Summary
Plans, provides, and evaluates routine patient care and treatment of beneficiaries to include flying and special operational duty personnel. Organizes, coordinates, executes, and evaluates nursing activities in the medical environment as a Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN).
Performs and directs support activities for patient care situations, including contingency operations and disasters. Performs duty as Flight and Operational Medical Technician (FOMT), Independent Duty Medical Technician (IDMT), Aeromedical Evacuation Technician (AET), Allergy and/or Immunization Technician (AIT), Special Operations Command (SOC) Medic, Critical Care Technician (CCT), National Registry Paramedic (NRP), Neurodiagnostic Technologist (NDT), Dialysis Medical Technician (DMT), or Certified Hyperbaric Technologist (CHT).
Technical School
Days: 98
Locations: Fort Sam Houston, Texas
Other Names
None
Bonus
4-Year Bonus: None
6-Year Bonus: $5,000
Badge
Medical Badge
Duty Identifier
MED Duty Identifier
IDMT Duty Identifier
Clearance
None
Open Aptitude Category
General
AFSC Entry Requirements
Demographics
Males: 2929
Females: 3112
Total: 6041
Community College of the Air Force Degree
Practical Nursing Technology
CCAF Degree Plan

AFSC YouTube Videos
AFSC Reddit Posts
Duties and Responsibilities
Provides, supervises, and manages patient care of beneficiaries to include flying and special operational duty personnel. Performs nursing tasks.
Acts as Patient Centered Medical Home member or team leader. Front-line preventionist who identifies potential health risks and provides preventative counseling.
Performs paraprofessional portions of preventative health assessments and physical examinations. Monitors and records physiological measurements. Orients patients to the hospital environment.
Admits, discharges, and transfers patients as directed. Observes, reports, and records observations in patient progress notes and team conferences.
Performs portions of medical treatment, diagnostic, and therapeutic procedures. Cares for, observes, and reports on pre/post-operative, seriously or critically ill, and injured patients.
Records treatments and procedures rendered and observes effects. Performs postmortem care. Identifies patient problems and assists in developing and evaluating patient care plan(s).
Assembles, operates, and maintains therapeutic equipment. Provides field medical care in contingency operations and disasters.
Performs basic life support, tactical combat casualty care (TCCC) and triage in emergency situations. Serves as member of primary emergency medical response to installation 911 Emergency Medical Services (EMS) response, in-flight emergencies, medical/trauma emergencies, and potential mass casualty scenarios for on- and off-base incidents.
Operates emergency medical and other vehicles. Loads and unloads litter patients.
Participates in contingency or disaster field training, exercises, and deployments. Augments search and rescue flying squadrons.
Obtains and maintains linen and supplies/areas. Disposes of medical waste.
Maintains inpatient and outpatient medical records. Screens medical records for deployability and other medical administrative requirements.
Prepares and submits administrative reports. Manages supplies and equipment, submits, and executes budgets.
Coordinates medical service activities with execution and clinical management teams. Utilizes the nursing process for promoting and maintaining patient health.
Provides disease and disability education, care, and evaluation of nursing care. Participates in and leads the planning, implementation, and evaluation of nursing care.
Performs assessment and analysis of patient health status, identifies health goals, recognizes subtle changes in conditions, interprets these changes, and immediately determines appropriate course of action. Participates in critical appraisal of preappraised evidence (such as clinical practice guidelines, evidence-based policies and procedures, and evidence syntheses).
Supervises personnel, conducts training, and creates duty schedules. Schedules and/or conducts in-service training on procedures, techniques, and equipment. Schedules and/or conducts periodic disaster training and evacuation procedures.
Provides training to medical and non-medical personnel; training may include areas such as emergency medical technician (EMT), TCCC and required basic life support training.
Performs Flight and Operational Medicine duties. Assists flight surgeon with aircraft mishap and physiological incident response, investigation, and reporting. Supports flight surgeon to develop flying safety and deployment briefings.
Assists healthcare provider teams with interpretation and application of medical standards to determine medical qualifications for occupational duty, worldwide duty, special operation duty, mobility status, flying status, special duty, security clearance, professional military education (PME), retraining, commissioning, and transition to Air Force Reserves or Air National Guard.
Provides administrative management of duty limiting conditions reports. Assists with oversight of waiver management utilizing the Aircrew Information Management Waiver Tracking System (AIMWTS).
Maintains grounding management on all aircrew assigned utilizing the Aeromedical Services Information Management Systems (ASIMS). Performs the paraprofessional portion of initial flying class/special operational duty (SOD) physicals.
Conducts clinical entries for data into the Physical Examination Processing Program (PEPP) and manages physical until completion. Provides first point of contact for non-empaneled patients requiring physical examinations (i.e., Department of Defense Medical Examination Review Board (DoDMERB), Reserve Officer Training Corps (ROTC), and others that are an extension of the occupational exam).
Performs preventive health assessment (PHA) physicals for flying status and non-flying status personnel and updates results of required tests and examinations into ASIMS.
Performs IDMT duties at home station and deployed locations, remote sites, and alternate care locations. Renders medical, dental, and emergency treatment; recommends and coordinates evacuations for definitive medical treatment.
Performs pharmacy, laboratory, bioenvironmental, immunizations, public health, medical logistics and medical administration duties. Establishes preceptorship and provides forward area health care IAW applicable guidelines in an austere or bare-base environment.
Special Operations Command (SOC) Medics perform special operations medical support providing initial combat point of injury care, on-going field trauma care, and Casualty Evacuation (CASEVAC) to definitive care.
SOC medics are ideally suited to Special Operations Forces (SOF) and Combat Search and Rescue (CSAR) mission support for establishing bare-base encampments.
Performs Aeromedical Evacuation (AE) ground and/or flight duties as a non-career enlisted aviator. Performs pre- flight/inflight patient care and documentation. Provides emergency care for patients in event of medical and/or aircraft emergencies.
Functions as an aeromedical evacuation crewmember (AECM). Prepares patients, equipment, and aircraft for flight. Enplanes and deplanes patients.
Loads and unloads baggage. Operates specialized aircraft flight equipment, medical devices and aircraft systems related to patient care.
Assist with mission planning, launch, and recovery. Performs continuous ground/flight training.
Performs Allergy and Immunization (AI) duties.
Allergy-
Manages immunotherapy care and performs diagnostic tests as ordered by physician. Prepares allergenic extracts and/or specific allergy treatment extracts. Performs allergy skin and anergy testing.
Immunization-
Manages computer-based patient information. Performs tuberculosis testing. Administers vaccines IAW current guidelines.
Provides emergency care for treatment of anaphylaxis. Provides patient education regarding expected reactions and proper post-vaccination care.
Provides oversight of immunization processes and programs. Manages the Immunization Backup Technician (IBT) program. Performs Neurodiagnostic duties. Assists physician with and prepares patients for examination, treatment, and diagnostic procedures.
Assembles, operates, maintains, and performs routine user maintenance of electroencephalographic and electromyographic equipment. Assists in performing special electroencephalographic and electromyographic procedures. Ensures appropriate care and storage of tracings and reports.
Performs Critical Care duties. Prepares patient with special equipment for transfers. Performs and assists with examinations and special procedures including mechanical ventilation, cardiovascular and neurovascular procedures, and dialysis.
Performs Hyperbaric medical duties. Prepares patients and equipment for hyperbaric dive. Provides wound care debridement.
Prepares hyperbaric chamber and properly positions patients. Functions as hyperbaric dive crewmember. Assists hyperbaric nurse or provider with patient care during dive.
Provides emergency care for patients in event of medical or hyperbaric chamber emergencies.
Performs Dialysis Medical Technician duties. Prepares patient and performs procedures using specialized renal dialysis equipment.
Performs paramedic duties in peacetime and contingency environments. Serves as subject matter expert in pre-hospital patient transport and care.
Delivers and coordinates care between points of illness or injury, within transport echelons between far forward and fixed medical facilities, and until patient care is relinquished to another component within the continuum of care.
Maintains thorough patient care documentation. Obtains information from persons involved or present at point of injury or illness, examines casualties, and determines nature, extent, or magnitude of illness or injury to establish treatment protocols to be followed or the need for additional assistance.
Maintains proficiency in the use and routine management of transport equipment and methods including invasive airways, mechanical ventilators, perisurgical devices, medications, analgesia and sedation, and cardiovascular monitoring and support.
Specialty Qualifications
The following knowledge is mandatory for award of AFSC indicated:
4N0X1/X:- Medical terminology, anatomy and physiology.
- Nursing theory, techniques and procedures.
- Nursing assessment.
- Team nursing.
- Patient needs.
- Emergency medical treatment to include cardiopulmonary resuscitation.
- Aseptic technique.
- Medical ethics and legal aspects.
- Prescribed drugs/immunizations and their administration.
- Population health concepts.
- Operating and maintaining therapeutic equipment.
- Transportation of sick and wounded.
- Risk management.
- Medical computer systems.
- Resource management military hygiene and sanitation.
- Fundamentals of primary care management (PCM).
- Preventive medicine and counseling techniques.
- Physical examinations and standards, contingency operations, disaster preparedness and chemical warfare.
- Flight physiology fundamentals.
- Maintenance of the human weapon system.
- Operational readiness of the war fighter.
Neurological patient examination, treatment, and diagnostic procedures; operation and user maintenance of electroencephalographic, electromyographic, and other neurodiagnostic equipment.
4N0X1C:
- Medical, dental, and emergency treatment.
- Disorders.
- Advanced cardiac and disease management.
- Epidemiology.
- Entomology.
- Pharmacy, laboratory, bioenvironmental, immunizations, public health, medical logistics, and medical administration.
Immunotherapy injection, immediate and delayed skin testing, mixing, and diluting of allergen extracts, spirometry, vaccine storage and handling procedures; disease prevention through vaccinations.
4N0X1F:
Physical examinations procedures, aircrew medical waivers, medical standards, and duty limiting conditions.
Education-
For entry into this specialty, member must meet initial accession requirements as annotated in AFMAN. Courses in general science, biology, psychology, and chemistry are desirable.
Training-
The following training is mandatory for the award of the AFSC indicated:
- 4N031. Completion of the Aerospace Medical Service Apprentice (AMSA) Course Phase I and II.
- 4N031B. Completion of a Basic Neurology Technician course.
- 4N031C. Completion of Independent Duty Medical Technician course and certification at the host medical treatment facility.
- 4N031D. Completion of Allergy/Immunology Technician Course.
- 4N031F. Completion of Flight and Operational Medical Technician course.
- 4N031H. Completion of an accredited National Registry Paramedic (NRP) course and certification from the National Registry of Emergency Medical Technicians (NREMT) as an NRP. After initial certification, continued certification is mandatory.
The following experience is mandatory for the award of AFSC indicated:
4N051/51X:
- Qualification in and possession of AFSC 4N031/31X.
- Experience performing functions such as care and treatment of patients, operating and maintaining therapeutic equipment.
- Qualification in and possession of AFSC 4N051/51X. Also experience performing or supervising functions such as nursing activities.
- Care and treatment of patients.
- Operating and maintaining therapeutic equipment.
- Conducting paraprofessional portions of physical examinations.
- Qualification in and possession of AFSC 4N071/71X.
- Experience managing functions such as medical and related patient care and administrative activities.
The following are mandatory as indicated:
For entry into AFSCs 4N0X1/X1X:
No unresolved mental health issues (including, but not limited to: failure to engage in help-seeking behaviors, a continuous pattern of relapse in symptoms/illness, unwillingness, or inability to overcome mental health disorder) that would prevent member in the performance of their duties.
For award and retention of AFSCs 4N0X1/X1X:
Certification from the National Registry of Emergency Medical Technicians (NREMT) as an emergency medical technician is mandatory. After initial certification, continued certification is mandatory.
NOTE: Individuals who possess National Registry Advanced Emergency Medical Technician (NRAEMT) or National Registry Paramedic (NRP) certification exceed the NREMT requirement and are not required to also maintain a NREMT certification.
For award and retention of these AFSCs, must maintain local network access IAW AFI 17-130, Cybersecurity Program Management and AFMAN 17-1301, Computer Security.
No evidence or history of civilian conviction, Letter of Reprimand, Article 15, or courts martial conviction as a result of physical or sexual assault or misconduct, domestic violence, or illegal drug use.
No record of ethical misconduct (including but not limited to: dual relationships, falsifying records, knowingly making incorrect health record entries, or HIPAA violations) that result in Article 15 or courts martial conviction.
No history of a continuous pattern of ethical misconduct.
For entry, award, and retention into 4N0X1B, the following are mandatory:
- Prior qualification in and possession of PAFSC 4N051/71. Must have current EMT/BLS certification and Fitness Assessment through entirety of initial training course.
- Prior qualification in and possession of PAFSC 4N0X1.
- Must maintain eligibility to deploy and mobilize worldwide. Must also meet qualification to perform duties at an austere location according to the provisions of DAFMAN 48-123 and Medical Standards Directory.
- Ability to speak English clearly and distinctly as demonstrated by Reading Aloud Test (RAT). Must possess a valid state driver’s license to operate government motor vehicles (GMV) in accordance with AFI 24-301, Ground Transportation.
- AFRC and ANG members (ONLY), For entry into AFSC X4N0X1 – Must undergo a standardized entry interview with gaining unit’s 4N Functional Manager or approved 4N0X1 Functional Leader with delegated authority prior to accession.
For entry into 4N0X1F, prior qualification in and possession of PAFSC 4N031/51/71.
For entry into 4N0X1H, prior qualification in and possession of PAFSC 4N031/51/71.
Civilian Career Options
High Salary: $208,000
Low Salary: $27,080
- Acute Care Nurses: $75,330
- Allergists and Immunologists: $208,000
- Ambulance Drivers and Attendants: $27,930
- Anesthesiologist Assistants: $115,390
- Audio and Video Technicians: $47,920
- Camera and Photographic Equipment Repairers: $40,330
- Captains, Mates, and Pilots of Water Vessels: $77,130
- Career/Technical Education Teachers, Postsecondary: $55,620
- Clinical Nurse Specialists: $75,330
- Community Health Workers: $42,000
- Computer Network Support Specialists: $65,450
- Critical Care Nurses: $75,330
- Customs and Border Protection Officers: $65,540
- Dental Hygienists: $77,090
- Diagnostic Medical Sonographers: $75,920
- Dietetic Technicians: $30,110
- Emergency Medical Technicians: $36,650
- Emergency Medicine Physicians: $208,000
- Environmental Science and Protection Technicians, Including Health: $46,850
- Explosives Workers, Ordnance Handling Experts, and Blasters: $48,510
- Funeral Home Managers: $74,200
- General and Operations Managers: $103,650
- Geographic Information Systems Technologists and Technicians: $92,870
- Health Education Specialists: $56,500
- Health Information Technologists and Medical Registrars: $51,840
- Health Specialties Teachers, Postsecondary: $99,090
- Histology Technicians: $54,180
- Histotechnologists: $54,180
- Home Health Aides: $27,080
- Hospitalists: $208,000
- Intelligence Analysts: $86,940
- Licensed Practical and Licensed Vocational Nurses: $48,820
- Magnetic Resonance Imaging Technologists: $74,690
- Medical and Health Services Managers: $104,280
- Medical Assistants: $35,850
- Medical Records Specialists: $44,090
- Medical Secretaries and Administrative Assistants: $37,350
- Medical Transcriptionists: $35,270
- Morticians, Undertakers, and Funeral Arrangers: $54,100
- Motorboat Operators: $55,910
- Neurodiagnostic Technologists: $44,090
- Nuclear Technicians: $84,190
- Nurse Anesthetists: $183,580
- Nurse Midwives: $111,130
- Nursing Assistants: $30,850
- Occupational Health and Safety Specialists: $76,340
- Occupational Health and Safety Technicians: $53,340
- Ophthalmic Medical Technicians: $37,940
- Ophthalmic Medical Technologists: $44,090
- Orderlies: $30,030
- Paramedics: $36,650
- Patient Representatives: $44,090
- Pediatric Surgeons: $208,000
- Personal Care Aides: $27,080
- Pharmacy Aides: $29,280
- Phlebotomists: $36,320
- Physical Medicine and Rehabilitation Physicians: $208,000
- Physician Assistants: $115,390
- Preventive Medicine Physicians: $208,000
- Radiologic Technologists and Technicians: $61,900
- Receptionists and Information Clerks: $31,110
- Registered Nurses: $75,330
- Respiratory Therapists: $62,810
- Security Managers: $98,890
- Sports Medicine Physicians: $208,000
- Surgical Assistants: $51,840
- Surveying and Mapping Technicians: $46,200
- Training and Development Managers: $115,640
- Training and Development Specialists: $62,700
- Transportation, Storage, and Distribution Managers: $96,390
***This information was retrieved from Veterans Job Matcher at CareerOneStop (www.careeronestop.org), sponsored by the U.S. Department of Labor, Employment and Training Administration.
Shreadouts
- 4N0X1B - Neurodiagnostic Medical Technician
- 4N0X1C - Independent Duty Medical Technician
- 4N0X1D - Allergy/Immunization Technician
- 4N0X1F - Flight and Operational Medical Technician
- 4N0X1G - Aeromedical Evacuation Technician
- 4N0X1H - National Registry Paramedic
