Each topic page should follow this template! Skilled Nursing Facility (SNF) Paragraph one: introduction of the article you found Paragraph two: findings on how skilled nursing facility coding guideline are similar or vary to the ICD-10-CM/PCS guidelines and why. Paragraph three: Summary of your findings. (word count: 250 – 300 words) References: APA format [ THIS IS ME] As a 68Q Pharmacy Specialist, I have been in MEDCOM my entire career which supports Health Service Support (HSS). In the field pharmacy specialist are responsible for taking care of entire pharmacy operation including counseling patients. Counseling patients on how to properly use countless number of medications comes with practice. MEDCOM is the perfect place to learn and practice the skill of counseling different medications. In the field, pharmacy specialist is also responsible for making IV fluids and as well as compounding medication while maintaining sterile environment.            In regard to the Large Scale Combat Operations (LSCO), “Army forces must be organized, trained, and equipped to meet worldwide challenges against a full range of threats.” (Department of the Army, 2017) My unit enforce Individual Critical Task List (ICTL) to keep soldiers’ skills up to date which enable soldiers to support LSCO. Pharmacy Specialist plays a vital role in medical readiness and recovery for the troops which in turn support Combat Operations. References Department of the Army. (2020). Army Health System Doctrine SmartBook. https://amedd.ellc.learn.army.mil/bbcswebdav/courses/082_3-68-                                                                                                                                                C45DL_2021_219_01_A/Army%20Health%20System%20Doctrine%20Smart%20Book%20%281%20June%202020%29.pdf These are examples of what other people wrote and you are also to respond to these posts. As a flight medic my primary role is Health Service Support (HSS).  MEDEVAC units require a no less than a paramedic level provider in every helicopter. Our main mission is to evacuate service members from the point of injury or POI to a Role 2 or Role 3 facility. We are also charged with transferring patients from lower levels facilities to higher level of care, i.e., role 1 to role 2 or 2 to 3 and so on. Flight medics have to be critical care certified and have to be able to maintain care of patients during extended transport times. Flight medics are able to maintain airways and respirations using ventilators (Procedure A-XII, SMOG), and administer different blood products (Procedure B-XI, SMOG) depending on the patients needs. Large Scale Combat Operations (LSCO) may facilitate the need for the coordination of multiple aircrafts to transport one patient to a higher echelon of care.  Aircraft in a particular Area of Operations (AO) are only able to fly a predetermined distance from their assigned centers. This distance can be affected by operational and environment ...

1. Each topic page should follow this template!
Skilled Nursing Facility (SNF)
Paragraph one: introduction of the article you found
Paragraph two: findings on how skilled nursing facility coding
guideline are similar or vary to the ICD-10-CM/PCS guidelines
and why.
Paragraph three: Summary of your findings.
(word count: 250 – 300 words)
References: APA format
[ THIS IS ME]
As a 68Q Pharmacy Specialist, I have been in MEDCOM my
entire career which supports Health Service Support (HSS). In
the field pharmacy specialist are responsible for taking care of
entire pharmacy operation including counseling patients.
Counseling patients on how to properly use countless number of
medications comes with practice. MEDCOM is the perfect place
to learn and practice the skill of counseling different
medications. In the field, pharmacy specialist is also
responsible for making IV fluids and as well as compounding
medication while maintaining sterile environment.
In regard to the Large Scale Combat Operations (LSCO),
“Army forces must be organized, trained, and equipped to meet
worldwide challenges against a full range of threats.”
(Department of the Army, 2017) My unit enforce Individual
Critical Task List (ICTL) to keep soldiers’ skills up to date
which enable soldiers to support LSCO. Pharmacy Specialist
plays a vital role in medical readiness and recovery for the

2. troops which in turn support Combat Operations.
References
Department of the Army. (2020). Army Health System Doctrine
SmartBook.
https://amedd.ellc.learn.army.mil/bbcswebdav/courses/082_3-
68-
C45DL_2021_219_01_A/Army%20Health%20System%20Doctri
ne%20Smart%20Book%20%281%20June%202020%29.pdf
These are examples of what other people wrote and you are also
to respond to these posts.
As a flight medic my primary role is Health Service Support
(HSS). MEDEVAC units require a no less than a paramedic
level provider in every helicopter. Our main mission is to
evacuate service members from the point of injury or POI to a
Role 2 or Role 3 facility. We are also charged with transferring
patients from lower levels facilities to higher level of care, i.e.,
role 1 to role 2 or 2 to 3 and so on. Flight medics have to be
critical care certified and have to be able to maintain care of
patients during extended transport times. Flight medics are able
to maintain airways and respirations using ventilators
(Procedure A-XII, SMOG), and administer different blood
products (Procedure B-XI, SMOG) depending on the patients
needs.
Large Scale Combat Operations (LSCO) may facilitate the need
for the coordination of multiple aircrafts to transport one
patient to a higher echelon of care. Aircraft in a particular Area
of Operations (AO) are only able to fly a predetermined
distance from their assigned centers. This distance can be
affected by operational and environmental conditions. One
operational consideration is fuel, will there be fuel available at
the location of drop off. If no fuel is available then the aircraft
must maintain enough fuel for a return trip. This requires the
medics to complete a tail-to-tail transfer of patients, sometimes

3. multiple transfers between multiple aircraft in order to get a
patient to the appropriate facility. Environmental factors can be
anything from weather to altitude considerations. Higher
altitudes cause the engines of a helicopter to work harder due to
thinner air, which in turn increases the amount of fuel consumed
during a mission. The UH60 Blackhawk has maximum range of
approximately 600 nautical miles (690 miles) and a service
ceiling altitude of 20,000 feet (CBP.gov).
References
Standard Medical Operating Guidelines, 2021
https://jts.amedd.army.mil/assets/docs/cpgs/Standard_Medical_
Operating_Guidelines_(SMOG)_for_Critical_Care_Flight_Para
medics_2021.pdf
Fact Sheet 2017 UH-60A Blackhawk, CBP.gov
////////////////////////////////////////////////
As a flight medic my primary role is Health Service Support
(HSS). MEDEVAC units require a no less than a paramedic
level provider in every helicopter. Our main mission is to
evacuate service members from the point of injury or POI to a
Role 2 or Role 3 facility. We are also charged with transferring
patients from lower levels facilities to higher level of care, i.e.,
role 1 to role 2 or 2 to 3 and so on. Flight medics have to be
critical care certified and have to be able to maintain care of
patients during extended transport times. Flight medics are able
to maintain airways and respirations using ventilators
(Procedure A-XII, SMOG), and administer different blood
products (Procedure B-XI, SMOG) depending on the patients
needs.
Large Scale Combat Operations (LSCO) may facilitate the need
for the coordination of multiple aircrafts to transport one
patient to a higher echelon of care. Aircraft in a particular Area

4. of Operations (AO) are only able to fly a predetermined
distance from their assigned centers. This distance can be
affected by operational and environmental conditions. One
operational consideration is fuel, will there be fuel available at
the location of drop off. If no fuel is available then the aircraft
must maintain enough fuel for a return trip. This requires the
medics to complete a tail-to-tail transfer of patients, sometimes
multiple transfers between multiple aircraft in order to get a
patient to the appropriate facility. Environmental factors can be
anything from weather to altitude considerations. Higher
altitudes cause the engines of a helicopter to work harder due to
thinner air, which in turn increases the amount of fuel consumed
during a mission. The UH60 Blackhawk has maximum range of
approximately 600 nautical miles (690 miles) and a service
ceiling altitude of 20,000 feet (CBP.gov).
References
Standard Medical Operating Guidelines, 2021
https://jts.amedd.army.mil/assets/docs/cpgs/Standard_Medical_
Operating_Guidelines_(SMOG)_for_Critical_Care_Flight_Para
medics_2021.pdf
Fact Sheet 2017 UH-60A Blackhawk, CBP.gov
https://www.cbp.gov/sites/default/files/assets/documents/2017-
Mar/FS_2017_UH-60A%20Black%20Hawk_FINAL_0.pdf
////////////////////////////////////////
As a 68W, Combat Medic Specialist, my job entails the
administration of emergency medical care in the field in both
combat and humanitarian situations. I serve as a first
responder and triage illnesses and injuries to save lives. I also
train other Soldiers in lifesaver/first responder courses
(goarmy.com). As a 68W, my current and primary role falls
under the HealthService Support (HHS). Being the only Army
Reserve hospital unit in Hawaii, our primary function is to

5. support and back fill all the active-duty components within our
area of responsibility (AOR). This includes but not limited to
countries and territories located in the Pacific such as Japan,
Guam, Korea, and the Philippines.
With the tensions looming around South China sea and
especially the threat of the global pandemic, medical resources
and how it is utilized are constantly changing. We are beginning
to see how future battles are being fought while we transition to
Large Scale Combat Operations (LSCO). Twenty-first century
LSCO will be joint and multinational. The threat of chemical,
biological, radiological, and nuclear (CBRN) attacks are
heightened (Kiely, 2019). Our biggest problem to date is how
we conduct Large Scale Combat Operations (LSCO) in a place
where COVID-19 has hit. Our unit is currently training
extensively and intensively, setting up field hospitals to
simulate a disease-stricken area of operations. We are also
doing our part in supporting other units in the Pacific, doing
mass vaccinations in places where vaccines are not readily
available. We back fill Tripler Army Medical Center (TAMC)
and fill in for other unit's missions so that our war-fighters can
focus more in preparing and training for the transition in Large
Scale Combat Operations. We are faced with a difficult choice
as to whether the enemy or the disease is the main
threat. Planning for Large Scale Combat Operations means
planning for outbreaks, and planning to win means that disease
has to be a primary concern for everyone.
The effect of disease on our force has put a temporary
halt in Large Scale Combat Operations. Given the increased
lethality anticipated in future great-power conflict and the
trends in emerging disease our forces can little afford to fail in
this critical aspect of preparation. Only by working together we
can beat this and continue on to bigger and better things.

6. References
Combat Medic Specialist, 2020
https://www.goarmy.com/careers-and-jobs/career-
match/science-medicine/intensive- care/68w-combat-medic-
specialist.html
Kiely, R. (2019). FM 3-0: Operations. Retrieved from
https://www.armyupress.army.mil/journals/nco-
journal/archives/2019/july-2019/fm-3-0-operations/
ARMY HEALTH SYSTEM DISCUSSION
Purpose
To demonstrate an understanding of the Army Health System.
Background
Information
Discussion boards are an important tool in facilitating student
learning in an
online environment. Your participation allows you to
demonstrate
understanding and application of course material by
contributing to an
ongoing discussion.

7. Discussion
Question
The transition to Large Scale Combat Operations (LSCO) brings
with it a
multitude of challenges to the Army Health System (AHS).
Awareness of
and attention to medical considerations related to LSCO is
critical.
Identify your medical function and define which of the two
warfighting
functions you support. Describe how your role in either Force
Health
Protection or Health Service Support is preparing or is prepared
to transition
to LSCO. Provide an example supporting your argument.
Resource
Requirements
AHS Lesson
AHS Smart Book
Expectations
1. You must submit an initial response to the discussion

8. question. Your
initial response must:
-be a minimum of 250 words (We are looking for body
content. Your
listed reference at the bottom of your post will not count
toward this word
requirement)
-state your Rank, Name in the subject line (ex. SSG Jones,
Avery)
-include an APA formatted reference and in-text citation to
support your
post (use a reference other than the Army Health System
lesson)
2. After you have posted an initial response, reply to three of
your peers
(you must reply to their initial response).
Each reply must:
-be a minimum of 200 words (salutations and references are
not included
in your word count)
-open each post with the Rank/Name of the student you are
addressing
and close each reply with your Rank/Name
-each post must include a scholarly reference and in-text
citation (both
must be in APA format, see the Writing Funda mentals
Lesson for
examples of APA format)
-your first four posts (initial response and three replies) will
be graded
All posts must be submitted by typing your response in the text
box.

9. *This discussion will be evaluated on the expectations listed
above and the
assignment rubric*