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Navy NEC · Medical

O91A Naval Special Warfare (NSW) Special Operations Tactical Medic (SO-TM)

Current service use not established

This code is listed in the directory. Inclusion alone does not confirm current service use.

A Navy Enlisted Classification: a skill designation sailors hold in addition to their rating.

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Overview

A Naval Special Warfare Special Operations Tactical Medic provides tactical combat medical care during NSW training and operations, managing casualties from the point of injury through evacuation. The medic performs advanced trauma care, triage, stabilization, life support, airway procedures, pain management, diving and hyperbaric medicine, and Tactical Combat Casualty Care instruction.

Core Skills

  • Diving casualty and hyperbaric medical care
  • Advanced airway procedures and pain management
  • Casualty stabilization and triage for evacuation
  • Tactical combat casualty care instruction

Civilian Career Paths

Career associations are editorial assessments of the cited evidence, not an official crosswalk unless the evidence explicitly says so. O*NET supplies civilian occupation information, not proof of a military match. Related experience does not confer civilian qualifications. Tasks and tools below describe civilian work, not military training.

Paramedics

Point-of-injury assessment, advanced life support, stabilization, and casualty transport provide directly relevant experience for prehospital paramedic care.

How to prepare: Ask a CAAHEP-accredited or CoAEMSP Letter of Review paramedic program to review your training and current EMT-level certification or license and identify remaining education. State authorization is required to practice; National Registry certification alone does not provide it.

What the civilian work involves
  • Administer drugs, orally or by injection, or perform intravenous procedures.
  • Administer first aid treatment or life support care to sick or injured persons in prehospital settings.
  • Assess nature and extent of illness or injury to establish and prioritize medical procedures.
Civilian tools and software (examples)
  • MEDITECH software

Notes & Sources

Evidence for this guidance (4 documents)
  1. NAVPERS 18068F Vol II (NEOCS, Jul 2026 edition): NEC O91A

    [1] NEC entry "O91A - Naval Special Warfare (NSW) Special Operations Tactical Medic (SO-TM)"; cached text line 9781; NAVPERS 18068F Vol II, 2026-07 edition

    Supports: Diving casualty and hyperbaric medical care, Advanced airway procedures and pain management, Casualty stabilization and triage for evacuation, Tactical combat casualty care instruction, Paramedics (O*NET 29-2043.00)

  2. O*NET: Paramedics

    [2] O*NET 30.3 occupational data

    Supports: Paramedics (O*NET 29-2043.00)

  3. National Registry : Paramedic Full Education Program Pathway

    [3] Opening requirements list

    Supports: Paramedics (O*NET 29-2043.00)

  4. National Registry : Legal Differences Between Certification and Licensure

    [4] What if my state certifies, not licenses, EMS professionals?

    Supports: Paramedics (O*NET 29-2043.00)

Defense contractor jobs for O91A

Descriptions may be summarized for clarity. Verify all information with your branch career counselor or official military documentation before making career decisions.

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