HAS 110 Patient Movement
A walking patient req. only seat accommodations while in transit
Ambulatory Patients
The Patient Movement Clerk must complete/ sign the locally devised _?
Anti-hijacking statement
What does JPMRC stand for?
Joint Patient Movement Requirements Center
The 3 movement precedencies?
Urgent Priority Routine
What are the 4 phases to the patient movement process?
-Foward -Tactical -Strategic -Domestic
What are some of the main job performance tasks that the Patient Movement Clerk will need to complete in TRAC2ES-Web?
-Submitting/ tracking Patient Movement Requests (PMRs) -Entering (ITV) events for patients leaving the originating MTF/ arriving at the gaining MTF -Updating bed reporting/ medical capabilities for the MTF -Updating facility contact info.
What are the 4 PMRCs coordinating/ regulating the global movement of patients within their AOR?
-TPMRC-A -TPMRC-E -TPMRC-W -JPMRC
TRAC2ES-Web is used by the Patient Movement Req. Centers (PMRCs) to what?
-Validate both the admin./ clinical parts of the PMRs submitted by the Patient Movement Clerk -Data from the validated PMR is used to regulate the patient to a specific MTF with the medical capability needed, / to schedule the flight plan to transport the patient from 1 MTF to another -Generate a mission plan for the validated PMR/ respond to/ record any changes to the mission plan
AD patients may be authorized up to _lbs.
100
When transmitting lines _ through _ you will use brevity codes
3-9
How much medication should be provided for patients traveling within the Continental US (CONUS)/ within the overseas theaters?
3-day supply
How much medication should be provided for patients traveling from overseas to the CONUS?
5-day supply
Each patient/ attendant is authorized up to _ lbs. of baggage to include 1 carry-on bag, not to exceed _" in length/ must be sufficiently durable
66 Lbs. 72 in
What 4 individuals are eligible to be moved through the Aeromedical evac. system?
AD military members/ their dependents Retired military members/ their dependents Beneficiaries of the US Public Health Services VA beneficiaries
This form contains the patient's personal data/ clinical info. / will serve as the patients chart during the patient movement
AF Form 3899, Patient Movement Record
Patients req. prolonged hospitalization Physical Evaluation Board (PEB) determination Court Martial Req.
Admin. reasons
Process of transporting/ providing essential medical care to any sick, injured, or wounded personnel btwn MTFs
Aeromedical Evac.
This position can either be filled by a Patient Admin. NCO or a designee Supervises the Patient Movement Clerks/ be responsible for the evac. of the patient from the time of notification by the attending provider until the patient is airborne Establishes the evac. procedures for the MTF/ assisting the Patient Movement Clerk to coordinate the Aeromedical Evac. activities for patient movement
Aeromedical Evac. Coordinating Officer (AECO)
Who is responsible for classifying the patients being evac?
Attending Providers
Whose responsibility is it to determine when the patients must be moved/ delivered to the appropriate medical facilities
Attending Providers
A feature in TRAC2ES that allows users to update the bed capability for the MTF
Bed/ Medical Capability Report
A letter code that correlates with the specific type of info. for that line
Brevity codes
CASEVAC
Casualty Evacuation in Non Medical Vehicle or Aircraft
Travel under routine precedence only
Class 1- Neuropsychiatric
Dependent on their inability to move
Class 2- Litter
AD military should be in their uniform
Class 3- Ambulatory
Infants under the age of 3; all necessities must be provided by the originating MTF
Class 4- Infants
Patients that do not req. hospitalization
Class 5- Outpatient
The need for medical/ non-medical attendant is determined by the attending provider. The attendants must accompany the patient to the final destination
Class 6- Attendants (Non-patients)
What are the two variations of Class 6 Attendants?
Class 6A- Medical Attendant Class 6B- non-medical attendant
They supervise/ assist in the flight-care of the patient Originating MTF provides them Must remain with the patient until the patient's destination is reached May be physicians, nurses, respiratory or medical technicians
Class 6A- Medical attendant
Normally used to help with incapacitated or infant patients
Class 6B- non-medical attendant
TRAVEL BY AIR IS LESS TAXING TO THE PATIENTS COMPARED TO GROUND TRANSPORTATION WHICH MAY BE OVER ROUGH AND UNEVEN TERRAIN
Comfort
Bed reporting in TRAC2ES is broken into what?
Contingency Bed reporting Non-Contingency Bed Reporting
Person who is being evac. for medical convenience rather than necessity
Convenient
Copy of any clinical documentation, outpatient/impatient records, US Field Medical Cards, X-rays reports, lab reports/ any other documents relating to the patients treatment
Copy of Pertinent Patient Records
This form serves as a written order for patient movement
DA Form 3891, Transfer of Patient
What are the 4 Aeromed. Evac. forms?
DA Form 3981, Transfer Patient AF Form 3899, Patient Movement Record DD Form 600, Baggage Tag DD Form 2239, Consent of Medical Care/ Transportation
This form serves as written order for patient by the attending provider
DA Form 3981, Transfer of Patient
What forms are necessary to initiate the movement process?
DA Form 3981, Transfer of Patient AF Form 3899, Patient Movement Record
This form must be used when transporting minors under 18 who will be not accompanied by a legal guardian Must include the address/ phone # of the minor's legal guardian for use in case of an emergency A copy must be placed in the minor's medical record
DD Form 2239, Consent of Medical Care/ Transportation
This form must be attached to all accompanied baggage
DD Form 600, Baggage Tag
This phase provides airlift for patients within the CONUS
Domestic
Strategic/ the domestic phases are active when?
During both wartime/ peacetime
In flight medical treatment may be provided by trained medical specialists who are members of the aircraft crew
En-route patient treatment
Minors under the age of 14 do not req. an attendant to accompany them during Aeromed. Evac. T or F
False
What are some examples of unauthorized items in baggage for aircraft boarding?
Flammables Weapons Knives Explosives Aerosol cans
Patients may be delivered en-route to the req. MTF
Flexibility
This phase provides airlift of patients from points within the battlefield to the initial point of treatment with the patient still in a combat zone, where a self-aid buddy care/ an aid station would be utilized
Foward
What 2 phases are utilized during wartime?
Foward/ Tactical
First start the 9-line MEDEVAC request with the opening statement
I have a MEDEVAC request over
Is the TRAC2ES feature that allows users to track the planned itinerary/ last reported location of patients from the origination MTF to the final destination
In-Transit Visibility (ITV)
Notional in Korea- (Eastern Asia) Would be stood up if a war were to break out in Asia, will be operational for 180 days then responsibility transfers to TPMRC-A
Joint Patient Movement Requirements Center (JPMRC)
Must be transmitted before the evac. mission begins
Lines 1-5
A patient req. litter accommodations while in transit
Litter patient
What are the 9 lines of standardized info.?
Location of the pick-up site Radio frequency, call sign, / suffix # Of causalities by precedence Special equipment req. # Of causalities by type Security of pick-up site Method of marking pick-up site Casualty nationality/ status NBC contamination
Two different methods of MEDEVAC
MEDEVAC CASEVAC
Lacks adequate medical facilities locally Lack of professional medical staff Non-availability of medical equipment
Medical reasons
3 reasons for patients to be evac. through the Aeromedical Evac. system
Medical reasons Admin. reasons Personal or compassionate reasons
_ is labeled with the correct patient's name, prescription name, dosage/ strength
Medication supply
The air evacuated patients tend to have a more positive/ mental attitude
Morale
Is the system of designations for establishing priorities for pick-up/ movement of patients
Movement precedence
No; permission is not granted; or that is not correct
Negative
What are the 6 separate classifications of patients?
Neuropsychiatric Litter patients (non-Psychiatric) Ambulatory (Walking) Infants Outpatients Medical/ Non-medical attendants
Who is responsible for searching all patients, attendants, / baggage prior to aircraft boarding?
Originating MTF
This the end of my transmission/ the response is necessary
Over
Helps Aeromed. Evac. crew identify the types of patients they are receiving aboard their aircraft Helps determine the priority for loading/ unloading patients as well as the approx. amount of room the patient will need while aboard the aircraft
Patient Classification
It is whose responsibility to put together an Aeromed. Evac. packet/ deliver it the flight nurse on the day of the flight for each patient flying in the Aeromed. Evac. system?
Patient Movement Clerk
This person starts the coordination process/ ensures the process is completed efficiently/ accurately Responsible for receiving patients from other MTFs by arranging for transportation to be available to take the patients from the airfield to the MTF
Patient Movement Clerk
Family- patient morale- sickness in the family
Personal or compassionate reasons
Prompt movement within 24 hr/ moved with the least possible delays
Priority
Sick or wounded person req. prompt medical care/ who should be evacuated within 4 hr or their medical condition could deteriorate to such a degree that he could become an urgent precedence
Priority
I received your last transmission satisfactorily
Roger
Movement within 72 hr/ moved on routine or scheduled flights
Routine
Sick or wounded person req. evac., but whose condition is not expected to deteriorate significantly. Should be evac. within 24 hr
Routine
Repeat all or the following part of your last transmission
Say again
Provides immediate availibility of necessary medical treatment to the patient
Speed
5 advantages to Aeromedical Evac.
Speed Flexibility En-route patient treatment Comfort Morale
This phase provides airlift for patients from overseas areas back to CONUS
Strategic
Tri-service agency located at Scott AFB, Illinois Under the supervision of the DOD Lead agent for worldwide patient movement overseeing/ supporting all other PMRCs
TPMRC-A
Located at Ramstein AB, Germany Assists patients who need to be transferred to CONUS MTFs
TPMRC-E
Located at Hickam AB, Hawaii
TPMRC-W
Provides the capability to search for mission/ view various mission data such as: -Mission Manifest -Patient/ Attendant Listing -Baggage/ equipment info. -MTF Patient Arrival/ Departure List
TRAC2ES
Serves as a stand-alone subsystem for remote users in areas with low bandwidth or limited network connectivity
TRAC2ES Mobile
Is the main tool for entering patient data, accessing patient data/ generating reports Provides 1-stop-shopping for all your patient movement needs
TRAC2ES-Web
What is TRAC2ES 2 separate sub-systems?
TRAC2ES-Web TRAC2ES Mobile
What does TPMRC stand for?
TRANSCOM Patient Movement Requirements Center
Tracks the patient until they reach their final destination in a systematic manner Is also an automated support system that functions within a global network to assist in the Aeromed. Evac. process
TRANSCOM Regulating/ Command/ Control Evacuation System (TRAC2ES)
This phase provides airlift of patients from points within the combat zone to treatment outside the combat zone
Tactical
Whose responsibility is it to determine the need for evac. or transfer of patients in their care?
The attending provider's
Goal of MEDEVAC
To Evacuate the wounded, injured, or ill service members, as quickly as possible, to a level of Health Service Support that can sustain life and/or return the service member to duty.
Emergency case that should be evacuated as soon as possible/ within a max. of 2 hr to save life, limb, or eyesight
Urgent
Immediate movement to save life or limb, or eyesight, or to prevent complication of a serious illness
Urgent
Emergency case that should be evacuated within 2 hr to the nearest surgical unit
Urgent surgical
8 forbidden practices to avoid when using the radio
Violation of radio silence Transmission of operator's real name Unofficial conversation btwn operators Transmission on net w/o permission Excessive tuning/ testing Unauthorized use of plain language Use of other than authorized pro-words Profane, indecent, or obscene language
One must pause for a few sec.
Wait
Will comply
Wilco
What is the primary mission of PMRCs?
Work with all services (Patient Movement Clerks) to coordinate/ regulate Aeromed. Evac. req. of all eligible from one MTF to another, utilizing the TRANSCOM TRAC2ES
Request for MEDEVAC
special 9-line format
MEDEVAC
the movement of casualties on medical ground/air vehicles with medical personnel aboard
