scope:

a. Applies to Navy Medicine personnel attached to Headquarters (BUMED) or medical treatment facilities (MTFs) who may work in support of, or provide oversight capacity to CNIC or CMC provided EMS services. Additionally, applies to those personnel at MTFs or other facilities involved in the training, credentialing, and QA/QC of Navy Fire and Emergency Services (F&ES) personnel involved in any aspect of the EMS system for USN and USMC facilities across Navy Medicine.

b. For the purpose of this instruction any use of Navy "Region(s)" or "Regional" refers to the Navy Medicine Regional Commands: Navy Medicine East (NME), Navy Medicine West (NMW), and Navy Medicine National Capital Area (NMNCA).

Purpose.

To establish the responsibilities of Navy Medicine for the medical oversight, quality assurance (QA), quality control (QC), medical treatment protocols, and any continued training for Navy personnel involved with the Emergency Medical Services (EMS) systems aboard United States Navy (UNS) and Marine Corps (USMC) installations per references (a) through (i) and enclosure (1).

a. By agreement between the Bureau of Medicine and Surgery (BUMED) and Commander Navel Installations Command (CNIC), EMS systems on Navy CONUS installations including Guam and Hawaii, will be administered and staffed by CNIC beginning in Fiscal Year 2008 (FY08), per reference (a).

b. By agreement between BUMED and Commandant of the Marine Corps (CMC), EMS systems on CONUS USMC installations will be administered and staffed by CMC beginning in FY 09 per reference (b).

c. The provisions concerning medical direction, medical oversight, and QA/QC will apply to both CNIC and CMC.