g. Indicate in-flight medications, special diets, or equipment needed on the patient
evacuation worksheet. If in-flight medications are required, provide a 3-day supply of
medication for patients traveling in the Continental United States (CONUS). A minimum 5-
day supply of medication should be provided for patients traveling from overseas areas to
h. Complete the patient's ITRC Worksheet, DA Form 3647 (Inpatient Treatment
Record Cover Sheet) and the SF 502 (Narrative Summary). The Narrative Summary
serves as a medical summary of the patient's condition and reason for the transfer and
assists the gaining physician and in-flight personnel. The Inpatient Treatment Record along
with the completed and signed transfer summary should arrive at the patient evacuation
section NLT the day prior to evacuation for routine evacuation.
i. Review and sign DD Form 602 (Patient Evacuation Tag).
j. Coordinate with the flight coordinator on all seriously ill/very seriously ill (SI/VSI)
patients or other patients who require special attention and consideration during the
aeromedical evacuation process. These patients would probably be urgent or priority
NURSING SERVICE RESPONSIBILITIES
Nursing Service will:
a. Obtain Preflight Medications and Special Equipment. The ward nurse will
obtain any required special equipment and medications and will administer the preflight
medications according to instructions and orders of the attending physician. In-flight
medications are not sent with the patient, but are picked up by the patient evacuation
section personnel the day of departure. Normally, a 5-day supply of medications for
CONUS bound patients and a 3-day supply for other patients is obtained from the
pharmacy. All narcotics must be signed by patient evacuation personnel when received in
order to maintain control and a chain of custody.
b. Request Special Diets. The ward nurse will request from Food Service early
meals on the ward and modified diet meals for flights when required. (A minimum of 1-
day's notice is required to prepare modified diet meals.) Patient evacuation personnel will
obtain these meals from Food Service the day of the flight.
c. Determine Need for Dressings. Clean dressings are applied just prior to the
patient's departure, particularly to colostomies, draining wounds, burns, pressure sores,
and ulcers. Patients requiring frequent dressing changes are provided with a 24-hour
supply. Colostomies require frequent dressing en route because of increased intestinal
gas pressure from altitude changes. A 5-day supply of ostomy dressings should be