Strategic, Operational, and Tactical Levels of Medical Logistics in the Army, Exams of Health sciences

Download Strategic, Operational, and Tactical Levels of Medical Logistics in the Army and more Exams Health sciences in PDF only on Docsity! 1 | P a g e AMEDD BOLC FINAL EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!|GUARANTEED PASS| LATEST UPDATE What services are provided by the Area Support SQD? •Emergency dental treatment •Basic diagnostic lab services and specimen collection •Routine X-Ray and radiographic film processing capability What area support SQD personnel are only fond in BSMCs, not MCASs? Physical therapist (65B) and Physical therapy NCO (68F20) What personnel make up the Evac PLT HQ in MCAS and all BCTs? 1 Field Medical Assistant (70B) 1 PSG (68W40) What is the role of Evac PLT HQ? •Provides mission command for evacuation platoon operations •Maintains communications to direct ambulance evacuation of patients •Performs route reconnaissance and develops and issues graphic overlays to all its ambulance teams What are the functions of the Evac SQD (forward) and Evac SQD (area)? Forward: •Provides evacuation between the Battalion Aid Stations (BAS) and the Ambulance Exchange Points (AXPs) / Brigade Support Area (BSA) •Reconstitutes & reinforces Battalion Aid Stations (BAS) Area: 2 | P a g e •Provides evacuation within the Brigade Support Area (BSA) or between the Ambulance Exchange Point (AXP) and the Brigade Support Area (BSA) How is Class VIII resupplied? 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 What do Secure, Seize, and Clear mean? Secure: preventing a unit, facility, or geographical location from being damaged or destroyed as a result of enemy action. Physical occupation NOT required Seize: Employ combat forces to occupy physically and to control a designated area. Clear: Remove all enemy forces and eliminate organized resistance within an assigned area. What do Delay and Disrupt mean? 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. Disrupt: Integrates direct and indirect fires, terrain, and obstacles to upset an enemy's formation or tempo, interrupt his timetable, or cause enemy forces to commit prematurely or attack in piecemeal fashion. What do "On order" and "Be prepared" mean? On order: 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. Be prepared: 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 does Destroy and Defeat mean? Destroy: To render the opposing force combat ineffective unless reconstituted. Physical destruction over psychological destruction Defeat: To render a force incapable of achieving its objectives. May or may not entail the destruction of any part of the enemy force. Psychological over physical destruction What does Screen mean? To provide early warning for the main body by maintaining contact with the opposing force -Does not become decisively engaged (loses the ability to maneuver) What does Guard mean? 5 | P a g e Include: •Destination •Timeline What actions are done during the "Make a Tentative Plan" step of TLPs during convoy planning? -Mission analysis (mission, enemy, terrain, weather -Courses of action (COA) -COA analysis/comparison of results -Select a COA -Analyze data What actions are done during the "Initiate Movement" step of TLPs during convoy planning? -Identify and alleviate shortfalls. -Determine fuel requirements. -Determine requirements for all classes of supply. -Coordinate load pickup. -Coordinate movement preparations. -Determine billeting and messing support. -Coordinate procurement and maintenance of navigation assets. -Evaluate environmental impact. What actions are done during the "Conduct Route Reconnaissance" step of TLPs during convoy planning? -Ensure route will support vehicles -Determine critical points, choke points, potential ambush sites -Assess safety risks Route may be pre-determined What are the three types of reconnaissance? • Map • Aerial • Physical What is the optimum size of a convoy and why? About 30 vehicles • Easier to control • Minimal interference with civilian traffic • Fewer stops for vehicle recovery • Present a formidable presence What should be considered when determining the method of movement in a convoy? 6 | P a g e -Speed -Interval -Formations -Road occupation • Frequent lane changes • Specific lane or lane changes at critical points • Middle of the road • Treatment of civilian traffic How should a convoy be organized? -Heaviest vehicle is the Pace Setter -Gun truck in front of or behind the Pace Setter -Gun truck behind the commander's vehicle -Maintenance/Recovery Team near the trail -ACC/Trail Officer and CLS in rearward vehicle -Gun truck as trail vehicle -Scatter additional CLS throughout the convoy Where does the CDR ride in a convoy? Wherever he or she can effectively command and control the convoy based on METT-TC. How is information gathered for a convoy? -Gather maps and overlays -Review slides from recent briefings -Gather publications -Determine possible convoy routes -Obtain intelligence data -Analyze data -Conduct route reconnaissance The Risk Assessment analyzes what 5 elements? 1)Assess terrorist threat 2)Determine critical assets 3)Determine asset vulnerabilities 4)Analyze the risk 5)Develop courses of action What are the 5 steps of a risk assessment? 1)Identify the hazards 2)Assess the hazards 3)Develop controls and make risk decisions 4)Implement controls 5)Supervise and evaluate 7 | P a g e What should be included in a strip map? -Start point (SP) -Release point (RP) -Route numbers -Town names -Critical points -Distance between points -Total distance of the route -North orientation -The phrase "Not to scale" Who do you need to coordinate with to get route clearance? BN S-3 or S-4 What should you be prepared to proved to get a route clearance? • Projected route • Alternate routes • Number of vehicles • Number and description of tracked vehicles • Description and amount of hazardous/sensitive cargo • Weight/dimensions of largest/heaviest vehicle(s) • Strip map • Convoy manifest How should commercial vehicles be placed in a convoy? -Intersperse commercial vehicles throughout the convoy -Pair each commercial truck with a military vehicle A convoy brief is given in what format? 5 Paragraph Field Order Format (Same as OPORD format) What is a convoy? • Group of six or more vehicles temporarily organized as a column, with or without escort, driving together under a single commander • Ten or more vehicles per hour dispatched to the same destination, over the same route • Five or fewer vehicles operating as a column, with or without escort, proceeding under a single commander What type of convoy identification is used on the lead, trail, convoy CDR, at night, trail part, and all vehicles? 10 | P a g e -Patient Movement Items (PMI) No organic blood support What AMEDD functions are included in Preventative Medicine services? •Dental Services •Combat Operational Stress Control •Preventive Medicine •Veterinary Services •Area Medical Laboratory Services and Support What 2 types of care does a Dental Company Area Support provide? Emergency Care -Relief of oral pain or infection -Control life-threatening conditions -Treatment of mouth trauma Essential Care -Dental treatment necessary to intercept potential emergencies What are the mission and capabilities of Medical Detachment Veterinary Service Support? Mission: Provide advice and consultation in health threat assessment, FHP, environmental sanitation, epidemiology, sanitary engineering, and pest management. Capabilities: -Roles 1 and 2 care to military and contractor working dogs -Role 3 advanced canine medical and surgical care -Commercial food source audits for DOD procurement -Food safety, quality assurance, and sanitation inspections -Disease epidemiology surveillance and control In what areas does a Preventative Medicine Detachment provide support? -DNBI surveillance and epidemiology -Health physics -Medical Entomology -Environmental health assessment and engineering -Health Education and Promotion (training to units in AOR) -Retrograde cargo inspection What are the mission and capabilities of an Area Medical Laboratory? Mission: Identify and evaluate health hazards in the AO through medical laboratory analyses and rapid health hazard assessments Capabilities: 11 | P a g e -Identify CBRN threat agents -Help identify of OEH hazards and endemic diseases -Evaluate specimens for presence of infectious or hazardous agents of operational concern -Data analysis -Medical laboratory analysis What are the capabilities of the Forward Surgical Team? -Perform triage/ preoperative resuscitation, initial surgery, and postoperative nursing care for up to 30 patients over 72 hours -Post-operative nursing care for up to 8 patients simultaneously prior to further evacuation -Operationally attached to medical company (BSMC or MCAS); otherwise attached to a Combat Support Hospital -100% mobile Does an 84 bed or 164 bed hospital have Early Entry Hospitalization Element (EEHE)? 84 bed What are added services that a 164 bed hospital has over an 84 bed hospital? -Organic dental services section -Provides OR capabilities for general, orthopedic, thoracic, urological, and gynecological surgery What are the mission and capabilities of a Minimal Care Detachment? Mission: Provide minimal and convalescent care for CSH patients expected to RTD in theater. Considered to be a Role 3 enhancer. Capabilities: -Physical therapy + occupational therapy services. -Oversight of holding and monitoring facilities -No assigned vehicles Where is a Minimal Care Detachment assigned/attached? Assigned to a MEDBDE; attached to a CSH for all life support and transportation requirements What types of hospitals provide hospitalization for Role 4? -Department of Veteran Affairs (DVA) Hospitals -Civilian hospitals beds activated through the National Disaster Medical System (NDMS) What is a plan? A design for a future or an anticipated operation What are the 3 levels of plans? 12 | P a g e 1. Tactical: The employment of units in operations 2. Operational or campaign: A series of related military operations to accomplish a strategic or operational objective 3. Strategic: The overall conduct of a war What is an Operation Plan (OPLAN)? Any plan for the preparation, execution, and assessment of military operations -CDRs may begin preparation for possible operations by issuing this When does an OPLAN become an OPORD? When the commander sets an execution time What are the 3 types of orders? 1. Operation Order (OPORD) - Directive from commander to coordinate the execution of an operation 2. Warning Order (WARNORD) - Preliminary notice of an order 3. Fragmentary Order (FRAGORD) - Timely changes of existing orders What are the 5 paragraphs of an OPORD? 1. Situation 2. Mission 3. Execution 4. Sustainment 5. Command and Signal What is included in the situation portion of an OPORD? -Rea of interest -Area of operations (terrain and weather) -Enemy Forces -Friendly Forces -Interagency, Intergovernmental, and Nongovernmental Organizations. -Civil considerations -Attachments and detachments -Assumptions What is the area of interest and area of operations? Area of interest: Area of concern to the commander, extending into enemy territory to the objectives of current or planned operations Area of operations: Defined by joint force CDR; large enough for component CDRs to accomplish missions and protect forces 15 | P a g e Information management tool to organize, simplify and add clarity to an OPLAN/OPORD •Annexes •Appendixes •Tabs •Exhibits What format are attachments written in? The 5 paragraph OPORD format -unless they are matrixes, overlays or lists What is the PL's role in Company Training? -Support the commander's training mission -Keep the platoon's training proficiencies current and to standard -Develop platoon training plans that support the company -Identify and request platoon training resource requirements -Record platoon and squad training proficiencies -Develop innovative and challenging training for the platoon and Soldiers What are some training resources? -Doctrine -Command training guidance -BN and company SOPs -Command and installation training directives -Web-based training resources (ATMS, ATN, CATS, DTMS) What must the PL verify before planning PLT training? •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. What is a Battle Task? A collective task a PLT or lower echelon trains that supports a company MET. Provide the platoon Battle Focus. Determined by PL and PSG. Approved by the company CDR What are the steps in the 8 Step training model? 16 | P a g e 1. Plan the training event 2. Train and certify leaders 3. Recon training sites 4. Issue the event OPORD 5. Rehearse 6. Execute the training 7. Conduct an AAR 8. Conduct retraining What are the types of platoon training techniques? •Drills •Lane Training •Hip-pocket training •Sergeant's time training (STT) What are drills? Describe the 2 types? Drills provide standard actions that link Soldier and collective tasks at platoon level and below 1. Battle drill: Soldiers and leaders process information, make decisions and execute without a deliberate decision-making process 2. Crew drill: Collective action that the crew of a weapon or piece of equipment must perform to use the weapon or equipment What is lane training? A company and below training technique designed to practice, observe, and evaluate individual tasks, collective tasks, or battle drills. -small unit operates from a stationary position or tactically moves mounted or dismounted through a prescribed land course What is hip-pocket (opportunity) training? Individual tasks and crew-based skills trained when there are inactive periods (down time) during scheduled training -Requires forethought, leader certification and resourcing What is sergeant's time training? Provides scheduled training time set aside by unit commanders for unit NCOs to train their Soldiers in specified tasks and skills. What ships are in a Carrier Strike Group (CSG) in the Navy? -Aircraft carrier -Aegis cruisers -Aegis destroyers 17 | P a g e -Destroyers -Guided missile frigate -Attack submarines -Underway replinishment When does an Amphibious Assault Ship (LHD/LHA) transform into a Casualty Receiving and Treatment Ship (CRTS)? Once the ship arrives at its objective and the Marines depart the ship. What are the primary and secondary missions of Navy hospital ships? 1: Provide a rapidly responsive, flexible, mobile medical capability for acute medical care 2: Provide mobile surgical hospital service for use by appropriate U.S. Government agencies involved in disaster or humanitarian relief What are the 2 Navy hospital fleets and where are they located? 2nd Fleet = USNS COMFORT, Baltimore, MD 3rd Fleet = USNS MERCY, San Diego, CA What is an EMF (Navy) and what are its capabilities? Expeditionary Medial Facility -Like a field hospital and has same capabilities as a Role 3 What ashore deployable medical capabilities does the Navy have besides the EMF? Task Organized Capabilities Based Support: •SPRINT (Psychiatric) •Specialist Support (Trauma) •Disaster Support (OB/Pediatrics/Family Practice/Geriatrics) Navy Environmental and Preventive Medicine Units (NEPMU): •Preventive Medicine •Disease/Vector •Chemical/Radiological •Microbiology Each Marine Air Ground Task Force (MAGTF) has what 4 core elements? •Command Element (CE) •Air Combat Element (ACE) = Role 1 •Ground Combat Element (GCE) = Role 1 •Logistics Combat Element (LCE) = Role 1 & 2 In a Marine infantry BN, where can the medical PLT be found? In the Headquarters and Service (H & S) company 20 | P a g e -MEDCOM (DS) -Theater lead agent for Medical Material (TLAMM) -Medical Logistics Management Center (MLMC) -Medical Material Center (MMC) What is medical evacuation? Timely and effective movement of the 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 are the 2 types of medical evacuation support? 1. Direct support: Requiring a force to support another specific force 2. Area support: A method of logistics, medical support, and personnel services What are the primary tasks of MEDEVAC? -Acquire and locate -Treat and stabilize -Intratheater Medical Evacuation -Emergency movement of medical personnel, equipment, and supplies What is the only factor used to determine the evacuation precedence? The patient's medical condition What are the categories of evacuation precedence? Priority I—URGENT Priority IA—URGENT-SURG Priority II—PRIORITY Priority III—ROUTINE Priority IV—CONVENIENCE 9 line medevac Line 1 - Location Line 2 - Radio Frequency, Call Sign, Suffix Line 3 - Number of Casualties by Precedence Line 4 - Special Equipment Needed Line 5 - Number of Casualties by Type Line 6 - Security of the Pick-up Site Line 7 - Method of Marking the Pick-up Site Line 8 - Casualty Nationality and Status Line 9 - CBRN What is the focus of the medical planning process? 21 | P a g e Quickly develop a flexible, tactically sound, fully integrated and synchronized plan that supports the tactical commander's mission What are the responsibilities of the medical planner? -Analyzes medical requirements before, during, and after all phases of an operation -Conducts medical estimate (mission analysis) while tactical staff does MDMP ("parallel planning") -Develops medical plan for each COA developed -Considers medical support capability of each proposed COA -Integrates the medical plan with the tactical plan What are the 10 AMEDD functional areas? 1.Medical Treatment 2.Evacuation & Medical Regulating 3.Preventive Medicine 4.Medical Logistics & Blood Management 5.Medical Mission Command 6.Hospitalization 7.Combat and Operational Stress Control 8.Laboratory 9.Veterinary 10. Dental What are the 6 principles of the Army Health System? Describe them. 1.Conformity −Ensures comprehensive AHS support plan conforms to tactical plans −Medical assets are placed on the battlefield properly 2.Proximity−Provide medical support at the right time and place −Medical resources used as far forward as possible, without impeding operations 3.Flexibility−Ability to shift AHS resources to meet changing battlefield requirements −Effectively managing medical resources to benefit greatest number of Soldiers in AO 4.Mobility−AHS assets remain in supporting distance to support maneuvering forces -Vehicle hardening equal to that of supported unit 5.Continuity−Patient moves through progressive, phased roles of care −Each Soldier gets care required to optimize outcome 6.Control−Resources efficiently employed −Ensure scope and quality of medical treatment meets professional standards and policies What is a medical estimate? A continuous process which systematically examines all aspects of operations -Produces task organization for decentralized execution and flexible medical support on the battlefield 22 | P a g e The main purpose of medical analysis should be to examine what seven areas? 1)Enemy situation 2)Friendly situation 3)Characteristics of the Area of Responsibility (AOR) 4)Strengths to be supported 5)Health of the command 6)Facts and Assumptions 7)Specified, Implied, and Essential Tasks What is analyzed in the Enemy Situation area of medical analysis? -Strength and location -Combat efficiency -Capabilities -Logistics -EPW casualty estimate What is analyzed in the Friendly Situation area of medical analysis? -Strength and disposition -Combat efficiency -Rear battle plan -Weapon systems What is analyzed in the Characteristics of AOR area of medical analysis? -Terrain - Obstacles, Avenues of Approach, Key Terrain, Observation and Fields of Fire, Cover and Concealment (OAKOC) -Weather -Flora and fauna What is analyzed in the Strengths to be Supported area of medical analysis? Medical requirements for: Joint Services Allied Forces Coalition Forces Refugees Civilian population of Host Nation Enemy Prisoner of War (EPW) population Department of Defense (DOD) personnel What is analyzed in the Health of the Command area of medical analysis? Medical Readiness of the Soldier includes: 25 | P a g e Road networks Enemy Threats (IEDs, RPG, etc.) What are the advantages and disadvantages of air evacuation? Advantages: Airlift medical supplies and medical personnel Avoid Traversing difficult terrain Reduce patient discomfort Range and Speed Disadvantages: Adverse weather Enemy air-to-air threat Enemy Anti-aircraft weapons More difficult to get approval for use What is medical plan evacuation criteria based on? Commander's Intent, and Commander's Guidance Describe the decision matrix -A decision matrix provides the medical planner with a tool for evaluating COAs. -Criteria is established based on mission, Commander's Intent, and Commander's Guidance -Weights are assigned to each criteria in relation to its importance in accomplishment of the medical plan -Scores are totaled with lowest number being best Once the commander selects a COA, what must the medical planner do? Refine and publish the medical plan (medical appendix) Who does the medical planner coordinate with to publish the medical plan? G/S-1 and G/S-4 (and any other key Sustainment planners) What are two critical products needed for the medical plan? COA Sketch (cartoon) Medical Synch Matrix What is the mission of the medical platoon? Directly support a maneuver battalion, providing all Role I FHP/HSS on an area basis within the unit's AOR; located in the CTCP. 26 | P a g e What are the three types of BCTs and The Battlions within those BCTs that have organic medical platoons? 1. IBCT -Cavalry, infantry, fires 2. Stryker BCT -Cavalry, stryker, fires 3. Armored Brigade -Calvary, combined arms, fires Medical Platoons are organic to what units? 1.Maneuver Battalions 2.Cavalry Squadrons 3.Field Artillery Battalion What are the organization of the medical platoon in infantry, stryker, and armored BNs? HQ Section Treatment SQD -Team A -Team B Evac Section Combat Medic section What are the HQ section responsibilities? 1.Mission command 2.Manages the battalion's evac assets (Includes coordinating MEDEVAC) 3.Manages the battalion's medical logistics 4.Manages the platoon's maintenance program 5.Develops the battalion FHP/HSS plan 6.Normally co-located with a treatment squad to form the Battalion Aid Station (BAS) What are the capabilities of the HQ section? 1.Maintain mission command (MEDEVAC, Situational Understanding, FHP Planning) thru BFT, FM radio, Telecoms, MIRc 2.FHP Reporting (DNBI, Class VIII) 3.Conduct MDMP thru coordination with TF Logistics Officer (S4) and Operations Officer (S3, FHP Planning) What are the responsibilities of the treatment squad? 27 | P a g e 1. Provide Role I Medical Care: Triage, Emergency Medical Treatment (EMT), Advanced Trauma Management (ATM), Sick Call Services. Limited PM and COSC support 2. Establish & Operate Battalion Aid Station (BAS) in direct support of battalion units What are the capabilities of the treatment squad? •Provide Role I Medical Care using Medical Equipment Sets (MES) •Squad Consists of (2) Treatment Teams with the ability to conduct split operations What are the responsibilities of the BN Surgeon? 1.Provide Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (As supervising physician) . 2.Advise the BN CDR regarding health of the command and medical threats 3.Coordinate and oversee all medical training to include: CLS, 68W Sustainment, and Medical CEUs 4.Operates Battalion Aid Station (BAS) in direct support of BN units 5.Assume role as the Medical PL as needed 6.Oversee field medical record maintenance What are the responsibilities of the BN PA? 1.Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (Assists physician). 2.Assists Surgeon in overseeing all medical training to include: CLS, 68W Sustainment, and Medical CEUs. 3.Operates Battalion Aid Station (BAS) in direct support of battalion units What are the responsibilities of the Evacuation Section? 1.Provide medical evacuation from CCP and enroute care to the BAS 2.Provide medical evac and enroute care on an area basis within the battalion AOR (Positioned at the BAS) 3.Work with the Line Medics/Trauma Specialists to assist company FHP/HSS plan 4.Conduct Class VIII Re-supply from BAS to maneuver companies 5.Maintain mission readiness of their ambulances What are the 3 types of ambulance vehicles? 30 | P a g e •In combat predominately dismounted •Vulnerable to enemy artillery attack and heavy forces Who commands a Division? 2 star general What are the supporting brigades of a division? -Battlefield service BDE (BFSB) -Aviation -Maneuver Enhancement -Fires -Sustainment What elements make up a Corps? 2-4 divisions, supporting brigades, theater sustainment command, and Marine Expeditionary Force or Multi-National Forces based on METT-TC What does the number and type of supporting brigades depend on? The mission What are the critical capabilities of Army Special Operations Forces (ARSOF)? 1. Special Warfare -Unconventional warfare -Foreign internal defense -Psychological operations -Civil-military operations 2. Surgical Strike -Counter-terrorism -Counter-proliferation -Direct action -Recovery operations What is the role of staff? •Helps commander understand, visualize, describe, and direct the battle •Establishes and maintains coordination and cooperation both internally & with staff of higher, lower, & adjacent units •Always focuses on helping the commander and subordinate units •Commander may delegate authority to his staff, but not responsibility •Exists at Battalion level and higher 31 | P a g e What are the different staff designators and when are they used? -S for staff under a COL or LTC (BDE and BN) -G for staff under a General Officer (DIV, Corps, Army) -J for staff working for Joint Staff What is the role of the Chief of Staff/ Executive Officer (XO)? •Commander's main assistant for directing, coordinating, supervising, and training the staff •Integrates & synchronizes the war fighting plans •Manages the Commander's Critical Information Requirements (CCIR) •Ensures that the staff renders assistance to subordinate commanders and staffs, as necessary What is the role of S-1? •Manning (Unit Personnel Strength) •Personnel Service Support •Manage organization & administration of the headquarters •Coordinates staff responsibilities for Special Staff Officers -Adjutant General -Surgeon -Chaplain -Staff Judge Advocate What is the role of S-2? Intelligence -Military intelligence -Counter intelligence -Security operations -Intelligence training What is the role of S-3? Operations •Training -Prepares and supervises training •Operations & Plans -Prepares, coordinates, authenticates, and distributes the command SOP, OPLAN, OPORD, FRAGOs, and 32 | P a g e WARNOs to which other staff sections contribute •Force Modernization What is the role of S-4? Logistics •Logistical operations & plans •Supply •Maintenance •Transportation •Coordinates Mortuary Affairs Activities What is the role of S-5? Plans •Planning operations for the mid- to long-range planning at division and higher •In conjunction with the G-3 (S-3), the G-5 prepares Annex A (Task Organization), Annex C (Operations), and Annex M (Assessment) to the operation order or operation plan What is the role of S-6? Signal •Signal Operations -Managing radio frequency allocations -Recommending command post locations within the battlespace (based on terrain) •Automation - manages employment of hardware / software and coordinates LAN configuration •Information Security - Manages Commo Security (COMSEC), automation security, and information security What is the role of G-8? •Responsible for all financial management •Establishes and implements command finance operations policy •Responsible for those operational financial management tasks supporting the theater What is the role of S-9? Civil Affairs Operations •Evaluates civil considerations during mission analysis •Prepares for transitioning the AO from military to civilian control •Advises the commander on the military's effect on civilians in the AO 35 | P a g e --treatment SQD (area) --area support SQD --patient hold SQD -Evac PLT --evac SQD (area) -evac SQD (forward) -Preventative maintenance -Behavioral health What elements/positions are only found in MCASs, not BSMCs? Food service element Maintenance element Communication element What does the preventative medicine section do? Provides advice and consultation •Identify actual/potential health hazards, recommend corrective measures •Assist in training BCT soldiers in disease and non-battle injury prevention programs •Analyze and report medical surveillance information •Executes the BCT preventive medicine plan What does the behavioral health section do? •Assist CDRs in preventing / controlling operational stress throughout BCT and for units within their assigned AOR. What are the functions of the Medical Treatment SQD? •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 What are the functions of the Medical Treatment SQD (Area)? •One treatment squad •Serves as base medical treatment element of a Role II •Provides sick call and initial resuscitative treatment - Advanced Trauma Management (ATM) and Emergency Medical Treatment (EMT) Army Medicine views threats from two perspectives: the general threat and the health threat. The health threat is analyzed during the ________ of an operation in order to develop the HSS/FHP plan. planning process HSS/FHP plan components 36 | P a g e injuries; OEH, Poisonous/toxic, flora and fauna, medical effects of weapons, psychological Health Service Support (HSS) - Defined as all support and services performed, provided, and arranged by Army Medicine to promote, improve, conserve, or restore the behavioral and physical well being of personnel in the Army. HSS encompasses three components: •Patient care - Medical treatment (including the treatment of chemical, biological, radiological, and nuclear [CBRN] patients), hospitalization, the treatment aspects of dental care, behavioral health/neuropsychiatric treatment and clinical laboratory services •Medical evacuation - Including medical regulating and en-route care •Medical logistics (MEDLOG) - Including all functional subcomponents and services medical treatment squad falls under the the treatment platoon; Functions: •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 Force Health Protection (FHP) - Defined as 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 preventive aspects of a number of Army Medicine functions. FHP encompasses: Operational Public Health 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 Army Health System (AHS) The all encompassing term to describe both the HSS and FHP aspects of Army Medicine support. When moving a patient the ________ moves the patient to their medical facility next level up ; role 2 would come and get a role 1's patients and bring them to role 2 Principles of the Army Health System 1.Conformity- the medical plan is conformed with the Operation plan 2.Proximity- medical assets are at the right place at the right time 3.Flexibility- able to shift resources to meet changing requirements 4.Mobility- assets remain in supporting distance to maneuver units 5.Continuity- moving the patient through progressive, phased roles of care 6.Control- ensure that scarce resources are efficiently employed Role 1 battalion aid station and below: TCCC, medics, chaplains, 37 | P a g e The higher role of care provides_________ medical evac role 2 medical company at BSA role 3 field hospital ; can do surgery, post op. role 4 CONUS or large hospital facilities •Sequential evacuation (1→2→3→4) is __________; not necessary ; it is possible to evacuate patients from a Role 1 straight to Role 3, etc. Health Care and the Command Surgeon in Joint Operations (the command surgeon is and does what?) 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) MEDICAL COMMAND (DEPLOYMENT SUPPORT) •The MEDCOM (DS) serves as the theater medical command within the AO MEDICAL BRIGADE (SUPPORT) •Provides C2 (Command and Control) of all assigned and attached AHS units MEDICAL BATTALION (MULTIFUNCTIONAL) (MMB) •The mission of the MMB is to provide scalable, flexible, and modular medical C2, administrative assistance, logistical support, and technical supervision capability for assigned and attached medical functional organizations (companies, detachments, and teams) task-organized for support of deployed BCTs and EAB forces. (they pick out what medical capabilities are needed) MEDICAL COMMANDER •The medical commander exercises C2 (authority and direction) over the subordinate medical resources LINE COMMANDER •Health promotion is a leadership program that encompasses the assets of educational, environmental, and AHS support services that enable individuals to increase control over and improve their health in support of Army well-being 1.What is the Law of Land Warfare inspired by? 40 | P a g e ATP 4-02.3 Provides mission command to EAB medical logistics units. •Medical Logistics Company (MLC)- 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. •Forward Distribution Team (FDT) - The MLC has two five-person mobile forward support cells and one three-person mobile forward support cell. These mobile cells may be used as forward distribution teams to provide the necessary support. You need to pick up own class 8 at a resupply point •Brigade Medical Supply Office (BMSO)- operates in the BSA, provides routine and emergency medical supply including blood, provides class 8 by ambulance backhaul BCT's medical logistics element. Provides forward distribution of CL VIII, responsible for facilitating the resupply and distribution of CL VIII materiel for the brigade. Provides field level maintenance for medical equipment. 3x 68J, 1x 68A, 1x 68Q Support Operations (SPO)- Supports the BDE AHS plan; providing coordination efforts for supporting units and facilitating execution of the MEDLOG plan in conjunction with the BSMC. Staff section in MMB All roles of care have _____________ support medical logistics support at each level (Role 1,2,3) 9 MEDLOG functions -Management of medical materiel procurement and distribution -Medical equipment maintenance and repair -Optical fabrication and repair -Blood storage and distribution -Patient Movement Items -Medical contracting -Regulated medical waste, medical gases -Medical facilities and infrastructure -Cold Chain Management (vaccines) DCAM is the site where class 8 is ordered to for a role 1 Role 1 medical logistics support 41 | P a g e Customer Assistance Module (DCAM) (automated system) Medical Materiel Mobilization Planning Tool (M3PT) Budget Management Serviceability of Equipment Ambulance Backhaul resupply method Senior Line Medics Medical Materiel Mobilization Planning Tool (M3PT) used to determine how much money is available for class 8 purchases ; inventory is needed to update M3PT Ambulance backhaul method for resupplying class 8 from a higher role's ambulance where class 8 is dropped off at role 1 before taking patients up to role 2 Role 2 (BCT) medical logistics BMSO (DCAM) Pharmacy Medical Maintenance Blood Management Quality Control Budget Management Regulated Medical waste BCT SPO (Support Operations)70K CPTBDE Medical Logistics Plan SPO MED LOG works in conjunction with BDE Surgeon and BDE S4CL VIII Budgeting DMLSS another system used for tracking med. Maitenance Role 3 med logistics supports only itself: the role 3 only Med logistics company supports 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. Builds and positions CL VIII to support BCTs and EAB medical units -Field and Sustainment level medical equipment maintenance -Forward Distribution Teams (FDT) Medical equipment set inventory is done with what program M3PT (manages whats inside the sets) / GCSS-Army (manages sets itself) •An OPLAN becomes an OPORD when the commander sets an _____________ 42 | P a g e execution time FMS web army shows MTOE and capabilities of unit online Medical Platoon mission The organic medical unit in direct support of a maneuver battalion, providing all Role I FHP/HSS on an area basis within the unit's area of responsibility (AOR); located in the Combat Trains Command Post (CTCP). Usually the role 1 is co-located with the CTCP Medical Platoons are organic to what units? "Maneuver Battalions Med platoon is nested into the ______ in a battalion HHC (headquarters company) Med platoon is divided into what components HQ section, Treatment squad (team a and b), ambulance squad, combat medic section (work in line units) There are 3 types of med platoons: infantry, stryker and armor CCP is normally in the ________ company area; can walk here the battalion aid station is _________ FTCP (field trains command post); separate from the casualty collection point (role 1 MEDEVAC needed to get patient here) Brigade support medical company (BSMC) is "organic to brigade Assigned to a Brigade Support Battalion; supports a Brigade Combat Team (BCT) Armored BCT (ABCT) - also includes Armored Cavalry Regiments (ACR) units Stryker BCT (SBCT) - includes brigades primarily task organized with Stryker combat vehicles Infantry BCT (IBCT) - includes Light (L), Airborne (ABN), or Air Assault (AA) units" MCAS (Medical Company Area Support) Supports units without organic AHS assets (Details are mission dependent)Assigned to a Medical Brigade and attached to a Multifunctional Medical Battalion (MMB) in garrison 45 | P a g e Evacuation Squad (Forward) - ABCT: three tracked-ambulance squads (6 x M113s) with three 68Ws per ambulance (one Evacuation NCO, two Evacuation Specialists, and three ambulance aide/drivers per squad).. This provides one evacuation specialist to provide in-transit patient care. SBCT BSMC: three wheeled-ambulance squads (6 x M997s) with Three 68Ws per IBCT BSMC: Same as SBCT MCASs do not have ______________(when compared to the BSMC evac platoon) Forward and Area Evac sections. Instead, they have four evacuation squads (a total of eight M997 ambulances) to accomplish their area evacuation mission. Each ambulance has 2 x 68Ws (one Evac NCO and three aides/ambulance drivers per squad). The medical platoon organic to a maneuver battalion falls under what area of the battalion? -Also what echelons fall under the medical platoon The organic Medical platoon falls under the headquarters company (HHC) of the battalion -the platoon has a HQ section (70B and PSG), -treatment squad (2 teams of a PA/MD + 3 68W ; 8 SM's total), -ambulance squad (8HMMWV and 24 68W's) -and combat medic section (15 69W's) -*note the numbers of vehicles and combat medics changes for stryker and armor medical platoons Which elements provide role 1 care? Main element = treatment squad 2x 4 man teams of PA/MD with 3 68w's. =Combat medics also start role 1 care at or around the point of injury Describe the evac flow for role 1 care? -Point of injury -->CCP -->BAS -BAS = battalion aid station Describe the evac flow for role 2 care? BAS --> AXP ---> BSMC (in brigade support area) -Forward evac squad goes and grabs patient from BAS and brings to AXP then the evac squad area grabs the patient at AXP and brings to BSA/BSMC The battalion surgeon does what? 1.Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (As supervising physician). 2.Advises the battalion commander in regards to the health of the command and medical threats 3.Coordinates and oversees all medical training to include: CLS, 68W Sustainment, and Medical CEUs (Continuing Education Units). 4.Operates Battalion Aid Station (BAS) in direct support of battalion units 46 | P a g e 5.Assumes the role as the Medical Platoon Leader as needed 6.Oversees field medical record maintenance -is technically the PL or leader of the integrated medical platoon Battalion PA does what? 1.Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (Assists physician). 2.Assists Surgeon in overseeing all medical training to include: CLS, 68W Sustainment, and Medical CEUs. 3.Operates Battalion Aid Station (BAS) in direct support of battalion units BMSC's use what vehicles + equipment based upon BCT Armored and Infantry are about the same ; stryker needs more equipment MCAS HQ has what elements command, supply, food service, OPS/comms, maintenance M997 HMMV evac vehicle that lacks armor and should be used within an operating base to move casualties between the MTF and the flight line - can hold 4Litter or 8 ambulatory patients M1133 MEV Capabilities Medevac stryker ; manned by 3 68W and can hold 4 litter or 6 ambulatory patients M113 modified medevac bradley ; is a tracked vehicle; crewed by 3 68W's ; can hold 4 litter or 10 ambulatory patients How is the HQ section of the BMSC's organized? The BMSC headquarters is organized into a command element, supply element, and operations element (operations and communications element in the MCAS). The MCAS also has a food service element and a maintenance element. Command element of BMSC ) Command element. Consists of the company commander, company executive officer (XO) and company first sergeant. It is responsible for the billeting, security, training and discipline and provides mission command of assigned and attached personnel. The commander position is often listed in the company modified table of organization and equipment (MTOE) as an O-4(Army Major) position, but it is generally filled by an O-3 (Army Captain). The Executive Officer position is usually filled by a lieutenant. Supply element BMSC 47 | P a g e Supply element. Provides general supply and armorer support for the company. This element is staffed with a unit supply sergeant and an armorer. In Stryker BSMCs and MCASs, it also provides emergency medical supply support for the company and ground maneuver units operating in its AOR. They are additionally staffed with a medical supply sergeant to accomplish this mission; Stryker BSMCs also have two medical supply specialists. Stryker BSMC supply elements are also staffed with a medical equipment repairer to provide medical equipment calibration and maintenance support for the company and supported BCT units. Operations element BMSC Operations/ Operations and Communications element. Plans, coordinates, and trains CBRN defense functions. It operates the company switchboard and serves as the company's NCS for the company operation net FM and AM radios This element also performs unit-role maintenance on all chemical defense equipment (and communications equipment in an MCAS). Why is the supply element for the stryker BMSC much larger than other BMSC supply elements? The stryker BSMC has no BMSO section support so it must run all the supply/logistics support organically Area support squad does what The area support squad (Table 2-13 on page 2-22) provides essential and emergency dental services, laboratory services, blood support, and radiological services. This squad is located with and supports the area support treatment squad and provides services for the medical treatment squads deployed forward. When operating with or collocated with an FST, it provides augmentation for the FST's laboratory and blood storage capabilities and also provides radiological services to support the FST. (a) Armored BSMC and MCASs: ___cots expandable to____ in emergencies 40/60 (b) Stryker BSMC: ___cots expandable to __ in emergencies. What vehicle/supply components does it have? 20/40 ; needs an extra MTV (medium transport vehicle) because there is no BMSO section to transport class 8 supply Infantry BSMC: __ cots expanded to ___ in emergencies, 20/40 ; UNLESS Airborne or Air Assault BSMC, then 40 cots expandable to 60 in emergencies Evac platoon HQ does what 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) 50 | P a g e The ________provide the BSMC commander flexibility and agility in the emergency movement of treatment teams and medical equipment to the forward battle area by air. It also provides emergency movement of Class VIII, blood, and blood products. GSAB air ambulances military working dogs can be evacuated too ; the ______ usually goes with the animals. Handler Providing guards for the transport of detainees is __________ of MEDEVACs units or the MTF. Guards for these detainees are provided according to the BCT, division or corps orders and are from other than medical resources. NOT the responsibility The MEDBDE (SPT) med brigade support: patient movement branch is responsible for— Coordinating the transportation means. Identifying the MTF to which the detainees will be taken. Coordinating, in conjunction with the MTF commander, with the Detainee Reporting System to account for detainees within medical channels. What is the only factor used to determine medical evacuation precedence? patient's medical condition Is there a different format of MEDEVAC used for air and ground? no Manuever BN Medical Platoon Ambulance Squad Provide ground ambulance, evacuation support from supported infantry/armored companies or from POI back to a CCP or to the Role 1. Evacuation Platoon: BSMC Evacuation platoons provide ground ambulance evacuation support from the supported BCT or from the POI to the supporting MTF. Evacuation Platoon: MCAS Medical Company (Area Support): The ambulance platoon performs ground MEDEVAC and en route patient care for supported units, primarily in support of units at EAB. •Four ambulance squads (or eight ambulance teams) Medical Company: Ground Ambulance Provides MEDEVAC within the theater of operations. Normally assigned or attached to the MMB or a MEDBDE (SPT) for mission command. It is tactically located where it can best control its assets and execute its patient evacuation mission. 51 | P a g e Medical Company: Air Ambulance 15 HH-60 Provides aeromedical evacuation support within the brigade and corps. Organic to the GSAB for mission command. Employed as needed in the theater, corps, division, or EAB. It is tactically located where it can best control its assets and execute its patient evacuation mission. Theater Evacuation Policy The policy establishes the length in days of the maximum period of non-effectiveness (hospitalization and convalescence) that patients may be held within the theater for treatment. If days are exceeded they are then evacuated to a role 4 facility. Exception to policy may be required for certain low density MOS specialty skills, or non-transportable patients. •ATP 4-46, Contingency Fatality Operations AR 638-2 Army Mortuary Affairs Program There is no mortuary affairs person at _________ role 1 There's a mortuary affairs person at the _____________ role 2 (brigade support area) ; role 3 Full accounting requires (for mortuary affairs): Proper identification Explanation as to the cause and manner of death •BCTs have _______Soldier (92M) to handle MA functions one MA •Tentative Identifications (mortuary affairs) -DD Form 565 Dover AFB processes all ______ and handles ______ identification deceased military members ; positive (DNA, dental ect.) goal is to get person from point of death to dover in 24hrs Summary Courts-Martial Officer (SCMO) does what in terms of Mortuary affairs Must be appointed in a timely manner (within 48 hours)Should be someone detached from Soldier Separate distasteful items and record that they were destroyed (Maintain a good memory of the Soldier)Inventory all PE with the unit or in quarters Accurate documentation on DD Form 1076Utilize MA NCO at BDE Also used for Soldiers evacuated from theater 52 | P a g e Only ______ can pronounce someones death and sign off on death certificate an MD HHS is ____________ whereas FHP is _________ reactive ; proactive The MEDCOM (DS) (MEDCOM direct support) Army Medicine views threats from two perspectives: the general threat and the health threat. The health threat is analyzed during the ________ of an operation in order to develop the HSS/FHP plan. planning process HSS/FHP plan components injuries; OEH, Poisonous/toxic, flora and fauna, medical effects of weapons, psychological Health Service Support (HSS) - Defined as all support and services performed, provided, and arranged by Army Medicine to promote, improve, conserve, or restore the behavioral and physical well being of personnel in the Army. HSS encompasses three components: •Patient care - Medical treatment (including the treatment of chemical, biological, radiological, and nuclear [CBRN] patients), hospitalization, the treatment aspects of dental care, behavioral health/neuropsychiatric treatment and clinical laboratory services •Medical evacuation - Including medical regulating and en-route care •Medical logistics (MEDLOG) - Including all functional subcomponents and services medical treatment squad falls under the the treatment platoon; Functions: •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 Force Health Protection (FHP) - Defined as 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 preventive aspects of a number of Army Medicine functions. FHP encompasses: Operational Public Health 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 55 | P a g e -MEDCOM (DS) -Theater Lead Agent for Med. Material (TLAMM) -Med. Logistics Management Center (MLMC) -Medical Material Center (MMC) Tactical Level MEDLOG -MMB - multifunctional medical BN -MLC - Medical Logistics Company -Forward Distribution Team (FDT) 2 x 5man teams -BMSO (only for BCT's / BMSC's except Stryker) -Support Operations (SPO) Strategic Level (medical logistics) does what? Determination of material requirements Acquisition, assembly, and fielding of medical supplies and equipment Management of strategic programs for medical force modernization and material readiness US Army Medical Research and Material Command (USAMRMC)- •Centrally Manages Army MEDLOG Programs US Army Medical Material Agency (USAMMA) )- subordinate command of USAMRMC, is responsible for execution of the AMEDD's strategic MEDLOG programs and initiatives. The 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. Prime Vendors- •Acquire CL VIII from industry and deliver to IMSAs and TLAMMs via military or commercial transportation Installation Medical Support Activity (IMSA) •Provide CL VIII general support to installations and geographic specific areas. Where u pick up your stuff •Medical Logistics Support Team (MLST) Issue Army Prepositioned Stock Operational level activities (med. Logistics) Provide medical mission command elements in theater Link between strategic and tactical with Medical Logistic units forward positioned Requisition and Distribution of CL VIII supply Focuses on the mission and requirements of the combatant command and supporting Army Service component command. Falls under MEDCOM DS MEDCOM (DS) 56 | P a g e •Controls and supervises CL VIII support within the theater. Maintains command link with MED BDE, and coordination link with TSC through the MLMC. •Theater lead agent for Medical Material (TLAMM) Provide direct medical material support to theater medical forces and serves as a major theater medical distribution node. Medical Logistics Management Center (MLMC)- Forward team is assigned to MEDCOM (DS), co-locates with the TSC/ESC to coordinate distribution chains.6th Medical Logistics Management Center Tactical level (med. Logistics) activities Essential functions that include resupply and maintenance, dentification of unit requirements to ensure availability of medical material and equipment to sustain uninterrupted AHS support Activities are aimed at satisfying immediate AHS support requirements Multifunctional Medical Battalion (MMB)- mission is to provide scalable, flexible, technical supervision, and modular mission command for assigned and attached medical functional organizations. ATP 4-02.3 Provides mission command to EAB medical logistics units. •Medical Logistics Company (MLC)- 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. •Forward Distribution Team (FDT) - The MLC has two five-person mobile forward support cells and one three-person mobile forward support cell. These mobile cells may be used as forward distribution teams to provide the necessary support. You need to pick up own class 8 at a resupply point •Brigade Medical Supply Office (BMSO)- operates in the BSA, provides routine and emergency medical supply including blood, provides class 8 by ambulance backhaul BCT's medical logistics element. Provides forward distribution of CL VIII, responsible for facilitating the resupply and distribution of CL VIII materiel for the brigade. Provides field level maintenance for medical equipment. 3x 68J, 1x 68A, 1x 68Q Support Operations (SPO)- Supports the BDE AHS plan; providing coordination efforts for supporting units and facilitating execution of the MEDLOG plan in conjunction with the BSMC. Staff section in MMB 57 | P a g e All roles of care have _____________ support medical logistics support at each level (Role 1,2,3) 9 MEDLOG functions -Management of medical materiel procurement and distribution -Medical equipment maintenance and repair -Optical fabrication and repair -Blood storage and distribution -Patient Movement Items -Medical contracting -Regulated medical waste, medical gases -Medical facilities and infrastructure -Cold Chain Management (vaccines) DCAM is the site where class 8 is ordered to for a role 1 Role 1 medical logistics support Customer Assistance Module (DCAM) (automated system) Medical Materiel Mobilization Planning Tool (M3PT) Budget Management Serviceability of Equipment Ambulance Backhaul resupply method Senior Line Medics Medical Materiel Mobilization Planning Tool (M3PT) used to determine how much money is available for class 8 purchases ; inventory is needed to update M3PT Ambulance backhaul method for resupplying class 8 from a higher role's ambulance where class 8 is dropped off at role 1 before taking patients up to role 2 Role 2 (BCT) medical logistics BMSO (DCAM) Pharmacy Medical Maintenance Blood Management Quality Control Budget Management Regulated Medical waste BCT SPO (Support Operations)70K CPTBDE 60 | P a g e •Provides advice and consultation in: -Health threat assessment -Force health protection -Environmental sanitation -Epidemiology -Sanitary engineering -Pest management •Identify actual and potential health hazards and recommend corrective measures •Assist in training BCT soldiers in disease and non-battle injury prevention programs •Analyzes and reports medical surveillance information 1 Environmental Science Officer (72D) 1 Preventive Medicine NCO (68S20) Treatment squad area within the treatment platoon (BMSC) does what "clearing station" they provide treatment only in brigade support area (BSA) , they don't move in BSA they provide support/Provides ancillary support (X-ray, dental, lab, physical therapy) The medical treatment squad (area) is the base medical treatment element of the BSMC. It provides troop clinic-type services and ATM. The medical treatment squad (area) along with the area support squad and the patient-holding squad form the Role 2 MTF. The physician in this squad is also the medical treatment platoon leader. -there are two teams within the treatment squad area The _______________ also acts as the treatment platoon leader and directs the medical activities of the division clearing station. senior field surgeon Treatment squad goes forward to provide treatment Stryker BSMCs (in treatment squad) have______ treatment teams compared to the two treatment teams in Armored and Infantry BSMCs. All three treatment teams in the SBCT use M997 ambulances. three MCAS medical treatment squad (still under treatment platoon) The medical treatment squad consists of two treatment teams that provide emergency care, ATM, and routine sick call for Soldiers assigned to supported units without organic medical support within the MCAS's AO. When positioned with the MCAS, the medical treatment squad personnel work in the MCAS's Role 2 MTF. The medical treatment squads/teams must be prepared for short-notice deployment away from the MCAS. The squad has the ability to split and operate as two separate teams 61 | P a g e for limited periods of time, for up to 72 hours. They can be assigned to reinforce or reconstitute similar treatment squads/teams. Patient hold squad patients can be held up to 72 hrs, and up to 40 patients (within treatment platoon > med company) -nurses usually work here the most, they direct and lead this element Evac squad area they stay in the BSA for EVAC (within Evac platoon) ; they will also go to AXP but not forward of it. (AXP is between evac squad area and evac squad forward ) -two area (4 teams) Evac squad forward are prepositioned forward of AXP and get patient at role 1 ; they come right back to staging point -three forward (six teams) Vehicles and support assigned to forward evac squad Evacuation Squad (Forward) - ABCT: three tracked-ambulance squads (6 x M113s) with three 68Ws per ambulance (one Evacuation NCO, two Evacuation Specialists, and three ambulance aide/drivers per squad).. This provides one evacuation specialist to provide in-transit patient care. SBCT BSMC: three wheeled-ambulance squads (6 x M997s) with Three 68Ws per IBCT BSMC: Same as SBCT MCASs do not have ______________(when compared to the BSMC evac platoon) Forward and Area Evac sections. Instead, they have four evacuation squads (a total of eight M997 ambulances) to accomplish their area evacuation mission. Each ambulance has 2 x 68Ws (one Evac NCO and three aides/ambulance drivers per squad). The medical platoon organic to a maneuver battalion falls under what area of the battalion? -Also what echelons fall under the medical platoon The organic Medical platoon falls under the headquarters company (HHC) of the battalion -the platoon has a HQ section (70B and PSG), -treatment squad (2 teams of a PA/MD + 3 68W ; 8 SM's total), -ambulance squad (8HMMWV and 24 68W's) -and combat medic section (15 69W's) -*note the numbers of vehicles and combat medics changes for stryker and armor medical platoons Which elements provide role 1 care? 62 | P a g e Main element = treatment squad 2x 4 man teams of PA/MD with 3 68w's. =Combat medics also start role 1 care at or around the point of injury Describe the evac flow for role 1 care? -Point of injury -->CCP -->BAS -BAS = battalion aid station Describe the evac flow for role 2 care? BAS --> AXP ---> BSMC (in brigade support area) -Forward evac squad goes and grabs patient from BAS and brings to AXP then the evac squad area grabs the patient at AXP and brings to BSA/BSMC The battalion surgeon does what? 1.Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (As supervising physician). 2.Advises the battalion commander in regards to the health of the command and medical threats 3.Coordinates and oversees all medical training to include: CLS, 68W Sustainment, and Medical CEUs (Continuing Education Units). 4.Operates Battalion Aid Station (BAS) in direct support of battalion units 5.Assumes the role as the Medical Platoon Leader as needed 6.Oversees field medical record maintenance -is technically the PL or leader of the integrated medical platoon Battalion PA does what? 1.Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (Assists physician). 2.Assists Surgeon in overseeing all medical training to include: CLS, 68W Sustainment, and Medical CEUs. 3.Operates Battalion Aid Station (BAS) in direct support of battalion units BMSC's use what vehicles + equipment based upon BCT Armored and Infantry are about the same ; stryker needs more equipment MCAS HQ has what elements command, supply, food service, OPS/comms, maintenance M997 HMMV evac vehicle that lacks armor and should be used within an operating base to move casualties between the MTF and the flight line - can hold 4Litter or 8 ambulatory patients M1133 MEV Capabilities 65 | P a g e 1)Ambulance backhaul (from company ambulances or air ambulances to the BAS); this is generally only used in emergencies or during high-intensity combat operation 2)BSB LOGPAC directly to supported units; this is coordinated with the BSB support operations section (MMB Force Health Protection Section for an MCAS) through the Support Operations (or FHPO) 3)Medical Logistics Officer and the BMSO Supply point distribution (contacting supported units to pick- up their supplies from the medical company area) Medical evacuation support: (two types) Direct support - requiring a force to support another specific force and authorizing it to answer directly to the supported force's request for assistance. Area support - a method of logistics, medical support, and personnel services in which support relationships are determined by the location of the units requiring support. Primary tasks of MEDEVAC Acquire and locate; Treat and Stabilize; Intratheater Medical Evacuation; Emergency movement of medical personnel, equipment, and supplies At the unit level, _______________ are responsible for the evacuation of human remains of assigned and attached personnel (military, DOD, civilian and contractor) to the nearest mortuary affairs facility. The movement of remains is an important logistical function but is not a task supported by MEDEVAC units or teams. commanders The evacuation of remains on MEDEVAC vehicles should be ____________. avoided; but it can be done (don't dedicate a whole ambulance for this) The decision to request a MEDEVAC and the level of evacuation precedence will be made by the ___________________, or senior military ranking officer if medical personnel are unavailable based on the patient's condition and the tactical situation. senior medical personnel on scene or senior commander on scene if no medical advice available ; *The patient's medical condition is the overriding factor in determining the evacuation platform and destination facility * Priority I—URGENT Is assigned to emergency cases that should be evacuated as soon as possible and within a maximum of one hour in order to save life, limb, or eyesight and to prevent complications of serious illness and to avoid permanent disability. Priority II—PRIORITY Is assigned to sick and wounded personnel requiring prompt medical care. This precedence is used when the individual should be evacuated within four hours or if his medical condition could deteriorate to 66 | P a g e such a degree that he will become an URGENT precedence, or whose requirements for special treatment are not available locally, or who will suffer unnecessary pain or disability. Priority III—ROUTINE Is assigned to sick and wounded personnel requiring evacuation but whose condition is not expected to deteriorate significantly. The sick and wounded in this category should be evacuated within 24 hours. Priority IV—CONVENIENCE Is assigned to patients for whom evacuation by medical vehicle is a matter of medical convenience rather than necessity. (no time limit) Units without organic ambulance assets are _________ support on an____________. provided MEDEVAC ; area support basis The ambulance teams from the ambulance platoon are normally collocated with the ________________ for mutual support. BSMC/MCAS treatment platoon The ________provide the BSMC commander flexibility and agility in the emergency movement of treatment teams and medical equipment to the forward battle area by air. It also provides emergency movement of Class VIII, blood, and blood products. GSAB air ambulances military working dogs can be evacuated too ; the ______ usually goes with the animals. Handler Providing guards for the transport of detainees is __________ of MEDEVACs units or the MTF. Guards for these detainees are provided according to the BCT, division or corps orders and are from other than medical resources. NOT the responsibility The MEDBDE (SPT) med brigade support: patient movement branch is responsible for— Coordinating the transportation means. Identifying the MTF to which the detainees will be taken. Coordinating, in conjunction with the MTF commander, with the Detainee Reporting System to account for detainees within medical channels. What is the only factor used to determine medical evacuation precedence? patient's medical condition Is there a different format of MEDEVAC used for air and ground? no Manuever BN Medical Platoon Ambulance Squad 67 | P a g e Provide ground ambulance, evacuation support from supported infantry/armored companies or from POI back to a CCP or to the Role 1. Evacuation Platoon: BSMC Evacuation platoons provide ground ambulance evacuation support from the supported BCT or from the POI to the supporting MTF. Evacuation Platoon: MCAS Medical Company (Area Support): The ambulance platoon performs ground MEDEVAC and en route patient care for supported units, primarily in support of units at EAB. •Four ambulance squads (or eight ambulance teams) Medical Company: Ground Ambulance Provides MEDEVAC within the theater of operations. Normally assigned or attached to the MMB or a MEDBDE (SPT) for mission command. It is tactically located where it can best control its assets and execute its patient evacuation mission. Medical Company: Air Ambulance 15 HH-60 Provides aeromedical evacuation support within the brigade and corps. Organic to the GSAB for mission command. Employed as needed in the theater, corps, division, or EAB. It is tactically located where it can best control its assets and execute its patient evacuation mission. Theater Evacuation Policy The policy establishes the length in days of the maximum period of non-effectiveness (hospitalization and convalescence) that patients may be held within the theater for treatment. If days are exceeded they are then evacuated to a role 4 facility. Exception to policy may be required for certain low density MOS specialty skills, or non-transportable patients. •ATP 4-46, Contingency Fatality Operations AR 638-2 Army Mortuary Affairs Program There is no mortuary affairs person at _________ role 1 There's a mortuary affairs person at the _____________ role 2 (brigade support area) ; role 3 Full accounting requires (for mortuary affairs): Proper identification Explanation as to the cause and manner of death 70 | P a g e -Headquarters, Headquarters Detachment (HHD) "Hospital Center" -Field Hospital (32 bed) Hospital Augmentation Detachment (Surgical 24 bed) -Hospital Augmentation Detachment (Medical 32 bed) -Hospital Augmentation Detachment (Intermediate Care Ward [ICW] 60 bed) the hospital center can have these elements, but it doesn't need to have all The HHD, Hospital Center and Field Hospital (32 bed) are the ____________ of the hospital organization. The Field Hospital (32 bed) represents the smallest unit that can provide the complete clinical capabilities of a Role 3 MTF. core and lowest denominator ; this is what the field hospital starts with ; the other role 3 elements can be added from this starting piece depending upon commanders need field hospital vs hospital center field hospital = subordinate units w/o the HHD this is only the base (32 bed) and is stand alone ; the hospital center is the HHD + at least one other subordinate unit (subordinate units = units under the role 3) -the field hospital is its own 32 bed entity within the role 3 ; even though it incorrectly gets referred to as the whole role 3 sometimes Medical Detachment (Minimal Care) Provides minimal and convalescent care, nursing, and rehabilitative services in support of theater hospitalization. (Considered a Role 3 enhancer.) - Principles of the Army Health System- The six principles of the AHS are the foundation—enduring fundamentals—upon which the delivery of health care in a field environment is founded. They are: conformity, proximity, flexibility, mobility, continuity, and control. - Medical Estimate - The medical estimate is a continuous process which systematically examines all aspects of operations. It produces the necessary task organization for decentralized execution and flexible medical support on the battlefield! Major Areas of Medical Analysis 1)Enemy situation 2)Friendly situation 3)Characteristics of the Area of Responsibility (AOR) 4)Strengths to be supported 5)Health of the command 71 | P a g e 6)Facts and Assumptions 7)Specified, Implied, and Essential Tasks - The Patient Estimate - S-1 does casualty estimates: •Killed in Action (KIA) •Wounded in Action (WIA) •Missing in Action (MIA) The Medical Planner refines/analyzes the casualty estimate: •Number of patients anticipated at each role of care •Areas of patient density •Enemy Prisoners of War (EPWs) and civilian patient estimates •Additional assets needed for patient movement Medical planning works withing the _______ process MDMP (this process applies largely at the battalion level) - Medical COA Development - The medical plan must support the Commander's Intent and enable the accomplishment of the mission for the tactical COA developed. Medical COA's must meet the following critera to be relevant Suitable - Is it nested with the maneuver plan? Feasible - Can we do it? Acceptable - Acceptable risk? Complete - Includes all medical functional areas? Each Medical COA should address medical support* for each of the following: Security Operations (Basic Reconnaissance Teams) Main / Supporting Attacks (close fight) Rear Operations (BDE Staging Area, FA units, etc.) Follow-on Operations (Stability OPS, Defense OPS, etc.) Constraint vs limitation Constraint is passed down from higher Limitation can be anything (physical environment, enemy, etc.) Who accepts risk and makes final call to send/use air medevac? The GSAB commander or air unit commander whose resources (helicopters) are being used for the medevac operation Modified Combined Obstacle Overlay (MCOO) 72 | P a g e depicts the obstacles which are found on the way to the objective Enemy Situational Template (SITEMP) depicts the obstacles on the objective or closer to the objective. Also shows enemy orientation, engagement areas, and is done from the enemy's perspective or situation DECISION MATRIX - A decision matrix provides the medical planner with a tool for evaluating COAs. Criteria is established based on mission, Commander's Intent, and Commander's Guidance Weights are assigned to each criteria in relation to its importance in accomplishment of the medical plan Scores are totaled with lowest number being best conserves the fighting strength of the tactical commander through synchronization of AHS operations and providing C2 of MEDBDE (SPT), MMBs, and/or other AHS units assigned/attached to the headquarters providing HSS/FHP to tactical commanders and AO forces while simultaneously conducting stability tasks. The MEDCOM (DS) serves as the medical force provider within the Area of operation. As the medical force provider, the MEDCOM (DS) commander identifies and evaluates health care requirements throughout his AO. MEDBDE (SPT) (med brigade support) is a subordinate C2 organization of the MEDCOM (DS). It provides C2 of all assigned and attached AHS units. MMB (multifunctional medical battalion) is a multifunctional organization which can provide the requisite planning, synchronization, and coordination for modular medical companies, detachments, and teams/elements. Modularity has resulted in a smaller deployed medical footprint through enhancing the capability to rapidly task- organize scalable medical capabilities. the MMB itself is only a HHC organically The MMB is meant to be very __________ and can have different elements added or removed flexible/modular. Only the HHC part of the MMB is organic to it. EAB Medical Units (can exist under MMB) Medical Company Area Support (MCAS 3-4) Medical Company Ground Ambulance Medical Logistics (MEDLOG) company Medical Detachment Blood Support Medical Detachment Veterinary Service Support 75 | P a g e The Medical Planner refines/analyzes the casualty estimate: •Number of patients anticipated at each role of care •Areas of patient density •Enemy Prisoners of War (EPWs) and civilian patient estimates •Additional assets needed for patient movement Medical planning works withing the _______ process MDMP (this process applies largely at the battalion level) - Medical COA Development - The medical plan must support the Commander's Intent and enable the accomplishment of the mission for the tactical COA developed. Medical COA's must meet the following critera to be relevant Suitable - Is it nested with the maneuver plan? Feasible - Can we do it? Acceptable - Acceptable risk? Complete - Includes all medical functional areas? Each Medical COA should address medical support* for each of the following: Security Operations (Basic Reconnaissance Teams) Main / Supporting Attacks (close fight) Rear Operations (BDE Staging Area, FA units, etc.) Follow-on Operations (Stability OPS, Defense OPS, etc.) Constraint vs limitation Constraint is passed down from higher Limitation can be anything (physical environment, enemy, etc.) Who accepts risk and makes final call to send/use air medevac? The GSAB commander or air unit commander whose resources (helicopters) are being used for the medevac operation Modified Combined Obstacle Overlay (MCOO) depicts the obstacles which are found on the way to the objective Enemy Situational Template (SITEMP) depicts the obstacles on the objective or closer to the objective. Also shows enemy orientation, engagement areas, and is done from the enemy's perspective or situation DECISION MATRIX - 76 | P a g e A decision matrix provides the medical planner with a tool for evaluating COAs. Criteria is established based on mission, Commander's Intent, and Commander's Guidance Weights are assigned to each criteria in relation to its importance in accomplishment of the medical plan Scores are totaled with lowest number being best What are the shared components of the Army professional identity? 1. They defend the constitution 2. They are competent professionals. 3. They are committed and accountable to each other, the profession, and the American people. What are the characteristics of climate 1. Short term experience 2. Reflects how people think and feel 3. Depends on individual personality 4. Changes over time What are the characteristics of culture? 1. Shared attitudes 2. Values 3. Goals 4. Practices that characterize the institution What are the characteristics of direct leadership? 1. First line leaders 2. Develops subordinates by coaching, counseling, mentoring, and setting the example 3. Focused on short-range problems and immediate tasks What are the characteristics of organizational leadership? 1. Exercises leadership through subordinate leaders 2. Establishes a climate that supports and empowers subordinate leaders 3. Focused on long-term organizational objectives What are the characteristics of Strategic Leadership? 1. Guides and integrates multiple organizational level units 2. Influences several thousand to hundreds of thousands of people What are the three types of counseling? 1. Event counseling 2. Performance Counseling 3. Professional Growth Counseling What is an event counseling? 77 | P a g e •Covers a specific event or situation •May precede events like a promotion board or attending school •May follow events such as exceptional duty performance or a performance/professional problem What is a performance counseling? •A review of a subordinate's duty performance over a certain period •Focuses on the subordinate's strengths, areas to improve and potential •Includes NCOERs/OERs, initial counselings What is a professional growth counseling? •Planning for the accomplishment of individual and professional goals •Developmental in nature (i.e. future focused), and assists subordinates in identifying and achieving organizational and individual goals What is the Nondirective Approach •Leaders use their experiences, insight and judgment to assist subordinates in developing solutions •Leaders partially structure this type of counseling by telling the subordinate about the process and explain expectations MOST PREFERRED What is the Directive Approach? • Leader does most of the talking and tells subordinate what to do and when to do it •Works best to correct simple problems, make on-the-spot corrections, and correct aspects of duty performance What is the Combined Approach to counseling? •Leader uses techniques from both approaches, adjusting them to fit what's best for the subordinate •Emphasizes the subordinate's planning and decision-making responsibilities What are the advantages of nondirective counseling Encourages maturity Encourages open communication Develops personal responsibility What are the advantages of directive counseling Good for people who need clear, concise direction Allows counselors to use their experience Quickest method What are the advantages of combined counseling Encourages maturity and open communication Allows counselors to use their experience Moderately quick 80 | P a g e What is the symbol for air defense brigade? What is the symbol for field support brigade? What is the symbol for cbrne brigade? Remove E from midle What is the symbol for cyber brigade? The word cyber in a rectangle What is the symbol for DIVARTY brigade? What is the symbol for engineer brigade? X over top instead of dash marks 81 | P a g e What is the symbol for medical brigade? add two Plus signs in top right corner What is the symbol for military intelligence brigade? What is the symbol for military police brigade? What is the symbol for signal brigade? What is the symbol for protection brigade? No symbol yet, will include mission support units What is S-1's responsibilities - Manning (Unit Personnel Stregnth) - Personnel Service Support 82 | P a g e -Manage organization & administration of the headquarters -Coordinates staff responsibilities for Special Staff Officers: Adjutant General, Surgeon, Chaplain, Staff Judge Advocate What is S-2s responsibilities? Military Intelligence Counter Intelligence Security Operations Intelligence Training What is S-3's responsibilities Training Operations and Plans Force Modernization What is S-4's responsibilities Logistical operations and plans Supply Maintenance Transportation Coordinates Mortuary Affairs Activities What is G-5's responsibilities Principal staff officer for planning for the mid- to long-range planning horizons at division echelon and higher In conjunction with the G-3, the G-5 prepares Annex A (task organization), Annex C (Operations), and Annex M (Assessment) to the operation order or operation plan What is S-6's responsibilities Principle staff for all matters concerning signal operations, automation management, network management and information security. What is G-8's responsibilities Principal staff officer singularly responsible for all financial management What is S-9's responsibilities Principle staff officer responsible for all matters concerning civil affairs What is the definition of a Warfighting Function A warfighting function is a group of tasks and systems united by a common purpose that commanders use to accomplish missions and training objectives What are the 6 Warfighting Functions? 85 | P a g e What is the composition of a centralized selection board? 1. Minimum of 5 members including commissioned officers and senior NCOs; female and minority representation, if available 2. President of board is a General Officer 3, Non-selects for promotion are not given specific reasons 4. No Soldier may personally appear before the board 5. Letters to the board are authorized, but discouraged. What are the 6 Categories of individual awards Decorations Good Conduct Medal Service Medals / Service Ribbons Badges / Tabs Certificates / Letters Foreign Awards Who receives the Army Good Conduct Medal Awarded for exemplary behavior, efficiency, and fidelity throughout a specified period of continuous enlisted active Federal military service of 3 years. What are service medals/service ribbons? Service (campaign) medals and service ribbons denote honorable performance of duty within specified limited dates in specified geographical areas. What are the four types of badges? 1. Combat 2. Identification (drill sgt, recruiter, instructor) 3. Special Skill (air assault, airborne, sapper) 4. Marksmanship What are wartime decorations? Medal of Honor, Distinguished Service Corss, Silver Star, Legion of Merit, Distinguished Flying Cross, Soldier's Medal, Bronze Star, Meritorious Service, Air Medal, Army Commendation, Army Achievement Why are wartime decorations awarded? Authorized to be awarded for wartime valor, service or achievement Who is the policy proponent for the Army decorations, awards and honors program? G-1 What is the purpose of OPMS? OPMS deals with strength management, accessions, and assignments. 86 | P a g e Who manages AMEDD Officers? The Surgeon General exercises personnel management authority over AMEDD officers (except general officers) in their special branches based on an existing memorandum of understanding (MOU). What are two tasks of the Surgeon General during AMEDD Officers 1. Designate the AMEDD officer initial branch and medical functional area (MFA) to meet Army requirements (Individual preferences will be considered) 2. Develop and execute professional development policy for AMEDD officers. What are the four functions of OPMS? 1. Accessions 2. Assignments process and considerations 3. Strength Management 4. Professional Development What are the procurement sources for officer strength management (Accessions) OCS, USAREC, Health Profession Scholarship Program, direct accessions, ROTC, USMA/West Point, Branch transfers, Interservice transfers, USAR or NG accessions to active duty, Financial Assistance Program (FAP), Civilian Education Delay What are the 6 AMEDD Corps Branches? Medical Corps (MC), Dental Corps (DC), Veterinary Corps (VC), Nurse Corps (AN), Medical Specialist Corps (SP), Medical Service Corps (MS) What dictates Strength Management Assignments? 1. Dictated by Army Needs 2. Army Medical Department Officer Distribution Plan 3. Availability 4. Professional Development Needs 5. Education and training 6. Other considerations 7. Personal preferences and compassionate factors Progression of assignments Assignments should be progressively challenging, career progression tracks (AMEDD HRC Web Page), Variety (MTOE(Deploy) vs, TDA (non deployable)/CONUS vs. OCONUS) What are the two types of officer evaluations? 1. Officer Evaluation Reports (DA Form 67-10-x, form based on grade.) 2. Academic Evaluation Reports (DA Form 1059) What is an Officer Record Brief? Who is responsible for maintaining it? 87 | P a g e 1. DA Form 4037-Snapshot or resume of assignments and qualifications 2. Centrally maintained by Officer Records Branch, updated through personnel systems 3. Updating is the Soldier's responsibility. Annually or after significant training or changes. What is a decentralized promotion for officers? 1. 2LT to 1LT and WO1 to CW2 2. Fully qualified criteria 3. No numerical limits 4. Yes/No recommendation by local CDR (O-5) What is a centralized promotion for officers? 1. Beyond 1LT or CW2, 2. Only best qualified 3. Numerical limits 4. Fully qualified versus best qualified - best qualified are selected for promotion first. 5. Order of merit list. Who falls under the Army Competitive Category (ACC) of promotion? Includes infantry, quartermaster, engineers, signal, and most other branches Who falls under the Special Branches for officer promotions? AMEDD (All 6 Corps), JAG, Chaplain *Separate promotion boards *Special pays, depending on the specialty What is the primary function of a NCOER? To provide information to HQDA for use in making personnel management decisions What are the parts of the NCOER as an assessment tool? 1. Stand-alone evaluation for a specific, quantifiable performance 2. Rater comments focused on specific, quantifiable performance 3. Senior rater narrative focused on potential 4. Senior rater profile for senior raters of SSG-CSM/SGM; limited to 24% for the "MOST QUALIFIED" selection. Which components of the Army are NCOERs applicable too? All components; regular army, reserve, guard What are the three NCOER forms? 1. 2166-9-1 SGT/SGT(P) (Direct) 2. 2166-9-2 SSG-1SG/MSG (Organizational) 3. 2166-9-3 CSM/SGM (Strategic) What does the rater vs the senior rater assess? 90 | P a g e 1. Senior to rater and intermediate rater. 2. U.S. Armed Forces Officer or U.S. Government Employee 3. Minimum grade: Military O-4, Civilian GS-13 4. Must serve minimum of 60 days for active component, and 90 days for reserve/guard components. What are the senior rater responsibilities(OER)? 1. Ensure support form is distributed 2. Review DA From 67-10-1A 3. Ensure rater counsels rated officer 4. Evaluate officer's potential relative to peers 5. Conducts final review of report 6. Refer reports as required When is a supplementary review used? In instances when there are no uniformed Army designated rating officials for the Rated Officer, an Army Officer within the organization will be designated as a Uniformed Army Advisor and perform a supplementary review What are the parts of a supplementary review? 1. The Uniformed Army Advisor will be a U.S. Army officer, normally senior to the senior rater, within the organization. 2. The uniformed Army Advisor will monitor evaluation practices, provide assistance and advice to rating officials (as required) on matters pertaining to Army evaluations. 3. Applies in Joint Environments 4. Applies where DoD and DA civilians serve as rater and senior rater 5. Applies in multi-national environments. What are regulation covers property accounting? AR 735-5 What are the two types of army property? 1. Real (lands and permanent structures 2. Personal (equipment and nonexpendable supplies, consumable supplies and relocatable buildings) What are the three classifications of Army property? 1. Nonexpendable (weapons) 2. Expendable (ammo,surgical dressings) 3. Durable ( How often is on hand property on property book records and /or hand receipts inventoried? Annually or upon change of the primary hand receipt holder What Army regulation covers physical inventory? 91 | P a g e AR 710-2 How often are heritage assets inventoried? At least once every 3 years How does real property, general property and equipment, and stewardship land need to be inventoried? Once every 5 years How often are Army Prepositioned Stocks inventoried? A 100 percent inventory is required when ships are off loaded during cyclic maintenance vessel berthing. How often will installation support activities collocated with Army maintenance depots inventory their materiel assets? According to the inventroy rules of DLM 4000.25-2 What regulation covers library materials? AR 735-17 How often are library materials inventoried? On a cyclic basis at least once every three years What are the five types of property responsibility? Command, direct, supervisory, custodial, and personal What is command responsibility> Commanders are obligated to ensure all Government property within their command is properly used and cared for, and that proper custody, safekeeping, and disposition are provided. What is direct responsibility? The obligation of a person to ensure all property they have received is properly and cared for. What is supervisory responsibility? The obligation of a supervisor to ensure all Government property issued to, or used by their subordinates is properly used and cared for, and that proper custody, safekeeping, and disposition are provided. What is custodial responsibility> The obligation of an individual for property in storage awaiting issue or turn-in to exercise reasonable and prudent actions to properly care for and ensure proper custody and safekeeping of the property are provided. What is personal responsibility? 92 | P a g e The obligation of a person to execute reasonable and prudent actions to properly use, care for, safeguard, and dispose of all Government property issued for, acquired for, or converted to a person's exclusive use, with or without receipt. What are the phases of change of command inventory? 1. Pre change of Command 2. Change of Command 3. Post-Change of Comand What are the steps of the pre-change of command inventory> 1. Incoming and outgoing commander meet with PBO, BN and BDE commander for instructions. 2. Make sure all major end items and components are accounted for and any discrepancies resolved 3. Make sure all hand receipt or sub hand receipts and annexes with change documents are updated 4. Review DA Pam 25-30 to ensure that the most current Supply Catalogs, component lists, Technical Manuals and other related publications are used during the inventory What are the steps of the change of command inventory? 1. In brief from PBO 2. Incoming and Outgoing commander will conduct a joint inventory of all property listed on the property listing 3. 30 days will be allotted to conduct the joint inventory. If the inventory cannot be completed in the allotted time, request an extension in writing to the commander, two 15 day extensions are allowed IAW AR 710-2 4. Review the property listing to identify the type of items to be inventoried 5. Notify the sub-hand holders of when and how the inventory is to be conducted. 6. Ensure that the most current Supply Catalogs, component lists, technical manual and other related publications are used during the inventory 7. Ensure all items are serviceable 8. If items are in maintenance, make sure the maintenance request is valid. 9. Report damaged equipment to unit maintenance personnel for repair. 10. Report all differences regarding property discrepancies to the accountable officer or PBO. 11. Sign property listing acknowledging responsibility of property What are the steps of the post change of command inventory? 1. Incoming commander signs COC memorandum 2. Incoming commander prepares DA Form 1687 (Delegation of Authority Signature Card) and distributes to the following agencies Installation, Central Issue Facility, SSA, Troop Issue, Ammunition Supply Point, Logistics Readiness Center, and other support agencies 3. Incoming and Outgoing commander final brief to Battalion and Brigade Commander What is the GCSS-Army Process? The GCSS-Army is the principal tool for maneuver sustainment for the Army. Using contemporary software, business processes and internet connectivity, GCSS-Army provides a 95 | P a g e Controls are used to reduce or eliminate hazards, which may result in reduced risk level. Consider the reason for the hazard, cause vs symptom, when developing controls. What are effective controls? Effective controls must be suitable, feasible, and acceptable. Effective controls specify who, what, where, when and how. What are the categories of controls? Education controls -Training -Battle Drills -Briefings Physical Controls -Barriers -Signs -Guards Hazard Elimination Controls -Engineering -Administrative -Personal Protective Equipment (PPE) What are the eight criteria for effective controls? Feasibility Acceptability Suitability Support Explicitness Standards Training Leadership The individual What can a field maintenance company provide support on? 1. Automotive Equipment 2. Service and Recovery (Includes Metalworking) 3. Communications, Electronics and Missile Systems 4. Ground Support Equipment (Generators, Pumps, Engineer Equipment, HVAC) 5. Armament (Individual; Crew Served Weapons) 96 | P a g e What can a forward support company provide maintenance support on? 1. Automotive Equipment 2. Service and Recovery (Limited Metalworking What can a support maintenance company provide maintenance support on? Automotive Equipment 2. Service and Recovery (Includes Metalworking) 3. Communications and Electronics 4. Ground Support Equipment (Generators, pumps, engineer equipment, HVAC) 5. Armament (Individual, Crew Served Weapons) What is a PACE plan? Primary Alternate Contingency Emergency. A communication plan that exists for a specific mission or task, not a sepcific unit, as the plan considers both intra- and inter-unit sharing of information. The PACE Plan designates the order in which an element will move through available communiations systems until contact can be established with the desired distant element. Who develops PACE plan? The S6 What are techniques used to decrease transmission times? 97 | P a g e 1. Ensure all transmission are necessary 2. Preplan messages before transmitting them 3. Transmit quickly and precisely 4. Use equipment capable of data burst transmision 5. Use an alternate means of communications 6. Use of brevity codes What are communications jamming indicators? 1. Robotic sounds 2. Prerecorded sounds or music 3. Loss of control of unmanned aerial systems 4. Howling Sounds What are GPS jamming indicators? 1. Loss of GPS signal 2. Loss of time or incorrect time 3. Grid coordinates are inaccurate 4. Jamming detection warning message What are actions to take if supsected jamming has occurred? 1. Increasing transmission power 2. Increasing the distance between you and the jammer 3. Changing frequency in accordance with the PACE plans 4. Using terrain or vehicles to shield friendly antennas from the jamming emanations What is a JSIR? Joint Spectrum Interference Resolution. This is a tactical report used to document possible jamming or general interference. What infromation is part of a JSIR? 1. Time of suspected incident 2. Frequencies affected 3. Systems affected 4. A general description of the interference and mitigation efforts used. What are some practical GPS jamming protections? 1. For mounted or dismounted operations, use natural terrain feature or create a barrier to block the offending signal 2. Surround the GPS antenna with a number five sized steel can 3. Smaller receivers not permanently affixed to a vehicle can be placed in a hole or inside a vehicle's hatch to block electromagnetic interference and allow the GPS signal to be received. Hole should be 6-8 inches deep and allow sufficient view to the sky What is CMDP