Chapter XXII: Appendix: E

Example X-__, ANNEX__, TO HSS PLAN/OPERATION ORDER__, MEDICAL NBC STAFF OFFICER PLANNING FOR HSS IN AN NBC ENVIRONMENT

1. PURPOSE. Establish standardized procedures for medical NBC staff officers planning, preparing for, detecting, reporting, and providing preventive/protective measures for NBC/TIM hazards. Establish planning procedures for conducting HSS in NBC/TIM environments. Also, establish procedures for providing technical guidance/support to leadership before, during, and after an NBC/TIM event.

2. PROCEDURES

_a._ Medical NBC staff officers prepare list of equipment and
procedural guidelines for HSS operations under NBC/TIM conditions.
(_Provide a list of radiological detection devices, chemical agent
detection/identification kits/devices, components of biological
sample/specimen collection, and shipping containers. Provide
guidelines/references for operating detection/identification
devices._)

_b._ Planning actions for use before an NBC/TIM event. (_Provide
preventive/protective measures that the leadership can employ
to reduce the health effects of a NBC/TIM event. Also, provide
preventive/protective measures that leadership can employ to reduce
the health effects of existing NBC/TIM hazards/contamination in an
AO. Provide HSS leadership with procedures that can be employed to
protect their unit and patients._)

_c._ Planning action for use during an NBC/TIM event. (_Provide
preventive/protective measures that the leadership can employ
to reduce the health effects of a NBC/TIM event. Provide HSS
leadership with procedures that can be employed to protect their
unit and patients._)

_d._ Planning actions for use after an NBC/TIM event. (_Provide
preventive/protective measures that line leadership can employ
to reduce/mitigate the health effects of an NBC/TIM event on the
force. Provide HSS leadership with procedure that can be employed
to mitigate the effects on their unit and patients._)

_e._ Planning actions for preventive medicine support for NBC/TIM
events. (_Provide types and numbers of PVNTMED units/personnel
required to perform PVNTMED missions during such events. Describe
mission requirements for units/personnel preparing for and reacting
to the event. Describe types of samples required and how samples
must be collected, preserved, packaged, and shipped to supporting
medical laboratory for analysis. Describe detection/monitoring
equipment required for the event; such as AN/PDR77, AN/VDR2 radiac
meter, chemical agent monitor (CAM), and M272 water test kit._)

_f._ Planning actions for veterinary support for NBC/TIM events.
(_Provide types and numbers of veterinary units/personnel required
to perform the veterinary service missions during such events.
Describe mission requirements for units/personnel preparing for and
reacting to the event. Describe types of samples/specimens required
and how samples/specimens must be collected, preserved, packaged,
and shipped to supporting medical laboratory for analysis. Describe
food contamination and decontamination procedures. Describe
detection/monitoring equipment required for the event; such as
AN/PDR77, AN/ VDR2 radiac meter, and CAM._)

_g._ Planning actions for medical laboratory support for NBC/TIM
events. (_Provide requirements for medical laboratory support for
an NBC/TIM event. Describe types of laboratory test/ procedures
required to provide command verification on the use of an NBC
device/weapon. Provide medical laboratory reporting requirements;
example: provide report to command surgeon; Joint Task
Force/theater commander; senior commander in affected operational
area._)

_h._ Planning actions for combat health logistics support for
NBC/TIM events. (_Provide requirements for combat health logistics
support units and personnel. Describe types of Class VIII supplies
required to support HSS response to an event. Examples: Numbers of
chemical agent patient decontamination MESs, chemical agent patient
treatment sets, number of packets of chemical agent pretreatment
tablets required, and chemoprophylaxis required for personnel
exposed to a biological agent._)

_i._ Planning actions for combat stress control/mental health
support for NBC/TIM events. (_Provide requirements for COSC/mental
health support units/personnel. Describe where and how COSC/ mental
health personnel will provide their support in response to the
event._)

_j._ Planning for medical treatment of NBC/TIM event casualties.
(_Provide requirements for medical evacuation and treatment
(including emergency dental care) support units/personnel.
Provide requirements for nonmedical personnel to perform patient
decontamination at the MTF. Describe where and how evacuation and
treatment personnel will provide their support in response to
include supervision of patient decontamination procedures._)

3. COORDINATION REQUIREMENTS. (_Provide requirements for support such as who should transport/escort samples/specimens from unit of origin to support medical laboratory and on to the CONUS gold standard laboratory. Example: The Technical Escort Unit normally provides transportation and escort for suspect NBC samples, in their absence describe who will provide this service. Provide requirements for numbers of personnel required to perform patient decontamination at supporting MTFs. Describe decontamination support requirements for medical units; especially hospitals and major combat health logistics facilities._)

4. REPORTS. (_Describe types of reports required and frequency of reporting on HSS aspects of NBC/TIM events. Reports should provide, at a minimum, aspects of event and recommended preventive/ protective actions needed to prevent or minimize casualties._)

APPENDIX F

EMPLOYMENT OF CHEMICAL AND BIOLOGICAL COLLECTIVE PROTECTION SHELTER SYSTEMS BY MEDICAL UNITS