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supported. FFQCX/Y authorized manning needs to include radio 
operators, communications maintenance and logistics personnel 
in addition to the current tasking. 
 
(3) AELT Manning. ~ 
 
Observation. Current manning for AELTs (UTC FFQCV) 
which includes one MSC and two radio operators, is insufficient 
to indefinitely sustain a 24-hour operation. 
 
Discussion. The standard FFQCV calls for one MSC 
and two 492X1 to provide AE liaison operations around the clock 
for an indefinite period. This concept is unrealistic in its 
assessment of the level of activity expected of an AELT, as it 
does not provide for any time off. Daily 24-hour coverage 
requirements for the MSC and 12-hour shifts for the radio 
operators affect their performance levels. Their capabilities 
decrease proportionally to the number of hours they are required 
to work over an extended duration and the demands levied upon 
them. This inverted duty/performance relationship invites error 
at the level where it can be least tolerated, that point at 
which patients enter the AE system. 
 
Recommendation. Change FFQCV manning to increase 
MSC authorizations to two and 492X1 authorizations to three. An 
alternative would be to increase FFQCV radio operator manning to 
three and to augment the AELT, using an FFZ99 UTC, for additional 
personnel (MSC, nurse, radio operators), as required. 
 
( 4) MASF manning. 
 
Observation. As a result of MASF employment at bare 
base locations, OICs and NCOICs of the MASFs spent an inordinate 
amount of time establishing and maintaining operations, thereby 
reducing the number of hours that they could dedicate to patient 
care. 
 
Discussion. Current MASF UTC manning does not 
authorize positions for full time management personnel, but 
rather delegates these responsibilities to the senior 
individuals. Those individuals cannot perform both patient care 
and management duties without jeopardizing operational 
effectiveness and/or the welfare of their patients. Establishing 
MASFs at bare base facilities required the OIC and NCOIC of MASFs to 
dedicate most of their time to managing the MASF, i.e. procuring 
billeting, messing, and the necessary host base logistical 
support. These efforts were often time consuming and tedious, 
thereby diminishing the amount of hours that could be dedicated 
to patient care. The current staffing of four nurses and 17 
medical technicians allows for two nurses and eight medical 
technicians on duty during a 12 hour period. That requires the 
OIC and NCOIC to provide shift coverage in the MASF as well as 
perform their management duties. Likewise, two radio operators 
are inadequate to sustain an' ongoing operation. Having the radio 
operators work continuous 12-hour 
 
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