic Testing: EP,
LTM, IOM, PSG, and NCS; American Clinical
Neurophysiology Society (ACNS)
9.9.1. Lumbar Puncture
1a
9.9.2. Botox injection
1a
9.9.3. Muscle biopsy
1a
9.9.4. Electromyography studies
1a
9.9.5. Cognitive assessments
1a
9.9.6. Intraoperative monitoring/neurosurgical procedures
1a
9.9.7. Electrocerebral Inactivity Studies/ECI
2b
9.9.8. Perform concussion assessments
9.9.8.1 Military Assessment of Concussion Exam (MACE)
1a
9.9.8.2 Standard Assessment of Concussion (SAC) &
Balance Error Scoring Sheet
1a
9.10. Perform Evoked Potential Exams
TR: Sphelmann's Evoked Potential Primer
9.10.1. Visual Evoked Potential (VEP)
1b
9.10.2. Brainstem Auditory Evoked Potential (BAEP)
1b
ATTACHMENT 9
Neurodiagnostic Technologist (4N0X1B)
77
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To
Indicate Training/Information
Provided via ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
9.10.3. Lower Extremity Somatosensory Evoked Potential
(LSSEP)
1b
9.10.4. Upper Extremity Somatosensory Evoked Potential
(USSEP)
1b
9.11. Perform Nerve Conduction Velocity Studies
TR: Principles of Neurophysiologic Testing: NCS, EP, PSG,
LTM & IOM
9.11.1. Motor Nerve Conduction Velocity (NCV) Exams
9.11.1.1. Posterior Tibial motor
3b
9.11.1.2. Deep Peroneal motor
3b
9.11.1.3. Median motor
3b
9.11.1.4. Ulnar motor
3b
9.11.2. Sensory Nerve Conduction Velocity (NCV) Exams
9.11.2.1. Radial sensory
3b
9.11.2.2. Median Palmar sensory
3b
9.11.2.3. Sural sensory
3b
9.11.2.4. Ulnar Digital sensory
3b
9.11.2.5. Median Digital sensory
3b
9.11.2.6. Ulnar Palmar sensory
3b
9.11.3 Perform/Assist Provider with Additional NCV Studies
9.11.3.1 H-Reflex exam
1a
9.11.3.2 F-wave exam
1a
9.12. Polysomnography (PSG) Procedures
TR: Essentials of Polysomnography: A Training Guide &
Reference for Sleep Technicians 2nd Edition; Spriggs
9.12.1. Scalp electrode application IAW I10-20 System
3b
9.12.2. Physiological monitor application
3b
9.12.3. Obtains adequate sleep (EEG) recording
3b
9.12.4. Properly identifies & labels sleep states
3b
9.12.5. Evaluates and documents respiratory events
2a
9.12.6. Performs proper air pressure titration treatment
1a
9.12.7 Perform/Assist Provider with Additional PSG Studies
9.12.7.1. Maintenance of Wakefulness Test (MWT)
2b
9.12.7.2. Multiple Sleep Latency Test (MSLT)
2b
ATTACHMENT 10
Independent Duty Medical Technician (4N0X1C/SEI 496)
78
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
10. INDEPENDENT DUTY MEDICAL TECHNICIAN
10.1. Administration Of Medical Activities/Procedures
10.1.1. Beneficiary counseling and assisting coordinator
TR: AFMAN 41-210
B
10.1.2. Line-of-duty (LOD) determination
TR: AFIs 36-2910, AFMAN 41-210
B
10.1.3. Performance improvement
TR: AFIs 44-103, 44-119
B
10.1.4. Medical logistics procedures
TR: AFMAN 41-209, 44-103
B
10.1.5. Medical affirmation claims
TR: AFMAN 41-210
B
10.1.6. IDMT program
TR: AFI 44-103
B
10.1.6.1. Training documentation
TR AFI 36-2651
B
10.1.7. Post-mortem procedures
TR: AFI 34-501, 36-3002
B
10.1.8. Resource management
TR: AFMAN 41-120
B
10.1.9. Aircrew Management TR: AFI 48-149
10.1.9.1. Aircraft mishap response/investigation
TR: AFMAN 91-223, AFI 48-149
B
10.1.9.2. Aeromedical dispositions
B
10.1.10. Operational Reporting
10.1.10.1. MEDRED C
TR: AFI 41-106
B
10.1.10.2. Disease Non-Battle Injury (DNBI) Report
TR: AFI 48-105
B
10.1.10.3. On-site Situation Report (SITREP)
B
10.1.10.4. After-action report
TR: AFI 44-106
B
10.1.10.5. Utilize Deployable Medical Record System
TR: www.health.mil
B
10.1.10.6. Personnel Reliability Program (PRP)
TR: DODM 5210.42_AFMAN 13-501; www.transcom.mil
B
10.1.11. Communicable disease reporting
TR: Armed Forces Reportable Guidelines and Case
Definitions
B
10.1.12. Maintain military health records
TR: AFMANs 41-210, 47-101
3c
10.1.13. Files maintenance TR: AFMANs 33-363, 47-101
B
10.1.14. Duty limiting conditions reporting TR: 48-203
B
10.1.15. Drug Demand Reduction Prgm duties TR: AFMAN
44-197
b
ATTACHMENT 10
Independent Duty Medical Technician (4N0X1C/SEI 496)
79
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
10. INDEPENDENT DUTY MEDICAL TECHNICIAN
10.1.16. Describe medical evidence protection/chain of
custody TR:
91-204, Armed Forces Institute of Pathology Handbook
c
10.2. History And Physical
TR: Bates Guide to Physical Examination and History Taking
10.2.1. Anatomy and Physiology
TR: Holes Human Anatomy and Physiology
3c
10.2.2. Obtain and record medical histories
3c
10.2.3. Perform patient examinations
3c
10.2.4. Formulate diagnosis and treatment plans
3c
10.2.5. Perform gynecological exams
2b
10.3. Pharmacy And Therapeutics
TR: Basic and Clinical Pharmacology, Physicians Drug
Handbook, Current Medical Diagnosis and Treatment
10.3.1. Commonly Used Medications
C
10.3.1.1. Accountability and Maintenance
C
10.3.1.2. Dispensing Criteria
C
10.3.1.3. Prescribing Criteria
C
10.3.2. Controlled Medications
TR: AFI 44-102
10.3.2.1. Accountability and Maintenance
C
10.3.2.2. Maintain AF Form 579
3c
10.3.2.3. Perform inventory
3c
10.3.2.4. Dispensing criteria
3c
10.3.2.5. Prescribing criteria
3c
10.3.3. Medication Administration
3c
10.3.3.1. Adding medication to IV solution
3c
10.3.3.2. Using secondary bag (piggyback)
3c
10.3.3.3. IV/IO push
3c
10.4. Perform Medical Laboratory Procedures
TR: Bailey & Scott's Diagnostic Microbiology and
Washington Manual of Medical Therapeutics
10.4.1. Macro urinalysis
3c
10.4.2. Rapid reagent tests
3c
10.4.3. Portable chemical/blood analyzer
2b
10.5. Parenteral Therapy
ATTACHMENT 10
Independent Duty Medical Technician (4N0X1C/SEI 496)
80
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
TR: Intermediate Care, Tactical Combat Casualty Care
(TCCC) www.naemt.org/education/naemt-tccc/tccc-mp-
guidelines-and-curriculum
10.5.1. Signs and symptoms of fluid deficiencies
C
10.5.2. Types of fluids utilized to correct fluid deficiencies
C
10.5.3. Describe intravenous infusion principles
C
10.6. Patient Disorders
TR: IDMT Protocols, Merck Manual, Current Medical
Diagnosis and Treatment, Essentials of Musculoskeletal Care
10.6.1. Identification and Management of
10.6.1.1. Integumentary disorders
C
10.6.1.2. Eye disorders
C
10.6.1.3. Ear, nose, and throat disorders
C
10.6.1.4. Respiratory disorders
C
10.6.1.5. Cardiovascular disorders
C
10.6.1.6. Gastrointestinal disorders
C
10.6.1.7. Genitourinary disorders
C
10.6.1.8. Gynecological disorders
C
10.6.1.9. Neurological disorders
C
10.6.1.10. Behavioral disorders
C
10.6.1.11. Substance abuse
B
10.6.1.12. Orthopedic disorders
C
10.6.1.13. Endocrine disorders
C
10.6.1.14. Dental disorders
C
10.7. Perform Minor Surgical Procedures
TR: Langes Current Emergency Treatment; IDMT Protocol
10.7.1. Use of local/digital anesthesia
2b
10.7.2. Advanced Wound care
2b
10.7.3. Toe nail removal
c
10.7.4. I & D of abscess
c
10.8. Population Health Management Concepts
TR: AFIs 44-170, AFPAM 44-160
10.8.1. Preventive health assessments
B
10.8.2. Health promotion education/resources
B
ATTACHMENT 10
Independent Duty Medical Technician (4N0X1C/SEI 496)
81
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
10.8.3. Suicide awareness/prevention
B
10.8.4. Provide Medical guidance to site commander for Air
Force Fitness Program TR: AFI 36-2905
B
10.9. Bioenvironmental Services (BES)
TR: AFI 44-102, AFI 48-139, AFMAN 48-146,
10.9.1. Occupational Health
10.9.1.1. Reproductive Health Program
B
10.9.1.2. Laser Eye Protection Program
B
10.9.1.3. Medical investigation of occupational
accidents/injuries
B
10.9.2 Shop Surveys
10.9.2.1. HAZCOM Considerations
B
10.9.2.2. Physical stresses
B
10.9.2.3. Case file management
B
10.9.2.4. Perform Bioenvironmental Shop Survey
3c
10.9.3. Waste water collection, treatment, and disposal
TR: AFMAN 48-138_IP
B
10.9.3.1. Waste collection and disposal
TR: AFH 10-222 V1
B
10.9.4.Medical waste collection and disposal
TR: AFI 41-201
B
10.9.5. Drinking Water Surveillance Program
TR: AFI 48-144, AFMAN 48-138_IP, 10-246.
B
10.9.5.1. Portable Sources
B
10.9.5.1.1. Perform chlorine residual/pH test
3c
10.9.5.1.2. Perform bacteriological water testing
3c
10.9.5.2. Responsibilities for monitoring swimming pools,
hot tubs, and natural bathing areas TR: AFMAN
48-114
B
10.10. Public Health
10.10.1. Principles of epidemiology
TR: AFMAN 48-146
B
10.10.2. Medical entomology
TR: AFI 48-102
B
10.10.3. Administer Food Safety Program TR:
AFI 48-116; Food and Drug Administration Food Code and
In-Service Food Code https://www.fda.gov/food/fda-food-
code/food-code-2017
3c
ATTACHMENT 10
Independent Duty Medical Technician (4N0X1C/SEI 496)
82
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
10.10.4. Food Borne Illness Investigation Procedures TR:
AFI 48-116
B
10.10.5. USAF Aeromedical Services Information
Management System (ASIMS)
B
10.10.6. Hearing Conservation Program
TR: AFOSH Standards
B
10.10.7. Occupational Health Examination
B
10.10.8. Pre/Post Deployment Surveillance Requirements
(DD Forms 2795/2796/2900)
B
10.10.9. Inspect Public Gathering Places
TR: AFI 48-117
10.10.9.1. Barber/beauty shops
b
10.10.9.2. Dormitories
b
10.10.9.3. Other facilities
a
10.10.10. Communicable disease prevention and monitoring
TR: AFI 48-105
B
10.10.11. Medical Intelligence
TR AFPAM 10-219 V5, AFI 10-404, AFI 48-116, AFI 48-
117
10.10.11.1. Vulnerability assessment and site survey
B
10.10.11.2. Safety and vulnerability of local food and water
sources
B
10.10.11.3. Epidemiological risk assessment
B
10.10.11.4. Local medical capabilities
B
10.10.11.5. Vector or pest risk assessment
B
10.10.11.6. Local billeting and public facilities hygiene
B
10.10.11.7. Environmental risk assessment
B
10.10.11.8. Medical Intelligence Briefing
B
10.11. Emergency Medicine
10.11.1. Emergency Medicine Considerations
TR: Management of Wilderness & Environmental
Emergencies
10.11.1.1. Management of environmental emergencies
B
10.11.1.2. Identification and management of poisonous
stings/bites and contact with poisonous plants
B
10.11.2. Management of Victims of Violent Crimes
TR: AFI 44-102, AFI 71-101 V1, AFI 90-6001
10.11.2.1. Management of victims of violent crimes
B
10.11.2.2. Management of victims of sexual assault
B
10.11.3. Emergency Medicine Procedures
TR: Tintinalli's Emergency Procedures
10.11.3.1. Perform Airway Management
10.11.3.1.1.Advanced Airway Management
3c
10.11.3.1.2. Needle thoracentesis
3c
10.11.3.1.3. Cricothyroidotomy
3c
10.11.3.1.4. Advanced foreign body removal
3c
ATTACHMENT 10
Independent Duty Medical Technician (4N0X1C/SEI 496)
83
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
10.11.3.1.5. Ventilator
2b
10.11.3.2. Manage obstetrical emergencies
b
10.11.3.3. Manage multiple systems trauma patient
3c
10.11.3.4. Perform emergency cardiac care
3c
10.12. Field Medicine
TR: Emergency War Surgery
https://www.ustranscom.mil/dtr/dtrp2.cfm
10.12.1.Traumatic Stress Response
TR: AFI 44-153
B
10.12.2. Patient movement
B
10.12.2.1. CASEVAC
B
10.12.2.2. MEDEVAC
B
10.12.2.3. AIR EVAC
B
10.12.2.4. Contract evacuation
B
10.12.3. 9-Line MedEvac Request
B
10.12.4. TRAC2ES
B
10.12.5. CBRN considerations
B
10.12.6. Perform field triage
3c
ATTACHMENT 11
Special Operations Command Medic (SEI 455)
84
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
11. SPECIAL OPERATIONS COMMAND MEDIC
11.1. Command And Control Functions
TR: AFDs 2-1.6, 2-4.2; AFTTP 3-42.6; USSOCOM
Tactical Trauma Protocols/Tactical Medical Emergency
Protocols; Recommended Drug List/Canine Tactical
Combat Casualty Care
11.1.1. Use of AFSOF OPLANS/Tactics, Techniques
and Procedures (TTP)
+
11.1.2. Recall doctrine, concepts of operations and
policies governing SOF/CSAR medical forces
+
11.2. Pre-deployment
TR: AFI 41-106, AFTTP 3-42.6, AFSOC UTC
Allowance Standards USSOCOM Tactical Trauma
Protocols/Tactical Medical Emergency Protocol;
AFSOC Blood Policy Program; Tactical Combat
Casualty Care Guidelines
11.2.1. Locate supplies in AFSOC UTC equipment sets
+
11.2.2. Establish Plans And Preparation Requirements
(Missions Requirements)
+
11.3. Casualty Evacuation (CASEVAC) Mission
TR: AFTTP 3-42.6
11.3.1. Identify transport considerations
+
11.3.2. Identify types of casualties and evacuation
priority
+
11.3.3. Handling of Coalition forces
+
11.3.4. Handling of High-value targets
+
11.3.5. Determine Transport times and enroute support
requirements
+
11.3.6. Determine forward staging base capabilities
+
11.3.7. Coordinate patient movement through Theater
Patient Movement Requirements Center (TPMRC)
+
11.4. Perform responsibilities of advanced echelon
(ADVON) personnel
TR: AFI 41-106, AFTTP 3-42.6, USSOCOM Tactical
Trauma Protocols/Tactical Medical Emergency
Protocols; Recommended Drug List/Canine Tactical
Combat Casualty Care
11.4.1. Manage deployed medical forces
+
11.4.2. Identify deployed requirement tasks
+
11.4.3. Establish command and control relationships
(Joint, SOF)
+
11.4.4. Prepare deployment reports
+
11.4.5. Prepare CASEVAC mission after action reports
+
11.4.6. Prepare theatre specific casualty reporting
+
ATTACHMENT 11
Special Operations Command Medic (SEI 455)
85
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
11.5. Casualty Evacuation (CASEVAC) Operations
TR: AFTTP 3-42.6, Special Operations Forces
(SOF)/Combat Search and Rescue (CSAR) Medical
Element Mission Checklist, SOF/CSAR Medical
Element CASEVAC Equipment Checklist
11.5.1. Configure platform for CASEVAC
+
11.5.2. Establish Pre-mission CASEVAC
Communications
+
11.5.3. Determine/Prepare Aircraft Communication
+
11.5.4. Determine/Prepare In-flight medical team
communication
+
11.5.5. Coordinate transload communication/patient
hand-off
+
11.5.6. Interpret medevac request 9-line
+
11.5.7. Coordinate medical clamshell
-
-
+
11.5.8. Secure all equipment safely to aircraft
-
-
+
11.5.9. Understand patient positioning considerations
+
11.5.10. Use of litter stanchions and approved aircraft
tie-downs
+
11.5.11. Utilize A/C electrical system
+
11.6. Pre-flight And Use Specific CASEVAC
Equipment
TR: Special Operations Forces (SOF)/Combat Search
and Rescue (CSAR) Medical Element Mission
Checklist, SOF/CSAR Medical Element CASEVAC
Equipment Checklist
11.6.1. Oxygen supply system
+
11.6.2. Ventilator
+
11.6.3. Cardiac monitor/defibrillator
+
11.6.4. ET-C02 monitor
+
11.6.5. Pulse oximeter
+
11.6.6. Suction devices
+
11.6.7. Electrical Cable Assembly Set (ECAS)
+
11.6.8. Vital signs monitor
+
11.6.9. Fluid/blood warmer
+
11.7.2. Rotary wing
+
86
ATTACHMENT 11
Special Operations Command Medic (SEI 455)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
11.7.3. Tilt wing
+
11.7.4. Ground and in-flight safety procedures
+
11.8. Perform Aircraft Emergency Egress
TR: Special Operations Forces (SOF)/Combat Search
and Rescue (CSAR) Medical Element Mission
Checklist, SOF/CSAR Medical Element CASEVAC
Equipment Checklist
11.8.1. Fixed wing
+
11.8.2. Rotary wing
+
11.8.3. Tilt wing
+
11.9. Trans-load Operations
TR: Special Operations Forces (SOF)/Combat Search
and Rescue (CSAR) Medical Element Mission
Checklist, SOF/CSAR Medical Element CASEVAC
Equipment Checklist
11.9.1. Receive patients
+
11.9.2. Perform on-and off-loading procedures
+
11.9.3. Receive casualty report
+
11.9.4. Repeat rapid triage and casualty marking
+
11.9.5. Give patient report to on-line medical control
+
11.10.Operate In-flight CASEVAC
TR: Special Operations Forces (SOF)/Combat Search
and Rescue (CSAR) Medical Element Mission
Checklist, SOF/CSAR Medical Element CASEVAC
Equipment Checklist
11.10.1. Aircraft intercom system (ICS)
+
11.10.2. Intra-medical team communications
+
11.10.3. Medical control communications
+
11.10.4. Use of night vision goggles
+
11.11. Trauma Medicine Skills In Austere Conditions
TR: AFSOC Handbook 48-1; USSOCOM Tactical
Trauma Protocols/Tactical Medical Emergency
Protocols; Recommended Drug List/Canine Tactical
Combat Casualty Care
11.11.1. Define triage principles
+
11.11.2. Manage casualty collection point
+
11.11.3. Perform and direct mass casualty operations
+
11.11.4. Perform medical treatment under low light
conditions
+
11.11.5. Understand and apply fluid resuscitation
principals to burn management
+
11.11.6. Perform escharotomy
+
11.11.7. Treat hyperthermia
+
11.11.8. Treat hypothermia
+
87
ATTACHMENT 11
Special Operations Command Medic (SEI 455)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
11.11.9. Treat submersion
+
11.11.10. Administer USSOCOM-approved
medications
+
11.11.11. Insert and maintain chest tube
+
11.11.12. Perform surgical cricothyrotomy
+
11.11.13. Perform venous cut down
+
11.11.14. Administer volume expanders
+
11.11.15. Administer whole blood products
+
11.11.16. Perform walking blood bank transfusion
+
11.11.17. Administer Concussion Evaluation
+
11.11.18. Treat acute mountain sickness
+
11.11.19. Treat retinal hemorrhage
+
11.11.20. Treat high altitude cerebral edema
+
11.11.21. Treat high altitude pulmonary edema
+
11.12. Miscellaneous
TR: AFSOCI 48-1010
11.12.1. Administer Post Exposure Prophylaxis
+
11.12.2. Set up Tactical Medical Information Program
+
11.12.3. Obtain and maintain National Registry
Paramedic certification
+
11.12.4. Understand Advance Tactical Provider (ATP)
protocols TR: USSOCOM Directive 350-29
+
11.13. Aerospace Physiology Care En-Route
11.13.1. Understand and apply atmosphere laws
+
11.13.2. Understand respiratory and circulatory
physiology at altitude
+
11.13.3. Treat hypoxia
+
11.13.4. Understand hyperventilation and positive
pressure breathing
+
11.13.5. Understand medical effects of pressure change
+
11.13.6. Treat Decompression sickness
+
11.13.7. Understand cabin pressurization effects on
patients
+
11.13.8. Factors affecting tolerance to flight
+
11.13.9. Use aircrew emergency oxygen
+
11.13.10. Understand atmospheric pressure changes
+
11.13.11. Understand ambient air temperatures effect
on patients
+
11.13.12. Treat airsickness
+
11.13.13. Understand high cabin noise levels effect on
patients
+
88
ATTACHMENT 12
Flight and Operational Medical Technician (4N0X1F/SEI 470)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
12. AEROSPACE MEDICINE TR: AFIs 48-
123/48-149, Knowledge Exchange(Kx)
12.1. Principles
12.1.1. Mission/responsibilities
A
12.1.2. Aerospace crew positions/duties
A
12.1.3. Flying/Special Operational Duty (SOD) Safety
program
A
12.1.4. Deployment Availability Working Group
(DAWG)
B
12.1.5. Occupational and Environmental Health
Working Group (OEHWG)/Flight
and Operational Medicine Working Group (FOMWG)
A
12.2. Information Systems
TR: AFI 41-210, 41-211/48-123/ASIMS User
Guide/PEPP Guides/Kx
A
12.2.1. Overview of information Systems
5
A
12.2.2. Aeromedical Information Management Waiver
Tracking System (AIMWTS)
A
12.2.3. Physical Examination Processing Program
(PEPP)
B
12.3. Publications
12.3.1. Waiver Guide
TR: Kx
B
12.3.2. Certification and Waiver Authority
TR: AFI 48-123
B
12.3.3. Laser Exposure Guide Book
B
12.3.4. Personnel Reliability Armed Program (PRAP)
TR: AFMAN 13-501; DODI 5210.42R; AFI 31-207
B
12.4. Human Anatomy and Physiology
TR: Elsevier
12.4.1. Aerospace Physiology
12.4.1.1. Physics of the atmosphere
A
12.4.1.2. Human factors
A
12.4.1.3. Hypoxia/hyperventilation
A
12.4.1.4. Decompression Sickness/Hyperbaric
medicine
A
12.4.1.5. Speed and acceleration
A
12.4.1.6. Spatial disorientation
A
12.4.1.7. Effects of Medication
A
12.4.1.8. Aircrew Stresses
A
12.4.2. Oxygen Therapy for Decompression
Sickness/Hypoxia
TR: Mosby's Nursing Skills/Flight Surgeon Checklist
12.4.2.1. Apply Venturi mask/CPAP
3c
89
ATTACHMENT 12
Flight and Operational Medical Technician (4N0X1F/SEI 470)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
12.4.2.2. Aviator’s positive pressure mask
3c
12.4.2.3. Perform Blarney Chair
3c
12.5. Outpatient
12.5.1. Administrative Procedures
TR: AFMAN 41-210
12.5.1.1. Aeromedical Disposition(AMD)-Care
outside Flight/Missile Medicine
A
12.5.1.2. Review daily appointments in Electronic
Health Record for proper AMD
A
12.5.1.3. Create/Maintain Clinic Template
2b
12.6. Create/Maintain Flight/Missile Medicine
Records
TR: AFMAN 41-210; AFMAN 13-501; DODI
5210.42R
12.6.1. Fly
b
12.6.2. Personnel Reliability Armed
Program/Presidential Support Program
b
12.7. Prepare And Document
TR: Elsevier Nursing Skills for Nursing/AFI 48-
123/41-210/ Kx
12.7.1. DD Form 2808, Report of Medical
Examination
1a
12.7.2. DD Form 2807 Report of Medical History
1a
12.8. Preventive Health Assessment (PHA) for
Flyers/SOD/MOD/other Non-Flyers
TR: Kx/ASIMS User guide/AFMAN 41-210/44-
170/DoDi 6200.06
12.8.1. ASIMS database
3c
12.8.2. Run Squadron reports
a
12.8.3. Generate DD Form 2992, Medical
Recommendation for Flying and Special Operational
Duty
3c
12.8.4. Notify Squadrons
a
12.8.5. Initial Waivers/Renewals/Interim Evaluations
B
12.8.6. Conduct medical record reviews
3c
12.8.7. Military (mobility) unique requirements
3c
12.8.8. Conduct patient interview
3c
12.8.9. Record medical history
2b
12.9. Perform and record visual screening
TR: Kx/Paraprofessional Exam Guide (PEG)
12.9.1. Visual acuities
2b
12.9.2. Phorias
2b
12.9.3. Depth perception
2b
90
ATTACHMENT 12
Flight and Operational Medical Technician (4N0X1F/SEI 470)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
12.9.4. Perform Visual Screening
2b
12.9.4.1. Cone Contrast Testing (CCT)
2b
12.9.4.2. Amsler grid
2b
12.9.4.3. Near Point of convergence
2b
12.9.4.4. Confrontation test
2b
12.9.5. Tonometry
2b
12.9.6. Cycloplegic refractions
b
12.10. Physical Exams
TR: Elsevier Nursing Skills/Kx/AFI 48-123/PEG
12.10.1. Height (standing) and weight
3c
12.10.2. Buttocks-to-knee measurement
2b
12.10.3. Perform Reading Aloud Test (RAT)
2b
12.10.4. Anthropometric Measurements
2b
12.10.5.Sitting Height
2b
12.10.6. Functional Reach
2b
12.10.7. Joint Service
a
12.11. Perform Ambulance/ Emergency Response
Vehicle Operations
12.11.1. Flight line operations
b
12.11.2. In-flight/ground emergency response
b
12.11.3. Radio communication
b
12.11.4. Perform grid map plotting
b
12.12. Manage Mission Essential Tasks and
Activities for Line Support (METALS)
TR: Mosby's Nursing Skills/Kx/AFI 48-123
12.12.1. Document Aircrew Chemo prophylactic
Ground Testing
b
12.12.1.1 Go/No Go
b
12.12.2. Flying or Special Operational Duty Waiver
B
12.13. Aircraft/Missile Mishap Investigation
TR: AFI 91-204 and Flight Surgeon Mishap
Checklist/Kx
12.13.1. Inspect and maintain kits
a
12.13.2. Assist on-scene with Wing Safety and Flight
Surgeon
a
12.13.3. Prepare reports
a
12.14. Perform Medical Processing of:
TR: AFI 91-204, 37-138, Table 48-1; 48-123/Kx
12.14.1. Survivors
a
12.14.2. Fatalities
a
12.14.3. Pathological specimens
a
12.14.4. Aeromedical disposition Determination
a
12.14.5. Flying or Special Operational Duty Log (AF
Form 1041)
A
12.14.6. Medical Recommendation for Flying or
Special Duty (AF Form 2992)
A
12.14.7. Aeromedical consultation service referrals
A
12.14.8. ECG library
A
91
ATTACHMENT 12
Flight and Operational Medical Technician (4N0X1F/SEI 470)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via ICW
and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
12.15. MEDICAL STANDARDS
TR: AFIs 36-2104, 41-210, 48-123, 48-203; Kx;
DOD, 5210.42-R, 48-203
12.15.1. Requirements For Physical Examinations
12.15.1.1. Determine Physical Exam Requirements
b
12.15.1.2. Quality Review of Physical Exam
Documentation
B
12.15.1.3. Flying
B
12.15.1.4. Unmanned Aircraft System II U
B
12.15.1.5. Non-Flying
B
12.15.1.6. Special Operations Duty
B
12.15.1.7. Occupational
B
12.15.1.8. Dental Types and Classifications
B
12.15.1.9. Apply medical standards/Using Medical
Service Directory
3c
12.15.1.10. Joint Service Requirements
B
12.15.1.11. Medical Standards for
appointment/enlistment/induction
B
12.15.2. Medical Evaluation Board (MEB) Process
TR: AFI 36-3212, 48-203; AFMAN 41-210
12.15.2.1. Overview of MEB process
A
12.15.2.2. IDES
A
12.15.2.3. Deployment Availability Working Group
(DAWG)
A
12.15.2.4 Law governing disablity evaluation
A
12.15.2.5 Mandatory examinations
A
12.15.3. Disposition
12.15.3.1. Temporary Disability Retirement
Limitations (TDRL)
A
12.15.3.2. Assignment Limitation Code (ALC) C
A
12.15.3.3. Physical Exam Board Liaison Officer
(PEBLO) responsibilities
A
12.15.3.4. Record review In Lieu Of (RILO) board
roles
A
12.15.4. Medical Treatment Record
Review/Management
TR: AFMAN 41-210
12.15.4.1. Permanent change of station
a
12.15.4.2. Security clearance
a
12.15.4.3. Mobility/deployment
a
12.15.4.4. Personnel Reliability Armed Program
a
12.15.4.5. Presidential Support Program (PSP)
a
12.15.4.6. Retirement/Separation Health Physical
Exam (SHPE)
a
12.15.4.7 Retraining/Special Duty Assignments
b
12.15.5 Profile Systems
12.15.5.1. 31/37/81 Roster
B
12.15.5.2. Purpose
B
12.15.5.3. PUHLES
B
12.15.5.4. AF 422 Notification of AF Member
Qualification
B
12.15.5.5. AF 469 Duty Limiting Condition Report
B
12.15.5.6. Assignment Limitation Codes
B
12.15.5.7. Performs Quality Review
AF 422/469/ALCC
B
92
ATTACHMENT 13
Nationally Registry Paramedic (SEI 456)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To
Indicate Training/Information
Provided via ICW and/or course
Core/Cert^
Deploymen
t*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
13. NATIONAL REGISTERED PARAMEDIC
13.1. Knowledge and understanding of current USAF
EMS Protocol
13.1.1.. Assess the need for
Airway/Ventilation/Oxygenation
Management/Maintenance
TR: AAOS Sanders' Paramedic Textbook
13.1.1.1. Assess the airway
+
13.2. Perform Airway/Ventilation/Oxygenation
Management / Maintenance TR: AAOS Sanders'
Paramedic Textbook
13.2.1. Esophageal airway
+
13.2.2. Supraglotic airway
+
13.2.3. BiPAP/CPAP
+
13.2.4. Chest Decompression - needle
+
13.2.5. Perform backward upward rightward pressure
(BURP)
+
13.2.6. Cricothyrotomy - needle
+
13.2.7. Cricothyrotomy - percutaneous
+
13.2.8. End tidal CO2 monitoring/capnography
+
13.2.9. End tidal CO2 monitoring/capnometry
+
13.2.10. Gastric decompression - NG Tube
+
13.2.11. Gastric decompression - OG Tube
+
13.2.12. Intubation - nasotracheal
+
13.2.13. Intubation - orotracheal
+
13.2.14. Direct laryngoscopy
+
13.2.15. Positive End-Expiatory Pressure (PEEP)
+
13.2.16. Suctioning - tracheobronchial
+
13.2.17. Maintain/monitor ventilator transport
+
13.3. Identify the need for cardiovascular and circulatory
care. TR: Current American Heart Association
Emergency Cardio Vascular Care; USAF EMS Pre-
Hospital Protocols; AAOS Sanders' Paramedic Textbook
13.3.1. Identify Cardiac Arrhythmias
+
13.4. Assess the need for cardiovascular and circulatory
care. TR: Current American Heart Association
Emergency Cardio Vascular Care; USAF EMS Pre-
Hospital Protocols; AAOS Sanders' Paramedic Textbook
13.4.1. Perform cardiovascular and circulatory care.
+
13.4.1.1. Multi lead cardiac monitoring (interpret)
+
13.4.1.2. Single lead cardiac monitoring (interpret)
+
13.4.1.3. Cardioversion (electrical)
+
13.4.1.4. Cardioversion (chemical)
+
13.4.1.5. Manual defibrillation
+
93
ATTACHMENT 13
Nationally Registry Paramedic (SEI 456)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via
ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
13.4.1.6. Transcutaneous pacing
+
13.4.1.7. Vagal maneuvers
+
13.4.1.8. Monitor internal cardiac pacing
+
13.4.1.9. Mechanical CPR device
+
13.5. .Identify the need for emergency medication
administration TR: Current American Heart Association
Emergency Cardio Vascular Care; USAF EMS Pre-
Hospital Protocols; AAOS Sanders' Paramedic Textbook
13.5.1. Determine the need for emergency medication
administration
+
13.5.1.1 Assess the need for medication
administration
TR: Current American Heart Association Emergency
Cardio Vascular Care; USAF EMS Pre-Hospital
Protocols; AAOS Sanders' Paramedic Textbook
+
13.5.1.2. Perform medication administration via
Endotracheal Tube
+
13.5.1.2. Inhaled self-administered nitrous oxide
+
13.5.1.3. Oral medications adult
+
13.5.1.4. Oral medications peds
+
13.5.1.5. Subcutaneous injection adult
+
13.5.1.6. Subcutaneous injection peds
+
13.5.1.7. Intramuscular injection adult
13.5.1.8. Intramuscular injection peds
+
13.5.1.9. Prefilled or Tubex syringes adult
+
13.5.1.10. Prefilled or Tubex syringes peds
+
13.5.1.11. Rectal suppository adult
+
13.5.1.12. Rectal suppository peds
+
13.5.1.13. Nasal/Oral gastric adult
+
13.5.1.14. Nasal/Oral gastric peds
+
13.5.1.15. IO adult
+
13.5.1.16. IO peds
+
13.6. . Identify the need for IV Fluids Initiation and
Maintenance TR: Current American Heart
Association Emergency Cardio Vascular Care; USAF
EMS Pre-Hospital Protocols; AAOS Sanders'
Paramedic Textbook
13.6.1. Identify emergency condition requiring IV
fluid initiation and maintenance
+
13.6.2. Assess the need for IV Fluids Initiation and
Maintenance
TR: Current American Heart Association Emergency
Cardio Vascular Care; USAF EMS Pre-Hospital
Protocols; AAOS Sanders' Paramedic Textbook
+
13.6.3. Perform IV Fluids Initiation and Maintenance
+
13.6.4. Access indwelling catheters and implanted
central IV ports
+
94
ATTACHMENT 13
Nationally Registry Paramedic (SEI 456)
1. Tasks, Knowledge And Technical References
2. Task
3. Certification For OJT
4. Proficiency Codes Used To Indicate
Training/Information Provided via
ICW and/or course
Core/Cert^
Deployment*/SEI+
A
B
C
D
E
A
B
C
D
Trng
Start
Trng
Complete
Trainee
Initials
Trainer
Initials
Certifier
Initials
3-lvl
5-lvl
7-lvl
9-lvl
13.6.5. Central line (monitor only)
+
13.6.6. IO adult
+
13.6.7. IO peds
+
13.6.8. IV access adult
+
13.6.9. IV access peds
+
13.6.10. Peripheral IV sites
+
13.6.10.1. External jugular
+
13.6.10.2. Subclavian
+
13.6.11. IV fluids drip/push adult
+
13.6.12. IV fluids drip/push peds
+
13.6.13. Medicated IV fluids adult
+
13.6.14. Medicated IV fluids peds
+
13.7. Miscellaneous Skills
TR: AAOS Sanders' Paramedic Textbook
13.7.1. Identify the need for thrombolytic therapy
+
13.7.2. Monitor thrombolytic therapy
+
13.7.3. Maintain/monitor infusion of blood or blood
products
+
13.7.4. Obtain/maintain Advanced Cardiac Life
Support (ACLS)
+
13.7.5. Obtain/maintain Pediatric Advanced Cardiac
Life Support (PALS)
+
13.7.6. Obtain/maintain Basic Life Support (BLS)
+
13.7.7. Obtain/maintain Tactical Combat Casualty
Course-Combat Paramedic certification
+
95
SECTION B – COURSE OBJECTIVE LIST
1.
Course Objectives for Initial Skills Course. To obtain a copy of a course objective list, contact the AETC
training manager at the 383d Training Squadron.
1.1.
Each proficiency coded task or knowledge item taught at the technical school is measured using an
objective. An objective is a written instruction for the students, so they know what is expected of them to
successfully complete training on each task or knowledge item. Each objective is composed of a condition,
behavior, and a standard. The condition is the setting in which the training takes place (type of equipment of
references when required). The behavior is the observable portion of the objective (perform hand washing).
The standard is the level of performance that is measured to ensure the proficiency code level is maintained (to a
70% or with no instructor assists). All objectives use progress checks (PC) or written test (W) or a combination
of both to measure a student’s ability (skill) or knowledge.
1.2.
The minimum standard for written examinations is 70%. The standard for performance objectives (skills)
vary and are indicated in the objective and the performance checklist. The instructor documents each student’s
progress during skills evaluations with the use of a checklist. Students must satisfactorily complete all progress
checks prior to taking a written test.
2.
Initial Medical Readiness Training. As directed by AFI 41-106, Medical Readiness Program
Management, this is provided within the EMRC, conducted at 937th Training Group, JBSA, Camp Bullis, TX.
The EMRC course is conducted within the AMSA course. Completed training is documented on
computer-generated student report for each AMSA course graduate. Continuing/on-going medical readiness training for the
individual is the responsibility of each medical facility.
2.1. Tactical Combat Casualty Care (TCCC).
Department of Defense Instruction (DoDI) 1322.24, Medical
Readiness Training, was published mandating role-based TCCC training every 36- months for all Service members.
TCCC-Combat Medic training will be accomplished at the 4N0 non-resident medical phase II program sites.
3.
Advanced Skills Course. There is currently no advanced course. This area is reserved.
SECTION C – SUPPORT MATERIALS
The following list of support materials is not all-inclusive; however, it covers the most frequently referenced areas:
1.
Qualification Training Packages (QTP).
1.1.
QTPs must be used for training on all items identified in an individual’s STS as a duty position task that
have a designated QTP.
1.2.
QTPs listed on the Kx have been developed and are official Air Force publications. All QTPs listed can be
obtained through Elsevier- Clinical Skills Plus
(https://kx.health.mil/kj/kx8/VirtualLibrary/Pages/Clinical%20Skills%20Plus.aspx) this is the KX Virtual
Library Clinical Skills Plus page.
1.3.
To assist in the standardization of training and to eliminate duplication, the QTPs listed in this section must
be used when applicable to an individual’s duty position.
1.4. When identified as applicable to an individual’s duty position, the frequency that training must be
96
accomplished by using each of the QTPs listed in this section is specified next to each QTP module.
1.4.
QTPs have been developed and are listed on the following pages for the following specialties:
1.4.1.
Aerospace Medical Service Specialty.
1.4.2.
Independent Duty Medical Technician.
1.4.3.
Neurodiagnostic Technologist.
1.4.4.
Allergy/Immunization Technician.
1.5.4. Critical Care Technician.
1.5.5. Gastroenterology Technician
.
NOTE: CFM approval is required for all QTPs. MAJCOM coordination is required when requesting
development of new QTPs. POC for QTP development is the Air Force Medical Readiness Agency (AFMRA),
SGNP, JBSA Lackland-Kelly, TX.
2.
Available Aerospace Medical Service Specialty (4N0X1) QTPs (POC: AFMRA/SGNP )
Number
Frequency
Title
QTP 4N0X1-Vol 1
Fundamentals of Nursing Care
Module 1
every 24
months
Disinfection Procedures for Equipment
Module 2 (a)/(b)
every 24
months
Orthostatic Vital Signs- Manual Method/Electronic Method
Module 3
every 24
months
Cardiac Monitor/Defibrillator
Module 4
every 24
months
12-lead EKG
Module 5
every 24
months
Life-Threatening Arrhythmias
Module 6
every 24
months
Pulse Oximetry Oxygen Saturation
Module 7
every 24
months
Collect and Label Blood from Venipuncture
Module 8
every 24
months
Test Urine for Sugar, Acetone, Specific Gravity, and Perform
Hematest
Module 9
every 24
months
Perform Finger/Heel Sticks for Blood Sampling
Module 10
every 24
months
Use Blood Glucose Meter
Module 11
every 24
months
Medication Administration
Module 12
every 24
months
Intravenous Infusion
Module 13
every 24
months
Blood Administration
Module 14
every 24
months
Tympanometry
Module 15
every 24
months
Measure and Record Intake and Output
97
Number
Frequency
Title
QTP 4N0X1-Vol 2
Nursing Care of Patients with Special Needs
Module 1
every 24
months
Assist with Central Venous Line Insertion and Monitoring
Module 2
every 24
months
Assist with Chest tube Insertion/Monitor Water Seal Drainage
Module 3
every 24
months
Assist with Arterial Line Insertion
Module 4
every 24
months
Assist with Pulmonary Artery Catheter Insertion and Measurements/ Cardiac
Output Measurements
Module 5(a)/(b)
every 24
months
Obtaining Radial Arterial Blood Gas Sample- Percutaneously
Module 6
every 24
months
Administering Local Anesthetic Agents
Module 7
every 24
months
Wound Closure
Module 8
every 24
months
Insert/Irrigate/Remove Nasogastric Tube
Module 9
every 24
months
Establish/Maintain/Remove Closed Urinary Drainage System
QTP 4N0X1-Vol 3
Nursing Care of Patients in Emergency Situations
Module 1
every 24
months
Field Triage
Module 2
every 24
months
Set-up Equipment for Cardioversion/Defibrillation/Pacemaker
Module 3
every 24
months
Irrigate Eyes
Module 4
every 24
months
Apply Simple Cast/Splint, Trim/Petal, Bivalve, and Remove Cast
Module 5
every 24
months
Emergency Medication Administration
QTP 4N0X1-Vol 4
Nursing Care in the Outpatient Clinic
Module 1
every 24
months
Perform Pseudofolliculitis Barbae (PFB) Treatments
Module 2
every 24
months
Perform Wart Clinic Procedures
Module 3
every 24
months
Perform Patch Skin Testing
Module 4
every 24
months
Perform Phototherapy Treatments
Module 5
every 24
months
Perform Laser Therapy Treatments
Module 6
every 24
months
Perform Battlefield Acupuncture
3.
Available Independent Duty Medical Technician (4N0X1C) QTPs (POC: IDMT Consultant, JBSA-
Fort Sam Houston, TX.): Note: QTPs are utilized for initial and refresher IDMT training.
Number
Frequency
Title
QTP 4N0X1C-Vol 5
Bioenvironmental and Public Health Procedures
Module 1
every 12
months
Perform Chlorine Residual/pH Test
Module 2
every 12
months
Perform Bacteriological Water Testing
98
Module 3
every 12
months
Conduct Food Safety Inspections
QTP 4N0X1C-Vol 6
Emergency Medicine Procedures
Module 1
every 12
months
Airway Management
Module 2
every 12
months
Management of the Multiple System Trauma Patient
Module 3
every 12
months
Emergency Cardiac Care; Administer Medications
4.
Available Neurodiagnostic Technologist (4N0X1B) QTPs (POC: Neurodiagnostic Technologist
Consultant, JBSA-Fort Sam Houston, TX.):
Number
Frequency
Title
QTP 4N0X1B-Vol 10
Neurology Specialty
Module 1
every 24
months
Routine Electroencephalogram
Module 2
every 24
months
Visual Evoked Response Testing
Module 3
every 24
months
Auditory Evoked Response Testing
Module 4
every 24
months
Somatosensory Evoked Response Testing (upper extremity)
Module 5
every 24
months
Somatosensory Evoked Response Testing (lower extremity)
5.
Available Allergy/Immunization Technician 4N0X1D QTPs (POC: Allergy/Immunization Consultant):
Number
Frequency
Title
QTP 4N0X1-Vol 11
Allergy Specialty 4N0X1D
Module 1
every 24
months
Principles of Allergy
Module 2
every 24
months
Type 1 Hypersensitivity Skin Testing; Intradermal and Prick
Module 3
every 24
months
Perform Routine Spirometry
Module 4
every 24
months
Administration and management of immunotherapy injections
Module 5
every 24
months
Mixing of Serial 10 Fold Dilutions
Module 6
every 24
months
Prepare and Administer Xolair (OMALIZUMAB)
Module 7
every 24
months
Oral Challenges
Number
Frequency
Title
QTP 4N0X1-Vol 12
Immunization Specialty
Module 1
every 24
months
Principles of Immunization
Module 2
every 24
months
Active Duty Immunizations
99
Module 3
every 24
months
Pediatric Immunizations
Module 4
every 24
months
Identify/Treat Adverse Reactions
Module 5
every 24
months
Aeromedical Services Information Management System (ASIMS)
Module 6
every 24
months
Administered/Read Delayed Skin Tests
Module 7
every 24
months
Vaccine Storage and Handling
6. Available Critical Care Technician SEI 487 QTPs (POC: Critical Care Consultant):
Number
Frequency
Title
QTP 4N0X1-Vol 13
Critical Care
Module 1
every 24
months
Obtaining Ankle Brachial Index
Module 2
every 24
months
Performing Transurethral Bladder Pressures
Module 3
every 24
months
Set-Up and Assist With Diagnostic Peritoneal Lavage
Module 4
every 24
months
Assisting with Ice-Water Caloric Testing
Module 5
every 24
months
Assist with Ventriculostomy Placement
Module 6
every 24
months
Fiber-Optic Intracranial Pressure Monitoring
Module 7
every 24
months
Synchronized Cardioversion
Module 8
every 24
months
Set-Up and Assist with Transcutaneous Pacing
Module 9
every 24
months
Set-Up and assist with Transvenous Pacing
Module 10
every 24
months
Assist with Intraaortic Balloon Pump Monitoring
Module 11
every 24
months
Drawing Mixed Venous Blood Samples
Module 12
every 24
months
Set-Up and Assist with Intubation/Extubation
Module 13
every 24
months
Endotracheal/Tracheostomy Suctioning
Module 14
every 24
months
Monitor Patient on Mechanical Ventilation
Module 15
every 24
months
Assist with Percutaneous (Bedside) Tracheostomy Placement
Module 16
every 24
months
Set-Up and Assist with Pericardiocentesis
Module 17
every 24
months
Set-Up and Assist with Paracentesis
Module 18
every 24
months
Set-Up and Assist with Lumbar Puncture
Module 19
every 24
months
Set-Up and Assist with Esophagogastric Tamponade Tube
Placement
Module 20
every 24
months
Set-Up and Assist with Continuous Tonometric Gastric Sump
Placement/Operation
Module 21
every 24
months
Hemodynamics Waveform Recognition
100
7. Available Gastroenterology Technician (4N0X1) QTPs (POC: JBSA-Fort Sam Houston, TX):
Number
Frequency
Title
QTP 4N0X1-Vol 14
Gastroenterology
Module 1
every 24
months
Assisting with Colonoscopy/Assist with Hot Biopsy or Snare Polypectomy
Module 2
every 24
months
Assist with Rigid Sigmoidoscopy/Assist with Flexible Sigmoidoscopy
Module 3
every 24
months
Performing Manual Precleaning of Endoscope
Module 4
every 24
months
Assist with Upper Endoscopy Exam (EGD)
Module 5
every 24
months
Perform Cold Sterilization of Endoscope/Perform Mechanical Sterilization
of Endoscope (Steris II Processor) /Olympus/ETC
SECTION D – TRAINING COURSE INDEX
1.
Resident Courses.
1.1.
Refer to the Education and Training Announcements (ETCA), https://etca.randolph.af.mil, for
complete information on the courses listed in this section.
1.2.
Resident courses applicable to AFSC 4N0XX.
Course Number
Course Title
Location
L8AQJ4N031 01AA
Aerospace Medical Service Apprentice Program
Fort Sam Houston, TX
AEIQ AE
Aeromedical Evacuation Initial Qualification
Wright-Patterson AFB, OH
L3ALJ4N051C00AB
Independent Duty Medical Technician (IDMT)
Fort Sam Houston, TX
L5ABO4N031 02AA
Aerospace Medical Service Apprentice – Phase II
Designated MTFs
L9AZA4N051 00AA
Allergy/Immunization Technician
Bethesda, MD
J5ALN4N031B00AA
Neurodiagnostic Technologist (NDT)
Fort Sam Houston, TX
B3AZYBLMD XXXX
Survival Evasion Resistance and Escape (B)
Fairchild, WA
B3AZY4F0X1 0A1A
Hearing Conservation Certification (ARC only)
Wright-Patterson AFB, OH
B3AZY4F0X1 0R1A
Hearing Conservation Recertification (ARC only)
Wright-Patterson AFB, OH
B3ABY4N0X1 0A0A
Aeromedical Evacuation Technician (AET) (Full)
Wright-Patterson AFB, OH
B3ALY4N051F 0A1A
Flight and Operational Medicine Technician (FOMT)
Wright-Patterson AFB, OH
NOTE: Reference the ETCA for current course numbers.
2.
Career Development Courses (CDC).
2.1.
Refer to the Air Force Institute for Advanced Distributed Learning (AFIADL) catalog,
http://www.au.af.mil/au/afiadl/, for complete information on the courses listed in this section.
2.2.
CDCs applicable to AFSC 4N0XX:
Course Number
Course Title
CDC 4N051A
Aerospace Medical Service Journeyman
CDC 4N051B
Aerospace Medical Service Journeyman
CDC 4N071
Aerospace Medical Service Craftsman
NOTE: Successful completion of CDC 4N051A is mandatory before enrolling in CDC 4N051B.
101
SECTION E – MAJCOM UNIQUE REQUIREMENTS
1.
Air Force Reserve.
1.1.
Purpose. This section applies to all Aerospace Medical Services specialty personnel assigned to all
Air Force Reserve medical units.
1.2. Seasoning Training Program (STP) requirements. Reference AFRCI 36-2204, Air Force Reserve
Seasoning Training Program (STP), for details regarding STP roles and responsibilities.
1.3. Occupational Audio Testing. 4N0XXs assigned to physical exams packages at ARC units are
authorized to conduct audio testing. These 4N0XXs will complete, maintain, and display certification in
hearing conservation by attending the appropriate resident courses (B3AZY4F0X1 0A1A5 or B3AZY4F0X1
0R1A).
1.4.
Technical school for AFRC 4N011 can be waived with the proof of NREMT, a nursing license
(Registered Nurse or Licensed Practical Nurse/Licensed Vocational Nurse) or other equivalent school.
Waiver packages will be submitted IAW AFRC waiver process. (AFRC/A1KE Sharepoint:
https://afrc.eim.us.af.mil/sites/A1/a1k/a1ke/SitePages/Home.aspx) The waiver authority is AFRC MFM, in
coordination with the CFM.
1.5.
OPR: AFRC/SGN, 549 Pine Street, Robins AFB, GA 31098, DSN: 497-1893/2000 or Comm 478-327-
1893/2000.
2.
Air National Guard (ANG).
2.1.
Purpose. This section applies to all Aerospace Medical Service specialty personnel assigned to all
Air National Guard units.
2.1. Proficiency Training.
2.1.1.
Proficiency Training (Mission Essential Skills Training (MEST)) will be accomplished IAW
current Fiscal Year NGB/A1D Workday Guidance.
2.2.2. Mission Essential Skills Training (MEST):
2.2.2.1. MEST resources are provided upon completion of an AFSC awarding course. The maximum MEST
length is determined by Career Field Managers to provide Combat Mission Ready (CMR) Airman.
2.2.2.2. The most current annual Fiscal Year (FY) MEST plan is developed by NGB/A1D and intended to
maximize training effectiveness. All FY MEST resources are sent to the Wings for applicable FY requirements.
Recommendation is for the Medical Group leadership to communicate MEST needs to the Force Development
Superintendent and Wing CC. The current recommended MEST days for the 4N is 40 days. A 30 day extension can
be requested as well. Proficiency training must be accomplished at an active duty treatment facility or an approved
civilian facility. During MEST, the member will be assigned to an active duty/civilian supervisor who will ensure
that the appropriate experiences and supervision is provided to assist the member achieve the required proficiencies.
2.3.
NREMT Certification.
2.3.1.
All ANG 4N0XX personnel (E-1 thru E-8) will maintain NREMT.
2.3.2.
Individuals who hold NRP certification meet the intent of the NREMT.
2.3.3. Occupational Audio Testing. 4N0XXs assigned to physical exams packages at ARC units are authorized to conduct
audio testing. These 4N0XXs will complete and maintain certification in hearing conservation by attending the appropriate
AFMC courses (B3AZY4F0X1 005 or B3AZY4E4F). OPR. ANGRC/SGOK, Conaway Hall 3500 Fetchet Ave., Andrews AFB,
MD, 20762-515
102
SECTION F – DOCUMENTATION OF TRAINING
1.
The Electronic Training Record is an enterprise-wide application designed to streamline and
standardize training management. Currently, the Total Force Training Record (TFTR) serves as the
single, automated repository for all medical enlisted specialty training.
2.
TFTR components managed by the supervisor are:
2.1.
Master Training Plan (MTP). The MTP employs a strategy for ensuring the completion of all
work center job requirements by using a MTL and serves as a guide for supervisors, trainers, and
certifiers to ensure that personnel are trained in an effective and efficient manner to meet training and
mission requirements. The MTP will include when tasks on the MTL should be trained
(priority/milestones), how they will be trained (resources/method), and approximately how long it
should take to train on individual tasks or set of tasks. Refer to AFI 36-2651, Air Force Training
Program for guidance in developing the MTP.
2.2.
Duty Task List (DTL). The DTL is a list of all tasks required for a given duty position.
The supervisor creates the DTL by selecting tasks from the MTL.
2.3.
Training Record. All training is documented in the training record by way of TFTR. This is the
electronic version of the former Enlisted Training and Competency Folder. The training record is
made up of the AF Form 623 Parts I, II and III; AF Forms 623a, 797, 803 and 1098; and the Job
Qualification Standard (JQS). Refer to AFI 36-2651 for guidance in documenting training on the
various forms contained within
the training record. NOTE: All enlisted personnel (MSgt and below) with a medical AFSC will have an active
training record within TFTR.
3.
TFTR provides the capability to upload training-related documents into a training record.
The following documents (as applicable) will be uploaded into every 4N0X1X training record:
3.1.
Current NREMT, TCCC card (for SMSgts and below and CMSgts assigned to 4N0 positions on standard
UTCs).
3.1.1. If NRP, current NRP Card, Advanced Life Support Card, and Pediatric Advanced Life Support Card.
3.2.
Current Basic Life Support Card.
3.3.
Current AF Form 2096 or Military Personnel Data System (MILPDS) product with current skill level and
special experience identifier.
3.4.
CDC Answer Score Sheets, if enrolled in CDCs. (Maintain until completion of UGT).
3.5. Current IDMT certification letter signed by the MTF SGH.
3.6. Current NDT Registry certificate obtained from ABRET
3.7. Hyperbaric Technicians, current CHT certification and ACLS Card
3.8. Critical Care Technicians currently assigned to a Critical Care position, current ACLS card
103
104
Aerospace Medical Service (4N0X1) STS
1. Tasks, Knowledge and Technical References
4. Proficiency Codes Used To
Indicate RequiredTraining
Level (Refer to PC Key)
A
B
3 Skill Level
5 Skill
Level
Phase I
Course
Phase II
Course
CDC
2. AEROSPACE MEDICAL SERVICE
2.1. Doctrine, Mission, & Duties
2.1.1. Medical doctrine
TR: ANNEX 4-02 Medical Operations,
https://www.doctrine.af.mil/Doctrine-Annexes/Annex-4-02-Medical-Ops/
A
-
B
2.1.1.2. Center for Clinical Inquiry (C2I)/Evidence Based Practice (EBP)
TR: https://kx.health.mil/kj/kx2/CenterForClinicalInquiry/Pages/Best-
Practice-BLAST.aspx
A
B
B
2.1.2. Medical Readiness
TR: (DoDI) 1322.24, Medical Readiness Training/AFI 41-106, Medical Readiness Program Management/AFI
10-301, Managing Operational Utilization Requirements of the Air Reserve Component Forces
2.1.3. AFSC Scope of Practice/Responsibilities
TR: CFETP Pt 1/AFI 36-2651, Air Force Training Program
2.1.3.1. 4N031
A
-
-
2.1.3.2. 4N051
A
-
-
2.1.3.3. 4N071
A
-
-
2.1.3.4. 4N091
A
-
-
2.1.3.5. 4N000
A
-
-
2.2 INTERPERSONAL RELATIONS
TR: Mosby's Essentials for Nursing Assistants, Kinn's The Medical Assistant
2.2.1. AFMS Customer Service
2.2.1.1. Customer needs and expectations
A
B
-
2.2.1.2. Customer Service Basics
2.2.1.2.1. Listening techniques
A
-
-
2.2.1.2.2. Face-to-face contact (non-verbal communication)
A
-
-
2.2.1.2.3. Telephone Etiquette
A
-
-
2.2.1.2.6. Conflict resolution
A
-
B
2.2.1.2.7. Customer service surveys
-
-
B
2.2.3. Professional Standards And Ethics
105
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.2.3.1. Standards of conduct for patient care
A
-
B
2.2.3.2. Patient rights and responsibilities
A
-
B
2.2.3.3. Death and dying
A
-
B
2.2.3.4. Psychological First Aide
-
B
-
2.2.4. Legal Aspects Of Patient Care
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.2.4.1. Health Insurance Portability Accountability Act (HIPAA)
TR: AFI 41-200
A
B
-
2.2.4.2. National Practictioner Databank (NPDB)
TR: DoDM 6025.13, Encl 9, pgs 68-73
A
-
B
2.2.4.3. Privacy Act
TR: AFI 33-332
A
-
-
2.2.4.4. Adverse Actions
TR: DoDM 6025.13, Encl 7, pgs 52-62
-
B
-
2.2.4.5. Consent for treatment
A
-
B
2.2.4.6. Standards of care
A
-
B
2.2.4.7 Documentation
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.2.4.7.1. Medical terminology and abbreviations
B
-
-
2.2.4.7.2. Use of medical terms in reporting and recording
-
2b
-
2.2.4.7.3. Legal aspects
A
B
-
2.2.4.7.4. Document nursing assessments
1a
2b
c
2.2.4.7.5. Document interventions/procedures
1a
2b
c
2.2.4.7.6. Document patient education
1a
2b
c
2.2.4.8. Advanced Directives
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.2.4.8.1. “Do Not Resuscitate” (DNR) orders
A
-
B
2.2.4.8.2. Living wills
A
-
B
2.2.4.8.3. Durable power of attorney
A
-
B
2.2.5. Professional Relationships
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.2.5.1. Staff
A
B
-
2.2.5.2. Patient
A
B
-
2.2.5.3. Stress management
A
B
-
2.2.5.4. Patient sensitivity
A
B
-
2.2.5.5. Emotional support for patient and significant others
A
B
-
2.2.5.6. Diversity (cultural, spiritual, religious)
A
B
-
2.3. MILITARY HEALTH SYSTEM (MHS)
TR: AFI 41-210
2.3.1. Components of MHS
TR: https://www.health.mil/
-
-
B
106
2.3.2. Health care benefits options
TR: AFMAN 41-210
-
-
B
2.3.4. Information Systems
TR: AFI 44-102, AFMAN 41-210; KX
2.3.4.1. Overview of information systems
A
-
B
2.3.4.2. Electronic Health Record
A
-
B
2.3.4.4. Tri-Service Workflow Forms (TSWF)
TR: www.tswf-mhs.com
A
-
B
2.3.4.5. Outpatient Coding
-
-
B
2.3.4.6. CarePoint
TR: https://carepoint.health.mil/
-
-
B
2.3.5. USAF Aeromedical Services Information Management System (ASIMS) TR:
AFIs 10-250, 48-110; AFMAN 41-210
2.3.5.1 Individual Medical Readiness (IMR)
A
-
B
2.3.5.2. Immunizations
A
-
B
2.3.5.3. Quarters
A
-
B
2.4. Understand Population Health Management Principles (Continuum of Care)
TR: A Guide to Population Health; Medical Management Guide
2.4.1. Case Management
-
-
A
2.4.2. Disease Management
-
-
A
2.4.3. Utilization Management
-
-
A
2.4.4. Referral Management
-
-
A
2.4.5. Health Care Integrator (HCI)
-
-
A
2.5. RESOURCE MANAGEMENT
2.5.1. Defense Medical Human Resource System internet (DMHRSi)
TR: AFI 41-102
-
-
A
2.5.2. Manpower Considerations and Documents
TR: AFIs 36-2110, 38-101; Personnel System Management MilPDS PSD Guide,
https://mypers.af.mil/app/answers/detail/a_id/26564
2.5.2.1. Unit Manpower Document (UMD)
-
-
A
2.5.2.2. Authorization change request (ACR)/authorization change notice
(ACN)
-
-
A
2.5.2.3. Unit personnel management roster (UPMR)
TR: https://mypers.af.mil/app/answers/detail/a_id/26564
-
-
A
2.5.2.4. Manning assistance
-
-
A
2.5.2.5. Manpower Validation Process (MVP)/Overseas Contingency
Operations (OCO)
-
-
A
2.5.3. Equipment/Supply TR:
AFMANs 41-209, 41-216, 23-122; Kinn's The Medical Assistant
107
2.5.3.1 Budget development and management
-
-
A
2.5.3.2. Perform daily inventory and equipment checks (e.g. crash carts,
ambulance, treatment room etc)
-
2b
-
2.5.3.3. Accountability and responsibility
-
-
B
2.5.3.4. Report of survey
-
-
A
2.5.4. Records
TR: AFMAN 41-109, AFMAN 23-122, AFMAN 41-216
2.5.4.1. Activity issue/turn-in
-
-
A
2.5.4.2. Backorder report
-
-
A
2.5.4.3. Custody Receipt Locator List (CRLL) actions/custodial report listing
-
-
A
2.5.4.4. Equipment authorization list (allowance standard)
-
-
2.5.4.7. Equipment replacement plan
-
-
2.5.5. Maintenance
2.5.5.1. Operator responsibilities
-
-
A
2.5.5.2. Reports
-
-
A
2.5.5.2.3. Repair/calibration requests
-
-
A
2.5.5.2.4. Tag In/Tag Out Process
-
-
A
2.6. SAFETY/RESOURCE PROTECTION
TR: AFIs 90-802, 90-821, 91-202, 91-204
2.6.1. Principles of general safety
B
-
-
2.6.3. Hazard/accident/incident reporting
A
-
-
2.6.4. Hazard Communication (HAZCOM)
A
-
-
2.6.5. Safety Data Sheets (SDS)
A
-
A
2.6.7. AF Form 55
-
-
A
2.7. SUPERVISION
TR: Unit Requirements, CFETP, AFH 36-2618, AFI 1-1
2.7.1.1. Daily Operations
-
-
A
2.7.1.2. Set priorities
-
-
A
2.7.1.3. Develop duty schedule
-
-
A
2.7.1.4. Work Center Orientation
-
-
A
2.7.2. Position Descriptions
-
-
A
2.7.3. Performance Standards
-
-
A
2.8. TRAINING
TR AFI 44-119, AFI 36-2651
2.8.1. Enlisted Specialty Training
TR: CFETP 4N0X1X
2.8.1.1. Career Field Education and Training Plan (CFETP), Part I & Part II
STS (scope of practice) overview
A
-
B
2.8.2. Maintain electronic training record documentation
-
-
b
2.8.2.1. Components of Electronic Training Record
-
-
b
2.8.3. Identify personnel training needs
-
-
a
2.8.4. Develop and present in-service training
-
-
a
2.8.5. Develop unit training program
108
2.8.5.1. Master Training Plan
-
-
b
2.8.5.2. Master Task List
-
-
b
2.8.5.3. Duty Task List
-
-
b
2.8.5.4. Evaluate personnel in upgrade training
-
-
b
2.8.6. Evaluate training effectiveness
2.8.6.1. Task knowledge
-
-
b
2.8.6.2. Task proficiency
-
-
b
2.8.7. Recommend personnel for Training
2.8.7.1. Retraining opportunities
-
-
b
2.8.7.2. Formal training
-
-
b
2.9. Human Anatomy and Physiology 101
TR: Fundamental Concepts and Skills for Nursing; Hole's Human Anatomy and Physiology
2.9.1. Human Anatomy
2.9.1.1. Descriptive terms and topographic anatomy
B
-
B
2.9.1.2. Major organs and systems
B
-
B
2.8.2. Human Physiology
2.9.2.1. Fluid, electrolyte, and acid-base balance
B
-
B
2.9.2.2. Functions and adaptations of cells and tissues
B
-
B
2.9.2.3. Thermal regulation
B
-
B
2.9.2.4. Metabolism/energy production
B
-
B
2.9.2.5. Oxygenation and circulation
B
-
B
2.9.2.6. Nutrition and elimination
B
-
B
2.9.2.7. Activity and rest
B
-
B
2.9.2.8. Protection and regulation
B
-
B
2.9.2.9. Reproduction
B
-
B
2.9.2.10. Human growth, development, and the aging process
B
-
B
2.10. HUMAN DEVELOPMENT
TR: Fundamental Concepts and Skills for Nursing; Fundamentals of Nursing; Structure & Function of the Body
2.10.1. Basic human needs theory
B
-
B
2.10.2. Personal hygiene
B
-
B
2.10.3. Environmental/community health
B
-
B
2.10.4. Nutrition and exercise
B
-
B
2.10.5. Psychological adjustments/mental health
B
-
B
2.10.6. Substance abuse
B
-
B
2.10.7. Body defenses and healing processes
B
-
B
2.11. NURSING 101
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing; AFI 44-108 Infection Prevention
2.11.2. Infection Control
B
C
-
2.11.3.1. Body substance isolation
B
C
-
2.11.3.2. Asepsis
B
C
-
2.11.3.3. Sterility of supplies/equipment
B
C
-
109
2.11.4. Communicable Disease Management
TR: Control of Communicable Disease Manual
2.11.4.1. Infectious hazards reporting procedures
B
-
-
2.11.4.2. Infectious processes; modes of transmission
B
-
-
2.11.5. Procedures
TR: Clinical Nursing Skills: Basic to Advanced Skills; Fundamental Concepts and Skills For Nursing; Surgical
Technology Principles and Practice
2.11.5.1. Perform hand-washing
3c
-
-
2.11.5.2. Don/doff sterile gloves
2b
3c
-
2.11.5.3. Don/doff non-sterile gloves
2b
-
-
2.11.5.4. Don/doff sterile gown
2b
3c
-
2.11.5.5. Don/doff non-sterile gown
2b
-
-
2.11.5.6. Set-up/maintain sterile field
2b
3c
-
2.11.5.7. Prepare supplies/equipment for sterilization
1a
2b
c
2.11.5.8. Perform sterilization procedures
a
-
b
2.11.5.9. Perform High Level Disinfection (HLD) procedures
a
-
b
2.11.5.10. Dispose of contaminated materials
1a
2b
c
2.11.5.11. Clean patient unit
b
-
c
2.11.5.12 Perform isolation precautions
2b
-
c
2.11.6. Measure And Record Patient Parameters
TR: Clinical Nursing Skills: Basic to Advanced Skills; Fundamental Concepts and Skills For Nursing;
Fundamentals of Nursing
2.11.6.1. Record Temperature
2b
3c
-
2.11.6.2. Assess Pulse rate
2b
3c
-
2.11.6.3. Assess Respiratory rate
2b
3c
-
2.11.6.4. Assess Skin characterisitics
2b
3c
2.11.6.5. Blood pressure
2.11.6.5.1. Perform Auscultation
2b
3c
-
2.11.6.5.2 Perform Palpation
2b
3c
-
2.11.6.6. Assess Pain scale
2b
3c
-
2.11.6.7. Perform Height (standing) and weight
2b
3c
-
2.11.6.8. Perform Orthostatic vital signs
b
-
c
2.11.6.9. Perform Neuro checks
2b
-
c
2.11.6.10. Perform Pulse oximetry/oxygen saturation
2b
-
c
2.11.6.11. Perform Intake and output
1a
2b
c
2.11.6.12. Record Body/abdominal girth
-
-
b
2.11.6.13. Perform Spirometry
-
-
b
2.11.6.14. Perform 12-lead EKG
1a
2b
c
2.11.6.15. Perform Peak expiratory flow
2b
-
-
2.11.6.16. Perform Visual acuity test
2b
-
c
2.11.7. Assist With Specimen Collection
110
TR: Clinical Nursing Skills: Basic to Advanced Skills, Fundamental Concepts and Skills For Nursing
2.11.7.1. Cerebral Spinal Fluid (CSF)
-
-
b
2.11.7.2. Cytology
-
-
b
2.11.7.3.1. Collect And Label
2.11.7.3.1.1. Emesis
-
-
b
2.11.7.3.1.2. Urine
-
-
b
2.11.7.3.1.3. Sputum
-
-
b
2.11.7.3.1.4. Stool
-
-
b
2.11.7.3.1.5. Drainage
-
-
b
2.11.7.3.2. Perform and Label
2.11.7.3.2.1. Venipuncture
1a
2b
c
2.11.7.3.2.2. Throat Swab
2b
-
c
2.11.7.3.2.3. Strain urine for calculi
-
-
b
2.11.7.3.2.4. Urine Reagent Stick
-
-
c
2.11.7.3.2.5. Capillary Stick
2b
-
c
2.11.7.3.2.6. Use blood glucose meter
2b
-
c
2.12. PHARMACOLOGY
2.12.1. Calculations
TR: Fundamentals of Nursing
2.12.2 Metric System
A
B
-
2.12.3. Medical Calculations
2.12.3.1. Perform metric conversions
1a
2b
-
2.12.3.2. Calculate weights and measures
1a
2b
-
2.12.4. Medication and Fluid Therapy
TR: Fundamental Concepts and Skills for Nursing; Fundamentals of Nursing; Mosby's Nursing Skills
2.12.4.1. Safety factors in administration of medications and fluid therapy
A
B
B
2.12.4.2. Pharmacological abbreviations
A
B
B
2.12.4.3. Medication Reconciliation
A
B
B
2.12.4.4. Authorized Drug List (ADL)
TR:https://kx.health.mil/kj/kx1/AFMOAEdandTraining/Documents/4N_Me
dAdmin/4N0_MedAdminPrgmPolicyLtr_21Aug2019.pdf
A
B
B
2.12.5. Administer Medications/Medication Actions, Side Effects, and Guidelines For Administration
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott's Physician's Drug Book
Mosby's Nursing Skills
2.12.5.1. Anesthetic--local
b
2b
-
2.12.5.2. Antacids/Antiflatulents
b
2b
-
2.12.5.3. Anticholinergics
b
2b
-
2.12.5.4. Anticoagulants
b
2b
-
2.12.5.5. Antidiabetics
b
2b
-
2.12.5.6. Antidiarrheals
b
2b
-
2.12.5.7. Antiarrhythmics
b
2b
-
111
2.12.5.8. Antiemetics
b
2b
-
2.12.5.9. Antiinfectives
b
2b
-
2.12.5.10. Antifungals
b
2b
-
2.12.5.11. Antihistamines
b
2b
-
2.12.5.12. Antihypertensives
b
2b
-
2.12.5.13. Antimigraine Agents
b
2b
-
2.12.5.14. Antineoplastics
b
2b
-
2.12.5.15. Hormone Contraceptives
b
2b
-
2.12.5.16. Antipsychotics
b
2b
-
2.12.5.17. Antitoxins and Antivenins
b
2b
-
2.12.5.18. Antitussives/expectorants
b
2b
-
2.12.5.19. Antivirals
b
2b
-
2.12.5.20. Benzodiazepines
b
2b
-
2.12.5.21. Bronchodilators
b
2b
-
2.12.5.22. Cholinergics
b
2b
-
2.12.5.23. Corticosteroids
b
2b
-
2.12.5.24. Diuretics
b
2b
-
2.12.5.25. Immune Serums
b
2b
-
2.12.5.26. Laxatives
b
2b
-
2.12.5.27. Nonopioid Analgesics
b
2b
-
2.12.5.28. Nonsteriod antiinflammatories
b
2b
-
2.12.5.29. Opioid Analgesics
b
2b
-
2.12.5.30. Opioid antagonists
b
2b
-
2.12.5.31. Salicylates
b
2b
-
2.12.5.32. Vaccines and Toxoids
b
2b
-
2.12.5.33. Vitamins
b
2b
-
2.12.6. Medication Administration
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Mosby's Drug Reference
2.12.6.1. Patients Rights in Medication Administration
-
2b
-
2.12.6.2. Document medication administration and fluid therapy
-
2b
-
2.12.6.3. Oral medication
-
2b
-
2.12.6.4. Subcutaneous injection
-
2b
-
2.12.6.5. Intramuscular injection
-
2b
-
2.12.6.6. Intradermal injection
-
2b
-
2.12.6.7. Agents in prefilled or Tubex syringes
-
2b
-
2.12.6.8. Autoinjector
-
2b
-
2.12.6.9. Rectal suppository
-
2b
-
2.12.6.10. Vaginal suppository
-
2b
-
2.12.6.11. Ophthalmic ointments and drops
-
2b
-
2.12.6.12. Otic drops
-
2b
-
2.12.6.13. Topical medication
-
2b
-
2.12.6.14. Via updraft nebulizer
-
B
-
112
2.12.6.15. Via prescribed inhaler
-
2b
-
2.12.6.16. Intranasal medication
-
2b
-
2.12.6.17. Intravenous medication
-
2b
-
2.12.6.18. Sublingual medication
-
2b
-
2.12.7. Administer Scheduled Medications (Schedule II-V)
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.12.7.1. Schedule II
2.12.7.1.1. Oral administration
-
2b
-
2.12.7.1.2. Intramuscular (IM)
-
2b
-
2.12.7.1.3. Intravenous (IV)
-
2b
-
2.12.7.1.4. Intraosseous (IO)
-
2b
-
2.12.7.5. Intravenous Fluid and Blood Administration
2.12.7.5.1. Blood Administration
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.12.7.5.1.1. Obtain blood/blood products from blood bank
TR: Local Procedures
-
2b
a
2.12.7.5.1.2. Set-up blood warmer and pump
TR: User Manual
-
2b
2.12.7.5.1.3.Monitor Patient for adverse reactions during blood transfusion
-
2b
a
2.12.7.5.1.4. Demonstrate Administration of blood products to a trauma
casualty in tactical field care
TR: naemt.org, Joint Trauma System
-
2b
a
2.12.7.5.1.5. Walking Blood Bank
TR: naemt.org, Joint Trauma System
-
2b
a
2.12.7.6. Parenteral Fluid Therapy
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.12.7.6.1. Set-up and Insert
2.12.7.6.1.1 Intravenous fluid administration
2b
-
-
2.12.7.6.1.2. Intraosseous fluid administration
-
2b
-
2.12.7.6.1.3. Saline lock
-
2b
-
2.12.7.6.2. Regulate and monitor
2.12.7.6.2.1. Intravenous fluid administration
2b
-
-
2.12.7.6.2.2. Intraosseous fluid administration
-
2b
-
2.12.7.6.2.3. Saline lock
-
2b
-
2.12.7.6.2.4. Apply armboard or restraints to secure infusion
2b
-
-
2.12.7.6.2.5. Set-up and regulate infusion pumps/controllers
1a
2b
-
2.12.7.6.2.6. Calculate drip rates
2b
-
-
2.12.7.6.2.7. Set-up and regulate infusion pressure bag
1a
2b
-
2.12.7.6.2.8. Change intravenous fluid bags/bottles
1a
2b
-
2.12.7.6.3. Discontinue
2.12.7.6.3.1. Intravenous fluid administration
2b
-
-
2.12.8. Patient Transfer Techniques
113
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.12.8.1. Principles of proper body mechanics
A
-
B
2.12.8.2. Mechanical aids for lifting and moving
A
-
B
2.12.8.3. Assist To And From
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.12.8.3.1 Bed
2b
-
-
2.12.8.3.2. Wheelchair/chair
2b
-
-
2.12.8.3.3. Bathtub/shower seat
2b
-
-
2.12.8.3.4 Commode
2b
-
-
2.12.8.3.6. Ambulance
-
2b
-
2.12.8.3.7. Stair Chair
-
2b
-
2.12.8.3.8. Stretcher/gurney
a
2b
-
2.12.8.3.9. Examining table
-
2b
-
2.12.8.3.10. Ambulate patients
2b
-
-
2.12.8.3.11. Move patients on/off elevators in wheelchair/stretcher/beds
a
2b
-
2.12.8.4. Prepare Patient Transfer With
2.12.8.4.1. Monitoring system
a
2b
-
2.12.8.4.2. Oxygen
a
2b
-
2.12.8.4.3. Drainage system
a
2b
-
2.12.8.4. Intravenous lines
a
2b
-
2.12.8.5. Immobilization devices
a
-
-
2.12.9. MEDICAL EXAMINATIONS/SPECIAL PROCEDURES
2.12.9.1. Assemble Supplies and Equipment/Assist those authorized/licensed to perform the task
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott Manual of Nursing
Practice
2.12.9.1.1. Chest tube insertion/water seal drainage
a
-
-
2.12.9.1.2. Pelvic examination
a
-
b
2.12.9.1.3 Paracentesis/thoracentesis
-
-
b
2.12.9.1.4. Lumbar puncture
-
-
b
2.12.9.1.5. Biopsy
a
-
b
2.12.9.1.6. Tympanometry
-
-
b
2.12.9.1.7. Minor surgery
a
-
c
2.12.9.1.8. Sigmoidoscopy, proctoscopy, and colonoscopy
-
-
b
2.12.9.1.9. Bronchoscopy
-
-
b
2.12.9.2. Perform
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott Manual of Nursing
Practice
2.12.9.2.1. Perform basic physical examination
1a
2b
-
2.12.9.2.2. Incentive spirometer
a
-
b
114
2.12.9.2.3. Sitz bath
-
-
-
2.12.9.2.4. Diabetic foot exam
a
1a
b
2.12.9.2.5. Endotracheal care
-
-
c
2.12.9.2.6. Tracheostomy care
-
-
c
2.12.9.2.7. Contact lens removal
a
-
b
2.12.9.2.8. Fluorescein eye stain
a
-
b
2.12.9.2.9. Ear irrigation
a
-
b
2.12.9.2.10. Eye irrigation
a
-
b
2.12.9.2.15. Perform Clinical Support Staff Protocol (CSSP)
1a
2b
-
2.12.9.3. Wound Management
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott Manual of Nursing
Practice
2.12.9.3.1. Principles Of
2.12.9.3.1.2. Complicated wounds
A
-
B
2.12.9.3.2. Perform
2.12.9.3.2.1. Wound evaluation
2b
-
-
2.12.9.3.2.2. Burns evaluation (TBSA, Depth, etc.)
2b
-
-
2.12.9.3.2.3. Wound irrigation/scrub
a
2b
-
2.12.9.3.2.4. Wound debridement
a
2b
-
2.12.9.3.2.5. Burn debridement
a
2b
-
2.12.9.3.2.6. Subungual hematoma evacuation
-
2b
-
2.12.9.3.2.7. Vacuum drainage system management
-
2b
-
2.12.9.3.3. Administer Local Anesthetic Agents
2.12.9.3.3.1. Topical
-
-
b
2.12.9.3.3.2. Local infiltration
-
-
b
2.12.9.3.3.3. Digital block
-
-
b
2.12.9.3.4. Wound Closure and Care
2.12.9.3.4.1. Apply Sterile tape strips
2b
-
-
2.12.9.3.4.2. Perform Stapling
2b
-
-
2.12.9.3.4.3. Perform Suturing
2b
-
-
2.12.9.3.4.4. Apply Surgical glue
2b
-
-
2.12.9.3.4.5. Suture and staple removal
2b
-
-
2.12.9.3.5 Sterile Dressings Application and Change
2.12.9.3.5.1. Apply Dry
1a
2b
-
2.12.9.3.5.2. Apply Wet-to-dry
1a
-
b
2.12.9.3.5.3. Apply Wet-to-wet
1a
-
b
2.12.9.3.5.3. Apply Wound packing
1a
2b
-
2.12.9.3.5.4. Apply Heat and cold treatments
2b
-
-
2.13. CONSIDERATIONS FOR PATIENTS WITH ACCESS AND FUNCTIONAL NEEDS
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott Manual of Nursing
Practice
2.13.1. Hazards of immobility
A
-
B
115
2.13.2. Visually impaired
A
-
B
2.13.3. Hearing impaired
A
-
B
2.13.4. Diabetic
A
-
B
2.13.5. Paralyzed
A
-
B
2.13.6. Elderly
A
-
B
2.13.7. Infant/child/adolescent
A
-
B
2.13.8. Developmental Delays
A
-
B
2.13.9. Post-Traumatic Stress (PTS)
A
-
B
2.13.10. Cancer
A
-
B
2.13.11. Seizure
A
-
B
2.13.12. Amputees
A
-
B
2.13.13. Unconscious
A
-
B
2.13.14. Immunodeficiency disorder
A
-
B
2.13.15. Dialysis
A
-
B
2.13.16. Abusive/self-abusive
A
-
B
2.13.17. Electrosensitive
A
-
B
2.13.18. Traumatic Brain Injury (TBI)
A
-
B
2.13.19. Non-english speaking
A
-
B
2.13.20. Terminally ill
A
-
B
2.13.21. Abused/neglected
A
-
B
2.13.22. Sexual Assault
A
-
B
2.13.23. Burns
A
-
B
2.14. PRE-AND POST OPERATIVE CARE
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.14.1. Assist With
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.14.1.2. Universal Protocol Concept
A
B
2.14.1.3. Anesthesia-related safety measures
b
-
c
2.14.1.4. Post op exercises
b
-
c
2.14.2. Perform
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing
2.14.2.1.Time Out Procedures
2b
-
-
2.14.2.2. Shaves/scrubs
b
-
-
2.14.2.2. Reporting complication
b
-
-
2.14.2.5. Intermittent Pneumatic Compression Device (IPCD)/Sequential
Compression Device (SPD) application/removal
b
-
-
2.15. ORTHOPEDIC PROCEDURES
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott Manual of Nursing
Practice
2.15.1. Teach and assist patients ambulating with walkers, canes, and
crutches
2b
-
-
2.15.3. Apply elastic wraps
2b
-
-
116
2.15.4. Measure for crutches
2b
-
-
2.15.6. Apply/Remove Simple Cast
2.16. NUTRITION AND ELIMINATION PROCEDURES
TR: Fundamental Concepts and Skills for Nursing
2.16.1. Patient dietary considerations
A
-
B
2.16.2. Assist with patient feeding
a
-
b
2.16.3. Prepare patient for meal
b
-
-
2.16.4. Pass water/appropriate fluids
b
-
-
2.16.5. Assist/monitor with tube feeding
a
-
b
2.16.6. Administer retention enema
-
-
b
2.16.7. Assist with continuous/intermittent bladder irrigations
-
-
b
2.16.8. GASTROINTESTINAL PROCEDURES/MANAGEMENT
TR: Fundamental Concepts and Skills for Nursing, Fundamentals of Nursing, Lippincott Manual of Nursing
Practice
2.16.8.1. Insert Nasogastric Tube
2b
-
-
2.16.8.2. Irrigate Nasogastric Tube
2b
-
-
2.16.8.3. Remove Nasogastric Tube
2b
-
-
2.16.8.7. Apply/Insert and Remove
2.16.8.7.1. External condom catheter
a
-
-
2.16.8.7.2. Female external catheter
a
-
-
2.16.8.7.3. Foley catheter
2b
-
-
2.16.8.7.4. Straight catheter
2b
-
-
2.16.8.7.5. Pediatric Urine collection bag
a
-
-
2.16.8.7.6. Maintain closed urinary drainage system
2b
-
-
2.17. CARDIOVASCULAR PROCEDURES
2.17.1. Obtain and Maintain Basic Life Support Healthcare Provider
certification TR: American Red Cross (ARC),
https://www.redcrosslearning.com/auth/login
3c
-
-
2.17.7. Set-up
2.17.7.1. Cardiac monitor/defibrillator
1a
2b
-
2.17.7.2. External pacemaker
1a
2b
-
2.17.7.3. Recognize/Report Normal Sinus Rhythms
1a
-
c
2.17.7.4. Recognize/Report Ventricular Tachycardia
1a
-
c
2.17.7.5. Recognize/Report Ventricular Fibrillation
1a
-
c
2.17.7.6. Recognize/Report Pulseless Electrical Activity (PEA)
1a
-
c
2.17.7.7. Recognize/Report Asystole
1a
-
c
2.18. PATIENT PROTECTIVE DEVICES
TR: Mosby's Nursing Skills
2.18.1. Apply protective devices
b
-
-
2.18.2. Use manual holds
b
-
-
2.19. OXYGEN THERAPY
117
Fundamental Concepts and Skills for Nursing, Lippincott Manual of Nursing Practice, Transportation of the Sick
and Injured (AAOS edition)
2.19.1. Assemble/interchange fixed and portable oxygen delivery system
3c
-
-
2.19.3. Apply nasal cannula
3c
-
-
2.19.4. Apply simple face mask
3c
-
-
2.19.5. Apply nonrebreather mask
3c
-
-
2.19.6. Apply Venturi mask
a
-
-
2.20.2. Planning Patient Care
TR: Fundamental Concepts and Skills For Nursing
2.20.2.1. Assist with patient admission, discharge, and transfer
1a
2b
-
2.20.2.2. Assist with patient care planning
1a
2b
-
2.20.2.3. Identify problems and special needs
1a
2b
-
2.20.2.4. Instruct patients regarding tests and procedures
a
2b
-
2.20.2.6. Perform post mortem care
a
-
b
2.21. PATIENT SAFETY
TR: AHRQ and Partnership for Patients Implementation Guidelines:
https://www.jointcommission.org/standards_information/npsgs.aspx; Local
MTF policy
2.21.3. Principles of Trusted Care/High Reliable Organization (HRO)
-
a
-
2.22. PATIENT COMFORT AND HYGIENE
TR: Fundamental Concepts and Skills For Nursing
2.22.1. Assist patient
1a
2b
-
2.22.2. Place patient on fracture bedpan
-
-
-
2.22.3. Perform bed bath
2b
-
-
2.22.4. Make Beds
2.22.4.1. Unoccupied
2b
-
-
2.22.4.2. Occupied
2b
-
-
2.22.4.3. Surgical
2b
-
-
2.22.4.4. Aeromedical evacuation litter
2b
-
-
2.22.5. Oral Hygiene
2.22.5.1. Provide denture care
a
-
-
2.22.5.2. Assist with brushing teeth, oral swabs, chapstick, and flossing
a
-
-
2.22.6. Provide Skin Care
TR: Clinical Nursing Skills: Basic to Advanced Skills; Fundamental Concepts and Skills For Nursing, Mosby's
Nursing Skills
2.22.6.1. Back massage
b
-
-
2.22.6.2. Perineal hygiene
b
-
-
2.22.6.3. Shampoo
b
-
-
2.22.6.4. Shave
b
-
-
2.22.6.5. Foot care
b
-
-
2.22.6.6. Turn and position patient
2b
-
-
2.23. PULMONARY PROCEDURES
118
TR: Fundamental Concepts and Skills For Nursing
2.23.1. Perform chest percussion and postural drainage
-
-
b
2.23.2. Hood
-
-
b
2.23.3. Croup tent
-
-
b
2.23.4. Humidified oxygen
a
-
b
2.24. MUSCULOSKELETAL
TR: Fundamental Concepts and Skills for Nursing, Lippincott Manual of Nursing
Practice
2.24.3. Apply skin traction
-
-
a
2.24.4. Care for external fixation device and pin
-
-
b
2.24.5. Position patient with head halter/cervical tongs
-
-
c
2.24.6. Instruct patients regarding isometric or active exercises
-
-
c
2.24.7. Perform passive or passive assisted exercise
-
-
c
2.26.3. Prepare and Document Report of Care and Treatment
TR: AFI 41-210; AFI 10-203; AFI 44-102; AFI 44-170; DoDI 13-04.03
2.26.3.1. SF 600
1a
2b
c
2.26.3.2. SOAPP Note
TR: Fundamental Concepts and Skills For Nursing
1a
2b
-
2.26.3.3. SF 507, Continuation Sheet
1a
2b
-
2.26.3.4. AF Form 469
1a
2b
-
2.26.3.5. AF Form 422, Physical Profile Serial Report to include 31/37/81
report and assignment Limitation Code-C
1a
2b
-
2.26.3.6. SF 558, Emergency and Treatment Record
1a
2b
-
2.26.3.7. DD Form 2766/2766C, Adult Preventive and Chronic Care
Flowsheet
1a
2b
-
2.26.3.8. DD Form 2808, Report of Medical Examination
1a
2b
-
2.26.3.9. DD Form 2807, Report of Medical History
1a
2b
-
2.26.4. Preventive Health Assessment (PHA) TR:
AFI 44-170
2.26.4.1. Update ASIMS database
a
-
-
2.26.4.4. Conduct medical record reviews TR: AFMAN 41-210
1a
-
-
2.26.4.5. Military (mobility) unique requirements
A
-
B
2.26.4.6. Conduct patient interview
1a
2b
-
2.26.4.7. Record medical history
1a
2b
-
2.26.5. Medical Evaluation Board (MEB) Process
TR: AFIs 10-203, 36-3212, AFMAN 41-210
2.26.5.1. Overview of MEB process
A
-
-
2.26.5.2. Integrated Disability Evaluation System (IDES) & Deployment
Availability Working Group (DAWG)
A
-
-
2.26.5.3. Temporary Disability Retirement Limitations (TDRL)
-
-
A
2.26.5.4. Assignment Limitation Code (ALC)
-
-
A
2.26.5.5. Physical Exam Board Liaison Officer (PEBLO) responsibilities
-
-
A
119
2.26.6. Medical Treatment Record Review TR:
AFMAN 41-210
2.26.6.1. Permanent change of station
A
-
B
2.26.6.2. Security clearance
-
-
B
2.26.6.3. Mobility/deployment
A
-
B
2.26.6.4. Personnel Reliability Program (PRAP) TR: AFI 31-207
A
-
B
2.26.6.5. Roster validation (31/37/81 Report)
-
-
B
2.27. NATIONAL REGISTRY EMERGENCY MEDICAL TECHNICIAN
TR: National Highway Traffic Safety Administration EMT- National EMS education standards;
https://www.nremt.org/rwd/public
2.27.1. Obtain and Maintain National Registry Emergency Medical
Technician Certification (NOTE: EMT certifications listed in part I section B
para 2 of this CFETP meet requirements)
3c
-
-
2.27.2.Perform Ambulance/Emergency Response Vehicle Operations
TR: AFI 11-2AE Vol 3, Emergency Care of the Sick and Injured (AAOS
Edition)
2.27.2.1. Flight line operations
-
-
b
2.27.2.2. In-flight emergency procedures
-
-
b
2.27.2.3. Perform loading/unloader stretcher
2b
-
-
2.27.2.4. Radio Communications
-
-
b
2.27.2.5. Perform grid map plotting
-
-
b
2.28 OPERATE EXPEDITIONARY EQUIPMENT
TR: JTTS Clinical Practice Guidelines
2.28.4. Focused Assessment with Sonography for Trauma (FAST Exam)
TR: Operating Manual
a
2b
c