001 - MOHU FIT SIMULATION – CAPABILITY EXPECTATIONS

• Conducted on

  Date

• Prepared by

• Location
  Address

ROLE ASSESSED: ROLE 1, MR2/2E

• Role assessed?

  Select AMO MR2 MR2e

  • AMO
  • MR2
  • MR2e

ROLE 1: AMO TARGETS

• 1 - AMO TARGET: Demonstrate Casualty Management - Initial triage & Basic life/Advanced life support

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 2 - AMO TARGET: Perform Triage - Basic life support by AMO/AME at POI

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 3 - AMO TARGET: Perform Casualty Evacuation - SMETS to transport casualty from POI to PCRF

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 4 - AMO TARGET: Perform communication to PCRF via Motorola

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

PCRF DEPARTMENT TARGETS

PCRF C2 - COMMAND & CONTROL

• 01 - PCRF C2 TARGET: Provide Medical Regulating

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 02 - PCRF C2 TARGET: Demonstrate Casualty Management

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 03 - PCRF C2 TARGET: Provide Signals

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 04 - PCRF C2 TARGET: AFTER ACTION REPORTS

  Select NOTICAS J07 ATG CASUALTY CoC notification BED STATE

  • NOTICAS
  • J07
  • ATG
  • CASUALTY CoC notification
  • BED STATE

RWAME

• 05 - PCRF RWAME TARGET: Demonstrate Casualty Management - Triage & Basic life/Advanced life support

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 06 - PCRF RWAME TARGET: Demonstrate/Perform Medical Evacuation (FORWARD/RWAME/STRATAME)

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 07 - PCRF RWAME TARGET: Perform Communication to AIROPS, PCRF, &/and J07

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 08 - PCRF RWAME TARGET: Possible Interventions

  Select AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION SURGICAL AIRWAY RSI VENTILATOR MGMT POST INTUBATION MGMT INTERCOSTAL CATHETER INSERTION ARTERIAL LINE INSERTION EZIO CVC LINE INSERTION BELMONT ACTIVATED MTP ACTIVATION FAST SCANS MODIFIED PARKLANDS FORMULA ACTIVATED IDC INSERTION NGT INSERTION CT6 APPLICATION ALL ACTIONS IAW SOPS MOST ACTIONS IAW SOPS LIMITED ACTIONS IAW SOPS FIX SUSTAIN IMPROVE N/A

  • AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION
  • SURGICAL AIRWAY
  • RSI
  • VENTILATOR MGMT
  • POST INTUBATION MGMT
  • INTERCOSTAL CATHETER INSERTION
  • ARTERIAL LINE INSERTION
  • EZIO
  • CVC LINE INSERTION
  • BELMONT ACTIVATED
  • MTP ACTIVATION
  • FAST SCANS
  • MODIFIED PARKLANDS FORMULA ACTIVATED
  • IDC INSERTION
  • NGT INSERTION
  • CT6 APPLICATION
  • ALL ACTIONS IAW SOPS
  • MOST ACTIONS IAW SOPS
  • LIMITED ACTIONS IAW SOPS
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

RESUS

• 09 - PCRF RESUS TARGET: Demonstrate Casualty Management - Triage & Basic life/Advanced life support

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 10 - PCRF RESUS TARGET: Perform Resuscitation

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 11 - PCRF RESUS TARGET: Possible Interventions

  Select AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION SURGICAL AIRWAY RSI VENTILATOR MGMT POST INTUBATION MGMT INTERCOSTAL CATHETER INSERTION ARTERIAL LINE INSERTION EZIO CVC LINE INSERTION BELMONT ACTIVATED MTP ACTIVATION FAST SCANS MODIFIED PARKLANDS FORMULA ACTIVATED IDC INSERTION NGT INSERTION CT6 APPLICATION ALL ACTIONS IAW SOPS MOST ACTIONS IAW SOPS LIMITED ACTIONS IAW SOPS FIX SUSTAIN IMPROVE N/A

  • AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION
  • SURGICAL AIRWAY
  • RSI
  • VENTILATOR MGMT
  • POST INTUBATION MGMT
  • INTERCOSTAL CATHETER INSERTION
  • ARTERIAL LINE INSERTION
  • EZIO
  • CVC LINE INSERTION
  • BELMONT ACTIVATED
  • MTP ACTIVATION
  • FAST SCANS
  • MODIFIED PARKLANDS FORMULA ACTIVATED
  • IDC INSERTION
  • NGT INSERTION
  • CT6 APPLICATION
  • ALL ACTIONS IAW SOPS
  • MOST ACTIONS IAW SOPS
  • LIMITED ACTIONS IAW SOPS
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

OPERATING THEATRES

• 12 - PCRF OT TARGET: Demonstrate/Operate Operating Theatre

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 13 - PCRF OT TARGET: Demonstrate/Provide Formal Wound Surgery

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 14 - PCRF OT TARGET: Provide Surgical Care

  Select SURGICAL DEBRIDEMENT CRANIOTOMY AMPUTATION EXTERNAL FIXATION VASCULAR REPAIR THORACOTOMY LAPAROTOMY ESCHAROTOMY

  • SURGICAL DEBRIDEMENT
  • CRANIOTOMY
  • AMPUTATION
  • EXTERNAL FIXATION
  • VASCULAR REPAIR
  • THORACOTOMY
  • LAPAROTOMY
  • ESCHAROTOMY

• 15 - PCRF OT TARGET: Demonstrate/Operate Recovery Unit

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

ICU/HDU

• 16 - PCRF ICU/HDU TARGET: Demonstrate/Provide Intensive Care

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 17 - PCRF ICU/HDU TARGET: Demonstrate/Provide High Dependency Care

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 18 - PCRF ICU/HDU TARGET: Possible Interventions

  Select AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION SURGICAL AIRWAY RSI VENTILATOR MGMT POST INTUBATION MGMT INTERCOSTAL CATHETER INSERTION ARTERIAL LINE INSERTION EZIO CVC LINE INSERTION BELMONT ACTIVATED MTP ACTIVATION FAST SCANS MODIFIED PARKLANDS FORMULA ACTIVATED IDC INSERTION NGT INSERTION CT6 APPLICATION ALL ACTIONS IAW SOPS MOST ACTIONS IAW SOPS LIMITED ACTIONS IAW SOPS FIX SUSTAIN IMPROVE N/A

  • AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION
  • SURGICAL AIRWAY
  • RSI
  • VENTILATOR MGMT
  • POST INTUBATION MGMT
  • INTERCOSTAL CATHETER INSERTION
  • ARTERIAL LINE INSERTION
  • EZIO
  • CVC LINE INSERTION
  • BELMONT ACTIVATED
  • MTP ACTIVATION
  • FAST SCANS
  • MODIFIED PARKLANDS FORMULA ACTIVATED
  • IDC INSERTION
  • NGT INSERTION
  • CT6 APPLICATION
  • ALL ACTIONS IAW SOPS
  • MOST ACTIONS IAW SOPS
  • LIMITED ACTIONS IAW SOPS
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

MDU/LDU

• 19 - PCRF MDU/LDU: TARGET: Demonstrate/Provide Low Dependency Care

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 20 - PCRF MDU/LDU: TARGET: Demonstrate/Provide Medium Dependency Care

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 21 - PCRF MDU/LDU: TARGET: Possible Interventions

  Select AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION SURGICAL AIRWAY RSI VENTILATOR MGMT POST INTUBATION MGMT INTERCOSTAL CATHETER INSERTION ARTERIAL LINE INSERTION EZIO CVC LINE INSERTION BELMONT ACTIVATED MTP ACTIVATION FAST SCANS MODIFIED PARKLANDS FORMULA ACTIVATED IDC INSERTION NGT INSERTION CT6 APPLICATION ALL ACTIONS IAW SOPS MOST ACTIONS IAW SOPS LIMITED ACTIONS IAW SOPS FIX SUSTAIN IMPROVE N/A

  • AIRWAY MGMT - OPA/NPA, LMA/ET INTUBATION
  • SURGICAL AIRWAY
  • RSI
  • VENTILATOR MGMT
  • POST INTUBATION MGMT
  • INTERCOSTAL CATHETER INSERTION
  • ARTERIAL LINE INSERTION
  • EZIO
  • CVC LINE INSERTION
  • BELMONT ACTIVATED
  • MTP ACTIVATION
  • FAST SCANS
  • MODIFIED PARKLANDS FORMULA ACTIVATED
  • IDC INSERTION
  • NGT INSERTION
  • CT6 APPLICATION
  • ALL ACTIONS IAW SOPS
  • MOST ACTIONS IAW SOPS
  • LIMITED ACTIONS IAW SOPS
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

ALLIED HEALTH

• 22 - PCRF PATHOLOGY TARGET: Provide Pathology Services

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 23 - PCRF PATHOLOGY TARGET: Demonstrate MTP Activation

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 24 - PCRF RADIOGRAPHY TARGET: Provide Radiography (X-rays and Ultra sound) Services

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 25 - PCRF DENTAL TARGET: Provide Dental Support

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 26 - PCRF MENTAL HEALTH TARGET: Provide Mental Health Support & Services

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

CLINICAL - INFECTION CONTROL

• 27 - PCRF INFECTION CONTROL: Demonstrate Infection Control

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 28 - PCRF INFECTION CONTROL: Demonstrate Hygiene

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 29- PCRF INFECTION CONTROL: Manage Waste Disposal

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

GENERIC

• 30 - PCRF GENERIC TARGET: Demonstrate Equipment Usage

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A

• 31 - PCRF GENERIC TARGET: Provide Education/Training

  Select All actions IAW SOP's Most actions IAW SOP's Limited actions IAW SOP's FIX SUSTAIN IMPROVE N/A

  • All actions IAW SOP's
  • Most actions IAW SOP's
  • Limited actions IAW SOP's
  • FIX
  • SUSTAIN
  • IMPROVE
  • N/A