Technical Exhibit 5 - Contract Worker Standard Qualifications 9 Feb 2026 IDIQ 1 Direct Patient.pdf

Exhibit 5, Version 1.0 (9 Feb 2026)

Exhibit 5 – IDIQ #1 Direct Patient Service Providers

Contract Worker Standard Qualifications

The standard qualifications listed in this exhibit are the labor category standard qualifications.

Task Order Contracting Officers (TOCOs) shall use the minimum qualifications as minimum requirements but may modify the core duties in the Task Order Performance Work Statement

(PWS) to meet their specific requirements. Bullets under the “Minimum Qualifications” section of each labor category will NOT be modified to a lesser degree than the requirements outlined in the DHA PM 6025.13, vol. 4 or Service-specific requirements where the DHA PM is silent.

Service specific guidelines may apply in areas where the DHA PM is silent. Bullets under the

“Core Duties” section of each labor category may be modified in the Task Order PWS.

LABOR CATEGORIES

Allergy Technician

Minimum Qualifications:

• Degree: High School Degree.

• Education: Graduate from a medical assistant training program accredited by

Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the

Accrediting Bureau of Health Education Schools (ABHES) of the American Medical

Technologists or a formal medical services training program of the United States Armed

Forces.

• Certification/Experience: Successful completion of a didactic specialty course in Allergy

& Immunology or possess three years of Allergy/Immunology and Immunization experience within the last four years in a specialty clinic.

Core Duties:

• Prepare examination rooms prior to patient's arrival.

• Assist with patient check-ins, admissions, discharges, and transfers as directed.

• Check patient's vital signs, to include temperature, respiration, pulse, weight and blood pressure.

• Obtain and document patient's current medical history, drug history, chief complaints, allergies and vital signs on the correct form.

• Perform diagnostic procedures when ordered such as allergy tests, pulmonary function, and skin tests.

• Provide education on symptom management and allergy serum.

• Prepare and administer allergy serums and injections.

• Maintain examination room stock levels and perform routine maintenance of examination rooms.

• Complete lab and x-ray requisitions in accordance with clinic policies.

• Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

• Identify signs and symptoms of anaphylaxis versus vasovagal reaction.

• Initiate and assist in acute anaphylaxis management.

Audiologist

Minimum Qualifications:

• Degree: Master's degree in audiology.

• Education: Graduate from an educational program accredited by the American Speech-

Language Hearing Association’s (ASHA) Council on Academic Accreditation in

Audiology and Speech Pathology (CAA) or the Accreditation Commission for Audiology

Education (ACAE).

• Certification: Possess a certificate of Clinical Competence (CCC) in the field of

Audiology (CCC-A) from the American Speech-Language-Hearing Association (ASHA-

CCCA) or certification from the American Board of Audiology of the American

Academy of Audiology (AAA).

• Experience: As required to meet clinical competency requirements specified in the credentialing instructions.

• Licensure: Must hold a full, current, and unrestricted license in a State, Territory, Commonwealth, or the District of Columbia.

Core Duties:

• Administer audiology tests to all types of patients.

• Identify, assess, and manage auditory, balance, and other neural systems. Provide comprehensive diagnostic and therapeutic procedures of the hearing and balance mechanisms including intraoperative monitoring of the cranial nerves, cerumen removal, cochlear implant assessment and management, post-urography, and other advanced balance mechanism evaluations.

• Review accompanying consultation forms and records, independently determine appropriate tests, adapt test techniques, and utilize clinical judgment based on audiological and psychological precepts.

• Conduct routine tests, to include air conduction, bone conduction, speech reception thresholds and speech discrimination, including high intensity speech discrimination testing.

• Counsel beneficiaries as required regarding problem(s), interpret results and provide guidance and advice on educational and training needs. Provide narrative summary of each patient to referring physician and other interested agencies.

Cardiac Catheterization Technician

Minimum Qualifications:

• Degree: Certificate.

• Education: Graduate from a cardiovascular technologist program accredited by the

Commission on Accreditation of Allied Health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular Technology (JRC-CVT).

• Registration: Registered as a Cardiovascular Invasive Specialist (RCIS) as determined by the Cardiovascular Credentialing International (CCI).

• Experience: One year of experience within the last two years as a cardiac catheterization technician.

Core Duties:

• Perform duties within the scope of practice determined by didactic, laboratory, and clinical technological education and registration.

• Review and/or record pertinent patient history and supporting clinical data.

• Perform appropriate clinical procedures and obtain a record of anatomical, pathological, and/or physiological data for interpretation by a physician.

• Exercise discretion and judgment in the performance of cardiovascular diagnostic and therapeutic services.

• Participate in interventional cardiovascular catheterization and/or cardiac electrophysiology procedures, including balloon angioplasty, stent insertion, radiofrequency ablation, and pacemaker and/or implantable defibrillator insertion.

• Perform a full range of diagnostic ultrasound examinations.

• Perform daily warm up and assigned quality control checks of equipment

• Receive patients and explain procedures, providing humane and appropriate care and communication to alleviate fear of examination. Correctly position the patient for the examination and make adjustments necessary for the required examination.

• Input key test data and patient information into computer of equipment to maintain record of test results.

• Identify abnormalities during testing and determine the need for additional scans of affected area.

• Recognize anatomic variants and determine which other area(s) of the body should be scanned.

• Maintain and clean equipment on a regular basis in accordance with MTF policy. Stock and maintain an adequate level of supplies required for diagnostic procedures.

Recommend necessary repairs when diagnostic quality is degraded.

Cardiovascular Technologist (Echocardiographer)

Minimum Qualifications:

• Degree: Certificate.

• Education: Graduate from a cardiovascular technologist program accredited by the

Commission on Accreditation of Allied Health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular Technology (JRC-CVT).

• Registration: Registered Cardiac Sonographer (RCS) as determined by the

Cardiovascular Credentialing International (CCI).

• Experience: One year of experience within the last two years as a cardiovascular technologist (echocardiographer).

• Perform duties within the scope of practice determined by didactic, laboratory, and clinical technological education and registration.

• Review and/or record pertinent patient history and supporting clinical data.

• Perform appropriate clinical procedures and obtain a record of anatomical, pathological, and/or physiological data for interpretation by a physician.

• Exercise discretion and judgment in the performance of cardiovascular diagnostic and therapeutic services.

• Perform a full range of cardiac diagnostic ultrasound examinations.

• Perform daily warm up and assigned quality control checks of equipment

• Receive patients and explain procedures, providing humane and appropriate care and communication to alleviate fear of examination. Correctly position the patient for the examination and make adjustments necessary for the required examination.

• Input key test data and patient information into computer of equipment to maintain record of test results.

• Identify abnormalities during testing and determine the need for additional scans of affected area.

• Recognize anatomic variants and determine which other area(s) of the body should be scanned.

• Maintain and clean equipment on a regular basis in accordance with MTF policy. Stock and maintain an adequate level of supplies required for diagnostic procedures.

Recommend necessary repairs when diagnostic quality is degraded.

Central Sterile Supply Technician

• Degree: Certificate.

• Education: Completion of a central sterile supply training course.

• Certification: Current certification by the International Association of Healthcare

Central Services Materials Management or current certification by the National Institute of Health Care Sterile Processing and Distribution Personnel.

• Experience: One year of experience within the last two years as a central sterile supply technician.

Core Duties:

• Receive, disassemble and inspect reusable medical devices and surgical instrumentation for damage.

• Receive and dispose of regulated medical waste, general waste and soiled linen.

• Comply with OSHA regulations governing the wearing of personal protective equipment at all times when working in the decontamination area.

• Determine the correct method of decontamination to include the following: removal of blood, tissue fragments, body fluids and other gross contaminants. Decontamination methods shall include wiping, soaking, rinsing, scrubbing and using ultrasonic and washer decontamination/sterilizer equipment.

• Examine all items after decontamination/pre-sterilization procedures to ensure that gross contaminants have been removed and that instruments function properly.

• Ensure that all medical devices and surgical instrumentation are properly labeled and identified.

• Assemble and prepare the full range of specialty trays and instrument sets. Select correct wrapping or packaging material for medical devices and surgical instrument sets, select sterilization process in accordance with standard MTF procedures to include: Ethylene

Oxide (ETO) or Steam Sterilization. Correctly label, seal, wrap or place in rigid containers, items with appropriate chemical indicator tape, and aerate gas sterilized items for the correct period of time.

• Receive sterilized trays, sets, and equipment from the sterilizer; check for integrity of sterilization, (i.e., color changes on indicator tapes, external and internal indicators, and dampness of packages); stock and properly store sterile items in sterile storage room in accordance with MTF procedures.

Certified Athletic Trainer

Minimum Qualifications: (Service specific guidelines/policy is in effect)

• Degree: Bachelor's Degree.

• Education: Graduate from a college or university accredited by the Commission on

Accreditation of Athletic Training Education (CAATE).

• Certification: Possess and maintain a current Certification in Athletic Training through the National Athletic Trainers' Association (NATA) Board of Certification (BOC)

• Experience: Two years of experience within the last three years as a Certified Athletic

Trainer.

Core Duties:

• Perform a full range of Certified Athletic Trainer duties. All services performed shall fall within those guidelines established by the National Athletic Trainers Association, American College of Sports Medicine, American Medical Society for Sports Medicine and any additional Service specific guidelines.

• Prevent, recognize, treat (as stated in bullets below) and rehabilitate injuries.

• Provide evaluation and treatment of musculoskeletal injuries incurred, including, but not limited to the following: progressive resistance exercise (PRE), open and closed chain kinetic exercises, proprioceptive neuromuscular facilitation (PNF), manual therapy and joint mobilization, hydrotherapy, hydrocollator, cryotherapy, ultrasound therapy, phonophoresis, iontophoresis, and all varieties of muscle stimulation.

• Provide treatment for soft tissue damage, acute and chronic edema, post-surgical edema, muscle atrophy, pain, overuse injuries, decreased circulation and loss of strength due to injury or biomechanical imbalance.

• Provide emergency first aid, evaluation and treatment of injuries, and aid in preliminary diagnosis to include recognition of severity of injury, rendering initial treatment and performing initial examination.

• Design and fabricate protective pads, equipment and braces for the prevention and treatment of injuries including the use of proper taping techniques.

Certified Genetics Counselor

• Degree: Master’s Degree.

• Education: Graduate from a program in genetics counseling as determined by the

Accreditation Council for Genetics Counseling.

• Certification: Possess and maintain certification as a genetics counselor through the

American Board of Genetic Counseling (ABGC).

• Experience: One year of experience within the last two years as a certified genetic counselor.

Core Duties:

• Perform a full range of genetics counseling, both independently and in association with

Maternal-Fetal Specialists, for patients at risk of chromosomal, inheritable or acquired birth defects.

• Provide genetic counseling services for a variety of indications, including advanced maternal age, abnormal maternal serum-alpha-fetoprotein (MSAFP) screening, abnormal fetal ultrasound, significant family history of birth defect or inheritable disease or exposure to known teratogen.

• Serve as a resource for health care providers, providing information regarding prenatal testing as well as assessment of need for genetic counseling.

• Collaborate and coordinate with other departments such as Pediatrics to maintain continuity of care.

Certified Medical Assistant

• Degree: Certificate.

• Education: Graduate from a medical assistant training program accredited by

Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the

Accrediting Bureau of Health Education Schools (ABHES) of the American Medical

Technologists or a formal medical services training program of the United States Armed

Forces.

• Certification: Certified Medical Assistant Only: Current certification as a medical assistant by the American Association of Medical Assistants or Current registration by the American Medical Technologists or other formal program.

• Experience: One year of experience within the last two years as a Certified Medical

Assistant.

Core Duties:

• Prepare examination rooms prior to patient's arrival.

• Assist with patient check-ins, admissions, discharges, and transfers as directed.

• Check patient's vital signs, to include temperature, respiration, pulse, weight, blood pressure, and pulse oximeter reading.

• Obtain and document patient's current medical history, drug history, chief complaints, allergies and vital signs on the correct form.

• Perform diagnostic procedures when ordered.

• Maintain examination room stock levels and perform routine maintenance of examination rooms.

• Complete lab and x-ray requisitions in accordance with clinic policies.

• Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

Certified Medical Dosimetrist

Minimum Qualifications:

• Degree: Bachelor's Degree.

• Education: Completion of a Medical Dosimetry program of at least 12 months that has been accredited by the Joint Review Committee on Education in Radiologic Technology

(JRCERT) or completion of 36 months of clinical medical dosimetry experience under the direction of a certified medical dosimetrist or medical physicist and completion of 24 continuing education credits approved by the Medical Dosimetrist Certification Board

(MDCB).

• Certification: Possess and maintain certification as a Medical Dosimetrist by MDCB.

• Experience: One year of experience within the last two years as a Certified Medical

Dosimetrist.

Core Duties:

• Perform routine quality control tests on linear accelerator, simulator, and associated equipment.

• Perform clinical dosimetry measurements.

• Check charts of patients under treatment for completeness and accuracy and verify treatment parameters.

• Maintain patient database for record and verify system.

• Assist in fabrication of treatment blocks and patient positioning devices.

• Maintain familiarity with the proper use of radiation therapy equipment and demonstrate capability and efficiency in the operation of required equipment.

Chiropractic Assistant

• Degree: Certificate.

• Education: Attend a formal training program as a chiropractic assistant, nursing assistant, physical therapy assistant, operating room technician or other similar medically related support type occupation.

• Experience: One year of experience within the last two years as a Chiropractic Assistant, or similar position.

• Licensure: Current, full, active, and unrestricted license to practice as a chiropractic assistant.

• Prepare treatment areas for incoming patients.

• Administer complex, specialized supportive physiotherapy treatment in areas such as ultrasound, electrotherapy, and therapeutic hot/cold and therapeutic exercise in support of chiropractic treatments in the clinic in a safe and medically accepted manner as directed by the supervisor.

• Instruct and supervise patient exercise programs.

• Report unusual patient treatment response or hazardous or malfunctioning equipment to the supervisor immediately.

• Documents patient history, reported subjective symptoms, care interventions provided, response to interventions, observations, and patient education in the electronic health record as directed by the provider and according to established protocols. Reports any abnormalities to the provider immediately.

Chiropractor

Minimum Qualifications:

• Degree: Doctor of Chiropractic.

• Education: Graduate from a college or university accredited by the Council on

Chiropractic Education.

• Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

• Licensure: Current, full, active, and unrestricted license to practice as a doctor of chiropractic from a U.S. state, territory, or district.

Core Duties:

• Perform a full range of clinical diagnosis and chiropractic treatment for commonly occurring neuro-musculoskeletal conditions including subluxation complex;

• Conduct a patent history and chiropractic physical examination as clinically indicated.

• Use the modalities of heat, cold, light, electricity, sound and exercises in patient treatment area.

• Provide patient instructions and recommendations in all matters pertaining to hygiene, nutrition, exercise, life style changes and ergonomic factors in the activities of daily living.

• Plan and conduct lectures and training programs on chiropractic related subjects for staff, students and patients.

• Order orthotics, lifts, collars, and lumbar sacral supports.

• Place active duty patients on limited duty status (profile) according to MTF policy.

Clinical Pharmacist

Includes, but not limited to: Ambulatory Care Pharmacy; Critical Care Pharmacy; Nuclear

Pharmacy; Nutrition Support Pharmacy; Oncology Pharmacy; Pediatric Pharmacy;

Pharmacotherapy Pharmacy; Psychiatric Pharmacy

Minimum Qualifications:

• Degree: Doctor of Pharmacy (Pharm.D.).

Education: Graduate from a college or university accredited by the Accreditation

Council on Pharmaceutical Education (ACPE) or a Foreign Pharmacy Graduate

Examination Committee (FPGEC) certificate and active licensure from a U.S. state, territory, or district.

Internship/Residency: Completion of a clinical pharmacy internship, residency and/or fellowship accredited by the American Society of Health System Pharmacists or

American College of Clinical Pharmacy.

• Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

• Licensure: Current, full, active, and unrestricted license to practice as a clinical pharmacist.

Requirements for additional Pharmacist privileges include one of the following:

o Certification by the Board of Pharmacy Specialties in one or more recognized practice areas appropriate for the privileges requested (e.g., Pharmacotherapy, Ambulatory Care Pharmacy, et.); or o Completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health-System Pharmacists or American College of Clinical Pharmacy; or o Completion of a Post-Graduate Master of Science degree with emphasis in medication therapy management or direct patient care.

• Assess patient’s response to drug therapy and planning drug therapy based on physician-established diagnoses.

• Order and evaluate laboratory tests necessary to evaluate drug therapy effects and outcomes.

• Initiate, modify, or discontinue medications for ongoing therapy of chronic disease states

(e.g., hypertension, hyperlipidemia, anticoagulant, diabetes, asthma, refill clinics, etc.), in cooperation with the medical staff.

• Monitor and manage pharmacotherapy requiring periodic adjustment due to specific or changing pharmacokinetic characteristics (e.g., aminoglycosides, phenytoin, antithrombotic).

• Administer prescription or non-prescription drugs according to established agreements or

MTF protocols.

• Assess metabolic needs and order therapeutic enteral or parenteral nutrition products in the inpatient setting.

• Evaluate medical and medication histories for drug-related problems and adjusting drug therapy accordingly.

• Consult with other healthcare providers (e.g., physicians, dietitians, nurses, physical therapists, etc.) about patient treatment needs or options.

• Perform a full range of pharmacist procedures.

• Review patient profiles at the time of dispensing in order to closely monitor medication therapy.

• Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.

• Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.

• Provide medication and healthcare related in service training to clinical staff on new medications on the market; appropriate use of medications; comparison of current medication therapies; and other topics as deemed appropriate by the department head.

• Consult with other specialty practitioners to provide optimal patient pharmaceutical care.

• Document significant medication interactions, and pharmacy interactions with prescribers. Conduct Adverse Drug Reaction (ADR) reporting in accordance with accreditation standards.

• Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.

Cytotechnologists (American Society of Clinical Pathologists)

Includes, but not limited to: Cytotechnology (CT)

• Degree: Bachelor's degree.

• Education: Have graduated from a school of cytotechnology accredited by the

Committee on Allied Health Education and Accreditation or other organization approved by HHS.

• Certification: Current certification/registration as determined by the American Society of

Clinical Pathology (ASCP) or possess a current license as a cytotechnologist issued by the State in which the laboratory is located.

• Experience: One year of experience within the last two years as a cytotechnologist.

Core Duties:

• Perform slide interpretation and provide diagnostic results of gynecologic and non-gynecologic cytology samples.

• Evaluates and interprets cytological specimens for disease processes as manifested in cytopathology preparations. The diagnostic interpretation of these specimens directs the clinician in the treatment of patients.

• Issues the final diagnosis for those gynecological cases rendered negative these diagnoses include hormonal aberrations, microbiological findings, and inflammatory related changes.

• Determine the suitability of specimens for analysis. Prepare specimens for analysis and ensure that the cellular structures and features of diagnostic material is maintained.

• Prepare reagents and primary reference materials as necessary. Calibrate, standardize, adjust, and maintain instruments. Verify correct instrument operation using established procedures and quality control checks. Identify the cause of common problems and make simple repairs.

• Participates in the collection and preparation of specimens. This includes, but is not limited to, fine needle aspiration, bronchoscopy, touch preparations, and endoscopy.

• Determines the adequacy of such specimens and if appropriate recommends repetition of procedure. Instructs clinician on the proper method for obtaining cytologic specimens for optimal diagnoses

• Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports.

Diagnostic Medical Sonographer (ARDMS/ARRT)

Includes, but not limited to: Angiography Technologists; Breast Sonographer; Registered

Diagnostic Cardiac Sonographer; Registered Diagnostic Medical Sonographer; Registered

Vascular Technologist; Registered Musculoskeletal Sonographer

• Degree: Certificate.

• Education: Graduate from an academic program accredited by the Commission on

Accreditation for Allied Health Education Programs (CAAHEP).

• Certification: Certified by the American Registry for Diagnostic Medical Sonography

(ARDMS) in the specialty identified in the TO.

• Experience: One year of experience within the last two years as a sonographer in the specialty area identified in the TO.

Core Duties

• Correlate the patient's clinical history with the requested examination to be performed and obtain the results from previous pertinent diagnostic tests to correlate with the ultrasound study.

• Consult with staff physicians from a variety of specialties such as obstetrics, gynecology, cardiology and surgery regarding the patient's pertinent past medical history, preliminary diagnosis, and condition so it correlates with the ultrasound examination.

• Recognize normal anatomic variants. Also, recognize anatomic changes created by medical and surgical procedures.

• Document arrival, departure, and completed tests as required by MTF policy. Send appropriate image series to the radiologist for reading according to MTF protocol.

• Perform system warm ups, calibrations and quality control tasks according to manufacturer and MTF policy. Recognize artifacts and equipment errors and notify designated Government personnel of outlying values.

• Explain process to patient, and instructs and assists patient in assuming physical position for examination.

• Assist in the compiling and archiving of records for procedures performed

• Observe and report to the radiologist any symptoms which have direct bearing on the patient's condition as a result of adverse reaction to contrast media and inform the radiologist of any condition requiring his/her attention. Recognize the need for and initiate emergency measures for critical situations such as respiratory or cardiac arrest.

• Identify abnormalities during testing and determine need for additional scans of affected area.

• Perform a full range of diagnostic ultrasonic examinations as appropriate to the discipline.

Dietitian Technician

• Degree: Associates Degree.

• Education: Graduate from a U.S. accredited college or university and successful completion, of a minimum of 450 supervised clinical practice hours, through a dietetic technician program as accredited by the Accreditation Council for Education and

Dietetics of the Academy of Nutrition and Dietetics (ACEND).

• Registration: Possess and maintain a current registration as a Dietetic Technician, Registered (DTR) from the Commission on Dietetic Registration of the Academy of

Nutrition of Dietetics.

• Experience: One year of experience within the last two years as a Dietetic Technician.

Core Duties:

• Collect nutritionally relevant data, e.g., medication, clinical symptoms, laboratory values, dietary history, anthropometrics, etc., from the medical record consistent with screening and assessment guidelines for all age specific groups from infants to geriatrics. Complete nutritional assessments of the nutritional status/needs of not- at-risk patients. Document care provided in Electronic Health Record (EHR) in accordance with MTF local standards and requirements.

• Calculate nutrient and energy intake values and assisting in evaluating data from patient’s dietary history.

• Maintain all required records, reports and statistics in accordance with MTF policy.

Assist in implementing and evaluating Nutrition Management Department functions.

• Assist in the care and maintenance of equipment and supplies used in the performance of duties. Document maintenance on equipment. Requisition supplies and educational materials as required.

Early Childhood Educator

Minimum Qualifications:

• Degree: Bachelor's Degree.

• Education: Complete formal program in special education from an accredited college or university.

• Certification: Current unrestricted state certification or licensure.

• Experience: Three years of experience within the last four years as an Early Childhood

Educator.

Core Duties:

• Provide a full range of Early Childhood Special Educator and Service Coordination services targeting the patient population of infants and toddlers from birth to 36 months old inclusive of pediatric patients who have developmental delays or disabilities or are at-risk for developmental delay.

• Services provided are required by the Individuals with Disabilities Education Act.

• Assist in the coordination of services such as physical therapy, occupational therapy, speech therapy, education and counseling intervention to eligible infants and toddlers with disabilities, ages 0-36 months inclusive, and their families. The emphasis is on family centered care (i.e., emphasis on the patient [child] within the family unit, rather than on the patient alone).

• Participate in the following: implementation of child find activities, development, evaluation, implementation, and modification of Individualized Family Service Plans, consultation regarding integration of patients into child care settings with typically developing children, evaluation, fitting, procurement, and instruction in use of assistive technology devices, identification of family values, beliefs, goals, concerns, and priorities within cultural context which impact patient development, conducting patient/family screenings to determine the need for additional early intervention assessment and treatment, assessing and recommending modification of family and/or day care environment to enhance patient’s development, modifying intervention and treatment plan in accordance with patient’s and family’s changing needs, and treatment planning, family conference, and discharge planning sessions as required.

Electroencephalographic Technologist

Includes, but not limited to: Electroencephalographic Technologist (EEG); Evoked Potentials

Technologist (EP); Neurophysiologic Intraoperative Monitoring Technologist (CNIM); Long

Term Monitoring Technologists (CLTM); Autonomic Testing Professionals (CAP)

Minimum Qualifications:

• Degree: Certificate.

• Education: Complete certification in the specialty area identified in the TO.

• Certification: Certified by the American Board of Registration of

Electroencephalographic and Evoked Potential Technologists (ABRET) in the specialty identified in the TO.

• Experience: One year of experience within the last two years as an Electroencephalographic Technologist/or the designated specialty area identified in the

TO.

• Perform routine diagnostic studies and services.

• Adhere to safety policies and procedures in accordance with the MTF policies.

• Determine if any special patient preparation is required.

• Modify or adjust the recording strategy and/or instrument parameters based on the technologist’s evaluation of recorded data to ensure a complete, comprehensive and technically satisfactory study

• Process studies and submit to the requesting physician.

• Document all procedures and maintain records in accordance with the established policy at the place of performance.

• As directed, perform system calibrations and quality control tasks according to the manufacturer and MTF policies.

• Recognize the need for and institute the necessary emergency measures for situations where a person requires resuscitation procedures due to cardiac or respiratory arrest.

Emergency Medical Technician (EMT)/Paramedic

Includes, but not limited to: Nationally Registered Emergency Medical Technician (NREMT);

Nationally Registered Advanced Emergency Medical Technician (NRAEMT); Nationally

Registered Paramedic (NRP)

• Degree: Certification

• Education: Graduate from an accredited NREMT program.

• Certification: Possess and maintain national certification such as NREMT, NRAEMT, or NRP from the National Registry of Emergency Medical Technicians (NREMT).

• Experience: One year of experience within the last two years as an EMT, NREMT, NRAEMT or NRP.

Core Duties:

• Provide a full range of EMT services within the MTF and supported geographical area.

• Maintain proficiency in the operation of the ambulance radio equipment.

• Monitor and operate ambulance radio equipment as required by the circumstances.

• Provide the patient with the necessary and appropriate medical care, consistent with ambulance equipment and supplies, and personnel certification, training, and experience during transport.

• Control and properly dispose of all medical waste incurred during transport.

• Conduct routine restocking, cleaning, and disinfection of the vehicle, equipment, and supplies. Ensure the ambulances are safe to operate, sanitary, and properly functioning.

• Document all treatment provided to the patient during the patient transport.

• Rapidly stabilizing the patient, according to Advance Life Support (ALS) protocol and

EMS written protocols.

• Lift, place, and deliver patients to the receiving destinations for medical care. Place patients on monitors, administer needles, IVs, oxygen, or dressings. Carry patient records or baggage/belongings to the destination for patient care. Redress patient’s wounds.

Exercise Physiologist

• Degree: Bachelor's Degree.

• Education: Graduate from a program in exercise physiology, exercise science, kinesiology, sports medicine or wellness accredited by the American Society of Exercise

Physiologists (ASEP).

• Certification: Certified Exercise Physiologist from the American College of Sports

Medicine (ACSM); Automated Eternal Defibrillator (AED) certification.

• Experience: One year of experience within the last two years as an Exercise

Physiologist.

Core Duties:

• Assess the fitness level of the population as defined in the TO using sound epidemiological principals. Use evidenced based exercise and behavior change theories to develop, coordinate, implement, conduct, track and evaluate a comprehensive fitness program aimed at fitness improvement and disease intervention and prevention.

• Administer fitness assessments, fitness counseling, fitness prescriptions and, medical exercise/post rehabilitation fitness programs, functional screenings, disease management, preventative services and various other health and fitness programs and activities that meet the community needs.

• Design, develop and establish appropriate administrative and management systems, procedures and policies to ensure the highest professional level of fitness programming within the community.

• Provide health education expertise, consultancy and advocacy to support a comprehensive fitness program.

• Perform unit fitness quality checks and/or staff assistant visits as needed.

• Use assessment results and evidenced-based exercise and behavior change theories to plan comprehensive, integrated and effective fitness programs.

• Schedule beneficiaries for appointments and conduct associated administrative functions as required.

• Plan and conduct submaximal assessments of estimated aerobic capacity by means of cycle ergometry/heart rate monitor and computer.

• Accurately retrieve and file beneficiary information IAW local guidance.

Health Educator

• Degree: Bachelor's degree in Health Education, Community Health, Public Health or a human services related field.

• Education: Graduate from an accredited college or university.

• Experience: One year of experience within the last two years as a Health Educator.

Core Duties:

• Provide health promotion and education opportunities including, but not limited to, tobacco awareness; tobacco cessation classes or appointments consistent with the MTF tobacco cessation program; and nutrition education and weight management.

• Develop population-based programs targeting high-risk groups and individuals, implementing programs through group and individual counseling and education.

• Plan and implement health education programs as specified in the TO.

• Perform limited administrative duties, which include maintaining statistical records of workload and data entry and analysis of patient outcomes.

• Maintain educational materials to support health promotion and education.

• Integrate, initiate and effectively introduce patient and family members (as indicated) into an education/counseling process. Individual, couples and family dynamics are identified as related to their treatment process and entry into early recovery, from a systems perspective (except where contraindicated such as psychological stability or history of violence).

• Assess for and report spouse, child and elder abuse where indicated by state and federal laws while accessing appropriate services.

• Use family program assessments to develop individualized treatment plans for families and make recommendations for services for after care in coordination with the clinical

(civilian and military) community and patient family.

• Facilitate couple and/or spouse education workshops for patients and their spouses where alcohol/drug dependency may impact the family through the use of films, communication exercises and didactic presentations, facilitates discussions and education of patients and their families.

Medical Physicist

• Degree: Master's Degree.

• Education: Graduate from a college in medical physics, radiological physics, health physics, or physics accredited by the Commission on Accreditation of Medical Physics

Education Programs, Inc (CAMPEP).

• Certification: Board eligible or board certified in diagnostic medical physics or nuclear medical physics or therapeutic medical physics from the American Board of Radiology of medical health physics from the American Board of Medical Physics (ABMP).

• Experience: One year of experience within the last two years as a Medical Physicist.

Core Duties:

• Maintain calibration of all treatment machines and radiation sources according to accepted protocols.

• Provide clinical expertise with regards to the purchase of new radiation therapy treatment related equipment and upgrades of existing equipment.

• Provide clinical expertise for acceptance testing, commissioning, calibration, and periodic quality assurance of radiation therapy equipment.

• Measure and analyze beam data for the treatment machines and assure that beam and source data are correctly entered into the treatment planning system and that beam data is tabulated in a form that is usable by the radiation therapists, dosimetrists, and radiation oncologists.

• Work with other members of the treatment planning team to establish treatment planning and delivery procedures.

• Perform and direct the determination of radiation dose distributions for patients undergoing treatment. Ensure accuracy of the plans, dosimetry calculations, dose totals, and their documentation in patient’s charts. This includes 3-Dimensional conformal radiotherapy planning and delivery.

• Ensure the function and the operation of the following technologies; Virtual Wedge, Electronic Portal Imaging Devices (EPID), Digital Reconstructed Radiographs, Virtual

Simulation, and Multileaf Collimation, Tomotherapy, Stereotactic Radiation therapy and

High Dose Rate Brachytherapy.

• Meet radiation monitoring, quality assurance, and safety requirements to ensure compliance with licensure requirements, hospital radiation safety regulations, and national standards of performance.

Medical Laboratory Technologist (American Society of Clinical Pathologists/American Medical Technologist)

Includes, but not limited to: Blood Banking (BB); Chemistry (C); Cytogenetics (CG);

Hemotology (H); Histotechnology (HTL); Medical Laboratory Scientist (MLS); Microbiology

(M); Molecular Biology (MB)

Minimum Qualifications:

• Degree: Bachelor's degree.

• Education: Graduate from a medical technology program accredited by the National

Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or the Accrediting

Bureau of Health Education Schools (ABHES) or educational program acceptable to the

American Medical Technologist (AMT).

• Certification: Current certification/registration as determined by the American Society of

Clinical Pathology (ASCP) or AMT.

• Experience: One year of experience within the last two years as a medical laboratory technologist.

Core Duties:

• Perform a full range of automated and non-automated laboratory procedures in the areas of chemistry, urinalysis, hematology, serology, bacteriology, and immunohematology according to established protocols.

• Determine the suitability of specimens for analysis. Prepare specimens for analysis and ensure that the physiologic state of the properties is maintained.

• Prepare reagents and primary reference materials as necessary. Calibrate, standardize, adjust, and maintain instruments. Verify correct instrument operation using established procedures and quality control checks. Identify the cause of common problems and make simple repairs.

• Recognize and react to indicators of malfunction. Locate and implement corrections.

Obtain analytical data, convert to a prescribed unit of reporting, as necessary, and correlate data to verify results.

• Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports.

Nuclear Medicine Technologist

Includes, but not limited to: Nuclear Medicine technologist, nuclear cardiology technologist

(NCT), positron emission tomography (PET) technologist, and nuclear medicine advanced associate (NMAA).

• Degree: Bachelor's degree.

• Education: Graduate from an academic program that includes major study, or at least 24 semester hours, in scientific subjects such as radiation biology, anatomy, physiology, nuclear medicine physics, radiation physics, nuclear instrumentation, medical technology, nuclear medicine, radio-nuclide chemistry, radio-pharmacology or statistics.

• Certification: Certified in nuclear medicine technology by the Nuclear Medicine

Technology Certification Board (NMTCB) or American Registry of Radiologic

Technology (ARRT), or national certification by the Canadian Association of Medical

Radiation Technologist (CAMRT).

• Experience: One year of experience within the last two years as a Nuclear Medicine

Technician.

Core Duties:

• Uses specialized equipment to perform nuclear medicine imaging.

• Selects imaging protocols and required accessories and makes adjustments based on the specific examination requirements.

• Records and processes the image. Manipulates the recorded image using computer applications.

• Cleans and inspects equipment and performs preventive maintenance.

• Receives patients, schedules appointments, prepares and processes examination requests and related records, and files images and reports.

• Reviews images to ensure quality standards are met.

• Performs equipment quality control checks.

Occupational Therapist

• Degree: Master's degree in occupational therapy.

• Education: Graduate from a program in occupational therapy accredited at the time of graduation by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organization, to include an internship prescribed by the education institution. Completion of 6 months of clinical internship (usually accomplished prior to graduation and must be done in order to be eligible to take the certification exam).

Completion of professional coursework in the specialty area such as Educational and

Developmental Intervention Services (EDIS).

• Certification: Certified in occupational therapy through the National Board for

Certification in Occupational Therapy (NBCOT).

• Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

• Licensure: Current, full, active, and unrestricted license to practice occupational therapy.

Core Duties:

• Provide full spectrum of occupational therapy services in accordance with the scope of clinical privileges granted by the MTF.

• Evaluate and treat deficits in occupational performance components that include motor, neuro-musculoskeletal, cognitive, social, and psychological dysfunction. Treatment includes individual and group-based purposeful activity, exercise, physical agent modalities, fabrication and training in the use of temporary functional orthotics, splints and adaptive devices, counseling, and education.

• Provide assessment, education, and training in the areas of health promotion and disease/injury prevention, to include prevention of psychological dysfunction and stress management.

• Administer and interpret occupational therapy assessment and evaluation tools.

• Interpret evaluation findings to develop and coordinate intervention plans, including goals and methods to achieve stated goals.

• Implement the intervention plans directly or in collaboration with others.

• Monitor the individual’s response to interventions and modify treatment plan and reevaluate as necessary.

• Communicate and/or collaborate with the patients, family members, caregivers, interdisciplinary professionals or other individuals verbally and in writing.

• Provide supervision to Occupational Therapy Assistants and Certified Occupational

Therapy Assistants.

Occupational Therapy Assistant

Minimum Qualifications:

• Degree: Associates Degree for Occupational Therapy Assistant.

Education: Graduate from a college or university accredited at the time of graduation by the Accreditation Council for Occupational Therapy Education (ACOTE) of the

American Occupational Therapy Association (AOTA).

• Certification: Certified through the National Board of Certified Occupational Therapy

(NBCOT).

• Experience: One year of experience within the last two years as an Occupational

Therapy Assistant.

• License: Current, full, active, and unrestricted license to practice as an occupational therapy assistant.

Core Duties:

• Provide full spectrum of occupational rehabilitative services under the plan of care of a credentialed provider.

• Use assessment tools, intervention techniques and treatment modalities under the plan of care of a credentialed provider.

• Use complex/multi-step instructions with patients, caregivers, and other health care professionals and adapt those instructions according to the learning styles of the trainees or individuals receiving the instructions.

• Identify, recommend and fabricate, as needed, complex adaptive and assistive devices, durable medical equipment and complex dynamic splinting, after consultation with the occupational therapist.

Ophthalmology Technician/Technologist

• Education: Complete an ophthalmology technician or an optometric technician course

• Certification: Possess and maintain current certification as a Certified Ophthalmic

Assistant (COA) or Certified Ophthalmic Technician (COT)or Certified Ophthalmic

Medical Technologist (COMT) by the Joint Commission on Allied Health Personnel in

Ophthalmology or a completed a formal ophthalmic training program of the United

Stated Armed Forces.

• Experience: One year of experience within the last two years as an Ophthalmic

Technician/Technologist.

Core Duties:

• Provide a wide variety of duties to assist the optometrist/ophthalmologist as appropriate to the level of certification (i.e., COA, COT, or COMT).

• Obtain patient histories, perform prescription verification, and maintain patient records.

• Assist in testing patient vision. Test far and near acuity, peripheral vision, depth perception, and color perception.

• Examine the eye, using slit lamp, for abnormalities of cornea, and anterior and posterior chambers.

• Apply drops to anesthetize, dilate, or medicate eyes.

• Measure intraocular pressure of eyes (glaucoma test).

• Test field of vision, including central and peripheral vision, for defects, and chart test results on graph paper.

• Measure axial length of eye, using ultrasound equipment.

• Instruct patients concerning eye care and contact lens handling.

Optometrist

• Degree: Doctor of Optometry from an accredited organization.

Education: Graduate from a school or college approved by the Accreditation Council on

Optometric Education (ACOE) of the American Optometric Association.

• Experience: As required to meet clinical competency requirements specified in the credentialing instruction.

• Licensure: Current, full, active, and unrestricted license to practice as an optometrist.

• Examine, diagnose, treat or prescribe courses of treatment for those suffering from diseases, injuries, or disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions.

• Promote prevention and wellness, vision conservation, education and training activities, vision screenings, and positive eye and vision health behaviors.

• Conduct vision research in a problem area of considerable scope and complexity which requires novel approaches and which results in answers to important questions or important changes in existing methods and techniques.

• Advise and make professional clinical recommendations as to courses of action on problems and considerations of national scope in all areas of optometry.

• Provide full spectrum of clinical services to treat the most complex optometric related patient conditions.

Orthopedic Technician

• Degree: Certificate.

• Education: High school diploma or equivalent with additional training or education;

supplemented with one (1) year of related experience in an…