Medical Service Independant Duty Medical Technician (IDMT)

CEM Code 4N000
• Journeyman AFSC 4N051*
• AFSC 4N091 Superintendent
• Apprentice AFSC 4N031*
• AFSC 4N071 Craftsman
• Helper AFSC 4N011*

1. Specialty Summary. Participates in, and manages planning, providing, and evaluating patient care. Organizes themedical environment, performs and directs support activities in patient care situations, including contingency operations and disasters. Performs duty as independent duty medical technician (IDMT), aeromedical evacuation technician (AET), or hyperbaric medical technician (HBMT); performs and supervises allergy and immunization technician (AIT) functions; or neurology technician (NT) functions. Related DoD Occupational Subgroup: 300.

2. Duties and Responsibilities:

2.1. Provides, supervises and manages patient care activities. Performs nursing tasks. Acts as team leader and member. Monitors and records physiological measurements. Performs portions of medical treatment, diagnostic, and therapeutic procedures. Cares for, observes, and reports on postoperative patients and seriously or critically ill and injured patients. Prepares and gives medications under nurse or physician supervision. Performs selected treatments and reports results. Assembles, operates, and maintains therapeutic equipment. Provides field medical care in contingency operations and disasters. Performs basic life support and triage in emergency situations. Performs care of deceased patients. Orients new patients to the hospital environment. Admits, discharges, and transfers patients as directed. Observes, reports, and records observations in patient progress notes and team conferences. Records treatments and procedures rendered, and observes effects. Records physiological measurements. Assists professional personnel in identifying patient needs or problems in team conference. Identifies patient problems, and assists in developing and evaluating patient care plan. Maintains linen and supply areas. Obtains and maintains supplies. Disposes of medical waste. Maintains medical records from patient’s admission through transfer or discharge. Initially receives and screens patients. Assists with patient’s medical treatment. Provides emergency medical care. Operates emergency medical and other vehicles. Loads and unloads litter patients. Assists physician or nurse with clinic procedures. Submits reports of treatments rendered. Maintains outpatient medical records. Participates in contingency or disaster field training, exercises, and deployments.

2.2. Provides medical training to agencies and personnel other than medical. Training includes areas such as national registered emergency medical technician and self-aid buddy care. Schedules in-service training in new procedures, techniques, and equipment. Provides required basic life support training. Conducts or schedules periodic disaster training, fire drills, and evacuation procedures.

2.3. In medical officer’s absence, performs duty as an IDMT at deployed operating locations and at remote sites. Renders medical and dental treatment and emergency treatment; recommends evacuation to a location where definitive medical treatment facilities are available. Performs pharmacy, laboratory, bio-environmental, public health, medical logistics, and medical administration duties.

2.4. Performs AET duties. Prepares patients and equipment for flight. Prepares aircraft for patient enplaning. Enplanes anddeplanes patients. Loads and unloads baggage. Functions as an aeromedical evacuation crew member when assigned to aeromedical evacuation duties. Assists flight nurse with in-flight patient care. Provides emergency care for patients in event of medical or aircraft emergency.

2.5. Performs AIT duties. Schedules patient appointments, and requests routine laboratory studies. Assists physicians intreating allergy patients, and administers immunizations. Performs screening or allergy testing as directed by physicians. Administers allergen injections to patients on schedule established by physician. Reviews patient’s progress under their treatment schedule, and enters remarks in patient allergy records. Notifies physician of any abnormal developments. Carefully evaluates patients to determine if physician should be called during treatment, or if future treatment should be discontinued until examined by a physician. Screens incoming queries from other allergy and immunization clinics, and supplies information. Performs basic pulmonary functions studies. Performs nasal smears to determine differential count or bacteria presence. Obtains cultures for laboratory studies. Prepares allergenic extracts and specific allergy treatment extracts. Recognizes symptoms of shock, asthma, systemic reactions, and syncope. Administers proper emergency treatment while summoning supervising physician. Uses both needle and gun injector techniques to administer inoculations. Performs tuberculoses and other lung fungus testing. Performs tests for anergy. Provides post immunization instructions in regard toexpected reactions and in proper care of vaccinations. Arranges, schedules, and supervises mass immunizations. Arranges for updating all immunization records, and schedules times to render immunizations to unit personnel. Sterilizes and prepares instruments for use in examinations and treatment.

2.6. Performs NT duties. Prepares patients for examination, treatment, and diagnostic procedures. Assists physician with diagnostic procedures and treatments. Performs routine user maintenance of electro-encephalographic and electro-myographic equipment. Assembles equipment, and prepares area to ensure proper equipment operation. Calibrates recording apparatus, and adjusts same for proper electrode selection. Obtains satisfactory tracings by eliminating all artifacts and extraneous potentials. Assists in performing special electro-encephalographic and electro-myographic procedures. Establishes laboratory and administrative functions for care and storage of tracings and reports. Ensures proper maintenance of neurodiagnostic equipment.

2.7. Performs HBMT duties. Prepares patients and equipment for hyperbaric dive. Prepares hyperbaric chamber for patient placement. Positions patients. Functions as hyperbaric dive crew member. Assists hyperbaric nurse or physician with patient care during the dive. Provides emergency care for patients in event of medical or hyperbaric chamber emergency.2.8. Manages and directs medical service resources. Coordinates medical service activities with executive and clinical management teams.

3. Specialty Qualifications:

3.1. Knowledge. The following knowledge is mandatory for award of AFSC indicated:

3.1.1. 4N0X1/X1X. Medical terminology, anatomy and physiology; nursing theory, techniques and procedures; team nursing; patient needs; emergency medical treatment to include cardiopulmonary resuscitation, aseptic technique, medical ethics, and legal aspects; prescribed drugs and their administration; operating and maintaining therapeutic equipment, military hygiene and sanitation; risk management, contingency operations, disaster preparedness, and chemical warfare; and transportation of sick and wounded.

3.1.2. 4N0X1A. Vaccination procedures; methods of properly administering intradermal, subcutaneous, and intramuscularinjections; pollen counting; allergen identification; composition of various vaccines; mechanisms of anaphylaxis and shock and their treatment; and pharmacology of various drug groups.

3.1.3. 4N0X1B. Neurological patient examination, treatment, and diagnostic procedures; and operation and usermaintenance of electroencephalographic, electromyographic, and other neurodiagnostic equipment.

3.2. Education. For entry into this specialty, completion of high school with courses in general science, biology, psychology, and chemistry is desirable.

3.3. Training. The following training is mandatory for award of the AFSC indicated:

3.3.1. 4N031. Completion of a basic medical service course.

3.3.2. 4N031A. Completion of a basic allergy immunization technician course.

3.3.3. 4N031B. Completion of a basic neurology technician course.

3.4. Experience. The following experience is mandatory for award of AFSC indicated:

3.4.1. 4N051/51X. Qualification in and possession of AFSC 4N031/31X. Also, experience performing functions such ascare and treatment of patients, operating and maintaining therapeutic equipment, and properly administering parenteralimmunizing biologicals.

3.4.2. 4N071. Qualification in and possession of AFSC 4N051/51X. Also, experience performing or supervising functionssuch as nursing activities; care and treatment of patients; operating and maintaining therapeutic equipment; conducting subprofessional portions of physical examinations; or assisting in medical treatment of patients.

3.4.3. 4N091. Qualification in and possession of AFSC 4N071. Also, experience managing functions such as medical, andrelated patient care and administrative activities.

3.5. Other. The following are mandatory as indicated:

3.5.1. For entry into this specialty, qualification to operate government vehicles according to AFMAN 24-309, Vehicle Operations.

3.5.2. For entry into shredout A or B, prior qualification in and possession of AFSC 4N051/71.

3.5.3. For entry, award, and retention of shredout B, no record of emotional instability.