HCW Duties (5.1 Task 1): The duties for the HCW are as follows but not limited to:
• The quality of Emergency Services Physician service shall meet or exceed reasonable community
standards of professional practice for the health care concerned as determined by the authority that
governs military medical professionals in the same discipline.
• Be capable of performing the full range of emergency medicine services to include the ability
and experience to adequately diagnose and treat diseases and injuries.
• Be able to adequately perform medical procedures to include, but not limited to, the following:
o Incision and drainage
o Nail Trephination
o Sling or swath of injuries
o Bandage
o Reduce dislocations and fractures when appropriate.
o Stabilize and evaluate cervical spine injuries as appropriate.
o Lumbar puncture
o Pericardiocentesis
o Removal of foreign bodies as appropriate
o Deliver newborn/perform emergency vaginal deliveries.
o Perform venous punctures for lab studies and interpret results.
o Draw arterial blood gases for evaluation and interpret results.
o Suture or staple simple and multilayered lacerations
o Remove sutures, surgical staples.
o Tube thoracostomy
o Open thoracotomy
o Secure and maintain an adequate airway, by such means as:
o oral airways; oral tracheal intubation; nasal/tracheal intubation; crico-thyrotomy
o (Needle and surgical)
o Splint and stabilize traumatic injuries to extremities.
o Administer intravenous, intramuscular and subcutaneous injections.
o Prescribe and administer medications as appropriate.
o Secure and maintain adequate intravenous access by peripheral and by central.
o routes
o Diagnostic Peritoneal Lavage (DPL)
o Bladder catheterization
o NG/OG tubes
o Local anesthesia
o Restraints
o Procedural sedation
o Selected screening ultrasound exams
• Be able to perform tasks to include, but not limited to, the following:
o Coordinate with transfer/accepting facility & other Emergency Departments
o Request consults appropriately
o Complete all required paperwork
o Obtain an adequate history, physical, assessment and plan in a timely and appropriate manner
on each patient and develop treatment plan
o Utilize paraprofessional staff as appropriate, including non-physician providers
o Respond to cardiopulmonary arrest as appropriate
o Interpret electrocardiograms and laboratory tests
o Preliminary interpretation of imaging studies to include CAT scans
o Direct medical care through radio communication with an ambulance
o Provide discharge instructions
• Examine patients, render a medical assessment of their condition, and take appropriate action.
• Provide immediate evaluation and management of emergency patients.
• Provide definitive medical care to reduce the emergency medical condition and enable the patient
to safely pursue follow-up care as an outpatient as required. Follow-up of abnormal laboratory
and/or imaging study, reports is the responsibility of the ordering physician. Review each report in
accordance with established MTF procedures.
• Respond to "Code Blue" (cardiac or respiratory arrest) medical emergency alerts within the
hospital and provide resuscitation treatment until more specialized treatment arrives. Should
resuscitation efforts be unsuccessful, the physician shall pronounce the patient dead and notify the
next-of-kin, if the next-of-kin is physically present. Although completion of the death certificate is
primarily the responsibility of the patient s primary physician, the Emergency Services physician
can complete this document if all the appropriate information is available.
• Reassure and treat non-acute conditions in priority as established by medical triage.
• Prepare appropriate patient profile changes.
• Prepare and document appropriate history, physical examinations, and preoperative diagnosis.
Maintain documentation of all treatment provided in accordance with MTF directives.
• Dispatch and provide medical control for ambulances in accordance with MTF procedures.
• Accompany emergency services technicians on ambulance runs when indicated by the nature of
the emergency and in accordance with MTF leadership guidance and MTF procedures.
• Perform emergency room procedures compatible with the MTF operations capacity, supplies and
equipment.
• As workload permits during scheduled duty, attend the Emergency Service's monthly staff
meetings and any additional committee meetings as required by the individual MTF. The physician
may also attend such meetings scheduled during other than their assigned duty shift.

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