Page 153 - 2022 Ranger Medic Handbook

Pharmacology Standards & Guidelines

LEVEL 1 – PROFICIENT AND TRAINED
Level 1 pharmaceuticals designated as “Proficient and Always Carried” are those drugs that a Ranger Medic car-
ries on virtually all assault missions. A Ranger Medic is expected to know the class, dose, indications, significant
contraindications, significant side-effects, mission impacts, and K9 dosages of these medications at all times.
This category is within the expected knowledge base for a Ranger Medic to be considered Basic Mission Quali-
fied (BMQ). A Medic must demonstrate proficiency in these medications through the Ranger Medic Assessment
& Validation (RMAV) to be considered BMQ.
Level 1 – Proficient and Always Carried drugs are designated in GREEN
* Indicates always carried medication

LEVEL 2 – PROFICIENT
Level 2 pharmaceuticals designated as “Proficient” are those drugs that a Ranger Medic administers as directed
by standing Ranger Protocols. An FMQ Ranger Medic is expected to know the class, dose, indications, significant SECTION 4
contraindications, significant side effects, mission impacts, and K9 dosages of these medications at all times.
This category is the within the expected knowledge base for a Ranger Medic to be considered Full Mission Quali-
fied (FMQ). A Medic must demonstrate proficiency in these medications through the Ranger Medic Assessment
& Validation (RMAV) to be considered FMQ.
Level 2 – Proficient drugs are designated in AMBER

LEVEL 3 – FAMILIAR
Pharmaceuticals designated as “Familiar” are those drugs that a Ranger Medic administers as directed by spe-
cific protocols or require familiarization for contingency health management. A Ranger Medic is expected to be
familiar the class, dose, indications, contraindications, side-effects, mission impacts, and K9 dosages of these
medications. The Ranger Medic Handbook is a reference for the rare use of these medications.
This category is the within the familiarization expectation for a Ranger Medic to be considered Full Mission Quali-
fied Plus (FMQ+). A medic must demonstrate familiarization with these medications through the Ranger Medic
Assessment & Validation (RMAV) to be considered FMQ+.
Level 3 – Familiar drugs are designated in RED

MISSION IMPACTS
Certain drugs in all categories have very specific mission impacts. Some are directly related to mission performance
while others serve as a warning for potential mission impacts.
Specific drugs are categorized as “grounding” for any aviation personnel or for Rangers to conduct in-flight operations.
Aviation grounding status also is grounding status for Rangers performing military free-fall operations. REMINDER: Any
flight or MFF personnel grounded due to medication use or a medical condition MUST be cleared by a flight surgeon or
an aeromedical physician assistant before returning to flight/MFF status.
Mission Impact drugs are designated by the helicopter/warning symbol.

This list of pharmaceuticals is as of the current publication date of the Ranger Medic Handbook.
Rangers Medics will adhere to current list as it is updated.

2022 RANGER MEDIC HANDBOOK 139