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        TOPIC AREA: AEROMEDICAL STAGING FACILITY (ASF) / LACK OF
        STANDARD OPERATING PROCEDURES FOR ASF

        SUBMITTED BY: HQ AFRES/SGXO
       
       ISSUE: No standardized training program on how to onload/offload
       patients for ASF personnel.
       
       OBSERVATION: ASF personnel were not familiar with flightline
       operations dealing with aeromedical evacuation mission aircraft
       (C-141, C-9A, C-130). This includes how to properly drive and
       park ambuses, use of NATO buses, flightline safety and so forth.
       
       DISCUSSION: During initial aeromedical evacuation missions it
       was determined that the ASF took an extremely long time to
       offload patients from aeromedical evacuation aircraft. ASF
       personnel were not knowledgeable of the proper procedures in
       handling litters when taking patients to and from the ambus and
       to and from the aircraft. Lack of patient sensitivity and
       sometimes safety was evident throughout their patient movement.
       ASF personnel tended to use actual patient movement for training
       in their mission.
       
       IMPACT: Could have caused unnecessary injury to patients.
       
       RECOMMENDATION: Develop and publish an ASF training program in
       an Air Force level regulation that requires proficiency
       qualification training in patient litter movement and flightline
       driver training.
       

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