Quiz/final Flashcards
What is a health threat?
a composite of:
- ongoing or potential enemy actions
- adverse environmental, occupational, and geographic and meteorological conditions
- endemic diseases
- employment of CBRN weapons (to include weapons of mass destruction that have the potential to affect the short- or long-term health [including psychological impact] of personnel.)
What is a composite of ongoing or potential enemy actions; adverse environmental, occupational, and geographic and meteorological conditions; endemic diseases; and employment of CBRN weapons (to include weapons of mass destruction that have the potential to affect the short- or long-term health [including psychological impact] of personnel.)
A health threat
The health threat is analyzed during the planning process of an operation to develop the ______/_____ plan
HSS/FHP
List 5 types of health threats from the slides
Diseases Occupational/environmental health hazards Poisonous or toxic flora and fauna Medical effects of weapons Physiologic and psychological stressors
Define health service support (HSS)
Defined as all support and services performed, provided, and arranged by the AMEDD to promote, improve, conserve, or restore the mental and physical well being of personnel in the Army.
What are the three components of HSS?
Casualty care – Including patient treatment, hospitalization, the treatment aspects of dental care, neuropsychiatric treatment and clinical laboratory services
Medical evacuation – Including medical regulating and en route care
Medical logistics (MEDLOG) – Including all functional subcomponents and services
Health Service Support (HSS) – Defined as all support and services performed, provided, and arranged by the AMEDD to ______, _______, _______, or ________ the mental and physical well being of personnel in the Army
Promote, improve, conserve or restore
Define Force Health Protection
the measures to promote, improve, or conserve the mental and physical well-being of Soldiers. These measures enable a healthy and fit force, prevent injury and illness, and protect the force from health hazards and includes the prevention aspects of a number of AMEDD functions.
FHP is the measures to ______, _______, or ________the mental and physical well-being of Soldiers. These measures enable a healthy and fit force, prevent injury and illness, and protect the force from health hazards and includes the prevention aspects of a number of AMEDD functions.
Promote, improve or conserve
What five things does FHP encompass?
Preventive medicine (PM)
Veterinary services, including food inspection and the prevention of zoonotic diseases
Combat and operational stress control (COSC)
Dental services (preventive dentistry)
Laboratory services and support
What is the Army Health System (AHS)?
The all encompassing term to describe both the HSS and FHP aspects of AMEDD support.
What are the three phases of TC3?
Care under fire (CUF)
Tactical field care (TFC)
Tactical evacuation
What are the six principles of the army health system?
Conformity- the medical plan is conformed with the Operation plan
Proximity- medical assets are at the right place at the right time
Flexibility- able to shift resources to meet changing requirements
Mobility- assets remain in supporting distance to maneuver units
Continuity- moving the patient through progressive, phased roles of care
Control- ensure that scarce resources are efficiently employed
Define conformity as it applies to the AHS
Conformity- the medical plan is conformed with the Operation plan
Define Proximity as it applies to the AHS
Proximity- medical assets are at the right place at the right time
Define flexibility as it applies to the AHS
Flexibility- able to shift resources to meet changing requirements
Define mobility as it applies to the AHS
Mobility- assets remain in supporting distance to maneuver units
Define continuity as it applies ot the AHS
Continuity- moving the patient through progressive, phased roles of care
Define control as it applies to the AHS
Control- ensure that scarce resources are efficiently employed
Define the 4 roles of care
Role 1 BAS and below
Role 2 Medical company
Role 3 Field hospital
Role 4 Definitive care
The role one (BAS and Below) has what assets/responsibilities (AHS slide 13)
Immediate lifesaving measures
Self-aid, buddy aid, combat lifesaver
EMT / ATM
Medic, Physician, Physician Assistant
Medical evacuation
The role two (Medical Company) has what assets/responsibilities (AHS slide 13)
X-ray, laboratory, and dental support
Preventive medicine
Patient Hold
Advanced Trauma Management
Med Log
Medical Evacuation
Limited Pharmacy
The role three (Field hospital) has what assets/responsibilities (AHS slide 13)
Resuscitation, initial wound surgery, and postoperative treatment
Hospitalization
Medical regulating
Clinical services
The role four (definitive care) has what assets/responsibilities (AHS slide 13)
Full spectrum of definitive medical care
CONUS or OCONUS safe havens
What is a command surgeon?
Special staff officer that plans and monitors execution of the AHS mission
Ensures all Medical Functions and medical operational planning factors are planned and synchronized in operation plans and orders
Has technical supervision of medical operations within the command, but is not a commander (may recommend policy and procedures, but can not give orders to subordinate units except through unit plans and orders)
The Command Surgeon ______ and ______ execution of the AHS mission.
Does he/she give direct orders to subordinates (command)?
Plans and monitors
No, they may recommend policy and procedures, but can not give orders to subordinate units except through unit plans and orders
What are the three levels of MEDLOG?
- Strategic Level
- Operational Level
- Tactical Level
Describe MEDLOG activities at the strategic level
Determination of material requirements
Acquisition, assembly, and fielding of medical supplies and equipment
Management of strategic programs for medical force modernization and material readiness
What are the 5 MEDLOG strategic level units?
US Army Medical Research and Material Command (USAMRMC)
US Army Medical Material Agency (USAMMA)
Prime Vendors
Installation Medical Support Activity (IMSA)
Medical Logistics Support Team (MLST)
Who centrally manages army MEDLOG programs?
US Army Medical Research and Material Command (USAMRMC)
Who is subordinate to US Army Medical Research and Material Command (USAMRMC) and is responsible for AMEDD’s strategic MEDLOG programs and initiatives?
US Army Medical Material Agency (USAMMA)
This agency has a wide range of strategic roles involving centrally managed MEDLOG programs, Army supply Class VIII cataloging and set assembly, medical equipment maintenance planning and operations, and Army Force Generation integration and synchronization.
The ______ (same organization) has operational oversight of medical materiel acquisition programs and serves as the agency responsible for fielding new medical equipment sets (MES) for Army operational forces in support of force projection, sustainment, and redeployment.
US Army Medical Material Agency (USAMMA)
Acquire CL VIII from industry and deliver to IMSAs and TLAMMs via military or commercial transportation
This describes what strategic level source of class 8
Prime vendors
Describe Installation Medical Support Activity (IMSA)
Provide CL VIII general support to installations and geographic specific areas.
Who provides CL VIII general support to installations and geographic specific areas.
Installation Medical Support Activity (IMSA)
What does Medical Logistics Support Team (MLST) do?
Issue Army Prepositioned Stock
Who issues army prepositioned stock (Class 8)
Medical Logistics Support Team (MLST)
MEDLOG support at the role 1 involves what systems, support and task?
Defense Medical Logistics Standard Support (DMLSS) Customer Assistance Module (DCAM) (automated system)
Medical Materiel Mobilization Planning Tool (M3PT)
Budget Management
Serviceability of Equipment
Ambulance Backhaul resupply method
Senior Line Medics
What is DMLSS?
Defense medical logistics standard support
What is M3PT?
Medical Material Mobilization Planning tool
MEDLOG support at the role 2 involves what systems, support and task?
BMSO (DCAM)
Pharmacy
Medical Maintenance
Blood Management
Quality Control
Budget Management
Regulated Medical waste
MEDLOG support at the BCT SPO involves what systems, support and task?
70K CPT
BDE Medical Logistics Plan
SPO MED LOG works in conjunction with BDE Surgeon and BDE S4
CL VIII Budgeting
MEDLOG support at the Role 3 involves what systems, support and task?
DMLSS
Medical supply supports hospital ONLY (NOT ROLE II from notes)
-68J – 5 PAX (ALL Enlisted)
Medical Maintenance
-68A- 6 PAX (1 X CW2 ; 5 Enlisted)
Oxygen Resupply
MEDLOG support at the MEDLOG company involves what systems, support and task?
Provide direct support for medical materiel, medical equipment maintenance, and single and multi vision optical lens fabrication and repair to BCTs and EAB medical units. (**ROLE 3 does not support ROLE 2… THIS COMPANY DOES)
Builds and positions CL VIII to support BCTs and EAB medical units
Field and Sustainment level medical equipment maintenance
Forward Distribution Teams (FDT)
Forward distribution teams are found in what MEDLOG support unit?
Medical logistics company
MEDLOG Automated Information Systems support what core business functions?
Acquisition, accountability, maintenance, and distribution of materiel and equipment.
Use, maintenance, and repair of facilities supporting the AMEDD medical
Medical Communications for Combat Casualty Care (MC4)
DMLSS Customer Assistance Module (DCAM)
Medical Materiel Mobilization Planning Tool (M3PT)
Global Combat Support System-Army (GCSS–A)
Theater Enterprise-Wide Logistics System (TEWLS)
Theater Blood Application
Joint Medical Asset Repository
Patient Movement Item Tracking System
These are examples of what?
Automated information systems
List examples of AIS for MEDLOG
Medical Communications for Combat Casualty Care (MC4)
DMLSS Customer Assistance Module (DCAM)
Medical Materiel Mobilization Planning Tool (M3PT)
Global Combat Support System-Army (GCSS–A)
Theater Enterprise-Wide Logistics System (TEWLS)
Theater Blood Application
Joint Medical Asset Repository
Patient Movement Item Tracking System
This offers deployable medical units a wide range of integrated applications that bridge tactical and sustaining base information management and information technology health care systems.
Medical communications for combat casualty care (MC4)
What is the primary MEDLOG IS module used by deployed units?
DMLSS customer assistance MODULE (DCAM)
DCAM Allows the electronic exchange of files back and forth between two separate DCAM devices to facilitate the transfer of automated information between Roles ___and ____ MTFs.
1 and 2
DCAM Permits users to view the suppliers’ catalog and provides capability to perform basic customer-level medical supply functions such as ordering, receiving, managing due-ins, and inventory control.
True
This MEDLOG information system is a
Web based application which FORSCOM has mandated all medical units utilize to inventory MES. It is aligned to UIC.
Medical material mobilization planning tool (M3PT)
What is the M3PT
Medical material mobilization planning tool
Web-based application
FORSCOM mandated all medical units utilize to inventory MES
Accounted aligned to UIC
Global combat support system -army (GCSS-A) is utilized for equipment _______ and _______
Does all medical equipment need to be put into this system?
Why?
Accountability and maintenance
Yes
Allows for proper requisition of parts to fix equipment
Medical platoons are organic to what units?
Maneuver battalions
Cavalry squadrons
Field artillery battalions
The medical platoon in the combat battalion falls under what company?
Headquarters and headquarters company (HHC)
The medical platoon in a combat battalion consists of what sections and squads?
HQ section
Treatment squad (teams A and B)
Ambulance squad (section designation/2 dots)
Combat medic section
Who are the personnel within the Headquarters section of the Stryker BN medical platoon?
1 Field Medical Assistant (70B)
1 Platoon Sergeant (68W40) *also serves as the ambulance section sergeant
Describe the treatment squad composition personnel of a Stryker BN medical platoon
Eight personnel in two treatment teams
Team A
MD (62B* also BN surgeon)
68W30 - E6 w/ the surgeon for experience
68W10
68W10
Team B
PA (65D)
68W20
68W20
68W10
Describe the equipment fielded to a treatment squad in a stryker BN
2 TCMC sets (40DNBI/40 trauma casualties each)
2 chemical agent treatment sets (60 casualties each)
1 chemical decontamination set (60 casualties)
How many treatment teams/hmmwv’s does and FA battalion have?
1
Describe the evacuation section of a Stryker BN medical platoon
4 stryker MEV (medical evacuation vehicle) ambulances
Each vehicle has 1 each
Emergency care SGT
Emergency care SPC
Ambulance driverDescribe the combat medic section of a Stryker BN medical platoon
14 total combat medics (68W)
3 will be SGT (68W20)
Rest will be 68W10
What are the responsibilities of the HQ section of a medical platoon?
Mission command
Manages the battalion’s evacuation assets (to include coordinating MEDEVAC)
Manages the battalion’s medical logistics
Manages the platoon’s maintenance program
Develops the battalion FHP/HSS plan
Normally co-located with a treatment squad to form the Battalion Aid Station (BAS)
What are the capabilities of the HQ section of a medical platoon?
Maintain mission command (MEDEVAC, Situational Understanding, FHP Planning) thru BFT, FM radio, Telecoms, MIRc
FHP Reporting (DNBI, Class VIII)
Conduct MDMP thru coordination with TF Logistics Officer (S4) and Operations Officer (S3, FHP Planning)
What are the responsibilities of a treatment squad in a medical platoon?
Provides Role I Medical Care: Triage, Emergency Medical Treatment (EMT), Advanced Trauma Management (ATM), Sick Call Services. Limited PM and COSC support is provided.
Establish & Operate Battalion Aid Station (BAS) in direct support of battalion units.
The chemical agent decontamination kit is located with what team of the treatment squad in a medical platoon?
Team A only
A non stryker treatment squad in a medical platoon will consist of what personnel?
A = Doc , 68W3, 20, 10
B = PA, 68W20, 10, 10
**Look at the stryker slide which is similar but includes
A = Doc, 68W30, 10, 10 B = PA, 68W20, 10, 10
What are the responsibilities of the BN surgeon?
Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (As supervising physician).
Advises the battalion commander in regards to the health of the command and medical threats
Coordinates and oversees all medical training to include: CLS, 68W Sustainment, and Medical CEUs (Continuing Education Units).
Operates Battalion Aid Station (BAS) in direct support of battalion units
Assumes the role as the Medical Platoon Leader as needed
Oversees field medical record maintenance
What are the responsibilities of the BN PA?
Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (Assists physician).
Assists Surgeon in overseeing all medical training to include: CLS, 68W Sustainment, and Medical CEUs.
Operates Battalion Aid Station (BAS) in direct support of battalion units
What are the responsibilities of the Evacuation section of a medical platoon?
Provides medical evacuation from Casualty Collection Point (CCP) and enroute care to the BAS
Provides medical evacuation and enroute care on an area basis within the battalion AOR (Positioned at the BAS)
Works with the Line Medics/Trauma Specialists to assist company FHP/HSS plan
Conducts Class VIII Re-supply from BAS to maneuver companies
Maintains mission readiness of their ambulances
Describe the task organization of a treatment platoon in a role II/medical company
Treatment HQ
Medical Treatment squad
Medical Treatment squad (area)
Area support squad
Dental, lab, radiology, physical therapy sections
Patient hold squadWho are the personnel located in a treatment platoon HQ in a medical company?
Field medical assistant (70B)
Platoon SGT (68W40)
Patient ADMIN SPC (68G10)
What are the responsibilities of the treatment platoon HQ in a medical company?
Provides mission command of the platoon and platoon attached assets
Directs activities of the clearing station and monitors Class VIII supplies, blood usage and inventory roles
Tracks patients and coordinates evacuation to higher roles of care
Field Medical Assistant acts as platoon leader in garrison; generally retains position and responsibilities while deployed
Describe the personnel located in a medical treatment squad in a medical company
Team A = MD, 1 68W20 and 2 68W10
Team B = PA and 1 68W20 and 2 68W10
1 each team: TCMC kit/ vehicle
Also another 68W30 and 68W10 with a hmmv
What are the functions of a medical treatment squad in a medical company?
To reconstitute and reinforce treatment squads of the Battalion Aid Stations (BAS)
Provide emergency and routine sick call treatment to soldiers assigned to supported units
Can operate for up to 48 hours while separated from their parent unit
How long can a medical treatment squad in a medical company operate while separated from its parent unit
48 hours
The medical treatment squad (area) in a medical company consists of what personnel/equipment?
MD, 1 68W20 and 1 68W10 (compare to numbers of regular medical treatment squad, they lose one 68W)
PA and 1 68W20 and 1 68W10 (compare to numbers of regular medical treatment squad, they lose one 68W)
Kits: TCMC kit/ vehicle (compare to regular = gain 2 kits)
Also another 68W30 and 68W10 with an LMTV
What are the functions of the medical treatment squad (area) in a medical company
One treatment squad
Serves as base medical treatment element of a Role II Medical Treatment Facility (MTF)
Provides sick call services and initial resuscitative treatment – Advanced Trauma Management (ATM) and Emergency Medical Treatment (EMT) for supported units
What are the subordinate units to the evacuation platoon?
Evacuation squad (Area)
Evacuation squad (forward)
What are the functions of the evacuation platoon in a medical company?
Performs ground evacuation from lower roles to higher roles of care
Pre-positions ambulances at lower roles
Reconstitutes / reinforces ambulances from supported units
May be required to establish Ambulance Exchange Points (AXPs) or a shuttle system
What is the composition of the evacuation platoon HQ in a medical company
1 vehicle w/
1 field medical assistant (70B)
1 Platoon SGT (68W40)
What are the functions of the evacuation platoon HQ in a medical company?
Provides mission command for evacuation platoon operations
Maintains communications to direct ground ambulance evacuation of patients
Performs route reconnaissance and develops and issues graphic overlays to all its ambulance teams
Composed of a platoon leader (70B Field Medical Assistant) and a platoon sergeant (68W40)
What personnel are located within a armored or infantry BCT BMSO (Brigade medical supply office)?
1 each MEDLOG officer (70K) Senior MEDLOG NCO (68J30) MEDLOG NCO (68J20) Pharmacy NCO (68Q20) Med Repair NCO (68A20) MEDLOG SPC (68J10)
These two unit types do not have BMSO but do have MEDLOG positions assigned to HQ supply element
Stryker BCT
MCAS
Read this slide… and good luck (BMSO Medical Resupply Concept)
The BMSO / Med Supply Section has limited Class VIII / blood management capability and will maintain a Class VIII Authorized Stockage List (ASL) for immediate resupply of high-use / critical Class VIII items
Medical units will deploy with organic MES (sufficient to sustain operations for approximately 72 hours)
Initially, Class VIII resupply will be via push packages tailored to meet the need of the BCT. Combat-configured Class VIII push packages are shipped through the Corps MEDLOG company to the BMSO every third day or based on projected casualty estimates and usage
Supported units will order supplies from the BMSO, or Stryker BCT/MCAS Medical Supply Section, by line item through DMLSS Customer Assistance Module (DCAM); BMSO / Med Supply Section routes the request to the supporting MEDLOG Company by DCAM
Upon receipt of supplies, BMSO / Medical Supply Section distributes supplies by ambulance backhaul, BSB LOGPAC, or supply point distribution from the medical company area
Define secure
A tactical mission task that involves preventing a unit, facility, or geographical location from being damaged or destroyed as a result of enemy action. (FM 3-90-1) See also assault, breach, denial measure, destroy, reduce, suppress, tactical mission task.
Physical occupation not required
Define seize
(Army) A tactical mission task that involves taking possession of a designated area using overwhelming force. (FM 3-90-1).
Must physically occupy the ground
Define Clear
A tactical mission task that requires the commander to remove all enemy forces and eliminate organized resistance within an assigned area. (FM 3-90-1) See also reduce, tactical mission task.
Secure, seize and clear are defined in what Field Manual?
3-90-1
Define Delay
When a force under pressure trades space for time by slowing down the enemy’s momentum and inflicting maximum damage on enemy forces without becoming decisively engaged. (ADP 3-90)
Define Disrupt
A tactical mission task in which a commander integrates direct and indirect fires, terrain, and obstacles to upset an enemy’s formation or tempo, interrupt the enemy’s timetable, or cause enemy forces to commit prematurely or attack in piecemeal fashion.
An obstacle effect that focuses fire planning and obstacle effort to cause the enemy to break up its formation and tempo, interrupt its timetable, commit breaching assets prematurely, and attack in a piecemeal effort. (FM 3-90-1)
What document defines DELAY? What about Disrupt?
ADP 3-90
FM 3-90-1
Define On-Order mission
A mission TO BE executed at an unspecified time. (FM 6-0)
A mission which the force WILL accomplish at a later time; second in priority to any primary mission for planning; included in paragraph 2 of the OPORD
Define be-prepared mission
A mission assigned to a unit that MIGHT be executed. (FM 6-0) See also on-order mission.
A mission which the force MAY accomplish at a later time; next in priority to any on order mission for planning; not included in paragraph 2 of the OPORD.
What FM deals with on order and BPT missions?
FM 6-0
Define Destroy
A tactical mission task that physically renders an enemy force combat-ineffective until it is reconstituted.
Alternatively, to destroy a combat system is to damage it so badly that it cannot perform any function or be restored to a usable condition without being entirely rebuilt. (FM 3-90-1) See also reconstitution, tactical mission task.
Physical destruction over psychological destruction
Define defeat
To render a force incapable of achieving its objectives. (ADP 3-0)
May or may not entail the destruction of any part of the enemy force
Psychological over physical destruction
Which operational terms are defined by FM 3-90-1?
Secure, seize, clear
Disrupt
Destroy
Which operational terms are defined by ADP 3-0?
Delay
Defeat
(time and psych)
What FM will detail the main framed icone (ie type of unit) ?
FM 1-02.1
Match the icon with the function Tank track Rotary wing (bowtie) Crossed retorts (sad guy) CA Shield Tank track + X EW E/Bridge EOD Cannonball
Tank track - armor Rotary wing (bowtie) - aviation Crossed retorts (sad guy) - CBRN CA - civil affairs Shield - Combat support (maneuver enhancement) Tank track + X - (Combined Arms) EW - Electronic warfare E/Bridge - engineer EOD - EOD Cannonball - Field Artillery
Match the icon with the function MI MP Missile Circle + Arrow Balding guy/Bursting bomb SF Triangle SUST Wheel Stealth Wing
MI - military Intel MP - military police Missile - missile Circle + Arrow - mortar Balding guy/Bursting bomb - ordnance SF - special forces Triangle - surveillance SUST - sustainment Wheel - trans Stealth Wing - unmanned systems
Match the icon with the function Radar dome (curved line) Radar dome w/ MD Upside down V Tank track w/ slash Slash (cavalry bandoleer) Cross (crossed straps) Geneva cross Geneva cross w/ two hash marks Lightning flash
Radar dome (curved line) - Air Defense Radar dome w/ MD - Air and Missile Defense Upside down V - Anti Armor Tank track w/ slash - Armored Cavalry Slash (cavalry bandoleer) - Cavalry Cross (crossed straps) - Infantry Geneva cross - Medical Geneva cross w/ two hash marks - MTF/Hospital Lightning flash - Signal
What is slide 23 of the operational terms and symbols actually trying to say (Echelon above brigade/EAB unit designations)???
Long story short, the unit designation will go on top of the frame (IE X, II, XXXX) and the echelon which it supports will be a modifier in the section 2 (inside the frame)
**++ above the frame designates the unit as “Non-echelon command”
For framed icons, what is an echelon? We designate them? Where are they placed?
Echelons are separate levels of command. This amplifier is placed in Field B.
Team/crew = zero with slash Squad = one dot section = two dots PLT/detachment = three dots Company/battery/toop = I BN/Squadron = II Regiment/group = III Brigade = X Division = XX Corps = XXX Army = XXXX Army Group = XXXXX Theater = XXXXXX
Command = ++ (independent support command)—A unit specifically supporting a theater or corps command.
What is the army maintenance standard based on?
10/20 equipment technical manuals
Fully mission capable (FMC) means what? (seven things)
(FAULTS) All faults are identified using “items to be checked” column of 10 and 20 series PMCS tables
(REPAIRS/SERVICES) All repairs, services and other work to correct field-level equipment/faults have been corrected IAW DA PAM 738-751 or 750-8
(PARTS/SUPPLIES) Parts and supplies are on a valid funded requisition IAW 710-2
(SUSTAINMENT LEVEL) Turn in stuff that can’t be fixed @ field level to sustainment people IAW 710-2 w/ appropriate documentation
(ROUTINE SERVICES) Scheduled services have been performed at appropriate service interval
(MWO) All routine, urgent and emergency MWOs are applied and reported
(BII/COEI) All authorized BII and COEI are present or on valid supply reques
What DA PAM covers fault/equipment correction
DA PAM 738-751 or 750-8
What AR covers inventory, equipment turn in, requisition of parts?
AR 710-2
What AR covers MWOs
AR 750-10
Define non-mission capable. What are the two levels?
A materiel condition indicating that equipment cannot perform any one of its combat missions
NMC is divided into NMC maintenance or NMC supply
What are the two catagories of the the army maintenance system?
Field and sustainment
What are the characteristics of the two-level maintenance system?
Less maintenance echelon
Return to fight faster
Reduce logistics footprint in the battle space
Define sustainment maintenance (7)
Commodity oriented repair of components and end items
Structured echelons above brigade combat teams
tactical, installation, depot and contractor activities
Troubleshooting, repair and return to the SUPPLY system
JOB SHOP/Production line
Depot maintenance is a distinct sub-set
Utilizes Logistics Management Program to track*
Define Field maintenance (5)
Repair and return to the OPERATOR/USER
OPERATOR/CREW is NUMERO UNO critical operation
Operators perform PMCS and assist in services
Mechanics troubleshoot, replace, inspect, do Modified Work Notices and utilize Technical Manuals
Tracked via GCSS-Army
Off System Disassemble/Assemble Repair to national standard Wide variety of tools REBUILD
Describes what type of maintenance actions
Sustainment
On or near system Use of Line Replaceable units (LRU) Fewer actions requiring tools CREW level maintenance tasks (PMCS, ID corrosion, lube, clean, preserve, tighten, replace, minor adjustments) REPLACE
Describes what type of maintenance actions
Field
GCSS army is ….
A fully integrated, web-based, logistics information system.
Logistics superiority
Supports JOINT operations
Addresses short falls
Efficient, effective, economical
COMBAT MULTIPLIER
What is the tactical logistics portion of the army ERP solution?
GCSS-army
Access to GCSS army provides the following 3 thing
Interfaces to national level systems
Best business practices
Intergration across all tactical business areas
SSA actions in GCSS army
Receive, Issue, Putaway, Inventory
Match the transaction (t-codes) with the appropriate catagory
IW29
IW39
VL061
Z_EQUST
IW29 = open/closed notifications
IW39 = Open/closed work orders
VL061 = Inbound delivery monitor
Z_EQUST = Equipment statur report
What is the DA form for dispatch
5987?
What is the DA form for military drivers license?
DA form 5984-E
Oil analysis is required on what types of equipment?
Aeronautical
Ground Combat Equipment
Locomotives
Watercraft components
Support equipment
What is BDAR? Who’s responsibility is it?
BDAR uses emergency expedient repairs to return an item to a fully or partially mission-capable status, rapidly returning disabled equipment to combat, or to enable the equipment to self recover
Commanders
What is TMDE?
Test, Measure, Diagnostic Equipment
any system or device used to evaluate the operational condition of equipment and their potential malfunctions
IE barrel erosion gage, radio test set, torque wrench
What is the army’s authoritative location for all material stakeholders to access material data?
This also provides leaders with visibility on parts tracking, equipment reset, electronic TMS, end item tracking, etc…
Logistics Information Warehouse (LIW)
What regulation establishes standards, policies, procedures for the selection, training, testing, and licensing of operators of army wheeled and tracked vehicles and equipment?
AR 600-55
The army driver and operator standardization program
What is AR 600-55
What regulation establishes standards, policies, procedures for the selection, training, testing, and licensing of operators of army wheeled and tracked vehicles and equipment?
Who needs a license?
Any soldier who operates Army equipment, identified by make and model
What are the prerequisites and considerations for an army license to drive
Valid drivers license
mental/emotionally stable
no alcohol or drug incidents
good driving record
What is the evaluation process for a military drivers license and can it be delegated?
Commanders interview
Physical exam
Drivers training
Testing (written, PMCS, Road)
No
When is PMCS conducted
Before, During, After
Weekly at least
What form will you annotate faults during a PMCS
5988-E
What DA PAM will help you gain a better understanding of the CMDP (command maintenance discipline program)
DA PAM 750-1
What is the first level of unit that performs all 10 medical functions?
Echelons above brigade units
What elements provide medical mission command and administrative supervision of assigned and attached medical units
MEDCOM (Deployment Support)
MEDBDE (Support)
A multifunctional medical BN fall under what unit hierarchy?
MMB (also Field hospital and FST/FRST) falls under a MEDBDE which is under a MEDCOM
A multifunctional organization which can provide the requisite planning, synchronization, and coordination for modular medical companies, detachments, and teams/elements
This describes what type of unit?
Multifunctional Medical BN
What is the mission of a MMB?
Scalable, flexible, modular medical mission command.
Admin assistance
logistical support
Technical supervision
What is the only organic part of an MMB?
BN HQ and HHD
Who task organizes the MMB based on METT-TC
MEDCOM (DS) or MEDBDE
What are the EAB medical units provided via MMB capabilities?
MCAS Medical company ground ambulance MEDLOG company Medical detachment BLOOD support Medical detachment VETERINARY service support Medical detachment PREV MED Medical detachment COSC Dental company area support Area medical laboratory
What are the mission and capabilities of the Medical Company Ground Ambulance?
Mission : Provide ground evac w/in theatre of operations
- evac from medical companies to AOR hospitals
- Augment medical company evac assets
- Move PTs between hospitals or to aeromedical staging areas to move out of theater
- emergency movement of medical personnel and supplies
Describe the medical detachment blood support
- Collect, manufacture, store and distribute blood to EAB units
- Attached to MMB usually. 5 person forward distribution section attached to MEDLOG company
RBC = MC at role II
FFP
PLT and FWB = collected in theater
Where are PLT and FWB collected?
In theater
Describe the Medical Logistics Company
Class 8
Med maintenance
Optical lens
Patient movement items
NO ORGANIC BLOOD w/o medical detachment blood support
Describe the medical company area support (MCAS)
ROLE 2 company +/- role 1 support to units who don’t have that.
Provide: Sick call/tx Ancillary services Evac MEDLOG Behavioral health
May reinforce support to BCT
What is an FST
Forward Surgical Team
20 person team w/ 2 OR tables
Can handle up to 30 critically wounded or injured PT over 72 hours
Post OP nursing for up to 8 patients at a time
Either attached to a med company or field hospital
What does the FST require from medical company of Field Hospital?
External support including:
Food and water Maintenance Pt reg and evac coordination Security NBC decontamination
What type of specialties/troops are represented in an FST?
General surgeon Ortho surgeon Preop nurse Med Surg nurse CRNA MS officer OR NCOs LPN Medics
Define medical evacuation
The timely and effective MOVEMENT of wounded, injured, or ill to and between medical treatment facilities on dedicated and properly marked medical platforms with en route care provided by medical personnel
What is the ONLY factor used to determine the evacuation precedence?
Pts medical condition
List and define the categories of evacuation precedence
1 = Urgent: ASAP, max 1 hour, life limb eyesight
1A = Urgent surgical: same, need surgery
2 = Priority: Prompt med care. Four hours or special tx
3 = Routine: 24 hours
4 = Convenience: convenience vs necessity
Detainees requiring medical evac are _________ _______ from US and multinational patients
Physically segregated
Who provides guards for the transport of detainees?
The agency who requested medevac
Who must the evacuation of detainees be reported to?
To detainee operations medical director and next higher HQ. Disposition instructions will be given by MEDBDE (SPT)
What is the MEDBDE (SPT) patient movement branch responsible for during detainee evacuation?
Coordinate transportation means
ID the MTF to take the detainee to
Coordinate with the Detainee Reporting system
Define full accounting for remains
Proper identification explanation as to the cause and manner of death
Providing full accounting takes precedence over any procedure that may or may not preserve remains
What are the three phases of search and recovery operations?
Combat, post combat and area clearance
Discuss the mortuary affair program steps
Starts at the unit level with SR
Continues until remains are returned to the PADD (Person Authorized to Direct Disposition) and all PE (personal effects) is returned to the PERE (Person eligible to receive effects)
BCTs have how many Mortuary affairs soldiers (92M)
1
Mortuary affairs collection point (MACP) are generally co-located with what level of care?
Role 2 and 3
The TMEP (Theater Mortuary Evacuation Point) is located where?
Major aerial port of embarkation
Remains will be with deceased’s family within how many hours?
72-96
How do you prepare a casualty post mortem
Place body on litter in supine position and close the eyes
Lightly tie the wrists together. May require bandage to lower jaw to keep mouth closed
Pass along all PE (IOTV/Kevlar)
DON’T REMOVE any treatment adjuncts
What tags are required for proper of identification of remains
Two on the body: Great toe and wrist
One on zipper of the pouch
Refrigeration of remains should be what temperature range? What if no refrigeration is available?
34-37 degrees F
Ice but not directly on skin
For pre-deployment healthcare requirements, what do you need.
DNA Specimen Immunizations (Theater Specific) Eyeglasses (2 pairs, inserts) Hearing Aid/ batteries Medical Warning Tags Preventive Medical Threat Brief Medical Records Review Pregnancy Test Prescription – 90 day supply Behavioral Health Assessment
also
HIV screening & blood to repository
DD Form 2766 Adult Preventive and Chronic Care Flowsheet
No Permanent Physical Profile 3 and 4 can deploy without Medical Evaluation Board (MEB) and retention by Physical Evaluation Board (PEB)
What is the pre-deployment health assessment DD form number and what are the time frames required?
DD 2795
Part I completed online and Part II with a provider
Part II completed within 30 days of Part I completion
Parts I and II may be completed within 120 days of deployment, but must be validated as current within 60 days of deployment
Positive responses on what section of the PDHA require referral to a credentialed provider?
Positive responses on # 2,4,7,8 referred to credentialed provider: MD, DO, NP, PA, nurse, or independent duty corpsman/technician
DD 2795 determines if a SM is _______ or not _____. If referral is required and resolved, that SM is ________.
Deployable or not deployable
Deployable
The 2795 (PDHA) will be placed in what two places when complete?
Copy of the 2795 if placed in the 2766 (Flowsheet)
Also, original will be placed in permanent record.
What are the elements of the redeployment process
HIV screening and blood repository
DD 2796 and follow-up referral
Tuberculin testing at redeployment and at 3-6 months
Medical threat and benefits briefings with handouts
Malaria chemoprophylaxis
What are the post-deployment health requirements? (Timeframe and people involved)
Part I is done using AKO and within 30 days of part II
Part I is usually done while still deployed, but can be done upon arrival to home station in conjunction with Part II
Part I done through AKO and can be accessed the same way as the Pre-DHA, except select DD 2796 instead of DD 2795 (See slides 11-16)
**Part II must be completed within 5 days of redeployment and filed in records within 30 days of redeployment
Part II must be completed by a credentialed provider (Physician, PA, NP, Nurse, or Independent Duty Corpsman/Technician)
The PDHA redeployment is divided into what 3 sections?
General Health Questions
Occupational/environmental exposure
Behavioral health
What is the DD 2766?
Adult Preventive and Chronic Care Flowsheet
What are the 3 potential sources of exposure concerns on the DD2796
Ambient environment
occupational exposure
Wartime agent usage
The exposure concern work up on the DD 2796 is a five step process involving what?
– Is there a plausible exposure?
– Could there be a health effect?
– Could the exposure be related to the health effect or could there be a latent effect?
– Were objective measures taken?
– Were others affected?
When is the PDHRA (2900) required to be completed?
Completed 90-180 days upon redeployment
Part II must be completed within 180 days
Before planning platoon training, the platoon leader reviews the company commander’s training guidance and intent to verify:
The mission-essential tasks (MET) the company will Battle Focus training.
The platoon’s battle task proficiency requirements.
The operational environment to replicate?
When the platoon must be Battle Task proficient?
Additional planning guidance.
How do we Analyze Company Training Guidance/
Company Unit Training Plan (UTP)
Training mission statement
Commander’s intent for training
The UTP calendar
What is a battle task, who determines them, what does this provide the platoon?
A Battle Task is a collective task a platoon or lower echelon trains that supports a company MET.
Battle tasks are determined by the platoon leader and platoon sergeant. They are approved by the company commander.
Battle tasks provide the platoon Battle Focus.
What is the 8 step training model?
- Plan the training event
- Train and certify leaders
- Recon training sites
- Issue the OP ORDER
- Rehearse
- Execute the training
- Conduct an AAR
- Conduct retraining
What are examples of individual training
Warrior tasks
Skill level 1
Battle drills
Weapons proficiency
What are the 4 platoon training techniques
Drills
Lanes
Hip pocket
Sergeants time training
What is a drill?
Drills provide standard actions that link Soldier and collective tasks at platoon level and below. There are two types of drills—battle drills and crew drills.
What is a battle drill and a crew drill
A battle drill is a collective action where Soldiers and leaders rapidly process information, make decisions and execute without a deliberate decision-making process.
A crew drill is a collective action that the crew of a weapon or piece of equipment must perform to use the weapon or equipment.
At what level and below are lanes designed to be used?
Lane training is a company and below training technique designed to practice, observe, and evaluate individual tasks, collective tasks, or battle drills.
How is a lane organized
Assembly area
Rehearsal
Task execution
AAR
Go/NOGO
Exit or retrain
In _______training, a small unit operates from a stationary position or tactically moves mounted or dismounted through a prescribed land course (a lane).
Lane
___________ training consists of individual tasks and crew-based skills trained when there are inactive periods (down time) during scheduled training.
Hip-pocket
What is required to conduct hip pocket
Forethought
Leader certification
Resourcing
