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Thank You! If you do not wish to have your item(s) delivered on data disc(s), I can provide them on a flash drive and other means as well. Just let me know if a disc does not work for you and we can discuss delivery by other methods. COMBINING SHIPPING COSTS Are you purchasing multiple items? I will: a) combine all invoices before payment and charge shipping equivalent to one item, or b) refund all shipping costs in excess of one item after payment. All derivative (i.e. change in media; by compilation) work from this underlying U.S. Government public domain/public release data is COPYRIGHT © GOVPUBS $3.00 first class shipping in U.S.; $13.00 for air post outside of United States. I will combined auctions for reduced postage prior to payment – simply ask for a combined invoice! See numerous images of actual pages within manual. Be sure to see my many other manuals on CD auctions. Public domain U.S. government manuals combined in PDF format copied to blank CD; 174 total pages. GUIDE TO SCOPE OF PRACTICE FOR HS TECHNICIANS A Health Services Technician (HS) provides supportive services to medical officers and basic primary health care in their absence. Each HS who provides medical treatment to patients at a Coast Guard clinic shall have an assigned Designated Supervising Medical Officer (DSMO) from that facility. One of the primary goals of the HS is to eventually work independently after completion of the Independent Duty Health Services Technician School. An Independent Duty Health Services Technician (IDHS) works outside of a clinical setting, and is supervised by a Designated Medical Officer Advisor (DMOA). The IDHS practices independently, though acts as the ‘eyes, ears and hands’ in consultation with the DMOA or Duty Flight Surgeon when a situation is beyond the scope of technician health care. This job aid captures all of the medical conditions that the HS3 (A for apprentice), HS2 (J for journeyman), and IDHS (M for master) should be familiar with. This job aid is divided into nine categories by body system plus a tenth for mental health conditions. The categories are further broken down into patient chief complaints or presenting situation. The chief complaints have a list of conditions with corresponding potential differential diagnosis. Though the condition’s pathogenesis is not discussed here, each condition is presented with: • A definition • Key features • Differentiating signs and symptoms • Differentiating objective findings • Common diagnostic test considerations • Proposed treatment • Recommended follow-up As you use the following guide to determine if a condition is within your scope of practice, remember that the “A” is for Apprentice and indicates that the HS, in achieving their rank, has included that condition in their scope of practice. Subj: HEALTH SERVICES ALLOWANCE LIST, AFLOAT 1. PURPOSE. This Manual provides cutters with health services personnel assigned the required basic stock levels of health care materials. It is re-promulgated because of numerous formatting and requirement changes. 2. ACTION. All Coast Guard unit commanders, commanding officers, officers-in-charge, deputy/assistant commandants, and chiefs of headquarters staff elements shall comply with the provisions of this Manual. Internet release is authorized. 3. DIRECTIVES AFFECTED. Health Services Allowance List, Afloat, COMDTINST M6700.6F is cancelled. 4. SUMMARY. This Manual indicates the minimum amount of medications and equipment required by the Independent Duty Health Services Technicians (IDHS). In order to meet the needs of the crew or the operational needs of the mission, the IDHS may, with the permission of their Designated Medical Officer Advisor (DMOA), carry additional equipment not on this allowance list. Pharmaceuticals on this allowance list are intended to be administered and dispensed by the IDHS only in collaboration with a Medical Officer. Subj: STANDARDIZED HEALTH SERVICES TECHNICIAN DRUG FORMULARY 1. PURPOSE. This Instruction updates the list of medications that Coast Guard Health Services Technicians may prescribe. 2. ACTION. All Coast Guard unit commanders, commanding officers, officers-in-charge, deputy/assistant commandants, and chiefs of headquarters staff elements shall comply with the provisions of this Instruction. Internet release is authorized. 3. DIRECTIVES AFFECTED. Standardized Health Services Technician Drug Formulary, COMDTINST 6570.1A is hereby cancelled. 4. BACKGROUND. Throughout their careers, Health Services Technicians are assigned to a variety of shore clinics or sickbays and afloat units, utilizing differing drug formularies. Unfamiliarity with the various drug formularies places an unnecessary burden on Health Services Technicians upon their arrival at new duty stations.
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