Military Occupational Classification and Structure - U.S. Army

Nurse (Clinical Nurse Specialist) positions in the Medical Company,
Combat Stress Control, and one position in the Medical Detachment,
Combat Stress Control, will be graded MAJ; other Psychiatric/Mental
Health Nurse positions in the Combat Stress Control
units will be graded CPT.
(4) Unique duty positions.
(a) Clinical Staff Nurse, Psychiatric/Mental Health.
(b) Clinical Nurse Specialist, Psychiatric/Mental Health.
(c) Clinical Head Nurse, Psychiatric/Mental Health.
(d) Chief, Psychiatric/Mental Health Nursing Section.
d. Operating Room Nurse (66E).
(1) Description of duties. Performs specialized professional nursing
duties in any phase of the operative process for patients undergoing
all types of surgery and provides safe supplies and equipment
for operative services.
(2) Special qualifications.
(a) Must have completed an AOC qualifying course in operating
room nursing or one year of supervised experience in operating
room nursing.
(b) Be a graduate of an accredited nursing program acceptable to
DA and hold current state license to practice nursing.
(3) Special grading of positions. In Forward Surgical Team, positions
will be graded CPT.
(4) Unique duty positions.
(a) Clinical Nurse, Operating Room.
(b) Clinical Nurse Specialist, Operating Room.
(c) Clinical Head Nurse, Operating Room.
(d) Chief, Operating Room Nursing Section.
e. Nurse Anesthetist (66F).
(1) Description of duties. Performs professional nursing duties of
a specialized nature in the care of patients requiring general or
regional anesthesia, respiratory care, cardiopulmonary resuscitation,
and/or fluid therapy. General or regional anesthesia for surgical,
diagnostic or therapeutic procedures; respiratory care, cardiopulmonary
resuscitation, and/or fluid therapy.
(2) Special qualifications.
(a) Must have successfully completed an approved course in anesthesiology
for nurses accredited by the American Association of
Nurse Anesthetists (AANA) Council on Accreditation and be certified
as a registered nurse anesthetist by the AANA Council on
Certification. Certification as related to clinical proficiency must be
continuous and authenticated every 2 years as specified by the
Council on Recertification.
(b) Be a graduate of an accredited nursing program acceptable to
DA and hold current state license to practice nursing.
(3) Special grading of positions.
(a) In Surgical Squad, Hq & Co A, Med Bn, Air Assault Div,
(CPT).
(b) In Forward Surgical Team, positions will be graded CPT.
(4) Unique duty positions.
(a) Clinical Staff Nurse, Anesthetist.
(b) Chief, Anesthesiology Nursing Section.
(c) Instructor, Anesthesiology Nursing.
f. Medical-Surgical Nurse (66H).
(1) Description of duties. Provides professional nursing care and
health promotion in military health treatment organizations and in
the broader military community. Responsibilities may span ambulatory,
medical-surgical, emergency, and critical care nursing.
(2) Special qualifications.
(a) Be a graduate of an accredited nursing program acceptable to
DA and hold a current state license to practice nursing.
(b) Be a graduate of an accredited nursing program acceptable to
DA and hold a current state license to practice nursing.
(3) Special grading of positions.
(a) Forward Surgical Team, positions associated with SI 8A will
be graded MAJ. Other Medical-Surgical Nurse positions will be
graded CPT.
( b ) M e d i c a l D e t a c h m e n t , M i n i m a l C a r e , C o m m a n d e r w i l l b e
graded MAJ.
(4) Unique duty positions.
30 DA PAM 611–21 • 31 March 1999
(a) Clinical Staff Nurse, Medicine-Surgical Nursing.
(b) Clinical Nurse Specialist.
(c) Adult Ambulatory Care Nurse Practitioner.
(d) Family Nurse Practitioner.
(e) Clinical Head Nurse, Medical-Surgical Nursing.
(f) Chief, Medical-Surgical Nursing.
g. Generalist Nurse (66N).
(1) Description of duties. The AOC 66N is a duty position only
and is considered AN specialty immaterial. A Nurse Corps officer
assigned to this duty AOC functions in a variety of staff positions
through the Army Medical Department as stated in paragraph 4
below.
(2) Special qualifications. Must have been awarded a primary
AOC (66C, 66E, 66F or 66H). Must maintain clinical proficiency in
their AOC.
(3) Special grading of positions. None.
(4) Unique duty positions.
(a) USAREC/ROTC Counselors.
(b) PERSCOM ANC Staff.
(c) DEMIS.
(d) AMEDD Center & School, Teaching Positions.
(e) Ch, Nursing Education and Staff Development.
(f) Quality Assurance Officers.
(g) Nursing Research Officers.
(h) Ch, Clinical Nursing Service.
(i) OTSG Staff.
(j) MACOM/MEDCOM Headquarters Staff.
(k) DOD AN Staff Officers.
(l) ARPERCOM Staff Officers.
(m) Infection Control Officers.
(n) Special Projects Officers.
(o) Ch, Nurse Admin Evenings/Nights.
(p) Ch, Department of Nursing.
(q) Ch, Amb Nursing Service.
3–21. Medical Service Corps (67) (Proponent: Office of
The Surgeon General)
a. Branch description. Provides medical unique administrative,
field medical, technical, scientific, and clinical services to the Army
Medical Department and the Army. Assignments range from medical
TDA and TOE units, to medical research, to serving as medical
staff officers on major command staffs. The administrative duties of
a Medical Service Corps officer include tactical and TDA hospital
a d m i n i s t r a t i o n , p a t i e n t a d m i n i s t r a t i o n , m e d i c a l r e s o u r c e m a n a g e -
ment, mental health, optometry and medical logistics. All Medical
Service officers will be awarded one of the twenty three Medical
Service Corps branch Area of Concentration (AOC), 67E, 67F, 67G,
67J, and/or Medical Funtional Areas (MFA) 70A, 70B, 70C, 70D,
70E, 70F, 70H, 70K, 71A, 71B, 71E, 71F, 72A, 72B, 72C, 72D,
72E, 73A, 73B and will be further identified with branch code 67
(e.g., 70A67). The first two characters (numeric), such as 70, 71, 72
and 73 identify the MFA and the third character (alpha) identifies
the specific specialty. For instance, 70C67 identifies a Medical
Service Corps officer (branch 67), in the Health Services MFA (70)
who is a Health Services Comptroller (70C). AOC 67E, 67F and
67G are stand alone AOCs and not associated with a MFA. AOC
67J is normally associated with a MFA 70, but these officers will
retain AOC 67J as their primary AOC unless it is withdrawn. AOC
67A is used to identify Health Services immaterial positions that
must be filled by officers holding MFA 70 AOC or AOC 67J.
Likewise, AOC 67B (Laboratory Sciences), 67C (Preventive Medicine)
and 67D (Behavioral Sciences) identify immaterial positions
requiring officers holding an AOC in MFA 71, 72, and 73 respectively.
The field medical responsibilities include patient evacuation,
plans, operations and training, intelligence and serving as commanders
and staff officers in various medical TOE units. The Medical
Service Corps provides technical and scientific medical support that
i n c l u d e s m e d i c a l r e s e a r c h , m e d i c a l i n t e l l i g e n c e , p h a r m a c o l o g i c a l
services, sanitary engineering, environmental health, clinical and
e n v i r o n m e n t a l l a b o r a t o r y s e r v i c e s i n f i x e d f a c i l i t i e s a n d t a c t i c a l
units. Further, Medical Service Corps officers provide clinical direct