EXHIBIT 8 BH TBI PWS HCW Minimum Qualifications REV 1.docx

Exhibit 8 PWS BH TBI HCW Minimum Qualifications Requirements Exhibit 8 PWS BH TBI HCW Standards Qualifications - Minimum Requirements

The standard qualifications listed in this exhibit are the labor category standard qualifications. Task Order Contracting Officers (TOKOs) 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.

ANCILLARY SERVICES LABOR SEGMENT 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 (3) years of Allergy/Immunology and Immunization experience within the last four (4) 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.

Anesthesia/Pain Management Technician Minimum Qualifications:

· Degree: Certificate.

· Education: High school diploma or equivalent with additional training or education; supplemented with one (1) year of related experience in an accredited health care hospital which results in familiarity with and knowledge of hospital or clinic routines and procedures in anesthesia, surgeries or pain management procedures.

· Certification: Obtain a certification in Basic Life Support by the American Heart Association and/or the Red Cross approved training program prior to contract start date.

· Experience: Provide documentation and references showing at least one (1) year of experience in a clinical setting within the last three (3) years.

Core Duties:

· Prepare examination rooms and procedure 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.

· Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.

· Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and ensuring adequate supply are always available.

· Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice.

· Integrate healthy work environment principles that result in improved patient healthcare.

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 (1) year of experience within the last two (2) years as a cardiac catheterization technician after graduation.

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 (1) year of experience within the last two (2) years as a cardiovascular technologist (echocardiographer) after graduation.

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.

· 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

Minimum Qualifications:

· 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 or as identified in the task order (TO).

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 Drug and Substance Counselor

Minimum Qualifications:

· Degree: Certificate required for non-privileged counselors. If there is a gap in the DHAPM 6025.13 vol.4, refer to Service-specific guidelines.

· Education: Graduate from a behavioral science program with specialized training in substance abuse and chemical dependency treatment.

· Certification: Maintain a national certification credential by the National Association of Alcohol and Drug Abuse Counselors or National Board of Certification Counselors or International Certification & Reciprocity Consortium/Alcohol and Other Drug Abuse.

· Experience: One year of experience within the last two years as a Certified Drug and Substance Counselor.

· License: Current, full, active, and unrestricted license to practice as a Certified Drug and Substance Addictions Counselor.

Core Duties:

· Perform a full range of Certified Addiction Counselor duties, in accordance with assignment and consistent with the scope of practice for profession, including but not limited to, medical care treatment and patient education in a knowledgeable, skillful, consistent, and continuous manner.

· Obtain or provide relevant information that will facilitate treatment and assist in developing programs.

· Provide assessment of substance abuse and addiction.

· Identify and document medical consequences of alcohol and other substance use, including withdrawal and detoxification.

· Facilitate the placement and management of patients in appropriate levels of care within the continuum of care model of the treatment of addictive disorders

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 (2) years of experience within the last three (3) years as a Certified Athletic Trainer after graduation.

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

Minimum Qualifications:

· 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

Minimum Qualifications:

· 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 (1) year of experience within the last two (2) 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

Minimum Qualifications:

· 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.

Core Duties:

· 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).

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 plus five year experience as a registered practicing pharmacist. A minimum of one (1) year of retail, hospital, or military pharmacy experience, within the last three (3) years.

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

· Certification: Board certification in one or more of the pharmacy specialties recognized by the Board of Pharmacy Specialties or completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health System Pharmacists or American College of Clinical Pharmacy.

Core Duties:

· 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.

Clinical Psychologist (includes Adult and Child)

Minimum Qualifications:

· Degree: Doctor of Philosophy (PhD) or Doctor of Psychology (PsyD).

· Education: Graduate from an American Psychology Association accredited college or university with a doctoral degree in clinical or counseling psychology. Additional training is required for psychology specialties. Refer to the DHA PM 6025.13, vol. 4 for requirements.

· Internship/Residency: Successful completion from an internship in psychology accredited by the American Psychological Association.

· Experience: As required to meet clinical competency requirements specified in the credentialing instruction. Child Psychologist - Have at least two years’ experience providing family centered services to a population of young children with disabilities and their families, including diagnosis and treatment of sleeping, feeding, attachment, and other behavior disorders using behavior management and other techniques.

· Licensure: As required to meet clinical competency requirements specified in the credentialing instruction.

Core Duties:

· Practice within the guidelines of their state licensing board, American Psychological Association Ethical Principles and Code of Conduct, and MTF privileges.

· Conduct psychological evaluations utilizing information from clinical interviews, psychological testing, and collateral sources, as appropriate.

· Establish psychiatric diagnoses according to the American Psychiatric Association Diagnostic and Statistical Manual of Disorders.

· Provide psychological treatment for individuals and groups; help medical and surgical patients deal with illnesses or injuries.

· Assist in rehabilitation of patients.

Clinical Research Coordinator/Director

Minimum Qualifications:

· Degree: Bachelor's Degree or higher in biology, psychology, or related science.

· Education: Bachelor's Degree or higher in biology, psychology, or related science; Masters Degree preferred.

· Certification: Human Subjects training as well as Clinical Research Coordinator (CCRC), Clinical Research Professional (CCRP), or Clinical Research Associate (CCRA) certification.

· Experience: 3-5 years of experience with clinical investigations required; prior work in DoD or VA systems preferred.

Core Duties:

Coordinates and assures integrity of all activities associated with conducting TBICoE TBI clinical investigations as it relates to compliance with local, state, and/or federal regulatory requirements.

· Assists Principal / Associate Investigators in the preparation and submission of clinical

· Prepares requests for actions/proposals to include assisting with and providing

· Maintains regulatory files related to TBICoE clinical investigations.

· Communicates with research participants, staff, regulatory affairs, and data management groups, laboratory and clinical investigators, management and outside collaborators.

· Recruits, interviews, and screens TBICoE clinical research study volunteers, administers and obtains informed consent.

· Assists in the collection and analysis of data to evaluate volunteer eligibility for enrollment.

· May assist with TBI Program/Quality Improvement initiatives at their site.

· Assists in the collection, analysis and interpretation of laboratory and clinical data obtained during a medical evaluation, report significant values, findings and events that require prompt attention to clinical investigators.

· Assists with the documentation and reporting of adverse events, completes and reviews subject eligibility criteria, protocol compliance, omissions, and errors and submits these forms as required.

· Participates in and supports, as required, Intrepid Network clinical care, research, and programs, initiatives, opportunities, and working groups including membership in the BOD Translational Research Advisorate

· Prepares and maintains written and electronic volunteer databases/logs.

· Performs data extraction and chart reviews of patients’ and/or research participant’s medical records or other relevant record/systems, as applicable.

· Ensures that research records are stored and secured properly and that inventory and records are updated and properly maintained.

· Conducts data verification as indicated, documents, assists the investigator and protocol

· Prepares documents, under direction of project leads. Trains incoming staff on study procedures and SOPs.

· Assists with statistical analyses and descriptive data capture under direction of project

· Other duties consistent with the above responsibilities

Cytotechnologists (American Society of Clinical Pathologists)

Includes, but not limited to: Cytotechnology (CT)

Minimum Qualifications:

· 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

Minimum Qualifications:

· 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

Minimum Qualifications:

· 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 Includes Early Childhood Special 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 (3) years of experience within the last four (4) 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.

Early Intervention Specialist

Minimum Qualifications:

Core Duties:

• Providing oversight and accountability for Early Intervention Services (EIS), Related Services (RS), and special education programs in accordance with the Individuals with Disabilities Education Act (IDEA), DODI 1342.12. Responsible for guiding, coordinating and managing the special education program provided to children with disabilities or at risk of having disabilities who are entitled to receive DOD privileges, benefits and services and to their families in accordance with the Individuals with Disabilities Education Act (IDEA).

· Provides early intervention services and/or school related services depending upon professional training, licensure, and credentialing as needed. Providers must have demonstrated competence in service delivery to infants/toddlers/school age children with disabilities and their families, and have documented skills in leadership, program administration, management of multidisciplinary teams, and interagency coordination.

• Plans, coordinates, and conducts workshops and in-service training for personnel, other community groups, and MTF personnel. Keeps current with developments in pertinent subject matter for certification, licensure and/or credentialing and participates in continuing education activities to maintain professional knowledge and expertise.

• Screening, Evaluation and Service Delivery: Provides and/or facilitates the delivery of early intervention and/or related services depending upon professional training, licensure, and credentialing as needed to support programs. Participates in the screening and/or evaluation of children by effectively administering, scoring, interpreting, and sharing the results of standardized and criterion-referenced instruments. Conducts authentic assessment of children in natural settings as part of a multidisciplinary team. Participates in the development of Individualized Family Service Plans (IFSP) and/or Individualized Education Programs (IEP). Delivers evidence-based early intervention and/or related services on an as needed basis for limited durations of time.

Early Intervention Services (EIS)/Related Services (RS)/Educational and Developmental Intervention Services (EDIS) Coordinator

Minimum Qualifications:

· Degree: Bachelor’s Degree

· Education: Completed formal program in special education from an accredited college or university.

· Certification: Hold current certification in specific professional discipline in one state or territory (as applicable).

· Experience: A minimum of two years full-time experience within the last four years in activities related to the provision of services to young children within an IDEA framework or setting.

Core Duties:

· The scope of the work involves interpreting and applying legislative requirements of the Individuals with Disabilities Education Act (IDEA) to implement policies for appropriate services within United States Air Force Europe (USAFE) with Department of Defense Education Activity (DODEA)-Europe, within the Department of Defense

· (DOD) framework of 1342.12. Monitor the quality and statutory compliance of special education related services and EDIS, Early Intervention Services (EIS) and (DOD) schools in USAFE.

· Must have expert knowledge of special education laws and how different states interpret and implement those laws. Learn the 1342.12 equivalent of IDEA under the DOD, Air Force and DODEA policies/guidance associated with the delivery of EIS and Related Services (RS) in order to promote the programs in coordination with Medical Training Facility (MTF) and State and local agencies.

· Must possess expert knowledge of child development principles, concepts and theory to develop overall policies and advise on provision of services, age appropriate activities, and cognitive growth of children at all ages.

· Must have knowledge of developmental assessment, facilitation of child development, and diagnoses, theories and practices for serving children with disabilities which would normally be gained through advanced education and experience.

· Must maintain specific knowledge of family-centered approach to service provision. Demonstrate knowledge and best practice in the concepts and methods of service delivery as it applies to early childhood development and intervention. Working knowledge of the educational implications, and statutory/legal aspects of EIS in order to develop, implement and manage the program in USAFE.

· The coordinator makes significant judgment in developing procedures and processes for establishing the EDIS program, continuously assessing program effectiveness and the quality of services provided.

· Knowledge and understanding of health care and education systems, the organization and operation of federal, state, county and local governments and the professional disciplines within these fields in order to establish and maintain partnerships between the MTF and affiliated organizations to carry out intervention services to infants and toddlers experiencing physical and mental learning disabilities and their families.

· Working knowledge of computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required. The ability to input, extract and format data from established databases is required.

· Ability to collect, read, interpret and synthesize EDIS data and to inform data-based decisions to effectively guide implementation of evidence-based practices for implementing EIS and RS.

· Plans, coordinates, and conducts workshops and in-service training for EDIS personnel, other community groups, and MTF personnel. Remain current with developments in pertinent subject matter for certification, licensure and/or credentialing and participates in continuing education activities to maintain professional knowledge and expertise.

· Provides mentoring and support to EDIS program managers in the management of EDIS programs and provision of services within the AOR. Ability and availability to provide in-person or tele-health direct sessions as needed with individuals/families, supporting programs during staffing shortage.

· Assures compliance with the overall Air Force Medical Readiness Agency (AFMRA) EDIS policy outlining the mission, goals, and objectives of the Air Force EDIS program and contributes to policy revisions. Coordinates and participates with AFMRA and DOD for compliance monitoring of EDIS programs in the AOR.

· Leadership skill with diverse groups of individuals in order to effectively implement new programs and policies that require the skills of a multi-disciplinary staff with differing priorities and philosophies of clinical practice.

· Must demonstrate ability to communicate effectively in oral and written communication in order to disseminate policy and program guidance and prepare evidence-based resource justification.

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.

Core Duties:

· 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)

Minimum Qualifications:

· 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 (1) year of experience within the last two (2) 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.