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Section 2: PersonnelNDMS TEAM ADMINISTRATIVE HANDBOOK2.96

NATIONAL DISASTER MEDICAL SYSTEMRESPONSE TEAM POSITION DESCRIPTIONS

AND QUALIFICATION STANDARDS

TABLE OF CONTENTS

NDMS Title of Position Grade Page#

Administrative Clerk/Aid . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0303-03 2.99

Administrative/Finance Section Chief . . . . . . . . . . . . . . . . . GS-0341-12 2.102

Administrative Specialist . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0341-07 2.106

**Animal Health Technician . . . . . . . . . . . . . . . . . . . . . . . GS-0704-07 2.110

Chaplain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0060-12 2.112

CommunicationsCommunications Officer . . . . . . . . . . . . . . . . . . . . . . . GS-0391-12 2.114Telecommunications Specialist . . . . . . . . . . . . . . . . . . . GS-0391-07 2.117Telecommunications Specialist . . . . . . . . . . . . . . . . . . . GS-0391-09 2.121

CookAssistant Cook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WG-7404-05 2.125Chief Cook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WG-7404-08 2.128

*Dental Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0681-07 2.131

Dental OfficerDental Officer (General) . . . . . . . . . . . . . . . . . . . . . . . GS-0680-13 2.133*Forensic Dentist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0680-13 2.136

Deputy Team Leader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0301-14 2.139

*Disaster/Crash Site Division Supervisor . . . . . . . . . . . . . . GS-0301-14 2.143

Environmental Health Unit Leader . . . . . . . . . . . . . . . . . . GS-0698-07 2.145

Equipment Specialist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WG-4749-06 2.148

*Fingerprint Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0303-07 2.151

*Fingerprint Specialist . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0072-11 2.153

Food Service Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0630-09 2.156

*Forensic Anthropology Specialist . . . . . . . . . . . . . . . . . . . GS-0190-13 2.160

* Positions are for use on Disaster Mortuary Operational Response Teams (DMORTs) only.** Positions are for use on Veterinary Medical Assistance Teams (VMATs) only.

Section 2: Personnel NDMS TEAM ADMINISTRATIVE HANDBOOK 2.97

Funeral Director Mortuary Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0050-12 2.162National Leader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0050-15 2.165

Hazardous Materials Specialist . . . . . . . . . . . . . . . . . . . . . GS-0301-09 2.168

Hazardous Materials Technician . . . . . . . . . . . . . . . . . . . . GS-0698-07 2.171

Health TechnicianHealth Technician (Basic) . . . . . . . . . . . . . . . . . . . . . . GS-0640-05 2.174Health Technician (Ambulatory) (Intermediate) . . . . . . GS-0640-06 2.176Health Technician (Paramedic) . . . . . . . . . . . . . . . . . . GS-0640-07 2.179Health Technician Officer . . . . . . . . . . . . . . . . . . . . . . GS-0640-09 2.181

Interpreter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-1047-09 2.183

Laboratory Technician . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0645-05 2.185

Laboratory Technician Unit Leader . . . . . . . . . . . . . . . . . . GS-0645-07 2.188

Laboratory Technician Unit Leader . . . . . . . . . . . . . . . . . . GS-0645-08 2.191

Logistics Coordinator . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0303-07 2.194

(Security/Communications/Sanitation)

*Medical Investigator . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0301-12 2.196

Medical OfficerMedical Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0602-11 2.200Medical Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0602-12 2.203Medical Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0602-13 2.206Medical Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0602-14 2.209Medical Operations Chief (NMRT) . . . . . . . . . . . . . . . GS-0602-14 2.212Clinical Operations Section Chief . . . . . . . . . . . . . . . . GS-0602-14 2.216Team Leader/Supervisory Medical Officer . . . . . . . . . . GS-0602-15 2.220

Medical Officer (Pathology)*Forensic Pathology Specialist . . . . . . . . . . . . . . . . . . . GS-0602-14 2.224*Medical Operations Chief (Pathology) . . . . . . . . . . . . GS-0602-14 2.227

Medical Records Unit Leader . . . . . . . . . . . . . . . . . . . . . . GS-0675-05 2.230

Medical Supply Specialist . . . . . . . . . . . . . . . . . . . . . . . . . GS-2001-09 2.235

Medical Supply Technician . . . . . . . . . . . . . . . . . . . . . . . . GS-0622-05 2.238

Medical Supply Technician . . . . . . . . . . . . . . . . . . . . . . . . GS-0622-06 2.242




Mental Health Mental Health Specialist . . . . . . . . . . . . . . . . . . . . . . . GS-0101-11 2.246Mental Health Officer - Psychologist (General) . . . . . . GS-0180-13 2.250*Family Assistance Division Supervisor . . . . . . . . . . . . . GS-0101-14 2.253

NursePractical Nurse or Vocational Nurse . . . . . . . . . . . . . . . GS-0620-05 2.256Staff Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0610-05 2.260Staff Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0610-07 2.264Staff Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0610-09 2.268Supervisory Clinical Nurse . . . . . . . . . . . . . . . . . . . . . . GS-0610-11 2.272Supervisory Nurse Specialist . . . . . . . . . . . . . . . . . . . . GS-0610-13 2.276

Nurse Practitioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0610-11 2.280

Nursing Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0621-04 2.285

Nursing Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0621-03 2.289

PharmacistClinical Pharmacy Unit Leader . . . . . . . . . . . . . . . . . . GS-0660-12 2.292Pharmacist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0660-11 2.295

Pharmacy Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0661-07 2.297

Pharmacy Technician . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0661-05 2.300

*Photographer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-1060-08 2.302

Physician Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0603-11 2.305

Planning Section Chief . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0301-13 2.309

Respiratory Technician . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0651-07 2.313

Respiratory Therapist . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0651-08 2.319

Safety Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0301-12 2.325

Security Specialist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0080-12 2.329

Supply ManagementLogistics Section Chief . . . . . . . . . . . . . . . . . . . . . . . . . GS-2003-13 2.333Supply/Facilities Unit Leader . . . . . . . . . . . . . . . . . . . . GS-2003-12 2.336Supply Management Officer . . . . . . . . . . . . . . . . . . . . GS-2003-11 2.338

Team Leader (non-medical) . . . . . . . . . . . . . . . . . . . . . . . . GS-0301-15 2.340

Training Officer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-1712-11 2.343

**Veterinary Medical Officer . . . . . . . . . . . . . . . . . . . . . . . GS-0701-13 2.345

X-Ray Technician . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GS-0647-05 2.347




INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness(OEP), Office of Public Health andScience (OPHS), Office of the Secretary.The Department of Health and HumanServices (DHHS), is the primary agencyfor the Emergency Support Function(ESF) #8, “Health and Medical Services”,under the Federal Response Plan (FRP).The OEP is the headquarters for the Na-tional Disaster Medical System (NDMS)and, in that capacity, supports theplanning, organization and developmentof medical response teams of NDMS.The disaster medical response teams, i.e.,primary care, specialty, and others, are abasic element in the personnelcomponent and can be expanded to aclearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event ofdisasters or other major emergenciesrequiring extraordinary medical services.

The incumbent serves as anadministrative assistant performingadministrative and clerical duties in sup-port of the Finance/Administrative Chief.

MAJOR DUTIES ANDRESPONSIBILITIES

Receives requests from field staff,ascertaining the nature of requests anddirecting requests to appropriate staff, orpersonally providing the informationdesired when routine or proceduralmatters are involved.

Performs routine work for theAdministrative Assistant or AdministrativeOfficer willingly preparing ormaintaining rosters and schedules, forms,reports, statistical matter, and charts. Ma-terials include specialized terminologysuch as those related to the medical field.

Maintains files containing CSUinformation, progress reports on specialprojects, studies, and other material.

Maintains medical manuals for use by theCSU staff.

Requisitions field supplies, equipment,and services, and performs similarmaintenance duties.

Receives correspondence, screening mate-rial prior to distribution for importance,establishing controls, and following upfor supervisor.

POSITION DESCRIPTION

OFFICIAL TITLE, SERIES, AND GRADE:

ADMINISTRATIVE AIDE, GS-303-03NDMS ORGANIZATIONAL TITLE, SERIES AND GRADE:

ADMINISTRATIVE AIDE, GS-303-03


EVALUATION FACTORS

FACTOR 1: KNOWLEDGE REQUIRED BY THE POSITIONKnowledge of specialized terminologyused by component to read and maintainreports, forms, or comparable items.

Knowledge of administrative and clericalprocedures used in performing the workof the CSU.

Knowledge of functions and proceduresand CSU practices relative to referringindividuals, messages, and other commu-nications.

Knowledge of procedures required to req-uisition equipment and supplies, mainte-nance, and services. This requiresknowledge of the procedures applicableto the control, authorization, securing,and justification of such services.

FACTOR 2: SUPERVISORY CONTROLSIncumbent works under the direct super-vision of the Administrative Assistant orAdministrative/Finance Chief, but incum-bent generally proceeds independently.Incumbent uses initiative in performingrecurring work. Problems and unfamiliarsituations not covered by instructions arereferred to the supervisor. Work isreviewed for accuracy and compliancewith instructions and establishedprocedures.

FACTOR 3: GUIDELINESGuidelines include administrative instruc-tions, standards for preparing orattaining equipment, services, files, andcarrying out clerical duties, in addition toinstructions from professionals on specificassignments. The incumbent usesjudgment in selecting and applyingguidelines to specific assignments.

FACTOR 4: COMPLEXITYWork involves both routine and difficulttasks which includes searching CSU filesand other references to incorporate infor-mation into reports, etc., or to checkother data. The employee uses judgmentin selecting the most appropriateguidelines for application to specificcases. The employee selects the mostappropriate correspondence format whenmore than one is authorized, determinessubject matter for action by determiningnature of requests.

FACTOR 5: SCOPE AND EFFECTThe purpose of the work is to providesupport for the CSU. The work has adirect impact on the timeliness and accu-racy of CSU activities.

FACTOR 6: PERSONAL CONTACTSContacts are primarily with CSU employ-ees within and outside the OEP, represen-tatives from various levels within the OEPsuch as headquarters, regional or field of-fices; and other staff providing technicalassistance to the CSU.


FACTOR 9: WORK ENVIRONMENTThe work is performed inside acommand center or otherwise outdoors.These areas may not be adequatelyheated or ventilated. The incumbent maybe subject to physical attack from theinjured and exposed to contagiousdiseases or substances.

QUALIFICATION STANDARDS

JOB CATEGORYTitle: Administrative AideSeries: 303Grade: 03

MINIMUM REQUIREMENTSSix months of progressively responsible general experience in any clerical, of-fice, or other work that indicates ability to acquire the particular knowledgeand skills needed to perform the duties of the position.

DESIRABLE QUALIFICATIONSOrientation in disaster medical services.

FACTOR 7: PURPOSE OF CONTACTSThe purpose of contacts is to obtain orrequest materials or information ofconcern to the CSU operations.

FACTOR 8: PHYSICAL DEMANDSThe incumbent usually stands and movesfrom one part of workstation to anotherwhile performing work. Some lifting isrequired.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness(OEP), Office of Public Health and Science(OPHS), Office of the Secretary. TheDepartment of Health and HumanServices (DHHS), is the primary agency forthe Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). TheOEP is the headquarters for the NationalDisaster Medical System (NDMS) and, inthat capacity, supports the planning,organization and development of medicalresponse teams of NDMS. The disastermedical response teams, i.e., primary care,specialty, and others, are a basic element inthe personnel component and can beexpanded to a clearing-staging unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The incumbent serves as an AdministrativeOfficer for the NDMS disaster team by ap-plying management skills and knowledgeto independently provide or obtain avariety of management and office servicesduring a disaster or major emergency.


Serves as the Executive Officer to theNDMS disaster team Leader providingleadership, direction, and supervision inthe day-to-day administrative operations ofthe team when activated under NDMS.Provides direct supervision to the adminis-trative staff consisting of the AdministrativeSpecialist and Medical Records UnitLeader. Carries out a full range of adminis-trative duties in the performance of his/hersupervisory responsibilities.

Responsible for the interpretation of newand revised DHHS, OEP and NDMS reg-ulations, policies, and guidelines.Establishes, implements and continuallyevaluates NDMS policies to effect efficientNDMS operations. Advises the TeamLeader and his/her staff regarding the im-pact DHHS, NDMS, OEP policies on theoperation of the NDMS disaster team.

Oversees the NDMS disaster team’sreadiness activities. In this capacity, theincumbent ensures that the team’s organ-ization and operations conform to NDMSguidelines. When the team is activated, inthe event of a disaster or emergency, theincumbent supervises the team’smobilization and movement operations,



ADMINISTRATIVE OFFICER, GS-0341-12NDMS ORGANIZATIONAL TITLE, SERIES AND GRADE:

ADMINISTRATIVE/FINANCE SECTION CHIEF, GS-0341-12


establishment, and disestablishment ofwork sites. Identifies the need for andobtains and supervisor all internal andexternal logistic support.

Plans, organizes and oversees recruitmentand enrollment of volunteers. Keeps abreastof program requirements and develops andimplements a program to ensure that thereare adequate numbers and types of person-nel to adequately staff the team. Identifiesthe need for and obtains necessary trainingfor particular members of the staff.

Provides overall guidance, supervision anddirection of procurement activities.Performs independent work assignments inidentifying and resolving material needsand problems. Provides and maintains ade-quate controls to ensure compliance with es-tablished NDMS policies and regulations inthe procurement and utilization of supplies,materials, equipment and services. Advisesstaff in the procurement of equipment andservices. Reviews procurement requests toensure availability of funds, prevent duplica-tion, coordinate ordering, and effectivelyutilize surplus property.

Participates with the supervisor inplanning, developing and analyzing the fi-nancial operations. Responsible for theformulation and justification of the budgetincluding operating costs and staffrequirements. Establishes fiscal proceduresfor the equitable allocation of availableoperating funds to meet the needs of theteam. Maintains central control on allexpenditures and advises the supervisor asto the status of funds and expectation ofneeds based on past records.

Performs other related duties as requiredto facilitate efficient administrative oper-ations for the NDMS disaster team.

EVALUATION FACTORS

FACTOR 1: KNOWLEDGE REQUIRED BY THE POSITIONLevel 1-7 (1250 points)

Comprehensive knowledge of regulations,policies, and procedures governing thedelivery of administrative services in areassuch as budget, procurement, and person-nel management as well as thoroughknowledge of the NDMS program.

Knowledge required to provide the organ-ization with analytical services that are ap-plied in conducting studies to improve theeffectiveness of administrative andmanagement processes.

Knowledge of appropriate regulations,policies, and procedures governing theNDMS program in order to developoperating plans and policies.

Ability to establish effective relationshipswith the NDMS community to exchangeinformation on programs, ideas, etc.

Ability to effectively organize and planduring crisis situations.

Ability to manage assigned personnel,specialized equipment, and supportresources during a disaster situation.

Skill in oral and written communicationto prepare reports, develop policies,procedures, present proposals, andprovide advice, guidance and assistance.

FACTOR 2: SUPERVISORY CONTROLSLevel 2-4 (450 points)

The supervisor provides administrative di-rection with assignments in terms of


broadly defined missions or functions.The incumbent has responsibility forplanning, designing, and carrying out theadministrative operations work independ-ently. Results of the work are consideredas technically authoritative and arenormally accepted without change. Workis reviewed only in terms of overall resultsin providing administrative supportduring disasters and major emergencies.

FACTOR 3: GUIDELINESLevel 3-4 (450 points)

Guidelines consist of administrative,DHHS, NDMS regulations, policies, andprocedures governing procurement, per-sonnel, budget, property management,and related NDMS functions, goals,objective, and plans. Some of theseguidelines are extremely broad and canbe only applied in very general sense.The incumbent must exercise a high de-gree of judgment in interpreting policiesand regulations, and in determining themost effective approaches to employ inpursuing program goals. Judgment isalso required to evaluate andrecommend improvements in theeffectiveness and responsiveness ofprogram services provided.

FACTOR 4: COMPLEXITY:Level 4-5 (325 points)

The work involves administrative andanalytic support in furtherance of theNDMS’s mission and priorities. Itincludes planning, organizing, andscheduling of various interrelated phas-es of work to meet time frames during adisaster or emergency. The workinvolves coordination with all parts ofthe NDMS disaster team to resolve

issues and expedite the administrativeprocesses to meet the disaster oremergency. Work also involves analyzingsystems that monitor and measure theeffectiveness and efficiency and efficien-cy that support the accomplishment ofNDMS program priorities.

FACTOR 5: SCOPE AND EFFECT: Level 5-4 (225 points)

The work performed is essential andbasic to the establishment, extension,and improvement of administrative oper-ations during disasters and majoremergencies. Successful completion ofassignments contributes to theaccomplishment of the NDMS’s mission,goals, and objectives.

FACTOR 6: PERSONAL CONTACTS AND FACTOR 7: PURPOSE OF THE CONTACTS Level 3-c (180 points)

Contacts are with officials, managers,NDMS staff, and representatives of publicand private organizations and with othergovernment agencies.

The purpose of the contacts is to assuresound understanding of the goals andobjectives which underlie the efforts ofpersonnel of the Agency and NDMS toprovide the best possible administrativesupport under severe adverseconditions, i.e., during disasters andmajor emergencies. Contacts are to pro-vide technical consultation and adviceto providers of the NDMS disasterteam; and to evaluate the NDMS team’seffectiveness. Contacts take place atmeetings, conferences, and site visits.Tact and persuasion are often required


in dealing with frequently demandingand difficult situations. The work affectsa wide range of agency activities andhow the Agency and NDMS is perceivedby the population at large.

FACTOR 8: PHYSICAL DEMANDS: Level 8-1 (5 points)

The work requires some physical exertionsuch as periods of standing; walking;bending; stooping, stretching etc.; liftingof light items. The work may also requireworking long hours without rest or relief.

FACTOR 9: WORK ENVIRONMENT: Level 9-1 (5 points)

The work environment involves moderaterisks or discomforts which require specialsafety precautions, e.g., working with riskof exposure to contagious disease orinfection. Precautions are routine fornearly all situations.

TOTAL POINTS: 2890 GRADE CONVERSION: GS-0341-12


JOB CATEGORYTitle: Administrative/Finance Section Chief (NDMS organizational title)

Administrative Officer (OPM official title)Series: 341Grade: 12

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the GS-11 level in the Federal service.



INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness(OEP), Office of Public Health andScience (OPHS), Office of the Secretary.The Department of Health and HumanServices (DHHS), is the primary agencyfor the Emergency Support Function(ESF) #8, “Health and Medical Services”,under the Federal Response Plan (FRP).The OEP is the headquarters for the Na-tional Disaster Medical System (NDMS)and, in that capacity, supports theplanning, organization and developmentof medical response teams of NDMS. Thedisaster medical response teams, i.e., pri-mary care, specialty, and others, are abasic element in the personnelcomponent and can be expanded to aclearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event of disas-ters or other major emergenciesrequiring extraordinary medical services.

The incumbent acquires basicmanagement skills and knowledgeincluding accepted methods, principlesand procedures relating to themanagement process, and applies theseskills and knowledge in the performanceof developmental work assignments relat-ed to providing or obtaining a variety of

management and office services for theNDMS disaster team.


Performs work assignments necessary toprovide, obtain and/or negotiate adminis-trative and office services for the NDMSdisaster teams. Determines the proprietyof requests pertaining to the areas of pro-curement, property, financialmanagement, supply, personnel, adminis-trative management, improvement train-ing, office services, etc.

Studies routine and repetitive processesand performs preliminary analyses of ad-ministrative management procedures.Drafts recommendations on ways toachieve increased effectiveness efficiencyand economy of administrativemanagement operations.

Reviews new and revised instructions andprocedures received from NDMS, DHHS,OEP and makes suggestions regarding in-terpretation. Drafts portions of newinstructions and procedures to be distrib-uted to NDMS disaster teams and othersas appropriate.

Assists in the development of plans forNDMS readiness. Ensures thatorganizational and operational charts aredeveloped and are available for the



ADMINISTRATIVE ASSISTANT, GS-0341-07NDMS ORGANIZATIONAL TITLE, SERIES AND GRADE:

ADMINISTRATIVE SPECIALIST, GS-0341-07


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THE POSITION:Level 1-6 (950 points)

Basic knowledge of regulations, policies,and procedures governing the delivery ofadministrative services in areas such as,procurement, property, financial manage-ment, supply, personnel, administrativemanagement, office services,management analysis, etc.

Knowledge required to provide the organ-ization with analytical services that are ap-plied in conducting studies to improve theeffectiveness of administrative andmanagement processes.

Knowledge of appropriate regulations,policies, and procedures governing theNDMS program in order to developoperating plans and policies.

Ability to establish effective relationshipswith the NDMS community to exchangeinformation on programs, ideas, etc.



FACTOR 2: SUPERVISORY CONTROLS: Level 2-2 (125 points)

Works under the direct supervision of theAdministrative Officer. Assignments aregiven with instructions as to scope ofassignments, techniques, methods, prece-

Administrative Officer. Ensures disastermobilization and transportation plans forthe NDMS disaster teams are preparedand are up-to-date. Maintains roster andtelephone numbers of key unitpersonnel. Maintains duty officerschedule during actual mobilizationresulting from a disaster or emergency.Participates in planning and executingthe Unit’s moves and relocation of staffpersonnel. Prepares records, reports andcorrespondence relating to the Unit’s or-ganization, readiness and operations.

Participates in NDMS recruitment, and,as assigned, in reviewing personnelrequirements, and in interviewing candi-dates for technical support positions.Makes recommendations regarding selec-tion of applicants. Generates andmaintains personnel records of staff andmembers.

Prepares recurring and special one-timereports regarding Unit’s activities, e.g.,personnel reports, training, supply,procurement, etc., and other reportsrequested by the Administrative Officer.

Participates with the Administrative Offi-cer in identifying short and long-termtraining needs and in determiningsources of training.

Performs special project by project assign-ments involving financial operations.

Participates with the Logistics chief in re-solving materials, supplies, andequipment programs and assists inobtaining needed external logisticsupport.



dents and expected results. As more diffi-cult assignments are introduced,instructions become more detailed andguidance continues as work progresses.Completed work is closely reviewed to in-sure adequate application of basic princi-ples, methods, and techniques to evaluateanalytic and judgmental soundness, andto serve as a basis for further training ordevelopmental assignments.

FACTOR 3: GUIDELINES: Level 3-2 (125 points)

Guidelines consist of administrative,DHHS, NDMS regulations, policies, andprocedures governing procurement,personnel, budget, propertymanagement, and related NDMSfunctions, goals, and objectives. Theincumbent is required to select and applyappropriate guides and some cases, toadapt standard guides to meet unique orunusual situations. The incumbent is alsorequired to exercise judgment ininterpreting administrative guidelines forother employees and in preparinginstructions to supplement establishedprocedures. Major deviations from guide-lines, regulations, etc.; are referred to thesupervisor.

FACTOR 4: COMPLEXITY: Level 4-3 (150 points)

The work involves a variety of tasks whichare dissimilar requiring the application ofadministrative procedures in diverseareas such as personnel, supply, financialmanagement, property, procurement, etc.The incumbent applies administrativeand technical skills to the compilation,review, and presentation information; im-plementation of new or modified

procedures; and the provision of effectiveand efficient administrative and programsupport across a range of functions.

FACTOR 5: SCOPE AND EFFECT: Level 5-2 (75 points)

The incumbent provides administrative andoffice support functions for the effective ac-complishment of ongoing work assignmentsduring a disaster or emergency crisis. Effortsby the incumbent support a wide range ofwork responsibilities within theadministrative and office support functions.Much of the work involves providingassistance and support to the AdministrativeOfficer in carrying out his/her duties.

FACTOR 6: PERSONAL CONTACTS AND FACTOR 7: PURPOSE OF THE CONTACTS Level 2-b (75 points)

Contacts are with officials, managers,NDMS staff, and representatives of publicand private organizations and with othergovernment agencies.

The purpose of the contacts is to assuresound understanding of the goals andobjectives which underlie the efforts ofpersonnel of the Agency and NDMS toprovide the best possible administrativesupport under severe adverse conditions,i.e., during disasters and major emergen-cies. Contacts are to provide technicalconsultation and advice to providers ofthe NDMS disaster team; and to evaluatethe NDMS team’s effectiveness. Contactstake place at meetings, conferences, andsite visits. Tact and persuasion are oftenrequired in dealing with frequentlydemanding and difficult situations. The



JOB CATEGORYTitle: Administrative Specialist (NDMS organizational title)

Administrative Assistant (OPM official title)Series: 341Grade: 07

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the GS-06 level in the Federal service.


work affects a wide range of agency activ-ities and how the Agency and NDMS isperceived by the population at large.

FACTOR 8: PHYSICAL DEMANDSLevel 8-1 (5 points)

The work is basically sedentary.Typically, the employee may sit comfort-ably to do the work. However, there maybe some walking, standing, bending, car-rying of light items such as papers,books, etc. No special physical demandsare required to perform the work.

FACTOR 9: WORK ENVIRONMENTLevel 9-1 (5 points)

The work environment involves everydayrisk or discomforts which require normalsafety precautions.



INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness,Office of Public Health and Science,Office of the Secretary. The Departmentof Health and Human Services is the pri-mary agency for the Emergency SupportFunction (ESF) #8, “Health and MedicalServices”, under the Federal ResponsePlan (FRP). The Office of EmergencyPreparedness is the headquarters for theNational Disaster Medical System(NDMS) and, in that capacity, supportsthe planning, organization anddevelopment of medical response teamsof NDMS. The disaster medical responseteams, i.e., primary care, specialty, andothers, are a basic element in the person-nel component and can be expanded to aclearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event of disas-ters or other major emergenciesrequiring extraordinary medical services.

The incumbent of this position serves asan Animal Health Technician and isresponsible for providing the completerange of veterinary support servicesduring disasters or major emergencies.


Assists in providing preventive medicinesupport, sanitation inspections, water qual-ity, environmental and agriculturalconcerns; proper sheltering and treatmentof livestock; and control of infectiousdiseases (epizootic and zoonotic).

Assists in public safety through: protectionof the animal food supply; care of injuredor sick animals and control of stray andabandoned animals; rescue and rehabilita-tion of affected wildlife; proper disposalof animal carcasses; and laboratory evalu-ation of dead animals.

Negotiates necessary services withlocal/State veterinary centers and/ororganizations to accommodate the widespectrum of emergency needs.

Ensures accountability, maintenance, andminor repair of all issued equipment.

Must have experience in collectingspecimens, performing clinical laboratoryprocedures, providing care to injured orsick animals, anesthetizing animals underveterinary supervision, assisting in surgery;and exposing and developing radiographs.



ANIMAL HEALTH TECHNICIAN, GS-704-07NDMS ORGANIZATIONAL TITLE, SERIES AND GRADE:

ANIMAL HEALTH TECHNICIAN, GS-704-07


Must be certified as an Animal HealthTechnician in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.

Must possess a certification in Basic LifeSupport Training.

Performs other duties as assigned.

SUPERVISION ANDGUIDANCE RECEIVED

The incumbent works under the generalsupervision of the Veterinary Medical Of-ficer. Treatment procedures are routine innature and any deviations are clearedthrough the supervisor in advance.Review of work is conducted during treat-ment procedures for proper care andcomfort of injured animals.


JOB CATEGORYTitle: Animal Health TechnicianSeries: 704Grade: 07


Examples of qualifying specialized experience include work:n as a laborer, manager, or owner of n as a livestock Market Inspector,

a livestock ranch or farm involving n as an Animal Welfare Inspector,ordirect work with livestock,

n as an assistant to a veterinarian.n with livestock in a feed lot,

DESIRABLE QUALIFICATIONS

n Graduation from a veterinary technology program accredited by theAmerican Veterinary Medical Association.

n Certificate/licensure or registration as an Animal Health Technician in aState, the District of Columbia, the Commonwealth of Puerto Rico, or aterritory of the United States.

n Experience in collecting specimens, performing clinical laboratory proce-dures, providing nursing care to injured or sick animals, anesthetizinganimals under veterinary supervision, assisting in surgery, and exposingand developing radiographs.



The incumbent of this position serves asteam Chaplain and is responsible for pas-toral services associated with disaster vic-tims and their families.


Provides pastoral services to a variety ofvictims from different denominations, in-cluding family counseling and spiritualguidance services.

Conducts last rites to victims to avoid orminimize subsequent consequences indisaster situations.

Performs spiritual guidance sessions forfamilies and members at the disaster site.

Performs other related duties as may berequired in the efficient operation of theNDMS Response Team.



CHAPLAIN, GS-0060-12NDMS ORGANIZATIONAL TITLE, SERIES AND GRADE:

CHAPLAIN, GS-0060-12



JOB CATEGORYTitle: ChaplainSeries: 0060Grade: 12

MINIMUM QUALIFICATIONS

Education

Graduation from a seminary with accredited or associate membership in theAmerican Association of Theological Schools is required.

Experience

Two years of full-time satisfactory service functioning as a chaplain or pastorsubsequent to seminary graduation.



The incumbent serves as CommunicationsOfficer with the NDMS response teamalong with coordinating communicationsissues with the Management SupportTeam (MST) and directs specialists andtechnicians under the general supervisionof the Logistics Section Chief.


The incumbent serves as theCommunications Officer and providesthe planning of, and has the chiefresponsibility for, meeting the NDMSresponse team’s communications require-ments. Advises the Logistics SectionChief regarding issues concerning theprovision of field operations support asthey relate to communications and theavailability of qualified personnel.

Consults with the MST and otherdeployed teams regarding the exchangeof information. In addition, identifiesand provides resources needed toestablish and maintain communications.

The incumbent manages the equipmentin the team communications andinformation cache, and providesequipment to the operations, as needed.Serves as back up to the MST Communi-cations Officer for the coordination of ad-ditional communications equipment withthe Disaster Field Office.

The incumbent is required to monitorthe performance of communications andinformation resources in the field and re-solve problems. Determines the need forfurther technical support, e.g., radiooperators, information resources



TELECOMMUNICATIONS SPECIALIST, GS-391-12NDMS ORGANIZATIONAL TITLE, SERIES AND GRADE:

COMMUNICATIONS OFFICER, GS-391-12


technician, etc., and ensures adequatestaffing coverage.

The responsibility of planning and meet-ing the MST and team communicationsrequirements are considered essential forthis position.

Performs other related duties as assignedto assist in the efficient operation of theNDMS response team.


The incumbent receives assignmentsfrom, and works under the general super-vision of the Logistics Section Chief.


JOB CATEGORYTitle: Communications Officer (NDMS organizational title)

Telecommunications Specialist (OPM official title)Series: 391Grade: 12

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to the GS-11 level in the Federal service .

DESIRABLE QUALIFICATIONSApplicant should possess the knowledge, skills, and abilities listed below.

Knowledge

n Practical knowledge of current telecommunications theoryn Working knowledge of the parameters of NDMS Response Team commu-

nications equipment including: installation; operation; powerrequirements; frequency programming; field troubleshooting; telephonewiring and PBX system set up; cellular telephone programming; HF,VHF, UHF radio systems

n Knowledge of incident communications planning

Qualification Standards continue, next page . . .


Qualification Standards, continued

n Knowledge of NTIA and FCC frequency management policies andprocedures

n Knowledge of current radio protocols and operational disciplinen Systems knowledge of amateur radio skills and operations, land mobile

radio, telephone, and satellite systemsn Knowledge of the Federal Response Plann Understanding of the relationship between NDMS communications, Na-

tional Communications System, FEMA telecommunications, and militarycommunications systems

Skills

n Ability to program communications equipmentn Experience in disaster and/or mass casualty care operations

Abilities

n Ability to work in information systems technology, including applicationssupport, data communications, and hardware and software problem resolution

n Ability to anticipate and plan for team communications needsn Ability to instruct team members in the correct use of communications

equipment while deployed in a disaster environmentn Able to work at heights to place antennas, repeaters, etc.n Possess good interagency coordination skills, work well with technical ex-

perts, local officials, and other organizationsn Able to manage specialized communications equipment and support

resources during a disaster situationn Ability to effectively organize and plan during crisis situations


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness(OEP), Office of Public Health and Science(OPHS), Office of the Secretary. TheDepartment of Health and HumanServices (DHHS), is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). TheOEP is the headquarters for the NationalDisaster Medical System (NDMS) and, inthat capacity, supports the planning,organization and development of medicalresponse teams of NDMS. The disastermedical response teams, i.e., primary care,specialty, and others, are a basic element inthe personnel component and can beexpanded to a clearing-staging unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The Telecommunications Specialist assistsin the setup and management of the com-munications system for the NDMS disasterresponse team. The TelecommunicationsSpecialist reports directly to theCommunications Unit Leader.


Sets up, operates, and maintains NDMSTeam communications system during adisaster or major emergency.

Assists with assessment of the communica-tions equipment for immediate deploy-ment and addresses any critical shortfalls

Assists the Communications Unit Leaderwith the setup of NDMS response teamcommunications center.

Ensures accountability, maintenance, andminor repairs of all issuedcommunications equipment.

Develops communications procedures foruse during medical emergencies.

Provides communications link betweenthe NDMS team leaders and the MST.

Provides security and environmental pro-tection for communication equipmentand supplies.

Monitors use of satellite communicationssystem and ensure logbook is maintained.

Assesses the need for additional power re-



TELECOMMUNICATIONS SPECIALIST, GS-0391-07

NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:



Comprehensive knowledge of basicelectronics theory, concepts, and principles.


Ability to meet the arduous physicalfitness requirement.

FACTOR 2:SUPERVISORY CONTROLS Level 2-2 125 points

Works under the direct supervision of theCommunications Unit Leader.Assignments are given with instructions asto scope of assignments, techniques, meth-ods, precedents and expected results. Asmore difficult assignments are introduced,instructions become more detailed andguidance continues as work progresses.Completed work is closely reviewed toinsure adequate application of basic princi-ples, methods, and techniques to evaluateanalytic and judgmental soundness, and toserve as a basis for further training ordevelopmental assignments.

FACTOR 3:GUIDELINESLevel 3-2 125 points

Guidelines consist of regulations, policies,technical manuals, operational manualsand instructions governing telecommunica-tions. The incumbent is required to selectand apply appropriate guides and in somecases, to adapt standard guides to meetunique or unusual situations. Theincumbent is also required to exercise judg-ment in interpreting guidelines for otheremployees and in preparing instructions tosupplement established procedures. Majordeviations from guidelines, regulations,etc.; are referred to the supervisor.

sources needed to support the communi -cation system and coordinate withCommunications Unit Leader.

Anticipates requirements and evaluatesthe communications system effectiveness.

Monitors Team communications for com-pliance with established procedures.

Keeps the supervisor apprised of any sup-ply deficiencies or equipment malfunctions.

Establishes and posts contact informationfor incident operations.

Performs other related duties as assigned toassist in the efficient functioning of the Unit.

The incumbent should have a basicorientation in disaster medical andnursing services.

EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITIONLevel 1-6 950 Points

Extensive knowledge of current automationand telecommunications theory, principles,concepts, practices, procedures, standardsand operational requirements.

Extensive knowledge of communicationsequipment and related applicationprograms; automated control and networkmanagement systems; transmission media;and the relationship among componentparts of telecommunications systems.

Knowledge of amateur radio skills andoperations, land mobile radio, telephoneand satellite systems.


FACTOR 4:COMPLEXITY Level 4-3 150 points

Assignments include the application andutilization of specialized communicationsequipment and related applications pro-grams. Must be able to identify and directand coordinate the actions required to pro-vide needed communications at the disasteror emergency site. Develops communica-tions procedures for use during medicalemergencies and disasters. Maintains radioprotocols and operational discipline.

FACTOR 5:SCOPE AND EFFECT Level 5-2 75 points

The incumbent provides telecommunica-tion support functions for the effectiveaccomplishment of ongoing work assign-ments during a disaster or emergencycrisis. Much of the work involvesproviding assistance and support to theCommunications Unit Leader in carryingout his/her duties. Work effects the ongo-ing communications of the NDMS Teamduring the disaster or major emergency.

FACTOR 6:PERSONAL CONTACTS AND

FACTOR 7:PURPOSE OF CONTACTS Level 3-c 110 points

Contacts are with patients, their families,hospital personnel, and with health careprofessionals and technical personnel(e.g., physicians, nurses, and supportingtechnical and administrative staff) andrepresentatives from the private and state

sectors. Contacts are for the purpose ofexchanging information, plan and coordi-nate work efforts, and to provide adviceconcerning communication alternativesmaintenance of equipment.

FACTOR 8:PHYSICAL DEMANDS Level 8-2 20 points

The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces;recurring bending, stooping, stretching,etc; recurring lifting of moderately heavyitems or occasional lifting of heavy items(over 50 pounds). The work may requireabove average agility and dexterity. Thework may also require working longhours without rest or relief and mayrequire defending oneself or othersagainst physical attack.

FACTOR 9:WORK ENVIRONMENT Level 9-2 20 points

The work environment involvesmoderately high risks or discomfort,which require special precautions, e.g.,working with risk of exposure tocontagious disease, radiation or infectionor in working with emotionally disturbedpatients. Precautions are routine for near-ly all situations. The work environmentmay involve high risks of exposure to po-tentially dangerous situations whereconditions cannot be controlled.

TOTAL POINTS: 1575 POINTSGRADE CONVERSION: GS-0391-07



JOB CATEGORYTitle: Telecommunications SpecialistSeries: 0391Grade: 07

MINIMUM QUALIFICATIONSOne year specialized experience equivalent to at least the GS-5 grade levelinvolved in evaluating, analyzing, developing, managing, or improving commu-nications systems, procedures, and requirements that demonstrate knowledge ofcurrent developments and trends in communications concepts and technology.




The Telecommunications Specialist assistsin the setup and management of the com-munications system for the NDMS disasterresponse team. The TelecommunicationsSpecialist reports directly to theCommunications Unit Leader.


Sets up, operates, and maintains NDMSTeam communications system during adisaster or major emergency.

Assist with assessment of the communica-tions equipment for immediate deploy-ment and addresses any critical shortfalls

Assists the Communications Unit Leaderwith the setup of NDMS response teamcommunications center.

Ensures accountability, maintenance, andminor repairs of all issuedcommunications equipment.

Develop communications procedures foruse during medical emergencies.

Provide communications link between theNDMS team leaders and the MST.

Provide security and environmentalprotection for communication equipmentand supplies.

Monitors the use of satellitecommunications system and ensureslogbook is maintained.







Assesses the need for additional powerresources needed to support the commu-nication system and coordinates withCommunications Unit Leader.

Anticipate requirements and evaluate thecommunications system effectiveness.

Monitor Team communications forcompliance with established procedures.

Keeps the supervisor apprised of any sup-ply deficiencies or equipment malfunctions.

Establishes and posts contact informationfor incident operations.

Performs other related duties as assignedto assist in the efficient functioning ofthe Unit.

The incumbent should have a basic orienta-tion in disaster medical and nursing services.

EVALUATION FACTORS


Extensive knowledge of current automationand telecommunications theory, principles,concepts, practices, procedures, standardsand operational requirements.

Extensive knowledge of communicationsequipment and related applicationprograms; automated control and networkmanagement systems; transmission media;and the relationship among componentparts of telecommunications systems.

Knowledge of amateur radio skills andoperations, land mobile radio, telephoneand satellite systems.

Comprehensive knowledge of basicelectronics theory, concepts, and principles.




The incumbent functions under the generalsupervision of the Communications UnitLeader. The supervisor provides generalwork objectives and priorities and providesinitial instructions when new or unusualproblems or situations are encountered.Completed work and the incumbent’srecommendations are reviewed forattainment of objectives, soundness of judg-ment, overall technical adequacy and adher-ence to NDMS policies and procedures.


Guidelines include OEP guidelines andprocedures, technical manuals and direc-tives, and operational standards and poli-cies, etc.. The incumbent must select andinterpret a number of availableguidelines. There is frequent need tochoose between alternatives.


Assignments include the application andutilization of specialized communicationsequipment and related applications pro-grams. Must be able to identify and directand coordinate the actions required to pro-


vide needed communications at the disasteror emergency site. Develops communica-tions procedures for use during medicalemergencies and disasters. Maintains radioprotocols and operational discipline.


The work involves the initial setup of thecommunications center and the linkingup of any off-site personnel. During thedisaster or major emergency, continuallygathers available information on commu-nications capabilities and anticipatesrequirements and evaluates thecommunications system effectiveness.Monitor Team communications forcompliance with established proceduresand maintains equipment as necessary.Work effects the ongoingcommunications of the NDMS Team dur-ing the disaster or major emergency.


FACTOR 7:PURPOSE OF CONTACTS Level 3-c 110 points

Contacts are with patients, their families,hospital personnel, and with health careprofessionals and technical personnel(e.g., physicians, nurses, and supportingtechnical and administrative staff) andrepresentatives from the private and statesectors. Contacts are for the purpose ofexchanging information, plan and

coordinate work efforts, and to provideadvice concerning communicationalternatives maintenance of equipment.


The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces;recurring bending, stooping, stretching,etc; recurring lifting of moderately heavyitems or occasional lifting of heavy items(over 50 pounds). The work may requireabove average agility and dexterity. Thework may also require working longhours without rest or relief and mayrequire defending oneself or othersagainst physical attack.


The work environment involvesmoderately high risks or discomfort,which require special precautions, e.g.,working with risk of exposure tocontagious disease, radiation or infectionor in working with emotionally disturbedpatients. Precautions are routine for near-ly all situations. The work environmentmay involve high risks of exposure to po-tentially dangerous situations whereconditions cannot be controlled.




JOB CATEGORYTitle: Telecommunications SpecialistSeries: GS-0391Grade: 09

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS response orspecialty team position equivalent to at least the GS-07 level in the Federalservice. Must indicate experience in evaluating, analyzing, developing manag-ing, or improving communications systems, procedures, and requirementsthat demonstrate knowledge of current developments and trends incommunications concepts and technology.



INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness,Office of Public Health and Science,Office of the Secretary. The Departmentof Health and Human Services is the pri-mary agency for the Emergency SupportFunction (ESF) #8, “Health and MedicalServices”, under the Federal ResponsePlan (FRP). The Office of EmergencyPreparedness is the headquarters for theNational Disaster Medical System(NDMS) and, in that capacity, supportsthe planning, organization anddevelopment of medical response teamsof NDMS. The disaster medical responseteams, i.e., primary care, specialty, andothers, are a basic element in the person-nel component and can be expanded to aclearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event ofdisasters or other major emergenciesrequiring extraordinary medical services.

The incumbent of this position serves asan Assistant Cook responsible forassisting the Chief Cook in setting upand operating a field kitchen to servelarge numbers of people at a disastersight under adverse conditions. Theincumbent of this position reports direct-ly to the Chief Cook.


Assists the Chief Cook in establishingand operating a field kitchen to servepeople who need assistance because of adisaster or major emergency. Performs awide variety of simple cooking includingopening and heating canned vegetablesor fruits; grilling pancakes, bacon andeggs to order; cooking cereal, toast,salads, gelatin and sandwiches. Assists incooking meat, poultry, and fish byturning when necessary and removingwhen fully cooked. Measuring and weigh-ing portions and ingredients as requiredby recipe, formula, or diet.

Under supervision adjusts recipes duringquantity cooking; prepares conveniencefoods when the recipe requires a few sim-ple steps; cooking frequently used recipesfor gravies, sauces, or soups; cookingfresh or frozen vegetables.

Cleans kitchen area and kitchenequipment. Scours and scrubs heaviercooking equipment, pots, and pans.Cleans work tables and separates foodwaste from trash. Constructs field kitchenwaste facilities in an approved designatedlocation away from the kitchen area. Is re-sponsible for collecting the kitchen wasteand dumping it at the waste site.

Performs other related duties as assigned.



COOK, WG-7404-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

ASSISTANT COOK, WG-7404-05


Skill and Knowledge

The incumbent must possess the abilityto follow oral and written instructions(e.g. worksheets, menus, and schedules);ability to work safely (e.g. be alert toopen jets or escaping gas); and the abilityto do simple arithmetic (e.g. multiplyingredients in a recipe and decide howmany servings a container will hold).

In addition, acquires knowledge and skillin the use of food service equipment (e.g.choppers and grinders); knowledge ofthe characteristics of various foodsprepared (e.g. color, taste, cooking time,etc.); and the ability to decide when foodis fully cooked without overcooking, andability to season the foods.

Responsibility

The incumbent will receive assignmentsfrom the Chief Cook’s worksheet, theschedule, or from general oralinstructions. The Chief Cook is available

to answer questions and assures that thecooking is done properly. When learningnew or more difficult work, the incumbentwill receive detailed instructions regardingcooking methods and equipment. Work isreviewed during cooking of the food andwhen it is finished.

Physical Effort

The work involves frequent lifting up to 30pounds (e.g. containers of food); constantstanding and walking; and occasional liftingof over 50 pounds (e.g. pans of meat).

Working Conditions

Kitchens are often uncomfortably warmand noisy. The incumbent will beexposed to steam, fumes, and odors aswell as recurring risks of exposure to con-tagious diseases. There will be danger ofburns from steam or hot foods andpotential dangers created by adverseworking conditions.



JOB CATEGORYTitle: Assistant Cook (NDMS organizational title)

Cook (OPM official title)Series: WG-7404Grade: 05

MINIMUM QUALIFICATIONSMust have experience and skill in the setup and operation of large-scale foodservice operations. Demonstrated skill in assisting with food preparation anddistribution is required.



INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Of-fice of Emergency Preparedness is theheadquarters for the National DisasterMedical System (NDMS) and, in that ca-pacity, supports the planning, organizationand development of medical responseteams of NDMS. The disaster medical re-sponse teams, i.e., primary care, specialty,and others, are a basic element in the per-sonnel component and can be expanded toa clearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event of disas-ters or other major emergencies requiringextraordinary medical services.

The incumbent of this position serves asa Chief Cook responsible for setting upand operating a field kitchen to servelarge numbers of people at a disaster siteunder adverse conditions, includingmeals that accommodate a variety ofdiets. The incumbent reports directly tothe Food Service Officer.


Sets up and operates a field kitchen toserve a large group of people at a disastersite under adverse conditions. Such mealsare prepared under a variety of field con-ditions requiring skill in preparing,serving and preserving, including accom-modating a variety of diets (e.g. cookinglow sodium or fat-free foods, etc.). Theincumbent uses the full range of quantitycooking procedures from the common orfrequently used recipes to the new ormore complex recipes.

Prepares the full variety of meats, poultry,seafood, vegetables, sauces, and gravies.Prepares a number of menu items foreach meal (usually four or more). Plansand coordinates a variety of steps to besure that main courses are ready for serv-ing at the same time.

Prepares menu item using special or diffi-cult recipes involving many steps,ingredients, or long preparation time,e.g. spaghetti sauce, sweet and sour pork.

Supervises lower grade cooks engaged inpreparing, serving and preserving food.




COOK, WG-7404-08NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

CHIEF COOK, WG-7404-08


Skill and Knowledge

Skill is required to plan, coordinate, andtime the sequences of steps so that itemscooking will be ready for serving withoutovercooking or waste. Must have abilityto adjust recipes according to the numberof servings needed. Must know thecharacteristics of various raw and cookedfoods to determine when raw foods arefresh (e.g. fruit) and judging finishedcooked foods by its color, consistency,temperature, odor, and taste.

Responsibility

Based on pre-determined disasterplanning and knowledge of availableresources, the incumbent must know whattype and quantity of food to preparefollowing written or oral instructions.Within the framework of acceptedmethods and techniques, the incumbentmakes decisions regarding recipeadjustments for the number of servings,size of equipment used and may involveenvironmental conditions. He/she willdecide when cooking is complete andmeal is ready for serving. Makes changesto recipes to improve taste and

appearance. The Food Service Officerusually checks to assure that foods arecooked according to instructions, areattractive, in the quantities needed, andare served in a timely manner.

Physical Effort

The work involves frequent lifting or mov-ing of objects weighing up to 30 pounds(e.g. utensils or containers of food);constant standing and walking; andoccasional lifting of over 50 pounds (e.g.plans of meat). There may be occasionalneed to lift over 50 pounds depending onthe conditions caused by the disaster.

Working Conditions

Kitchens are often uncomfortably warm andnoisy. At times, cooks are exposed to steam,fumes, and odor; burns from steam or hotfoods; and cuts from knives. Cooks may beexposed to extremes in temperature. Thereare regular and recurring risks of exposureto contagious diseases and elements. Therewill be potential dangers created by adverseworking conditions.



JOB CATEGORYTitle: Chief Cook (NDMS organizational title)

Cook (OPM official title)Series: WG-7404Grade: 08

MINIMUM QUALIFICATIONSMust have experience and skill in food preparation and distribution for largegroups, including ordering, substituting, storing, and special diet preparation.



INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness(OEP), Office of Public Health andScience (OPHS), Office of the Secretary.The Department of Health and HumanServices (DHHS), is the primary agencyfor the Emergency Support Function(ESF) #8, “Health and Medical Services”,under the Federal Response Plan (FRP).The OEP is the headquarters for the Na-tional Disaster Medical System (NDMS)and, in that capacity, supports theplanning, organization and developmentof medical response teams of NDMS.The disaster medical response teams, i.e.,primary care, specialty, and others are abasic element in the personnelcomponent and can be expanded to aclearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event ofdisasters or other major emergenciesrequiring extraordinary medical services.

The incumbent serves as a DentalAssistant and works with the DisasterMortuary Operational Response Team(DMORT) staff under the supervision ofthe Forensic Dentist.


The incumbent serves as a Dental Assistantand assists with providing victim identifica-tion and mortuary services. As assigned,positions and cleans human remains(upper torso and skull portions) inpreparation for dental examination. Exam-ines deceased human remains for dentitionand charts dentition on dental charts.

The incumbent assists the forensic dentistwith detailed examination and charting.Performs reviews and inspections ofantemortem and postmortem dentalcharting and associated records. Consultswith dentists and forensic identificationpersonnel regarding victim dental records.Assists with the dental x-rays of human re-mains dental anatomy, the x-raydeveloping process and correct mountingof dental radiographs. Inputs data ofantemortem/postmortem dental recordsinto an automated system. The incumbentalso assists with dental photography andlog entry of all photographs taken.

Establishes and maintains antemortem/postmortem dental files for mass fatalityvictims. Develops equipment and supplyrequirements for a dental station in an in-cident processing facility. Preparesrequisitions and receives dental stationequipment and supplies. The incumbentis required to enforce OSHA personnel



DENTAL ASSISTANT, GS-0681-07NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

DENTAL ASSISTANT, GS-0681-07



JOB CATEGORYTitle: Dental AssistantSeries: 0681Grade: 07

MINIMUM QUALIFICATIONSOne year of specialized experience equivalent to the GS-6 level in the Federalservice. Specialized experience is experience in dental assistant to general orspecialized dentistry, dental assistant (expanded function) work, or anycombination of these.

In addition, must (1) have successfully completed an educational programthat meets or exceeds the standards in 42 CFR Part 75, and is accredited byan organization recognized by the Department of Education, and (2) be certi -fied as radiographers in their field. The following meet these requirements:

n Radiological personnel who (a) received training from institutions in astate or foreign jurisdiction that did not accredit training in that particu-lar field at the time of graduation, or (b) practiced in a State or foreignjurisdiction that did not license that particular field or did not allow spe-cial eligibility to take a licensure examination for those who did not grad-uate from an accredited educational program, provided such personsshow evidence of training, experience, and competence, as determinedby the employing agency.

protection guidelines within the dentalexamination station.

Tasks may require the following: perform-ance in either temporary or fixed morguefacilities under varying climatic conditions;moving and/or lifting objects with weightof up to 80 pounds; long hours ofstanding (up to 8 to 10 hours per day) andperformance on deceased human remainsin varying stages of decomposition.

Performs other related duties as assignedto assist in the efficient operation of theDMORT.


The incumbent receives assignmentsfrom, and works under the direct supervi -sion of, the Forensic Dentist.


INTRODUCTIONThis position is organizationallylocated in the Office of EmergencyPreparedness (OEP), Office of PublicHealth and Science (OPHS), Office ofthe Secretary. The Department ofHealth and Human Services (DHHS),is the primary agency for theEmergency Support Function (ESF)#8, “Health and Medical Services”,under the Federal Response Plan(FRP). The OEP is the headquartersfor the National Disaster MedicalSystem (NDMS) and, in that capacity,supports the planning, organizationand development of medical responseteams of NDMS. The disaster medicalresponse teams, i.e., primary care, spe-cialty, and others, are a basic elementin the personnel component and canbe expanded to a clearing-staging unitwhile other teams are preparing for ac-tivation. Health care providers andmedical support personnel are recruit-ed from local communities to serve na-tional needs in the event of disastersor other major emergencies requiringextraordinary medical services.

The incumbent, under the OperationsChief, makes dental diagnoses andadministers treatment to people whohave been injured or become ill due to adisaster or major emergency.


The incumbent performs initial phases ofemergency dentist operations. Asassigned, carries out dental diagnoses andtreatment involving medical services andperforms direct dental care for patientswho do not present major complications.

Assesses patients and performs dentalsurgery, treats simple mouth fractures andwounds and provides a wide range ofambulatory dental interventions. Diagnosestraumatic and non-traumatic injury, provid-ing treatment when symptoms are clear. Isresponsible for recognizing symptoms thatrequire referrals and makes suchrecommendations to the Operations Chief.

The incumbent may perform dental extrac-tions; treats gum disorders and wounds, andadministers oral medications as necessary.

The incumbent diagnoses dental andmuscular injuries by examination. Stabilizesmusculoskeletal injuries in those cases wherenormal dental procedures can be applied.

Prescribes and administers drugs forinfection control, pain relief, and otherconditions if there are no complicatingfactors. If complicating factors areevident, incumbent consults with the Op-erations Chief as needed.



DENTAL OFFICER, GS-680-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

DENTAL OFFICER (GENERAL), GS-680-13


Identifies conditions requiring urgent sur-gical intervention, and makes referral forservice. Classifies and priorities patientsfor further treatment and evacuation.

Supervises dental treatment administeredby other professional and technical person-nel to assure that adequate professionaland technical services are provided tothose in need. Recommends methods andprocedures for coordination of dental serv-ices with other medical activities.

Performs other related duties as assigned toassist in the efficient operation of the NDMS.


The incumbent serves under the generalsupervision of the Operations Chief.

Supervision is generally limited to thebroad application of general acceptedmedical practices and discussions ofobjectives to be accomplished. Within thelimits of his assignment, the incumbentfunctions with considerableindependence. Work is subject to reviewin terms of overall evaluation of programaccomplishments and effectiveness.

OTHER SIGNIFICANT FACTSThe incumbent must have received a Doc-tor of Dentistry (D.D.S. or D..M..D.) froman approved school of dentistry and, inaddition, must possess a permanent,current, full and unrestricted license topractice dentistry in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.


JOB CATEGORYTitle: Dental Officer (General):

(NDMS organizational title)Dental Officer (OPM official title)

Series: 0680Grade: 13

BASIC REQUIREMENTS

Education

Graduation with a degree in dental surgery (D.D.S.) or dental medicine(D.M.D.) from a school approved by the Council on Dental Education,




American Dental Association (ADA); or other dental school, provided the ed-ucation and knowledge acquired was substantially equivalent to that of gradu-ates from an ADA-approved school.

ADDITIONAL REQUIREMENTS

Experience

Three years of professional dentistry experience and/or training equivalent toat least that of a Board eligible. Experience and/or training must be one ofthe following types:

n Post-licensure professional experience in the general practice of dentistryn Approved internship trainingn Approved residency trainingn Graduate level study in an accredited dental schooln Post-licensure professional experience in a specialized area of practicen Other advanced study or training (outside a dental school or hospital)

creditable towards satisfaction of training program requirements forBoard eligibility

LICENSURE REQUIREMENTA valid and unrestricted license to practice dentistry in a State, the District of Co-lumbia, the Commonwealth of Puerto Rico, or a territory of the United States.

MEDICAL REQUIREMENTApplicant must be able to distinguish shades of color.

DESIRABLE QUALIFICATIONSExperience in disaster care operations.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Of-fice of Emergency Preparedness is theheadquarters for the National DisasterMedical System (NDMS) and, in thatcapacity, supports the planning,organization and development of medicalresponse teams of NDMS. The disastermedical response teams, i.e., primary care,specialty, and others, are a basic element inthe personnel component and can beexpanded to a clearing-staging unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The incumbent of this position serves asa Forensic Dentist and assists in thevictim identification process through useof dental record comparisons.


Assess victims dental history includingmouth fractures, wounds, and surgery anddental information collected from next ofkin for use in the identification process.

Consults with local forensic laboratorypersonnel, law enforcement officials, anddental office personnel in efforts to iden-tify victims.

Provides positive identification of victimswhere possible based on forensic analysisand personal dental records.

Collaborates with forensic experts,professional associations, and other organi-zations to keep abreast of scientific develop-ments in the field of forensic dentistry.

Must have a degree in dental surgery(D.D.S) or dental medicine (D.M.D). Mustpossess a valid and unrestricted license topractice dentistry in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.




DENTIST, GS-680-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

FORENSIC DENTIST, GS-680-13



The incumbent works under the adminis-trative supervision of the Identification

Officer. The incumbent independentlyconducts forensic dental exams withresults accepted as authoritative.


JOB CATEGORYTitle: Forensic Dentist (NDMS organizational title)

Dentist (OPM official title) Series: 0680Grade: 13

BASIC REQUIREMENTS

Education

Graduation with a degree in dental surgery (D.D.S.) or dental medicine(D.M.D.) from a school approved by the Council on Dental Education, Ameri-can Dental Association (ADA); or other dental school, provided the educationand knowledge acquired was substantially equivalent to that of graduatesfrom an ADA-approved school.

ADDITIONAL REQUIREMENTS

Experience

Three years of professional dentistry experience and/or training equivalent toat least that of a Board eligible. Experience and/or training must be one ofthe following types:

n Post-licensure professional experience in the general practice of dentistryn Approved internship trainingn Approved residency trainingn Graduate level study in an accredited dental schooln Post-licensure professional experience in a specialized area of practicen Other advanced study or training (outside a dental school or hospital)

creditable towards satisfaction of training program requirements forBoard eligibility

Special Note: Forensic dentistry is necessary, because of DMORT Assignment.




LICENSURE REQUIREMENTA valid and unrestricted license to practice dentistry in a State, the District ofColumbia, the Commonwealth of Puerto Rico, or a territory of the UnitedStates.

MEDICAL REQUIREMENTApplicant must be able to distinguish shades of color.

DESIRABLE QUALIFICATIONSExperience in disaster and/or mass casualty care operations.



The incumbent of this position serves asDeputy Team Leader responsible forparticipating in managing and supervisingall aspects of a disaster mission, both oper-ational and managerial, from the time ofactivation through the return to the home

jurisdiction including all resources(personnel and equipment) and the devel-opment and completion of all responseoperational objectives as assigned by theManagement Support Team (MST), aswell as, proper reporting, record keeping,and after-action requirements.


Participates in supervising the overallfunction of an NDMS primary care,specialty, or mortuary response team tocare for victims of a disaster or otherassignment such as providing supplemen-tal staffing to the local medical infrastruc-ture during mass casualty incidents.

Participates in the management and super-vision of the work of 15-30 team membersconsisting of health care providers, techni-cal and support personnel, and overall ad-ministration activities of the team,including supervision of the Chief ofLogistics, Operations, Planning,Administrative/Finance, Safety, andChaplain services. Grade levels of the teammembers range from GS-3 through GS-14.

Represents the Team Leader with HHS indealing with sponsoring hospitals andFederal and/or regional coordinating center



DEPUTY UNIT COMMANDER (NON-MEDICAL),GS-301-14


DEPUTY TEAM LEADER, GS-301-14


and/or HHS Medical Response Coordinator.Exercises independence and leadership incoordinating activities of the team and guid-ing health care providers in solving difficultproblems during disaster service.

Shares responsibility and direction forevacuation procedures of critically illpatients to local medical facilities.Ensures patient evacuation plans andprocedures are properly understood andcarried out by team members.

Interacts with team members and MSTLeader for coordination of team activitiesand support of FRP requirements. Receivesbriefings from the MST and ensures thatteam members are kept informed ofmission objectives and status changes. Par-ticipates in the completion of all requiredreports and maintenance of records.

Schedules orientation for individuals orteam training programs in the field ofemergency management including environ-mental sanitation, personal hygiene, stressmanagement, and triage to ensure effectiveand efficient field operations. Participatesin the conduct of annual performance eval-uations of team members. Selects qualifiedapplicants for team positions.

Participates in formal debriefing sessionsfollowing disaster service. Develops infor-

mation for after-action reports includingcritical evaluation of field operations,team performance, operating policies,and treatment techniques.

Keeps abreast of the latest developmentsin the field of medical care managementand recommends or implementsnecessary changes.

Ensures accountability, maintenance andminor repair and replacement of allNDMS issued supplies and equipment.

The incumbent must possess extensive expe-rience in emergency management activities.

Basic Life Support (BLS) training andcertification is strongly recommended.



The incumbent of this position reports tothe Team Leader, who provides generaladministrative supervision and direction.The incumbent’s management decisionsare accepted as second in commanderduring emergency disaster service.



JOB CATEGORYTitle: Deputy Team Leader (NDMS organizational title)

Deputy Unit Commander (non-medical) (OPM official title)Series: 301Grade: 14

MINIMUM QUALIFICATIONSOne year of operational experience in emergency incident management on aregular and continuous basis equivalent to the GS-13 level in the Federal service.


Knowledge

n Comprehensive knowledge of the NIIMS Incident Command Systemn Comprehensive knowledge of the DMAT/Specialty Team functions, oper-

ations, strategy, and safety considerationsn Formal training in managing large-scale disasters or events from the Na-

tional Fire Academy, Emergency Management Institute, or equivalentn Knowledge of other disaster response organizations and their missions,

i.e., FEMA ESF, Red Cross, NGO, etc. for the purpose of exchanging dis-aster-related information

n Knowledge of the Federal Response Plann Knowledge of supervisory and personnel management skillsn Practical knowledge of the terminology and capabilities of the major

items in the equipment cache

Skills

n Competent in the development and use of integrated action planningconcepts and processes

n Operational experience in emergency incident management on a regularand continuous basis.




Abilities

n Capable of effectively coordinating and directing multiple functions ofthe DMAT/Specialty Team during mission assignment

n Possess good inter-organization coordination skills, work well with techni-cal experts, local officials, and other organizations

n Able to manage assigned personnel, specialized equipment, and supportresources during a disaster situation

n Ability to effectively organize and plan during crisis situations


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness(OEP), Office of Public Health and Science(OPHS), Office of the Secretary. TheDepartment of Health and HumanServices (DHHS), is the primary agency forthe Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). TheOEP is the headquarters for the NationalDisaster Medical System (NDMS) and, inthat capacity, supports the planning,organization and development of medicalresponse teams of NDMS. The disastermedical response teams, i.e., primary care,specialty, and others, are a basic element inthe personnel component and can beexpanded to a clearing-stage unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The incumbent of this position is responsiblefor supervision of search and recovery effortsof victims’ remains at disaster sites, includingthe conduct of on-site field investigationsand liaison activities between state and localauthorities and mortuary operations.


Supervises search and recovery activitiesfor victims and corpses during disasters ormajor emergencies. Supervises aprofessional staff of 15 – 30 employeesconsisting of forensic anthropologists, pho-tographers, and mortuary workers duringdisaster operations. The grades of staffmembers range from GS-7 through GS-13.

Directs investigations into circumstancesof the disaster through assessment,geopositioning, and data extraction todetermine most effective method ofsearch and recovery operations.

Coordinates field operations with localand state disaster authorities andmortuary officials, including incidents in-volving hazardous materials or work envi-ronments requiring protective wear orsafety precautions.

Provides direction and guidance tononprofessional staff on disaster site doc-umentation requirements. Directsincident sketches, videos, andphotographs and other procedures of evi -dence preservation including chronologi-cal documentation of victim remains.



SUPERVISORY SEARCH AND RECOVERYSPECIALIST, GS-301-14


DISASTER/CRASH SITE DIVISION SUPERVISOR,GS-301-14



JOB CATEGORYTitle: Disaster/Crash Site Division Supervisor (NDMS organizational title)

Supervisory Search and Recovery Specialist (OPM official title)Series: 301Grade: 14

MINIMUM QUALIFICATIONSOne year of specialized experience is required. Specialized experience isexperience that equipped the applicant with the particular knowledge, skills,and abilities to perform successfully the duties of the position. To becreditable, specialized experience must have been equivalent to at least theGS-13 level in the Federal service. Supervisory experience is required.

DESIRABLE QUALIFICATIONSOrientation in Disaster Mortuary Operational Response Team services.

Decides and/or coordinates adequatepersonnel and equipment to effectivelyperform search and recovery operationsat disaster sites. Ensures that the disastersite is divided into appropriate site grids.

Selects employees for vacant disaster re-spond team positions; trains employeesin proper on-site procedures; hears andresolves complaints; recommends staffdeployment based on physical require-ments; and recommends performanceevaluations of staff, etc.

Prepares reports and required documentsin accordance with NIIMS/ICS andstandard operating procedures.



The incumbent works under thesupervision of the Operations SectionChief. Incumbent independently plans andimplements assignments in accordancewith policies, procedures, and generalinstructions. Work is reviewed in terms ofmeeting overall mission objectives.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness(OEP), Office of Public Health and Science(OPHS), Office of the Secretary. The De-partment of Health and Human Services(DHHS), is the primary agency for theEmergency Support Function (ESF) #8,“Health and Medical Services”, under theFederal Response Plan (FRP). The OEP isthe headquarters for the National DisasterMedical System (NDMS) and, in that ca-pacity, supports the planning, organizationand development of medical responseteams of NDMS. The disaster medical re-sponse teams, i.e., primary care, specialty,and others, are a basic element in the per-sonnel component and can be expanded toa clearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event of disas-ters or other major emergencies requiringextraordinary medical services.

The Environmental Health UnitLeader/Environmental Health Technicianis responsible for the elimination and pre-vention of environmental health hazardsat a deployment site. This includes survey,implementation, and eradication

measures to control the spread of diseaseand other health hazards or conditions.The incumbent reports directly to the An-cillary Services Division Supervisor.


Inspects and evaluates water, plumbing, andsewage disposal systems at deployment site.

Performs quality control tests on water,food, and air to determine contamination.

Conducts investigation to determine thesource of outbreaks (i.e., water supplies,contaminated food, and untreated waste).

Determines sources of, and methods toeliminate or control insect and rodentbreeding and harborage.

Ensure the health and welfare needs ofTeam members are addressed, includinghydration, sanitation, and nutrition.

Ensure the placement and appropriateuse of an adequate number of hand wash-ing stations at all NDMS response team’ssites. These stations are located at or nearall (1) latrine facilities, (2) mess hall ordesignated eating areas, (3) food prepara-



ENVIRONMENTAL HEALTH TECHNICIAN,GS-0698-07


ENVIRONMENTAL HEALTH UNIT LEADER,GS-0698-07


tion areas, and (4) NDMS responseteam’s area of operations.

Administers water purification servicesfor Team water supplies.

Evaluates and ensures compliance withenvironmental sanitation regulations.

Develops recommendations and proce-dures to aid in assisting and maintainingenvironmental health programs, adminis-tered by local authorities.

Maintains liaisons with the Logistics SectionChief and Dietary Unit Leader to ensureproper sanitation facilities are available.

Analyze injury and illness data to noteany trends or areas of concern.

Prepares reports of findings and makesrecommendations to the supervisor andClinical Operations Section Chief.

Performs other related duties as assignedto assist in the efficient operation at thedisaster or emergency site.


Receives a minimum of technical supervi-sion and assistance from the Ancillary Ser-vices Division Supervisor. Work isevaluated in terms of over-all results.Incumbent may be the sole authority on aspecific shift or tour of duty at the disasteror emergency site. Complex assignmentsperformed in the field are performed withnearly complete technical independence.While performing tests in the field,reference manuals and guidelines areeither not available or are not applicable.



JOB CATEGORYTitle: Environmental Health Unit Leader (NDMS organizational title)

Environmental Health Technician (OPM official title)Series: GS-0698Grade: 07

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the GS-06 grade level in the Federal serv-ice. Specialized experience is experience that involved identifying,preventing, or eliminating health hazards in one or more areas ofenvironmental sanitation. Such experience must have provided a practicalknowledge of environmental health hazards, survey techniques, and controland eradication methods, and may have been gained in work such as biologi-cal technician, medical technician, pest control technician, quality control po-sitions with dairy or food service industries, or environmental health worker.

Journey level experience in a trade or craft may be credited as specialized ex-perience when the work was closely associated with and provided the requiredknowledge of environmental health techniques, methods, and skills, e.g., pestcontrol operator, water plant operator.

DESIRABLE QUALIFICATIONSTraining and/or experience in disaster technician services.



The incumbent of the position is respon-sible for setting up, operating, and main-taining powered equipment. He/she alsois responsible for packing equipment,constructing facilities, and operatingmotor vehicles. The incumbent reportsdirectly to the Logistics Chief.

DUTIES AND RESPONSIBILITIES

Operates generators, lighting equipment,and other NDMS response teams’equipment. Checks tires, fuel, oil andwater, etc. Performs minor repairs ofpowered equipment and medical devices,as required. Replaces minor parts and per-forms operational tests and inspections. As-sures that powered equipment is inserviceable operating condition.

Inspects equipment in storage andperforms repair or preventive maintenance.Performs normal maintenance checks (e.g.,checks belts, fans, tires, etc.). Assures thatequipment is in a state of readiness andthat is functioning properly.

Supervises the setup and operation ofpowered equipment. Performs minortrouble shooting duties to correct minorproblems of malfunction. Takes initialsteps to secure immediate replacement ifmajor problems occur with equipment.

Following an established plan, theincumbent performs carpentry, plumbing,roofing, painting, and masonry work in con-structing field facilities including sanitationfacilities and water sources. Assures thatfacilities are functional and are constructedin conformance with the requirements of avariety of accepted trade practices.



MAINTENANCE WORKER, WG-4749-06NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

EQUIPMENT SPECIALIST, WG-4749-06


Packs and loans necessary equipment tothe NDMS disaster teams. Selects themethod and technique for packing, pack-ing devices and material to be used on thebasis of the item size, type, weight, shape,fragility, mode of transportation, and des-tination. Packs commodities such as: med-ical, surgical, dental, and laboratorysupplies equipment including instrumentsand furnishings of various sizes, weight,and shape. Other examples that require avariety of packing and crafting methodsinclude pharmaceuticals, drugs, biological,chemicals, and reagents including nar-cotics, vaccines, serum and other items.

Drives, as necessary, medium size trucks,light vehicles, and warehouse equipment,assuming vehicle operator duties and re -sponsibilities when driving.

Performs other related duties as assignedto facilitate the efficient operation of theNDMS disaster teams.

Skill and Knowledge

WG-6 Maintenance workers need the fol-lowing basic skills to do their work:

Ability to work independently, make deci-sions, plan operations, show job responsi-bility, exercise initiative, etc.

Ability to assemble, make, install, test,and repair equipment.

Ability to use measuring instruments, e.g.,rules, scales, squares, gauges, and testers.

Competence in the use and maintenanceof tools and equipment.

Familiarity with mechanical design andprinciples of operation of mechanicaland electrical equipment.

Familiarity with repair of small enginesand electrical devices.

Ability to work swiftly and safely especiallywhere safety standards are enforced as withexposure to hazards in a disaster area.

Responsibility

Performs work under the general supervi-sion of the Logistics Chief. Receives onlygeneral instructions regarding what needsto be done and is expected to carry onthe day-to-day operations independentlyreferring only the most difficult or unusu-al problems to the supervisor for adviceor further action. Accomplishment ofwork is reviewed for results obtained inmeeting schedules and deadlines.

The incumbent must be mentally alert andhave a good knowledge of, and be capableof applying, a variety of trade practicesassociated with occupations such as carpen-try, plumbing, electrical, air conditioning,cement work, painting and other relatedtrades. This position does not require ajourneyman knowledge of such trades.

Physical Effort

Requires normal physical effort necessaryin the building and maintenance tradessuch as considerable walking and standing,climbing, stooping, bending, kneeling,and reaching. Must be able to work fromladders and scaffolds. May also involvework in manholes, trenches, tunnels, crawlspaces, suspended ceilings, etc. Frequentlyrequired to lift tools, equipment and build-ing materials weighing from 10 to 80pounds. Normal vision requirements.

Working Conditions

Work is done inside and outside, in alltypes of weather, and is usually dirty, dusty,


and greasy. Work areas may also be hot,cold, damp, and drafty. The incumbent isexposed to the possibility of cuts, bruises,scolds, or burns, electrical shock, and bro-ken bones while operating tools andequipment or performing the varioustrade duties. There is danger of slippingon wet surfaces or injury from fallingobjects. There are regular and recurringrisks of exposure to contagious diseases.

OTHER SIGNIFICANT FACTSThe incumbent must have a State motorvehicle operator’s permit and it is recom-mended that the incumbent have aFederal motor vehicle operator’s permit.

The incumbent should have basicorientation in disaster medical andnursing services.


JOB CATEGORYTitle: Equipment Specialist (NDMS organizational title)

Maintenance Worker (OPM official title)Series: WG-4749Grade: 06

MINIMUM QUALIFICATIONSMust have experience and skill in maintenance and minor repair of a varietyof unrelated equipment. Equipment consists of powered generators, medicalequipment and devices, electrical devices, etc.



INTRODUCTIONThis position is organizationally locat-ed in the Office of Emergency Pre-paredness (OEP), Office of PublicHealth and Science (OPHS), Office ofthe Secretary. The Department ofHealth and Human Services (DHHS),is the primary agency for the Emer-gency Support Function (ESF) #8,“Health and Medical Services”, underthe Federal Response Plan (FRP). TheOEP is the headquarters for the Na-tional Disaster Medical System(NDMS) and, in that capacity, supportsthe planning, organization and devel-opment of medical response teams ofNDMS. The disaster medical responseteams, i.e., primary care, specialty, andothers, are a basic element in the per-sonnel component and can be expand-ed to a clearing-staging unit whileother teams are preparing for activa-tion. Health care providers and med-ical support personnel are recruitedfrom local communities to serve na-tional needs in the event of disastersor other major emergencies requiringextraordinary medical services.

The incumbent of this position providesfingerprinting assistance in theidentification of remains of disastervictims at the disaster site.


Serves as a fingerprint assistant dispatchedto identify victims of major disasters, mak-ing sure each victim is processed in thesame manner; performs all aspects of theidentification process; collecting allavailable information about the victim, forexample, dental facts, information aboutjewelry, information about clothing andother effects; and writing a report of suchassignment. Perform fingerprint examina-tions in field investigations, working close-ly with investigative personnel on suchmatters. As appropriate, furnish guidanceand instruction to fingerprint personnelfrom local departments involved in fieldinvestigations. Such assignments may beperformed in the field for extendedperiods of time and involve conducting ex-aminations and making comparisonsunder adverse conditions.

Serves as instructor for the DMORT in allphases of fingerprint work to othersincluding preparation of legal exhibitsand the like. Must be constantly aware oftechnical changes and innovations inprint development, and is expected to ex-ercise initiative in extending theknowledge and technology of fingerprintwork. Must utilize comprehensiveknowledge, creativity, and ingenuity in in-



FINGERPRINT ASSISTANT, GS-303-07NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

FINGERPRINT ASSISTANT, GS-303-07



JOB CATEGORYTitle: Fingerprint AssistantSeries: 0303Grade: 07

MINIMUM QUALIFICATIONSApplicants must have one year of specialized experience directly related tothe NDMS Response Team position equivalent to at least the GS-06 level inthe Federal service.


struction activities. Conducts experimentsin fingerprinting work and prepares well-documented reports on results.

Confers with officials of the FBI, PoliceChiefs, the State Attorney, and otherswho are directly concerned with specificfacts of the disaster. Often these contactsare highly controversial and require theutmost in tact, diplomacy, and ability toget along with others in situations highlycharged because of conflicting viewpoints.


Receives a minimum of technical supervi-sion and assistance from the MortuaryDivision Supervisor or the Morgue GroupSupervisor. Work is evaluated in terms ofover-all results. Incumbent may be thesole authority on fingerprint problems atthe site. Assignments performed in thefield are performed with complete techni-cal independence.



The incumbent serves as a FingerprintSpecialist and works with DMORT staffunder the general supervision of theFingerprint Unit Leader and MortuaryDivision Supervisor.


The incumbent serves as a Forensic Exam-iner on the team’s medical examiner’s staffand is responsible for planning, coordinat-ing, and directing forensic scienceactivities specifically related to disaster vic-tim identification in the field of latentprint analysis and identification. Theincumbent conducts expert examinations,collects testimonies and reports the results.

Conducts examinations on the most com-plicated cases, including alladministrative procedures. Directs prepa-ration of worksheets, examines andaccounts for evidence, and arranges forand directs photography. The incumbentdevelops latent prints and conducts com-parisons between latent prints and inkedprints of subjects or other latent printsand conducts computerized and/or manu-al file searches when applicable.Documents chain-of-custody and arrangesfor final disposition of evidence.

The incumbent prepares and furnishesoral and/or written reports to the FBI,U.S. Attorneys or other Federal, State andlocal law enforcement officials and otherswithin the affected community which con-vey the opinions and findings of theincumbent as determined throughdetailed examinations.



FINGERPRINT SPECIALIST, GS-0072-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

FINGERPRINT SPECIALIST, GS-0072-11


May be required to present testimony incourt that may require the incumbent towithstand intense professional andpersonal scrutiny while under cross-examination as an expert witness.

Develops and/or maintains systems ofinternal accounting and control to mon-itor efficiency.

The incumbent applies established analyti-cal techniques to provide accurate techni-cal information pertaining to submitteditems of evidence. Based on a broad rangeof experience in latent print examinationand identification and a high level of insti-tutional expertise, the incumbent providesinformation gained through forensic exam-ination of evidence to guide investigators.

With substantial knowledge of all types offorensic examinations conducted by theFBI laboratory, determines the needs foradditional analysis of evidence by these en-tities. Recommends the need for additionalexaminations of evidence, as required.

On a rotational basis, the incumbentserves as a coordinator for disaster siteinvestigations who locates, develops, pre-serves, and identifies items of evidencefor examination of human remains.

Serves as an authoritative consultant tothe FBI and other agencies in respondingto inquiries pertaining to examinationsand/or requests for testimony.

Training is received at the expert level instate-of-the-art forensic techniques andprocedures. Keeps abreast of literatureand advances in new technology in thisarea of expertise.

The incumbent instructs less experiencedexaminers on examination techniques inthe field of expertise, as well as providingtraining to other Federal, State and localforensic examiners, investigators, etc., onan as needed basis. Assists the Medical Ex-aminer in monitoring examiner trainingand performance in examinations.

Works with deceased bodies that are often invarious stages of decomposition or dismem-bered or burned beyond recognition. Oftenthese bodies are in an odious condition andinvolve extensive contact with body fluids.


The incumbent receives assignmentsfrom and works under the direction ofthe Medical Examiner.



JOB CATEGORYTitle: Fingerprint SpecialistSeries: 072Grade: 11

MINIMUM QUALIFICATIONSApplicants must have 1 year of specialized experience equivalent to at leastthe next lower grade level in the normal line of progression. Specializedexperience for the GS-11 level in the Federal service includes: performingdifficult latent fingerprint examinations, preparing written laboratory reportsbased on examinations, and testifying as an expert witness in the area oflatent fingerprint examinations.


Applicant should possess the knowledge, skills, and abilities listed below.

Knowledge

n Completion of an NDMS Response Team training program orcomprehensive knowledge of DMORT operations

n Comprehensive knowledge of responding to a mass fatality incident

Skills

n Skill in taking fingerprints of deceased disaster victimsn Skill in preparing reports for supervisory personneln Skill in briefing supervisory personnel and senior officials in the area of

fingerprint analysis and identification

Abilities

n Ability to work in austere environmentsn Ability to work as part of a cohesive team


INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness,Office of Public Health and Science, Of-fice of the Secretary. The Department ofHealth and Human Services is the pri-mary agency for the Emergency SupportFunction (ESF) #8, “Health and MedicalServices”, under the Federal ResponsePlan (FRP). The Office of EmergencyPreparedness is the headquarters for theNational Disaster Medical System(NDMS) and, in that capacity, supportsthe planning, organization and develop-ment of medical response teams ofNDMS. The disaster medical responseteams, i.e., primary care, specialty, andothers, are a basic element in the person-nel component and can be expanded to aclearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event of disas-ters or other major emergencies requir-ing extraordinary medical services.

The incumbent of this position serves asa dietitian/nutritionist/food service super-visor responsible for planning,scheduling and supervising feeding oper-ations for disaster response teammembers and patients at the ClearingStaging Unit (CSU).


Identifies food service needs, including eat-ing patterns, economic factors, culturalbackground, and other conditions which in-fluence food preferences and preparation.Plans menus based on seasonal food prefer-ences, equipment available, and staff andservices to serve meals.

Conducts on-site evaluations of the foodprogram with respect to nutritionalstandards and food service management.Recommends improvements andcorrective actions as necessary to producean efficient food service program.

Identifies quantities and types of rationsrequired based on patient and staffrequirements. In conjunction with the Lo-gistics Chief, obtains appropriatequantities of prepared rations or freshmeat, fruit and vegetables.

Develops a nutritional care plan withstandard modifications based on themedical records of patients who areunder prescribed medical treatment.Records appropriate information on dietin the patient medical record.

Sets up and supervises a field kitchenadhering, as closely as possible, tonutritional standards and dieteticpractices. Sets up and supervises a



DIETITIAN, GS-0630-09NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

FOOD SERVICE OFFICER, GS-0630-09


messing system. Is responsible for overallmenu planning including regular menusand a variety of modified menus; e.g.those who require highly specialized diets.

Instructs food preparation staff in overalldietetic practices and procedures. Super-vises staff in the interpretation of regula-tory requirements for foods, nutrients, orfood patterns. Supervises preparation oforal rehydration fluids for patients, andother extemporaneous non-pharmaceuti-cal therapeutic preparations.

The incumbent must possess a profession-al registration as a registered dietitian bythe American Dietetic Association orlicense or registration as a professionalnutritionist in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.

Desirable qualifications include orientationin food service operations, disastermedicine and nursing services as well astraining in field casualty care operations.

Performs other related duties as assignedto assist in the efficient operation of thefood service program.

EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION

n Professional knowledge of the scienceof nutrition and the principles, prac-tices and procedures required to pro-vide nutritional care to patients whoare injured or sick as a result of a dis-aster or major emergency.

n Knowledge of common diseases,prognosis, medication, treatmentmethods, and terminology of the

medical field to relate thisinformation to the patient’s diet.

n Knowledge of practices required toplan menus and coordinate the feed-ing program for members of the staff.

n Knowledge of food service manage-ment and distribution practices torecommend improvements and cor-rective actions.

n Knowledge of regular, oral and rehy-dration and other extemporaneousand non-pharmaceutical therapeuticpreparations.

n Knowledge of the concepts and princi-ples of dietetics and nutrition to reviewand evaluate the nutritional value of afood program and to recommendimprovements and corrective action.

FACTOR 2:SUPERVISORY CONTROLSThe Logistics Chief, who is the supervisor,assigns responsibility for planning menusand services to be accomplished. Thesupervisor is available to provide assistanceon problems encountered which do nothave clear precedents.

The dietitian/nutritionist/food service su-pervisor independently plans and developsmenus and carries out information gather-ing and analysis activities in accordancewith established policies and procedures.When deviations occur, the incumbent de-velops a plan to solve the problem or pro-vides technical assistance as needed.

Work is reviewed through spot checks fortechnical soundness, adherence to accept-ed nutritional practices, procedures andoperating policies and professionalstandards; through written reports andthrough conditions brought to the super-visor’s attention by the staff.


FACTOR 3:GUIDELINESGuidelines for the work include DHHS,ESF-8, NDMS, and PHS operating policiesand procedures, diet manuals, food servicepreparation and food service manuals,menu patterns, accepted professional nu-tritional standards, professional literature,medical reference material, and diet pre-scriptions. The incumbent searches and in-terprets the references and translates theminto a plan for food service managementand nutritional care based on an analysis ofdata obtained from patient interviews andfrom available medical records. The in-cumbent uses judgment in evaluating foodservice and nutrition services for whichguidelines are not completely available, ininterpreting the application of guides forothers, and in recommending changes oradapting guides to problems encountered.

FACTOR 4:COMPLEXITYAssignments require judgment in perform-ing complex functions that differ with theneeds of the patients. The incumbent mustanalyze each problem in combination withall factors and select the best alternative tomeet the needs of the patients. In develop-ing menus he/she must consider nutritionalrequirements, diet therapy, patient prefer-ence, food service requirements, and equip-ment to be used in food preparation, fooddistribution and similar concerns. The in-cumbent must analyze and interpret infor-mation on nutrients and preparationtechniques in foods.

FACTOR 5:SCOPE AND EFFECTThe purpose of the work is to plan andprovide nutritional care and quality food topatients who are injured or become sick asa result of a disaster or major emergency.

This includes those who require a highlyspecialized diet. The work affects patientsrecovery and continued well-being.

FACTOR 6:PERSONAL CONTACTSPersonal contacts are with patients, theirfamilies, with professionals and non-professionals within CSU, with other serv-ices within NDMS, and with suppliers.

FACTOR 7:PURPOSE OF CONTACTSThe purpose is to influence or motivatepersons or groups. Persons contacted maybe apprehensive, fearful, skeptical oruncooperative. The incumbent must beskillful in persuasion, negotiation orother approaches to establish rapportand obtain the desired result.

FACTOR 8:PHYSICAL DEMANDSSome of the work involves sitting andwriting reports and planning diets andmanaging food service operations.Considerable walking is involved incontacts with patients and food workers;some lifting may be required such as foodsupplies and some type of equipment.

FACTOR 9:WORK ENVIRONMENTThe work involves regular and recurringrisks or discomforts which require specialsafety precautions, e.g. working at adisaster site which involves risk ofexposure to contagious disease, dangerfrom falling debris; or slipping andfalling. The incumbent may be requiredto wear protective clothing or protectionagainst infection. Some work situationsrequire working in isolated areas withoutnormal conveniences.



JOB CATEGORYTitle: Food Service Officer (NDMS organizational title)

Dietician (OPM official title)Series: 0630Grade: 09

BASIC REQUIREMENTSBachelor’s degree or higher with a major field of study in dietetics, food, nutri-tion, food service management, institution management, or related services.

ADDITIONAL REQUIREMENTSMust have one year of specialized experience directly related to the NDMSResponse Team position equivalent to at least the GS-7 level in the Federalservice.

DESIRABLE QUALIFICATIONSProfessional registration as a registered dietician (R.D.) in a State, the Districtof Columbia, the Commonwealth of Puerto Rico, or a territory of the UnitedStates.


INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness,Office of Public Health and Science, Of-fice of the Secretary. The Department ofHealth and Human Services is the pri-mary agency for the Emergency SupportFunction (ESF) #8, “Health and MedicalServices”, under the Federal ResponsePlan (FRP). The Office of EmergencyPreparedness is the headquarters for theNational Disaster Medical System(NDMS) and, in that capacity, supportsthe planning, organization and develop-ment of medical response teams ofNDMS. The disaster medical responseteams, i.e., primary care, specialty, andothers, are a basic element in the person-nel component and can be expanded to aclearing-staging unit while other teamsare preparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event of disas-ters or other major emergencies requir-ing extraordinary medical services.

The incumbent of this position assists inthe victim identification process, throughidentification of human remains in a vari-ety of conditions, primarily through suchfields as osteology, anatomy, anthropome-try, and archeology.


Organizes and implements search and re-covery grid system for human remainsusing recognized archeological methods.

Determines whether remains are human,including number, sex, age, populationaffinity, and stature of remains.

Assesses unique features, pathologicalcondition, and medical interventions thatmay be used for positive identification.

Conducts radiographic comparisons, ana-lyzes trauma to remains, and reconstructssequence of events after death.

Correlates investigative evidence with lab-oratory findings to establish identity.

The incumbent works with the followingtypes of remains: complete and partialskeletal remains; mummified, burned,cremated, or fragmented fleshedremains; and mutilated, dismembered, ordecomposed remains.

Must have knowledge of professionalanthropological laboratory examinationprocedures and techniques in a masscasualty environment.



FORENSIC ANTHROPOLOGIST, GS-190-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

FORENSIC ANTHROPOLOGY SPECIALIST,GS-190-13



JOB CATEGORYTitle: Forensic Anthropology Specialist (NDMS organizational title)

Forensic Anthropologist (OPM official title)Series: 0190Grade: 13

BASIC REQUIREMENTSMust have a bachelor’s degree in Anthropology.

OR

A combination of education and experience – courses equivalent to a major, or acombination of courses totaling at least 24 semester hours in forensic anthropolo-gy, or related course work, plus appropriate experience or additional education.

OR

Four years of appropriate experience in forensic anthropology.

ADDITIONAL REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the GS-12 level in the Federal service.


Must be affiliated with a recognizeduniversity anthropology department,state or Federal institution of forensicmedicine, or related affiliation.

Must possess a valid and unrestricted li-cense/certification to practice in a State,the District of Columbia, the Common-wealth of Puerto Rico, or a territory ofthe United States.



The incumbent works under the adminis-trative supervision of the IdentificationOfficer. Works independently andprovides scientific analysis which isacceptable as authoritative.



The incumbent of this position serves asa Mortuary Officer of the disasterresponse team/ specialty/ or other and isresponsible for the recovery, procession,preparation, storage, and disposition ofthe remains of deceased disaster victims.


Plans and develops field procedures forproviding mortuary services for victimswho expire as a result of the disaster orwho expire during evacuation from thesite to the patient reception area orservicing medical facility.

Plans for and arranges necessary servicesand supplies with local and state mortuarycenters to accommodate disaster victims andtheir families, including negotiations forservices in cities closest to the disaster site.Assists in the notification of death of victimsand arranges for transportation of theremains from place of death to designatedplace authorized by the immediate family.

Independently, or as a member of a team,exercises the application of specializedtechniques and processes of pre-embalm-ing, embalming and post-embalming.Practices necessary reconstructive art suchas measures required to render remains toa normal life-like appearance that havesuffered destruction as a direct or indirectresult of the disaster.

Provides technical direction to other mortu-ary and support personnel during evacuationprocedures involving recovery, identification,and disposition of deceased victims.



FUNERAL DIRECTOR, GS-0050-12NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MORTUARY OFFICER, GS-0050-12


Supervises mortuary assistants andrecommends performance evaluations forassigned personnel.

OTHER SIGNIFICANT FACTS

Must possess a current license or registrationas a professional Funeral Director and Em-balmer in a State, the District of Columbia,the Commonwealth of Puerto Rico, or a ter-ritory of the United States as required by theState in which the applicant practices.

Desirable qualifications include trainingand/or certification as a mass fatalitytrainer or trainee by the EmergencyManagement Institute either in the Trainthe Trainer course or the field syllabus.



The incumbent performs under generalsupervision of the Medical OperationsChief. Within established objectives, plansmortuary methods, practices andprocedures with members of the teamand attending physicians. Discusses plansof service with the supervisor and solvesall but the most acute problems on owninitiatives. Work is evaluated on the basisof demonstrated professional ability, skilland judgment in caring for the deceased.


JOB CATEGORYTitle: Mortuary Officer (NDMS organizational title)

Funeral Director (OPM official title)Series: 0050Grade: 12

BASIC REQUIREMENTSA minimum of one year specialized experience equivalent to at least the GS-11 level in the Federal service. Experience must have been as an embalmer,funeral director, or mortuary officer that included restorative art andcosmetology. It must have required knowledge of the laws governingmortuary activities, including transportation of remains. The experience musthave also demonstrated the ability to establish effective working relationshipswith individuals, groups, and the public.




This position requires the applicant to have a thorough knowledge of allphases of a large mortuary program.

LICENSURE REQUIREMENTSApplicant must be licensed to practice embalming and funeral directing by aState, the District of Columbia, the Commonwealth of Puerto Rico, or a territoryof the United States as required by the State in which the applicant practices.


n Orientation in Disaster Mortuary Operational Response Team services.n Training in field casualty operations.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Of-fice of Emergency Preparedness is theheadquarters for the National DisasterMedical System (NDMS) and, in that ca-pacity, supports the planning, organizationand development of medical responseteams of NDMS. The disaster medical re-sponse teams, i.e., primary care, specialty,and others, are a basic element in the per-sonnel component and can be expandedto a clearing-staging unit while otherteams are preparing for activation. Healthcare providers and medical support per-sonnel are recruited from local communi-ties to serve national needs in the event ofdisasters or other major emergencies re-quiring extraordinary medical services.

The incumbent of this position serves asNational Leader responsible for managingand directing all aspects of an NDMS disas-ter response mission, both operational andmanagerial, from the time of activationthrough the return to the home jurisdictionincluding all resources (personnel andequipment) and the development and com-pletion of all operational objectives as as-

signed by the Management Support Team(MST), as well as, proper reporting, recordkeeping, and after-action requirements.


Directs the overall functions and manage-ment of the mortuary program includingthe recovery, identification, processing,preparation, and disposition of the remainsof disaster victims at the disaster site.

Provides mortuary and forensic expertiseand direction of the work of severalresponse teams consisting of pathologists,forensic dentists, morticians, forensicanthropologists, medical examiners, mentalhealth specialists, technical and supportpersonnel, and overall administration activ-ities of the team, including supervision ofthe Chief of Logistics, Operations, Admin-istrative/Planning, Safety, and Family Assis-tance services. The team members gradesrange from GS-3 through GS-14.

Represents HHS in dealing with sponsoringhospitals and Federal and/or regional coor-dinating center and/or HHS MedicalResponse Coordinator. Establishes liaisonwith State departments of public health,National Transportation Safety Board, andthe National Funeral Directors Association.Exercises a high degree of independenceand professional leadership in coordinating



FUNERAL DIRECTOR, GS-0050-15NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

NATIONAL LEADER, GS-0050-15


activities of the team and guiding disasterresponse providers in solving difficult prob-lems during disaster service.

Provides the full range of mortuary servicesto victims of disasters, including dispositionprocedures of victims to local mortuary facil-ities. Ensures mortuary evacuation plansand procedures are properly understoodand carried out by team members.

Interacts with the MST Leader forcoordination of team activities andsupport of FRP requirements. Receivesbriefings from the MST and ensures thatteam members are kept informed of mis-sion objectives and status changes. Super-vises the completion of all requiredreports and maintenance of records.

Ensures team orientation and supports indi-vidual and team training programs in thefield of disaster mortuary services includingenvironmental sanitation, personal hygiene,stress management, and deployment toensure effective and efficient fieldoperations. Conducts annual performanceevaluations of team leaders. Selects qualifiedapplicants for team leader positions.

Participates in formal debriefing sessionsfollowing disaster service. Develops after-action reports including criticalevaluation of field operations, teamperformance, operating policies, andmortuary techniques.

Keeps abreast of the latest developmentsin the field of mortuary care managementand science and recommends orimplements necessary changes.

Directs the accountability, maintenanceand minor repair and replacement of allNDMS issued supplies and equipment.

The incumbent must possess a permanent,current, full and unrestricted license as aprofessional Funeral Director andEmbalmer in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.Also, the incumbent must possess NationalBoard Certification as a Funeral Director.

Experience in the practice of emergencyor disaster service is highly desirable aswell as supervisory experience.



The incumbent of this position reports tothe MST Leader, who provides broad ad-ministrative supervision and direction.The incumbent’s decisions are acceptedas authoritative mortuary care service.



JOB CATEGORYTitle: National Leader (NDMS organizational title)

Funeral Director (OPM official title)Series: 0050Grade: 15

BASIC REQUIREMENTSA minimum of one year specialized experience equivalent to at least the GS-14 level in the Federal service. Experience must have been as an embalmer,funeral director, or mortuary officer that included restorative art andcosmetology. It must have required knowledge of the laws governingmortuary activities, including transportation of remains. The experience musthave also demonstrated the ability to establish effective working relationshipswith individuals, groups, and the public.

This position requires the applicant to have a thorough knowledge of allphases of a large mortuary program. Supervisory experience is required.

LICENSURE REQUIREMENTSApplicant must be licensed to practice embalming and funeral directing by aState, the District of Columbia, the Commonwealth of Puerto Rico, or a territo-ry of the United States as required by the State in which the applicant practices.

DESIRABLE QUALIFICATIONSOrientation in Disaster Mortuary Operational Response Team services.Training in field casualty operations.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Officeof Emergency Preparedness is the headquar-ters for the National Disaster Medical Sys-tem (NDMS) and, in that capacity, supportsthe planning, organization and developmentof medical response teams of NDMS. Thedisaster medical response teams, i.e., pri-mary care, specialty, and others, are a basicelement in the personnel component andcan be expanded to a clearing-staging unitwhile other teams are preparing for activa-tion. Health care providers and medical sup-port personnel are recruited from localcommunities to serve national needs in theevent of disasters or other major emergen-cies requiring extraordinary medical services.

The incumbent of this position serves as aHazardous Materials Specialist of the disas-ter response team/ specialty, or other and isresponsible for the care, stabilization andevacuation of victims of biological,chemical or radiological disasters.


Identifies biological, chemical and radio-logical decontamination incidentsthrough sampling techniques and controlmeasures. Utilizes resource manuals andcomputer databases for identifying chem-icals, their specific dangers, and propertreatment of exposed victims.

Provides emergency care and patientstabilization to biologically, chemically or ra-diologically exposed victims. Conducts triageof exposed victims based on degree of expo-sure, degree of injury, and need for criticalinterventions. Assists the medical officer inhealth surveillance of exposed persons.

Runs the decontamination process at thedisaster site. This includes identifying thevictims, real time of incident, the scope ofthe incident, the containment status ofthe agent(s) and product runoff, andscope of the injuries.

Participates in victim evacuation proceduresincluding the release or transport to anappropriate medical facility for full deconta-mination and treatment, or to a satellite de-contamination center for the non-injured.



HAZARDOUS MATERIALS SPECIALIST, GS-0301-09


HAZARDOUS MATERIALS SPECIALIST,GS-0301-09


Maintains specified decon equipment, pro-tective clothing, special instruments andcontrols in deployable working condition.


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION:Level 1-7 (1250 Points)

Knowledge of OEP, FEMA, FRP, team pro-tocols and use of specialized equipment.

Knowledge of resource materials tosample and identify HAZMAT agents.

Skill in identifying a wide range ofbiological, chemical and radiologicalagents and the ability to implement thedecontamination process.

Skill in providing medical care and assis-tance to contaminated victims.

FACTOR 2:SUPERVISORY CONTROLS:Level 2-2 (125 points)

The Team Leader provides instructionson what can be expected at the disaster,what is to be done, and the limitations.The incumbent carries out his/her assign-ments independently. The supervisorreviews work in terms of the propermethods and techniques used.

FACTOR 3:GUIDELINES:Level 3-3 (275 points)

Guidelines include OEP, FEMA, and FRPand policies, occupational standards,

manuals, etc. The guides are not alwaysapplicable to the environmental situationand adaptations are necessary.

FACTOR 4:COMPLEXITY:Level 4-3 (150 points)

Assignments involve various interrelatedtasks applicable to the identification andcontrol of hazards, such as determining andevaluating exposures, topic agents at play,and the scope of the hazardous materials.The incumbent determine the techniquesto employ and control measures necessary.

FACTOR 5:SCOPE AND EFFECTLevel 5-3 (150 points)

The purpose of work is to employ special-ized techniques to minimize and controlexposures and decontaminate victimsinvolved in the disaster.

FACTOR 6:PERSONAL CONTACTSLevel 6-2 (25 points)

Contacts are with team members, medicalpersonnel, and supporting techniciansfrom the Agency, as well as workers fromthe private sector during disaster service.

FACTOR 7:PURPOSE OF CONTACTS:Level 7-b (50 points)

The purpose of contacts is to exchangeinformation, plan and coordinate workefforts with co-workers, and to preventpotential health hazards associated withwork operations. Work efforts are focusedon mutual goals and cooperation.


FACTOR 8:PHYSICAL DEMANDS:Level 8-2 (20 points)

The work includes frequent inspections andmonitoring requiring the incumbent to carryheavy equipment, and involves considerablewalking, standing, bending, and climbing.

FACTOR 9:WORK ENVIRONMENT:Level 9-2 (20 points)

There is regular exposure to hazards anddiscomforts, including a wide range of

toxic chemicals, physical stresses, andsafety hazards. The incumbent must useprotective equipment and clothing.



JOB CATEGORYTitle: Hazardous Materials SpecialistSeries: 0301Grade: 09

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the GS-07 level in the Federal service.


n Training in environmental health hazards (e.g., techniques, methods, andskills).

n Incident command training and/or experience.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Officeof Emergency Preparedness is the headquar-ters for the National Disaster Medical System(NDMS) and, in that capacity, supports theplanning, organization and development ofmedical response teams of NDMS. The dis-aster medical response teams, i.e., primarycare, specialty, and others, are a basic ele-ment in the personnel component and canbe expanded to a clearing-staging unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local communi-ties to serve national needs in the event ofdisasters or other major emergencies requir-ing extraordinary medical services.

The incumbent of this position serves as aHazardous Materials Technician of the disaster response team/ specialty, orother and is responsible for performing rou-tine and standardized techniques for settingup, operating, maintaining, demobilizing,and resupplying a decontamination station.


Participates in the identification ofbiological, chemical and radiologicaldecontamination incidents throughsampling techniques and controlmeasures. Utilizes resource manuals andcomputer databases for identifying chem-icals, their specific dangers, and propertreatment of exposed victims.

Provides emergency care and patientstabilization to biologically, chemically or ra-diologically exposed victims. Conducts triageof exposed victims based on degree of expo-sure, degree of injury, and need for criticalinterventions. Assists the medical officer inhealth surveillance of exposed persons.

Assists in the decontamination process atthe disaster site. This includes identifyingthe victims, real time of incident, thescope of the incident, the containmentstatus of the agent(s) and product runoff,and scope of the injuries.

Participates in victim evacuation proceduresincluding the release or transport to anappropriate medical facility for full deconta-mination and treatment, or to a satellite de-contamination center for the non-injured.



HAZARDOUS MATERIALS TECHNICIAN, GS-0698-07


HAZARDOUS MATERIALS TECHNICIAN, GS-0698-07


Maintains specified decon equipment, pro-tective clothing, special instruments andcontrols in deployable working condition.


EVALUATION FACTORS


n Knowledge of the OEP, FEMA, FRPand team protocols.

n Knowledge of resource materials tosample and identify HAZMAT agents.

n Skill to identify a wide range of biolog-ical, chemical and radiological agents.

n Skill in providing medical care andassistance to contaminated victims.

FACTOR 2:SUPERVISORY CONTROLSLevel 2-2 125 Points

The Team Leader or higher grade employ-ee provides instructions on what can be ex-pected at the disaster, what is to be done,and the limitations. The incumbent carriesout his/her routine assignments independ-ently but refers unfamiliar situations to thesupervisor for assistance. The supervisorreviews work in terms of the propermethods and techniques used.

FACTOR 3:GUIDELINESLevel 3-2 125 Points

Guidelines include OEP, FEMA, and FRPand policies, occupational standards,manuals, etc. The guides are not always

applicable to the environmental situationand adaptations are necessary.

FACTOR 4:COMPLEXITY Level 4-2 75 Points

Assignments involve various interrelatedtasks applicable to the identification and ex-change of information. The incumbent mustplan and coordinate work efforts to controlhazards, such as determining and evaluatingexposures, topic agents at play, and thescope of the hazardous materials. Theincumbents determine routine techniques toemploy and the control measures necessary.

FACTOR 5: SCOPE AND EFFECTLevel 5-2 75 Points

The purpose of work is to employ rou-tine techniques to minimize and controlexposures and evacuate victims involvedin the disaster.

FACTOR 6:PERSONAL CONTACTSLevel 6-2 25 Points

Contacts are with Team members, medicalpersonnel, and supporting techniciansfrom the Agency, as well as workers fromthe private sector during disaster service.

FACTOR 7:PURPOSE OF CONTACTSLevel 7-b 50 Points

The purpose of contacts is to exchangeinformation, plan and coordinate workefforts with co-workers, and to preventpotential health hazards associated withwork operations. Work efforts are focusedon mutual goals and cooperation.


FACTOR 9:WORK ENVIRONMENTLevel 9-2 20 Points

There is regular exposure to hazards anddiscomforts, including a wide range oftoxic chemicals, physical stresses, andsafety hazards. The incumbent must useprotective equipment and clothing.

TOTAL POINTS: 1465GRADE CONVERSION: GS-7

FACTOR 8:PHYSICAL DEMANDSLevel 8-2 20 Points

The work includes frequent inspectionsand monitoring requiring the incumbentto carry heavy equipment, and involvesconsiderable walking, standing, bending,and climbing.


JOB CATEGORYTitle: Hazardous Materials TechnicianSeries: 0698Grade: 07

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the GS-06 level in the Federal service.Specialized experience is experience that involved identifying, preventing, oreliminating health hazards in one or more areas of environmental sanitation.Such experience must have provided a practical knowledge of environmentalhealth hazards, survey techniques, and control and eradication methods, andmay have been gained in work such as biological technician, medicaltechnician, pest control technician, quality control positions with dairy orfood service industries, or environmental health worker.


n Training in environmental health hazards (e.g., techniques, methods, andskills).

n Incident command training and/or experience.



The incumbent of this position serves asa Health Technician (Basic) of thedisaster medical response team/ specialty/or other and is responsible forperforming a limited range of health careduties ranging from standard to routineduring a disaster or major emergency.


Carries out a limited range of basic lifesupport and first aid procedures for pa-tients, i.e., temperature, pulse and respi-ratory rate, checks pupillary size andmuscular coordination.

Under supervision, performs cardiopul-monary resuscitation, applies splints to bro-ken or suspected broken bones and appliesdressings to wounds to stop bleeding andprevent infection. Assists the medical staffin applying casts, repairing wounds, etc.

Secures emergency equipment for use by themedical staff, i.e., oxygen and respirators.Provides for patients care and comfort.

Observes patients for changes in attitudes,behavior, and physical condition. Assessesroutine physical condition of patients andreports changes to his/her supervisor.Records patient’s conditions.

Obtains litters or assists in the physicaltransporting and evacuation of patients.Loads and unloads patients from ambu-lances, aircraft and other conveyances.

Collects specimens for clinical laboratoryanalyses.




HEALTH TECHNICIAN (BASIC), GS-0640-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

HEALTH TECHNICIAN (BASIC), GS-0640-05


OTHER SIGNIFICANT FACTS

Must possess a current certification/regis-tration with the National Registry ofEmergency Medical Technicians and/orlocal government certification authorityas an Emergency Medical Technician(Basic) in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.In addition, the incumbent must possesscurrent Basic Cardiac Life Support(BCLS) certification.


The incumbent performs assigned dutiesunder close supervision of the HealthTechnician Officer. The incumbentperforms his assignment with a limitdegree of independence and judgment.He/she exercises this judgment inrecognizing technical problems that arereferred to the supervisor, nursing staff ormedical officers. The supervisor checksthe work during progress for compliancewith medical objectives.


JOB CATEGORYTitle: Health Technician (Basic)Series: 0640Grade: 05

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the next lower grade in the Federal service.

LICENSURE/CERTIFICATION REQUIREMENTSThe incumbent of this position must possess current certification as an EMTBasic in a State, the District of Columbia, the Commonwealth of Puerto Rico,or a territory of the United States. In addition, the incumbent must possesscurrent Basic Cardiac Life Support (BCLS) certification.

DESIRABLE QUALIFICATIONSOrientation in disaster medical assistance services.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Officeof Emergency Preparedness is the headquar-ters for the National Disaster Medical Sys-tem (NDMS) and, in that capacity, supportsthe planning, organization and developmentof medical response teams of NDMS. Thedisaster medical response teams, i.e., pri-mary care, specialty, and others, are a basicelement in the personnel component andcan be expanded to a clearing-staging unitwhile other teams are preparing for activa-tion. Health care providers and medical sup-port personnel are recruited from localcommunities to serve national needs in theevent of disasters or other major emergen-cies requiring extraordinary medical services.

The incumbent of this position serves as aHealth Technician (Ambulatory-Interme-diate) of the disaster medical responseteam/ specialty/ or other and is responsi-ble for performing a range of health careduties ranging from routine to specializedduring a disaster or major emergency.


This multi-purpose position descriptionmay be used for either an EMT-A or EMT-I.

Health Technician/EMT-A

Carries out the full range of basic lifesupport and first aid procedures for pa-tients, i.e., temperature, pulse and respi-ratory rate, checks pupillary size andmuscular coordination.

Performs cardiopulmonary resuscitation,applies splints to broken or suspectedbroken bones and applies dressings towounds to stop bleeding and prevent in-fection. Assists the medical staff in apply-ing casts, repairing wounds, etc.

Secures emergency equipment for use by themedical staff, i.e., oxygen and respirators.Provides for patients care and comfort.

Observes patients for changes in atti-tudes, behavior, and physical condition.Assesses physical condition of patientsand reports changes to his/her supervisor.Records patient’s conditions.

Obtains litters and leads or assists in thephysical transporting and evacuation of pa-



HEALTH TECHNICIAN (AMBULATORY-INTERMEDIATE), GS-0640-06


HEALTH TECHNICIAN (AMBULATORY-INTERMEDIATE), GS-0640-06


tients. Loads and unloads patients from am-bulances, aircraft and other conveyances.

Health Technician/ EMT-I

Carries out the full range of basic life sup-port functions for patients, i.e., cardiopul-monary arrest, checks vital signs (e.g.pulse, blood pressure, shock), observes pa-tients for signs of bleeding and takesimmediate steps to slow or stop bleeding.Ensures maximum patient comfort.

Applies dressings to wounds to stop bleedingand prevent infection. Assists the medicalstaff by repairing all wounds not requiringthe services of a physician. Assists medicalstaff in applying casts to broken bones.

Collects specimens for clinical laboratoryanalyses.

Carries out a wide variety of clinical obser-vations. Prepares detailed notes describingthe patient’s behavioral patterns andreports findings to nursing staff ormedical officer as soon as possible.

Obtains litters and leads or assists in thephysical transporting and evacuation of pa-tients. Loads and unloads patients from am-bulances, aircraft and other conveyances.


OTHER SIGNIFICANT FACTSMust possess a current certification/regis-tration with the National Registry ofEmergency Medical Technicians and/orlocal government certification authorityas an Emergency Medical Technician (In-termediate-Ambulatory) in a State, theDistrict of Columbia, the Commonwealthof Puerto Rico, or a territory of the Unit-ed States. In addition, the incumbentmust possess current Basic Cardiac LifeSupport (BCLS) certification.

Training in disaster medical services isdesirable.


The incumbent performs assigned dutiesunder general supervision of the HealthTechnician Officer. The incumbentperforms his/her assignment with a highdegree of independence and experiencedjudgment. He/she exercises this judgmentin recognizing technical problems thatare referred to the supervisor, nursingstaff or medical officers. The supervisorspot-checks the work during progress forcompliance with medical objectives.



JOB CATEGORYTitle: Health Technician (Ambulatory-Intermediate)Series: 0640Grade: 06


LICENSURE/CERTIFICATION REQUIREMENTSThe incumbent of this position must possess current certification as an EMTIntermediate in a State, the District of Columbia, the Commonwealth ofPuerto Rico, or a territory of the United States. In addition, the incumbentmust possess current Basic Cardiac Life Support (BCLS) certification.




The incumbent of this position serves as aHealth Technician (Paramedic) of the dis-aster medical response team/ specialty/ orother and is responsible for performing avariety of difficult, highly specialized anddiversified health care activities during adisaster or major emergency.


Carries out the full range of life supportfunctions for critically ill patients injuredduring a disaster or major emergency,i.e., cardiopulmonary arrest, treatmentfor severe bleeding, shock, etc.

Performs complete patient assessments, re-assessments and resuscitation procedures,including intravenous fluids, endotrachealintubation, chest decompression, medica-tion, spine/extremity immobilization, andother specialized life support procedures.

Observes conditions of patients duringtreatment and, based on judgment and ex-perience, adjusts techniques or proceduresas necessary to produce a positive response.Discontinues procedures when necessary.

Applies splints and dressings as required.Performs first aid procedures to relievepatient’s pain and suffering to increasemaximum care and comfort. Leads litterteams in transporting patients toevacuation vehicles, including loadingand unloading patients from ambulances,aircraft, and other conveyances.

Prepares detailed records of patient’s phys-ical condition and a complete medical



HEALTH TECHNICIAN (PARAMEDIC), GS-0640-07


HEALTH TECHNICIAN (PARAMEDIC), GS-0640-07



JOB CATEGORYTitle: Health Technician (Paramedic)Series: 0640Grade: 07


LICENSURE/CERTIFICATION REQUIREMENTSThe incumbent of this position must possess current certification as an EMTParamedic in a State, the District of Columbia, the Commonwealth of PuertoRico, or a territory of the United States. In addition, the incumbent mustpossess current Basic Cardiac Life Support (BCLS) certification.


report for the attending medical officer,including patient’s emotional condition.


OTHER SIGNIFICANT FACTSMust possess a current certification/registra-tion with the National Registry ofEmergency Medical Technicians and/orlocal government certification authority asan Emergency Medical Technician-Paramedic in a State, the District of Colum-bia, the Commonwealth of Puerto Rico, ora territory of the United States. In addition,the incumbent must possess current BasicCardiac Life Support (BCLS) certification.

Advance Cardiac Life Supportcertification and training in disaster med-ical services is desirable.


The incumbent, under general supervisionof the Health Technician Officer, makesmedical assessments and administers med-ical treatment to victims who have beencritically injured or become ill due to adisaster or major emergency. Additionally,the incumbent performs other functions asdesignated by the supervisor.


INTRODUCTION

This position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). TheOffice of Emergency Preparedness is theheadquarters for the National DisasterMedical System (NDMS) and, in thatcapacity, supports the planning,organization and development of medicalresponse teams of NDMS. The disastermedical response teams, i.e., primary care,specialty, and others, are a basic element inthe personnel component and can beexpanded to a clearing-staging unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The incumbent of this position serves as aLead Health Technician of the disaster med-ical response team/specialty/ or other and isresponsible for providing leadership in theperformance of difficult, highly specialized,and diversified health care proceduresduring a disaster or major emergency.


Leads other health technicians incarrying out the full range of life supportfunctions for patients whose conditionsrange from critical to non-ambulatory.

Diagnoses traumatic and non-traumaticinjuries, providing treatment when symp-toms are clear. Recognizes symptoms thatrequire referrals and makes suchrecommendations to the medical staff.

The incumbent must have training andknowledge of medical procedures as nec-essary, to include: resuscitation; theprocesses of inserting intravenous lines,endotracheal tubes, esophageal airwaysand chest tubes; and treats shock patientswith volume expanders as needed.

Diagnoses musculoskeletal and neurologicinjuries by physical examination. Stabilizesmusculoskeletal injuries in those cases wherenormal treatment procedures can beapplied. Identifies internal and externalhemorrhage; arrests external hemorrhage bypressure and by ligation of superficial vessels.

Works collaboratively with medicalpersonnel in the identification andmanagement of disaster patients in accor-dance with established protocols.



LEAD HEALTH TECHNICIAN (GENERAL), GS-0640-09


HEALTH TECHNICIAN OFFICER, GS-0640-09


Leads, trains, and assigns work activities ofEMTs ensuring proper procedures are fol-lowed when using equipment; appropriatemedical supplies are available; properstandards and instructions are adhered toduring disaster service. Recommends per-formance evaluations of EMTs.


OTHER SIGNIFICANT FACTSThe incumbent of this position must pos-sess current certification as an EMT in aState, the District of Columbia, theCommonwealth of Puerto Rico, or a terri-tory of the United States. In addition, the

incumbent must possess current BasicCardiac Life Support (BCLS) certification.

Training in disaster medical services isdesirable.


The incumbent receives assignments fromthe Team Leader in charge of the disasterresponse team. Incumbent makes initialassignments to EMTs based on the disas-ter plan and carries the objectives of thatplan through to completion. Work is ac-complished through discussions with theTeam Leader and achievement of disasterresponse objectives.


JOB CATEGORYTitle: Health Technician Officer (NDMS organizational title)

Lead Health Technician (OPM official title)Series: 0640Grade: 09

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the GS-08 in the Federal service.Experience demonstrating leadership ability is required.

LICENSURE/CERTIFICATION REQUIREMENTSThe incumbent of this position must possess current certification as an EMT Basic,Intermediate, or Paramedic, as appropriate, in a State, the District of Columbia, theCommonwealth of Puerto Rico, or a territory of the United States. In addition, theincumbent must possess current Basic Cardiac Life Support (BCLS) certification.




The incumbent of this position serves as anInterpreter and is responsible for perform-ing interpreting functions for patients onentry to medical care and/or servicesduring disasters or major emergencies.


Participates with the interdisciplinaryteam (e.g., medical officer, nurses, EMT’sand nursing assistants) in interpretingpolicies and developing the disaster careprogram for patients and family members.

Work collaboratively with disasterresponse teams in the identification andmanagement of patients. In accordancewith established protocols, performsinterpreting functions for patients onentry to medical care and/or services.

Serves as an interpreter for patients duringexamination and treatment for all types ofillnesses, wounds and diagnostic tests.

Interviews, interprets, and ensurescomplete and current clinical records.

Performs other related duties in theefficient and safe care and evacuation ofpatients during disaster operations.

Must possess experience in disasterand/or medical care operations.

Must be trained in basic life support services.




INTERPRETER, GS-1047-09NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

INTERPRETER, GS-1047-09


SUPERVISION RECEIVEDAND EXERCISED

The incumbent performs under generalsupervision of the Team Leader. Withinestablished objectives, works with new andrevised methods, practices and procedures

with members of the disaster responseteam and attending physicians. Work isevaluated on the basis of demonstratedprofessional ability, skill and judgment incaring for patients and their families.


JOB CATEGORYTitle: InterpreterSeries: 1040Grade: 09

MINIMUM QUALIFICATIONSMust have one year of specialized experience equivalent to at least the GS-07level in the Federal service. Specialized experience is experience intranslating, interpreting, or other work requiring the use of English and theother language; or a combination of work (that required English and theother language) and training at the Defense Language Institute, Foreign Ser-vice Institute, or comparable training.

DESIRABLE QUALIFICATIONSOrientation in disaster and/or medical care operations.



The Medical Technician/LaboratoryTechnician provides technical laboratoryduties, under the direction of the medicalofficers and nurses. The incumbentreports directly to the Medical Officer.


As requested by the medical staff, the incum-bent draws blood samples in accordance withestablished procedures and prepares themfor laboratory tests. Ensures the integrity ofall lab samples during transport to the refer-ence laboratory. The incumbent will performtests that require difficult and complextechniques even though the procedures usedare covered by laboratory manuals andwritten instructions commonly accepted andunderstood by technicians in the field.

The incumbent has initial responsibility fortaking the type blood requested and perform-ing the necessary minor and major cross-matching tests for verification by the medicalofficers. The tests require fine and precisemeasurements or delicate equipment controladjustments or both. There is often a need fora number of additional tests because of the re-sults of early phases or stages of the test.

Makes blood factor determinations etc., e.g.,hemoglobin determination and specific bloodgroup. Records results and labels specimensaccordingly. When atypical information is ob-tained consults immediately with the medicalofficers regarding further actions. Providestechnical advice to the medical staff concern-ing the laboratory tests and results.



MEDICAL TECHNICIAN, GS-0645-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

LABORATORY TECHNICIAN, GS-0645-05


Maintains a log of all laboratory work ini -tiated and documents all events related tothe individual tests and will include thesein the report submitted to the medical of-ficers. Maintains accurate records of alllaboratory tests completed.



The incumbent serves under the general su-pervision of the Medical Officer. The incum-bent uses laboratory manuals or followsinstructions, which give detailed informationon procedures, reagents, instruments, equip-ment, normal values, precautions, etc.He/she performs his/her assignment with ahigh degree of experienced judgment. Theincumbent exercises this judgment in recog-

nizing technical irregularities, atypicalfindings and other comparable problems.He/she secures confirmation or guidancefrom the supervisor. The supervisor spotchecks the work occasionally duringprogress, uses quality control techniques,samples test findings, and may introduce“unknown” specimens into the workload.(Unknown specimens are those which havebeen previously tested and for which theresults are known and agreed upon; they areused by the supervisor to validate the accura-cy of the technician’s findings.)

OTHER SIGNIFICANT FACTSThe incumbent must possess, if required,certification or registration as amedical/laboratory technician in a State,the District of Columbia, theCommonwealth of Puerto Rico, or a terri-tory of the United States.



JOB CATEGORYTitle: Laboratory Technician (NDMS organizational title)

Medical Technician (OPM Official Title)Series: 645Grade: 05

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the next lower grade level in the Federal service.

CERTIFICATION/REGISTRATION REQUIREMENTThe incumbent must possess, if required in the state where the member isemployed, certification or registration as a medical/laboratory technician in aState, the District of Columbia, the Commonwealth of Puerto Rico, or a terri-tory of the United States.

DESIRABLE QUALIFICATIONSOrientation in disaster medical and technician services.

Medical Technologist certification by the American Society of Clinical Pathol-ogists and/or certification or registration as a Medical Technologist in a State,the District of Columbia, the Commonwealth of Puerto Rico, or a territory ofthe United States.



The Medical Technician/LaboratoryTechnician Unit Leader providestechnical laboratory duties, under the di -rection of the medical officers andnurses. The incumbent reports directly tothe Ancillary Services Division Supervisor.


Draws blood samples in accordance withestablished procedure and prepares themfor laboratory tests.

Performs tests that require difficult andcomplex techniques.

Performs tests that require fine and precisemeasurements or delicate equipment con-trol adjustments or both because of the re-sults of early phases or stages of the test.

Makes blood factor determinations, etc.,e.g., hemoglobin determinations and spe-cific blood group and records results andlabels them specimens.

Independently performs major cross-typingtests for verification by medical personnel.

Ensures the integrity of all lab samples dur-ing transport to the reference laboratory.

Consults with the Ancillary Services DivisionSupervisor when abnormal results detected.

Provides technical assistance to medicalpersonnel concerning laboratory testsand results.

Maintains accurate logs and records oflaboratory tests completed.




LABORATORY TECHNICIAN UNIT LEADER, GS-0645-07


Works with technical experts, localofficials, and other organizations whencarrying out duties and responsibilities ina disaster or major emergency.

Performs quality control checks onlaboratory equipment and kits.



Receives a minimum of technical supervi-sion and assistance from the AncillaryServices Division Supervisor. Work isevaluated in terms of over-all results.Incumbent may be the sole authority on

a specific shift or tour of duty at thedisaster or emergency site. Complexassignments performed in the field areperformed with nearly complete technicalindependence. While performing tests inthe field, laboratory manuals andguidelines are either not always availableor are not applicable to the laboratorytests and/or examinations conducted.

OTHER SIGNIFICANT FACTSThe incumbent must possess Medical Lab-oratory Technician certification by theAmerican Society of Clinical Pathologistsand/or certification or registration as a lab-oratory technician in a State, the Districtof Columbia, the Commonwealth of Puer-to Rico, or a territory of the United States.


JOB CATEGORYTitle: Laboratory Technician Unit Leader, (NDMS organizational title)


MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS Response Teamposition equivalent to at least the next lower grade level in the Federal service.






Medical Technologist certification by the American Society of Clinical Pathol-ogists and/or certification or registration as a Medical Technologist in a State,the District of Columbia, the Commonwealth of Puerto Rico, or a territory ofthe United States.



The Medical Technician/Laboratory Tech-nician Unit Leader provides technical lab-oratory duties, under the direction of themedical officers and nurses. Theincumbent reports directly to theAncillary Services Division Supervisor.


Administrative Responsibilities

When activated, the incumbent reviewsthe personal equipment checklist andassesses personal gear readiness for thespecific disaster area climate. Reviews dis-aster-related information as it becomesavailable by monitoring mission-relatedinformation from local sources such as in-ternet, radio, and television.

Participates in the Team briefings and meet-ings and ensures use of all safety practicesand procedures. Ensures proper equipmentneeds are met and equipment is operationalat the operational site and prior to eachwork period. Supervises assigned personneland ensures systematic processing ofspecimens. Briefs shift replacement fully onall ongoing operations when relieved at op-erational period rotations.

Technical Duties and Responsibilities

Draws blood samples in accordance withestablished procedure and prepares themfor laboratory tests.

Performs tests that require difficult andcomplex techniques.




LABORATORY TECHNICIAN UNIT LEADER, GS-0645-08


Performs tests that require fine and precisemeasurements or delicate equipment con-trol adjustments or both because of the re-sults of early phases or stages of the test.

Makes blood factor determinations, etc.,e.g., hemoglobin determinations and spe-cific blood group and records results andlabels them specimens.

Independently performs major cross-typingtests for verification by medical personnel.

Ensures the integrity of all lab samples dur-ing transport to the reference laboratory.

Consults with the Ancillary Services DivisionSupervisor when abnormal results detected.

Provides technical assistance to medicalpersonnel concerning laboratory testsand results.

Maintains accurate logs and records oflaboratory tests completed.

Works with technical experts, localofficials, and other organizations whencarrying out duties and responsibilities ina disaster or major emergency.

As necessary, incumbent managesassigned subordinates at the disaster oremergency site.

Performs and reviews quality controlchecks on laboratory equipment and kits.



Receives a minimum of technical supervi-sion and assistance from the AncillaryServices Division Supervisor. Work is eval-uated in terms of over-all results.Incumbent may be the sole authority on aspecific shift or tour of duty at thedisaster or emergency site. Complexassignments performed in the field areperformed with nearly complete technicalindependence. While performing tests inthe field, laboratory manuals andguidelines are either not always availableor are not applicable to the laboratorytests and/or examinations conducted.

OTHER SIGNIFICANT FACTSThe incumbent must possess MedicalTechnologist certification by the AmericanSociety of Clinical Pathologists and/or cer-tification or registration as a MedicalTechnologist in a State, the District of Co-lumbia, the Commonwealth of PuertoRico, or a territory of the United States.



JOB CATEGORYTitle: Laboratory Technician Unit Leader (NDMS organizational title)


MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS Response Teamposition equivalent to at least the next lower grade level in the Federal service.



n Orientation in disaster medical and technician services.n Medical Technologist certification by the American Society of Clinical

Pathologists and/or certification or registration as a Medical Technologistin a State, the District of Columbia, the Commonwealth of Puerto Rico,or a territory of the United States.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness(OEP), Office of Public Health and Science(OPHS), Office of the Secretary. The Depart-ment of Health and Human Services(DHHS), is the primary agency for the Emer-gency Support Function (ESF) #8, “Healthand Medical Services”, under the Federal Re-sponse Plan (FRP). The OEP is theheadquarters for the National Disaster Med-ical System (NDMS) and, in that capacity,supports the planning, organization anddevelopment of medical response teams ofNDMS. The disaster medical response teams,i.e., primary care, specialty, and others, are abasic element in the personnel componentand can be expanded to a clearing-stagingunit while other teams are preparing for acti-vation. Health care providers and medicalsupport personnel are recruited from localcommunities to serve national needs in theevent of disasters or other major emergenciesrequiring extraordinary medical services.

The incumbent performs technicalassignments in coordinating logistical ac-tivities as a member of the NDMSResponse Team functioning at the site ofa particular disaster or major emergency.


The incumbent has continuing responsibili-ty for managing and coordinating the logis-tics aspects of the NDMS response teamoperation. The incumbent will perform staffsupport work involving communications,transportation, security and safety, and envi-ronmental sanitation activities.

The incumbent participates in the devel-opment of plans for communicationsservices, transportation, security and safe-ty, and environmental sanitationactivities. Develops, maintains andimproves procedures for obtaining suchservices. Will resolve problems that mayarise in any of the respective areas.

The incumbent serves as the initial point ofcontact for coordinating logistic services.Advises the medical officer on the technicalaspects of communications, transportation,security and safety, and monitorsenvironmental sanitation activities. Collectsand provides timely information regardingthe status of readiness of each of theaforementioned services. Schedules mainte-nance of communications and security andsafety by the NDMS response team. Studies



LOGISTICS COORDINATOR(SECURITY/COMMUNICATIONS/SANITATION),

GS-0303-07NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

LOGISTICS COORDINATOR(SECURITY/COMMUNICATIONS/SANITATION),

GS-0303-07



JOB CATEGORYTitle: Logistics Coordinator (Security/Communications/Sanitation)Series: 0303Grade: 07

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the GS-06 level in the Federal service.


methods of processing communications.Reviews the application of communicationsmanagement procedures and reports on in-effective operations. Assures thatenvironmental sanitation activities are satis-factory and that environmental sanitationstandards are maintained.

Coordinates transportation schedules toassure that a sufficient number of vehiclesare available for immediate service.

The incumbent maintains collection of datafor any reports that may be requestedregarding logistics services. Keeps themedical officer informed of events affectinglogistics services. Makes recommendations tothe medical officer regarding improvementin communications, security and safety, trans-portation and other services.

Performs other related duties as assignedto assist in the efficient operation of theNDMS response team.



This position was established to support theorganization and development of the Disas-ter Mortuary Operational Response Teams(DMORTs), which are the basic elementthat provides identification of disastervictims, determines the cause of death, andcoordinates the disposition of the deceased.


1. Performs a variety of tasks in order todetermine the legal identity and themanner and cause of death of disas-ter victims.

2. Identifies and preserves items and po-tential legal evidence at a disaster scenethat may aid in victim identification ordetermination of the cause of death.

3. Documents the location of victims inrelationship to their surroundingsusing measuring devices, cameras,and diagrams.

4. Canvasses the disaster scene toidentify the personnel that firstobserved and had contact with thedeceased. Interviews witnesses toattain information pertinent to thetime, the matter, and cause of death.

5. Gathers information on the lifestyle ofthe victim to aid in determining thecause of death, such as the victim’smedical history including pre-existingmedical conditions, currentmedication and substance abuse.

6. Collects and packages samples ofbody fluids and foreign substancesfor toxicological analysis.

7. Works with personnel at hospitals,clinics, morgues, and the disaster siteto ensure that proper steps are taken topreserve items and evidence that maybe required to aid the investigation.



MEDICAL INVESTIGATOR, GS-0301-12NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MEDICAL INVESTIGATOR, GS-0301-12


8. Participates in autopsies by providinginformation and guidance to thepathologist as to what transpiredsurrounding the victim’s death.

9. Compiles all investigative facts alongwith toxicology studies, weather studies,autopsy reports, scene and interviewrecords for legal documentation.

10. Provides expert testimony and in acourt of law regarding observationsand actions performed.

EVALUATION FACTORS

FACTOR I:KNOWLEDGE REQUIRED BY THEPOSITIONExpert knowledge of OEP programs,guidelines and responsibilities thatpertain to emergency preparedness plan-ning and disaster response programs.

Professional knowledge of medical technol-ogy principles and methods applicable to awide range of duties involved in identifyingand determining cause of death of victimsand skill in applying these methods andtechniques to the varied and complexproblems encountered at disaster sites. As-signments require a general knowledge ofmicrobiologic, serologic, biochemical, anddrug therapy techniques sufficient for pre-serving and identifying specimens of bodyfluids and tissue samples.

Knowledge and understanding of the ele-ments of investigation of the circumstancessurrounding the death of a disaster victim.

Knowledge of the proper procedures forcollecting and preserving evidenceincluding chain of custody.

Knowledge of the Federal standards per-taining to air and fluid born pathogens

and exposure. Knowledge of universalprecautions and the use of personalprotective equipment.

Familiarity with medical terminology inorder to confer with doctors and otherhealth-care personnel is required.

Ability to use digital and filmphotographic equipment.

Skill in conducting in-depth interviewwith distraught individuals, and the abili-ty to determine false statements.

Ability to compose legal documents.

FACTOR 2:SUPERVISORY CONTROLSA medical examiner or senior member ofthe DMORT provides general supervision.The supervisor assigns work and providesguidance in the form of setting overallobjectives or brief instructions whichrequires the incumbent to exercise a widedegree of independent professionaljudgement in planning, designing, and exe-cuting their duties. The incumbentindependently plans and carries out assign-ments, determines what methods andtechniques are required to accomplishassignments, and handles most problemsand conflicts that arise coordinating thework with others as necessary, and interpretspolicy in terms of established objectives.Work is reviewed only from an overall stand-point in terms of ease, compatibility withother work and effectiveness in meetingrequirements and expected results.

FACTOR 3:GUIDELINESGuidelines consist of Department of Healthand Human Services (HHS), Public Health


Service (PHS), and Federal Emergency Man-agement Agency (FEMA) policies,instructions, program guidance, and otherapproved staff papers. Guidelines forinvestigative techniques are available but arestated in general terms and require theincumbent to use considerable judgement inadopting and implementing them for use ondisaster scenes. Precedents are limited, andaccordingly, it is necessary for the incumbentto use initiative and resourcefulness indeviating from or extending traditionalmethods and practices, and stay abreast ofchanging technology and/or new policies.

FACTOR 4:COMPLEXITYThe incumbent must perform a wide varietyof interrelated tasks that require specializedinvestigative skills in determining the causeof death. Assignments are frequently mademore complex due to the sensitivitiesinvolved in working around disaster sites,overlapping jurisdictional responsibilities,and political ramifications. Considerableskill in establishing the interrelationship offacts or evidence may be required. Informa-tion from the disaster scene and witnessesmay be difficult to obtain. Multipleinvestigations may be conductedconcurrently. This includes planning andcoordinating a broad range of activities andsolving complex problems concerned withunique or controversial aspects of medicalor scientific technological and regulatory re-quirements. The work may involve develop-ing new techniques or developing improvedmethods to produce effective results.

FACTOR 5:SCOPE AND EFFECTThe position is a member of a team thatcollectively provides identification ofdisaster victims, determines their cause of

death, and coordinates their disposition.Assignments typically involve problemsthat are precedent setting for future disas-ter situations. As a result of this effort, in-formation to minimize the chance of areoccurrence of the disaster is obtained,arrests and prosecution of responsibleindividuals made, compensation is provid-ed to the victim’s beneficiaries, andgrounds for changes in marital statusobtained. The work directly influences theeffectiveness and acceptability of methodsand systems established for investigativeprocedures in Federal and State agencies,and non-government organizations.

FACTOR 6:PERSONAL CONTACTSRoutine contacts include DMORT staff,investigators from other jurisdictions,medical personnel, and individuals thatmight have knowledge surrounding thecause of death. Typical contacts may beinspectors, researchers, attorneys,community leaders, and representativesof other Federal agencies, State and localhealth departments, professionalorganizations and the news media.

FACTOR 7:PURPOSE OF CONTACTSThe purpose of the contacts is to plan andcoordinate work efforts to obtain informa-tion pertinent to determining the cause ofdeath and providing information to otherindividuals that rely upon such informationin performing their duties and reaching aconclusion regarding the cause of death.

FACTOR 8:PHYSICAL DEMANDSUnder non-emergency conditions thework ranges from sedentary to



JOB CATEGORYTitle: Medical InvestigatorSeries: 0301Grade: 12

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the GS-11 level in the Federal service.Experience may be gained in a coroner’s office or medical examiner’s office.


demanding physical activity. Field workmay require lifting and carrying of heavyequipment. Travel up to 50% of worktime may be necessary. Work may be sub-ject to tight deadlines and stressful condi-tions during emergency assignments.

The incumbent may be required toperform any emergency response dutiesinvolved in connection with OEP’s variedemergency management responsibilities.

FACTOR 9:WORK ENVIRONMENTThe work setting varies. Work is typicallyperformed at disaster sites, sometimes in

adverse weather. The work environmentmay be situated in a hazardous area interms of destroyed infrastructure (e.g.,food and water, housing, electricity,communications) the presence of endemicdiseases, limited health and sanitationfacilities, or have been subject to radiologi-cal, chemical, or biological warfare agents.In emergency situations, the incumbentmay be required to travel on short notice(less than 2 hours), for long periods oftime (up to 12 weeks) and work long hours(averaging 12 to 18 hours per day).



The incumbent, under the Clinical Oper-ations Section Chief, provides direct med-ical care and makes medical diagnosesand administers medical treatment topeople who have been injured or becomeill due to a disaster or major emergency.


The incumbent, as a basic trainee withthe minimum requirements of an M.D. orD.O. degree, completion of an approvedinternship and a license to practice medi -cine and surgery, performs the below list-ed duties and responsibilities:

Serves as triage medical officer in the ini-tial phases of emergency operations.

Carries out medical diagnoses and treatmentinvolving medical care disaster medicine.

Triage patients on entry to medicalservices and performs direct patient careactivities for patients who do not presentmajor complications.

Assesses patients and performs minor sur-gery, treats simple fractures and woundsand provides a wide range of ambulatorymedical interventions. Diagnoses traumat-ic and non-traumatic injury, providingtreatment when symptoms are clear.

Responsible for recognizing symptoms thatrequire referrals and makes such recommen-dations to the Senior Medical Officer.

Diagnose musculoskeletal and neurologicinjuries by physical examination.Stabilizes musculoskeletal injuries in



MEDICAL OFFICER, GS-602-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MEDICAL OFFICER, GS-602-11


those cases where normal treatment pro-cedures can be applied. Identifiesinternal and external hemorrhage;arrests external hemorrhage by pressureand by ligation of superficial vessels.

Prescribe and administer drugs for infec-tion control, pain relief, and other condi-tions if there are no complicating factorssuch the patients medical history. Referspatient to senior medical officer forfurther consultation and treatment ifcomplicating factors are evident.

Performs other related duties as assignedto assist in the efficient operation of theNDMS disaster team.

OTHER SIGNIFICANT FACTSThe incumbent must have received aDoctor of Medicine or Doctor ofOsteopathy degree from an approvedschool of medicine. In addition, theincumbent must possess a permanent

(unless covered by an exception fortemporary license), current, full andunrestricted license to practice medicinein a State, the District of Columbia, theCommonwealth of Puerto Rico, or a terri-tory of the United States. Also, theincumbent must possess current AdvanceCardiac Life Support certification.

Desirable qualifications include AdvanceTrauma Life Support and PediatricAdvance Life Support certifications.


Serves under the supervision of the Clini-cal Operations Section Chief or a seniormedical officer. Supervision is initiallyclose until the incumbent gains the expe-rience necessary to work independently.Within the limits of his/her assignment,the incumbent’s work is subject to reviewin terms of overall evaluation of programaccomplishments and effectiveness.


JOB CATEGORYTitle: Medical OfficerSeries: 602Grade: 11

BASIC QUALIFICATIONS

Education

A Doctor of Medicine or Doctor of Osteopathy degree from a school in theUnited States or Canada approved by a recognized accrediting body in the




year of the applicant’s graduation, or a Doctor of Medicine or equivalentfrom a foreign medical school substantially equivalent to accredited schools inthe U.S., as demonstrated by permanent certification.

PLUS

Graduate training: Subsequent to obtaining a Doctor of Medicine or Doctorof Osteopathy degree, must have at least one year of supervised experience ina clinical setting, i.e., internship or first year of residency.

Those meeting basic requirements qualify for GS-11 positions.

LICENSURE REQUIREMENTA valid and unrestricted license to practice medicine in a State, the District of Co-lumbia, the Commonwealth of Puerto Rico, or a territory of the United States.


n Skill in emergency medicine or surgery.n Skill in general practice medicine.n Advance Trauma Life Support (ATLS) training and/or certification.n Experience in practice of emergency/disaster/military medicine.n Formal training in disaster medical services.


INTRODUCTIONThis position is organizationally locat-ed in the Office of Emergency Pre-paredness (OEP), Office of PublicHealth and Science (OPHS), Office ofthe Secretary. The Department ofHealth and Human Services (DHHS),is the primary agency for the Emer-gency Support Function (ESF) #8,“Health and Medical Services”, underthe Federal Response Plan (FRP). TheOEP is the headquarters for the Na-tional Disaster Medical System(NDMS) and, in that capacity, supportsthe planning, organization and devel-opment of medical response teams ofNDMS. The disaster medical responseteams, i.e., primary care, specialty, andothers, are a basic element in the per-sonnel component and can be expand-ed to a clearing-staging unit whileother teams are preparing for activa-tion. Health care providers and med-ical support personnel are recruitedfrom local communities to serve na-tional needs in the event of disastersor other major emergencies requiringextraordinary medical services.

The incumbent, under the Clinical Oper-ations Section Chief, provides direct med-ical care and makes medical diagnosesand administers medical treatment topeople who have been injured or becomeill due to a disaster or major emergency.


Serves as triage medical officer in theinitial phases of emergency operations.Supervises and carries out the medical di-agnoses and treatment involving medicalcare disaster medicine. Triage patients onentry to medical services and performs di-rect patient care activities for patients whodo not present major complications.

Assesses patients and performs minorsurgery, treats simple fractures andwounds and provides a wide range of am-bulatory medical interventions. Diagnosestraumatic and non-traumatic injury,providing treatment when symptoms areclear. Responsible for recognizingsymptoms that require referrals andmakes such recommendations to the Clin-ical Operations Section Chief.

Identifies conditions requiring urgent sur-gical intervention and makes referral forservices. Personally performs resuscitation,insert intravenous lines, insertsendotracheal tubes and esophagealairways and chest tubes. Performsemergency tracheostomy and treats shockpatients with volume expanders.

Diagnose musculoskeletal and neurologicinjuries by physical examination. Stabilizesmusculoskeletal injuries in those caseswhere normal treatment procedures can






be applied. Identifies internal andexternal hemorrhage, arrests externalhemorrhage by pressure and by ligationof superficial vessels. Prescribes andadministers drugs for infection control,pain relief, and other conditions if thereare no complicating factors.

Prescribes and administers drugs forinfection control, pain relief and other con-ditions if there are no complicating factorssuch as the patients medical history. Orderslaboratory tests as necessary. If complicatingfactors are evident, the incumbent will referpatient to a senior medical officer or theClinical Operations Section Chief.

Identifies conditions requiring urgent sur-gical intervention, and makes referral forservice. Classifies and prioritizes patientsfor further treatment and evacuation.


OTHER SIGNIFICANT FACTSThe incumbent must have received aDoctor of Medicine or Doctor ofOsteopathy degree from an approved

school of medicine. In addition, theincumbent must possess a permanent(unless covered by an exception fortemporary license), current, full andunrestricted license to practice medicinein a State, the District of Columbia, theCommonwealth of Puerto Rico, or a terri-tory of the United States. Also, theincumbent must possess current AdvanceCardiac Life Support certification.



The incumbent serves under the generalsupervision of the Clinical OperationsSection Chief. Supervision is generallylimited to the application of generalaccepted medical practices anddiscussions of objectives to beaccomplished. Within the limits of his as-signment, the incumbent functions withconsiderable independence. Work is sub-ject to review in terms of overallevaluation of program accomplishmentsand effectiveness.







Education

A Doctor of Medicine or Doctor of Osteopathy degree from a school in theUnited States or Canada approved by a recognized accrediting body in theyear of the applicant’s graduation, or a Doctor of Medicine or equivalentfrom a foreign medical school substantially equivalent to accredited schools inthe U.S., as demonstrated by permanent certification.

PLUS



ADDITIONAL QUALIFICATIONSAt least two years of graduate training or equivalent experience and training.Graduate training programs include only those internship, residency, and fel-lowship programs that are approved by accrediting bodies recognized withinthe United States or Canada. Listings of accredited programs are publishedyearly in the Directory of Residency Training Programs and Directory ofOsteopathic Physicians.






The incumbent, under the OperationsChief, supervisors direct medical careand makes medical diagnoses andadministers medical treatment topeople who have been injured orbecome ill due to a disaster or major.


Supervises medical treatmentadministered by other professional andtechnical personnel to assure thatadequate professional and technical serv-ices are provided to those in need.Recommends methods and proceduresfor coordination of medical services withother medical activities.

Positions supervised include physician as-sistant(s), respiratory therapist(s), labora-tory technician(s), and health technicianofficer(s). Carries out a full range ofadministrative duties in the performanceof supervisory responsibilities.

Serves as triage medical officer in the ini-tial phases of emergency operations.Supervises and carries out the medical di-agnoses and treatment involving medicalcare disaster medicine. Triage patients onentry to medical services and performsdirect patient care activities for patientswho do not present major complications.

Assesses patients and performs minor sur-gery, treats simple fractures and woundsand provides a wide range of ambulatorymedical interventions. Diagnoses traumat-ic and non-traumatic injury, providingtreatment when symptoms are clear.Responsible for recognizing symptoms






that require referrals, and makes such rec-ommendations to the Operations Chief.

Identifies conditions requiring urgent surgi-cal intervention and makes referral for serv-ices. Personally performs resuscitation, insertintravenous lines, inserts endotracheal tubesand esophageal airways and chest tubes. Per-forms advance cardiac life support.

Diagnose musculoskeletal and neurologicinjuries by physical examination. Stabilizesmusculoskeletal injuries in those caseswhere normal treatment procedures can beapplied. Identifies internal and externalhemorrhage, arrests external hemorrhageby pressure and by ligation of superficialvessels. Prescribes and administers drugs forinfection control, pain relief, and other con-ditions if there are no complicating factors.

Identifies conditions requiring urgent sur-gical intervention, and makes referral forservice. Classifies and prioritizes patientsfor further treatment and evacuation.


OTHER SIGNIFICANT FACTSThe incumbent must have received aDoctor of Medicine or Doctor of

Osteopathy degree from an approvedschool of medicine. In addition, theincumbent must possess a permanent,current, full and unrestricted license topractice medicine in a State, the Districtof Columbia, the Commonwealth of Puer-to Rico, or a territory of the UnitedStates. Also, the incumbent must possesscurrent Advance Cardiac Life Supportcertification.



The incumbent serves under the generalsupervision of the Operations Chief.Supervision is generally limited to thebroad application of general acceptedmedical practices and discussions ofobjectives to be accomplished. Within thelimits of his assignment, the incumbentfunctions with considerableindependence. Work is subject to reviewin terms of overall evaluation of programaccomplishments and effectiveness.





Education


PLUS



ADDITIONAL QUALIFICATIONSAt least three years of graduate training or equivalent experience and training.






The incumbent of this position serves asa Medical Officer with a disaster responseteam/specialty/or other and is responsiblefor the medical diagnoses and treatmentof patients with complex trauma injuriescaused by a disaster or major emergency.


As a medical officer and specialist in the ini-tial phases of emergency operations, carriesout the full range of medical diagnoses andtreatments including the most difficult ofcases within the area of medical emergencycare. Triages patients on entry to medicalservices and diagnoses traumatic and non-traumatic injury. The condition of the pa-tient is often very critical and complicated.The diagnosis will often be complicatedbased on symptoms that are not always clear,or there are overlapping symptoms due tothe presence of more than one condition orinjury. The symptoms might be indicative ofeither a simple or complicated diagnosticand testing procedures. Considerable skilland experience are required in identifyingthese symptoms and developing a propertreatment regimen as quickly as possible.

Treatment requires advanced knowledgeand/or skill and the selection from a vari-ety of alternatives. Often it is necessary toselect the one and only proper course oftreatment immediately to avoid or mini-mize subsequent critical consequences.

The incumbent may performresuscitation; insert intravenous lines; in-serts endotracheal tubes and esophagealairways and chest tubes. Performs






emergency tracheotomy and treats shockpatients with volume expanders.

Diagnoses musculoskeletal and neurolog-ic injuries by physical examination. Stabi-lizes musculoskeletal injuries.

Identifies internal and external hemor-rhaging; arrests external hemorrhagingby pressure and by ligation of superficialvessels based on experience as a specialistin emergency medicine.

In all cases when necessary, the incumbentprescribes and administers drugs forinfection control, pain relief, and other con-ditions. Orders laboratory tests as necessary.

Identifies conditions requiring urgent surgicalintervention, and makes referral for servicewhen necessary. Classifies and prioritizes pa-tients for further treatment and evacuation.Advises medical officers in other services con-cerning surgical or potential surgical cases.

Serves as a technical medical advisor to aTeam Leader and Supervisory NurseClinician in administering the completecycle of medical treatment. Is available oncall to advise medical staff on procedures tobe followed in the care and treatment of dif-ficult cases. His/her advice is consideredauthoritative because of the incumbent’s ex-perience in emergency and disaster service.

Provides general guidance and supervisionof the work of health professionals andtechnical staff of the disaster response teamto assure that the full range of medicaldiagnoses and treatments are provided.


OTHER SIGNIFICANT FACTSThe incumbent must have received aDoctor of Medicine or Doctor ofOsteopathy degree from an approvedschool of medicine. In addition, theincumbent must possess a permanent,current, full and unrestricted license topractice medicine in a State, the Districtof Columbia, the Commonwealth ofPuerto Rico, or a territory of the UnitedStates. Also, the incumbent must possessthe following certifications:

A. Board Certified or Board Eligible inhis/her medical specialty

B. Advance Cardiac Life Support



The incumbent serves under the generalsupervision of the Team Leader buthe/she functions with a high degree of in-dependence and his/her decisions are ac-cepted as authoritative medical opinionssince he/she functions essentially withoutany technical supervision. Assumes fullresponsibility while on duty for allmedical activities of the disaster responseteam. The position requires a highdegree of professional competence,resourcefulness and sound judgment withability to function under adverseconditions causing unusual stress.





Education


PLUS



ADDITIONAL QUALIFICATIONSIn addition to the requirements for the GS-13 (at least 3 years of graduatetraining or equivalent experience and training), must have one year of appro-priate experience equivalent to at least the GS-13.





INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services” underthe Federal Response Plan (FRP). TheOffice of Emergency Preparedness is theheadquarters for the National DisasterMedical System (NDMS) and, in thatcapacity, supports the planning,organization, and development of medicalresponse teams of NDMS. The disastermedical response teams, i.e., primary care,specialty, and others are a basic element inthe personnel component and can beexpanded to a clearing-stage unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The incumbent of this position serves asthe Medical Operations Chief for theNMRT/WMD and is responsible for theoverall health and well being of disasterresponse team members and the medicalcare to victims of a HAZMAT event.


Supervises the overall functions of the ChiefNurse, the Ambulatory Medical Specialist,and the non-ambulatory Medical Specialistin providing direct medical care to membersof the disaster response team and victims re-moved from a contaminated area.

Provides medical expertise and directionto team members on hazards and haz-ardous materials associated with variousdisaster environments, including the ef-fective use of personnel, specializedequipment, and support resources duringNMRT/WMD situations.

Represents the Team Leader in dealingwith disaster response organizations, i.e.,FEMA ESFs, the American Red Cross,NGOs, and others for purposes ofexchanging disaster information andorganizing and managing crisis situations.

Evaluates and advises local public healthagencies on medical issues and works effec-tively with technical experts, local officials,and other organizations including EMSpersonnel on environmental disasters.

Provides medical care and direction in pre-scribing universal precautions for all staffagainst exposure to communicable disease.



SUPERVISORY MEDICAL OFFICER, GS-602-14NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MEDICAL OPERATIONS CHIEF (NMRT), GS-602-14


Interacts with Team Leader for coordinationof team activities and support of mission re-quirements. Receives briefings and ensuresthat team members are kept informed ofmission objectives and status changes.Supervises the completion of all required re-ports and maintenance of records.

Conducts annual performanceevaluations of medical team members.Makes recommendations to the TeamLeader on fitness of team members fordeployment based on medical check-inprocedures. Trains employees on properHazMat procedures and techniques.Hears and resolves complaints.

Keeps abreast of the latest developmentsin the field of medical care managementand medicine and recommends or imple-ments necessary changes.


Experience in the practice of emergencyor general medicine is essential, as wellas supervisory experience.

OTHER SIGNIFICANT FACTSThe incumbent must have received a Doctorof Medicine or Doctor of Osteopathy degreefrom an approved school of medicine. Inaddition, the incumbent must possess a per-manent, current, full and unrestrictedlicense to practice medicine in a State, theDistrict of Columbia, the Commonwealth ofPuerto Rico, or a territory of the UnitedStates. Also, the incumbent must possess thefollowing certifications:





The incumbent of this position reports tothe Team Leader, who provides broad ad-ministrative supervision and direction.The incumbent’s medical decisions areaccepted as authoritative duringemergency disaster service.



JOB CATEGORYTitle: Medical Operations Chief (NMRT) (NDMS organizational title)

Supervisory Medical Officer (OPM official title)Series: 602Grade: 14

BASIC REQUIREMENTS

Education


PLUS


ADDITIONAL REQUIREMENTSAt least three years of graduate training or equivalent experience andtraining. Graduate training programs include only those internship,residency, and fellowship programs that are approved by accrediting bodiesrecognized within the United States or Canada. Listings of accreditedprograms are published yearly in the Directory of Residency TrainingPrograms and Directory of Osteopathic Physicians.

In addition, must have one year of appropriate experience equivalent to thenext lower grade in the Federal service. Supervisory experience is required.





The Clinical Operations SectionChief/Supervisory Medical Officermanages all facets of direct medical careand treatment of victims who have beeninjured or are ill due to a disaster ormajor emergency. The incumbent reportsdirectly to a NDMS Team Leader.


Supervises and manages the medical treat-ment administered by other professionaland technical personnel to assure that ad-equate professional and technical servicesare provided to those in need during adisaster or major emergency.

Supervisors the Clinical Operations, duringa disaster or major emergency, throughthree subordinate supervisors who are theMedical Division Supervisor, Ancillary Ser-vices Division Supervisor, and the NursingDivision Supervisor. Carries out a full rangeof administrative duties in the performanceof management and supervisory responsi-bilities, including the preparation perform-ance evaluations for assigned personnel.

Facilitates the operations of the ClinicalOperations to ensure quality patient care.

Determines the Clinical Operationsstaffing and logistical needs and requestsadditional resources as necessary.

Ensures Universal Precautions for all per-sonnel against exposure to communicablediseases.

Receives briefings and SITREPs andensures that all Clinical Operations




CLINICAL OPERATIONS SECTION CHIEF, GS-0602-14


personnel are kept informed of missionobjectives and status changes.

Identifies deficiencies and implementscorrective actions as needed within theClinical Operations Section.

Provides situation updates to the supervi-sor and maintains records and reports ofClinical Operations activity.

Coordinates operational actions withNDMS Supervisor.

Provides operational objectives for thenext operational period.


OTHER SIGNIFICANT FACTSThe incumbent must have received aDoctor of Medicine or Doctor of

Osteopathy degree from an approvedschool of medicine. In addition, mustpossess a permanent, current, full andunrestricted license to practice medicinein a State, the District of Columbia, theCommonwealth of Puerto Rico, or a terri-tory of the United States.

Desirable qualifications include Basic Car-diac Life Support (BCLS) certification.


The incumbent serves under the broadsupervision of the Team Leader. Supervisionis generally limited to the broad applicationof general accepted medical practices anddiscussions of objectives to be accomplished.Within the limits of his assignment, theincumbent functions with considerable inde-pendence. Work is subject to review in termsof overall evaluation of programaccomplishments and effectiveness.



JOB CATEGORYTitle: Clinical Operations Section Chief (NDMS organizational title)


BASIC REQUIREMENTS

Education


PLUS







INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Officeof Emergency Preparedness is the headquar-ters for the National Disaster Medical Sys-tem (NDMS) and, in that capacity, supportsthe planning, organization and developmentof medical response teams of NDMS. Thedisaster medical response teams, i.e., pri-mary care, specialty, and others are a basicelement in the personnel component andcan be expanded to a clearing-staging unitwhile other teams are preparing for activa-tion. Health care providers and medical sup-port personnel are recruited from localcommunities to serve national needs in theevent of disasters or other major emergen-cies requiring extraordinary medical services.

The incumbent of this position serves as aTeam Leader responsible for managingand supervising all aspects of a disastermission, both operational and managerial,from the time of activation through the re-turn to the home jurisdiction including allresources (personnel and equipment) andthe development and completion of all re-sponse operational objectives as assignedby the Management Support Team (MST),as well as proper reporting, record keep-ing, and after-action requirements.


Supervises the overall function of anNDMS primary care, specialty, or mortu-ary response team to care for victims of adisaster or other assignment such as pro-viding supplemental staffing to the localmedical infrastructure during masscasualty incidents.

Provides medical expertise and direction ofthe work of 15-30 team membersconsisting of physicians and other healthcare providers, technical and supportpersonnel, and overall administrationactivities of the team, including supervisionof the Chief of Logistics, Operations, Plan-ning, Administrative/Finance, Safety, andChaplain services. The team members’grades range from GS-3 through GS-14.

Represents HHS in dealing with sponsoringhospitals and Federal and/or regional coordi-nating center and/or HHS Medical ResponseCoordinator. Establishes liaison with State de-partments of public health, the AmericanRed Cross Association, and Medical societiesand associations. Exercises a high degree ofindependence and professional leadership incoordinating activities of the team andguiding health care providers in solving diffi-cult medical problems during disaster service.

Provides medical supervision anddirection in the diagnosis and treatment




TEAM LEADER, GS-602-15


of victims of disasters, includingspecialized care and treatment duringevacuation procedures of criticallyinjured patients to local medical facilities.Ensures patient evacuation plans andprocedures are properly understood andcarried out by team members.

Interacts with the MST Leader forcoordination of team activities andsupport of FRP requirements. Receivesbriefings from the MST and ensures thatteam members are kept informed of mis-sion objectives and status changes. Super-vises the completion of all requiredreports and maintenance of records.

Conducts team orientation and establishesindividual or team training programs inthe field of medical care and managementincluding environmental sanitation,personal hygiene, stress management, andtriage to ensure effective and efficient fieldoperations. Conducts annual performanceevaluations of team members. Selects qual-ified applicants for team positions.

Participates in formal debriefing sessionsfollowing disaster service. Develops after-action reports including criticalevaluation of field operations, teamperformance, operating policies, andtreatment techniques.

Keeps abreast of the latest developmentsin the field of medical care managementand medicine and recommends or imple-ments necessary changes.



OTHER SIGNIFICANTFACTS:

The incumbent must have received a Doctorof Medicine or Doctor of Osteopathy degreefrom an approved school of medicine. Inaddition, the incumbent must possess a per-manent, current, full and unrestrictedlicense to practice medicine in a State, theDistrict of Columbia, the Commonwealth ofPuerto Rico, or a territory of the UnitedStates. Also, the incumbent must possess thefollowing certifications:




SUPERVISION ANDGUIDANCE RECEIVED:

The incumbent of this position reports tothe MST Leader, who provides broadadministrative supervision and direction.The incumbent’s medical decisions areaccepted as authoritative duringemergency disaster service.



JOB CATEGORYTitle: Team Leader (NDMS organizational title)


BASIC REQUIREMENTS

Education


PLUS








The incumbent of this position serves as aForensic Pathology Specialist and assists indetermining the cause(s) of victim deaththrough examination or by the preservationof evidence for later identification.


Collaborates with forensic experts, profes-sional associates, law enforcement officials,and others on issues of forensic pathologymedicine and identification issues.

Determines the cause(s) of victim deathby close examination of remains.

Diagnoses musculoskeletal and neurolog-ic causes and performs autopsies asnecessary to determine cause of death.

Ensures proper documentation of autopsyresults. Preserves evidence related tocause(s) of death for later examination.

Ensures chain of custody for preservationof medical and legal evidence and bodypart remains.

Provides assistance to the MortuaryOfficer as necessary.

OTHER SIGNIFICANT FACTSMust possess a Doctor of Medicine or Doctorof Osteopathy degree (U.S. or Canada) OR aDoctor of Medicine or equivalent from a for-eign medical school substantially equivalentto credited schools in the U.S. In addition,



MEDICAL OFFICER (PATHOLOGY), GS-602-14NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

FORENSIC PATHOLOGY SPECIALIST, GS-602-14



JOB CATEGORYTitle: Forensic Pathology Specialist (NDMS organizational title)

Medical Officer (Pathology) (OPM official title)Series: 602Grade: 14

BASIC REQUIREMENTS

Education


PLUS


ADDITIONAL REQUIREMENTSAt least four years of residency training in Pathology or equivalent experienceand training. This training must have equipped the applicant with knowledge ofautopsy protocols for gross and microscopic specimens (preserving specimensfor the latter). In addition, applicant must have knowledge of: chain-of-custodyprocedures for anatomic specimens and articles associated with the deceased.


the incumbent must possess a permanent,current, full and unrestricted license to prac-tice medicine in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.

Must be Basic Cardiac Life Support(BCLS) certified.



The incumbent works under the adminis-trative supervision of the IdentificationOfficer. The incumbent is a medicalauthority in forensic pathology medicine.



LICENSURE REQUIREMENTA valid and unrestricted license to practice in a State, the District of Columbia,the Commonwealth of Puerto Rico, or a territory of the United States.


n Knowledge of emergency/disaster/military medicine.n Orientation in Disaster Mortuary Operational Response Team services.n Training in field casualty operations.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). The Of-fice of Emergency Preparedness is theheadquarters for the National DisasterMedical System (NDMS) and, in thatcapacity, supports the planning,organization and development of medicalresponse teams of NDMS. The disastermedical response teams, i.e., primary care,specialty, and others, are a basic element inthe personnel component and can beexpanded to a clearing-staging unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The incumbent of this position serves as theMedical Operations Chief and supervises thefull range of activities of victim identification,cause of death, and the preparation, process-ing, and disposition of remains to the next ofkin caused by disaster or major emergencies.


Serves as a medical authority and advisessupporting staff on procedures in the vic-tim identification process.

Provides medical expertise andsupervision of the Identification Officer,Mortuary Officer, and the FamilyAssistance Officer, and ensures thesystematic processing of victims throughall phases of the medical protocol.

Ensures that antemortem information iscollected and applied to victimidentification, including chain of custodyprocedures for preservation of medical andlegal evidence and body parts and remains.

Collaborates with pathology experts, pro-fessional associations, law enforcement of-ficials, and others on issues of pathologymedicine and autopsy protocols for grossand microscopic specimens.

Interacts with the Team Leader forcoordination of staff activities and supportof FRP requirements. Receives briefingsfrom the Team Leader and ensures thatstaff members are kept informed ofmission objectives and status changes.



SUPERVISORY MEDICAL OFFICER (PATHOLOGY),GS-602-14


MEDICAL OPERATIONS CHIEF (PATHOLOGY),GS-602-14


Conducts performance evaluations ofassigned staff. Selects employee forvacant positions. Hears and resolves com-plaints. Recommends fitness fordeployment of staff to the Team Leaderbased on medical procedures. Providesfor individual or team training.

OTHER SIGNIFICANT FACTSMust possess a Doctor of Medicine or Doc-tor of Osteopathy degree from anapproved school of medicine. In addition,the incumbent must possess a permanent,current, full and unrestricted license topractice medicine in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.

Must be Basic Cardiac Life Support(BCLS) certified.

Experience in the practice of emergencyor disaster medicine is highly desirable aswell as supervisory experience.



The incumbent of this position reports tothe Team Leader, who provides broad ad-ministrative supervision and direction.The incumbent’s medical decisions areaccepted as authoritative duringemergency disaster service.


JOB CATEGORYTitle: Medical Operations Chief (Pathology) (NDMS organizational title)

Supervisory Medical Officer (Pathology) (OPM official title)Series: 602Grade: 14

BASIC REQUIREMENTS

Education

A Doctor of Medicine or Doctor of Osteopathy degree from a school in theUnited States or Canada approved by a recognized accrediting body in the




year of the applicant’s graduation, or a Doctor of Medicine or equivalentfrom a foreign medical school substantially equivalent to accredited schools inthe U.S., as demonstrated by permanent certification.

PLUS


ADDITIONAL REQUIREMENTSAt least four years of residency training in Pathology or equivalent experienceand training. This training must have equipped the applicant with knowledge ofautopsy protocols for gross and microscopic specimens (preserving specimens forthe latter). In addition, applicant must have knowledge of: chain-of-custody pro-cedures for anatomic specimens and articles associated with the deceased.

Supervisory experience is required.

LICENSURE REQUIREMENTA valid and unrestricted license to practice in a State, the District ofColumbia, the Commonwealth of Puerto Rico, or a territory of the UnitedStates.


n Knowledge of emergency/disaster/military medicine.n Orientation in Disaster Mortuary Operational Response Team services.n Training in field casualty operations.



The incumbent is responsible forcollecting and maintaining a variety ofmedical records and data during hedeployment. He/she reports directly tothe Administrative/Finance Section Chief(Administrative Officer).


Logs patients into the NDMS disasterteam and obtains and records a variety ofpertinent identifying data.

Obtains and records a variety of pertinentidentifying data.

Obtains record of consent for medicaltests or treatment.

Analyzes and codes pending medical pro-cedures using the most accurate code todescribe the medical procedure.

Assists nursing staff in maintainingadequate patient records.

Checks medical records for completeness,consistency, and compliance with medicalrecord keeping standards. Addresses defi-ciencies with Medical Division Supervisoror Nursing Division Supervisor.

Retrieves data from records forprofessional staff and makes simple tabu-lations according to standard protocols.

Prepares correspondence and summariesof medical records in response to a widevariety of requests for information.



MEDICAL RECORDS TECHNICIAN, GS-0675-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MEDICAL RECORDS UNIT LEADER, GS-0675-05


In conjunction with theAdministrative/Finance Section Chief, de-termines what information may bereleased to authorized individuals.

Searches and abstracts old and currentrecords to establish continuity of patient’shistory.

Maintains personnel data on deployedTeam members.

Logs patients out of the NDMS disasterteam facility while recording pertinent di-agnostic and transportation information.

Maintains and insures confidentiality ofall records.

Forwards all records to appropriateNDMS official at conclusion of mission.

EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION Level 1-4 550 points

Knowledge of NDMS rules, operationalprocedures, regulations and policies formaintaining a variety of medical anddata during an emergency or disaster.

Knowledge of the functions,organization, and mission of NDMS toperform assignments involving themedical records keeping function.

Knowledge of practices and procedures toperform responsibilities for answeringinquires for information and making admin-istrative arrangements where necessary.

Ability to organize work assignments,channel the flow of work through themedical records section.

Ability to manage specialized equipment andsupport resources during a disaster situation.

Skill to work well with technical experts,local officials, and other organizations


The incumbent serves under the generalsupervision of the Administrative/FinanceSection Chief (Administrative Officer). Thesupervisor makes the initial assignment butrelies on the judgment of the technician asto what procedures to be followed and themedical record and administrative refer-ences to be used. The technician is respon-sible for the timeliness of his/her work.He/she works largely on his/her on initia-tive in applying the methods, procedures,and techniques used in the work. The in-cumbent consults the supervisor only onunusual problems for which no precedentor reference is available. His/her work isspot-checked infrequently and review isbased on end results and review of reports.


Guidelines are in the form of NDMS prac-tices and procedures, manuals, decisionmemoranda and the like cover broadaspects of the work. Oral guidelines areprovided to establish particularrequirements of discrete work assignments.The incumbent relies upon establishedtechniques related to the accomplishmentof ongoing recurring assignments. He/sheuses judgment and creativity to a particularand sometimes unique assignment.



The work includes various dutiesinvolving different and unrelated process-es and methods. The incumbent appliesadministrative and technical skills to thecompilation, review, and presentation ofinformation; implementation of new ormodified procedures; and the provisionof effective and efficient administrativeand medical records support across arange of assignments. He/she exercisesinitiative in (1) organizing time andresources toward accomplishment ofassignments; and (2) ensuring the timeli-ness and quality of end results througheffective monitoring of work in process.


The incumbent provides NDMS disasterteam assistance for the effective accomplish-ment of both ongoing and unusual work as-signments. The incumbent’s effortsencompass and support a wide range ofwork responsibilities within the overall oper-ation of the NDMS disaster team. Much ofthe work involves accomplishing themedical records technical work so as to freethe other members of the section.


FACTOR 7:PURPOSE OF CONTACTS Level 2-b 75 points

Personal contacts are with patients, physi-cians, nurses, administrative staff, local

and state officials, and Agency officials.The technician may have personalcontacts with the staff of other agenciesor institutions in moderately structuredsettings. In such cases, the highest levelof professional conduct is required.

The purpose of the contacts is to gainknowledge of medical records data and toconvey this information for purposes ofensuring the accurate recording and effi-cient accomplishment of a given work as-signment. Working relationships mayinvolve, for example, ensuring that dead-lines for submission of information by thestaff are met or that affected staffunderstand the format required forreports and regulations and procedureswhich govern various medical processes.


The work is basically sedentary. Typically,the employee may sit comfortably to dothe work. However, there may be somewalking, standing, bending, carrying oflight items such as papers, books, etc. Nospecial physical demands are required toperform the work.


The work environment involves everydayrisk or discomforts which require normalsafety precautions.




JOB CATEGORYTitle: Medical Records Unit Leader (NDMS organizational title)

Medical Records Technician (OPM official title)Series: 675Grade: 05





The Medical Supply Specialist performs avariety of technical duties in assistingwith the transport, set-up, operations,and accountability of the supplies andequipment for the NDMS disaster teams.The incumbent reports directly to the Lo-gistics Section Chief.


Gathers information regarding theconsumption, utilization and disposition ofmedical supplies and equipment. Developsdraft of procedures for effective utilizationof supplies and equipment for the LogisticsSection Chief. Monitors compliance withthese procedures and provides guidance,direction and assistance to the MedicalSupply Technician. Identifies the need andavailability of commonly used medical sup-plies and equipment.

Develops a system for the maintenance ofunit stock levels of commonly used suppliesand equipment. Maintains a fairly large fileof catalogs, publications and supplyreference material relative to itemidentification, number assignment and cat-aloging layout. Maintains a current list ofassigned index and FSC groups. Through asystem of inventory records, determinesusage patterns and trends. Regularlyreports status of stock levels to thesupervisor. Supervises the ordering ofsupplies and equipment for the NDMS dis-aster teams. Also responsible for obtainingthe more complicated type of equipment.

Participates in developing procedures forthe screening or utilization of excessproperty and equipment.



MEDICAL SUPPLY SPECIALIST, GS-2001-09NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MEDICAL SUPPLY SPECIALIST, GS-2001-09


Develops procedures for the inventory ofmedical supplies and medical equipment.Conducts inventories of supplies and equip-ment. Assists the Logistics Section Chief inreconciling property general ledgeraccounts. Reports significant shortages tothe Logistics Section Chief along withrecommendations for corrective action.

Develops schedule of inspection of storedequipment and supplies. Following theplan developed by the Logistics Chief, as-sures that equipment and supplies aresafety secured and maintained in anacceptable state of readiness forimmediate distribution and use. Medicalsupplies such as controlled drugs and nar-cotics (e.g., require specialized handlingor storage methods and techniques). Nee-dles, syringes, bandages, etc. must besecurely stored in an aseptic environmentfree from all possible contamination.These conditions will require close contin-uing security procedures to adequatelysafeguard the materials.

Responsible for determining anacceptable storage site and planning thelayout of the storage area to facilitate dis-tribution and storage operations.

Arranges for rotation, repair, or correctiveaction of faulty supplies or damagedequipment. Forwards periodic reports tothe Logistic in a timely manner.

Communicates with NDMS team person-nel and, based on information, reports,and records, determines status of supplyand immediate needs to sustainacceptable level of effectiveness.Identifies noticeable shortages and deter-mines why they exist. Informs theLogistics Chief of shortages along withhis/her plan for corrective action.

Packs and loads supplies and equipmentwithin procedures developed by the Logis-tics Chief. Sets up complicated equipment.

Prepares regular and special non-reoccurringreports reflecting current status of supply ac-tivity. Prepares detailed readiness reportupon request of the Logistics Supervisor.

Performs other related duties as assigned toassist in the efficient functioning of the Unit.


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITIONLevel 1-6 (950 Points)

Knowledge of Medical supply operations.

Must have a practical knowledge of theterminology and capabilities of all itemsin the equipment cache.

Must have a comprehensive knowledge ofequipment inventory and trackingprocedures.

Must be familiar with the weights andvolumes of components, military and civil-ian air cargo regulations, equipment fuelrequirements, and the environment limita-tions of sensitive equipment and supplies.

Must be skilled in medical logistics.

Ability to work well with technical experts,local officials, and other organizations.

Ability to manage specialized equipment, andsupport resources during a veterinary disaster.


Ability to effect repair of various types ofequipment while in the field setting



FACTOR 2:SUPERVISORY CONTROLSLevel 2-3 (275points)

The incumbent functions under the generalsupervision of the Logistics Section Chief.The supervisor provides general work ob-jectives and priorities and only provides ini-tial instructions when new or unusualproblems or situations are encountered.Completed work and the incumbent’s rec-ommendations are reviewed for attainmentof objectives, soundness of judgment, over-all technical adequacy and adherence toNDMS policies and procedures.

FACTOR 3:GUIDELINESLevel 3-3 (275 points)

Guidelines include OEP, FEMA, GSA manu-als and directives, and FRP and policies, op-erational standards, manuals, etc. Theincumbent must select and interpret a num-ber of available guidelines. There is frequentneed to choose between alternatives.

FACTOR 4:COMPLEXITYLevel 4-3 (150 points)

Assignments involve inspection of storedsupplies and equipment, development ofprocedures for the inventory of medicalsupplies and medical equipment, control-ling drugs and narcotics, reconcilingproperty general ledger accounts and

adopting security procedures toadequately safeguard supplies and equip-ment. Also must develop a system for themaintenance of unit stock levels ofcommonly used supplies and equipment.

FACTOR 5: SCOPE AND EFFECT:Level 5-3 (150 points)

The nature of the incumbent’s work is toplan and provide comprehensive programregarding the consumption, utilization anddisposition of medical supplies and equip-ment for the supply of the ClearingStaging Unit and NDMS disaster teams inorder to cope with a disaster or emergency.

FACTOR 6:PERSONAL CONTACTS

FACTOR 7:PURPOSE OF CONTACTSLevel 3-c (110 points)

Contacts are with patients, their families,hospital personnel, and with health careprofessionals and technical personnel(e.g., physicians, nurses, and supportingtechnical and administrative staff) andrepresentatives from the private and statesectors. Contacts are for the purpose ofexchanging information, plan andcoordinate work efforts, and to provideadvice concerning substitutes for suppliesor functioning of equipment.


The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces; recurringbending, stooping, stretching, etc;recurring lifting of moderately heavy items


or occasional lifting of heavy items (over 50pounds). The work may require above aver-age agility and dexterity. The work mayalso require working long hours withoutrest or relief and may require defendingoneself or others against physical attack.


The work environment involvesmoderately high risks or discomfort,

which require special precautions, e.g.,working with risk of exposure tocontagious disease, radiation or infectionor in working with emotionally disturbedpatients. Precautions are routine for near-ly all situations. The work environmentmay involve high risks of exposure topotentially dangerous situations whereconditions cannot be controlled.



JOB CATEGORYTitle: Medical Supply SpecialistSeries: 2001Grade: 09


DESIRABLE QUALIFICATIONSTraining and/or experience in disaster medical supply operations.



The incumbent serves as a MedicalSupply Technician and reports directly tothe Logistics Section Chief.


Maintains stocks of medical supplies,equipment and instruments excludingpharmaceuticals. Decontaminates the fullrange of medical supplies. Determinesand uses the appropriate method forremoving gross contamination aftersupplies, instruments and equipment be-come infected. Maintains records onavailable stocks of medical supplies.

Periodically inventories supplies, identifiesusage and orders supplies for timely restock-ing. Fills requests for items based on sched-ules of needs and past experience. Identifiesshortages and notifies the supervisor andprofessional staff of possible substitutions.

Packs and loads medical supplies as need-ed. Inspects packages for indication ofproper sterilization. Packs items in such away so as to preserve the sterile condition.

Performs other related duties as assignedto assist in efficient operation of the Unit.




MEDICAL SUPPLY TECHNICIAN, GS-0622-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MEDICAL SUPPLY TECHNICIAN, GS-0622-05


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITIONLevel 1-3 (350 points)

Knowledge and skill to perform dutiesencompassing the complete work cyclerequired to decontaminate, prepare, ster-ilize, store, and issue the full range ofmedical supplies and equipment.

A practical knowledge of the physical char-acteristics and functioning of the suppliesand equipment, the ability to detect smalldifferences in such things as serrations,curvature of tips, and length of jaws.

A thorough knowledge of aseptic techniques,supplies, instruments and equipment, andthe advantages and disadvantages of the var-ious sterilizing mediums.

A general knowledge of the relationshipsof medical supplies, instruments andequipment to medical proceduresperformed under adverse conditions.

FACTOR 2:SUPERVISORY CONTROLSLevel 2-3 (275 points)

The supervisor assigns the incumbent tovarious work areas and expects theincumbent to independently complete as-signments. He/she consults with thesupervisory on unusual problems that de-velop such as the need to borrow urgent-ly needed supplies from other medicalfacilities or what procedures will be usedto decontaminate a major contaminationof supplies and equipment.

In the absence of the supervisor during un-usual situations, the incumbent will have towork out the solution to problems in consul-tation with available medical personnel.

The supervisory reviews work throughobservation of the work area and by meansof feedback from the medical and nursingstaff who use the incumbent’s services.


Guidelines consist of written instructionson supply operations; instructions on theuse of medical supplies, instruments andequipment; written and oral instructionsprovided by the medical and nursingstaffs; manufacturers’ catalogs and fact-sheets on the various items; assembly andtroubleshooting manuals; equipment oper-ating instructions; shelf-life guidelines, etc.

Guidelines permit no deviation from cer-tain established procedures such asinstructions dealing with contamination;operation of such medical equipment assterilizers; and use of standard tests.Judgment is required in such activities asbreaking down already sterilized sets ofinstruments or in substitutions formedical items that are not available.


Assignments involve selecting the appro-priate series of steps from several alterna-tives in each of the several alternatives ineach of the several different work areas.For example, the incumbent selects acleaning method based on the last knownuse, the appearance of the contaminationand the durability of the item; assembleslarge numbers of the instruments, suppliesand equipment for sets and places itemsbased on size, weight, and delicacy of theinstrument while striving for a compactuseful package that will permit effective


penetration of the sterilizing medium; andloads items on sterilizer carts in appropri-ate manner based on workload, priorities,and types of items returned for processing.

The incumbent must exercise a great deal ofconcentration and discretion in distinguish-ing among instruments, supplies and equip-ment that differ only in small details.

FACTOR 5: SCOPE AND EFFECTLevel 5-2 (75 points)

The work involves the provision of sterilemedical supplies, instruments andequipment to medical care providers inthe CSU and Units. The work product di-rectly affects the health of people injuredduring a disaster or major emergency.


Personal contacts are with the injured orsick and members of the CSU and NDMSUnits who use sterile supplies,instruments and equipment.

FACTOR 7:PURPOSE OF CONTACTSLevel 7-1 (20 points)

Purpose of the contacts is to receiverequests for medical supplies, equipmentand instruments to clarify requests, andto provide advice concerning substitutesfor supplies or functioning of equipment.

FACTOR 8:PHYSICAL DEMANDSLevel 8-2 (20 points)

The incumbent usually stands and movesfrom one part of his/her workstation to

another while performing duties. There isa frequent requirement for lifting loadsweighing 25 pounds from floor or groundlevel to chest level and occasional require-ments for similarly lifting loads weighing50 pounds. The incumbent may handleloads weighing several hundred pounds.

FACTOR 9:WORK ENVIRONMENTLevel 9-2 (20 points)

On a regular and recurring basis, the incum-bent alternates between a contaminatedenvironment and a carefully controlled cleanenvironment. In both, the employee wearsspecial clothing; hair covers, and shoe coverswhich can be uncomfortably warm. Whilehandling contaminated medical supplies,equipment and instruments, the employeealso uses rubber gloves and an apron. Thework area is often hot and humid or coldand damp. The incumbent is subject to slip-ping on wet surface or injury due to fallingobjects. He/she is subject to burn fromaccidentally touching hot items, to cuts fromsterile and contaminated instruments,supplies and equipment and infection fromcontact with cleaning agents. The incumbentis involved in regular and recurring risks ofexposure to contagious diseases. Thehazards of working around minute quantitiesof sterilizing gases are unknown. Theemployee often works around body fluids,mucus, excretions and bits of tissue, some ofwhich may be foul smelling. The work areais noisy due to the clatter of metalinstruments, rumbling of carts, andoperation of equipment. Use of some equip-ment may require use of ear protection.




JOB CATEGORYTitle: Medical Supply TechnicianSeries: 0622Grade: 05

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the next lower grade level in the Federalservice. Specialized experience is experience in processing, assembling,troubleshooting, preparing, sterilizing, storing, and issuing sterile and non-sterile medical supplies and equipment. The applicant must possessknowledge of the technical names, general uses, physical characteristics, andoperating conditions of medical supply items; knowledge of aseptictechniques; and skill in operating a washer-sterilizer, ultrasonic instrumentcleaners, and gas and steam sterilizers. Examples of qualifying specialized ex-perience include work as an operating room technician, medical instrumenttechnician, nursing assistant, corpsman, or laboratory worker.




The incumbent serves as a senior MedicalSupply Technician and reports to the Lo-gistics Section Chief.


Rotates among the various NDMS disasteror emergency teams during a disaster ormajor emergency carrying outassignments which requires knowledgeand skill in the use of a complete range ofmedical supplies, instruments, and equip-ment. Receives, disassembles, and inspectsfor damage reusable medical supplies, in-struments, and equipment. Determinescorrect method for presterilizing.Removes soil, blood, tissue fragments,body fluids, and other contaminants.

Inventories supplies, identifies usage andorders supplies for timely restocking. Fillsrequests for items based on schedules ofneeds and past experience. Identifiesshortages and notifies the supervisor andprofessional staff of possible substitutions.

Advises medical personnel on the properuse of the equipment and on problemsthat arise in connection with its use.

Advises medical personnel on availabilityof supplies, possible substitutes, andeffective use of equipment.

Packs and loads medical supplies as need-ed. Inspects packages for indication ofproper sterilization. Packs items in such away so as to preserve the sterile condition.



MEDICAL SUPPLY TECHNICIAN, GS-0622-06NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MEDICAL SUPPLY TECHNICIAN, GS-0622-06


Performs other related duties as assignedto assist in efficient operation of the Unit.


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION:Level 1-4 (550 points)

Knowledge and skill to perform dutiesencompassing the complete work cyclerequired to decontaminate, prepare, ster-ilize, store, and issue the full range ofmedical supplies and equipment.

A practical knowledge of the physical char-acteristics and functioning of the suppliesand equipment, the ability to detect smalldifferences in such things as serrations,curvature of tips, and length of jaws.

A thorough knowledge of aseptictechniques, supplies, instruments andequipment, and the advantages and disad-vantages of the various sterilizing mediums.

A general knowledge of the relationshipsof medical supplies, instruments andequipment to medical proceduresperformed under adverse conditions.


The supervisor assigns the incumbent tovarious work areas and expects theincumbent to independently complete as-signments. He/she consults with thesupervisor on unusual problems thatdevelop such as the need to borrow

urgently needed supplies from other med-ical facilities or what procedures will beused to decontaminate a majorcontamination of supplies and equipment.

In the absence of the supervisor duringunusual situations, the incumbent will haveto work out the solution to problems in con-sultation with available medical personnel.

The supervisor reviews work throughobservation of the work area and by meansof feedback from the medical and nursingstaff who use the incumbent’s services.


Guidelines consist of written instructionson supply operations; instructions on theuse of medical supplies, instruments andequipment; written and oral instructionsprovided by the medical and nursingstaffs; manufacturers’ catalogs and fact-sheets on the various items; assembly andtroubleshooting manuals; equipment oper-ating instructions; shelf-life guidelines, etc.

Guidelines permit no deviation from cer-tain established procedures such asinstructions dealing with contamination;operation of such medical equipment assterilizers; and use of standard tests.Judgment is required in such activities asbreaking down already sterilized sets ofinstruments or in substitutions formedical items that are not available.


Assignments involve selecting the appropri-ate series of steps from several alternativesin each of the several alternatives in each of


the several different work areas. Forexample, the incumbent selects a cleaningmethod based on the last known use, theappearance of the contamination and thedurability of the item; assembles large num-bers of the instruments, supplies and equip-ment for sets and places items based onsize, weight, and delicacy of the instrumentwhile striving for a compact useful packagethat will permit effective penetration of thesterilizing medium; and loads items on ster-ilizer carts in appropriate manner based onworkload, priorities, and types of itemsreturned for processing.

The incumbent must exercise a great deal ofconcentration and discretion in distinguish-ing among instruments, supplies and equip-ment that differ only in small details.


The work involves the provision of sterilemedical supplies, instruments andequipment to medical care providers inthe CSU and Units. The work product di-rectly affects the health of people injuredduring a disaster or major emergency.

FACTOR 6:PERSONAL CONTACTS:Level 6-2 (25 points)

Personal contacts are with the injured orsick and members of the CSU and NDMSUnits who use sterile supplies,instruments and equipment.

FACTOR 7:PURPOSE OF CONTACTS:Level 7-1 (20 points)

Purpose of the contacts is to receiverequests for medical supplies, equipment

and instruments to clarify requests, andto provide advice concerning substitutesfor supplies or functioning of equipment.


The incumbent usually stands and movesfrom one part of his/her workstation toanother while performing duties. There isa frequent requirement for lifting loadsweighing 25 pounds from floor or groundlevel to chest level and occasional require-ments for similarly lifting loads weighing50 pounds. The incumbent may handleloads weighing several hundred pounds.


On a regular and recurring basis, the incum-bent alternates between a contaminatedenvironment and a carefully controlled cleanenvironment. In both, the employee wearsspecial clothing; hair covers, and shoe coverswhich can be uncomfortably warm. Whilehandling contaminated medical supplies,equipment and instruments, the employeealso uses rubber gloves and an apron. Thework area is often hot and humid or coldand damp. The incumbent is subject to slip-ping on wet surface or injury due to fallingobjects. He/she is subject to burn fromaccidentally touching hot items, to cuts fromsterile and contaminated instruments,supplies and equipment and infection fromcontact with cleaning agents. The incumbentis involved in regular and recurring risks ofexposure to contagious diseases. Thehazards of working around minute quantitiesof sterilizing gases are unknown. Theemployee often works around body fluids,mucus, excretions and bits of tissue, some ofwhich may be foul smelling. The work area


is noisy due to the clatter of metalinstruments, rumbling of carts, andoperation of equipment. Use of some equip-ment may require use of ear protection.



JOB CATEGORYTitle: Medical Supply TechnicianSeries: 0622Grade: 06

MINIMUM REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the next lower grade level in the Federalservice. Specialized experience is experience in processing, assembling,troubleshooting, preparing, sterilizing, storing, and issuing sterile and non-sterile medical supplies and equipment. The applicant must possessknowledge of the technical names, general uses, physical characteristics, andoperating conditions of medical supply items; knowledge of aseptictechniques; and skill in operating a washer-sterilizer, ultrasonic instrumentcleaners, and gas and steam sterilizers. Examples of qualifying specialized ex-perience include work as an operating room technician, medical instrumenttechnician, nursing assistant, corpsman, or laboratory worker.




The incumbent of this position serves asa Mental Health Specialist of the disastermedical response team/ specialty/ orother and is responsible for planning andimplementing mental health services fordisaster victims and their families.


The incumbent works under the directionof the Mental Health Officer and assistsin the planning and implementation ofmental health services for disaster victimsand their families.

Collaborates with local mental healthprograms and services in implementing andcoordinating mental health services fordisaster victims including children and theirfamilies. Identifies technical assistance andsupport mechanisms within the State, city ortown to response to the immediate crisis.

Identifies appropriate interventions andprevention services techniques andcounseling for early identification ofvictims at risk of mental health and relatedproblems. Consults with team members,local mental health workers and familymembers to identify needed clinical testingand evaluation procedures. Provides forand arranges professional assistance andconsultation regarding treatment planningand other intervention efforts.

Evaluates mental health services availablein local areas and installs networks for cri-sis intervention and assistance. Developsprofessional resource networks forprovision of integrated multidisciplinary



MENTAL HEALTH SPECIALIST, GS-101-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MENTAL HEALTH SPECIALIST, GS-101-11


services to disaster victims. Initiatesspecial efforts to develop resources toserve the special needs of infants andchildren during disaster situations.

The incumbent must possess a license orregistration as a professional mentalhealth worker in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.

Possession of a certification in emergencysocial work or mental Health Associationor equivalent is desirable.


EVALUATION FACTORS


Professional knowledge of mental healthpractices and processes includingassessment, treatment planning, treatmentand follow-up, and prevention activities.

Skill to adapt new mental healththeories, knowledge and methods toactual mental health care problems.

Ability to coordinate with State, local andcommunity mental health resources andprograms.

Ability to work collaboratively with Feder-al and State agencies, health care institu-tions, foundations, and etc.

Knowledge of functions, procedures,and goals of emergency medical disasterprograms.


Works under the professional supervisionof the Mental Health Officer, who broadlydefined the mental health mission, goals,objectives, and functions. The incumbentis expected to exercise professional inde-pendence in respect to operational activi-ties. Incumbent is guided by policies,regulations, professional standards, pro-cedures and directives.


Guidelines include OEP and ESF-8policies and procedures. Much of thework requires team coordination and col-laborative efforts. Incumbent must usejudgment and innovative approaches inaddressing mental health needs ofdisaster victims and their families.

FACTOR 4:COMPLEXITYLevel 4-4 225 Points

The work is complex and covers broadmental health services including interven-tions and counseling and collaborative ef-forts with other resources including State,private and public groups, andfoundations throughout the disaster area.

FACTOR 5:SCOPE AND EFFECTLevel 5-3 150 Points

At times emotional stress will be experiencedwhen there are differences of opinion onprogram issues and when deadlines and un-expected changes in schedules occur.


The work requires continuing efforts to es-tablish emergency services and to resolveproblems that accompany this type ofoperation which involves professional rep-resentatives from various mental healthgroups as well as related disciplines.


FACTOR 7:PURPOSE OF CONTACTSLevel 2c 145 Points

Contacts are with victims, their families,hospital personnel and mental healthprofessionals and technical personnel(e.g. physicians, nurses, and supportingtechnical and administrative staff).

The purpose of the contacts is to provideor obtain mental health services with hos-pital personnel, health care professionalsand technical support personnel. Contactsare essentially to exchange, provide andobtain information regarding care or tofollow up with treatment services. Oftenthese contacts require tact and sensitivity.


The work requires exertion such as longperiods of standing; walking over rough

and uneven surfaces; recurring bending,stooping, stretching etc.; recurring liftingof moderately heavy items or occasionallifting of heavy items (over 50 pounds).The work may require about averageagility and dexterity. The work may alsorequire working long hours without restor relief and may require defending one-self or others against physical attack.


The work environment involves moderate-ly high risks or discomforts which requirespecial precautions, e.g., working with riskof exposure to contagious disease,radiation or infection or in working withemotionally individuals. Precautions areroutine for nearly all situations. The workenvironment may involve high risks of ex-posure to potentially dangerous situationswhere conditions cannot be controlled.




JOB CATEGORYTitle: Mental Health SpecialistSeries: 0101Grade: 11

BASIC REQUIREMENTS

Education

A degree in behavioral or social sciences, or related disciplines appropriate tothe position.

OR

A combination of education and experience that provided applicants withknowledge of one or more of the behavioral or social sciences equivalent to amajor in the field.

OR

Four years of appropriate experience that demonstrated that the applicanthas acquired knowledge of one or more of the behavioral or social sciencesequivalent to a major in the field.

ADDITIONAL REQUIREMENTSOne year of specialized professional experience directly related to the NDMSresponse team position equivalent to the GS-09 level in the Federal service.

OR

Three full years of progressively higher level graduate education or Ph.D. orequivalent doctoral degree.


n Must possess a license or registration to practice in a State, the District ofColumbia, the Commonwealth of Puerto Rico, or a territory of the Unit-ed States.

n Training in disaster medical services.n Knowledge of NIIMS/ICS.n Possess interpersonal skills and the ability to interact with the public.



The incumbent of this position serves asa Mental Health Officer of the disasterresponse team/ specialty/ or other and isresponsible for planning and implement-ing mental health services for disastervictims and their families, as well as disas-ter response personnel working on-site ofthe disaster or major emergency.


In collaboration with local mental healthprograms and services, implements and co-ordinates mental health services for disastervictims including children and theirfamilies. Identifies technical assistance andsupport mechanisms within the State, Cityor town to respond to the immediate crisis.

Identifies appropriate interventions and pre-vention techniques and counseling for earlyidentification of victims and responders atrisk of mental health and related problems.Consults with team members, local mentalhealth workers and family members to iden-tify needed clinical testing and evaluationprocedures for disaster victims. Provides forand arranges professional assistance andconsultation regarding treatment planningand other intervention efforts.

Evaluates mental health services available inlocal areas and installs networks for crisis in-tervention and assistance. Developsprofessional resource networks for provisionof integrated multidisciplinary services todisaster victims. Initiates special efforts to de-velop resources to serve the special needs ofinfants and children during disaster service.

Monitors incident stress levels of teammembers and implements stressreduction measures as necessary.



PSYCHOLOGIST (GENERAL), GS-180-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

MENTAL HEALTH OFFICER, GS-180-13



JOB CATEGORYTitle: Mental Health Officer (NDMS organizational title)

Psychologist (General) (OPM official title)Series: 0180Grade: 13

BASIC REQUIREMENTS

Education

A bachelor’s degree with a major or equivalent in Psychology.

ADDITIONAL REQUIREMENTSOne year of specialized experience directly related to the NDMS responseteam position equivalent to the GS-12 level in the Federal service.


Keeps abreast of programs and servicesin the field of mental health especially inthe areas of stress management and crisisintervention.

OTHER SIGNIFICANT FACTSMust possess a license or registration asa professional psychologist in a State, theDistrict of Columbia, the Commonwealthof Puerto Rico, or a territory of theUnited States.

Experience in dealing with incident stresssituations is essential.



The incumbent works under the broad di-rection of the Team Leader in charge ofthe Clearing-Staging Unit (CSU) andassists in the planning andimplementation of activities related tomental health services for disaster victimsand their families. Work is reviewed interms of meeting the overall objectives ofthe disaster mission.



LICENSURE REQUIREMENTMust possess a valid and unrestricted license/certificate to practice in a State,the District of Columbia, the Commonwealth of Puerto Rico, or a territory ofthe United States.


n Training in disaster medical services.n Knowledge of NIIMS/ICS.n Possess interpersonal skills and the ability to interact with the public.



The incumbent of this position serves asthe Family Assistance Division Supervisorand is responsible for coordinating, pro-viding, and exchanging information be-tween the activities of the morgue andthe families of deceased disaster victims,including next of kin notifications, autop-sies, and disposition of victims remains.


Coordinates the location of, and sets upthe Family Assistance Center (FAC) withthe approval of local and NDMSmortuary authorities.

Establishes and supervises the FAC activities,including operating procedures, counseling,and the kind and level of mental healthworkers required to staff the FAC.

Ensures discretion and confidentialityamong staff of all verbal and written doc-umentation concerning the deceased,next of kin, and family members.

Directs the work of staff members incollaborating with the MedicalExaminer/Coroner during notification ofpositive identification to the next of kin.Ensures the exercise of professionaljudgment in obtaining ante mortem infor-mation from the next of kin of deceasedto the Medical Examiner/Coroner.

Supervises the work of professional mentalhealth workers (e.g., social workers, psychol-ogists, mental health counselors) engagedin the work of the FAC. The grades of themental health staff range from GS-11 toGS-13. Selects employees for vacant FACpositions; trains employees; hears and



SUPERVISORY MENTAL HEALTH SPECIALIST, GS-101-14


FAMILY ASSISTANCE DIVISION SUPERVISOR, GS-101-14



JOB CATEGORYTitle: Family Assistance Division Supervisor (NDMS organizational title)

Supervisory Mental Health Specialist (OPM official title)Series: 0101Grade: 14

BASIC REQUIREMENTS

A. Degree: that included at least 24 semester hours of course work in thebehavioral or social sciences.

OR

B. Combination of education and experience that included at least 24semester hours of course work in the behavioral or social sciences, and


resolves complaints; recommends annualperformance evaluations; etc.

Represents the Operations Section Chiefin dealing with local and state officials,the public, and visitors from other Feder-al organizations.

Prepares reports and required documentsin accordance with supervisor instructions.

Extensive knowledge of NIIMS/ICS is re-quired.

Counseling skills and the ability tomanage subordinates in stressful work en-vironments is required.

Extensive knowledge of FAC methods to dealwith families of disaster victims is required.



The incumbent works under the broaddirection of the Operations Section Chiefand plans, develops and implementsactivities relative to family assistance serv-ices for disaster victims and theirfamilies. Work is reviewed in terms ofmeeting the overall objectives of thedisaster response mission.



that provided applicants with knowledge of the behavioral or social sciencesequivalent to a 4-year degree as shown in A above.

ADDITIONAL REQUIREMENTSOne year of specialized professional experience equivalent to the GS-13 levelin the Federal service. Supervisory experience is required.


n A valid and unrestricted license/certification to practice in a State, theDistrict of Columbia, the Commonwealth of Puerto Rico, or a territory ofthe United States.

n Experience in disaster and/or mass medical evacuation operations.n Training in disaster medical services.n Knowledge of NIIMS/ICS.n Possess interpersonal skills and the ability to interact with the public.



The Practical Nurse provides technicalnursing care as a licensed practical nurseor Vocational Nurse and as a member ofthe nursing staff on the NDMS responseteams. The Practical Nurse reports direct-ly to the Supervisory Nurse.


Provides direct supportive nursing careto patients who have been injured orhave become ill as result of a disaster; orwere already on medical treatmentbefore the disaster.

Observes and records patient condition.Checks vital signs and ascertains whetheror not the patient is bleeding, in shock orappears to have a broken bone and takesappropriate first aid measures.

Responds to emergency situations such ascardiopulmonary arrest. Recognizes theneed for emergency measures and callsfor professional assistance.

Performs or assists in performing a rangeof treatment procedures includingapplication and changing of dressing;monitors intravenous fluids; insertsurethral catheters and nasogastric tubes.Sets up and operates any specialequipment needed with these procedures.

Prepares and administers prescribedmedications (oral, topical, subcutaneous,and intramuscular) to those patients whoare on prescribed medical treatment.

Supervises and assists in patienttransport, if necessary.



PRACTICAL/VOCATIONAL NURSE, GS-0620-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

PRACTICAL/VOCATIONAL NURSE, GS-0620-05


Provides for emotional support, physicalcomfort and safety of patients.

Participates in patient care planning as amember of the nursing team.


Must have a valid and unrestricted licenseor registration to practice in a State, theDistrict of Columbia, the Commonwealthof Puerto Rico, or a territory of the Unit-ed States. In addition, the incumbentmust possess current Basic Cardiac LifeSupport (BCLS) certification.

It is recommended that the incumbent beoriented in disaster medical or nursingservices.

EVALUATION FACTORS


Knowledge and skill sufficient to performa moderately difficult range of nursingcare requiring licensure as a practicalnurse or vocational nurse and sufficientexperience to serve as a responsemember the nursing team.

Knowledge and skill sufficient to providestandardized therapeutic patient careand interaction techniques for thepurpose of establishing effective relation-ships with patients and interacting withmembers of the treatment team.

Knowledge and skill sufficient to observeexpected results of nursing care for thepurpose of reporting and exchanging in-formation with the treatment team.

Knowledge and skill sufficient to useterminology for describing patientreactions, patient care and medication forthe purpose of instructing patients.


The Supervisory Nurse makes patientassignments by providing general instruc-tions and information prevailing at thedisaster site. The incumbent performsrecurring daily assignments independent-ly; specific instructions when required, aregiven only in new or unfamiliar situations.


The incumbent uses judgement in meetingpatient’s needs by selecting and adaptingnursing care procedures. Selects the most ap-propriate guidelines based on the patient’scondition, patient’s treatment plan, medicalhistory, and general conditions existing in thedisaster area. Significant deviations or new sit-uations for which guidelines are not availableare referred to the Supervisory or Staff Nurse.


The work consists of choosing the propernursing care procedure pertinent to thesituation. Treatment procedures may rangefrom application of hot and cold packs ordressing a wound to catheterization of pa-tients or setting up medical equipment(such as respirators). Differences in patientcare are decided by the incumbent basedon readily identifiable differences in thecondition of patients. The incumbent canvary patient care accordingly.



The work consists of performing standard-ized nursing care services, whichcontribute to the patients care and welfare.


The incumbent has personal contacts withdesignated patients, family members, andwith members of the treatment team con-sisting of medical officers, nurses,practical nurses, nursing assistants and allother supportive personnel.


Contacts with patients are for the purposeof influencing and controlling fearful,skeptical or uncooperative patients andmotivating them to accept treatment.Contacts with the treatment team are forthe purpose of providing information forand receiving information concerning thetreatment. Contacts with family members

are for the purpose of motivating thefamily to accept the patient’s illness,injury or medical condition.


The work requires regular and recurringstanding, walking, bending, lifting, stoop-ing and stretching. The incumbent hasconstant need to defend self and othersfrom the physical attack of patients.


The work is preferably performed insidea shelter or otherwise is performedoutdoors. These areas may not beadequately heated and ventilated. Workareas are noisy with recurring turbulenceand unpredictable conditions generatedby patients. The incumbent may besubject to physical attack from patientsand exposure to contagious diseases.




JOB CATEGORYTitle: Practical or Vocational NurseSeries: 0620Grade: 05

BASIC REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the GS-04 level in the Federal service.Qualifying experience includes nursing care work in a hospital, outpatientclinic, nursing home, or other supervised medical, nursing, or patient care fa-cility that provided a practical knowledge of human body structure and steriletechniques and procedures, performing such duties as:

n Providing pre and post-operative patient caren Observing, recording, and reporting changes in behavior of mentally ill

patientsn Providing reassurance and encouragement to mentally ill patientsn Assisting surgeons and registered nurses in operating room activities,

including passing instruments, maintaining sterile conditions, anddraping and positioning patients

n Setting up and operating special medical equipment and apparatus

LICENSURE REQUIREMENTApplicant must be currently licensed to practice as practical or vocationalnurse in a State, the District of Columbia, the Commonwealth of Puerto Rico,or a territory of the United States.


n Orientation in disaster medical and nursing services.n Basic Life Support (BLS) training and/or certification.



The Nurse provides limited professionalnursing care to those who are injured orhave become ill due to a disaster ormajor emergency. The Nurse reportsdirectly to the Supervisory Nurse.


Provides treatment to accident victimsnot requiring complex emergencynursing techniques and procedures.

Prepares and reviews patient records. Ob-serves and records patient condition andassesses nursing care needs.

Provides basic nursing care to patientsbased on the physical, mental, andemotional needs of the patient.

Administers medications and treatmentsauthorized by physicians.

Records information on patients’ chartand maintains accurate records of intakeand output.

Assists in the performance of the less com-plex tests, examinations, and treatments.


The incumbent must possess a license orregistration as a professional nurse in aState, the District of Columbia, theCommonwealth of Puerto Rico, or a terri-tory of the United States. In addition, theincumbent must possess current BasicCardiac Life Support (BCLS) certification.



NURSE, GS-0610-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

STAFF NURSE, GS-0610-05


EVALUATION FACTORS


Knowledge of and ability to apply profession-al nursing principles, procedures and tech-niques to patients requiring routine care.

Knowledge and skill to recognize adversesigns and symptoms and to react promptlyto emergency situations such as treatmentfor shock, resuscitation, hemorrhaging, etc.

Knowledge and skill to use medicalequipment and techniques such asoxygen equipment, resuscitator, etc.

Knowledge and skill to gain the coopera-tion of patients and families some ofwhom are suspicious and resistant.


The incumbent works under the direct su-pervision of the Supervisory Nurse whomakes general assignments but receivesmedical direction from the medical offi-cers. The physicians provide medical in-structions concerning assigned patients.The incumbent participates in the plans,schedules, and provides specific nursingcare with specific instructions for each pa-tient. He/she will handle emergenciesbased in best judgment; however, anyemergency or unusual problem will be re-ported to the medical officer or superviso-ry nurse for assistance as soon as possible.The supervisor discusses assigned patientsat some time during the shift. Work is sub-ject to review for adherence to profession-al standards sometime during the rounds.


Guidelines are available for every possibil-ity. The incumbent uses judgment ininterpreting guidelines and determining acourse of action from an assessment of thepatient’s symptoms and behavior.


Nurse assignments involve the use ofknowledge, skills and judgment inperforming the less difficult functionsthat differ with the needs of eachpatient. The incumbent must recognizeand respond appropriately to deviationsfrom normal and must use proceduresthat will best serve the needs of thepatients. The incumbent will be involvedin a variety of such procedures aspreparing patients for examination,assisting during the examination, andadministering prescribed medicationand treatments. Gives injections, admin-isters oxygen in emergencies, appliesdressing, takes and records temperature,pulse, respiration and blood pressure.Draws blood for tests. Obtains and labelsspecimens for laboratory analysis.


The nature of the incumbent’s work is toprovide limited nursing care for patients.The results of the work affect the physicaland emotional well being of the patientsand the overall attitude of their families.



Contacts are with patients, their families,and with health care professionals andtechnical personnel (e.g., physicians,other nurses and supporting technicaland administrative staff).


The purpose of the contacts is to influenceand motivate patients to care for themselves,improve their habits, follow medical orders,etc. Contacts are essentially to exchange,provide and obtain information regardingthe patients treatment. Contacts withfamilies are to counsel them to encouragethe patient to improve or change living orhealth habits. Often these contacts requiregreat tact and sensitivity.


The work requires some physical exertionsuch as long periods of standing; walking

over rough and uneven surfaces;recurring bending, stooping, stretchingetc; recurring lifting of moderately heavyitems or occasional lifting of heavy items(over 50 pounds). The work may requireabove average agility and dexterity. Thework may require long hours without restor relief and may require defending one-self or others against physical attack.


The work environment involves moderatelyhigh risks or discomforts, which require spe-cial precautions, e.g., working with risk ofexposure to contagious disease, radiation orinfection or in working with emotionally dis-turbed patients. Precautions are routine fornearly all situations. Nurses may be requiredto use protective clothing or gear. The workenvironment may involve high risks orexposure to potentially dangerous situationswhere conditions cannot be controlled.




JOB CATEGORYTitle: Staff Nurse (NDMS organizational title)

Nurse (OPM official title)Series: 0610Grade: 05

BASIC REQUIREMENTS

Education

Degree or diploma from a professional nursing program approved by thelegally designated State accrediting agency at the time the program was com-pleted by the applicant.

ADDITIONAL REQUIREMENTOne year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the next lower grade in the Federal service.

Education may be substituted for experience as follows:n Bachelor’s degree in nursing = GS-05

LICENSURE REQUIREMENTApplicant must possess a current license/registration as a professional nursein a State, the District of Columbia, the Commonwealth of Puerto Rico, or aterritory of the United States.


n Certification as an adult, family, or emergency nurse.n Advanced Cardiac Life Support (ACLS) training and/or certification.n Certification in emergency department nursing by the Emergency

Nurses’ Association or equivalent.



The Nurse provides required professionalnursing care to those who are injured orhave become ill due to a disaster ormajor emergency. The incumbent reportsdirectly to the Supervisory Nurse.


Provides emergency treatment to accidentvictims.

Prepares and reviews patient records.

Observes and records patient conditionand assesses nursing care needs.

Provides basic nursing care to patientsbased on the physical, mental, andemotional needs of the patient.



Assists in the performance of tests, exam-inations, and treatments.


The incumbent must possess a license orregistration as a professional nurse in aState, the District of Columbia, theCommonwealth of Puerto Rico, or a terri-tory of the United States. In addition, theincumbent must possess current BasicCardiac Life Support (BCLS) certification.






EVALUATION FACTORS


Knowledge and ability to applyprofessional nursing principles,procedures, and techniques to patientswith specific medical conditions.

Knowledge, ability, and skill to usespecialized medical equipment and tech-niques such as oxygen equipment, resus-citator, etc.

Knowledge of normal and abnormalresponse to spinal, general, and localanesthetics.

Knowledge of pharmaceuticals, theirdesired effects, side effects, andcomplications of their use.

Knowledge and ability to participate indeveloping a nursing plan to meet theneeds of patients.

Knowledge and ability to gain the cooper-ation of patients and families some ofwhom are suspicious and resistant.


The supervisor works under the directsupervision of the Supervisory Nursewho makes general assignments butreceives medical direction from the med-ical officers. The physicians providemedical instructions concerning assignedpatients. The incumbent plans,schedules and provides comprehensivenursing care with specific instructions for

each patient. The incumbent may modifynursing care procedures as conditionswarrant. The incumbent will handleemergencies based on best judgment;however, any emergency or unusual prob-lem will be reported to the medicalofficer or supervisory nurse for assistanceas soon as possible. The supervisordiscusses assigned patients at some timeduring the shift. Work is subject to reviewfor adherence to professional standardssometime during the rounds.


Guidelines are available but do notprovide specific instructions for every pos-sibility. The incumbent uses judgment ininterpreting guidelines and determining acourse of action from an assessment of thepatients’ symptoms and behavior.


Nurse assignments involve the use ofknowledge, skills, and judgment inperforming the less complex functionsbased on needs of each patient. Theincumbent must recognize and respond ap-propriately to deviations from normal andmust use procedures that will best serve theneeds of the patients. The incumbent willbe involved in a variety of such proceduresas preparing patients for examination,assisting during the examination, andadministering prescribed medication andtreatments. Gives hypodermic injections,administers oxygen in emergencies, appliesdressings, takes and records temperature,pulse, respiration and blood pressure.Draws blood for tests and obtains andlabels specimens for laboratory analysis.



The nature of the incumbent’s work is toplan and provide direct nursing care forpatients. The results of the work affectthe physical and emotional well being ofthe patients and the overall attitude oftheir families.

FACTOR 6:PERSONAL CONTACTS:Level (25 points)

Contacts are with patients, their families,hospital personnel, and with health careprofessionals and technical personnel (e.g.,physicians, other nurses, and supportingtechnical and administrative staff).

FACTOR 7:PURPOSE OF CONTACTS:Level (50 points)

The purpose of the contacts is to influenceand motivate patients to care forthemselves, improve their habits, followmedical orders, etc. With hospitalpersonnel, health care professionals andtechnical support personnel, contacts are es-sentially to exchange, provide and obtain in-formation regarding the patients treatment.Contacts with families are to counsel themto encourage the patient to improve orchange living or health habits. Often thesecontacts require great tact and sensitivity.


The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces; recurringbending, stooping, stretching, etc.;recurring lifting of moderately heavy itemsor occasional lifting of heavy items (over 50pounds). The work may require about aver-age agility and dexterity. The work mayalso require working long hours withoutrest or relief and may require defendingoneself or others against physical attack.


The work environment involves moderate-ly high risks or discomforts, which requirespecial precautions, e.g., working with riskof exposure to contagious disease,radiation or infection or in working withemotionally disturbed patients. Precautionsare routine for nearly all situations. Nursesmay be required to use protective clothingor gear. The work environment mayinvolve high risks of exposure to potential-ly dangerous situations where conditionscannot be controlled.






BASIC REQUIREMENTS

Education



Education may be substituted for experience as follows:n 1 year graduate nursing = GS-07







The Nurse either provides requiredprofessional nursing care to those whoare injured or have become ill due to adisaster or major emergency. The Nursereports directly to the Supervisory Nurse.


Provides emergency treatment to accidentvictims.


Observes and records patient conditionand assesses nursing care needs.

Provides comprehensive nursing care topatients based on the physical, mentaland emotional needs of the patient.



Assists in the performance of tests, exam-ination, and treatment.

Directs the work of aides, technicians,and licensed practical nurses.


The incumbent must possess a license orregistration as a professional nurse in aState, the District of Columbia, the






Commonwealth of Puerto Rico, or a terri-tory of the United States. In addition, theincumbent must possess current BasicCardiac Life Support (BCLS) certification.

EVALUATION FACTORS


Knowledge and ability to apply profes-sional nursing principles, procedures andtechniques to patients with a wide varietyof conditions.

Knowledge, ability, and skill to recognizeadverse signs and symptoms and to reactpromptly to emergency situations such astreatment for shock, resuscitation,hemorrhaging, etc.

Knowledge and ability to use specializedmedical equipment and techniques suchas oxygen equipment, resuscitator, etc.

Knowledge of normal and abnormal re-sponse to spinal, general, and local anes-thetics.

Knowledge of pharmaceuticals, theirdesired effects, side effects, andcomplications of their use.

Knowledge and ability to develop or par-ticipate in developing a nursing plan tomeet the needs of patients.

Knowledge and ability to plan and direct thework of supporting technical nursing staff.

Knowledge and ability to gain the cooper-ation of patients and families some ofwhom are suspicious and resistant.


The incumbent works under the supervisionof the Supervisory Nurse who makes generalassignments but receives medical directionfrom the medical officers. The physiciansprovide medical instructions concerningassigned patients. The incumbent independ-ently plans, schedules, and provides compre-hensive nursing care without specificinstructions for each patient. The incumbentwill modify nursing care procedures as condi-tions warrant. The incumbent will handleemergencies based on best judgment; howev-er, any emergency or unusual problem willbe reported to the medical officer or supervi-sory nurse for assistance as soon as possible.The supervisor discusses assigned patients atsome time during the shift. Work is subjectto review for adherence to professional stan-dards sometime during the rounds.


Guidelines are available but don’t providespecific instructions for every possibility.The incumbent uses judgment ininterpreting guidelines and determininga course of action from an assessment ofthe patient’s symptoms and behavior.


Nurse assignments involve the use ofknowledge, skills, and judgment inperforming complex functions that differwith the needs of each patient. The incum-bent must recognize and respondappropriately to deviations from normaland must use procedures that will best


serve the needs of the patients. Theincumbent will be involved in a variety ofsuch procedures as preparing patients forexamination, assisting during theexamination, and treatments. Gives hypo-dermic injections, administers oxygen inemergencies, applies dressings, takes andrecords temperature, pulse, respiration,and blood pressure. Draws blood for testsand obtains and labels specimens for labo-ratory analysis. Assists the medical officerin minor surgical procedures such asrepair of lacerations, abscess draining, andassists in applying casts and dressings.


The nature of the incumbent work is toplan and provide comprehensive nursingcare for patients. The results of the workaffect the physical and emotional wellbeing of the patients and the overall atti-tude of their families.


Contacts are with patients, their families,hospital personnel, and with health careprofessionals and technical personnel (e.g.,physicians, other nurses, and supportingtechnical and administrative staff.


The purpose of the contacts is to influenceand motivate patients to care for them-selves, improve their habits, follow medicalorders, etc. With hospital personnel,

health care professionals and technicalsupport personnel, contacts are essentiallyto exchange, provide, and obtain informa-tion regarding the patients treatment.Contacts with families are to counsel them,to encourage the patient, to improve, orchange living or health habits. Often thesecontacts require great tact and sensitivity.


The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces; recurringbending, stooping, stretching, etc;recurring lifting of moderately heavy itemsor occasional lifting of heavy items (over 50pounds). The work may require above aver-age agility and dexterity. The work mayalso require working long hours withoutrest or relief and may require defendingoneself or others against physical attack.


The work environment involves moderatelyhigh risks or discomfort, which require spe-cial precautions, e.g., working with risk ofexposure to contagious disease, radiation orinfection or in working with emotionally dis-turbed patients. Precautions are routine fornearly all situations. Nurses may be requiredto use protective clothing or gear. The workenvironment may involve high risks ofexposure to potentially dangerous situationswhere conditions cannot be controlled.






BASIC REQUIREMENTS

Education



Education may be substituted for experience as follows:n Master’s degree in nursing = GS-09







The Supervisory Clinical Nurse supervis-es the nursing staff performing nursingduties at the site of or nearby a disasteror major emergency. The SupervisoryClinical Nurse reports directly to theSupervisory Nurse Specialist.


Supervises the nursing staff who are per-forming nursing duties at the site of ornearby a disaster or major emergency.Nursing staff supervised consists of profes-sional nurses, licensed practical nurses, andnursing assistants. Carries out a full rangeof administrative duties in the performanceof supervisory responsibilities.

Assesses nursing needs to provide safeand efficient nursing care.

Participates with the interdisciplinary team(e.g., Supervisory Nurse Specialist, medicalofficers, and technical nursing assistants) indefining policies and developing the totaldisaster care program for patients.

Works collaboratively with medicalofficers in the identification and manage-ment of disaster patients.

Performs triage of patients on entry tomedical services.

Assesses injuries and illnesses; performsresuscitation, inserts intravenous lines,and inserts esophageal airways; and treatsshock victims.

Examines, treats wounds, and performsdiagnostic tests.



SUPERVISORY CLINICAL NURSE, GS-0610-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

SUPERVISORY CLINICAL NURSE, GS-0610-11


Maintains complete and current clinicaland nursing records.


Must possess a current license or registrationas a professional nurse in a State, the Districtof Columbia, the Commonwealth of PuertoRico, or a territory of the United States.

EVALUATION FACTORS


Professional knowledge of a wide rangeof nursing concepts, principles, and prac-tices to perform highly specializednursing assignments (e.g., disaster oremergency nursing services).

Knowledge and ability to evaluate patientcondition and behavior resulting from af-fects of disaster or emergency; recognizesdeviations from normal; and reviewsfindings with attending physician.

Knowledge of medical care andtreatment for seriously ill or injuredpatients and ability to interpret nursingcare plan to patient and family members.

Knowledge and ability to assess injuriesand illnesses, examine and treat wounds,and perform life saving measures, e.g.,resuscitation, esophageal airways, etc.

Knowledge to assess nursing needs andsafe and efficient nursing services.

FACTOR 2:SUPERVISORY CONTROLS:Level 2-4 (450 points) The incumbent performs under generalsupervision of the Supervisory Nurse

Specialist. Within established objectives,works out new and revised methods,practices, and procedures with members ofthe nursing staff and attending physicians.Discusses plans of treatment with the nurs-ing staff and physician-in-charge and solvesall but the most acute problems on own ini-tiative. Work is evaluated on the basis ofdemonstrated professional nursing ability,skill and judgment in caring for patients.


Guidelines are available but are not com-pletely applicable to every situation likely tobe encountered. The incumbent uses judg-ment in interpreting and, with some patientsituations, adapting guidelines (e.g., assess-ing the condition of patients; evaluating de-viations from normal reactions andinitiating emergency treatment personallyor through the nursing staff).


The work coves a range of independentassignments from assessment throughtreating minor wounds and illnesses andemergency procedures. Constantly ob-serves patients and interprets and evalu-ates the meaning of their reactions andbehavior. The work requires making deci-sions regarding comprehensive nursingcare for individuals who have been affect-ed by unusual circumstances.


The purpose of the work is to establishcriteria and assess effectiveness of patienttreatment. Evaluation and observations


used by the nurse are relied on by thephysician to further modify and developtreatment. The work has in immediate af-fect on patient’s physical well being andwill have impact on their families.




Contacts with patients are to provide nurs-ing care, motivate and relieve fears ofthose who are skeptical and persuadethem to cooperate with physician’s instruc-tions. Contacts with other nurses, technicalstaff, physicians, and hospital personnelare to exchange information. Contactswith patients families are to provide infor-mation patients condition and to counselfamily on care required after release fromtreatment or from the hospital.


The work requires some physical exertionsuch as long periods of standing; walking overrough and uneven surfaces; recurring bend-ing; stooping, stretching, etc.; recurring liftingof heavy items (over 50 pounds). The workmay require above average agility and dexteri-ty. The work may also require working longhours without rest or relief and may requiredefending oneself or others against attack.


The work environment involves moderatelyhigh risks or discomfort, which require spe-cial precautions, e.g., working with risk ofexposure to contagious disease, radiation orinfection or in working with emotionally dis-turbed patients. Precautions are routine fornearly all situations. Nurses may be requiredto use protective clothing or gear. The workenvironment may involve high risks ofexposure to potentially dangerous situationswhere conditions cannot be controlled.




JOB CATEGORYTitle: Supervisory Clinical NurseSeries: 0610Grade: 11

BASIC REQUIREMENTS

Education


Additional Requirement

One year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the GS-09 level in the Federal service.

OR

Completion of all requirements for a doctoral degree (Ph.D. or equivalent) or3 full years of progressively higher level graduate education.

Supervisory experience is required.

Licensure Requirement

Applicant must possess a current license/registration as a professional nursein a State, the District of Columbia, the Commonwealth of Puerto Rico, or aterritory of the United States.






The Supervisory Nurse Specialist supervis-es the nursing care operations includingperformance of nursing care by technicalstaff. He/she may also perform direct nurs-ing services. The Supervisory NurseSpecialist reports to the Operations Chief.


Serves as the Head Nurse providing leader-ship, direction, and supervision of nursingcare operations when activated under NDMS.

Supervises performance of nursing careprovided by technical staff to personsinjured by disasters and major emergencies.Nursing staff supervised includes theSupervisory Clinical Nurse, PracticalNurses, Licensed Practical Nurses, andNursing Assistants. Carries out a full rangeof administrative duties in the performanceof supervisory responsibilities.

Works collaboratively with medicalofficers, administrative officers, and otherstaff in the organization and managementof disaster operations and facilities.

Identifies and assesses needs, trends,issues, and developments which will haveimpact on nursing services.

Serves as the focal point for theidentification and analysis of problemsand issues affecting nursing services andrecommends actions to overcome them.

Ensures compliance with establishedprocedures and protocols including main-taining professional nursing standards.



SUPERVISORY NURSE SPECIALIST, GS-0610-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

SUPERVISORY NURSE SPECIALIST, GS-0610-13


Performs direct nursing services, ifrequired, including accessing injuries andillnesses and performing or assisting inperforming advanced trauma life supportprocedures and diagnostic tests as requires.

Performs other related duties as required tofacilitate efficient nursing care operations.

Incumbent must possess a license or reg-istration as a professional nurse in aState, the District of Columbia, the Com-monwealth of Puerto Rico, or a territoryof the United States.

EVALUATION FACTORS


Mastery of the knowledge of theprinciples, practices, and techniques ofnursing and the latest developments inthe field required for the solution ofcomplex health care problems created bydisasters and major emergencies.

Professional knowledge of nursing in a clin-ical and emergency nursing environmentplus experience in nursing administration.

Knowledge of Federal health planning andnursing education and the “State-of-the-Art”.

Knowledge of current national trends,practices, philosophies, and needs in thefield of nursing.

Knowledge and communication skills neces-sary in providing expert professional andtechnical consultation to a variety of healthcare professionals, groups, and organizations.

Knowledge and understanding of the re-lationship of the Federal Government to

Regional, State and local agencies,national voluntary agencies, professionalassociations, and constituency groups.

Ability to provide program guidance in thedevelopment of standards, guidelines, andregulations pertaining to the specialty fieldof disaster and emergency nursing services.


The supervisor provides administrative direc-tion with assignments in terms of broadly de-fined missions or functions. The incumbenthas responsibility for planning, designing,and carrying out programs, projects, or otherwork independently. Results of the work areconsidered as technically authoritative andare normally accepted without change. Workis reviewed only in terms of overall results inproviding quality-nursing services during dis-asters and major emergencies.


Any available guidelines specifically dealingwith disasters, etc., are broadly stated andnonspecific, e.g., broad and general policystatements. Incumbent must use judgmentand ingenuity in interpreting the intent ofthe guides that exist and in developing ap-plications to specific areas of responsibility.Incumbent is recognized as a nursingauthority in the development and interpre-tation of the guidelines.


The work requires the application of a broadknowledge of nursing practice, service, and


education, and understanding ofinterrelationships among those elements. Is-sues addressed in work situations requireanalysis, interpretation, and application ofnumerous and unrelated methods andprocesses applied to broad range ofsituations. Assignments have a wide range ofactivities occurring at the same time, often ofan emergency nature requiring knowledgeof a wide variety of medical facilities andpersonnel resources available. The official as-signment as nursing supervisor requires con-ceptualization and definition of issues and asubstantial depth of analysis andunderstanding of the delivery of emergencynursing services in emergency situations tovaried population groups in a multitude ofdiffering cultures, geographic locations, andlevels of medical and social sophistication.The work requires the development of newtechniques and the establishment of newpolicies and guidelines which impact on hownursing skills and nursing services will be uti-lized during disasters and emergencies.


The work performed is essential and basicto the establishment, extension, andimprovement of nursing services involvingmedical care during disasters and majoremergencies. Within the context of broadpolicy determinations, work involves thedevelopment of guidelines and othermaterials to carry out Agency and NDMSobjectives and legislative mandates. Issuesto be addressed are complex, have effectover a long period of time, and may affectthe entire national population.


Internal contacts include other service per-sonnel within the Agency, NDMSpersonnel, and personnel of the NDMS re-sponse teams. Intra-agency contacts includeprogram staff of PHS, the Department ofDefense, Department of Veterans Affairs,Commissioned Officer Corps of the PHS,Indian Health Service, Office of the DeputySurgeon General, Department ofTransportation, Federal EmergencyManagement Agency. External contacts arewith officials from the Regional Offices,State and local health departments, legisla-tive and executive branches of the FederalGovernment, State Governors’ Offices;institutions of higher learning andprofessional organizations such as theAmerican Public Health Association, Amer-ican Nurses Association, National Leagueof Nursing, American Red Cross, AmericanHospital Association, National Associationof State Emergency Medical Services Direc-tors, etc. Contacts with other groupsinclude discussion of emergency nursingservices with private physicians, hospital of-ficials and telephone inquiries from thegeneral public and personnel offices.

FACTOR 7:PURPOSE OF THE CONTACTS:Level 7-3 (120 points)

The purpose of the contacts is to assuresound understanding of the goals andobjectives which underlie the efforts of per-sonnel of the Agency and NDMS toprovide the best possible nursing services


under severe adverse conditions, i.e.,during disasters and major emergencies.Contacts are to provide technical consulta-tion and advice to providers of nursingservices on the NDMS disaster teams; eval-uate NDMS disaster teams effectiveness;participate in planning, developing, andconducting pertinent conferences, trainingsessions, and workshops, etc. Contacts takeplace at meetings, conferences, and sitevisits. Tact and persuasion are oftenrequired in dealing with frequentlydemanding and difficult situations. Thework affects a wide range of agencyactivities and how the Agency and NDMSis perceived by the population at large.


The work is primarily sedentary. Typical-ly the incumbent will sit at a desk to per-

form his/her duties, although there willbe occasions on visits to field sites wherethe typical office setting will not be avail-able. The incumbent may work longhours without rest or relief.


The work environment involves everydayrisks of discomforts typical of such placesas offices; temporary portable field officesat disaster sites; meeting rooms; and a va -riety of classes of vehicles. There could besome hazardous duty situations created bythe disasters or emergencies.




JOB CATEGORYTitle: Supervisory Nurse SpecialistSeries: 0610Grade: 13

BASIC REQUIREMENTS

Education



One year of specialized experience directly related to the NDMS ResponseTeam position, equivalent to at least the GS-12 level in the Federal service.Supervisory experience is required.


Applicant must possess a current license/registration as a professional nursein a State, the District of Columbia, the Commonwealth of Puerto Rico, or aterritory of the United States.






The Nurse Practitioner either providesor supervises required nursing care tothose who are seriously injured due to adisaster or major emergency. The NursePractitioner reports directly to the Su-pervisory Nurse.


Provides professional skills andknowledge of established concepts,principles, and practices to performadvanced professional nursingassignments of considerable difficulty.

Provides leadership in comprehensivenursing, preventative, therapeutic healthcare service to patients and familymembers at the disaster or emergency site.

Discriminates between normal and abnor-mal findings to recognize early stages ofserious physical, emotional or mentalproblems at the disaster or emergency site.

Provides emergency treatment to traumavictims, including suturing.


Observes and records patients conditionand assesses nursing care needs.

Provides comprehensive nursing care topatients based on the physical, mental andemotional needs of the patients and instructspatients and families of nursing care needs.




NURSE PRACTITIONER, GS-0610-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

NURSE PRACTITIONER, GS-0610-11


Interprets laboratory tests, records informa-tion on patients’ chart and maintainsaccurate records of intake and output.

Performs emergency tests, examinationsand treatments.

Directs the work of nurses, aids,technicians, and licensed practical nurses.

Performs other related duties as assignedto assist in the efficient operation of theNDMS disaster team.

Incumbent must possess a current licenseor registration as a nurse practitioner in aState, the District of Columbia, the Com-monwealth of Puerto Rico, or a territoryof the United States.

EVALUATION FACTORS


Professional knowledge of a wide rangeof nursing concepts, principles, and prac-tices to perform highly specializednursing assignments (e.g., disaster oremergency nursing services).

Knowledge and ability to evaluatepatient’s condition and behavior resultingfrom affects of disaster or emergency;recognizes deviations from normal; andreviews findings with attending physician.

Knowledge of medical care and treatmentfor seriously ill or injured patients andability to interpret nursing care plan topatient and family members.

Skill in making diagnoses and inchoosing, initiating, and modifying select-

ed therapies; and ability to provide emer-gency treatment as appropriate such as incardiac arrest, shock or hemorrhage.

Knowledge and ability to assess injuriesand illnesses, examine and treat wounds,and perform life saving measures, e.g.,resuscitation, esophageal airways, etc.

Knowledge to assess nursing needs andsafe and efficient nursing services.


The incumbent of this position performsadvanced nursing practitioner duties underdirection of medical officers and under thegeneral direction of the Supervisory Nurse.Within established objectives, works outnew and revised methods, practices, andprocedures with members of the nursingstaff and attending physicians. Discussesplans of treatment with the nursing staffand physician-in-charge and solves all butthe most acute problems on own initiative.Work is evaluated on the basis ofdemonstrated professional nursing ability,skill, and judgment in caring for patients.


Works within the framework of establishedguidelines, which include protocols of care,but is self-directed. However, guidelines arenot completely applicable to every situationlikely to be encountered. The incumbentuses judgment in interpreting and, withsome patient conditions, adapting guidelines(e.g., assessing the condition of patients;evaluating deviations from normal reactionsand initiating emergency treatmentpersonally or through the nursing staff).



The work covers a complete range ofhealth services including assessment of pa-tients, evaluating the effectiveness of careand changing or modifying treatment.The Nurse Practitioner performs a varietyof duties involving a broad range of activi-ties including assessing, planning, evaluat-ing and modifying the treatment ofpatients. The work requires makingdecisions regarding comprehensivenursing care for individuals who havebeen affected by unusual circumstances.


The purpose of the work is to provide thefull range of assessment of needs, planningfor care, instructing, and performance ofemergency procedures for patients andfamilies. Evaluation and observations usedby the nurse are relied on by the physicianto further modify and develop treatment.The work has an immediate affect onpatient’s physical well being and will haveimpact on their families.




Contacts with patients are to provide nursingcare, motivate and relieve fears of those that

are skeptical and persuade them to cooperatewith physician’s instructions. Contacts withother nurses, technical staff, physicians, andhospital personnel are to exchangeinformation. Contacts with patients familiesare to provide information patients conditionand to counsel family on care required afterrelease from treatment or from the hospital.


The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces; recurringbending; stooping, stretching, etc.;recurring lifting of heavy items (over 50pounds). The work may require above av-erage agility and dexterity. The work mayalso require working long hours withoutrest or relief and may require defendingoneself or others against attack.


The work environment involves moderate-ly high risks or discomfort, which requirespecial precautions, e.g., working with riskof exposure to contagious disease,radiation or infection or in working withemotionally disturbed patients.Precautions are routine for nearly allsituations. Nurses may be required to useprotective clothing or gear. The workenvironment may involve high risks of ex-posure to potentially dangerous situationswhere conditions cannot be controlled.




JOB CATEGORYTitle: Nurse PractitionerSeries: 0610Grade: 11

BASIC REQUIREMENTS

Education





Applicant must possess a current license/registration as a professional nursepractitioner in a State, the District of Columbia, the Commonwealth ofPuerto Rico, or a territory of the United States.


n Certification as an adult, family, or emergency nurse practitioner.n Advanced Cardiac Life Support (ACLS) training and/or certification.n Certification as an emergency nurse practitioner.



The Nursing Assistant assists the MedicalOfficer, Registered Nurse, and/orLicensed Practical Nurse during a majoremergency or disaster by performingtechnical nursing duties or related proce-dures. These procedures will not requireknowledge and skills represented bylicensure as a practical nurse.


Assists the Medical Officer in performingdiagnostic examinations (e.g., throatculture), treatments (e.g., catheterization),surgical procedures, and repair of wounds.

Applies dressings and splints; assists theMedical Officer in applying casts.

Prepares patients for minor surgicalprocedures.

Assists in the preparation and cleanup ofsurgical treatment areas. Cleans and steril-izes surgical instruments and equipment.

Sets up instruments, equipment, and sup-plies for treatment procedures. Preparesthe patient and explains the procedurecontemplated to insure the cooperation,security and comfort of patient.

Supervisors and/or assists in patient transport.

Performs other related duties as assignedto assist in the efficient operation of theNDMS response teams.

Must possess Certified Nursing Assistant(CNA) certification in a State, the Districtof Columbia, the Commonwealth of Puer-to Rico, or a territory of the UnitedStates. In addition, the incumbent must



NURSING ASSISTANT, GS-0621-04NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

NURSING ASSISTANT, GS-0621-04


possess current Basic Cardiac LifeSupport (BCLS) certification.


EVALUATION FACTOR


Knowledge of a body of standardized rulesand procedures requiring considerabletraining and experience to carry out nurs-ing care and resolve recurring problems.

Knowledge and skill sufficient torecognize and properly use equipment,materials, and supplies in a large varietyof diagnostic and treatment procedures(e.g., lumbar punctures and herniarepair) for the purpose of understandingand carrying out assigned instructions.

Knowledge and skill sufficient to understandhuman body structure, function, illnessesand diseases, the treatment procedures, thesupporting patient charting and teaching,and the goals for assigned patients for thepurpose of communicating with nurses,patients and supporting medical staff.


The incumbent reports directly to thesupervisory nurse. The supervisor assignswork by listing either in writing or verballythe patient care, its limitations, and priori-ties. The incumbent uses initiative in carry-ing out recurring tasks independentlywithout specific instructions, but refersdeviations, problems, and unfamiliar situa-

tions not covered by instructions, to the su-pervisor and/or medical officer for help ordecision. Work is reviewed in daily rounds.


Guidelines are available in the form ofthe NDMS response teams ProceduresManual and related guidelines such asshift report, nursing care plan, and thepatient’s medical history. The incumbentvaries the order and sequence of assignedprocedures based on the patient’scondition and previous instruction.


Work consists of technical duties associatedwith personal nursing care, diagnosticsupport, therapeutic treatment, patientcharting, and patient teaching duties. Theincumbent recognizes the differencesbetween patients (for example, somepatients may need more self-care than oth-ers) and varies the nursing care accordingly.


The work consists of providing a range ofpatient care and contributes to the recov-ery of patients as well as providing a baseof standard nursing care upon which fur-ther nursing care may be planned.


The incumbent has contact with patients,nurses, doctors and a variety of


supporting personnel on the NDMSresponse teams. In addition, contacts willalso include family members.


Contacts with patients are for thepurpose of providing a range of nursingcare. Contact with nurses are for the pur-pose of providing timely information ondeviations in the patient’s condition.Contacts with doctors are to receiveinstructions concerning diagnostic andtreatment procedures. Family contacts arefor the purpose of motivating familymembers to accept the patient’s illness,injury or medical condition.


Duties require extensive periods of stand-ing and walking. Working with patients

requires regular and recurring bending,lifting, stooping, stretching, repositioningpatients, or similar activities.


The work is preferably performed insidea shelter or otherwise is performedoutdoors. These areas may not beadequately heated and ventilated. Workareas are noisy with recurring turbulenceand unpredictable conditions generatedby patients. The incumbent may besubject to physical attack from patientsand exposure to contagious diseases.




JOB CATEGORYTitle: Nursing AssistantSeries: 0621Grade: 04

BASIC REQUIREMENTSSix months of specialized experience and six months of general experience(see Note on specialized experience).

Note

Qualifying specialized experience at the GS-04 level includes non-profession-al nursing care work in a hospital, outpatient clinic, nursing home, or othersupervised medical, nursing, or patient care facility, or in such work as that ofa home health aid performing duties such as:

n Providing pre and post-operative patient caren Support duties for diagnostic and technical treatment procedures, such

as setting up and operating special medical equipment and apparatusn Caring for mentally ill patients, including observing, recording, and reporting

changes in their behavior, and providing reassurance and encouragementn Assisting surgeons and registered nurses in operating room activities,

including passing instruments, maintaining sterile conditions, anddraping and positioning patients


n Orientation in disaster nursing assistant services.n Basic Life Support (BLS) training and/or certification.



The Nursing Assistant assists the MedicalOfficer, Registered Nurse, and/orLicensed Practical Nurse during a majoremergency or disaster by performing avariety of patient care and comfort meas-ures. These duties will not require knowl-edge and skills represented by licensureas a practical nurse.


Performs a variety of patient care andcomfort measures.

Loads and unloads patients fromambulances, aircraft, and other conveyances.

Transports patients as required.



EVALUATION FACTORS


Knowledge of a body of standardizedrules and procedures requiring sometraining and experience to carry outnursing care duties.

Knowledge of, and sufficient skill toprovide for patient comfort such aslifting, turning, and safe patientmovement procedures.



NURSING ASSISTANT, GS-0621-03NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

NURSING ASSISTANT, GS-0621-03



The incumbent reports directly to the su-pervisory nurse. The supervisor assignswork by listing either in writing or verbal-ly the patient and nursing care duties,their limitations, their priority and theirnumber. The supervisor also provides ad-ditional instructions on any unusualaspect of the work that the incumbentbrings to the supervisor’s attention suchas deviations in the patient’s vital signs,increased signs of pain and discomfort.The incumbent uses initiative in carryingout recurring assignments. Thesupervisor assures that finished work istechnically accurate through daily rounds.


The supervisor provides specific, detailedguidelines covering all assignments. Theincumbent does not deviate from theguidelines unless authorized.


Work involves a sequence of duties orprocesses that the incumbent can followwithout supervisory assistance, for exam-ple, the taking of medical history on apre-established form and the taking andrecording of vital signs.


The nursing care provided by the incum-bent comprises a segment of the nursingcare plan and contributes to the patient’s

comfort and welfare. Aids in the comple-tion of further nursing services.


The incumbent has contact with patients,other nursing staff, doctors and variety ofsupporting personnel on the DMAT. In addi-tion, contacts may include family members.


Contacts with patients are for the purposeof providing nursing care comfort. Contactwith nurses are for the purpose ofproviding timely information on deviationsin the patient’s condition. Contacts withdoctors are to receive instructions concern-ing treatment procedures. Family contactsare for the purpose of motivating familymembers to accept the patient’s illness, in-jury or medical condition.


Duties require extensive periods of stand-ing and walking. Working with patientsrequires regular and recurring bending,lifting, stooping, stretching, repositioningpatients, or similar activities.


The work is preferably performed inside ashelter or otherwise is performed outdoors.These areas may not be adequately heatedand ventilated. Work areas are noisy withrecurring turbulence and unpredictable



JOB CATEGORYTitle: Nursing AssistantSeries: 0621Grade: 03

BASIC REQUIREMENTSSix months of general experience.

Note

Qualifying specialized experience at the GS-04 level includes non-profession-al nursing care work in a hospital, outpatient clinic, nursing home, or othersupervised medical, nursing, or patient care facility, or in such work as that ofa home health aid performing duties such as:

n Providing pre and post-operative patient caren Support duties for diagnostic and technical treatment procedures, such

as setting up and operating special medical equipment and apparatusn Caring for mentally ill patients, including observing, recording, and

reporting changes in their behavior, and providing reassurance andencouragement

n Assisting surgeons and registered nurses in operating room activities,including passing instruments, maintaining sterile conditions, anddraping and positioning patients


n Orientation in disaster nursing assistant services.n Basic Life Support (BLS) training and/or certification.

conditions generated by patients and theenvironment. The incumbent may besubject to physical attack from patients andexposure to contagious diseases.




The Clinical Pharmacy Unit Leader(Pharmacist) is responsible forcompounding and dispensingprescriptions requested by physicians andother licensed practitioners at the site ofa disaster or major emergency. Theincumbent reports directly to theAncillary Services Division Supervisor.


Independently carries out clinical phar-macy functions of drug selection, com-pounding and dispensing of a variedrange of therapeutic agents. Developsspecial formulas, extemporaneous com-pounding and special preparations.

Develops and implements plan to securecontrolled substances in the ClinicalOperations Section.

Maintains responsibility for thedistribution and accountability of drugsutilized at the disaster or emergency site.

Provides clinical pharmacologyconsultation to medical personnel.

Assists in the development of the NDMSdisaster team formulary.

Fills written orders for pharmaceuticalsaccording to established procedures.

Provides information to medicalpersonnel regarding concentration, num-ber of dosages in a solution, etc.

Makes judgments concerning drug effectsand patient behavior, especially adverse ef-fects. Brings potentially serious situationsto the attention of medical personnel.



PHARMACIST, GS-0660-12NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

CLINICAL PHARMACY UNIT LEADER, GS-0660-12


Prepares detailed reports and records involv-ing inventories, requisitions, and issuance ofdrugs according to laws and regulations.

Develops special formulas, extemporane-ous compounding, and specialpreparations as required.

Resolves problems in the area of biophar-maceutic effectiveness, including prob-lems concerning solubility, stability,incompatibility, etc.

Suggests alternative medications to avoidincompatibilities, alleviate side effects,overcome potentiating drug combinations,and prevent antagonistic reactions.

Provides leadership, direction, and super-vision to assigned Pharmacy Technician(s).



The incumbent works under the very gen-eral supervision of the Ancillary ServicesDivision Supervisor. He/she performshis/her assignment with a high degree ofexperienced judgment. The incumbent ex-ercises this judgment in the selection, com-pounding and dispensing of therapeuticagents. Incumbent works independently,planning his/her own priorities. Work isevaluated on the basis of demonstratedability and skill in support of patient care.

OTHER SIGNIFICANT FACTSThe incumbent must possess a degree inpharmacy, have 1 year of internship inpharmacy, and be licensed by a Board ofPharmacy to practice pharmacy.



JOB CATEGORYTitle: Clinical Pharmacy Unit Leader (NDMS organizational title)

Pharmacist (OPM official title)Series: 0101Grade: 12

BASIC REQUIREMENTS

Education

Four-year Bachelor’s degree in pharmacy recognized by the AmericanCouncil on Pharmaceutical Education.

Additional Requirements

One year of professional experience directly related to the NDMS responseteam position equivalent to the next lower grade level in the Federal service.Supervisory experience is required.


Applicant must be licensed to practice pharmacology in a State, the District ofColumbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Medical Requirement

Applicants must be able to distinguish basic colors.

DESIRABLE QUALIFICATIONSExperience in disaster and/or medical care operations.



The Pharmacist is responsible for thecompounding of prescriptions ofphysicians and other licensedpractitioners at the site of a disaster ormajor emergency. The Pharmacistreports directly to the Logistics Chief.


Carries out clinical pharmacy functions ofdrug selection, compounding, and dispens-ing of varied range of therapeutic agents.

Develops special formulas, extemporaneouscompounding and special preparations.

Resolves problems in the area of biophar-maceutical effectiveness, includingproblems concerning solubility, stability,incompatibility, etc.

Provides authoritative advice to NDMSdisaster teams concerning contra-indications and side effects of drugs.

Provides information based on experiencein dealing with the medical staff regardingquestions concerning concentration, num-ber of dosages in a solution, etc.

Suggest alternative medications to avoidincompatibilities, alleviate side effects,overcome potentiating drug combinationsand prevent antagonistic reactions.

Supervises performance of the Pharmacy As-sistant and Pharmacy Technician. Carries outa full range of administrative duties in theperformance of supervisory responsibilities.



PHARMACIST, GS-0660-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

PHARMACIST, GS-0660-11



SUPERVISORY CONTROLSThe incumbent works under the general su-pervision of the Logistics Chief. He/she per-forms his/her assignment with a high degreeof experienced judgment. The incumbentexercises this judgment in the selection,compounding and dispensing of therapeuticagents. Incumbent works independently,planning his/her own priorities. Work is eval-

uated on the basis of demonstrated abilityand skill in support of patient care.

OTHER SIGNIFICANT FACTSThe incumbent must possess a degree inpharmacy, have 1 year of internship inpharmacy, and be licensed by a Board ofPharmacy to practice pharmacy.

The incumbent should have basicorientation in disaster and/or medicalcare operations.


JOB CATEGORYTitle: PharmacistSeries: 0101Grade: 11

BASIC REQUIREMENTSEducation

Four-year Bachelor’s degree in pharmacy recognized by the AmericanCouncil on Pharmaceutical Education.

Additional Requirements

One year of professional experience directly related to the NDMS responseteam position equivalent to the next lower grade level in the Federal service.


Applicant must be licensed to practice pharmacology in a State, the District ofColumbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Medical Requirement

Applicants must be able to distinguish basic colors.

DESIRABLE QUALIFICATIONSExperience in disaster and/or medical care operations.



The Pharmacy Assistant is responsible forproviding a full range of complex andtechnical support functions involvingpharmaceutical procedures andtechniques. The Pharmacy Assistantreports directly to the Pharmacist.


Performs a full range of complex technicalsupport functions involving pharmaceuticalprocedures and techniques. The incumbentwill have technical responsibility for thedistribution and accountability of drugs uti-lized at the disaster site. The position willrequire application of a highly specializedknowledge of pharmaceutical proceduresand techniques. The incumbent typicallywill have developed very great proficiencyin pharmaceutical techniques and will havebecome unusually knowledgeable about thepharmaceutical aspects of field medicalcare disaster medicine to which assigned.

The incumbent will be responsible for or-dering, receiving, and maintainingadequate stocks of pharmaceuticalsupplies at the disaster site. He/she willbe responsible for maintaining aninventory system to make ready anavailable supply of pharmaceuticals. Pack-ages and labels all products includingthose with complex chemical properties.

Stores drugs and solutions and checks stocksfor expiration dates and rotates stocks as re-quired to avoid expiration dates. Inventoriesteam drug and solution stocks andrecognizes consumption and supply levels.



PHARMACY ASSISTANT, GS-0661-07NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

PHARMACY ASSISTANT, GS-0661-07


Accepts requests for drugs and solutions. Theincumbent will fill written orders for drugs bythe medical officers. If additional informationis required, he/she will be able to locate andinterpret available guidelines and applyappropriate pharmaceutical procedures.Establishes necessary controls on the dispen-sation of all drugs. Reads individual prescrip-tions and determines kind, strength, anddosage of drug to be dispensed. Sets up pre-scriptions by obtaining correct stock contain-er, counting or pouring correct amount ofmedication, and placing medication in small-er container. Correlates instructions on thepreparation, dosage, etc., of the drug withthe medical officer’s instructions.

Applies judgment based on substantial ex-perience in pharmaceutical procedures indealing with the professional staff regard-ing questions concerning, e.g., concentra-tion, number of dosages in a solution, etc.Answers questions concerning theavailability of drugs, dosages available,etc. Complies drug information andmaintains appropriate references.

As the situation warrants, the incumbent isexpected to make individual judgmentsconcerning drug effects and patientbehavior. He/she must have the ability torecognize drug effects, particularlyrecognizing adverse drug effects, judgetheir potential seriousness, and call the sit-uation to the attention of the Pharmacist.

Recognized drug shortages, and potentialsubstitution, and advises the Pharmacistas soon as possible. Prepare exact and de-

tailed reports and records involvinginventories, requisitions, and issuance ofdrugs. Reports will be preparedaccording to law and regulations. The in-cumbent will also prepare appropriate,detailed and accurate records to be main-tained in case of inspection or review.

Maintains security of dangerous drugsupplies and develops a procedure toassure the security of drugs, even underadverse conditions.

The incumbent will perform other relatedduties as assigned to assist in the efficientoperation of the NDMS response teams.

SUPERVISORY CONTROLSThe incumbent will work under the directand general supervision of the Pharmacist.He/she will perform as an assistant to thePharmacist who provides very minimalguidance and verbal instructions concerningthe overall plan of work. The incumbentwill work independently and plan his/herown priorities. Completed work will be gen-erally reviewed for adequacy of results.

OTHER SIGNIFICANT FACTSMust meet State law governing pharmacytechnicians in the State where theapplicant is employed or the state wherethe NDMS response team is located.

The incumbent should have orientationin disaster medical and nursing services.



JOB CATEGORYTitle: Pharmacy AssistantSeries: 0661Grade: 07

BASIC REQUIREMENTSOne year of specialized experience as a pharmacy assistant/technician, orexperience directly related to the NDMS response team position equivalent tothe next lower grade level in the Federal service.

Licensure/Certification Requirement

Must meet State law governing pharmacy technicians in the State where theapplicant is employed or the state where the NDMS response team is located.

DESIRABLE QUALIFICATIONSOrientation in disaster medical and pharmacy services.



The Pharmacy Technician is responsiblefor assisting the Pharmacist and Pharma-cy Assistant in maintaining sufficient sup-plies and quality control of drug andsolution stocks. The Pharmacy Technicianreports directly to the Pharmacist.


Assist the Pharmacy Assistant and Pharma-cist in maintaining drug and solutionstocks. Assures that solutions aremaintained in accordance with sterile pro-cedures. Visually checks containers andbottles of drug solutions to ascertain thatthey are clear and do not contain foreignparticles. If foreign particles are detected,assures that the polluted substances are re-moved from the inventory. Assures correctlabeling of drug stocks and solutions. Anymislabeling or errors detected are referredto the Pharmacy Assistant or Pharmacist.

Records drug and solution inventory.Maintains precise and detailed records ofinventory. Identifies shortages in theinventory and calls it to the attention ofthe Pharmacy Assistant or Pharmacist ifthe problems cannot be resolved.

Reviews requisitions for completeness andprepares the more common drugsolutions for the Pharmacy Assistant andPharmacist. If discrepancies appear in therequisitions, calls these to the Attention ofthe Pharmacy Assistant or Pharmacist.

Packs and loads pharmaceutical materialswhile assuring sterile conditions are



PHARMACY TECHNICIAN, GS-0661-05NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

PHARMACY TECHNICIAN, GS-0661-05


maintained. Keeps an accurate record ofmaterials taken from the inventory.



SUPERVISORY CONTROLSThe incumbent reports directly to the Phar-macist for assignments and guidance. How-ever, the incumbent is expected to assistboth the Pharmacist and Pharmacy Assistantat the disaster site. Within the limits of theoverall assignment, the incumbent works in-dependently and plans his/her own daily ac-tivities. Completed work will be generallyreviewed for effectiveness of overall results.


JOB CATEGORYTitle: Pharmacy TechnicianSeries: 0661Grade: 05

BASIC REQUIREMENTSOne year of specialized experience as a pharmacy assistant/technician, orexperience directly related to the NDMS response team position equivalent tothe next lower grade level in the Federal service.

Licensure/Certification Requirement

Must meet State law governing pharmacy technicians in the State where theapplicant is employed or the state where the NDMS response team is located.

DESIRABLE QUALIFICATIONSOrientation in disaster medical and pharmacy services.


INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness,Office of Public Health and Science,Office of the Secretary. The Departmentof Health and Human Services is the pri-mary agency for the Emergency SupportFunction (ESF) #8, “Health and MedicalServices”, under the Federal ResponsePlan (FRP). The Office of EmergencyPreparedness is the headquarters for theNational Disaster Medical System(NDMS) and, in that capacity, supportsthe planning, organization anddevelopment of medical response teamsof NDMS. The disaster medical responseteams, i.e., primary care, specialty, andothers, are a basic element in the person-nel component and can be expanded to aclearing-stage unit while other teams arepreparing for activation. Health careproviders and medical support personnelare recruited from local communities toserve national needs in the event of disas-ters or other major emergenciesrequiring extraordinary medical services.

The incumbent of this position serves asa Photographer of the Disaster MortuaryOperational Response Team (DMORT)and is responsible for providing still pho-tographic and video documentation ofmedical specimens, post mortems, andother medical procedures for diagnostic,legal, and research purposes.


Provides still photography work and videodocumentation of medical specimens andprocedures for mortuary personnel and/ormedical examiners. Determinesphotographic composition in positioningsubjects, arranging backgrounds, andselecting camera angles and views toachieve aesthetic results.

Uses technical knowledge to anticipatevarious stages in the medical procedureto recognize points of interest, and toapply discretion in documentingelements beyond the scope of themedical examiner’s explicit instructions.

Operates a variety of standard andspecialized cameras, including electronicstill imaging and accessories, differentfilms, filters, diffusers, lenses, and lights.Carries out precision processingoperations to generate high qualityphotographs. Must be experienced in theoperation of a variety of specialized pho-tographic laboratory equipment such asvacuum frames, precision processcameras, and manual rectifiers. Providesproducts with specified density, tonerange, dimension accuracy, and minimaldistortion and image displacement.

Maintains an accurate numbering systemfor each roll of film/video, and a



PHOTOGRAPHER, GS-1060-08NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

PHOTOGRAPHER, GS-1060-08


chronological log of all photographs andvideo taken. Provides maintenance andsecurity of equipment, film, and videos.


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION Level 1-5 750 Points

Knowledge of photographic compositionin positioning subjects, arrangingbackgrounds, and selecting camera anglesand views to achieve aesthetic results.

Knowledge of standard and specializedcameras, including electronic still imagingand accessories, including different films,filters, diffusers, lenses, and lights.

Skill to anticipate and recognize points ofinterest during medical procedures, andapply discretion in documentingelements beyond the scope of themedical examiner’s explicit instructions.

Ability to apply special lightingtechniques, exposures, etc.


The incumbent works under the supervisionof the Team Leader. Assignments areprovided in terms of features of the subjectthat should be emphasized or enhanced.The incumbent plans and carries out thesteps of the photography independently.Completed film and/or video is reviewed fortechnical quality, appropriateness and formeeting the medical objectives.


Guidelines consist of photography manualsthat address the accepted principles andtechniques. The incumbent uses judgmentin interpreting and adapting theseguidelines for application to specific cases.The incumbent is expected to recognizeand exploit photographic opportunities incarrying out the medical assignment and todetermine the specialized lighting, filters,etc., to achieve the desired results.


The work involves photographicassignments requiring specialized process-es, methods, and techniques to producemedical documentation of pathologicalspecimens and post mortems.

FACTOR 5:SCOPE AND EFFECTLevel 5-3 150 Points

The purpose of work is to produce filmand/or video of a variety of pathologicalspecimens using well-established process-es, protocols, and specifications. Thework products affect the adequacy ofscientific documentation activities.


FACTOR 7:PURPOSE OF CONTACTSLevel 2-a 45 Points

Contacts are with employees of the disasterresponse team, members of private medicalorganizations, the media, and others.



JOB CATEGORYTitle: PhotographerSeries: 1060Grade: 08

MINIMUM QUALIFICATIONSOne year of specialized experience in operating standard and specialized stilland video camera and processing equipment for providing documentation ofmedical specimens, post mortems, and other procedures for diagnostic, legal,and record purposes.

DESIRABLE QUALIFICATIONSTraining and/or experience in mortuary field casualty operations.

The purpose of contacts is to plan andcoordinate work efforts to produceeffective photographic products.


The work is primarily sedentary, althoughthere is considerable walking, standing,and carrying lightweight equipment.


Work is generally performed in adequate-ly lighted and climate-controlled offices,laboratories, and requires no special safe-ty precautions.




The incumbent of this position serves asa Physician Assistant and performs directmedical care when appropriate andassists in the medical triage andtreatment of victims at the site of a disas-ter or major emergency.


Performs prescribed medical examinationand treatment on victims suffering acute ill-nesses. Assesses medical needs to provide safeand efficient emergency care, under the di-rection of a Medical Officer or Team Leader.

Work collaboratively with medical officersin the identification and management ofdisaster patients. In accordance withestablished protocols, performs triage ofpatients on entry to medical services.

Assesses injuries and illnesses. Performs re-suscitation, inserts intravenous lines, andinserts esophagel airways. In accordancewith established protocols, treats shock vic-tims with volume expanders.

Examines and treats all types of illnessesand wounds. Performs diagnostic tests.

Diagnoses traumatic and non-traumaticinjury, providing treatment whensymptoms are clear. Recognizes symptomsthat require referrals and make suchrecommendations to the Medical Officer.

Diagnoses musculoskeletal and neurologi-cal injuries by physical examination.Stabilizes musculoskeletal injuries inthose cases where normal treatmentprocedures can be applied.



PHYSICIAN ASSISTANT, GS-603-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

PHYSICIAN ASSISTANT, GS-603-11


Identifies internal and externalhemorrhages; arrests hemorrhage by pres-sure and by ligation of superficial vessels.

Prescribes and administers drugs forinfection control, pain relief, and otherconditions if there are no complicatingfactors in patient history.

Maintains complete and current clinicalrecords.


OTHER SIGNIFICANT FACTSThe incumbent must possess a current licenseor registration as a physician assistant in a State,the District of Columbia, the Commonwealth ofPuerto Rico, or a territory of the United States.In addition, the incumbent must possess cur-rent Advance Cardiac Life Support certification.

Desirable qualifications includecertification as an adult, family, oremergency practitioner and Pediatric Ad-vance Life Support certification.

EVALUATION FACTORS

FACTOR 1: KNOWLEDGE REQUIRED BY THEPOSITIONLevel 1-7 1250 Points

n Knowledge of a range of medicalconcepts, principles and practices toperform highly specialized para-medical assignments (e.g. disaster oremergency medical services).

n Ability to evaluate patient condition,and behavior resulting from affectsof disaster or emergency; recognizedeviations from normal, and reviewsfindings with Medical Officer.

FACTOR 2: SUPERVISORY CONTROLSLevel 2-4 450 Points

The incumbent performs under generalsupervision of the Medical Officer. Withinestablished objectives, works out new andrevised methods, practices and procedureswith members of the medical staff andattending physicians. Discusses plans oftreatment with the medical staff and solvesall but the most acute problems on owninitiative. Work is evaluated on the basis ofdemonstrated professional medical ability,skill and judgment in caring for patients.

FACTOR 3: GUIDELINESLevel 3-3 275 Points

Guidelines are available but are notcompletely applicable to every situationlikely to be encountered. The incumbentuses judgments in interpreting and, withsome patient situations, adapting guide-lines (e.g. assessing the condition ofpatients; evaluating deviations from nor-mal reactions and initiating emergencytreatment personally or through thenursing staff).

FACTOR 4: COMPLEXITYLevel 4-4 225 Points

The work covers a range of independentassignments from assessment throughtreating minor wounds and illnesses andemergency procedures. Constantlyobserves patients and interprets andevaluates the meaning of their reactionsand behavior. The work requires makingdecisions regarding comprehensive carefor individuals who have been affectedby unusual circumstances.



The purpose of the work is to establishcriteria and assess effectiveness of patient’streatment. Evaluation and observationsused by the incumbent are relied on bythe physician to further modify and devel-op treatment. The work has an immediateaffect on patient’s physical well being andwill have impact on their families.

FACTOR 6: PERSONAL CONTACTS

FACTOR 7: PURPOSE OF CONTACTSLevel 2-c 145 Points

Contacts are with patients, their families,hospital personnel and with health careprofessionals and technical personnel(e.g. physicians, nurses, and supportingtechnical and administrative staff).

Contacts are with patients to provide pro-fessional care, motivate and relieve fearsof those who are skeptical and persuadethem to cooperate with physician’sinstructions. Contacts with nurses, techni-cal staff, physicians and hospitalpersonnel are to exchange information.Contacts with patient’s families are toprovide information on patient’scondition and to counsel family on carerequired after release from the hospital.

FACTOR 8: PHYSICAL DEMANDSLevel 8-1 5 Points

The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces;recurring bending; stooping, stretchingetc; recurring lifting of moderately heavyitems or occasional lifting of heavy items(over 50 pounds). The work may requireabove average agility and dexterity. Thework may also require working longhours without rest or relief and mayrequire defending oneself or othersagainst physical attack.

FACTOR 9: WORK ENVIRONMENTLevel 9-1 5 Points

The work environment involves moderatelyhigh risks or discomforts which require spe-cial safety precautions, e.g. working withrisk of exposure to contagious disease, radi-ation or infection or in working withemotionally disturbed patients. Precautionsare routines for nearly all situations. May berequired to use protective clothing or gear,(e.g. masks etc). The work environmentmay involve high risks of exposure topotentially dangerous situations where con-ditions cannot be controlled.




JOB CATEGORYTitle: Physician AssistantSeries: 0603Grade: 11

BASIC REQUIREMENTSA broad background of knowledge of the medical environment, practices, andprocedures such as would be acquired by a bachelor’s degree in a health care oc-cupation such as nursing, medical technology, or physical therapy, or by threeyears of responsible and progressive health care experience such as medicalcorpsman, nursing assistant, or medical technician. In addition, and successfulcompletion of a certificate or diploma program of at least 12 months, includingclinical training or preceptorship, specifically designed for professional-caliberphysician’s assistants that provided the knowledge and ability required to take adetailed medical history, to conduct a physical examination, to followobservation procedures, to order and perform diagnostic and therapeutic tasks,and to exercise a degree of judgment in integrating and interpreting findings onthe basis of general medical knowledge; or equivalent education and training.

OR

Successful completion of a full 4-year program for physician assistants leading to abachelor’s degree. The course of study or training must be approved by a nationally-recognized professional body such as the Committee on Allied Health Educationand Accreditation or the Accrediting Bureau of Health Education Schools, or by apanel of physicians established by a Federal agency for this purpose.



Licensure RequirementThe incumbent must possess a current license or registration as a physicianassistant in a State, the District of Columbia, the Commonwealth of PuertoRico, or a territory of the United States.


n Certification as an adult, family, or emergency practitioner.n Advanced Cardiac Life Support (ACLS) training and/or certification.n Pediatric Advanced Life Support (PALS) training and/or certification.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Of-fice of Public Health and Science, Office ofthe Secretary. The Department of Healthand Human Services is the primary agencyfor the Emergency Support Function (ESF)#8, “Health and Medical Services”, underthe Federal Response Plan (FRP). TheOffice of Emergency Preparedness is theheadquarters for the National DisasterMedical System (NDMS) and, in thatcapacity, supports the planning,organization and development of medicalresponse teams of NDMS. The NDMSresponse teams, i.e., primary care,specialty, and others, are a basic element inthe personnel component and can beexpanded to a clearing-stage unit whileother teams are preparing for activation.Health care providers and medical supportpersonnel are recruited from local commu-nities to serve national needs in the eventof disasters or other major emergencies re-quiring extraordinary medical services.

The incumbent of this position serves as thePlanning Section Chief and is responsible forthe management, assessment, planning, per-sonnel tracking, information analysis, anddocumentation activities of the operationalaction plan, including planning for currentand future emergency operations,deployments, and mission support


In conjunction with the MST, theincumbent coordinates planning require-ments for NDMS response teams and thedevelopment and distribution of actionplans at various operational phases.

Collects, assimilates, analyzes, andprocesses information required foreffective decision-making and updatingand/or changing of action plans.

Develops and analyzes resourcerequirements for missions based on inputrequirements from Section Chiefs. Coordi-nates requirements with logistics, adminis-tration, and operations officials to executeplans to facilitate efficient operations with-in the command and control group.

Advises and assists the Team Leader ofthe disaster response team in evaluatingoperational plans, setting goals, andobjectives. Ensures that organizationaland operational charts are available anddistributed as needed.

Ensures that disaster mobilization andtransportation plans are prepared andcurrent. Identifies deficiencies throughanalysis of plans and implementscorrective action in line with the MST de-mobilization schedule.



EMERGENCY PLANNING ANALYST, GS-301-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

PLANNING SECTION CHIEF, GS-301-13


Maintains daily records for use of commandand control officials, including Team ActionPlan, chronological logs, equipment damageand loss reports, and unit activity logs.

Provides situation reports to the TeamLeader. Receives briefings from the MSTand ensures that teams are kept informedof mission objectives and status changes.Develops and coordinates the after-actionreporting process of teams.


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION Level 1-8 1550 Points

Extensive knowledge of disaster responseactivities and planning processes.

Knowledge of agencies and organizationsresponding to disasters, such as FEMA,the American Red Cross, the Center forDisease Control and Prevention, andnon-government organizations.

Knowledge of the Management SupportTeam standard operating procedures.

Skill to write action plans; analyze complexinformation; and present oral briefings.

Ability to coordinate and direct multiple func-tions during disaster mission assignments.


Works under the general supervision ofthe Team Leader. The incumbent isresponsible for the independent planning,

organizing and coordinating of actionplans for disaster response teams. Work isreviewed in terms of meeting operationobjectives and mission assignments.


Guidelines consist of DHHS, FEMA, PHSpolicies, and MST procedures. Guidelinesare not always available and require theincumbent to use considerable judgementin adopting and implementing them foruse on disaster events. The incumbentuses initiative and resourcefulness in devi-ating from or extending methods andprocedures, and keeps abreast ofchanging technology and/or new policies.


The incumbent performs a wide variety of in-terrelated tasks that require analytical skills indeveloping and coordinating action plans.Assignments are complex due to the sensitivi-ties involved in working disaster events, over-lapping jurisdictional responsibilities, andpolitical ramifications. Information from thedisaster scene may be difficult to obtain. Thework involves planning and coordinating abroad range of activities and solving complexproblems concerned with unique orcontroversial aspects. The work may involvedeveloping new procedures or improvedmethods to produce effective results.


The position provides management, admin-istrative, and information analysis activities.Assignments typically involve problems that


are precedent setting for future disaster situ-ations. As a result of this effort, informationto minimize the chance of a reoccurrence ofthe disaster is obtained, analyzed, and coor-dinated. The work directly influences the ef-fectiveness and acceptability of methods andsystems established for disaster responseprocedures in Federal and State agencies,and nongovernment organizations.


FACTOR 7:PURPOSE OF CONTACTSLevel 3-c 180 Points

Routine contacts include the commandand control staff, emergency response offi-cials from other jurisdictions, medical per-sonnel, and individuals that might haveknowledge of the disaster. Typical contactsmay be community leaders, representativesof other Federal agencies, State and localhealth departments, professional organiza-tions, and the news media.

The purpose of the contacts is to planand coordinate work efforts to facilitatedisaster response and provide information

to other individuals who rely upon suchinformation in performing their duties.


The work is sedentary. Travel up to 50% ofwork time may be necessary. Work may besubject to tight deadlines and stressfulconditions during emergency assignments.


The work setting varies. Work is typicallyperformed at disaster sites, sometimes inadverse weather. The work environmentmay be situated in a hazardous area interms of destroyed infrastructure (e.g.,food and water, housing, electricity,communications), the presence of endemicdiseases, limited health and sanitationfacilities, or have been subject to radiologi-cal, chemical, or biological warfare agents.


QUALIFICATION STANDARDSJOB CATEGORYTitle: Planning Section Chief (NDMS organizational title)

Emergency Planning Analyst (OPM official title)Series: 301Grade: 13

MINIMUM QUALIFICATIONSOne year of operational experience in emergency incident management equiv-alent to the GS-12 level in the Federal service.





Knowledge

n Comprehensive knowledge of the NIIMS Incident Command System.n Comprehensive knowledge of NDMS response team functions,

operations, strategy, and safety considerations.n Knowledge of disaster response organizations and their missions, e.g.,

FEMA ESF, Red Cross, NGO, etc., for the purpose of exchangingdisaster-related information.

n Knowledge of the Federal Response Plann Knowledge of the incident action plan in process.n Extensive knowledge of the hazards associated with various disaster

environments.

Skills

n Skill in the development and use of integrated action planning, conceptsand processes.

n Skill in technical writing and information analysis.

Abilities

n Ability to coordinate and direct multiple functions of a disaster responseteam during mission assignment.

n Ability to coordinate and work with technical experts, local officials, andother organizations.

n Proficient with information systems, i.e., computers, application software, etc.n Ability to organize and plan during crisis situations.


INTRODUCTIONThis position is organizationally locatedin the Office of Emergency Preparedness(OEP), Office of Public Health andScience (OPHS), Office of the Secretary.The Department of Health and HumanServices (DHHS), is the primary agencyfor the Emergency Support Function(ESF) #8, “Health and Medical Services”,under the Federal Response Plan (FRP).The OEP is the headquarters for the Na-tional Disaster Medical System (NDMS)and, in that capacity, supports theplanning, organization and developmentof medical response teams of NDMS.The NDMS response teams, i.e., primarycare, specialty, and others, are a basic ele-ment in the personnel component andcan be expanded to a clearing-stagingunit while other teams are preparing foractivation. Health care providers andmedical support personnel are recruitedfrom local communities to serve nationalneeds in the event of disasters or othermajor emergencies requiringextraordinary medical services.

The incumbent of the position serves as aRespiratory Technician and is responsiblefor independently administeringcomplex respiratory therapy treatment tocritically ill patients.


Patient Assessment and Monitoring

n Performs physical assessment ofpatient cardiopulmonary statusincluding physical exam,auscultation, non-invasivemonitoring and patient history

n Measures pulmonary function statusincluding, but not limited to, peakflow, vital capacity and airway pressure

n Monitors and interprets patient datasuch as hemodynamics and pulmonaryartery pressures, pulse oximetry, end-tidal CO2 and vital signs

n Maintains peripheral or pulmonaryarterial lines by assessing site, ensur-ing patency of line and connectingor adjusting to monitors (as permittedby law and based on training)

n Performs procedures to obtain hemo-dynamic measures via pulmonary ar-tery catheters (as permitted by law andbased on training)

Mechanical Ventilation

n Sets up mechanical ventilators,volume and pressure, for patient useand applies properly to patients



RESPIRATORY THERAPIST/TECHNICIAN, GS-0651-07


RESPIRATORY TECHNICIAN, GS-0651-07


n Sets up non-invasive ventilation devicesand applies properly to patients

n Adjusts ventilator settings, based onpatient assessment, blood gas data,pulmonary function, invasive and non-invasive monitoring and physician orders

n Monitors patients on mechanicalventilators or non-invasive ventilato-ry support, making adjustments andrecommendations

n Monitors patients receiving mechani -cal or non-invasive ventilationduring transport to ensure patencyof airway and adequate ventilation

Airway Management

n Assists during medical emergencies,including cardiopulmonary arrest, toensure adequate airway ismaintained using suction equipment,artificial airways and bag-valve-masks

n Provides manual ventilation duringemergencies using bag-valve deviceto mask or artificial airway

n Inserts endotracheal or nasotrachealtubes to maintain patient airway dur-ing cardiopulmonary arrest or at thedirection of a physician and verifiesproper placement

n Maintains artificial airways, including useof suctioning, monitoring of cuff pres-sure, ensuring patency and placement

n Assists physicians with placement ofartificial airways, includingendotracheal, nasotracheal andtracheostomy tubes

n Monitors patients with artificial airwaysduring transport to ensure patency ofairway and adequate ventilation

n Removes artificial airways and monitorspatient to ensure adequacy of airway

Blood Gases

n Performs arterial and venous punctureto obtain blood samples for analysis

n Obtains blood from peripheral and pul-monary arterial catheters for analysis

n Analyzes blood samples for pH, bloodgases, electrolytes and co-oximetryutilizing analyzers, co-oximeters andpoint-of-care testing devices

n Maintains blood gas analyzers, co-oximeters and point-of-care testingdevices by performing routine main-tenance and quality controls and bytroubleshooting as required

n Interprets data, making changes topatient therapy as appropriate ormaking recommendations to physician

Therapy

n Administers aerosolized medicationsusing hand-held nebulizers, me-tered-dose inhalers and positivepressure devices

n Modifies therapy as appropriatebased on patient response ordiscussion with physician

n Performs chest physical therapyincluding postural drainage,percussion and vibration

n Monitors and documents patientresponse to therapy

n Instructs and assists patients withproper techniques for deep breathing,coughing and clearance of secretions

n Assists physicians with laryngoscopyand bronchoscopy procedures bypreparing patient for procedure, mon-itoring patient during procedure andassisting with medication delivery, suc-tion and specimen procurement


n Inserts intravenous lines (as permittedby law and based on training)

n Inserts peripheral arterial lines (aspermitted by law and based on training)

n Administers medications and monitorspatient response to therapy (aspermitted by law and based on training)

The incumbent will perform other relatedduties as assigned to assist in the efficientoperation of the NDMS response teams.All clinical duties performed will be thosefor which the individual has been trainedand fall within the scope of practice asdefined by licensing boards or otherappropriate regulatory agencies.

The incumbent should have orientationin disaster medical services.

EVALUATION FACTORS


Knowledge of a wide variety of respiratorytherapy procedures and techniquesincluding the functioning characteristics ofcomplex respiratory equipment, in order toadminister assisted and controlledventilation to patients with tracheotomiesand other complex medical problems,perform endotracheal or nasotracheal intu-bation in emergency situations, perform ar-tificial airway care and maintenance,conduct diagnostic respiratory testsinvolving respiratory failure, calibratecomplex respiratory equipment, andinstruct others in the performance of respi-ratory therapy procedures and techniques.

Knowledge of anatomy and physiology in-cluding an understanding of the structureand function of the cardio-pulmonary sys-

tem as related to gas exchange andventilation, in order to administer specialventilatory techniques such as positive endexpiratory pressure and intermittentmandatory ventilation; interpret theresults of blood gas studies and makeadjustments in ventilator settings; insertand remove endotracheal tubes; andassess patients’ respiratory status and eval-uate the effectiveness of therapy.

FACTOR 2:SUPERVISORY CONTROLS2-2 (125 points)

The incumbent is under the supervision ofthe Ancillary Services Division Supervisor.The supervisor makes assignments byindicating generally what is to be done,problems to be anticipated, quality andquantity of work expected, and the priorityof assignments. The supervisor providesadditional, specific instructions ontechniques and procedures for carrying outnew, difficult, or unusual assignments. Theincumbent is expected to know theequipment and methods to be used and howto adapt them to recurring assignments.He/she refers problems or unfamiliarsituations not covered by instructions to thesupervisor or higher grade therapist for deci-sion or help. The supervisor evaluates workon a spot-check basis to assure that finishedwork and methods used are technically accu-rate and in compliance with instructions orestablished procedures and techniques.


Guidelines are available but are notcompletely applicable to every situation likelyto be encountered. The incumbent usesjudgment in identifying and selecting themost appropriate procedures, equipment,


and techniques for application to specificcases. The technician must use independentjudgment to determine what procedures andequipment are necessary during situations ofcardiac arrest or respiratory failure and attimes during disasters or National emergen-cies. Situations requiring deviations fromNDMS policies and other established guide-lines are referred to the Medical Officer.


The work involves the independentperformance of a variety of complex and ex-acting respiratory therapy procedures suchas: setting up, monitoring, and calibratingmechanical ventilators; inserting artificialairways into patient’s trachea; adjusting ven-tilator settings to bring about a change inthe patient’s respiratory status; and applyingvarious techniques to decrease patients’dependence on ventilators. Decisionsregarding what needs to be done are basedon a recurring need to the therapist to care-fully and accurately assess various aspects af-fecting the individual’s respiratory statusand overall critical condition.

The method of respiratory care, includingthe types of equipment, techniques, and pro-cedures used, differs with each patient. Thetechnician identifies and analyzes factors re-lated to equipment operation and patient re-sponses to discern their interrelationship.The urgent nature of the work requiresprecision in timing and coordination ofaction with others while making very preciseobservations or adjustments in response tochanges in the patient’s condition.


The purpose of the work is to providedetailed respiratory care to critically ill-injured patients. The incumbent independ-ently performance of duties such as makingadjustment to ventilator settings based oninterpretation of blood gas data and insert-ing artificial airways into patient’s tracheaduring emergency situations has animmediate and direct affect on thecondition and recovery of the patient.


Personal contacts are with patients andtheir families, and with health careprofessionals and technical personnel.


Contacts with patients and their familiesare for explaining the operation and use ofrespiratory equipment including treatmentprocedures and providing reassurance andcomfort. Contacts with physicians, nurses,and other health care professionals are forresolving complications in patient care,coordinating action during emergency situ-ations; tube changes and transports; resolv-ing problems associated failure; andproviding clinical instructions anddemonstrations in respiratory therapy pro-cedures and techniques.


FACTOR 8PHYSICAL DEMANDS8-2 (20 points)

The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces; recurringbending; stooping, stretching etc.;recurring lifting of moderately heavy itemsor occasional lifting of heavy items (over 50pounds). The work may require above aver-age agility and dexterity. The work mayalso require working long hours withoutrest or relief and may require defendingoneself or others against physical attack.

FACTOR 9WORK ENVIRONMENT9-2 (20 points)

The work environment involvesmoderately high risks or discomforts

which require special safety precautions,e.g., working with risk of exposure to con-tagious disease, radiation or infection orin working with emotionally disturbed pa-tients. Precautions are routine for nearlyall situations. Nurses may be required touse protective clothing or gear, (e.g.,masks etc.). The work environment mayinvolve high risks of exposure topotentially dangerous situations whereconditions cannot be controlled.



JOB CATEGORYTitle: Respiratory Therapist/TechnicianSeries: 651Grade: 07

MINIMUM QUALIFICATIONSOne year experience equivalent to the next lower grade level in the Federalservice. Qualifying specialized experience must have demonstrated a knowledgeof basic equipment used in respiratory therapy and included duties such as:

n Making regular rounds on hospital nursing units to review or collect clin-ical data to insure that the respiratory equipment is operating properlyand in compliance with physicians’ orders.




n Transporting, setting up, or testing the operation of and changingsimple oxygen administering devices, e.g., masks and nasal cannulas withcylinder or centralized medical gas systems.

n Disassembling, cleaning, assembling, and sterilizing reusable respiratoryequipment such as oxygen analyzers and regulators, includingrecognizing and reporting variations from expected results.

Examples of qualifying experience include work as a practical nurse, nursingassistant, medical machine aid, medical technician, or respiratory therapy aidif the above duties were performed.

LICENSURE REQUIREMENTSMust possess a license to practice in a State, the District of Columbia, theCommonwealth of Puerto Rico, or a territory of the United States.

Not Applicable in the Following States

Alabama, Alaska, Colorado, Delaware, Hawaii, Michigan, Nevada, North Car-olina, Vermont, and Wyoming.


n Orientation in disaster medical and emergency servicesn Associate or Bachelor’s Degreen Graduate of a Respiratory Care programn Registered Respiratory Therapist or Certified Respiratory Therapy Tech-

nician by the National Board for Respiratory Care as appropriate.n Additional certifications, such as:

• Neonatal Resuscitation• Pediatric Advanced Life Support• Advanced Cardiac Life Support• NBRC Perinatal Pediatric Specialist



The incumbent of the position serves as aRespiratory Therapist and is responsiblefor independently administeringcomplex respiratory therapy treatment tocritically ill patients.


Patient Assessment and Monitoring

n Performs physical assessment of patientcardiopulmonary status including phys-ical exam, auscultation, non-invasivemonitoring and patient history

n Measures pulmonary function statusincluding, but not limited to, peakflow, vital capacity and airway pressure

n Monitors and interprets patient datasuch as hemodynamics and pulmonaryartery pressures, pulse oximetry, end-tidal CO2 and vital signs

n Maintains peripheral or pulmonaryarterial lines by assessing site, ensur-ing patency of line and connectingor adjusting to monitors (as permittedby law and based on training)

n Performs procedures to obtain hemo-dynamic measures via pulmonary ar-tery catheters (as permitted by law andbased on training)

Mechanical Ventilation

n Sets up mechanical ventilators,volume and pressure, for patient useand applies properly to patients

n Sets up non-invasive ventilation devicesand applies properly to patients



RESPIRATORY THERAPIST, GS-0651-08NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

RESPIRATORY THERAPIST, GS-0651-08


n Adjusts ventilator settings, based onpatient assessment, blood gas data,pulmonary function, invasive andnon-invasive monitoring and physi-cian orders

n Monitors patients on mechanicalventilators or non-invasive ventilato-ry support, making adjustments andrecommendations

n Monitors patients receiving mechani -cal or non-invasive ventilationduring transport to ensure patencyof airway and adequate ventilation

Airway Management

n Assists during medical emergencies,including cardiopulmonary arrest, toensure adequate airway is maintainedusing suction equipment, artificialairways and bag-valve-masks

n Provides manual ventilation duringemergencies using bag-valve deviceto mask or artificial airway

n Inserts endotracheal or nasotrachealtubes to maintain patient airway dur-ing cardiopulmonary arrest or at thedirection of a physician and verifiesproper placement

n Maintains artificial airways, including useof suctioning, monitoring of cuff pres-sure, ensuring patency and placement

n Assists physicians with placement of ar-tificial airways, including endotracheal,nasotracheal and tracheostomy tubes

n Monitors patients with artificial airwaysduring transport to ensure patency ofairway and adequate ventilation

n Removes artificial airways and monitorspatient to ensure adequacy of airway

Blood Gases

n Performs arterial and venous punctureto obtain blood samples for analysis

n Obtains blood from peripheral and pul-monary arterial catheters for analysis

n Analyzes blood samples for pH, bloodgases, electrolytes and co-oximetryutilizing analyzers, co-oximeters andpoint-of-care testing devices

n Maintains blood gas analyzers, co-oximeters and point-of-care testingdevices by performing routine main-tenance and quality controls and bytroubleshooting as required

n Interprets data, making changes topatient therapy as appropriate ormaking recommendations to physician

Therapy

n Administers aerosolized medicationsusing hand-held nebulizers, me-tered-dose inhalers and positivepressure devices

n Modifies therapy as appropriatebased on patient response ordiscussion with physician

n Performs chest physical therapyincluding postural drainage,percussion and vibration

n Monitors and documents patientresponse to therapy

n Instructs and assists patients withproper techniques for deep breathing,coughing and clearance of secretions

n Assists physicians with laryngoscopyand bronchoscopy procedures bypreparing patient for procedure, mon-itoring patient during procedure andassisting with medication delivery, suc-tion and specimen procurement

n Inserts intravenous lines (as permittedby law and based on training)

n Inserts peripheral arterial lines (aspermitted by law and based on training)

n Administers medications and monitorspatient response to therapy (as permit-ted by law and based on training)


Supervision

n Supervises the activities of other Res-piratory Therapists or Technicians,as assigned, ensuring quality of careand competency

The incumbent will perform other relatedduties as assigned to assist in the efficientoperation of the NDMS response teams.All clinical duties performed will be thosefor which the individual has been trainedand fall within the scope of practice asdefined by licensing boards or otherappropriate regulatory agencies.

The incumbent should have orientationin disaster medical services.

EVALUATION FACTORS


Knowledge of a wide variety of respiratorytherapy procedures and techniques includ-ing the functioning characteristics of com-plex respiratory equipment, in order toadminister assisted and controlled ventila-tion to patients with tracheotomies andother complex medical problems, performendotracheal or nasotracheal intubation inemergency situations, perform artificialairway care and maintenance, conductdiagnostic respiratory tests involving respi-ratory failure, calibrate complex respirato-ry equipment, and instruct others in theperformance of respiratory therapy proce-dures and techniques.

Knowledge of anatomy and physiologyincluding an understanding of the structureand function of the cardio-pulmonarysystem as related to gas exchange and venti-lation, in order to administer special ventila-

tory techniques such as positive endexpiratory pressure and intermittent manda-tory ventilation; interpret the results of bloodgas studies and make adjustments in ventila-tor settings; insert and remove endotrachealtubes; and assess patients’ respiratory statusand evaluate the effectiveness of therapy.


The incumbent is under the generalsupervision of the Ancillary Services Divi -sion Supervisor. He/she is expected toproceed with his/her work independently.The supervisory is available for makingdecisions in unusual situation.

The therapist is responsible forindependently carrying out and following upon the respiratory care administered to eachpatient. The therapist actively participateswith the physicians and nurses in planningthe treatment. The medical personnel relygreatly upon the therapist’s knowledge of thecapabilities and limitations of the respiratoryequipment and the therapist’s expertise inperforming complex respiratory therapyprocedures. The therapist independentlymakes recommendations of the physician re-garding alternatives or modifications to treat-ment. Work is reviewed for soundness ofjudgment of recommendations made and forconsistency with NDMS objectives.


Guidelines are available but are notcompletely applicable to every situationlikely to be encountered. The incumbentuses judgment in identifying and selectingthe most appropriate procedures,equipment, and techniques for applicationto specific cases. The therapist must use in-


dependent judgment to determine whatprocedures and equipment are necessaryduring situations of cardiac arrest or respi-ratory failure and at times during disastersor National emergencies. Situations requir-ing significant deviations from NDMS poli-cies and other established guidelines arereferred to the Medical Officer.


The work involves the independent perform-ance of a variety of complex and exacting res-piratory therapy procedures such as: settingup, monitoring, and calibrating mechanicalventilators; adjusting ventilator settings tobring about a change in the patient’s respira-tory status; and applying various techniquesto decrease patients’ dependence on ventila-tors. Decisions regarding what needs to bedone are based on a recurring need to thetherapist to carefully and accurately assessvarious aspects affecting the individual’s res-piratory status and overall critical condition.

The method of respiratory care, includingthe types of equipment, techniques, andprocedures used, differs with each patient.The therapist identifies and analyzes factorsrelated to equipment operation and patientresponses to discern their interrelationship.The urgent nature of the work requires pre-cision in timing and coordination of actionwith others while making very precise ob-servations or adjustments in response tochanges in the patient’s condition.


The purpose of the work is to providedetailed respiratory care to critically ill-injured patients. The incumbent independ-

ently performance of duties such as makingadjustment to ventilator settings based oninterpretation of blood gas data and insert-ing artificial airways into patient’s tracheaduring emergency situations has animmediate and direct affect on thecondition and recovery of the patient.


Personal contacts are with patients andtheir families, and with health careprofessionals and technical personnel.


Contacts with patients and their families arefor explaining the operation and use of respi-ratory equipment including treatment proce-dures and providing reassurance andcomfort. Contacts with physicians, nurses,and other health care professionals are for re-solving complications in patient care, coordi-nating action during emergency situations;tube changes and transports; resolving prob-lems associated failure; and providing clinicalinstructions and demonstrations in respirato-ry therapy procedures and techniques.


The work requires some physical exertionsuch as long periods of standing; walkingover rough and uneven surfaces; recurringbending; stooping, stretching etc.;recurring lifting of moderately heavy itemsor occasional lifting of heavy items (over 50pounds). The work may require above aver-age agility and dexterity. The work may


also require working long hours withoutrest or relief and may require defendingoneself or others against physical attack.


The work environment involves moderatelyhigh risks or discomforts which require spe-cial safety precautions, e.g., working withrisk of exposure to contagious disease, radi-

ation or infection or in working withemotionally disturbed patients. Precautionsare routine for nearly all situations. Nursesmay be required to use protective clothingor gear, (e.g., masks etc.). The workenvironment may involve high risks ofexposure to potentially dangerous situationswhere conditions cannot be controlled.



JOB CATEGORYTitle: Respiratory Therapist/TechnicianSeries: 651Grade: 08

MINIMUM QUALIFICATIONS

One year experience equivalent to the next lower grade level in the Federal serv-ice. Qualifying specialized experience must have demonstrated a knowledge ofbasic equipment used in respiratory therapy and included duties such as:

n Making regular rounds on hospital nursing units to review or collect clin-ical data to insure that the respiratory equipment is operating properlyand in compliance with physicians’ orders.

n Transporting, setting up, or testing the operation of and changingsimple oxygen administering devices, e.g., masks and nasal cannulas withcylinder or centralized medical gas systems.

n Disassembling, cleaning, assembling, and sterilizing reusable respiratoryequipment such as oxygen analyzers and regulators, includingrecognizing and reporting variations from expected results.

Examples of qualifying experience include work as a practical nurse, nursingassistant, medical machine aid, medical technician, or respiratory therapy aidif the above duties were performed.




LICENSURE REQUIREMENTSMust possess a license to practice in a State, the District of Columbia, theCommonwealth of Puerto Rico, or a territory of the United States.

Not Applicable in the Following States

Alabama, Alaska, Colorado, Delaware, Hawaii, Michigan, Nevada, North Car-olina, Vermont, and Wyoming.


n Orientation in disaster medical and emergency servicesn Associate or Bachelor’s Degreen Graduate of a Respiratory Care programn Registered Respiratory Therapist or Certified Respiratory Therapy Tech-

nician by the National Board for Respiratory Care as appropriate.n Additional certifications, such as:

• Neonatal Resuscitation• Pediatric Advanced Life Support• Advanced Cardiac Life Support• NBRC Perinatal Pediatric Specialist



The incumbent of this position is responsiblefor the anticipation, identification, and assess-ment of hazardous and unsafe conditions.This includes developing measures to reducerisks in order to enhance personnel safetyand accountability. He/she reports directly toa NDMS disaster response team leader.


Oversees all health and safety aspects of aNDMS disaster response team personnelwhile on a mission. This includes the personalsafety of members while at the home baseand/or Assembly Point, in vehicles or aircraftused during transit, at layover sites, the Pointof Arrival/Mobilization Center (POA/MOBCenter), the Base of Operations (BoB), allAreas of Operations, as well as patient’s safety.

Ensures that optimal safety and injuryprevention is being practiced at all times,as appropriate, including: proper respira-tory protection use, hard hat protection,Universal Precautions during medicalcare, safe operation of motor vehicles,and other considerations.

Investigates, completes, and forwards allreports in regard to Team personnel injuriesand illnesses for the review by the supervisor.

Prevents various types of illnesses amongdisaster and emergency personnel by en-suring proper personal hygiene (i.e.,hand washing stations, etc.) monitoringstress levels, ensuring adequate food andhydration is available, etc.

Intervenes immediately in unsafe activitiesto prevent the loss of life and/or injuries.



SAFETY OFFICER, GS-0301-12NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

SAFETY OFFICER, GS-0301-12


Develops plans for safety of teammembers and ensures it is included theSafety Plan for implementation.

Designs and manages the teams health pre-vention and risk reduction program.Ensures compliance with all pertinent feder-al and state laws, statutes, and regulations.


EVALUATION FACTORS


Extensive knowledge of other disaster re-sponse organizations with Health andHuman Services agreements.

Extensive knowledge of other disaster re-sponse organizations.

Extensive knowledge of the applicableOSHA standards.

Extensive knowledge of principles of riskmanagement.

Extensive knowledge of the hazards assoc-iated with various disaster environments.

Extensive knowledge of field sanitationprocedures.

Comprehensive knowledge of the func-tional and overall role of the action plan-ning process.

Skill in analyzing information and devel-oping written reports and oral briefings.

Ability to work well with technical experts,local officials, other organizations, possessionof good interagency coordination skills.



The supervisor provides administrativedirection with assignments in terms ofbroadly defined missions or functions. Theincumbent has responsibility for planning,designing, and carrying out the workindependently. Results of the work areconsidered as technically authoritative andare normally accepted without change. Workis reviewed only in terms of overall results inproviding support during disasters andmajor emergencies. Incumbent keeps super-visor informed of any potentially controver-sial safety and occupational health mattersduring the disaster or major emergency.


Guidelines consist of, DHHS, NDMSregulations, policies, operational manuals,Federal safety and occupational health stan-dards, state regulations and professionaljournals. Some of these guidelines are ex-tremely broad and can be only applied invery general sense. The incumbent must ex-ercise a high degree of judgment in inter-preting policies and regulations, and indetermining the most effective approaches toemploy in pursuing program goals. Judg-ment is also required to evaluate and recom-mend improvements in the effectiveness andresponsiveness of program services provided.



The work involves planning, organizing, con-trolling, evaluating, and taking immediate ac-tion to minimize hazards and environmentalsafety conditions at the disaster or majoremergency site. This includes the schedulingof various interrelated phases of work to meettime frames during a disaster or emergency.The work involves coordination with all partsof the NDMS disaster response team to re-solve issues of safety, health, and environmen-tal hazards. Evaluations and assessments andsubsequent safety control measures require athorough analysis of the circumstances be-cause appropriate action is unclear and haz-ardous consequences not initially apparent.


The purpose of the work is to administer asafety and occupational health program atthe disaster/emergency site. The incumbentof the position develops courses of action tominimize or eliminate hazardous operationsand conditions and devises alternative meas-ures to meet unconventional circumstances.Work efforts result in minimizing or reduc-ing unsafe acts, potential hazards and unsafeconditions at the disaster/emergency site.Successful completion of assignments con-tributes to the accomplishment of theNDMS’s mission, goals, and objectives.


Contacts are with officials, managers,NDMS staff, and representatives of publicand private organizations, other govern-

ment agencies and victims of the disasteror major emergency.


The purpose of the contacts is to achieve thesupport of NDMS disaster response person-nel in carrying out safety and health practicesand procedures at the disaster/emergencysite. Also the incumbent must convince oth-ers who may be skeptical in carrying out safe-ty and health advice such as supervisors,representatives of the public, and representa-tives of public and private agencies.


The work requires some physical exertionsuch as periods of standing; walking;bending; stooping, stretching etc.; liftingof light items. The work may also requireworking long hours without rest or relief.


The work environment involves moderaterisks or discomforts which require specialsafety precautions, e.g., working with riskof exposure to contagious disease orinfection. Precautions are routine fornearly all situations.




JOB CATEGORYTitle: Safety Officer (NDMS organizational title)

Safety Officer (OPM official title)Series: 0301Grade: 12

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS response or special-ty team position equivalent to at least the GS-11 grade level. Specialized Experienceis experience in or related to safety and occupational health that provided the specif-ic knowledge, skills, and abilities to perform successfully the duties of the position.

Examples of qualifying specialized experience include:n Managing safety or occupational health program elements.n Developing and recommending safety and occupational health policy to

higher levels of management.n Applying safety and occupational health laws, regulations, principles,

theories, practices, and procedures to advise on or resolve technical mattersdealing with occupational safety and health requirements.

n Developing safety and occupational health standards, regulations, practices,and procedures to eliminate or control potential hazards.

n Developing or implementing programs to reduce the frequency, severity,and cost of accidents and occupational illnesses.

n Analyzing or evaluating new and existing jobs, processes, products, or othersystems to determine the existence, severity, probability, and outcome of hazards.

n Designing or modifying workplaces, processes, products, or other systemsto control or eliminate hazards.

n Inspecting or surveying workplaces, processes, products, or other systemsfor compliance with established safety and occupational health policies orstandards and to identify potential new hazards.

n Training of workers, supervisors, managers, or other safety and occupation-al health personnel in safety or occupational health subjects.

n Work in occupational fields such as industrial hygienist, safety engineer, fireprevention engineer, health physicist, and occupational health nurse.


n Completed advance ICS training.n Completed ICS Safety Officer Course.n Completed OSHA HazMat First Responder Awareness training.



This position was established to: (1)ensure the safety of personnel assigned tothe Management Support Team, DisasterMedical Assistance Teams, Disaster Mortu-ary Operational Response Teams, andother elements deployed to disaster sitesand (2) protection of physical property.


1. Conducts vulnerability and threatassessments at locations where NDMSfield units are, or may be, deployed.Recommends equipment, methods,policies, procedures, and systems toenhance the level of security.

2. Resolves problems or conflicts betweenphysical security requirements andorganizational missions.

3. Develops an understanding of thecapabilities and limitations of lawenforcement and security agencieshaving jurisdiction over the locationswhere NDMS elements are deployed.Establishes a rapport with seniorofficials and supervisory personnel ofthose agencies in order to influencedecisions on actions that supportNDMS security requirements.

4. Negotiates agreements with localgovernments and commercial servicesto provide security at locations whereNDMS field units are deployed.

5. Institutes crime prevention measures toprotect NDMS personnel and property.

6. Prioritizes the delivery of services andresolves resource allocation issues.



SECURITY SPECIALIST, GS-0080-12NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

SECURITY SPECIALIST, GS-0080-12


EVALUATION FACTORS

FACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION

1. Formal training and experience in themethods and techniques for conductingsecurity vulnerability assessments ofdifficult and complex situations whichmay involve overlapping and conflictingrequirements, agreements withparticipating organizations and agenciesfor security resources and responsibilitysharing, or recommending multi-layeredsecurity systems for personnel access,physical protection devices, monitoringequipment, and other measures.

2. Knowledge of commonly appliedsecurity principles, concepts, andmethodologies. Knowledge of physicalsecurity requirements and organizationalgoals to effectively review, analyze, andresolve varying, difficult and often highlycomplex security problems.

3. Knowledge of a wide variety of state-of-the-art security equipment anddevices used to plan and implementprotective methods and securityprocedures for disaster sites inhazardous environments and locations.

4. Formal training and experience in lawenforcement responsibilities, procedures,and, activities relating to the protectionof personnel and property.

5. Knowledge of contractual arrangementsand performance criteria for guard andsecurity work performed under contractby private protective services. Experi-ence in supervising and evaluating theperformance of contracted services.

6. Ability to communicate effectivelyorally, and in writing.

7. Ability to resolve difficult andcomplex security problems.

FACTOR 2:SUPERVISORY CONTROLSThe MSU commander or Chief of FieldOperations assigns work and provides guid-ance in the form of objectives or brief in-structions which requires the incumbent toexercise a wide degree of independent pro-fessional judgement in planning, designing,executing their duties. The incumbent in-dependently determines what methods andtechniques are required to accomplish as-signments. The incumbent makes extensiveunreviewed technical judgments concerningthe development of security requirementsand procedures and is regarded as the lead-ing technical authority for field security forthe employing organization.

FACTOR 3:GUIDELINESGuidelines consist of Department ofHealth and Human Service’s, FEMA andPHS policies, instructions, program guid-ance, and other approved staff papers.The guides available are general innature and require the incumbent to useconsiderable judgement in adopting andimplementing them for use on disasterscenes. Typically work situations areunique with no limited precedents andaccordingly, it is often necessary for theincumbent to modify or develop newmethods and criteria. The incumbentkeeps abreast of new or revised policies,methods, and techniques in the field.

FACTOR 4:COMPLEXITYThe employee uses initiative and resource-fulness in researching and implementingnew and improved security methods andprocedures at disaster sites. The employeeexercises a great deal of personaljudgment and discretion with broad


latitude for interpreting and applyingguidelines. Assignments are frequentlymade more complex due to thesensitivities involved in working arounddisaster sites, overlapping jurisdictionalresponsibilities, and political ramifications.

FACTOR 5:SCOPE AND EFFECTThe work affects security system design,installation, and maintenance in a widerange of activities within the organizationand in participating agencies, provides solu-tions to security problems and questions thatarise, and serves as precedent for similar cir-cumstances. Recommendations andtechnical interpretations affect the level offunding required to provide security. The in-cumbent’s work may significantly affect theavailability of resources and work methodsof Federal, State and local law enforcementagencies, and commercial security providers.

FACTOR 6:PERSONAL CONTACTSDaily contact is with senior personnel ofNDMS field elements, Federal, State andlocal law enforcement agencies, andcommercial security providers. Contactstake place in a moderately unstructured set-ting (e.g., the contacts are not establishedon a routine basis, the purpose and extentof each contact is different, and the role andauthority of each party varies). The employ-ee also has extensive contacts with programmanagers and personnel in staff support of-fices for the purpose of consolidatingrequirements and resources into a single orcoordinated security program efforts.

FACTOR 7:PURPOSE OF CONTACTSThe purpose of contacts is to: (1) obtaininformation necessary to produce security

assessments and obtain resources,persuade senior officials (possibly withwidely differing goals and interests) to fol-low a recommended course of action con-sistent with established security policies,objectives, and regulations, (2) briefingsenior officials and managers on securityissues and procedures, (3) resolving securi-ty issues and problems or for carrying outsecurity plans and reviews, or (4) adminis-tratively implementing security programs.

FACTOR 8:PHYSICAL DEMANDSRequirements of the work range from seden-tary to demanding physical activity. Thework requires regular and recurring physicalexertion, such as long periods of standing,walking, bending, stooping, reaching, crawl-ing and similar activities and may require lift-ing and carrying of heavy equipment.

FACTOR 9:WORK ENVIRONMENTThe work setting varies. A substantial portionof the work is performed at disaster sites,sometimes in adverse weather. The work envi-ronment may be situated in a hazardous areain terms of destroyed infrastructure (e.g., foodand water, housing, electricity,communications) the presence of endemicdiseases, limited health and sanitationfacilities, or have been subject to radiological,chemical, or biological warfare agents. Theremay be regular and recurring exposure tomoderate discomforts and unpleasantnessand the employee may be required to use pro-tective clothing or gear such as masks, gowns,coats, boots, goggles, gloves, or shields.

Work may be subject to tight deadlinesand stressful conditions duringemergency assignments.



JOB CATEGORYTitle: Security SpecialistSeries: GS-0080Grade: 12

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS response teamposition equivalent to at least the GS-11 grade level in the Federal service.


n Training and/or experience in civil or military field casualty care operations.n Formal training and experience in law enforcement responsibilities,

procedures, and activities relating to the protection of personnel and property.n Knowledge in commonly applied security principles, concepts, and

methodologies.n Formal training and experience in the methods and techniques for conducting

security vulnerability assessments of difficult and complex situations.



The Logistics Section Chief/Supply Man-agement Officer plans, directs, controls,and manages equipment and supplyoperations for a NDMS disaster responseteam following activation, during deploy-ment, and return to home base. Theincumbent reports directly to a NDMSTeam Leader.


Manages, directs, controls, and supervisesthe activities of the Section which consists ofapproximately 15 to 30 employees during adisaster or major emergency. Supervises allemployees of the Section through the teamleader positions. Positions supervised in-clude the Communications Unit Leader,Supply Unit Leader, Facilities Unit Leader,Equipment Specialists(s), Pharmacy SupplyUnit Leader, and the TelecommunicationsSpecialists. As the manager of the Section,incumbent carries out a full range of ad-ministrative duties in the performance ofhis/her supervisory responsibilities includ-ing the preparation of performance evalua-tions for assigned personnel.

Implements and manages an efficientsupply management program to fill theimmediate needs of the NDMS disasterresponse team en-route to and at the siteof a disaster or major emergency.

Provides overall guidance, supervision,and direction of procurement activities.

During mobilization, supervises loadingand transportation of the NDMS disasterresponse team equipment cache.

Determines Section’s staffing and logisti-cal needs and requests additional re-sources as necessary.



SUPPLY MANAGEMENT OFFICER, GS-2003-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

LOGISTICS SECTION CHIEF, GS-2003-13


Determines an acceptable equipmentcache storage site upon arrival and plansthe physical layout to facilitate properNDMS disaster team operations.

Ensures the setup of the NDMS disaster re-sponse team equipment cache and supervis-es the issuance of supplies and equipment.

Reviews and analyzes requests for theNDMS disaster response team’s suppliesand equipment.

Establishes ordering procedures in consulta-tion with the Administrative/Finance SectionChief and the MST Logistics Section Chief.

Identifies deficiencies and implements cor-rective actions as needed within the Section.

Investigates and submits documentation andreports on lost or destroyed property to theAdministrative/Finance Section Chief for thepurpose of accountability and replacement.

Maintains the level of supplies andequipment necessary to accomplish the Teammission at all times during the deployment.

Develops transportation resources andcoordinates transportation schedules toensure a sufficient number of vehicles areavailable for transport to the assigned lo-cation as well as while on site.

Responsible for the equipment and supplyinventory to include the implementation andmaintenance of an up-to-date computerized

logistical tracking system that maintains anaccountability of supplies and equipment ex-pended and distributed from the cache.

Coordinates air transportation of theNDMS disaster response team’s cache withmilitary and civilian transport officials.

Receives briefings and SITREPs andensures that all Logistics Sectionpersonnel are kept informed of missionobjectives and status changes.

Provides situation updates to the supervi-sor and maintains records and reports ofLogistics Section activity.

Performs other related duties as requiredto facilitate efficient administrative opera-tions for the NDMS disaster team.


The incumbent functions under the generalsupervision and guidance of the TeamLeader. The incumbent notifies the supervi-sor when work involves deviation fromnormal policies and procedures. The SupplyManagement Officer manages the operationwithin program goals, objectives, regulations,and administrative requirements imposed byNDMS, DHHS, etc. Completed assignmentsare reviewed in terms of accomplishment ofobjectives and overall effectiveness of thesupply management operations.



JOB CATEGORYTitle Logistics Section Chief(NDMS organizational title)

Supply Management Officer (OPM official title)Series: GS-2003Grade: 13

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS responseteam position equivalent to at least the next lower grade level in the Federalservice. Supervisory experience is required.



INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness(OEP), Office of Public Health and Science(OPHS), Office of the Secretary. The Depart-ment of Health and Human Services(DHHS), is the primary agency for the Emer-gency Support Function (ESF) #8, “Healthand Medical Services”, under the Federal Re-sponse Plan (FRP). The OEP is theheadquarters for the National Disaster Med-ical System (NDMS) and, in that capacity,supports the planning, organization anddevelopment of medical response teams ofNDMS. The disaster medical response teams,i.e., primary care, specialty, and others, are abasic element in the personnel componentand can be expanded to a clearing-stagingunit while other teams are preparing for acti-vation. Health care providers and medicalsupport personnel are recruited from localcommunities to serve national needs in theevent of disasters or other major emergenciesrequiring extraordinary medical services.

The Supply Unit Leader assists the Logis-tics Section Chief/Supply Management Of-ficer in the packing, transportation, setup,operation, and accountability of the NDMSdisaster response team’s equipment cacheand all team supply issues. The FacilitiesUnit Leader provides facility setup andmanagement services for the NDMS disas-ter response team while on-site. Both posi-tions report directly to the LogisticsSection Chief/Supply Management Officer.


n The incumbent(s) of this position de-scription performs any or all of thefollowing duties and responsibilities:

n As team leader, assumes typical leadresponsibilities of approximately 5 to10 employees engaged in logisticswork, which includes the distributionand balancing of work among employ-ees; adjusting workload priorities;training employees in specific tasksand making written instructions andpolicies available, amending orrejecting work; providing direction andanswering technical questions on poli-cies, procedures, and directives; obtain-ing needed equipment and ensuringproper working conditions; approvingemergency leave; resolving informalcomplaints; and reporting to thesupervisor on performance, progressand training needs of unit employees.

n Oversees the supply and/or facilitiesfunction.

n Assists with loading and unloading ofthe NDMS disaster response team’sequipment cache according to load plan.

n In coordination with the LogisticsSection Chief, obtains necessaryspace for the NDMS disasterresponse team’s operations.



LEAD GENERAL SUPPLY SPECIALIST, GS-2003-12NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

SUPPLY UNIT LEADERAND/OR

FACILITIES UNIT LEADER, GS-2003-12


n Provides facility maintenance servic-es as needed.

n Sets up equipment as necessary forteam operations.

n Identifies the appropriate source of sup-ply and carries out the acquisition pro-cess as determined by the supervisor(s).

n Contacts team personnel to determinethe status of supplies and immediateneeds to sustain acceptable level of ef-fectiveness. Notes shortages anddetermines why they exist.

n Reports status of stock levels andshortages to the supervisor on a regu-lar basis along with recommendationsfor corrective action and recommendspossible substitutions.

n Sets up and ensures all facilities,services, and equipment are properlyfunctioning.

n Prepares detailed status reports forthe supervisor.

n Orders and receives equipment andsupplies to meet anticipated needsin coordination with the MST.

n Distributes supplies and equipment,as requested.

n Assures that equipment and suppliesare safely secured and maintained inan acceptable state of readiness forimmediate distribution and use.

n Prepares detailed status reports forthe supervisor and assists with inven-tory and maintenance of team equip-ment and supplies.

n Prepares performance evaluations forassigned personnel.

n Performs other duties as assigned.


The incumbent serves under the generalsupervision of the Logistics SectionChief/Supply Management Officer. Withinthe limits of his/her assignment, theincumbent functions with considerable in-dependence. Work is subject to review interms of overall evaluation of programaccomplishments, and effectiveness.


JOB CATEGORYTitle Supply/Facilities Unit Leader (NDMS organizational title)

Lead General Supply Specialist (OPM official title)Series: GS-2003Grade: 12

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS response teamposition equivalent to at least the next lower grade level in the Federal service.Supervisory/lead experience is required.




The Supply Management Officer assiststhe Supply Unit Leader and Logistics Sec-tion Chief/Supply Management Officer inthe packing, transportation, setup, opera-tion, and accountability of the NDMS dis-aster response team’s equipment cacheand all team supply issues.


The incumbent plans and coordinates the de-velopment of procedures and instructions toimplement and manage an efficient supplymanagement program to fill the immediateneeds of the CSU during training or actuallyat the site of a disaster. The incumbentreviews and analyzes requests for supplies andequipment from the CSU. The organizationserved primarily requires medical suppliesand equipment and a few items that areheavy and complex. Items managed alsoinclude a variety of forms, manuals, or otherprinted material. The majority of the suppliesand services are obtained through the Gener-al Services Administration or PHS; someitems are purchased on the open market.The incumbent will coordinate the supplyprogram with all operating elementsmobilized under NDMS. Identifies need forthe more complicated supplies andequipment. Determines if such needs etc. arejustified. Following approval of the requestsby the Logistics Section Chief, the incumbentidentifies the appropriate sources of supplyand carries out the acquisition process.

The incumbent maintains adequate controlsof the acquisitions of property, supplies, andequipment within the CSU to ensure compli-ance with established HHS and NDMS poli-cies. The incumbent deals with CSUpersonnel to assure understanding of regula-tions and requirements and to maintain an



SUPPLY MANAGEMENT OFFICER, GS-2003-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

SUPPLY MANAGEMENT OFFICER, GS-2003-11


adequate property control system. Identifiesdeficiencies and issues corrective actionrequired along with recommendations fornew, revised, and/or improved practices, pro-cedures, and methods.

The incumbent is responsible for receivingproperty, equipment and supplies. Respon-sible for maintaining accountable records onspecified classes of nonexpendable property.Assures that all accountable property isproperly tagged or marked. The incumbentperiodically supervises a physical inventoryof nonexpendable property. Upon request,the incumbent prepares and furnishes a list-ing of accountable property maintained inthe CSU. Provides advice and guidance tothe CSU staff on issues concerning the useof government property.

The incumbent investigates loss, damage,or destruction of government property.Prepares reports of findings and makesrecommendations as to the proper courseof correction action to be taken.

Prepares periodicand special reports coveringprocurement, acquisition, utilization, value,and disposition of government property.

The incumbent supervises the preparationof supplies and equipment for use duringdisasters and emergencies. Is responsiblefor the security and storage of equipment.Assures that property and supplies neededduring a disaster are properly marked orflagged ready for immediate distribution.Designs packing and loading plans anddistributes plans to key personnel.

During mobilization in an actualemergency, the incumbent supervises theloading, transportation, and set up of med-ical equipment and supplies. Supervisesthe issuance of equipment and supplies.The incumbent must recognize the needfor and supervises resupply operations.

In special situations, the Supply ManagementOfficer identifies the need for externalsupport. Identifies appropriate sources ofsupply and prepares the necessary documen-tation to contract for such support.


JOB CATEGORYTitle Supply Management OfficerSeries: GS-2003Grade: 11

MINIMUM QUALIFICATIONSOne year of specialized experience directly related to the NDMS responseteam position equivalent to at least the next lower grade level in the Federalservice.



INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Officeof Public Health and Science, Office of theSecretary. The Department of Health andHuman Services is the primary agency forthe Emergency Support Function (ESF) #8,“Health and Medical Services”, under theFederal Response Plan (FRP). The Office ofEmergency Preparedness is the headquartersfor the National Disaster Medical System(NDMS) and, in that capacity, supports theplanning, organization and development ofmedical response teams of NDMS. The disas-ter medical response teams, i.e., primarycare, specialty, and others, are a basicelement in the personnel component andcan be expanded to a clearing-staging unitwhile other teams are preparing foractivation. Health care providers and medicalsupport personnel are recruited from localcommunities to serve national needs in theevent of disasters or other major emergenciesrequiring extraordinary medical services.

The incumbent of this position serves as aTeam Leader responsible for managingand supervising all aspects of a disastermission, both operational and managerial,from the time of activation through the re-turn to the home jurisdiction including allresources (personnel and equipment) andthe development and completion of all re-sponse operational objectives as assignedby the Management Support Team (MST),as well as, proper reporting, record keep-ing, and after-action requirements.


Supervises the overall function of an NDMSprimary care, specialty, or mortuary responseteam to care for victims of a disaster or otherassignment such as providing supplementalstaffing to the local medical infrastructureduring mass casualty incidents.

Provides management expertise and super-vision of the work of 15-30 team membersconsisting of physicians and other healthcare providers, technical and supportpersonnel, and overall administrationactivities of the team, including supervisionof the Chief of Logistics, Operations, Plan-ning, Administrative/Finance, Safety, andChaplain services. The grade levels of teammembers range from GS-3 through GS-14.

Represents HHS in dealing with sponsoringhospitals and Federal and/or regional coordi-nating center and/or HHS Medical ResponseCoordinator. Establishes liaison with Stateand local emergency preparedness authori-ties, disaster relief organizations, includingthe American Red Cross, and others. Exercis-es a high degree of independence and lead-ership in coordinating activities of the teamand guiding health care providers in solvingdifficult problems during disaster service.

Provides management support and direc-tions during evacuation procedures ofcritically injured patients to local medicalfacilities. Ensures patient evacuation plans



UNIT COMMANDER (NON-MEDICAL), GS-0301-15


TEAM LEADER, GS-0301-15


and procedures are properly understoodand carried out by team members.

Interacts with the MST Leader for coordina-tion of team activities and support of FRP re-quirements. Receives briefings from the MSTand ensures that team members are kept in-formed of mission objectives and statuschanges. Supervises the completion of all re-quired reports and maintenance of records.

Provides for team orientation and establish-es individual or team training programs inthe field of emergency managementincluding environmental sanitation,personal hygiene, stress management, andtriage to ensure effective and efficient fieldoperations. Conducts annual performanceevaluations of team members. Selects quali-fied applicants for team positions.

Participates in formal debriefing sessionsfollowing disaster service. Develops after-action reports including critical evaluationof field operations, team performance, op-erating policies, and treatment techniques.

Keeps abreast of the latest developments inthe field of medical care management and rec-ommends or implements necessary changes.


The incumbent must possess broad experi-ence in emergency management activities.

Basic Life Support (BLS) training andcertification is strongly recommended.



The incumbent of this position reports to theMST Leader, who provides broad supervisionand direction. The incumbent’s managementdecisions are accepted as authoritative duringemergency disaster service.


JOB CATEGORYTitle: Team Leader (NDMS organizational title)

Unit Commander (non-medical)(OPM official title)Series: 301Grade: 15

MINIMUM QUALIFICATIONSOne year of operational experience in emergency incident management on aregular and continuous basis equivalent to the GS-14 level in the Federal service.





Knowledge

n Comprehensive knowledge of the NIIMS Incident Command Systemn Comprehensive knowledge of the DMAT/Specialty Team functions, oper-

ations, strategy, and safety considerationsn Formal training in managing large-scale disasters or events from the Na-

tional Fire Academy, Emergency Management Institute, or equivalentn Knowledge of other disaster response organizations and their missions,

i.e., FEMA ESF, Red Cross, NGO, etc. for the purpose of exchanging dis-aster-related information

n Knowledge of the Federal Response Plann Knowledge of supervisory and personnel management skillsn Practical knowledge of the terminology and capabilities of the major

items in the equipment cache

Skills

n Competent in the development and use of integrated action planningconcepts and processes

n Operational experience in emergency incident management on a regularand continuous basis

Abilities

n Capable of effectively coordinating and directing multiple functions ofthe DMAT/Specialty Team during mission assignment

n Possess good inter-organization coordination skills, work well with techni-cal experts, local officials, and other organizations

n Able to manage assigned personnel, specialized equipment, and supportresources during a disaster situation

n Ability to effectively organize and plan during crisis situations


INTRODUCTIONThis incumbent of this position is responsi-ble for coordinating response teamtraining prior to a disaster or other deploy-ment. The employee in this position willbe responsible for coordinating anddelivering training for a single team withinthe NDMS. The employee must have ahigh level of knowledge of both emergencyteam operations and the delivery oftraining programs. Locally, this position re-ports to their team leader; on specificactions, the position reports to the NDMSresponse team training coordinator at OEP.


n Identifies individual and team train-ing requirements

n Schedules training to address shortfallsin team and team member training

n Conducts training classes, workshops,and field exercises using materialsdeveloped by a variety of sources

n Develops a limited amount of trainingmaterial for presentation to their team

n Tracks student completion of alltraining courses and programs

n Keeps the team sponsor andleadership apprised of trainingrequirements and course completion

n Represents their team on all trainingconference calls with OEP

n Serves as the team member's primarypoint of contact to resolve trainingissues and problems; provides entrylevel technical support for NDMS Web-based training for their team members

n Keeps OEP training staff apprised ofteam training requirements and issues

n Possess experience providing services ina disaster or major emergency situation

n Performs other duties as assigned


The employee in this position worksunder the broad supervision of the TeamLeader or OEP/NDMS response teamtraining coordinator. Work is accom-plished in accordance with written OEPpolicies and procedures and technical/pro-gram guidance received OEP or OEP'sdesignated training contractor.

OTHER SIGNIFICANT FACTSThis position is not to be used outside ofNDMS response teams.



TRAINING SPECIALIST, GS-1712-11NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

TRAINING OFFICER, GS-1712-11



JOB CATEGORYTitle: Training Officer (NDMS Organizational Title)

Training Specialist (OPM Official Title)Series: 1712Grade: 11

BASIC REQUIREMENTSEducation: A degree with major study in education or a subject area relatedto the position.

OR

Experience that provided evidence of the ability to instruct students in the use ofequipment, principles, or practices of the subject or occupation. This experiencemay have been gained as a teacher or instruction; in on-the-job supervision orinstruction of subordinates or fellow workers; or in work involving application ofthe principles, practices, and techniques of the subject-matter field of the position.

ADDITIONAL REQUIREMENTSOne year of specialized experience directly related to the NDMS responseteam position equivalent to the GS-09 level in the Federal service.

OR

Three full years of progressively higher level graduate education or Ph.D. or equivalentdoctoral degree with major study in education or a subject area related to the position.


n One year experience as a member of a NDMS response teamn Completion of the NDMS Web-based Response Team Training Programn Completion of the NDMS field training program (when available and ap-

propriate based upon the type of team)n Completion of a level II instructor's course meeting NFPA standards (or

equivalent)n Completion of the NDMS field training program (when available and ap-

propriate based upon the type of team)n Two years of experience as a level II instructorn Qualification in at least one other team position



The incumbent of this position serves asa Veterinary Medical Officer of theNDMS response team and is responsiblefor providing the complete range ofveterinary services.


Provides preventive medicine support, sanita-tion inspections, water quality, environmentaland agricultural concerns; proper shelteringand treatment of livestock; and control of in-fectious diseases (epizootic and zoonotic).

Ensures public safety through: protectionof the animal food supply; care ofinjured or sick animals and control ofstray and abandoned animals; rescue andrehabilitation of affected wildlife; properdisposal of animal carcasses; and labora-tory evaluation of dead animals.

Negotiates necessary services withlocal/state veterinary centers, VMATs,and/or organizations to accommodate thewide spectrum of emergency needs.

Conducts necropsies and obtains samplesfor laboratory analyses.

Collaborates with local/state veterinaryhospitals, organizations, and humane soci-eties or other animal control groups to ac-commodate wide spread emergency needs.

Must have experience providing servicesin a disaster or major emergency situation.




VETERINARY MEDICAL OFFICER, GS-701-13NDMS ORGANIZATIONAL TITLE, SERIES, AND GRADE:

VETERINARY MEDICAL OFFICER, GS-701-13



JOB CATEGORYTitle: Veterinary Medical OfficerSeries: 0701Grade: 13

MINIMUM REQUIREMENTSEducation: A Doctor of Veterinary Medicine (D.V.M.) or equivalent degree ata school approved or accredited by the American Veterinary Medical Associa-tion (AVMA), a State department of education, or a State Board of VeterinaryMedical Examiners.

ADDITIONAL REQUIREMENTSOne year of specialized experience directly related to the NDMS ResponseTeam position equivalent to at least the GS-12 level in the Federal service.

LICENSURE REQUIREMENTA valid and unrestricted license to practice veterinary medicine in a State, theDistrict of Columbia, the Commonwealth of Puerto Rico, or a territory of theUnited States.


n Knowledge of environmental and occupational health hazards.n Skill in veterinary emergency medicine and surgery.n Experience in rescue and rehabilitation techniques for wildlife.

OTHER SIGNIFICANT FACTSMust be a graduate from an accreditedVeterinary School of Medicine in the U.S.or Canada. Incumbent must possess apermanent, current, full and unrestrictedlicense in a State, the District ofColumbia, the Commonwealth of PuertoRico, or a territory of the United States.

ALS certification required.


Works under the supervision of theVeterinary Operations Chief who discussesveterinary medical service needs andrequirements. The incumbent independent-ly provides the full range of veterinary serv-ices during disasters or major emergencies.Work is reviewed in terms of meeting therequirements of the disaster mission.


INTRODUCTIONThis position is organizationally located inthe Office of Emergency Preparedness, Officeof Public Health and Science, Office of theSecretary. The Department of Health andHuman Services is the primary agency forthe Emergency Support Function (ESF) #8,“Health and Medical Services”, under theFederal Response Plan (FRP). The Office ofEmergency Preparedness is the headquartersfor the National Disaster Medical System(NDMS) and, in that capacity, supports theplanning, organization and development ofmedical response teams of NDMS. The disas-ter medical response teams, i.e., primarycare, specialty, and others, are a basicelement in the personnel component andcan be expanded to a clearing-stage unitwhile other teams are preparing foractivation. Health care providers and medicalsupport personnel are recruited from localcommunities to serve national needs in theevent of disasters or other major emergenciesrequiring extraordinary medical services.

The incumbent of this position serves as aDiagnostic Radiologic Technician of thedisaster response team/specialty/or otherand is responsible for performing diagnos-tic radiographic procedures (x-rays) of theskull, chest, pelvis, extremities, spine andabdomen of seriously ill individuals for ra-diographic diagnostic documentation.


Performs diagnostic radiographic proceduresof the skull, chest, pelvis, extremities, spine,and abdomen of seriously ill individuals inaccordance with standard operatingprocedures set forth by the AmericanRegistry of Radiologic Technologists (AART).

Deviates from standard operating proceduresto adapt for deformities of body, injuries, andother variable considerations such as age andweight of the individual. Must be skilled touse basic formulae and calculate technicalfactors for patients who are frail or obese.

Loads and unloads cassettes. Operates au-tomatic film processing machines, andmixes and replenishes processing chemicalto achieve proper examination results.

Exercises technical knowledge ofpositioning patients for radiographicexamination, including customaryalternate positions for patients with com-mon and serious deformities or injuries.

Maintains radiographic records as: patientrecords, cassettes and films, x-ray files,and statistical reports and summaries.Submits daily reports to the supervisor.




DIAGNOSTIC RADIOLOGIC TECHNICIAN, GS-0647-05


X-RAY TECHNICIAN, GS-0647-05


EVALUATION FACTORSFACTOR 1:KNOWLEDGE REQUIRED BY THEPOSITION Level 1-3 (350 Points)The incumbent must be knowledgeableof radiation protection standards andtechniques for minimum radiographicexposure; knowledge of positioning pa-tients for radiographic examination, in-cluding alternate positions for patientswith common deformities or injuries;skill to perform routine diagnostic proce-dures, i.e., chest, joints, extremities.

FACTOR 2:SUPERVISORY CONTROLSLevel 2-2 (125 Points)The incumbent works under the supervisionof the Group Supervisor. Assignments areroutine and completed independently. Un-usual or difficult cases not covered by stan-dard operating procedures are referred forassistance. Work is reviewed through com-pleted x-rays for technical accuracy andcompliance with established procedures.

FACTOR 3:GUIDELINESLevel 3-2 (125 Points)Guidelines include textbooks and technicalmanuals. Standard operating procedurescover the number and sequence of expo-sures, the normal positioning of the patientand the technical factors for the examina-tion. The incumbent uses judgment in se-lecting and adapting setting and positions.

FACTOR 4:COMPLEXITYLevel 4-2 (75 Points)The work consists of duties involving anumber of related steps, processes, ormethods, i.e., exams of limited difficulty aschest, spine, or extremities, which fall with-

in standard operating procedures. Devia-tions are necessary to avoid causing furtherpain or injury to an injured patient.

FACTOR 5:SCOPE AND EFFECTLevel 5-2 (75 Points)The purpose of the work is to provide x-raystudies for medical personnel in diagnosis andtreatment of various accident and disastertrauma. Examination accuracy effects the reli-ability of physician’s diagnosis and treatment.

FACTOR 6:PERSONAL CONTACTSLevel 6-2 (25 Points)Contacts are with patients, coworkers, andthe medical staff usually within a struc-tured setting.

FACTOR 7:PURPOSE OF CONTACTSLevel 7-2 (50 Points)The purpose of contacts is to exchangeinformation on radiographic procedures,scheduling, or address patient concernsand problems.

FACTOR 8:PHYSICAL DEMANDSLevel 8-2 (20 Points)Long periods of standing and walking arenecessary; frequent bending and carryingfilm cassettes for rapid film changes.

FACTOR 9:WORK ENVIRONMENTLevel 9-2 (20 Points)Work is performed in a well-lighted, heat-ed, and ventilated area. Must wear pro-tective clothing such as a lead apron.

TOTAL POINTS: 865 POINTSGRADE CONVERSION: GS-05

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