Military Occupational Classification and Structure - U.S. Army

under the auspices of the AHS or completion of the exportable
MOSC 91B1O course conducted by a RC unit approved by the
AHS; or
(b) (USAR only) Civilian acquired skills per criteria listed in AR
601-210; or
(c) Completion of Phase I-A, Special Operations Medical Sergeants
Course for award of MOSC 91B1O; or completion of Phase
I-A and Phase I-B for award of MOS 91B2O or MOS 91B3O when
Phase I-B not completed. Personnel completing all three phases
(Phase I-A, I-B, and Field Training Phase) and awarded MOS 18D,
may be awarded MOS 91B as a secondary MOS.
c. Additional skill identifiers.
(1) N3—Occupational Therapy Specialty.
(2) N9—Physical Therapy Specialty.
(3) P1—Orthopedic Specialty.
(4) P2—Ear, Nose, and Throat Specialty.
(5) P3—Eye Specialty.
(6) P5—Master Fitness Trainer.
(7) Y6—Cardiovascular Specialist.
(8) 2S—Battle Staff Operations (skill level 3 and above).
(9) 4A—Reclassification Training.
d. Physical requirements and standards of grade. Physical requirements
and SG relating to each skill level are listed in the
following tables:
(1) Table 10-91B-1. Physical requirements.
(2) Table 10-91B-2. Standards of grade TOE/MTOE.
(3) Table 10-91B-3. Standards of grade TDA.
10–244. 91C—Practical Nurse (Prac Nurse), CMF 91
a. Major duties. The practical nurse supervises or performs preventive,
therapeutic, and emergency nursing care procedures under
supervision of physician, nurse or NCO. Duties for MOS 91C at
each level of skill are:
(1) MOSC 91C1O. Performs preventive, therapeutic and emergency
nursing care procedures under supervision of physician, nurse
or NCO.
(2) MOSC 91C2O. Performs preventive, therapeutic and emergency
nursing care procedures under supervision of physician, nurse
or medical NCO.
(3) MOSC 91C3O. Performs preventive, therapeutic, and emergency
nursing care procedures or supervisory management of small
ward/unit.
( 4 ) M O S C 9 1 C 4 O . S u p e r v i s e s m a n a g e m e n t o f o n e o r m o r e
wards/units andmanages para-professional nursing personnel.
( 5 ) M O S C 9 1 C 5 O . M a n a g e s w a r d / u n i t o p e r a t i o n s i n l a r g e
hospital.
b. Physical demands rating and qualifications for initial award of
MOS. The practical nurse must possess the following qualifications:
(1) Physical demands rating—N/A.
(2) A physical profile of 222221.
(3) A minimum score of 95 in aptitude area ST.
(4) Formal training:
(a) Active Army inservice soilders must have held MOS 91B and
must have at least 1 year experience as a 91B. All soldiers attending
the Army Medical Department Center & School (AMEDD) 91C
c o u r s e o r S t . P h i l l i p s m u s t h a v e e i t h e r A m e r i c a n C o l l e g e T e s t
Scores with a minimum score of English 15, Reading 17, and Math
17; or a MOS 91C Course conducted under the auspices of the
AMEDD Center & School. Obtain and maintain a valid and current
professional license per DOD Directive 6025,13, (Exception: Sold
i e r s a t t e n d i n g t h e e x p o r t a b l e 9 1 C t r a i n i n g c o n d u c t e d a t a n
AMEDD Center & School approved Reserve Component School are
exempt from the MOS 91B prerequisite).
(b)
(c) Soldiers covered by (a) above who fail the initial National
Council Licensure Examination (NCLEX) must retake the examination
at the earliest possible date. A soldier who twice fails the
licensure examination or is not licensed within one year of graduation
per AR 40-68 (which ever occurs first) may be released from
active duty under AR 635-200 or reclassified under AR 600-200.
DA PAM 611–21 • 31 March 1999
c. Additional Skill Identifiers.
(1) M3—Dialysis Specialty.
(2) P5—Master Fitness Trainer.
(3) 2S—Battle Staff Operations (skill level 3 and above).
(4) 4A—Reclassification Training.
d. Physical requirements and standards of grade. Physical requirements
and SG relating to each skill level are listed in the
following tables:
(1) Table 10-91C-1. Physical requirements.
(2) Table 10-91C-2. Standards of grade TOE/MTOE.
(3) Table 10-91C-3. Standards of grade TDA.
10–245. 91D—Operating Room Specialist, CMF 91
a. Major duties. The operating room specialist assists the nursing
staff in preparing the patient and the operating room (OR) environment
for surgery and for providing assistance to the medical staff
during surgical procedures. They also operate the centralized material
service (CMS) and are responsible for preparing and maintaini
n g s t e r i l e m e d i c a l s u p p l i e s a n d s p e c i a l e q u i p m e n t f o r m e d i c a l
treatment facilities. The operating room specialist also assists in the
management of operating room suites. Duties for MOS 91D at each
level of skill are:
(1) MOSC 91D1O. Assists in preparing patients and operating
room environments for surgery and provides assistance to the medical
staff during surgical procedures. Performs various preoperative
and postoperative procedures as directed. Maintains the cleanliness
of the operating room and sets up sterile fields for surgical procedures.
Receives, cleans, decontaminates, sterilizes, stores and issues
v a r i o u s m e d i c a l s u p p l i e s a n d e q u i p m e n t u s e d d u r i n g s u r g i c a l
procedures.
(2) MOSC 91D2O. Performs duties shown in the preceding skill
level and provides technical guidance to subordinates. Performs
operating room scrubs and provides scrub and circulator services as
required. Sets up, positions, and operates specialized operating room
equipment. Supervises and advises subordinate personnel.
(3) MOSC 91D3O. Performs duties shown in the preceding skill
level and provides technical guidance to subordinates. Implements
and monitors the automatic war and clinic delivery system. Monitors
quality of sterilization techniques to ensure adherence to establ
i s h e d s t a n d a r d s . S u p e r v i s e s t h e m a i n t e n a n c e p r o g r a m s i n t h e
operating room and the central material service. Establishes stock
levels for requisitioning supplies and equipment and supervises their
storage and issue. Prepares and maintains various reports and files.
Supervises and advises subordinate personnel.
(4) MOSC 91D4O. Performs duties shown in the preceding skill
level and provides technical guidance to subordinates. Coordinates
activities of the OR and CMS with other elements of the medical
treatment facility. Develops, monitors, and evaluates training. Establishes
policies for and monitors exposure levels of sterilization
chemicals and anesthetic gases with the OR. Participates in the
preparation of the OP and CMS budget. Supervises and advises
subordinate personnel.
b. Physical demands rating and qualifications for initial award of
MOS. The operating room specialist must possess the following
qualifications:
(1) A physical demands rating of medium.
(2) A physical profile of 222221.
(3) Normal color perception and normal vision with or without
corrective lens.
(4) No aversion to the sight of blood and freedom from chronic
or recurrent skin infections or allergies when handling antiseptics,
disinfectants, or cleaning agents.
(5) A minimum score of 95 in aptitude area ST.
(6) Formal training (completion of MOS 91B course and MOS
91D course conducted under the auspices of the AMEDDC&S)
mandatory or meet the Army civilian acquired skill criteria listed in
AR 601-210.
c. Additional skill identifiers.
(1) P5—Master Fitness Trainer.
(2) 2S—Battle Staff Operations (skill level 3 and above).
(3) 4A—Reclassification Training.
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