Local policies and procedures will dictate the notification of severe weather to training units.
a. When inclement or severe weather has the potential to impact training, unit commanders must consider the following actions:
(1) Uniform modification.
(2) Suspend training temporarily.
(3) Use lightning assembly/protection areas.
(4) Seek enclosed shelter.
(5) Cancel training/return to garrison.
b. Due to the size of most training areas, weather-related decisions should be made on-site. All severe/inclement weather conditions must be evaluated for potential risk as well as likelihood of occurrence in accordance with risk management development. All decisions should be based on these criteria using current weather conditions.
3-9. Medical support for training
a. All training activities, from the classroom to the field firing range, require well thought out plans for medical care and evacuation. Recommended levels of medical support for high risk training are defined by conducting thorough risk assessments of the scheduled training.
b. When a risk assessment indicates a lower level of support than the minimum as defined by local policy, TSP, and risk assessment, commanders and commandants may (with the concurrence of the installation’s medical treatment facility (MTF) commander and safety officer), authorize by memorandum an appropriate lower level of support. When a decision is taken to lower the level of medical support below the minimum recommended for any training activity inform the TRADOC Safety Office via e-mail at usarmy.jble.tradoc.mbx.hq-tradoc-g-1-4-safety-office@mail.mil.
c. TRADOC service school and major subordinate command commanders and commandants will assess and certify the adequacy of medical support to training at least annually. This responsibility will not be delegated. Commanders and commandants conducting high risk training shall rehearse their medical support plan (casualty response, evacuation, and treatment) at least semi-annually, with focus on responding to a training catastrophe.
d. Health care specialist (MOS 68W) MOS qualification and scope of practice.
(1) Training unit or MTF commanders will ensure that health care specialists (68W) providing support to training maintain their skills in accordance with Training Circular 8-800, which includes biannual certification as an emergency medical technician-basic (EMT-B), at a minimum, by the National Registry of Emergency Medical Technicians (NREMT), and basic life support certification at healthcare provider level; and confers a level of skill comparable to an EMT-intermediate or paramedic, recognized as such by the NREMT. These training opportunities may be coordinated through the IET health care committee (see para 5-14), or by a memorandum of agreement with a medical department activity (MEDDAC).
(2) The MTF commander, as the installation’s director of health services (DHS), is responsible and accountable for the total surveillance and evaluation of the scope of practice (i.e., procedures, actions, and processes that are permitted for the licensed individual) and quality of healthcare/services provided on the installation (MEDCOM Reg 10-1). Commanders of units to which 68Ws are assigned should coordinate with their DHSs regarding their 68Ws’ scope of practice.
3-10. Combat Lifesaver (CLS) training/certification and utilization
a. CLS certified personnel and CLS aid bags are required:
(1) In RECBNs and BCT/OSUT units, at least one CLS certified DS or cadre member and one CLS aid bag, present during training per platoon. Units will maintain at a minimum one CLS certified Soldier (cadre) for every 60 Soldiers involved with the training unit.
(2) In AIT units, at least one CLS certified PSG or cadre member and one CLS aid bag, present during training per company. Units will maintain at a minimum one CLS certified Soldier (cadre) for every 60 Soldiers involved with the training unit.
b. IET cadre members are encouraged to obtain CLS certification.
c. Commanders will coordinate training schedules for the CLS course and annual recertification with supporting medical instructor organizations or MEDDAC.
d. Commanders will establish accountability for CLS medical equipment sets (aid bags) and supplies through their supply sergeants (see table 3-1 for required items). CLS aid bags should be inventoried monthly and resupplied as items are used or expire. Resupply of CLS aid bags through class VIII accounts with the supporting MEDDAC.
e. Certified CLSs should be allowed to fully utilize their CLS skills when providing care for Soldiers.
f. Personnel qualified and certified to perform a higher level of medical care (68W health care specialist) may fill the requirement for CLS, when available.
Table 3-1
CLS medical equipment set
Quantity
|
Item
|
NSN
|
1
|
Adhesive tape, surgical, 3”
|
6510-00-926-8884
|
1
|
Bag, TC3, combat casualty care
|
6545-01-537-0686
|
1
|
Bandage elastic, 6" x 4.5 yard
|
6510-00-935-5823
|
2
|
Bandage, gauze, 4.1 yard
|
6510-01-503-2117
|
2
|
Bandage kit, impregnated
|
6510-01-492-2275
|
2
|
Bandage, gauze, elastic
|
6510-01-562-3325
|
1
|
Bandage kit, elastic
|
6510-01-532-6656
|
3
|
Bandage, muslin, olive drab, 37x37x52”, triangular
|
6510-00-201-1755
|
1
|
Blanket, heating
|
6532-01-525-4062
|
1
|
Blanket, survival
|
6532-01-524-6932
|
2
|
Dressing, chest seal
|
6510-01-573-0300
|
4
|
Glove patient examining
|
6515-01-525-1975
|
2
|
Leash, shears, trauma
|
6515-01-540-7226
|
2
|
Marker, tube type
|
7520-00-312-6124
|
1
|
Nasal trumpet
|
6515-01-529-1187
|
2
|
Needle, decompression
|
6515-01-541-0635
|
5
|
Pad, isopropyl alcohol
|
6510-00=786-3736
|
1
|
Scissors, bandage
|
6515-00-935-7138
|
1
|
Shield, eye, surgical, Fox
|
6515-01-449-1016
|
1
|
Splint, universal
|
6515-01-494-1951
|
1
|
Strap cutter, combat
|
4240-01-568-3219
|
2
|
Tourniquet non-pneumatic
|
6515-01-521-7976
|
1 pack
|
Tactical Combat Casualty Care Card (DD Form 1380)*
|
|
3
|
Dressing, burn, first aid
|
6510-01-587-6579
|
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