Amendment_3_Attachment_1_(Revised)_-_SOW_Amendment_0003_0003.docx

DOI WELLNESS CENTER NURSING SUPPORT

STATEMENT OF WORK

BACKGROUND

The Department of Interior (DOI) Wellness Center supports DOI federal employees with its provision of on-site access to healthcare for minor acute illness and injury, while also supporting various health promotion and health maintenance activities.

The Wellness Center is under the supervision of the Occupation Safety and Wellness Branch of the Office of Facilities and Administrative Services (OFAS). Daily operations are led by a United States Public Health Service (USPHS) Registered Nurse. The Medical Director, also a USPHS Officer, is stationed in Denver, CO. The Medical Director’s specialty area is Occupational and Environmental Health Medicine.

PURPOSE AND OBJECTIVE

The DOI Wellness Center is seeking a company to support, and augment demands through supplemental Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) coverage during scheduled leave and/or special DOI events or programs.

Furthermore, assistance from a Nurse Executive credentialed as an Advanced Practice Registered Nurse (APRN) or Master of Science in Nursing (MSN) will be requested at least once a year, with the goal of maintaining quality controls, revising policies and protocols, performing on-site audits, and offering expertise in the realm of ambulatory care. Most Nurse Executive tasks may be completed remotely, aside from the annual one-day onsite Wellness Center audit. The Nurse Executive is projected to perform 30 hours of service with no anticipated need for increase over the course two option years.

Below are estimated annual hourly needs:

PERFORMANCE STANDARDS

1. Protection of Employee Medical Information: The contractor agrees to use, disclose, or request Personal Health Information (PHI) or Personally Identifiable Information (PII) only in accordance with the Health Insurance Portability and Accountability Act (HIPAA) privacy rules and corresponding DOI policies.

2. The contractor must provide:

a. A strong cadre of certified RN and LPN candidates, licensed to practice in the District of Columbia (DC).

b. Prior to a Contractor’s start of performance under this contract, a resume shall be submitted to the Contracting Officer’s Representative (COR) for review.

c. If bench strength numbers fall below four (4) RNs and one (1) LPN, the contractor must actively search for replacements; within 1 month of a reduction in bench strength numbers, the contractor must provide resume(s) for at least 2 replacement Contract Nurse candidates. Historically there have been a pool of five (5) RNs and two (2) LPNs at any given time.

3. The Contract Nurse must complete, sign, and return the below Security Clearance documents to the USPHS Nurse within 1 week of the requested date:

a. Declaration for Federal Employment (OF-306)

b. Personnel Security Package Cover Page

c. Fingerprinting and Fair Credit Reporting Release Forms

d. Proof of an active DC RN License. Both the contractor and Contract Nurse are responsible for ensuring that an active DC RN License is maintained while supporting the Wellness Center.

e. Following submission of all documents, the Contract Nurse candidate will schedule a fingerprinting appointment. All requested actions must be completed within five (5) calendar days to ensure timely processing of Pre-Employment Determination.

4. For successful completion of the Wellness Center orientation, the Contract Nurse is expected to:

a. Obtain a DOI HSPD-12 identification badge.

b. Complete all required policy and protocol reviews.

c. Gain DOI network access.

d. Complete all required online trainings.

e. Complete Hepatitis B Vaccination Attestation form. The contractor must also retrieve a record of this information prior to the Contract Nurse’s onboarding.

f. Provide proof of an active Basic Life Support (BLS) certification for Healthcare Providers. The Contract Nurse must ensure BLS certifications remain active while supporting the Wellness Center.

5. Nurse Executive to provide:

a. Contractor shall have at least one of the following credentials:

i. an Advanced Practice Registered Nurse (APRN)

ii. a Master of Science in Nursing (MSN) with Nurse Executive (NE) Certification or a minimum of two (2) years of NE experience

iii. a Doctor of Nursing Practice (DNP)

b. Proficiency in the development of forms and protocols to support Wellness Center operations.

c. Assistance with maintaining quality controls, revising policies and protocols, performing on-site audits, and offering expertise in the realm of ambulatory care.

6. Contract Nurse to provide and/or conduct:

a. Episodic care for DOI federal employees.

b. Daily and monthly Quality Assurance (QA) Checks.

c. Daily required upkeep of Wellness Center working areas.

d. Support building-wide health promotion and screening events.

e. Administer vaccines and immunizations.

f. Effectively document all patient care visits in a timely manner.

g. Follow all applicable Wellness Center and DOI-wide protocols and procedures.

The department reserves the right to ask for replacement of any Contract Nurse who after a period of work performance, does not follow procedures or cannot function independently. Contract Nurses who perform below standards must be replaced once identified.

GENERAL OPERATIONAL STANDARDS

1. The DOI Wellness Center is located at 1849 C St NW, Room 4058, Washington, DC, 20240. Some services such as screenings and building wide events may be conducted in different locations of the building or in DOI areas of operations in the Washington Metropolitan Area.

2. DOI Wellness Center Hours of Operation are Monday through Friday, 0800-1200 and 1300-1630. The Contract Nurse is expected to take an allotted 30-minute lunch break between 1200 –1300.

a. Dependent on Wellness Center needs, the requirements for supplemental coverage will be no less than 4 hours and no greater than 8 hours per day.

b. The Wellness Center is closed on all federal holidays EXCEPT July 4th for the Secretary’s annual celebration. The USPHS Nurse will require one supplemental Contract Nurse to provide support during this event from 1700 – 2200.

c. Parking may occasionally be granted but is not guaranteed. Parking requests must be submitted to the USPHS Nurse no less than 24 hours prior to a scheduled shift.

3. In the event of inclement weather, the Contract Nurse scheduled should comply with the Office of Personnel Management (OPM) procedures. The contractor is expected to verify the operational status of the Federal Government and relay this information to their staff accordingly.

4. Equipment Needs – The Wellness Center will provide Contract Nurses will all necessary equipment to carry out daily operations, including computer and network access, after successfully completion of the DOI required Federal Information Systems Security Assurance (FISSA) courses. All necessary medical supplies are available onsite to ensure the Contract Nurse can optimally perform.

5. Scheduling

a. The USPHS Nurse will attempt to communicate scheduling needs to the contractor at least 2 weeks before the beginning of the next scheduling period. The contractor must finalize coverage dates no later than 1 week before the beginning of the next scheduling period. There may be situations where scheduling needs will be on a shorter communication/finalizing period.

b. Contract Nurses must work a minimum of one day per quarter, or 4 days per year. If unable to meet these requirements, they will be replaced.

c. Contract Nurses should notify the USPHS Nurse immediately if they are unable to report for their scheduled shift. If the Contract Nurse fails to do so, and instead notifies the contractor, the contractor must then promptly notify the USPHS Nurse while securing replacement coverage. In case of last-minute cancellations or callouts by the staff nurse, the contractor must initiate an effective means of securing coverage 100% of the time (such as back-up or on-call Contract Nurses), to alleviate the burden of securing replacement coverage and to avoid closing Wellness Center operations for the day.

d. If the USPHS Nurse is unexpectedly absent, minimal notice may be available to the contractor to provide a Contract Nurse. Contract Nurses be available 90% of the time to provide shift coverage.

RULES OF BEHAVIOR

1. Medical scrubs and close toed shoes are required to be worn during all scheduled shifts.

2. Contract Nurses must silence all cellular devices while on shift (unless discussed and approved with USPHS Nurse).

3. Contract Nurses may not eat in the clinical areas of the Wellness Center, however, eating at the office work desk is permitted.

4. Unacceptable behavior, such as belligerence or assault, can result in a Contract Nurse being escorted from the building. All employees must act in a professional manner. Any behavior that is deemed unprofessional can be grounds for elimination from the contract.

PERFORMANCE DATES