1Topic 3.2 TMUFF AVMO 0019 STUDY CARD 18022017

  1. Learning Outcomes?
    • • List the relevant policy documents that regulate imposition and lifting of TMUFF restrictions.
    • • Explain which authorities may impose and reverse TMUFF for the conditions outlined in AAP 8000.010 (AM1) Section 5.
    • • Describe the TMUFF requirements for medical and other conditions outlined in AAP 8000.010 (AM1) Section 5.
    • • Describe the "I'M SAFE" pre-flight checklist for flying fitness.
    • • Apply the requirements of AAP 8000.010 (AM1) Section 5 to the imposition and reversal of Temporary Medical
  2. Unfitness to Fly.?
    • General principles TMUFF
    • • Good health is essential for aircrew duties
    • • The first pre-flight check is on the aircrew themselves
    • • Short term self imposed TMUFF may prevent longer term grounding
    • • Even minor illness may impact on flying safety & operational effectiveness
  3. SCOPE:?
    • • Activities, conditions and factors that may adversely affect an Aircrew member’s short-term medical or dental fitness to fly, or an Aircraft Controller’s fitness to control aircraft;
    • • Duration of the TMUFF period;
    • • Circumstances where AVMO or Dental Officers are to be consulted before flight to determine the duration of the TMU period; and
    • • When necessary, TMUFF as related to infrequent flyers.
  4. Who can impose TMUFF?
    • • Any health care provider
    • • Authorising Officers and Flight Commanders
    • • Individual aircrew member (self- imposed)
  5. TMUFF Reversal?
    • • Ultimate authority is with CO based on:
    • • Risk assessment
    • • Operational needs
    • • Advice from AVMO
  6. Medical TMUFF?
    • • AVMO assessment required for reversal of medical TMUFF
    • • Source of frequent complaint
    • • What if there is no AVMO?
    • • Non-AVMO, but must consult with an AVMO
    • • If no MO, Nursing Officers; must consult AVMO
    • • SSAMA available on call for advice
    • • BFTS – CASA DAME
  7. Administrative TMUFF?
    • • Administrative TMUFF reversal does not need AVMO
    • • Existing policies in place:
    • • alcohol
    • • fatigue
    • • simulators
    • • HUET
    • • diving
    • • vaccinations etc
  8. Common TMUFF Reversal Challenges and FAQs?
    • • “I can’t get an appointment with an AVMO”
    • • Facilitate easier access, especially morning through sick parade
    • • “It was only a cold and I’m fine now”
    • • AAP 8000.010 (AM1) Section 5 requires AVMO review
    • • Discuss review options with AVMO/HSF
  9. Contents of AAP 8000.010 (AM1) Section 5 Chapter 5?
    • • Medical and dental procedures
    • • Administration of medication
    • • Ingestion of alcoholic beverages
    • • Immunisation procedures
    • • Blood donation
    • • Psychosocial conditions
    • • Diet and meals
    • • Fatigue
    • • Involvement in an aircraft incident or accident
    • • Exposure to high altitude/hypobaric environments
    • • Exposure to hyperbaric environments
    • • Aircraft simulator training
  10. Medical Procedures?
    • • Where local anaesthetics used:
    • • TMUFF minimum 8 hours
    • • Includes topical eye drops
    • • Otherwise determined clinically by:
    • • Type of procedure
    • • Pain
    • • Limitation
    • • Dilating eye drops: 24 hr TMUFF
  11. Dental Procedures?
    • • Local anaesthetics:
    • • Minimum 8 hours TMUFF
    • • Then as advised by dentist/AVMO when ongoing requirement for medication
    • • Health Policy Directive 411—Aviation and Diving—Dental Considerations.
  12. Medications – Prescribed and OTC?
    • • Must be taken in accordance with Health Directive 311 –Use of medication by aircrew and air traffic controllers
    • • In general terms:
    • • Severity of the medical condition may preclude flying anyway
    • • Most drugs require a “Ground Trial” (TMUFF period)
    • • A few drugs need little/no ground trial
    • • Many drugs cannot be used at all
    • • Consider herbal same as prescribed – AVMO advice
    • • Always assume medications are hazardous
  13. Ingestion of Alcohol?
    • • Before undertaking aviation or controlling related duties:
    • • BAL must be ZERO
    • • No symptoms of hangover
    • • Observe minimum abstinence period
    • • TMUFF self-imposed or by medical/supervisors
    • • References:
    • • DI(G) PERS 15-4 Alcohol Testing in the ADF
    • • ADF Safety Critical Areas
    • • DI(G) OPS 22-2 Temporary Medical Unfitness for Flying
  14. Minimum Abstinence Period Prior To Duty?
    • Number of standard drinks consumed
    • Minimum period of abstinence from the last drink to commencement of duty (hrs)
    • 1–4 8
    • 5–6 12
    • 7–10 18
    • 11–20 30
    • >20 48
  15. Vaccinations?
    • • Mitigate risk of localised or generalised reactions
    • • Administrative 12 hrs TMUFF
    • • 72 hrs after JEV (old vacc)
    • • If unwell, must see AVMO first
    • • Ref: Australian Defence Force Publication 1.2.2.1—Immunisation Procedures
  16. Blood donation?
    • • Administrative TMUFF
    • • 72 hrs TMUFF after donation
    • • Member’s CO must approve
    • • 24 hrs TMUFF for JBAC and ACO
  17. Psychosocial Issues?
    • • Medical TMUFF
    • • May be imposed by psychologist or counsellor
    • • Must be assessed by AVMO
    • • Includes return to flying after critical incidents/accidents
  18. Fatigue?
    • • Covered in AVMO Course Topic 5 “Human factors and Accident Response”
    • • Aircrew and ACOs must:
    • • abide by the crew-rest, crew duty and rostering limitations set by Single-Service authorities.
    • • be TMUFF if these limits are breached.
    • • References:
    • • Defence Instruction (Air Force) OPS 6–6—
  19. Crew Duty Limits SAFETYMAN, volume 3, chapter 21?
  20. Fatigue?
    • • Where fatigue is still suspected despite appropriate provision of crew-rest, personnel must be TMUFF until a cause and solution to the fatigue can be identified.
    • • Consult an MO if suffering chronic fatigue or circadian dysrhythmia
    • • Extension of crew-duty day possible only if:
    • • Pressing operational requirement
    • • Command approval given
  21. Use of hypnotics – HD 311?
    • • Temazepam:
    • • TMUFF 12 hours after dose
    • • Reduce to 8 hours withAVMO review
  22. • Zolpidem:?
    • TMUFF 8 hours after dose
  23. Diet and Meals?
    • • Concern about:
    • • Dietary causes of incapacitation
    • • gas producing foods
    • • high glycaemic index foods
    • • Must eat adequate meal within 6 hrs of flying
  24. Diet and Meals?
    • • To avoid food poisoning:
    • • Exercise caution with food choices, especially overseas
    • • Practice good hygiene and food handling
    • • Two pilots - different meals at different times
    • • Investigate episodes of food poisoning
    • • Take samples
    • • Raise an ASOR
  25. Flight Safety Incidents?
    • Aircrew must be cleared by an AVMO following:
    • • Proven or suspected hypoxia
    • • DCI or severe trapped gas causing incapacitation
    • • Hyperventilation
    • • Spatial disorientation with unusual attitude;
    • • LOC for any cause, including GLOC
    • • Unintentional rapid decompression;
    • • Toxicological exposures
    • • Other physiological, pathological, physical, psychological or psychiatric conditions during or after simulated or actual flight
    • • Aircraft accident or critical aircraft incident
  26. For Aircraft Controllers:?
    • • Any physical, psychological or psychiatric problems while controlling or separating aircraft or physical, psychological or psychiatric consequences as a result of a critical incident
    • involving controlled aircraft.
  27. High Altitude Exposure?
    • • Risk of DCI above 21, 000 feet
    • • Flight above 25,000 ft prohibited(AVMED approval only)
    • • Pre-oxygenation 20 mins >21,000 ft
    • • Time limits above 21,000 ft
    • • Re-exposure limits
  28. High Altitude Exposure?
    • TIME (MINUTES) CABIN ALTITUDE (FT)
    • 45 24 000–25 000
    • 70 23 000–23 999
    • 120 22 000–22 999
    • 200 21 000–21 999
  29. Aircraft Simulator Training “Simulator Sickness”?
    • Aircrew must self-impose TMUFF as dictated by single-Service regulations.
  30. Diving?
    • • Reference Defence Instruction (General) OPS 22–1— Altitude Restrictions following Hyperbaric Exposures including Flying after Underwater Diving.
    • • Aircrew must self-impose TMUFF for:
    • “I’M SAFE” Checklist!
    • • Illness
    • • Medication
    • • Stress
    • • Alcohol
    • • Fatigue
    • • Eating
  31. Quiz question 26:?
    • • Medically imposed TMUFF applies to:
    • a. Vaccinations
    • b. Blood donations
    • c. Consumption of alcohol
    • d. Post-operative recovery
Author
david_hughm
ID
328895
Card Set
1Topic 3.2 TMUFF AVMO 0019 STUDY CARD 18022017
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1Topic 3.2 TMUFF AVMO 0019 STUDY CARD 18022017.txt
Updated