![Page 1: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/1.jpg)
UNCLASSIFIED // FOUO
SURGEON DIRECTORATE3d MCDS LNO: CPT Marie St. Louis Okoro
Version 10.0 as of 24 April 2019
USARCENT SURGEON
MEDICAL DEPLOYMENT HANDBOOK
![Page 2: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/2.jpg)
UNCLASSIFIED // FOUO
SUBJECT
Requirements for Deploying Units S1- Personnel, Finance, Evaluations S2-Security Clearances S3-Operations/Training/Movement S4-Logistics/Movement S6-Communications/Information Technology Clinical Operations Defense Travel System/Government Credit
Card Additional Duties
Medical Training & Requirements Standards & Expectations Medical Equipment SRP Schedule & Timeline Non-Deployable Conditions Obstructive Sleep Apnea Diabetes & Obesity (BMI) Psychiatric Issues Waiver Process & POC Mobilization Station Pre-Deployment Trauma Training Mild Traumatic Brain Injury Training Line of Duty Completions
References Points of Contact for Surgeon Directorate
TABLE OF CONTENTS
![Page 3: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/3.jpg)
UNCLASSIFIED // FOUO
REQUIREMENTS FOR DEPLOYING UNITS
![Page 4: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/4.jpg)
UNCLASSIFIED // FOUO
Requirements for Deploying Units
S1 (Personnel, Finance, Evaluations, etc.)(1) Deployment Documents: All deploying personnel need to hand-carry copies oftheir deployment documents to include, at a minimum, the following:
Individual orders DD Form 93 SGLV 8286DA Form 5960 DD Form 1561 In Loco Parentis (if applies)
(2) Evaluations and Counseling: Complete all home station close-out evaluationsfor each Soldier prior to deployment. In addition, each unit will have an approvedrating chain and initial counseling’ completed prior to deployment.
(3) IT Systems: Provide 2 people with access to the following IT systems: iPerms,Reserve Component Management System (RCMS, Reserve component only),Deployed Theater Accountability Software (DTAS), Electronic Military PersonnelOffice (eMILPO), and Regional Level Application Software (RLAS, Reservecomponent only).
(4) Contact your S1 points of contact.
S2 (Security Clearances)(1) Security Clearances: Ensure all deploying personnel who are required to useDoD IT Systems have at least a Secret Clearance prior to entering theater. At aminimum, all personnel requiring NIPR network access must have a favorablebackground investigation reflected in JPAS. Soldiers arriving into theater without aSecret clearance will be denied access to government IT systems (i.e., SIPR,CENTRIX), tactical operations centers, and other classified/sensitive areas. Failureto obtain necessary security clearances may also place undue hardship on missionaccomplishment.
(2) Country Briefs: Complete country specific threat briefs prior to deployment withorganic or mobilization site S2 personnel . Soldiers can visit theforeign clearance guide at https://www.fcg.pentagon.mil/fcg.cfm for country specificinformation and http://www.travel.state.gov for current travel warnings, alerts, andadditional country details.
(3) Contact your S2 points of contact.
![Page 5: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/5.jpg)
UNCLASSIFIED // FOUO
Requirements for Deploying UnitsS3 (Operations/Training/Movement
(1) DTMS: Ensure two trained operators for the Digital Training Management System(DTMS).
(2) Government Passports: Ensure personnel traveling to USCENTCOM countriesrequiring government passports obtain those passports prior to entering theater. Seethe U.S. State Department website for additional information on countries requiringpassports and the application process.
(3) Commander’s Critical Information Requirements (CCIR): Ensure approvedCCIRs from current higher headquarters. The CCIR matrix will include PriorityIntelligence Requirements (PIR), Friendly Forces Information Requirements (FFIR),and Serious Incident Reports (SIR). Upon theater entry, commanders shall obtainCCIR from their higher headquarters and ensure compliance.
(4) Battle Drills / Standard Operating Procedures (SOP): Ensure completion ofinternal battle drills and standard operating procedures prior to deployment. This willgreatly enhance the unit’s ability to quickly and appropriately respond to seriousissues in theater. At a minimum, unit leaders should ensure battle drills and SOPsaddress the following:
Death or Hospitalization of Soldier Respond to Kinetic AttackMissing Soldier Report Red Cross MessageSoldier Misconduct Sexual Assault or HarassmentLoss of Mission Capability Cross Domain ViolationNegligent Discharge Unit Movement (in / around theater)
(5) Contact your S3 points of contact.
![Page 6: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/6.jpg)
UNCLASSIFIED // FOUO
Requirements for Deploying Units
S4 (Logistics)(1) Derivative Unit Identification Code (UIC): Establish unit’s derivative UIC from home stationcommand prior to deployment.
(2) DODAAC: Establish applicable DODAAC’s, which can be coordinated and verified through theirG4. These DODAAC’s include: Property Book, Maintenance, Class VIII, and Class II. EstablishClass VIII DODAAC prior to deployment into theater.
(3) Supply IT Systems: Examine access and training readiness for select supply IT systemsneeded for mission accomplishment. Units lacking DMD-assigned supply personnel shouldcoordinate with their assigned higher HQ for coverage. The following IT systems have beenidentified as common for supply personnel:
(a) GCSS-A. Ensure two trained operators for the GCSS-A operating system(https://www.gcss-army.army.mil/HR.Self-Register).
(b) Medical Material Quality Control (MMQC) Messages: Ensure personnel withapplicable responsibilities in Pharmacy, Medical Supply, and/or Medical Equipmentreceive and comply with applicable USAMMA MMQC messages at:http://www.usamma.amedd.army.mil/assets/apps/listserv/messages.cfm.
(c) Logistics Information Warehouse (LIW): Ensure two personnel are trained as LIWoperators. Users can set-up an account at https://liw.logsa.army.mil/. Key LIWapplications include: (i) AESIP (SKO), (ii) DODAAC Search, (iii) MMIS, (iv) TMDE, and (v)TPE.
(d) Force Management System Web Site (FMSWeb): Ensure two personnel are trainedas FMSWeb operators at https://fmsweb.fms.army.mil/.
(e) Class VIII Supply IT Systems: Ensure access to DCAM, DMLSS and TEWLS forunits requisitioning Class VIII supplies. Training activities can be coordinated through thehome station systems manager for DCAM and MC4, while TEWLS training can be foundat https://tewls.amedd.army.mil/home. GCSS-A for equipment accountability of majormedical end items.
![Page 7: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/7.jpg)
UNCLASSIFIED // FOUO
Requirements for Deploying Units
S4 (Logistics)
(4) Government Purchase Card (GPC): Recommend acquisition of GPC to assistwith “off the shelf” purchases that a unit may encounter during deployment. The GPCtraining requirements are shown in the attachment at the end of this memo.
(5) Contracting Officer Representative (COR): Select units may retain contractingresponsibilities. Deploying units should coordinate with the unit they will replace andidentify if a COR is required and their assigned duties. Prior to arrival, CORs shouldcomplete the following Defense Acquisition University training:
(6) Ensure units follow MCDM and CLVIII Deployment Instructions:
CLC106 Sect. 889 Contracting Officer Representative with Mission FocusCLC206 Sect. 889 Contracting Officer Representative in Contingency Env.CLC222 Sect. 893 Online Training for Contracting Officers RepresentativeCLM003 Sect. 888 Overview of Acquisition EthicsIAW Deployment Orders Para 4.D.2.1 Class VIII and 4.D.2.1.1
(6) Contact your S4 points of contact.
![Page 8: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/8.jpg)
UNCLASSIFIED // FOUO
Requirements for Deploying Units
S6 (Communications/Information Technology)(1) NIPR/SIPR Access: Ensure personnel acquire access to NIPR and SIPR computers to
perform their daily duties. Access to these IT systems is granted upon satisfactorycompletion of the following requirements: background investigation and/or securityclearance (see S2 section), network access forms, and IT online training requirements.Further details are described below.
(a) IT Access Forms: Submit completed network access forms to the S6 in theaterIOT establish accounts prior to arrival and save time during the transition phase.The two required forms are the DD Form 2875 and the USARCENT AcceptableUse Policy (AUP) form (see attachments at the end of memo).
(b) IT Online Training: Complete IT training requirements for account approval.Upon completion, the training certificates will be sent along with the two networkaccess forms (see above) to the S6 for network access. Personnel must complete8 online classes located at 2 sites. The first class, the DoD Information Assurance(IA) Awareness training, is located at https://ia.signal.army.mil/. Classes #2-8 arefound at https://iatraining.us.army.mil. These classes are: (i) Army G3 ComputerSecurity, (ii) Thumb Drive Awareness, (iii) WNSF – Portable Electronic Devices andRemovable Storage Media v2.0, (iv) WNSF – Phishing Awareness v2.0, (v) WNSF– Safe Home Computer, (vi) WNSF – Personally Identifiable Information (PII) v2.0,and (vii) WNSF – Social Networking.
(2) SIPR PKI Token: Highly recommend personnel obtain SIPR PKI Token prior todeployment since turnaround times for acquiring these in theater may be delayed. All SIPR ITsystems use SIPR PKI tokens for access.
(3) Personal Mobile Phones: Recommend individual unlocked cells for personalcommunications. SIM cards are available for purchase in most theater locations. Personalcell phones are not authorized at locations utilizing SIPR networks.
(4) Contact your S6 points of contact.
![Page 9: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/9.jpg)
UNCLASSIFIED // FOUO
Requirements for Deploying Units
Clinical Operations
Title WeblinkADRSi https://data.nmcphc.med.navy.mil/adrsi/Login.aspxALTHA MC4 or https://avhe.health.mil/Citrix/AVHEWeb/DoDSER https://dodser.t2.health.mil/DOEHRS https://doehrs-ih.csd.disa.mil/Doehrs/login.jspeProfile https://medpros.mods.army.mil/eprofile/home/AuthorizationCh
eckMEDPROS https://medpros.mods.army.mil/MEDPROSNew/MWDE https://medpros.mods.army.mil/mwdenet/MEDCHART https://medchart.ngb.army.mil/MED-
CHART/Default.aspx?ReturnUrl=%2fMED-CHART%2f
TMDS https://tmds.tmip.osd.mil/portal/TRAC2ES https://www.trac2es.transcom.mil/JPSP https://www.health.mil
(1) Medical Situational Awareness in Theater (MSAT): Ensure two trained operators for theMSAT system. These operators will receive access and training on MSAT modules, most notablyJMeWS. Once in theater, units are required to create adjoining report of their personnel andequipment SITREPs through the Annex Q Reporting menu. This SIPR-based system can befound at https://msat.fhp.smil.mil/portal/.
(2) Credentialing: Ensure clinical providers arrive to the CRC or SRP with their JCCQASapplication completed and approved privileges and Interfacility Credentials Transfer Brief, asapplicable. The home station Army hospital (active component) or mobilization station (reserveand national guard components) approves provider credentials. Deploying units should contacttheir assigned hospital credentialing officer for any questions.
(3) Clinical Training: Identify any predeployment training requirements perCENTCOM/FORSCOM (theater specific deployment requirements) associated with treatmentprocedures prior to mission. This may include, but is not limited to, the following: Point of Injury(POI) care, Advanced Trauma Life Support (ATLS), and Army Trauma Training Center (ATTC).
(4) ClinOps IT Systems: Ensure access to relevant clinical IT systems in line with assignedmission. Each unit commander needs to conduct a mission assessment and ensure they haveaccess to all the systems needed for mission accomplishment. Common IT systems used intheater include:
(5) Collect, Review and Submit Medical Waivers
(6) Contact your ClinOps point of contact.
![Page 10: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/10.jpg)
UNCLASSIFIED // FOUO
Requirements for Deploying UnitsDTS-GOVCC (Defense Travel System / Government Credit Card)
(1) Defense Travel System (DTS): Ensure personnel have active DTS accountsprior to theater entry. Ensure all vouchers have been closed out by their home stationcommand prior to deployment, and all deploying personnel are released by thehigher headquarters prior to theater entry. The theater medical command will needthese actions to occur IOT add those personnel to the theater DTS roster. In addition,deploying USAMMC-SWA and CSH/FH units must have one trained OrganizationalDefense Travel Administrator (ODTA) and two trained Non-DTS Entry Agent (NDEA)personnel within their respective organizations.
(2) Government Credit Card (GOVCC): Ensure personnel have active, zero-balance Government Credit Cards prior to theater entry. Furthermore, ensureGOVCCs will not expire within 12 months of the mobilization date.
(3) Contact your DTS-GOVCC points of contact.
Additional DutiesEnsure additional duty coverage at unit-level (or by higher HQ), as appropriate. Critical additional duties are shown below:
(1) Equal Opportunity Advisor (EOA)
(2) Sexual Assault Response Coordinator (SARC)
(3) Unit Prevention Leader (UPL)
(4) Safety Officer
(5) Unit Movement Officer (UMO)
(6) Master Fitness
(7) Master Resiliency
![Page 11: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/11.jpg)
UNCLASSIFIED // FOUO
MEDICAL TRAINING &
MEDICAL REQUIREMENTS
![Page 12: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/12.jpg)
UNCLASSIFIED // FOUO
Medical Readiness & Medical Training
Medical Readiness Requirement Standards: CENTCOM MOD 13 and Applicable CCR 40 Series AR 40-501- Medical Condition Policies Personal Policy Guidance (PPG) Chapter 7 delineates all Pre-Mob requirement CENTCOM Treatment Training Requirement
MEDPROS-OFFICIAL RECORDUse it NOW-After SRPs ensure it’s updated
*PRE-MOB SRPs-TIMING IS IMPORTANT-MEDPROS*
Arrive at Mob Station 100% medically ready Deployment Medical Readiness (DMR) 1+2=100% MAR2 and MEB completed for H3, H4 or P3, P4 profiles Soldiers are Dental Class 1 or 2 Hearing tests with required follow-up completed All PHA, CVSP, PDHA completed & in MEDPROS Soldiers do NOT have medically disqualifying conditions Glasses Medications Personal Medical Devices
Standards & Expectations
Medical Equipment
CLS requirements 1 per squad/team/vehicle
Combat Lifesaver Bags: 1 per Combat Lifesaver All medical equipment to be brought to MTC FORSCOM Form 156-R to be completed during the JA
![Page 13: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/13.jpg)
UNCLASSIFIED // FOUO
SRP Schedule & TimelineCOMPLETE DURING PRE-MOB:TIMING IS IMPORTANT
No earlier than (NET) M-270 and No LaterThan (NLT) M-120
Readiness Exams to be Performed: Periodic Health Assessment (PHA)
Electronic Cardiovascular Screening Program (as
required for age 40 and over) Dental Exam Pre Mobilization Audiogram (hearing
test) Vision Screening-ORDER GLASSES Order medical warning tags as needed
Soldiers who fail the vision screening, areidentified as an H2/3 for hearing or areidentified as a dental classification 3 would bescheduled for follow-up evaluation andtreatment.
Soldiers identified with medical issues shouldbe referred to their civilian physician for follow-up and treatment.
SRP M-270 & M-120 Days SRP M-90 to M-30
All units should have an SRP between M-90and M-30 days
Plan, coordinate and execute the followingmedical readiness exams to be completedduring this SRP: Laboratory Testing-G6PD and DNA if
required HIV NET LAD- 120 day with Results** Pregnancy Testing Immunizations-routine adult and
theater specific Anthrax First 3Immunizations
Completion of the Pre-DeploymentHealth Assessment (DD Form 2795)
Ensure Soldier completes required examsPRIOR to MSAD
ID SM’s who will need a medical/BH waiver
SRP Planning Timeline
SRP: Conducted M-270 to M-120
M-365
M-270
M-180
M-120
M-90
M-30
M Day
SRP: Conducted M-90 to M-30
HIV with ResultsNET LAD-120 daysNLT LAD- 60 days
![Page 14: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/14.jpg)
UNCLASSIFIED // FOUO
Conditions Which Require a Waiver
Heart Attack—within < 1 year Angioplasty, Stents, Bypass Grafting-within < 12 months Arrhythmias Seizures- within <12 months History of Multiple Heat Strokes or sequelae < 2 years Diabetes with A1C >7.0 BMI > 35% with co-morbities (DM, OSA, Cardio, DJD) Substance Abuse D/O--- within 12 months post treatment Cancer in submission x 1 year Visual loss, blindness, or uncorrected visual acuity
Obstructive Sleep Apnea Most common waiver request to ARCENT Symptomatic OSA non-deployable
No waivers granted Waiver requirement based on severity
Apnea-hypopnea index (AHI) as objective measure Mild (<15/hr), Moderate (15/hr to <30/hr), Severe (≥30/hr) For those requiring waiver adequate treatment is the key
Mild-no waiver required Untreated moderate to severe- non-deployable
No waivers granted Treated moderate- waiver required for Afghanistan, Iraq and
Yemen-30 day compliance report required. Treated severe-waiver required for all of AOR- 30 day compliance
report required.
![Page 15: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/15.jpg)
UNCLASSIFIED // FOUO
Diabetes & Obesity (BMI)
Diabetes 2nd most common waiver request to ARCENT Insulin-requiring diabetes non-deployable
No waivers granted Type 2 diabetes deployable without a waiver if MEB completed and
PEB =Soldier Fit for Duty and if: On oral agents only, AND HgA1C ≤7.0, AND 10- year CHD Framingham risk score (FRS) is less than
15% Newly diagnosed diabetic needs 90 days of stability on oral
meds
Body Mass Index > 35 Non-Deployable- reliable indicator of totalbody fat,
which is related to the risk of disease and death.
Psychiatric Issues
Any BH condition that poses a risk within the AOR = waiver
Clarified waiver requirement for psychiatric disorders Clinical stability > 90 days no waiver required unless
using psychotropic meds or polypharmacy
Evaluation by Behavioral Health required for history of thefollowing: Psychiatric hospitalization Suicide attempt Substance abuse or treatment
![Page 16: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/16.jpg)
UNCLASSIFIED // FOUO
Waiver Process & POC Waiver Approval Authority
ARCENT Surgeon for Non-Behavioral Health waivers CENTCOM Surgeon for all Behavioral Health waivers All Appeals= CENTCOM Surgeon
Waiver process Deploying Commanders CANNOT override local medical provider’s determination Senior Mission Commanders CANNOT override decision Medical waivers are in addition to a psychotropic medication or small arms waiver Local medical providers will complete CENTCOM Tab C Form, at request of
patient’s Commander (or representative) to the appropriate Component Surgeon ARCENT Surgeon adjudicates, documents approvals and disapprovals Any appeals of the Component Surgeons adjudicated by the CENTCOM Surgeon Any appeals of the CENTCOM Surgeon adjudicated by the CENTCOM Chief of
Staff Through the chain of command All waivers, if granted at any level must be signed and a copy placed in
AHLTA and deployment medical record
ARCENT Surgeon Dispositions all non-SOF Army (SM and
civilian), non-behavioral health waivers Waivers:
COM: 803-885-7946 DSN: 312-889-7946
CENTCOM Surgeon Dispositions all behavioral health waivers
and appeals for USARCENT –deniedwaivers
Waivers:[email protected]
COM: 813-529-0361 DSN: 312-529-0361
Mobilization Station Readiness Exams/Services to be Performed
Pregnancy test Pre-mob Serum Sample Collection & Varicella titer testing (as required) Continue theater specific immunizations (smallpox/anthrax/varicella) Issue 6 months worth of medications as required Issue Medical Warning Tags as required Issue 6 months worth of hearing aid batteries as required Validate medical and dental readiness of unit/Soldiers Exam/treat identified discrepancies as required
![Page 17: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/17.jpg)
UNCLASSIFIED // FOUO
Pre-Deployment Trauma Training
NO Civilian Contracts
HQDA EXORD 096-09, 1 Oct 09 PDTT mandatory (BCT3/TCMC/JFTMC/ATTC)
FORSCOM Pre-Deployment Training Guidance 121909ZAPR12
AMEDD FUNDED, Little cost to unit
Must be MOS-Q to attend Civilian or AMEDD Training
Non-medical personnel (CLS) will not attend BCT3/TCMC
All providers will be familiar with the CENTCOM Joint Theater Trauma System (JTTS)Clinical Practice Guidelines and will utilize these guidelines in the care of patients in theCENTCOM AOR
BCT3 Required- All deploying Role I and II 68W (120 pax)
Completed NET 180 days prior to LAD; 2-year shelf life
TCMC Required- Medical Company Role II focused, Trauma and management for
PA, Physician, NPT, Senior Medical NCO
Completed NET 180 days prior to LAD; 2- year shelf life
JFCTMC Required- Role II & III focused combat related trauma management for
Surgeons, Physicians & nursing personnel
Completed NET 180 days prior to LAD; 2- year shelf life
Infection Control Officer Course (ICO) Required- All Army CSH will appoint
and train one Infection Control officer prior to deployment
Put in Training Plan schedule with AMEDDC&S and keep TSB and Division updated
Low-density medical refresher training/PRE-MOB TRAINING
Pharmacy (68Q), Lab (68K), X-Ray (68P), Med Log (68J), PAD (68G), andBiomedical Equip Specialist (68A), etc.
![Page 18: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/18.jpg)
UNCLASSIFIED // FOUO
Mild Traumatic Brain Injury Training
HQDA EXORD 242-11 Warrior Concussion/mTBI Campaign
Pre-Deployment/Annual/One Time Training TBI Awareness for Deploying Soldiers TBI Awareness for Deploying Leaders & Commanders TBI for Deploying Medics TBI for Deploying Providers
mTBI Training/Evaluation/Treatment Aides ALL: HEADS Card Medical Specialists/NCOs- MACE Card Medical Specialists/NCOs & Providers- Concussion Management in
Deployment Settings
Line of Duty Completions DA Form 2173
To document health conditions for future care liabilities
The MTF Commander (attending physician or patient administrator)will initiate and complete section 1, DA 2173
Requires Commander’s signature
Created ASAP after condition identified (in theater)
Done electronically in Med Charts via NIPR
Essential Personnel can request access to Med Charts athttps://medchart.ngb.army.mil/lod/
![Page 19: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/19.jpg)
UNCLASSIFIED // FOUO
ReferencesRELATED PUBLICATIONSa. Memorandum for Inbound 3D Medical Command (Deployment Support), Operations
Command Post (FWD) Subordinate Units, 22 December 2017b. DA PAM 600-8, Military Human Resources Management Administrative Procedures, 6 April
2016c. HQ, Department of the Army, ADP 2-0, Intelligence, August 2012d. HQ, Department of the Army, ATP 4-02.1, 29 October 2015e. ARCENT Theater Campaign Support Plan
JOINT PUBLICATIONSMost joint publications are available online at http://www.dtic.mil/doctrine/new_pubs/jointpub.htma. JP 3-0. Joint Operations, 11 August 2011.b. JP 3-33. Joint Task Force Headquarters. 16 February 2007.c. JP 5-0. Joint Operation Planning, 11 August 2011.d. JP 3-34, Joint Engineer Operations, 30 June 2011.e. JP 3-35, Deployment and Redeployment Operations, 31 January 2013.f. JP 4-05, Joint Mobilization Planning, 21 February 2014.g. JP 4-08, Logistic in Support of Multinational Operations, 21 February 2013.h. JP 5-0, Joint Operation Planning, 11 August 2011.i. JP 4-02, Health Service Support, 26 July 2017.
WEBSITESa. Centers for Disease Control and Prevention.
<http://www.cdc.gov/phpr/stockpile/stockpile.htm>b. Federal Emergency Management Agency. <https://www.fema.gov/national-response-
framework>c. United States Army Medical Materiel Agency. <http://www.usamma.amedd.army.mil>d. United States Army Medical Materiel Center-Europe. <http://usammce.amedd.army.mil/>e. United Stated Department of Health and Human Services.
<http://www.phe.gov/preparedness/responders/ndms/pages/default.aspx>
REQUIRED PUBLICATIONSThese publications are available online at http://www.apd.army.mil.
a. ADP 4-0, Sustainment, 31 July 2012.b. ADRP 3-0, Unified Land Operations, 16 May 2012.c. ADRP 6-0, Mission Command, 17 May 2012.d. FM 4-02, Army Health System, 26 August 2013.e. FM 6-0, Commander and Staff Organization and Operations, 5 May 2014.
![Page 20: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/20.jpg)
UNCLASSIFIED // FOUO
References
ARMY PUBLICATIONSMost Army doctrinal publications are available online at http://www.apd.army.mil.
a. ADP 6-0 (FM 6-0). Mission Command. 17 May 2012.b. ADRP 3-0. Unified Land Operations. 16 May 2012.c. ADRP 5-0. The Operations Process. 17 May 2012.d. ATTP 5-0.1. Commander and Staff Officer Guide, 14 September 2011.e. ADRP 3-07, Stability, 31 August 2012.f. ADRP 3-28, Defense Support of Civil Authorities, 14 June 2013.g. AR 40-61, Medical Services, Medical Logistics Policies, 28 January 2005.h. AR 380-5, Security, Department of the Army Information Security Program, 29 September
2000.i. AR 525-93, Military Operations, Army Deployment and Redeployment, 12 November 2014.j. AR 570-9, Manpower and Equipment Control, Host Nation Support, 29 March 2006.k. AR 700-137, Logistics, Logistics Civil Augmentation Program, 28 December 2012.l. AR 710-1, Inventory Management, Centralized Inventory Management of the Army Supply
System, 20 September 2007.m. AR 735-5, Property Accountability, Property Accountability Policies, 10 May 2013.n. AR 750-1, Maintenance of Supplies and Equipment, Army Materiel Maintenance Policy, 12
September 2013.o. ATP 3-35, Army Deployment and Redeployment, 23 March 2015.p. ATP 4-02.42, Army Health System Support to Stability and Defense Support of Civil
Authorities Tasks, 9 June 2014.q. ATP 4-02.55, Army Health System Support Planning, 16 September 2015.r. FM 4-02.43, Force Health Protection Support for Army Special Operations Forces, 27
November 2006.s. FM 6-02, Signal Support to Operations, 22 January 2014.t. SB 8-75-11, Army Medical Department Supply Information, 28 November 2014.u. TB MED 593, Guidelines for Field Waste Management, 15 September 2006.v. TB MED 750-1, Operating Guide for Medical Equipment Maintenance, 13 April 1998.w. AR 600-8-4, Line of Duty Policy, Procedures, and investigations, 04 September 2008.x. AR 40-400, Patient Administration, 08 July 2014y. AR 40-66, Medical Record Administration and Healthcare Documentationz. Rapid Action Revision (RAR) Issue Date, 04 January 2010
![Page 21: USARCENT SURGEON MEDICAL DEPLOYMENT HANDBOOK...Commander’s Critical Information Requirements (CCIR): Ensure approved CCIRs from current higher headquarters. The CCIR matrix will](https://reader030.vdocuments.net/reader030/viewer/2022033122/5e4757f895fc0a7cd00b48f7/html5/thumbnails/21.jpg)
UNCLASSIFIED // FOUO
USARCENT SURGEON DIRECTORATE POINTS OF CONTACT
As of 24 April 2019
Command Surgeon:
DSN: 312-889-7963 OFF: 803-885-7963
Deputy Surgeon: DSN: 312-889-7961 OFF: 803-885-7961
Command Surgeon SGM: DSN: 312-889-7973 OFF: 803-885-7973
Chief, Medical Logistics:
DSN: 312-889-7968OFF: 803-885-7968
Clinical Operation Officer: DSN: 312-889-7976OFF: 803-885-7976
Aeroevacuation Medical Officer: DSN: 312-889-7942OFF: 803-885-7942
Medical Plans Officer: DSN: 312-889-7972OFF: 803-885-7972
Medical Plans Officer: DSN: 312-889-7941OFF: 803-885-7941Chief Medical Logistic Officer: DSN: 312-889-7968OFF: 803-885-7968
Medical Logistic NCO: DSN: 312-889-7967OFF: 803-885-7967
Chief Health Readiness:DSN: 312-889-7952OFF: 803-885-7952
Strategic Planner: DSN: 312-889-7938OFF: 803-885-7938
Medical Plans Officer: DSN: 312-889-7945OFF: 803-885-7945
PAD Officer: DSN: 312-889-7964OFF: 803-885-7964
Medical Plans: DSN: 312-889-7954OFF: 803-885-7954Operations NCO: DSN: 312-889-7941OFF: 803-885-7941Command Veterinarian:
DSN: 312-889-7970OFF: 803-885-7970
Chief Medical Personnel:
DSN: 312-889-7947OFF: 803-885-7947
Medical Waiver Manager: DSN: 312-889-7946OFF: 803-885-7946
Force Health Protection:
DSN: 312-889-7939OFF: 803-885-7939
Liaison Officer: DSN: 312-889-7965OFF: 803-885-7965