Attachment 2_CMRP_Checklist_46NX_Oct_2023.pdf

COMPREHENSIVE MEDICAL READINESS PROGRAM

46NX Checklist – Clinical Nurse

(Reviewed/Updated October 2023) Consultant: Maj Amina Tharpe

CMRP Category I, Clinical Currency for Readiness: Fundamental clinical skills, usually obtained through medical education and in-garrison care. Ref:

DAFI 41-106, Medical Readiness Program Management, 4.5.1

Frequency: For 3-level officers and above, and 5-level enlisted members and above with Category I requirements, Category I training must be current at all times. Ref: DAFI 41-106, 4.5.2 Knowledge/Skill: Comprehension gained through study, experience, or practice.

Clinical Performance: Initiating/Completing a specific clinical task or function within the provision of patient care. Direct, hands-on, patient care is required.

Skill Set

Knowledge/Skill or Clinical Performance

Frequency

Training Sources

A. Initial Unit Orientation

Complete AFSC-specific unit orientation.

Initial orientation varies from 4-6 weeks depending on duty station and skill level

160-240 hrs

One time occurrence per duty section/unit assignment

• Orientation checklist-utilize unit standardized orientation or local checklist if not available on Kx:

https://kx.health.mil/kj/kx1/AFMOAEdandTraining/Pages/Competenc y_Orientation.aspx

B. Clinical - Inpatient

Inpatient clinical patient care that directly supports skills performed in expeditionary operations. Regardless of clinical setting, targeted skills should include starting IVs, administering IV meds, post-operative monitoring, pain management, wound care, electrocardiograms (EKG), managing NG tube/chest tube/foleys/central lines, medication and blood administration, continuous cardiac monitoring, hemodynamic monitoring, end of life support, postmortem processes, etc.

Joint Knowledge, Skills, and Abilities

(JKSA)

Clinical Performance

144 hrs

Q12M

• MTF-everyday work experience (or civilian employment validated by the medical unit commander IAW DAFI 41-106 for ARC only)

• Deployments/Real World Operations

• Formal Training Centers for Sustainment of Trauma & Readiness Skills (C-STARS), (if applicable AFSC specific programming exists)

• Partnerships Training Affiliation Agreement (TAA), Memo of Understanding (MOU), Memo of Agreement (MOA)

• Off-Duty Employment (ODE/Civilian Employment experience may be included if it is reported through the external workload tracking process (AD only).

C. Advanced Life Support (ALS)

Advanced Cardiac Life Support (ACLS) [suitable substitution]

16 hrs initial 8 hrs recert

Q24M • ALS

OR

• ACLS

*Certification or Instructor status

CMRP Category II, Readiness Skills Training: Readiness Skills training is the AFSC-specific skills that allow an Airman or Guardian to perform the full scope of duties associated with their specialty in a deployed setting. Ref: DAFI 41-106, 4.6.1

Frequency: Personnel will complete CMRP Cat I and Cat II training in accordance with the CMRP matrix on the AF Medical Readiness SharePoint® Site for unit types. Critical AFSCs are listed in the AF Tables in the Defense Readiness Reporting System (DRRS) and are determined using the primary AFSC for enlisted and duty AFSC for officers.

https://kx.health.mil/kj/kx1/AFMOAEdandTraining/Pages/Competency_Orientation.aspx https://kx.health.mil/kj/kx1/AFMOAEdandTraining/Pages/Competency_Orientation.aspx

D. Trauma

Review Initial Trauma Assessment

Review Documentation Requirements

1 hr

• Trauma Nurse Core Course (TNCC) - review current edition

• Combat Casualty Care Course (C4):

https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home .aspx

• Battlefield and Disaster Nursing Pocket Guide

• JTS CPGs/Deployed Medicine App *Documentation requirement for Combat Casualty Care *Documentation in Prolonged Field Care https://apps.apple.com/us/app/deployed-medicine/id1203051672 https://play.google.com/store/apps/details?id=com.allogy.deployedmed icine&hl=en_US

E. Trauma Nurse Core Course (TNCC) [Advanced Trauma Care for Nurses (ATCN) suitable substitution]

16 hrs

Q48M • TNCC

• ATCN

• C4 course:

https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home .aspx

*Certification or Instructor status

F. Blast/Blunt Injury

Predict potential injuries from specific mechanisms and patterns of injury

Identify patients at high risk of missed injury, compartment syndrome, and conduct serial abdominal exams

Recognize En-Route Care considerations for preparation and receiving patients with blast/blunt injuries, particularly with chest tubes, ocular injuries, and cardiac monitoring

Q12M • JTS CPGs/Deployed Medicine App *High Bilateral Amputations and Dismounted Complex Blast Injury *Blunt Abdominal Trauma, Splenectomy, and Post- Splenectomy Vaccination *Aural Blast Injury/Acoustic Trauma and Hearing Loss *Eye Trauma: Initial Care

• Battlefield and Disaster Nursing Pocket Guide (current ed.)

*Blast Injury *Cardiac *Trauma/Tamponade *Ocular

• C4 course:

https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home .aspx https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://apps.apple.com/us/app/deployed-medicine/id1203051672 https://play.google.com/store/apps/details?id=com.allogy.deployedmedicine&hl=en_US https://play.google.com/store/apps/details?id=com.allogy.deployedmedicine&hl=en_US https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx

G. Damage Control Resuscitation

Prevent development of coagulopathy by dilution of factors needed to provide hemostasis

Identify blood components at an appropriate ratio throughout the resuscitation process

Recognize and manage signs and symptoms of a transfusion reaction

Explain the process in establishing a Walking Blood Bank

• JTS CPGs/Deployed Medicine App *Damage Control Resuscitation *Whole Blood Transfusion

• C4 course:

https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home .aspx

• Elsevier Clinical Skills Plus: Elsevier Clinical Skills Plus Modules

- (select “proceed to Clinical skills plus” then type topic in search bar) *Transfusion Reaction

• Battlefield and Disaster Nursing Pocket Guide (current ed.)

*Blood/Blood Products *Damage Control Resuscitation *Hemodynamic Monitoring *Hypothermia Prevention

• Damage Control Resuscitation Simulation available via AFMMAST - AFMMAST CMRP Sims

H. Pediatric Care

Assess pediatric patient using motor/neurologic scales/tools with consideration for developmental age and culture.

Be able to recognize and treat life-threatening conditions and minimize/prevent secondary injury

Describe fluid resuscitation

Identify indications of respiratory distress

Review weight-based dosing/medication

• Battlefield and Disaster Nursing Pocket Guide (current ed.)

*Pediatrics

• Pediatric Advanced Life Support (PALS) - Review current edition

• Borden Institute Pediatric Surgery and Medicine for Hostile Environments (current ed.) (copy & past link) https://medcoe.army.mil/borden-tb-pediatric-surgery

• Pediatric Respiratory Distress and Hypotension Simulation available via AFMMAST – AFMMAST CMRP Sims

I. Pediatric Advanced Life Support

(PALS)

16 hrs initial 8 hrs recert

Q24M • PALS

*Certification or Instructor status

J. Genitourinary/Renal Trauma Or Disorders

Recognize signs and symptoms indicative of genitourinary/renal trauma

Recognize signs and symptoms of rhabdomyolysis

Review suprapubic catheter management

*Genitourinary (GU) Injury Trauma Management

*Rhabdomyolysis *Crush Syndrome Genitourinary/Renal

• Elsevier Clinical Skills Plus Modules - (select “proceed to Clinical skills plus” then type topic in search bar) *Urinary Catheter: Suprapubic Catheter Care *Urinary Catheter: Suprapubic Insertion and Replacement https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://kx.health.mil/kj/kx8/VirtualLibrary/Pages/Clinical%20Skills%20Plus.aspx https://intelshare.intelink.gov/sites/afmmast/Training/Scenarios%20Library/Forms/AllItems.aspx?RootFolder=%2Fsites%2Fafmmast%2FTraining%2FScenarios%20Library%2FCMRP%20Scenarios&FolderCTID=0x01200059726582CB658343BCAF37A4FD391E0A&View=%7BD87033B9%2D9001%2D4382%2D867D%2D02D46E37FF3D%7D https://medcoe.army.mil/borden-tb-pediatric-surgery https://intelshare.intelink.gov/sites/afmmast/Training/Scenarios%20Library/Forms/AllItems.aspx?RootFolder=%2Fsites%2Fafmmast%2FTraining%2FScenarios%20Library%2FCMRP%20Scenarios&FolderCTID=0x01200059726582CB658343BCAF37A4FD391E0A&View=%7BD87033B9%2D9001%2D4382%2D867D%2D02D46E37FF3D%7D https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://kx.health.mil/kj/kx8/VirtualLibrary/Pages/Clinical%20Skills%20Plus.aspx

K. Neurologic Injuries

Knowledge of Military Acute Concussion Evaluation (MACE2) Medic/Corpsman screening of Service Members involved in a potentially concussive/mild Traumatic Brain Injury event

Understand the evaluation and effectiveness of medical and nursing interventions for the neurologic trauma patient

Describe the management of a patient with potential/actual intracranial, spinal cord, and cervical-thoracic-lumbar injury

Be familiar with En-Route Care considerations to prepare and receive patients with neurologic injuries, particularly with positioning for head injuries and spinal immobilization during transport

*Use of MRI in management of mild TBI/concussion in the deployed setting *Cervical and Thoracolumbar Spine Injury Evaluation, Transport, and Surgery in the Deployed Setting

• Concussion management algorithm cards:

https://health.mil/Reference-Center/Forms/2012/10/08/DCoE- Concussion-Management-Algorithm-Cards

• Battlefield and Disaster Nursing Pocket Guide (current ed.)

*Neurological *Spinal Cord Injury *Spinal Immobilization/Application of Spinal Board *Traumatic Brain Injury *Concussion Management *Moderate/Severe Brain Injury Management

• Traumatic Brain Injury Simulation available via AFMMAST - AFMMAST CMRP Sims

• MEDIC-X training: MEDIC-X Home (health.mil)

L. Orthopedic Trauma

Understand nursing care related to external fixators (pin care, transport, CMS checks)

Recognize signs and symptoms of extremity compartment syndrome

Be familiar with En-Route Care considerations to prepare and receive patients with orthopedic injuries, particularly with casts/splints

*Pelvic Fracture Care *Orthopedic Trauma: Extremity Fractures *Acute Extremity Compartment Syndrome and the Role of Fasciotomy in Extremity War Wounds

*Orthopedic-Musculoskeletal *Splinting *Fractures *Compartment Syndrome

M. Soft Tissue Trauma & Amputation

Describe wound care with consideration to diagnosis

Be knowledgeable with infection prevention practices

Understand Gun Shot Wound Management

Decubiti Assessment

*Infection Prevention in Combat- Related Injuries *Initial Management of War Wounds: Wound Debridement and Irrigation *Invasive Fungal Infection in War Wounds

*Orthopedic-Musculoskeletal *Compartment Syndrome *Crush Syndrome *Soft Tissue Trauma *Wound Care *Amputation Care *Infection Prevention

• Multiple Gun Shot Wound Simulation available via AFMMAST - AFMMAST CMRP Sims

• Skills: Pressure Injury: Risk Assessment and Prevention - CE (elsevierperformancemanager.com) https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://health.mil/Reference-Center/Forms/2012/10/08/DCoE-Concussion-Management-Algorithm-Cards https://health.mil/Reference-Center/Forms/2012/10/08/DCoE-Concussion-Management-Algorithm-Cards https://intelshare.intelink.gov/sites/afmmast/Training/Scenarios%20Library/Forms/AllItems.aspx?RootFolder=%2Fsites%2Fafmmast%2FTraining%2FScenarios%20Library%2FCMRP%20Scenarios&FolderCTID=0x01200059726582CB658343BCAF37A4FD391E0A&View=%7BD87033B9%2D9001%2D4382%2D867D%2D02D46E37FF3D%7D https://kx.health.mil/kj/kx2/MedicX/Pages/home.aspx https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://intelshare.intelink.gov/sites/afmmast/Training/Scenarios%20Library/Forms/AllItems.aspx?RootFolder=%2Fsites%2Fafmmast%2FTraining%2FScenarios%20Library%2FCMRP%20Scenarios&FolderCTID=0x01200059726582CB658343BCAF37A4FD391E0A&View=%7BD87033B9%2D9001%2D4382%2D867D%2D02D46E37FF3D%7D https://point-of-care.elsevierperformancemanager.com/skills/601/quick-sheet?skillId=GN_15_1&virtualname=usaf-washingtondc https://point-of-care.elsevierperformancemanager.com/skills/601/quick-sheet?skillId=GN_15_1&virtualname=usaf-washingtondc

N. Thermal Injury

Be familiar with document for intake/output on JTS Burn Resuscitation flow sheet

Understand the fundamental of burn wound management

Be able to recognize emerging burn complication syndromes

Understand pain management with burn patients

*Burn Care

*Burns

• Burn with Inhalation Injury Simulation available via AFMMAST - AFMMAST CMRP Modules

• C4 course:

https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/hom e.aspx

O. Mechanical Ventilation

Fundamental Concepts of Mechanical Ventilation

Be familiar with En Route Care considerations of transport particularly with preparation for flight regarding pulmonary status and oxygen needs

Q12M • Elsevier Clinical Skills Plus Modules - (select “proceed to Clinical skills plus” then type topic in search bar) *Mechanical Ventilation: Volume and Pressure Modes *Mechanical Ventilation: Troubleshooting

• JTS CPGs/Deployed Medicine App *Airway Management of Traumatic Injuries *Critical Care Air Transport *Mechanical Ventilation *Acute Respiratory Failure

• Mechanical Ventilation made Easy (24:02) (copy & paste link) https://www.youtube.com/watch?v=52TUHwnhZeo

• Battlefield and Disaster Nursing Pocket Guide (current ed.)

*Pulmonary/Thoracic *Tension Pneumothorax *Emergency Airway Management Airway *AE Considerations Pulmonary/Thoracic

• C-STARS Ventilation Management Slides (copy & paste link) https://kx.health.mil/kj/kx9/CMRP/Documents/RSVP_Checklists/Vent ilation%20Management%202018.05.17.pdf

P. Pain, Anxiety, And Delirium

Explain use of Defense and Veterans Pain Rating Scale (DVPRS)

Explain medications administration set-up via patient-controlled analgesia pump

Knowledgeable with Richmond Agitation Sedation Scale (RASS)

Be familiar with the use of Confusion Assessment Method (CAM)

Describe mission/Use of Acute Pain Service (APS) at Role 3

Explain care of patient with Peripheral Nerve Block (PNB)

3 hrs

*Pain, Anxiety, and Delirium

*Pain, Anxiety, and Delirium Management *Epidural Anesthesia *Peripheral Nerve Catheters AE Considerations for Patients with Epidural Infusion or PNB

*PCA

*Sedation

• DAFI 48-107, V1 En Route Care and Aeromedical Evacuation Medical Operations, para 8.22 (medications); para 8.21.5 (PNB) https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://intelshare.intelink.gov/sites/afmmast/Training/Scenarios%20Library/Forms/AllItems.aspx?RootFolder=%2Fsites%2Fafmmast%2FTraining%2FScenarios%20Library%2FCMRP%20Scenarios&FolderCTID=0x01200059726582CB658343BCAF37A4FD391E0A&View=%7BD87033B9%2D9001%2D4382%2D867D%2D02D46E37FF3D%7D https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://kx.health.mil/kj/kx8/AETCSGUForceDevelopment/Pages/home.aspx https://kx.health.mil/kj/kx8/VirtualLibrary/Pages/Clinical%20Skills%20Plus.aspx https://jts.health.mil/index.cfm/PI_CPGs/cpgs about:blank about:blank about:blank https://static.e-publishing.af.mil/production/1/af_sg/publication/dafi48-107v1/dafi48-107v1.pdf

Be knowledgeable with En-Route Care considerations for pain management pre- and post-transport, including medication preparation and administration

Q. Transport/Evacuation

Understand the process of Patient Preparation (litter set-up, loading, pressure injury prevention, preflight documentation)

Explain process of assisting/performing on/offload (fixed wing aircraft)

Knowledge of the Stresses of Flight

Familiar with clinical indicators of pre-transport stability

Know indications for Cabin Altitude Restriction

Be able to describe the risks/strategies to decrease risks for ear block

Know the use of structured handoff tool for handoff

Be knowledgeable with patient transport and movement safety considerations (ground vehicle, aircraft, helicopter, ship, etc.)

2 hrs

Q12M • Formal course attendance at one of the below within the last 12 months (email cert):

*EMEDS L2ORP4XXX

*AEPSC L2ORP4XXX

*Combat Casualty Care Course (C4) L5OZA44XX

• Transport of patients in theater (assist/perform on/offload (fixed wing aircraft) AE OPS procedures 11-2AE Vol 3

• MEDIC-X training: MEDIC-X Home (health.mil)

*Inter-facility Transport of Patients Between Theater Medical Treatment Facilities

• Litter Evacuation Guide https://kx.health.mil/kj/kx9/CMRP/Pages/RSVP_SupportingDocument s_4N0X1.aspx

• AE Concepts https://kx.health.mil/kj/kx9/CMRP/Pages/RSVP_SupportingDocument s_AE_Concepts.aspx

• Battlefield and Disaster Nursing Pocket Guide (current ed.)

*Transport *Pre-Flight Assessment *Handoff *Litters *Helicopter Operations/Loading *Transporting Patients to Ships

• DAFI 48-107, V1 En Route Care and Aeromedical Evacuation Medical Operations, para 8.16.2.2.1.

• DAFI 48-107, V1 En Route Care and Aeromedical Evacuation Medical Operations, attachment 7 ‘Patient Movement Inpatient Handoff Report Checklist; and attachment 8 ‘Patient Movement Outpatient Handoff Checklist’

R. Environmental Injury

Recognize and be able to describe therapies for:

heat illness, heat exhaustion, heat stroke

Understand the process to initiate therapies to prevent/minimize hypothermia and correlate clinical implications

Q12M • Battlefield and Disaster Nursing Pocket Guide (current ed.)

*Heat/Cold Related Injuries *Mild Heat Illness *Heat Stroke *Exertional Hyponatremia *Cold Injury *Frostbite *Nonfreezing Cold Injury *Hypothermia Treatment/Prevention

*Hypothermia Prevention, Monitoring, and Management https://usaf.dps.mil/teams/app10-etca/SitePages/home.aspx https://kx.health.mil/kj/kx2/MedicX/Pages/home.aspx https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://kx.health.mil/kj/kx9/CMRP/Pages/RSVP_SupportingDocuments_4N0X1.aspx https://kx.health.mil/kj/kx9/CMRP/Pages/RSVP_SupportingDocuments_4N0X1.aspx https://kx.health.mil/kj/kx9/CMRP/Pages/RSVP_SupportingDocuments_AE_Concepts.aspx https://kx.health.mil/kj/kx9/CMRP/Pages/RSVP_SupportingDocuments_AE_Concepts.aspx https://static.e-publishing.af.mil/production/1/af_sg/publication/dafi48-107v1/dafi48-107v1.pdf https://static.e-publishing.af.mil/production/1/af_sg/publication/dafi48-107v1/dafi48-107v1.pdf

(JKSA) • Malignant Hyperthermia Reaction Simulation available via

AFMMAST:

Malignant Hyperthermia Reaction - All Documents (intelink.gov)

S. Expeditionary Equipment

Familiar with Cardiac Equipment (e.g., Propaq/Defibrillator)

30 mins

Q12M • Codman Express C-STARS CCATT (7:14) Codman Express CSTARS CCATT - YouTube

• Propaq MD Defibrillation CCATT (0:51) Propaq MD Defibrillation - YouTube

• MRx Philips Heartstart® User and Service Materials (M3534A/M3536) (3:32) How to Use PHILIPS Heartstart MRx Prop Defibrillator | Alpha Medical Props - YouTube

T. Expeditionary Equipment

Familiar with Chest Tube Drainage System – adult/pediatric (e.g., Atrium)

Q12M • Elsevier Clinical Skills Plus Modules - (select “proceed to Clinical Skills Plus” then type topic in search bar) *Chest Tube: Closed Drainage Systems *Chest Tube Removal

• Chest Tube Management (16:51) Chest Tubes - Nursing Management & Assessment NCLEX RN & LPN - YouTube

• Atrium’s Oasis Dry Suction Water Seal Chest Drain-Setup and Operation (13:28) Atrium Oasis Dry Suction Water Seal Chest Drain - Setup and Operation - YouTube

U. Expeditionary Equipment

Familiar with Intracranial Pressure Monitoring Device - Intraventricular Drainage Device

Q12M • EVD Stopcock Positions C-STARS CCATT (4:04) EVD Stopcock Positions CSTARS CCATT - YouTube

• EVD Level and Open Zero C-STARS CCATT (3:12) EVD Level and Open Zero CSTARS CCATT - YouTube

• EVD Draining C-STARS CCATT (3:29) EVD Draining CSTARS CCATT - YouTube

V. Expeditionary Equipment

Familiar with Negative Pressure Wound Therapy (e.g., KCI wound vac)

Q12M • Elsevier Clinical Skills Plus Modules – (select “proceed to Clinical Skills Plus” then type topic in search bar) *Negative Pressure Wound Therapy

• V.A.C.® Dressing - Basic Application - Applying the V.A.C.® Therapy System Dressing (2:51) https://www.youtube.com/watch?v=ZA-E9ZQp1N0

• CCAT Negative Pressure Wound Therapy CPG Negative Pressure Wound Therapy during Critical Care Air Transport, 11 Feb 2020 (health.mil)

W. Expeditionary Equipment

Familiar with Patient Controlled Analgesic (PCA) Pump (e.g., ambIT® Pain Pump)

Q12M • ambIT® Military PCA Pump Patient Training (3:29) ambIT Military PCA Pump Patient Training - YouTube

• ambIT® PCA (3:21) Ambit PCA - YouTube

• ambIT® PCA-Clearing History (1:05) Ambit PCA - Clearing Hx - YouTube

• ambIT® Pump Training App ambIT Pump Training on the App Store (apple.com) or ambIT Training - Apps on Google Play https://intelshare.intelink.gov/sites/afmmast/Training/Scenarios%20Library/Forms/AllItems.aspx?RootFolder=%2Fsites%2Fafmmast%2FTraining%2FScenarios%20Library%2FMalignant%20Hyperthermia%20Reaction&FolderCTID=0x01200059726582CB658343BCAF37A4FD391E0A&View=%7BD87033B9%2D9001%2D4382%2D867D%2D02D46E37FF3D%7D https://www.youtube.com/watch?v=FMxX97LXhbw https://www.youtube.com/watch?v=oocf3yQMKls https://www.youtube.com/watch?v=qv2FsGw4yMU https://www.youtube.com/watch?v=qv2FsGw4yMU https://kx.health.mil/kj/kx8/VirtualLibrary/Pages/Clinical%20Skills%20Plus.aspx https://www.youtube.com/watch?v=WfoXkJM6XHw https://www.youtube.com/watch?v=WfoXkJM6XHw https://www.youtube.com/watch?v=3oUtnuQhinQ https://www.youtube.com/watch?v=3oUtnuQhinQ https://www.youtube.com/watch?v=YRv3oX1Urws https://www.youtube.com/watch?v=_2quwzlmyqk https://www.youtube.com/watch?v=IErGQjHad2I https://kx.health.mil/kj/kx8/VirtualLibrary/Pages/Clinical%20Skills%20Plus.aspx https://www.youtube.com/watch?v=ZA-E9ZQp1N0 https://jts.health.mil/assets/docs/cpgs/Negative_Pressure_Wound_Therapy_CCAT_11_Feb_2020_ID49.pdf https://jts.health.mil/assets/docs/cpgs/Negative_Pressure_Wound_Therapy_CCAT_11_Feb_2020_ID49.pdf https://www.youtube.com/watch?v=7kr9dh4Ywxs https://www.youtube.com/watch?v=cVNiOhcnFYE https://www.youtube.com/watch?v=SQ6HfwM4Iu0 https://apps.apple.com/us/app/ambit-pump-training/id864391228 https://play.google.com/store/apps/details?id=com.avanos.ambittraining&hl=en_US&gl=US

X. Expeditionary Equipment

Familiar with Patient Warming Device (e.g., Bair Hugger)

15 mins

Q12M • 3M Bair Hugger™ Warming Unit Model 675 In-service Video (5:02) https://www.youtube.com/watch?v=ex0XT8jnUKE

Y. Expeditionary Equipment

Familiar with Portable lab equipment (e.g., i- STAT machine)

Q12M • CCAT i-STAT Use CPG i-STAT Portable Blood Analyzer in Austere Locations, 29 Jan 2020 (health.mil)

Z. Expeditionary Equipment

Familiar with Rapid Infuser (e.g., Belmont)

Q12M • The Belmont® Rapid Infuser RI-2 Instructional Video (14:44) The Belmont® Rapid Infuser RI-2 Blood/Fluid Warmer | Full Instructional Video (April 2021) - YouTube

AA. Expeditionary Equipment

Familiar with Suction (e.g., Zoll M330, Impact 326M)

Q12M • Zoll M330 Aspirator CSTARS Baltimore: Zoll 330 Multifunction Aspirator - YouTube

BB. Expeditionary Equipment

Familiar with Tourniquet

• Tactical Field Care: Hemorrhage Control (5:37) Deployed Medicine

• Tactical Combat Casualty Care (TCCC)

CC. Expeditionary Equipment

Familiar with Infusion Device (e.g., Triple Channel IV Pump)

Braun Infusomat Space Pump

• Prime Triple Channel Pump C-STARS CCATT (2:14) Prime Triple Channel Pump CSTARS CCATT - YouTube

• Program Secondary Line Triple Channel Pump C-STARS CCATT (1:04) Program Secondary Line Triple Channel Pump CSTARS CCATT - YouTube

• Change Device Mode Triple Channel Pump C-STARS CCATT (1:15) Change Device Mode Triple Channel Pump CSTARS CCATT - YouTube

• Braun Infusomat Space Pump (29:56) https://www.youtube.com/watch?v=7L1J4p4PXPU

DD. Expeditionary Equipment

Familiar with Ventilator (e.g., Impact 731)

Q12M • Impact 731 Setup C-STARS CCATT (2:58) Impact 731 Setup CSTARS CCATT - YouTube

• Impact 731 O2 Low Flow C-STARS CCATT (2:34) Impact 731 O2 Low Flow CSTARS CCATT - YouTube

• Impact 731 Volume Control C-STARS CCATT (3:40) Impact 731 Volume Control CSTARS CCATT - YouTube

• Impact 731 Pressure Control C-STARS CCATT (3:43) Impact 731 Pressure Control CSTARS CCATT - YouTube https://www.youtube.com/watch?v=ex0XT8jnUKE https://jts.health.mil/assets/docs/cpgs/i-STAT_Portable_Blood_Analyzer_Austere_Locations_CCAT_29_Jan_2020_ID47.pdf https://jts.health.mil/assets/docs/cpgs/i-STAT_Portable_Blood_Analyzer_Austere_Locations_CCAT_29_Jan_2020_ID47.pdf https://www.youtube.com/watch?v=0K7Jeu-L034 https://www.youtube.com/watch?v=0K7Jeu-L034 https://www.youtube.com/watch?v=N-xW9mX3iJk https://deployedmedicine.com/market/29/content/81 https://www.youtube.com/watch?v=EpO4UFxGAus https://www.youtube.com/watch?v=EcFRONwj7gc https://www.youtube.com/watch?v=EcFRONwj7gc https://www.youtube.com/watch?v=Le_JbVmBWIA https://www.youtube.com/watch?v=Le_JbVmBWIA https://www.youtube.com/watch?v=7L1J4p4PXPU https://www.youtube.com/watch?v=PHdnb43Sibo https://www.youtube.com/watch?v=60c7ppjwRfI https://www.youtube.com/watch?v=WGNq94KwbNc https://www.youtube.com/watch?v=I4Xhc8JdTUM

EE. Utilizing Telehealth In-Theatre

Q12M • Telehealth Nursing Practice https://kx.health.mil/kj/kx1/Med- Surg/Documents/CMRP/CMRP_Telehealth%20Nursing%20Practice.

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Comprehensive Medical Readiness Program questions may be directed to AFMRA/SG3XR (RACE) team, send correspondence to usaf.pentagon.afmra.mbx.cmrp@health.mil. For comments or suggestions regarding the content of the Comprehensive Medical Readiness Skills checklist, please contact your Surgeon General Consultant or Career Field Manager (CFM). The SG Consultants/CFM Roster is available through the AFMRA Clinical Quality Kx site: https://kx.health.mil/kj/kx4/SGConsultants/Lists/Consultants%20List/AllItems.aspx).

Chapter 6 Telehealth Nursing Practice.pdf https://kx.health.mil/kj/kx1/Med-Surg/Documents/CMRP/CMRP_Telehealth%20Nursing%20Practice.pdf https://kx.health.mil/kj/kx1/Med-Surg/Documents/CMRP/CMRP_Telehealth%20Nursing%20Practice.pdf https://kx.health.mil/kj/kx1/Med-Surg/Documents/CMRP/CMRP_Telehealth%20Nursing%20Practice.pdf mailto:usaf.pentagon.afmra.mbx.cmrp@health.mil https://kx.health.mil/kj/kx4/SGConsultants/Lists/Consultants%20List/AllItems.aspx