The Indian Health Service awarded a purchase order to Four Winds Staffing LLC, a 100% Native American-owned company, for four operating room scrub technicians at Northern Navajo Medical Center in Shiprock, New Mexico, with a ceiling value of $2,013,600 and an award date of November 1, 2026. The order is a 100% Indian Small Business Economic Enterprise set-aside. Performance runs through April 30, 2029, including a six-month base period and four optional one-year periods. Four technicians will provide 1,040 regular hours per period, 100 callback hours, and 1,200 on-call hours to support scheduled and add-on surgical cases across operating room, endoscopy, dental, general surgery, obstetrics and gynecology, and podiatry services. Personnel must hold minimum two years of operating room experience, current American Heart Association Basic Life Support certification, required immunizations, English language proficiency, and basic computer skills. The contractor must maintain $1,000,000 per-occurrence medical liability insurance and comply with HIPAA, Joint Commission, CMS, and Association of Surgical Technologists standards. The order originated from a solicitation posted August 19, 2026, with proposals due August 31, 2026.