CCAT Advanced Course Information Packet

Transcription

C R I T I C A L C A R E A I R T R A N S P O RT ( C C AT )
A D VA N C E D C O U R S E
Center For Sustainment of Trauma and Readiness Skills (CSTARS), Cincinnati OH
VERSION 5: 23 JUNE 2015
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CCATT ADVANCED COURSE INFORMATION PACKET
Table of Contents
Location ................................................................................................................................................................. 4
Course Description ................................................................................................................................................ 4
Continuing Education ........................................................................................................................................... 4
Physicians: ......................................................................................................................................................... 4
Nurses: ................................................................................................................................................................ 4
Respiratory Therapists: .................................................................................................................................... 5
Emergency Medical Technicians ...................................................................................................................... 5
Prerequisites .......................................................................................................................................................... 5
University Application/Credentialing Process ..................................................................................................... 5
Requirements ......................................................................................................................................................... 5
Documentation: ................................................................................................................................................. 5
Flight Surgeons End of Course Training Flight - Logging Flight Time ........................................................ 6
Active Flight Surgeons .................................................................................................................................... 6
In-Active Flight Surgeons (API-0) .................................................................................................................. 6
Uniform .............................................................................................................................................................. 6
Flight Safety Requirements ............................................................................................................................. 7
Military Bearing .................................................................................................................................................... 7
Generating TDY Orders ....................................................................................................................................... 7
Info For All Active Duty Air Force Members: ................................................................................................ 7
Info For Reserve, Guard & Non-Air Force Active Duty Members: .............................................................. 8
Info Pertaining To All: ....................................................................................................................................... 8
Student Lodging Information .............................................................................................................................. 8
Per Diem Rate .................................................................................................................................................... 8
Transportation To and From Class: ................................................................................................................. 8
UC Medical Campus Map ................................................................................................................................ 9
Travel/Transportation ........................................................................................................................................... 9
Government Travel Card .................................................................................................................................. 9
Taxicab Service from CVG ............................................................................................................................. 10
Executive Transportation ................................................................................................................................ 10
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Departing Instructions ........................................................................................................................................ 10
Attachments ......................................................................................................................................................... 10
1. Sample Course Schedule ........................................................................................................................ 10
2. CCAT Team Candidate Skill Validation Process ................................................................................... 10
3. Request for Non-Interference Aeronautical Orders. Open the to fill this form out electronically ......... 10
4. UC Medical Campus Map ...................................................................................................................... 10
5. Memorandum: Cardiopulmonary Competency Proficiency Assessment ............................................... 10
6. Flight/Jump TDY Worksheet .................................................................................................................. 11
7. Welcome Letter....................................................................................................................................... 11 Email The Course NCOIC
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C C AT A D VA N C E D
COURSE
Course Information Packet
CSTARS Home Page
Location
The CCAT Advanced Course is taught by the staff of CSTARS Cincinnati, located within the Division
of Trauma and Critical Care at the University of Cincinnati Medical Center. Division of Trauma and
Critical Care is part of the University of Cincinnati Medical Center Department of Surgery and serves
the tri-state region of Southwest Ohio. It is also a verified regional Burn Center and is the only Level One
Adult Trauma Center in the area.
Course Description
This 14-day course is composed of 12 days of clinical/didactic/simulator/flight exercise activities plus
travel days and is designed specifically for personnel assigned to CCAT Team UTC’s. The emphasis
is on the transport of the critical care patient by air, along with didactics on the air-evacuation system,
culminating in a field exercise involving a flight on an AC-130 aircraft. Personnel rotate in the intensive
care units of the Medical Center, a multidisciplinary 34 bed unit with over 3000 patient encounters each
year. They function as the primary providers for critically ill and injured patients under the tutelage of
both civilian and military faculty. The physicians complete clinical duties including nighttime call
responsibilities in the Surgical Intensive Care Unit. The nurses and respiratory therapists complete
clinical duties primarily in the Surgical and Neuro Intensive Care Units. Respiratory Therapists may
refer to attachment 5: Cardiopulmonary Competency Proficiency Assessment for assistance with
course preparation. In addition there are approximately 20 hours of AFSC/UTC specific lessons. This
course enables the student to complete the AFSC specific RSV's and the CCAT Team sustainment
training items. The course is designed to meet 100% of the RSV's for the individuals assigned to a
CCAT Team UTC. An example copy of the daily course schedule may be found at attachment 1. A
welcome letter from Dr. Michael Petro, MD, Director CSTARS Course may be found at attachment 7.
Continuing Education
Physicians:
Continuing Medical Education will be made available via HQ AFPC/DPANE.
https://education.mods.army.mil/airforcecme/
Nurses:
Continuing Nursing Education will be made via HQ AFPC/DPAMN.
https://education.mods.army.mil/afncne/
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Respiratory Therapists:
The American Association of Respiratory Care (AARC) has approved this activity. Due to recent
budget constraints, CRCEs are currently not available.
AARC Website Link
Emergency Medical Technicians
The Air Force Emergency Medical Technician (EMT) Program Manager has approved this activity.
EMTs receive a maximum of 48.0 hours for recertification.
Prerequisites
Course participants must be assigned to, or nominated for assignment to, a CCAT Team UTC and must
have completed the CCAT Initial Course at Wright-Patterson AFB, OH (B3OZYCCATT-001). All
4H0X1s will attend training at C-STARS Cincinnati regardless of UTC placement.
Course participants must have undergone the CCAT Skill Validation Process IAW AFI 41-106 and
have received a Clinical Validation Committee (CVC) approval letter prior to attending the course.
Refer to attachment 2: CCAT Team Candidate Skill Validation Process for information on the CVC
process.
Please call AFEMSI at (937) 938-3218 DSN 798-3218 with questions or concerns regarding the
CVC process.
Download AFTTP 3-42.51 here.
University Application/Credentialing Process
Applications/credentialing packages for all personnel attending the CCAT Advanced Course will be
handled by AFEMSI at Wright-Patterson Air Force Base (WPAFB), OH. Once you have been identified to
attend the course, an AFEMSI credentialing specialist will contact you via email to assist with
completing and submitting required paperwork. Please pay particular attention to drop-dead dates as the
civilian Universities will NOT provide extensions.
NOTE: The application/credentialing package/process is different from the CCAT skill validation
application/nomination package/process. Some documentation may be the same; however, they are two
different processes.
Requirements
Documentation:
1. Non-Interference Aeronautical Orders (AO). All CCAT Team UTC personnel should have
established a flight record with their home station Host Aviation Resource Management (HARM)
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Office, or Squadron Aviation Resource Management (SARM) Office, immediately upon return
from the CCAT Initial Course. If you have not done so, do so immediately. You must bring a copy
of non-interference AOs to the course. Non-interference AOs are required for the end of course
training flight. Request the AOs from your HARM/SARM well prior to your departure date for
the course. A sample non-interference AO request can be found at attachment 3.
Flight Surgeons End of Course Training Flight - Logging Flight Time
Active Flight Surgeons
In order for active flight surgeons to log “FS” time during the training flight, the following
requirements must be met:
1. Complete Flight/Jump TDY Worksheet (print from AFI 11-421 or see attachment 6
2. Copy of Active AO's: ASC 8A
3. Copy of current AF Form 1042 (physical form)
4. Copy of current AF Form 702 (altitude chamber form)
5. Copy of ARMS Individual Data Summary (IDS)
6. Copy of ARMS Flying History Report (FHR)
7. Copy of ARMS Individual Training Summary (ITS)
8. Must be current in Flight Surgeon Exam, CRM, Emergency Egress Procedures, 60-Day FS
currency and/or any other applicable AFI 11-2MDS Vol 1 requirements.
NOTE: It is the member's responsibility to contact the TDY HARM/SARM for the flying
unit supporting the training flight, prior to flight, to confirm currency/grounding requirements.
Non-current active flight surgeons will not be allowed to log flight time.
In-Active Flight Surgeons (API-0)
Inactive flight surgeons will not log time during the training flight. Inactive flight surgeons
will
have Non-Interference Aeronautical Orders to participate in the end-of-course
training flight (see “Requirements” “Documentation” “1” above).
Uniform
Day One uniform requirement is the Flight Suit or ABUs (if you do not have one, work with your unit
to obtain one as this is a requirement for flight operations at the course; ref: AFTTP 3-42.51). Flight
suit or ABUs are required for the field/training flight exercise and Air Care fly-along. You will also
need to bring work/flight gloves (mandatory).
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Flight Safety Requirements
The wearing of rings, watches, ID bracelets, or other metallic jewelry or accouterments
during the field exercise is prohibited. In addition, underwear and undergarments must be pure
cotton and non- conductive. Students must also have dog tags to participate in the flight field
exercise. Bring a jacket regardless of the time of year; remember it is cold at altitude. Flight
gloves or equivalent are also mandatory.
ALL Personnel need to bring scrubs with them for clinical duties, preferably conservative in color-no
prints. Bring extra military pin-on nametag and pin-on rank to wear on scrubs, reference AFI 362903. SCRUBS ARE NOT SUPPLIED FOR YOU. ALL Personnel need to bring the necessary
clinical tools needed to provide patient care (i.e. stethoscope, reference material, head-lamp for
simulations). THESE ITEMS ARE NOT PROVIDED FOR YOU.
We recommend that you bring a pair of conservative tennis shoes, clogs, or other appropriate foot wear
to be worn with scrubs while performing your clinical duties. Open toe shoes/sandals are not permitted
while on duty.
Click here to check local weather. Military Bearing
University of Cincinnati Medical Center is a civilian institution. During your attendance, remember you
are a member and representative of the US Armed Services and subject to regulations regarding
appearance, fraternization, and behavior. Expect occasional visitors from the Pentagon, Surgeon
General’s office, Air Force Reserve Command (AFRC) and the National Guard Bureau as well as
distinguished civilian visitors. Address fellow team members and faculty by proper military titles and
civilian staff by “Mr./Ms./Dr.” Exercise good judgment when choosing off duty activities.
Generating TDY Orders
Finance office should not de-commit off AF 616 listed.
Orders crossing Fiscal Years (FY) must include both FY fund cites.
Info For All Active Duty Air Force Members:
The CCAT Advanced Course is a centrally funded AFMS course. You will receive a training Report
on Individual Personnel (RIP). Typically, the training RIP flows from your formal training office.
Embedded in your formal training RIP are instructions on returning the RIP to the 711HPW
finance department. A scanned copy (in Word or .pdf format) of your training RIP MUST be
emailed to: [email protected]. Once your training RIP is returned, the
711HPW finance department will establish a line of accounting to be used as a funding source
for your TDY. Your institution should have a DTS expert that can assist you.
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Info For Reserve, Guard & Non-Air Force Active Duty Members:
The CCAT Advanced Course is a centrally funded AFMS course for ANG members. The
CCAT Advanced Course is a unit funded AFMS course for Air Force Reserve and non-Air Force
members. You must work through your Unit Training Manager (UTM) for course scheduling. For
AFRC personnel, your UTM MUST contact HQ AFRC/SGS Formal Training Manager at
Commercial 478-327-1903 or DSN 497-1903; for ANG personnel, your UTM MUST contact
USAF ANG NGB Formal Training Manager at Commercial 301-836-8325 or DSN 278-8325;
PRIOR TO scheduling with Air Force Expeditionary Medical Skills Institute (AFEMSI). Once
selected for training, you will receive a training RIP. Typically, the training RIP flows from your
Formal Training Office. Once you receive your training RIP, you may create your TDY Orders.
Your institution should have a DTS/AROWS expert that can assist you.
Info Pertaining To All:
Your approved TDY Orders MUST have a 6 digit alphanumeric Travel Order Number in Block 22
(if your TDY Orders do NOT have a Block 22 but lists a Travel Auth Number in the upper right
hand corner, this MUST contain a 6 digit alphanumeric value). TDY Orders created in AROWS
for ANG/ AFRC members will not contain this number.
Student Lodging Information
The training site arranges lodging for the CCAT Advanced Course. For questions regarding lodging,
contact the CSTARS Cincinnati Administrator, (513) 584-0330/0331.
A member of the C-STARS Cincinnati Administrative staff will contact you via email with lodging
instructions. If your start date is approaching and you haven’t been contacted, please call CSTARS at
(513) 584-0330/0331 to confirm the location of your lodging.
If applicable, dual lodging is authorized during flight duty IAW JFTR Chapter 4 Sec U4125 Para A1I.
A copy of your travel orders MUST be faxed PRIOR to class to DSN 674-6292 or Commercial
937-904-6292.
Per Diem Rate
Per Diem rates are full, meal tickets are no longer provided. For additional information on Per Diem
rates, please visit the website listed below.
http://www.defensetravel.dod.mil/site/perdiemCalc.cfm
Transportation To and From Class:
Two GOV’s (vans) are provided for student transportation use. The keys for the vans will be at the
front desk of the hotel you are staying at. Parking for the vans while in class will be at the hotel.
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UC Medical Campus Map
A map of the medical campus may be found at attachment 4
Travel/Transportation
Government Travel Card
Prior to your departure be sure that your Government Credit Card has been activated by your
orderly room personnel to allow you to take cash advances. Also, ensure that your cash advance
limit is set to at least $500.00.
Website: https://home.cards.citidirect.com/CommercialCard/Cards.html
Individuals traveling by commercial air should make arrangements to arrive at the Greater CincinnatiKentucky International (CVG) Airport.
Baggage handling tips are NOT authorized. Excess baggage charges are NOT authorized.
ATM charges, if used, must NOT exceed a total of $20.00 for the duration of the class.
Greater Cincinnati Kentucky Airport Website
Google map of local area
POV: Individuals traveling by POV should park at the hotel where complimentary parking is provided. .
GOV: 2 GOV vans are available for the students to utilize.
Rental Cars: Rental cars are NOT authorized for reimbursement. If you do decide to pay for a rental
car out of pocket, here are the major companies to rent from:
Rental Cars
(888) 826-6893
www.alamo.com
(800) 331-1212
www.avis.com
(800) 325-8007
www.pickenterprise.com
(800) 527-0700
www.budgetrentacar.com
(800) 654-3131
www.hertz.com
(800) 328-4567
www.nationalcar.com
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Taxi: Students arriving by air at Cincinnati-Kentucky International Airport may take a taxi to site, the cost is
approximately $30-$40.
Taxis may NOT take government credit cards so please plan accordingly.
Taxicab Service from CVG
For cab service, visit the taxi desk in Terminal 3 bag claim or use the courtesy phone in Terminal 2
bag claim.
• Approximately $30 fares from CVG to downtown Cincinnati
• Call for rates to other area locations
• Service is available 24 hours a day
• Call (859)-767-3260 for more information
Executive Transportation
Provides service to hotels, attractions and other locations throughout the region.
• Approximately $22 to Downtown or Covington, $32 round-trip
• Call for rates to other area locations
• Walk-up service welcome, call to guarantee reservation
• Service available via shuttle desks in bag claim areas
• Van or limousine service also available
• Reserve a private coach for large groups
• Call (859)-261-8841, (800)-990-8841 or visit online
Departing Instructions
Do NOT make departure plans on the last day of class due to Final Testing until approximately 1800
hrs. Individuals should plan their departure travel on Saturday.
NOTE: Credit card required upon check in for incidentals only. Students will not be charged for their
room as it is paid under contract.
If there are any questions contact 513-584-0331/0330.
Attachments
(Click on the links below to open the specific attachment)
1. Sample Course Schedule
2. CCAT Team Candidate Skill Validation Process
3. Request for Non-Interference Aeronautical Orders. Open the to fill this form out electronically
4. UC Medical Campus Map
5. Memorandum: Cardiopulmonary Competency Proficiency Assessment
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6. Flight/Jump TDY Worksheet
7. Welcome Letter
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ATTACHMENT 1: SAMPLE COURSE SCHEDULE
DOT 1
13 Aug
Monday
DOT 2
14 Aug
Tuesday
DOT 3
15 Aug
Wednesday
DOT 4
16 Aug
Thursday
DOT 5
17 Aug
Friday
DOT 6
18 Aug
Saturday
UOD Flt Suit/ABU
Scrubs
Scrubs
Scrubs
Scrubs
Scrubs
1700-2300
Air Care
No Clinical Assignments
1700-2300
Air Care
1700-2300
Air Care
1700-2300
Air Care
1700-2300
Air Care
0700-1500
1500-2300
Air Care
**EMEDS starts 30 min
prior to SIM**
0700-1500
RN/RT Clinical
0700-1500
RN/RT Clinical
0730-1330
CCATT Intro to SIM
0800-0900
CCATT VTC (MDs)
0800-1000 RT Test
2- PMI TEST 1
0800-1100
MD Clinical - Table Top
Resuscitation
0645
Meet in Hotel Lobby
0700-0830
Staff Introductions
0630-0730
End Points of Resuscitation
0730-0820
Thoracic Trauma
C-STARS Introduction Brief
Admin Update
0830-0930
Team/AFSC Expectations
0930-1030
Hospital In-Processing,
Orientation & Tour/Meti
Orientation
1030-1130
Initial Priorities in the
Trauma Patient
1130-1215 Lunch
Class Photo/Aircraft Safety
Video
1215-1305
Blood/Blood Component
Therapy
1315-1415
Abdominal Trauma
1430-1730
PMI Exercise
IVAC, 754 Vent, TBI, Defib,
Allowance Standard
0830-0920
Extremity Trauma
External Fixation
0930-1020
Catastrophic Brain
Tabletop
3- Knowledge
Assessment/Initial Efficacy
1330-1450
ACLS Update/Sedation &
Analgesia
1030-1230
Preflight Packaging
Exercise
1500-1620
TBI/Spinal Injury
1230-1300 Lunch
1630-1800
Codman Advanced Lab
1300 -1500
AS review
Propaq, Suction, LTV Vent,
VSB, Smeed, Allowance
Standard
1500-1630
Clinical Skills
Bag Valve Mask
Nasal/Oral Intubation
Tube Xchange Catheter
LMA
Cricothyrotomy
Needle thoracostomy
Tube thoracostomy
0800-1000
Neuro Trauma/TBI
0700-0800
CCATT/AE Primer
AE Systems/Aircraft
Overview
0800- 0900
Aircraft & Flightline Safety
Artificial Intelligence
**EMEDS starts 30
min prior to SIM**
CCATT SIM 1 Review
1000-1100 Alpha
1100-1200 Bravo
1200-1300 Charlie
1300-1400 Delta
1400-1500 Echo
CCATT SIM TEST 1
TCCET SIM
1000-1030
Tactical Casevac
1500-1530
Test Review
1100-1130
Stresses of Flight/CRM
1530-1700
CCATT RODEO
1130-1230
Infection Control
1100-1200
MD Trauma Conference
0800-0930
0930-1100
1100-1230
1230-1400
1400-1530
Alpha
Bravo
Charlie
Delta
Echo
0900-1000
Flight Line Safety
Life Support
1530-1630
ALI/ARDS/Protective
Ventilation Strategies
1630-1730
Impact 754 Ventilator
LTV 1000
Advanced Lab
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DOT 7
19 Aug
Sunday
DOT 8
20 Aug
Monday
DOT 9
21 Aug
Tuesday
DOT 10
22 Aug
Wednesday
DOT 11
23 Aug
Thursday
DOT 12
24 Aug
Friday
Scrubs
Scrubs
Scrubs
Scrubs
Flight Suits
Flight Suits
1500-2300
Optional Clinical
Assignments
1700-2300
Air Care
1700-2300
Air Care
1700-2100
Air Care
No Air Care
No Air Care
0730-0815
AE Lecture/Test
0700-1500
RN/RT Clinical
0700-1430
RN/RT Clinical
Alerted for Mission
Meet in hotel lobby, travel
TBD
0730-1500
University Hospital SIM
Center
0815-0915
Documentation/PI
0800-1200
Burn Resuscitation
0800-1000
Mechanical Ventilation
prior to SIM**
1000-1100 TCCET SIM
Time TBD
Mission/Patient
Preparation/CCATT
Mission Preparation/
Litter Loading
1- Knowledge Assessment
USAFSAM EOC Survey
CME/CNE Eval
DOT-12 Efficacy
0915-1045
Trauma in Special
Populations – Pediatrics,
Pregnancy and Advanced
Age- Disaster Relief
1045-1145
Epidural/Ambit PCA
1145-1230 Lunch
1230-1330
PMI Review/CCATT Tricks
of the Trade/PCA Pump
1330-1415
Acute Coronary Syndrome
1415-1530
Thermal Injury/Burn
CCATT SIM TEST 2
0800-0930
0930-1100
1100-1230
1230-1400
1400-1530
Echo
Delta
Charlie
Bravo
Alpha
1530-1630
CCATT Jeopardy
1330-1430 (RN only)
Patient Presentation
1430-1530
Oxygen Calcs/ISTAT
1530-1630
CCATT Patient Briefing
AS/PMI
Preparation/loading
**Have inventory
allowance standard
in cadre office NLT
0700 23 Aug**
Time TBD
Flight
Time TBD
CCATT Debrief
prior to SIM**
2- CCATT SIM TEST 3
3- PMI Test 2
1500-1530
Test Review
1530-1630
Individual Performance
Reviews
1630-1700
CCATT Graduation
1530-1630
Critical Incident Lecture
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ATTACHMENT 2: CCATT CANDIDATE SKILL VALIDATION PROCESS
Critical Care Air Transport (CCAT) Team
Candidate Selection & Validation
IAW AFI 41-106, para 6.4.7., all active duty and Air Reserve Component (ARC) members
nominated by their commander for CCAT team duty will undergo a position-specific skill
validation process administered by AFEMSI under the authority of AMC/SG, the CCAT MRA.
Candidates for CCAT UTC membership must be world-wide qualified and able to meet the
requirements for physician, nurse, or respiratory therapy technician positions as set forth below.
They must be able to obtain Operational Support Flier status IAW AFI 11-402, Aviation and
Parachutist Service, Aeronautical Ratings and Badges, obtain an official government passport,
and have a minimum of a Secret security clearance.
Unit commanders are responsible for selecting, training, and preparing members for assignment
to UTCs FFCCT, FFCCE, and FFCCN. The CCAT validation process does not remove these
responsibilities from the commander. The process is an enhancement to the medical UTC
assignment system to ensure that only the most highly skilled medical professionals are assigned
to CCAT UTCs.
All individuals selected by commanders as candidates for UTCs FFCCT, FFCCE, and FFCCN
duty will undergo a position-specific validation process administered by Air Force Expeditionary
Medical Skills Institute (AFEMSI), under the authority of HQ AMC/SG as the MRA for CCAT.
The validation process must be completed for all candidates prior to attending the CCAT
Advanced Course. (The CCAT Initial Course is an open course; validation is preferred prior to
attending the CCAT Initial Course, but not required.)
The CCAT validation process will assist MTF commanders in their responsibility to assign only
those individuals with the requisite skills and experience to a CCAT UTC. The validation
process is also designed to assist commanders in determining what further experience and
training a prospective CCAT candidate must obtain in order to capably perform the CCAT
mission. Validation reviews will be conducted expeditiously in order to avoid delays in a
commander’s ability to make timely personnel assignments to a CCAT UTC.
Selection.
Review packages must be prepared for each proposed CCAT UTC candidate nominated
by the unit commander. Forward complete packages to AFEMSI for review and
validation. (A skill validation process flow chart is included as Attachment 1. A sample
application submission cover letter is included as Attachment 2.) The address for
AFEMSI is:
USAFSAM/ETS
Wright-Patterson AFB, Ohio 45433
DSN 986-8476, CML 937-656-8476
Subject Line: “CCAT CVC Application for (Candidate’s Name)”
Page 14 of 31
Clinical Validation Committee.
A Clinical Validation Committee (CVC) composed of experienced CCAT members will
review packages for recommended nominees. When reviewing candidates from Air
Force Reserve Command (AFRC) or the Air National Guard (ANG), a qualified
physician, critical care nurse, or respiratory technician representative from the respective
component, as applicable, will be a member of the CCAT CVC for the reserve member.
Members of the CVC may not be in a CCAT UTC candidate’s direct chain of command.
A lead reviewer will be appointed in each CVC. A structured interview of the proposed
member will be accomplished by the CVC lead. Two additional CVC members will
review the package concurrently. Validation status will be assigned by a consensus of
the three CVC members. AFEMSI will appoint a CVC Medical Director to lead the
review process. The CVC Medical Director will be responsible for assigning CVC
members and the clinical skills review process. Any irresolvable conflicts between the
CVC members will be referred to the CVC Medical Director. The validation process will
be completed within a 2-week period, with expedited review for ARC candidates to
prevent a delay in the accession process. Based on the committee’s decision, a candidate
will be assigned one of the following:
Approved – Allows candidate immediate assignment to a CCAT UTC and
admission to the CCAT training pipeline.
Provisional – Awaiting additional information on candidate or additional
training/experience is required. This status will be changed to “approved” once
additional verified information is received and/or additional training/experience is
accomplished. If additional training is required, a training plan will be issued to
the individual and his/her home unit by AFEMSI. Members may not be assigned
to the UTC while in “provisional” status; all provisional items must be
satisfactorily completed before “approved” status is designated. Personnel on
provisional status will not be admitted to the CCAT Initial Course until
“approved” status is designated. Once the training plan is completed, the
candidate’s home unit will forward documentation of completion to AFEMSI.
AFEMSI will review the completed training plan prior to changing member status
to “approved.” Failure to complete provisional items within six months will
result in “disapproved” status.
Disapproved – Candidate does not meet eligibility requirements for assignment to
a CCAT UTC. "Disapproved" applicants may appeal the decision through their
unit commander to HQ AMC/SG (the CCAT MRA and appeal decision
authority). The appeal package must include the original selection package, a
letter of rebuttal to the disapproval, and any additional supporting documentation.
(See Attachment 3 for sample letter of rebuttal).
CCAT UTC Candidate Application Package Contents.
Physician. Physician selection review package requires (see Attachment 4 for
sample package layout):
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a. Current curriculum vitae including a statement of attestation from the
candidate affirming the total number of hours of critical care patient
management for the past two years. (Critical care patient management
experience is defined as patient care requiring continuous cardiac and/or
invasive hemodynamic monitoring and/or advanced airway
support/management.) 800 hours of critical care patient management is the
desired minimum requirement, however, personnel with less than 800
hours can apply for CCAT UTC duties and should attest to the total
number of critical care patient management hours they have at the time of
application.
b. Current Hospital Privilege List (AF Form 1562 or equivalent)
c. Current copies of medical license(s), Basic Life Support (BLS), and
Advanced Cardiac Life Support (ACLS). One-time Advanced Trauma
Life Support (ATLS) course and on-going contemporary clinical
experience is required. Current ATLS course is desired; current Pediatric
Advanced Life Support (PALS) course is desired for FFCCT. Current
PALS course is required for FFCCN.
d. Current copy of 44Y3 Readiness Skills Verification (RSV) checklist
for FFCCT position; or, copy of 44K3E RSV checklist for FFCCN
position.
Nurse. Nurse selection review package requires (see Attachment 5 for sample
package layout):
a. AFSC: 46N3E, 46N3J, or 46Y3M with current critical care experience.
b. Current curriculum vitae including a statement of attestation from the
hours can apply for CCAT team duties and should attest to the total
number of critical care patient management hours they have at the time of
application.
c. Current nursing job description and 2 references.
d. Current copies of nursing license(s), BLS, and ACLS. (PALS, Adult
Critical Care Nursing {CCRN}, Trauma Nursing Core Course {TNCC},
and Advanced Trauma Care for Nurses {ATCN} certification is
recommended, but not required. If certification in these areas is held,
please include as applicable.)
Page 16 of 31
e. Current copy of 46N3E RSV checklist for UTC FFCCT or FFCCE
position; or copy of 46N3F RSV checklist for UTC FFCCN position.
46Y3M will submit current copy of RSV checklist for that AFSC.
Respiratory Therapist. Respiratory therapist package requires: (see Attachment
6 for sample package layout):
a. Documentation of current 5-skill level or higher.
b. Current curriculum vitae including a statement of attestation from the
hours can apply for CCAT team duties and should attest to the total
number of critical care management hours they have at the time of
application.
c. Certified Respiratory Therapist (CRT) eligible; CRT status preferred.
Registry status encouraged.
d. Current copies of respiratory license, BLS, and ACLS.
e. Current copy of RSV checklist.
Page 17 of 31
CCAT Team Skill Validation Process Flowchart
Page 18 of 31
SAMPLE COVER LETTER FOR SELECTION REVIEW PACKAGES FOR
CCATT CANDIDATES
(Date)
MEMORANDUM FOR USAFSAM/ETS
CCATT CLINICAL VALIDATION COMMITTEE
(Address)
FROM: (UNIT OF ASSIGNMENT/CC or designated representative)
(Address)
SUBJECT: Nomination for CCATT UTC Assignment – (Member Rank, Name)
1. (Rank, Name, AFSC) is presently assigned to the (unit of assignment) and is nominated for
appointment to a CCATT Unit Type Code (UTC). The member meets all standards and
requirements for this appointment as set forth in AFTTP 3-42.51, AFI 41-106, and AFI 11-402.
2. Documentation is attached to this request to verify member’s qualification/experience.
Request review of the selection package, and concurrence on member’s appointment to a
CCATT UTC.
3. My POC for this request is (Rank, Name, email address, DSN or commercial phone number).
(Signature)
TYPED NAME, Grade, USAF, CORPS
Commander or designated representative
Attachment(s):
(List supporting documentation)
Page 19 of 31
SAMPLE LETTER OF REBUTTAL
(Date)
MEMORANDUM FOR HQ AMC/SG
(Address)
FROM: (UNIT OF ASSIGNMENT/CC)
(Address)
SUBJECT: Letter of Rebuttal: Member Disapproved for CCATT Selection – (Member Rank, Name)
1. (Rank, Name, AFSC) is presently assigned to the (unit of assignment) and was nominated for
appointment to a CCATT Unit Type Code (UTC). Member was deemed acceptable for appointment to
CCATT and a selection review package was forwarded to the Air Force Expeditionary Medical Skills
Institute (AFEMSI) for formal consideration by the CCATT Clinical Validation Committee.
2. On (date), I received notice from the CCATT Clinical Validation Committee that the member was
disapproved for appointment to a CCATT UTC. I am writing to respectfully protest the disapproval.
3. (Provide sufficient justification to reverse/amend the disapproval. Attach additional documentation.)
4. Request your review and consideration to approve member for appointment to CCATT.
(Signature)
TYPED NAME, Grade, USAF, CORPS
Commander
Attachment(s):
(List supporting documentation)
cc:
USAFSAM/ETS
Page 20 of 31
SAMPLE CCATT PHYSICIAN SELECTION REVIEW PACKAGE
Cover Letter
Statement of attestation from the member affirming 800 hours of
active critical care patient management
Curriculum Vitae
Hospital Privilege List (AF Fm 1562 or equivalent)
Medical License(s)
BLS certificate
ACLS certificate
ATLS certification (or equivalent clinical experience)
PALS certification (if applicable - desired only)
Readiness Skills Verification checklist
Page 21 of 31
SAMPLE CCATT NURSE SELECTION REVIEW PACKAGE
Cover Letter
Current Resume
Current Nursing Job Description
2 References
Nursing License(s)
BLS certificate
ACLS certificate
Additional certifications (if applicable - desired only)
Page 22 of 31
SAMPLE CCATT RESPIRATORY THERAPIST SELECTION REVIEW PACKAGE
Cover Letter
Documentation of award of 5 skill-level or higher
Current Resume
Phase II Training certificate (CRT eligibility)
CRT certificate (if applicable)
Respiratory License
BLS certificate
ACLS certificate
Page 23 of 31
DEPARTMENT OF THE AIR FORCE
ENTER YOUR RESPECTIVE LETTERHEAD HERE
24 Jun 2015
MEMORANDUM FOR
FROM:
SUBJECT: Request for Publication of Non-InterferenceAeronautical Orders
1. The Critical Care Air Transport Team (CCATT) member listed below will be attending the CCATT Advanced
Course. The member will participate in a required training flight on AF aircraft during the course. Member is
current in all requirements for operational support flier (OSF) status. IAW AFI 11-401, I request your office
publish non-interference aeronautical orders (AO) for the following CCATT member:
a. Name:
b. Rank:
c. SSAN:
d. Duty Title:
e. Duty AFSC:
f.
Date Of Birth:
g. Date Of Separation:
h. Primary Aircraft Type: N/A (All AE Support)
i.
Effective date of Aeronautical Orders (start date of course):
j.
Duration of AO’s (duration of course):
k. Date of AF Form 1042: ___________, expires ____________. (Copy of AF Form 1042 required)
l.
Date of AF Form 702: ____________, expires ____________. (Original AF Form 702 required)
m. Member completed the CCATT Initial Course, ____________. (Copy of certificate required)
2. POC for this request is ________________________________, Contact # _______________.
UNIT COMMANDERS
SIGNATURE BLOCK
4 Attachments:
1. AF Form 1042
2. AF Form 702
3. CCATT Initial Course certificate
Page 24 of 31
ATTACHMENT
4: UC MEDICAL CAMPUS MAP
U N I V E R S I T Y O F C I N C I N N AT I
MEDICAL CAMPUS MAP 2010-2011
University Buildings
P Parking Garages/Lots
Shuttle Stops
Bicycle Racks
Wireless Locations
ATM ATM/VTS
Help Phones
Wall Mounted Help Phones
Libraries
Dining
Shopping
Fitness Center
N
Cincinnati Zoo
and Botanical Gardens
ERKENBRECHER AVE.
P
CCHMC
Location B
VINE STREET
BURNET AVENUE
CCHMC
North
Parking
Erkenbrecher
Annex
CCHMC
Location A
Cincinnati Children's
Hospital Medical Center
Louis Avenue
Euclid Avenue
nd
Logan Hall
UH
Outpatient
ATM
ATM
Shriners Way
UH Pavilion A
UH Lab
UH
Critical
Care
UH Pavilion B
University ATM
Hospital
(UH) ATM
French East
Building
UH Old
Operating
P
Shriners Hospital
for Children
UH
OR/OB
Shriners
Garage
ATM
UH Emergency
Goodman Drive
gate
P rriott Kingsenter
M a re n c e C
ATM
C o n fe
Goodman Street
P
ATM
Hoxworth
Center
Goodman Street
Garage
Cincinnati
Dept of
Health
MARTIN LUTHER KING DRIVE
UC Uptown West Campus
Stetson Square
One Stetson
Square
P
Page 25 of 31
BURNET AVENUE
Piedmont Avenue
Highland Ave
UNIVERSITY
COMMONS
Barrett
Center
Bellevue Ave
Vontz
Center
er
P ro c t l
Hal
MSB
Service
P
UH Mont Reid
Pavilion
Hall
Hamilton
County
Coroner
MSB
Receiving
Albert Sabin Way
UH
Sabin Way
Garage
UH
Operating
East
Campus
Utility
Plant
P
CCHMC
South
Parking
MRI
Cardiovascular
Research
Center
Surgical
Research
Center
EDEN AVENUE
TREET
rsity
Unive
Medical
Sciences
Building
(MSB)
P
UC Physicians
Medical Arts
Building
VINE S
P
LEVINE
PARK
CONSTRUCTION
CARE/Crawley
Building
Eden Avenue
Garage
Lot 11
Levine Drive
VAMC
gate
K ings ge
G ara
KRESGE CIRCLE
ATM
VAMC
VAMC
CCHMC
Daycare
CCHMC
Location F
Albert Sabin Way
EDEN QUAD
Pedestrian Access
to MSB
on 5th level
GOODMAN
GATEWAY
e
Radiation
Safety
VAMC
VAMC
CCHMC
Location S
Wherry Hall
P
nu
Ave
Veterans Affairs
Medical Center
Holmes
Hospital
Health Professions
Building
Kettering
Lab
Complex
CCHMC
Parking
CCHMC
Location D
Ella
P
ATM
CCHMC
Location C
CCHMC
Location R
Shields Street
P
ATTACHMENT 5: CARDIOPULMONARY COMPETENCY PROFICIENCY ASSESSMENT
HQ 711TH HUMAN PERFORMANCE WING (AFMC)
WRIGHT-PATTERSON AFB OHIO
17 June 2013
MEMORANDUM FOR: CARDIOPULMONARY 4H0 AFCFM
MAJCOM/4H0 FM
MTF/4H0 FM
FROM: 711 HPW/USAFSAM/ETS/AFEMSI/CCATT Advanced, C-STARS
234 Goodman Street
Cincinnati, OH 45219
SUBJECT: CCATT Advanced Course, C-STARS, Cincinnati
References:
(a) Career Field Education & Training Plan
(b) FFCCT Allowance Standard, Nov 2012
(c) Eagan, D. Egan’s Fundamentals of Respiratory Care, current ed.
ISBN: 978-0-3230-1813-5
(d) Hess, D., et al. Respiratory Care, Principles and Practice, 2nd ed.
ISBN: 978-0-7637-6003-8
(e) Dubin, D. Rapid Interpretation of EKGs, 6th ed.
ISBN: 978-0-9129-1206-6
(f) Shapiro, B. Clinical Application of Blood Gases, current ed.
ISBN: 978-0-8016-7839-4
(g) AFTTP 3-42.51, Critical Care Air Transport Teams (CCATT), Sept 2006
(h) Cardiopulmonary Readiness Skills Verification checklist, 23 May 11
https://kx.afms.mil/kxweb/dotmil/kjFolderSearch.do?folder=Enlisted&par
entFolder=RSVP+Checklists&queryText=RSVPEnlisted&functionalArea
=RSVP
(i) Clinical Practice Guidelines, Army Institute of Surgical Research
www.usaisr.amedd.army.mil/cpgs.html
(j) CCATT Home Page: http://ccatt.info/
1. The purpose of this memorandum is to help cardiopulmonary technicians hone their
knowledge and skills prior to attending C-STARS, Cincinnati. Though this is not an allinclusive list, everything on this list is evaluated by C-STARS cadre with either an UNSAT,
NEEDS IMPROVEMENT or SAT at the end of the course to determine validation status.
This is a very demanding course…those who arrive familiar with the allowance standard,
patient movement items and experienced in respiratory care [in a critical care setting] are
positioned for success. It is impossible to train a cardiopulmonary technician to be a
proficient respiratory therapist within two-weeks. However, below is a list of a few items
4Hs are expected to be independently competent in:
Page 26 of 31
2. Cardiopulmonary Competency Proficiency Assessment:
a. Patient Assessment:
- Obtain/evaluate: B/P, MAP, T, HR, RR, SpO2, EtCO2
- Identify O2 requirement & select appropriate delivery device
- Identify need for suctioning
- Arterial Blood Gas: Identify need for, interpret & apply results:
pH, PCO2, PO2, HCO3-, BE, Hgb, Hct
- Hemodynamic Monitoring: ID need for & basic understanding of
hemodynamics (e.g. CVP, PCWP, B/P, MAP, etc)
- iSTAT 7s & 8s Labs: Identify need for, interpret & apply results
- Lung compliance: Obtain & evaluate
Static/dynamic compliance and restrictive/obstructive trends
- Identify and troubleshoot increased airway resistance
- Chest Radiograph: Evaluate/interpret basic findings
- Auscultate breath sounds and evaluate pulmonary status
- Identify the need for further pulmonary related testing
i.e.: Bronchoscopy, PFT, Chest Radiograph, etc.
- Complete review of pt history: interview, chart review & report
b. Support During Emergency Procedures:
-
Identify, interpret and respond to warning/lethal arrhythmias
Perform multiple roles during CPR & emergency procedures
Advanced Cardiac Life Support (authorized to utilize algorithm reference)
Identify compromised airway, secure & manage
Proper selection and utilization of airway adjuncts
Intubation: Set-up, insertion, secure & exchange via Cook catheter
Evaluate placement of ETT
Mechanical Ventilation: Indications/Complications and liberation from
Extubation: Set-up, extubation, secure airway & evaluate
Start, manage and remove peripheral IV access
Assess need for and insert IO (Cadaver Lab)
Bronchoscopy: set-up & assist
c. Pharmacology:
- Articulate: Indications, contraindications, delivery methods, dosage,
calculation, adverse reactions & generic/trade name. Reference Allowance
Standard.
d. Oxygen Delivery:
-
Nasal cannula
Mask: Simple, Venturi & Non-Rebreather
Manipulation to maintain SpO2/SaO2 & EtCO2
Articulate indications, contraindications & hazards of Oxygen
Calculation of Oxygen requirements for transport [gas & liquid]
Page 27 of 31
e. Patient Movement Items:
-
Physiologic monitoring unit (Propaq)
Zoll & Phillips Defibrillator
SMEED
iSTAT Blood gas analyzer
Flow meter & pressure regulator (PISS & DISS)
Wrights Respirometer
Codman Ventric & Interface Control Unit
Suction Unit (Impact 326)
IV Triple Channel Pump (IVAC)
f. Mechanical Ventilation:
-
Impact 754 and 731: set-up, initiate, manage & troubleshoot.
LTV 1000: set-up, initiate, manage & troubleshoot.
Manipulate ventilator based on compliance and/or ABG interpretation
Modes of Ventilation
PEEP Therapy
Ventilator Induced Lung Injury
ARDSnet Protocol/Lung Protective Strategy
3. For any questions, comments or concerns, please feel free to contact me via
[email protected] or via 513.584.0331.
//jmw, 17 June 2013//
JAMES M. WOODS, MSgt, USAF
Superintendent, C-STARS Cincinnati
Page 28 of 31
ATTACHMENT 6: FLIGHT/JUMP TDY WORKSHEET
Name:
SSAN (Last 4):
TDY Period
Start Date:
End Date:
Physical (Note 1)
Accomplished:
Expires:
Physiological
Accomplished:
Expires:
Training (Note 2)
Egress (Note 3)
Accomplished:
Expires:
AOs
Current ASC:
Termination Date:
Physical Avail
Date:
Code:
Notes:
1. If member‘s physical will expire during TDY, member must contact the FME ASAP to
schedule and accomplish prior to departing TDY.
2. If member‘s physiological training will expire during TDY period, member must attend
training prior to TDY, unless available at TDY location and scheduled prior to class start date.
3. If not current on Emergency Egress for aircraft member will be flying on TDY, direct member
to complete prior to departure (if possible) or prior to first flight at training base.
I understand I am not authorized to depart TDY for training without valid AOs, current physical,
current physiological training (none of which will expire during TDY period), or in DNIF status.
If I do, I may be returned to home station prior to completion of training.
Member‘s Signature:
Date:
Note: I validate the above individual is physically and physiologically qualified for the complete
TDY period, IAW documentation in the members FRF and ARMS. I provided member with a
current Individual Data Summary, Individual Training Summary, and Flying History Report.
SARM/HARM Representative Signature:
Date:
Page 29 of 31
ATTACHMENT 7: WELCOME LETTER
USAF SCHOOL OF AEROSPACE MEDICINE (AFMC)
C-STARS CINCINNATI
8 May 2012
MEMORANDUM FOR CCATT ADVANCED COURSE STUDENTS
FROM: Director, C-STARS Cincinnati
SUBJECT: Center for the Sustainment of Trauma and Readiness Skills (C-STARS)
1. Welcome to C-STARS Cincinnati. You have been selected for one of the most critical jobs in the Air
Force today. Your command selected you based on your experience and skills. We look forward to seeing
you demonstrate those attributes here over the next two weeks.
2. This course is likely to be unique in your military and medical career. I am well aware that each of you
has gone through extensive training in the past. Some of you spent years completing your education and
some of you are very senior, experienced providers. During the next two weeks you will have ample
opportunity to demonstrate all that you have learned along the way. This course will be the first time
some of you have been exposed to simulation training. It is intense, not only because of the noise, lowlights and difficult scenarios, but also because you will go into these simulations knowing that you are
being evaluated and tested. We have all gone through this and we all know how much stress being
evaluated can add to each scenario. Still, you should understand right now that the stress we create in our
simulation room will never come close to the stress level you should feel when you are four hours either
way from a hospital and your patient is crashing. It has happened to nearly every CCAT team that has
deployed, and the way they respond makes all the difference in the world to that soldier and the family
waiting for him.
3. This is not a weeding out course as some have referred to it. There is no hidden agenda or quota of
failures and passes. Historically the failure rate has been around 13%, but we have had many classes with
100% validation. I, and the entire cadre, want to see you succeed. However, I will not allow the standards
to slip for anyone, regardless of rank or years of experience. I have spent too many years treating these
soldiers and living with them down-range to accept any chance that the team in the plane with them at the
critical moment is even possibly not up to the task. We will do everything in our power to teach you the
“tricks of the trade.” We will refresh skill sets that you may not have used in awhile. I recognize that
many of you may not have seen patients like this in daily practice. That does not mean you cannot do the
job well. Success comes from preparation. That means you have to come prepared for every mission,
including this class. You are expected to arrive here familiar with the Clinical Practice Guidelines and all
of your equipment. We will review all of it here, but if you arrive without reviewing these critical starting
points, you are setting yourself up for a difficult task. We only have two weeks to cover a great deal of
material with you. If you are not prepared you will feel overwhelmed by the amount of information you
are absorbing. Please, use your resources and show up as prepared for your time here as you would for
any mission down-range. To do otherwise speaks volumes about your character and commitment to the
patients you will treat.
4. During your time in Cincinnati you are likely to feel uncomfortable. I am sorry, but there is no getting
around that fact. Very few of you will have ever been critiqued with such scrutiny as you will find here.
That is an inherently uncomfortable experience. This is a validation platform. You will be instructed
throughout the two weeks, but make no mistake, the primary mission of this platform is validation. What
Page 30 of 31
5. I will promise you is a fair and professional process. Although critique is never comfortable, the cadre
will provide you with constructive criticism after every simulation and throughout the course. If at any
point you feel it is being done otherwise then I expect two things from you. First, pause and reflect on
whether it was inappropriate or is your pride just stinging. Second, if you still feel there was any issue,
bring it to me immediately. I expect a great deal of every student that comes through this course, but I
expect even more from the cadre. Pass or fail, I want you to leave this course feeling better for the
experience.
//Signed//
MICHAEL C. PETRO, MD, FACS
Lt Col, USAF, MC
Director, C-STARS Cincinnati
Page 31 of 31

CCAT Advanced Course Information Packet

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