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Nurse and Tech Week: Battle-tested and ready

This time last year, as the world was trying to wrap its head around an unknown and unforgiving new enemy, Air Force nurses and medical technicians found themselves on the front lines of COVID-19.

Air Force nurses and technicians have remained battle-tested and ready for a fight like this. Saving lives amid insurmountable odds and in the face of unprecedented challenges is what Air Force nurses and technicians remain ready for. The COVID-19 pandemic shined a light on their incredible resilience and dedication to their fellow service members, their patients and their nation.

This week, the Air Force Medical Service recognizes the continued contribution, sacrifice and dedication of its nurses and technicians. These Airmen continue to raise the bar on what it means to serve as an Air Force medic.

A short sample of some of the stories showcasing the work of Air Force nurses and technicians in the past year are highlighted below:

Deployed to nation hotspots

Nurses and technicians deployed to some of the hardest hit areas to provide additional support in overrun hospitals. With short notice, nurses and technicians worked tirelessly alongside sister services and their civilian counterparts to provide critical support when and where the nation needed them.

Maj. Tynikka Houston, an operating room nurse with the 59th Surgical Squadron, Joint Base San Antonio-Lackland, Texas, deployed in May 2020 as an Individual Mobilization Augmentee assigned to New York Health Hospitals Jacobi. She was assigned to an intensive care unit there to care for COVID-19 patients.

“We basically go wherever they need us,” she said.

U.S. Air Force Maj. Tynikka Houston, an Individual Mobilization Augmentee, assigned to New York Health Hospitals Jacobi, is deployed to New York City in support of the Department of Defense. COVID-19 response,
Medical IMAs mobilized for historic COVID-19 response
U.S. Air Force Maj. Tynikka Houston, an Individual Mobilization Augmentee, assigned to New York Health Hospitals Jacobi, is deployed to New York City in support of the Department of Defense. COVID-19 response, May 8, 2020. U.S. Northern Command, through U.S. Army North, remains committed to providing flexible Department of Defense support to the Federal Emergency Management Agency for the whole-of-nation COVID-19 response. (U.S. Army photo by Spc. Genesis Miranda)
Photo By: Spc. Genesis Miranda
VIRIN: 200508-A-LA480-2026
Read more: Medical IMAs mobilized for historic COVID-19 response

When the Federal Emergency Management Agency requested additional medical support in North Dakota’s hospitals, critical care nurses primarily fulfilled that vital need.

“A short notice CONUS deployment tasking in support of the NORTHCOM combatant commander to fight a pandemic is unprecedented for this medical group,” said Col. Matthew Hanson, 96th Medical Group commander.

“This time, we can’t shoot or even see the enemy. We will gown up in our [personal protective equipment] and do our best,” said Capt. Ronald Golemboski, a 96th Health Care Operations Squadron nurse, who had previously deployed to combat zones.

Eglin nurses deployed
Eglin nurses deployed
2nd Lt. Kathleen Alejandro, 96th Medical Group, receives a “fit test” for her N95 during orientation at the North Dakota Department of Health, Bismarck, N.D., Nov. 22. A “fit test” tests the seal between the respirator’s face piece and the wearer’s face. The 96th MDG nurses will integrate into the North Dakota hospitals as part of the Department of Defense’s ongoing joint service virus response efforts. (U.S. Army Photo by Master Sgt. Helen Miller)
Photo By: Master Sgt. Helen Miller
VIRIN: 201122-A-WX809-240
Read more: Into the fight: Medical Group answers short-notice call to battle COVID-19

Read more: ARNORTH to expand military COVID-19 operations to North Dakota

Many Air National Guard and Air Force Reserve medics battled COVID-19 in both their military and civilian roles. Staff Sgt. Thomas Massa, 192nd Medical Group Detachment 1 aerospace medical technician, has a fulltime job, working as an emergency room medic at Riverside Regional Medical Center in Newport News, Virginia. He also provided COVID-19 response support to the Virginia Department of Emergency Management and the Virginia Department of Health.

“In Detachment 1, we are the people who dress up in hazmat suits and have gas masks on, but one of the things we always practice is putting on our PAPR (Powered Air Purifying Respirator),” Massa said. “The training became useful when COVID started, and we had to intubate more and more people to help them breathe. The medical staff [at Riverside Regional] all had to wear PAPRs. My experience really played a huge part in the COVID response because I could be there to help doctors and nurses put on their PAPRs, something they’ve never had to do before.”

Staff Sgt. Thomas Massa, 192nd Medical Group Detachment 1 aerospace medical technician, poses for a photo at Riverside Regional Medical Center, Dec. 23, 2020, in Newport News, Virginia. Massa has provided medical support through the COVID-19 pandemic in both his civilian and military capacities. (U.S. Air National Guard photo by Tech. Sgt. Lucretia Cunningham)
201223-Z-PZ006-004
Staff Sgt. Thomas Massa, 192nd Medical Group Detachment 1 aerospace medical technician, poses for a photo at Riverside Regional Medical Center, Dec. 23, 2020, in Newport News, Virginia. Massa has provided medical support through the COVID-19 pandemic in both his civilian and military capacities. (U.S. Air National Guard photo by Tech. Sgt. Lucretia Cunningham)
Photo By: Tech. Sgt. Lucretia Cunningham
VIRIN: 201223-Z-PZ006-104
Read more: VaANG medic serves both: Commonwealth & community

Maj. Telisha Johnson, chief nurse for the 113th Medical Group, D.C. Air National Guard, was among many Air Force medics who lead COVID-19 response efforts. She jumped at the call to coordinate with leadership and local organizations to mitigate the spread of COVID-19.

“First, I was deployed to the [D.C.] Department of Health to assist in planning an alternate care site … [and] figuring out the staffing situation [where there was] a medical surge amongst the hospitals,” said Johnson. “When we got to the alternate care site, I was responsible for not only training personnel [who] would be coming there from MedStar [Health] but also I was going to be the operations chief for the alternative site.”

Image of an Airman posing for a photo.
Women of the D.C. National Guard take the lead in COVID-19 response
U.S. Air Force Maj. Telisha Johnson, nurse practitioner, 113th Medical Group, District of Columbia Air National Guard, poses in front of the Women in Military Service to America Memorial at Arlington National Cemetery in Arlington, Virginia, March 5, 2021. The International Women's Day theme for 2021 is “Women in Leadership: Achieving an equal future in a COVID-19 world.” March is Women's History Month, a federally recognized, nationwide celebration of the vital role of women in American History. (U.S. Army National Guard photo by Staff Sgt. Erica Jaros)
Photo By: Staff Sgt. Erica Jaros
VIRIN: 210305-Z-DH163-1001
Read more: Women of the D.C. National Guard take the lead in COVID-19 response

Capt. Jennifer McGuigan became an Air Force Reserve critical care nurse at age 50 at the height of the pandemic and the need for additional medical support across the country was critical.

“The need for critical care nurses was highlighted during the response to COVID-19,” said Col. Sherry Hemby, Air Force Reserve Command’s command nurse and career field manager. “Many patients diagnosed with COVID-19 had difficulty breathing and were placed on ventilators to assist in their recovery. Critical care nurses, with their amazing attention to detail, were needed to watch every minute. They assessed changes in their patient’s condition and reacted with the most skilled care. They pulled patients through the COVID crisis. They held the hands of their patients when their family members could not, encouraging and cheering their patients on to fight for recovery.”

Capt. Jennifer McGuigan, left, recently joined the Air Force Reserve at age 50.
Determined to Serve: Critical care nurse joins the Reserve at age 50
Capt. Jennifer McGuigan, left, recently joined the Air Force Reserve at age 50. Facing a shortage of critical care nurses, the Reserve granted an age waiver for McGuigan. Here she is pictured with civilian co-worker Iris Appenrodt. (Courtesy photo)
Photo By: Babin
VIRIN: 200707-F-ZZ999-111
Read more: Determined to Serve: Critical care nurse joins the Reserve at age 50

Aeromedical Evacuation amid COVID-19

Aeromedical evacuation crews took their capabilities into new territory by transporting COVID-19 patients, ensuring they deliver the same high reliable care seen in the clinic. This is no easy task when it comes to mitigating the spread of a highly infectious respiratory disease in a confined aircraft. Amid the pandemic, nurses and technicians put their experience and training to the test when they flew with the Negatively Pressurized Conex for the first time on July 1, 2020.

“This was definitely not your typical patient movement mission,” said Maj. Benjamin Weaver, bioenvironmental engineer and 10th Expeditionary Aeromedical Evacuation Flight NPC support team lead. “It was a long 22 hours for everyone involved, but the NPC and team performed exceptionally well to make it happen.”

Image of Airmen assigned to the 313th Expeditionary Operations Support Squadron transfer a COVID-19 patient following the first-ever operational use of the Negatively Pressurized Conex to transporting 12 patients aboard a C-17 Globemaster III aircraft at Ramstein Air Base, Germany, July 1, 2020.
NPC completes first operational patient movement
Airmen assigned to the 313th Expeditionary Operations Support Squadron transfer a COVID-19 patient following the first-ever operational use of the Negatively Pressurized Conex to transport 12 patients aboard a C-17 Globemaster III aircraft at Ramstein Air Base, Germany, July 1, 2020. The NPC is the latest isolated containment chamber developed to transport up to 28 individuals with infectious diseases. (U.S. Air Force photo by Airman 1st Class John R. Wright)
Photo By: Airman 1st Class John R. Wright
VIRIN: 200701-F-KY598-1107
Read more: NPC completes first operational patient movement

Lt. Col. Penny Cunningham, Pacific Air Forces Command flight nurse, also noted the quick coordination that took place to execute the mission.

“This mission was a great display of how aeromedical evacuation operates, from our logistics team procuring personnel protective equipment kits for pilots and other personnel to ensuring crew bed-down and transportation was firmly established,” she said. “No matter what AOR we are in, we always have AE members that will support and ensure the mission and crew are taken care of.”

Airmen from the 60th Air Mobility Wing support a Transport Isolation System operation at Joint Base Pearl-Harbor Hickam, Hawaii, July 17, 2020. Several U.S. Air Force units came together to rapidly deploy the bio-containment capability for the first time in the Indo-Pacific theater in support of a COVID-19 aeromedical evacuation mission. The TIS is an infectious disease containment unit designed to minimize contamination risk to aircrew and medical attendants, while allowing in-flight medical care for patients afflicted by a disease. (U.S. Air Force photo by Tech. Sgt. Anthony Nelson Jr.)
Team Travis conducts first Indo-Pacific aeromedical evacuation mission for COVID-19
Airmen from the 60th Air Mobility Wing support a Transport Isolation System operation at Joint Base Pearl-Harbor Hickam, Hawaii, July 17, 2020. Several U.S. Air Force units came together to rapidly deploy the bio-containment capability for the first time in the Indo-Pacific theater in support of a COVID-19 aeromedical evacuation mission. The TIS is an infectious disease containment unit designed to minimize contamination risk to aircrew and medical attendants, while allowing in-flight medical care for patients afflicted by a disease. (U.S. Air Force photo by Tech. Sgt. Anthony Nelson Jr.)
Photo By: Tech. Sgt. Anthony Nelson Jr
VIRIN: 200717-F-RE693-0351
Read more: Team Travis conducts first Indo-Pacific aeromedical evacuation mission for COVID-19

Air Force nurses and technicians have a long history of turning aircraft into a flying hospital, treating a wide range of patient challenges and ensuring service members can get to higher levels of care quickly.

“It’s amazing how quickly a non-scheduled mission can spin up and we are sent out the door ready to take on however many patients, any type of health issue from medical health and non-battle injuries to battle injuries,” said Maj. Christine Cardoza, 379th Expeditionary Aeromedical Evacuation Squadron flight nurse. “Once in the [aeromedical evacuation] system, the patient’s survival rate, I believe, is more than 98%! Being a part of that is an honor in itself.”

(U.S. Air Force photo by Senior Airman Ashley Perdue)
Medical Care in the Air
U.S. Air Force Staff Sgt. Brannon Tulloss, 379th Expeditionary Aeromedical Evacuation Squadron charge medical technician, inputs patient triage information during a combat aeromedical evacuation mission while in flight over U.S. Central Command’s area of responsibility, Aug. 28, 2020. The 379th EAES crews can configure nearly any cargo aircraft into a flying hospital to provide time-sensitive in-flight patient care. (U.S. Air Force photo by Senior Airman Ashley Perdue)
Photo By: Senior Airman Ashley Perdue
VIRIN: 200828-F-TJ728-1255
Read more: Medical care in the air

Innovating to save lives

At both military treatment facilities and civilian hospitals, nurses and technicians had to quickly adapt to COVID-19, developing protocols and procedures to improve lifesaving capabilities and mitigate the spread within the clinic.

For Maj. Mark Gosling, a registered nurse, 81st Medical Group, Keesler Air Force Base, Mississippi and his Simulation Laboratory Team, this meant modifying the design of their intensive care unit beds to optimize them for ventilated COVID-19 patients.

“The patient is always our number one focus, but this frame of thinking is even more important when you’re dealing with critical care from a COVID standpoint,” said Gosling. “When you’re using ventilator techniques on a patient, they can’t tell you what they’re feeling, or if they’re uncomfortable. They’re completely dependent on you and how in tune you are with their needs now and throughout their care. So we need to be thinking multiple steps ahead.”

A simulation model at Keesler Air Force Base lies on a newly designed pronating shelf, designed to assisted COVID-19 patients with their breathing. (Courtesy photo)
Defending the Homeland: Proning made easy at Keesler Air Force Base
A simulation model at Keesler Air Force Base lies on a newly designed pronating shelf, designed to assisted COVID-19 patients with their breathing. (Courtesy photo)
Photo By: Courtesy photo
VIRIN: 200423-F-XX123-001
Read more: Defending the Homeland: Proning made easy at Keesler Air Force Base

Improving how staff responded to potential COVID-19 symptoms among their patient population fell into the hands of Airman 1st Class Tara Somers, a medical technician at Landstuhl Regional Medical Center, Germany. She developed an algorithm for staff to use when patients called with possible symptoms, developed a telephone script, and initiated a patient tracker.

“(The process) also provides more complete care to our patients and makes them feel like they are being prioritized when they are feeling afraid in the middle of the pandemic,” said Somers. “I am the only technician in the clinic specifically taking on the task. This allows me to follow providers more closely, obtain more knowledge and understanding about the pandemic and the medical threats it presents to our patient population.”

Image of an Airman talking to a patient
Airman enhances care through innovation
U.S. Air Force Airman 1st Class Tara Somers (right), medical technician, Internal Medicine Clinic, Landstuhl Regional Medical Center, assesses a patient during routine operations at the Internal Medicine Clinic, Nov. 30. To mitigate the spread of COVID-19 and identify potential COVID-19 positive patients, Somers’ innovative efforts were key in developing clinic processes thereby enhancing care and increasing safety at the clinic. (U.S. Air Force photo by Marcy Sanchez)
Photo By: Marcy Sanchez
VIRIN: 201130-A-EK666-0516
Read more: Airman enhances care through innovation

Early in the pandemic, medical technicians with the 422nd Medical Squadron at RAF Croughton, England, noticed an issue with testing procedures that relied on seasonal flu procedures. These technicians pushed for clearer guidance to ensure they could obtain more accurate results. Because of medics like Tech. Sgt. Steve Zavala, 422nd Medical Squadron medical operations flight chief, and his fellow medical technicians, there were necessary improvements in COVID-19 testing procedures implemented across the Department of Defense.

U.S. Air Force Tech. Sgt. Steve Zavala, 422nd Medical Squadron medical operations flight chief and trusted care champion, demonstrates COVID-19 testing procedures at RAF Croughton, England, August 3, 2020. Zavala discovered a COVID-19 testing technique that needed to be changed, so he elevated the concern and impacted testing procedures across the Department of Defense. (U.S. Air Force photo by Airman 1st Class Jennifer Zima).
200803-F-IM475-1055
U.S. Air Force Tech. Sgt. Steve Zavala, 422nd Medical Squadron medical operations flight chief and trusted care champion, demonstrates COVID-19 testing procedures at RAF Croughton, England, August 3, 2020. Zavala discovered a COVID-19 testing technique that needed to be changed, so he elevated the concern and impacted testing procedures across the Department of Defense. (U.S. Air Force photo by Airman 1st Class Jennifer Zima).
Photo By: Airman 1st Class Jennifer Zima
VIRIN: 200803-F-IM475-1055
Read more: Pathfinder medical technician discovers safer COVID-19 swab technique

Turning a corner

The rapid production and deployment of COVID-19 vaccines shows a promising shift in the COVID-19 pandemic. Being on the front lines themselves, Air Force nurses and technicians were some of the first to line up to get vaccinated. They also delivered shots in arms to their fellow warfighters ensuring Air Force and Space Force missions continued uninterrupted. Many of these nurses and technicians also supported mass vaccination sites across the country.

“Volunteering to administer the vaccine to patients is important to me because people are dying from this disease,” said Senior Airman Ladrena Tucker, 59th Medical Operations Squadron Internal Medicine medical technician. “I want to help end this pandemic and the least I can do is administer the vaccine.”

Since the arrival of the Pfizer vaccine to Wilford Hall Ambulatory Surgical Center on Dec. 14, 2020, more than 50 nurses and medical technicians have volunteered to administer the vaccine.
210201-F-JG587-1019
Senior Airman Ladrena Tucker, 59th Medical Operations Squadron Internal Medicine medical technician, administers the COVID-19 vaccine, Feb. 1, 2021, at Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas. The Department of Defense is conducting a coordinated vaccine distribution strategy for prioritizing and administering COVID-19 vaccines. (U.S. Air Force photo by Airman 1st Class Melody Bordeaux)
Photo By: Airman 1st Class Melody Bordeaux
VIRIN: 210201-F-JG587-1019
Read more: 59 MDW medics volunteer to administer COVID-19 vaccine

Female medic administering a vaccine
Incirlik AB immunizes Airmen against COVID-19
U.S. Air Force Staff Sgt. Kayla Blanchard, 39th Medical Group Immunization technician, administers a COVID-19 vaccination to Capt. Brent Luch, 39th Security Forces Squadron operations officer, during the initial series of vaccinations Jan. 8, 2021, at Incirlik Air Base, Turkey. Prioritized DoD personnel are highly encouraged to take the vaccine to protect their health, their families, their community, and lower the public health risks associated with the COVID-19 pandemic. (U.S. Air Force photo by Staff Sgt. Ryan Lackey)
Photo By: Staff Sgt. Ryan Lackey
VIRIN: 210108-F-HU835-1114
Read more: 39th Medical Group vaccinates Incirlik against COVID-19

Read more: AFDW, medical leaders champion vaccine rollout program

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