2-1. Scope of Work.pdf

SCOPE OF WORK

Emergency Medical Technician Staffing Services – Boulder County Jail

1. Purpose

The Boulder County Sheriff's Office (BCSO) is seeking a qualified contractor to provide Emergency Medical Technician (EMT) staffing services for the Boulder County Jail (BCJ) on a 24-hour per day, 7-day per week basis, including weekends and holidays.

The Contractor shall provide qualified EMT personnel to support the medical services provided by BCSO's jail medical team.

2. EMT Qualifications

All EMTs assigned to the Boulder County Jail will:

• Maintain current Colorado EMT certification and all other required credentials.

• Maintain required CPR/BLS certification.

• Successfully complete BCSO background and security clearance requirements.

• Complete required jail orientation and training.

• Complete Qualified Medication Administration Person (QMAP) training and certification when medication administration is an assigned responsibility.

• Maintain all required training, competency, and certifications throughout the assignment.

3. Services

EMTs will perform duties within their authorized certification, training, competency, applicable law, BCSO policies, medical protocols, and medical direction. Duties may include:

• Receiving and medical intake screening of individuals entering the facility.

• Obtaining medical histories and vital signs.

• Recognizing and reporting abnormal findings or changes in condition to the appropriate RN or medical provider.

• Providing emergency assessment, treatment, stabilization, and CPR/BLS within the EMT's authorized scope.

• Assisting RNs and medical providers with patient care and medical procedures as directed.

• Performing blood draws, specimen collection, point-of-care testing, and other assigned services when trained and authorized.

• Administering medications only when permitted by applicable law, certification, training, BCSO policy, medical protocols, and medical direction.

• Completing required medical documentation and medication records.

• Participating in controlled-medication counts or inventory procedures when assigned and authorized.

• Maintaining patient confidentiality and protecting protected health information.

• Communicating significant medical findings, concerns, incidents, and changes in condition to appropriate medical staff.

4. Medication Administration

EMTs will administer medications only when authorized by applicable law, their certification and training, BCSO policy, established medical protocols, and medical direction.

QMAP certification does not independently expand EMT’s legal scope of practice.

EMTs willnot independently determine, initiate, or change medication dosages based on patient-specific assessment unless specifically authorized by applicable law, protocol, and medical direction.

EMTs will not witness, supervise, or document self-administration of methadone.

5. Scope of Practice and Medical Direction

EMTs will work under the medical direction and clinical protocols established for the Boulder County Jail.

EMTs will perform only duties for which they are appropriately certified, trained, and authorized.

Nothing in this Contract shall authorize an EMT to perform an activity that is outside the EMT's legal scope of practice.

When an EMT encounters a medical condition, medication issue, or procedure outside their authorized scope, the EMT must immediately notify the appropriate RN or medical provider and follow established emergency and escalation procedures.

6. Documentation and Communication

EMTs will maintain accurate, timely, and complete documentation of services provided in accordance with BCSO requirements.

EMTs will promptly communicate significant findings, emergencies, medication concerns, changes in condition, and other matters requiring clinical attention to the appropriate medical staff.

7. Staffing and Continuity

The Contractor will provide sufficient qualified EMT personnel to maintain continuous 24/7 coverage as required by BCSO.

The Contractor will be responsible for recruiting, hiring, credentialing, training, scheduling, and replacing assigned EMT personnel as necessary to maintain coverage.

The Contractor will provide qualified replacement personnel for vacancies, call-offs, leave, or other staffing shortages.

To promote continuity of care, the Contractor will make reasonable efforts to maintain assigned EMTs at the Boulder County Jail for a minimum of 12 months, whenever operationally feasible.

If the current contractor is not selected for renewal, BCSO encourages the selected Contractor to consider hiring qualified incumbent EMTs currently assigned to the facility. BCSO does not guarantee employment or compensation for incumbent personnel.

8. Correctional Environment

EMTs will comply with all BCSO security requirements, facility rules, confidentiality requirements, professional conduct standards, and applicable jail policies and procedures.

The Contractor will ensure that all assigned EMTs understand and are able to work effectively in a secure correctional healthcare environment.

9. Contractor Responsibilities

The Contractor will:

• Maintain all required licenses, certifications, insurance, and business qualifications.

• Ensure assigned EMTs remain properly credentialed and qualified.

• Monitor employee performance and address performance or competency concerns.

• Maintain personnel and training records as required.

• Cooperate with BCSO regarding quality assurance, performance concerns, corrective action, and removal of personnel when necessary.

• Designate a contractor representative who is available to address staffing and operational issues.

10. Performance Standard

The Contractor will provide reliable, professional, qualified, and appropriately credentialed EMT personnel capable of providing continuous medical support to the Boulder County Jail.

BCSO may require removal and replacement of an assigned EMT for failure to maintain required credentials, failure to comply with BCSO policies or security requirements, performance concern.

11. Minimum Qualifications

To be eligible for award, the successful proposer must meet all the following minimum qualifications:

a. Legally Authorized Business - The proposer must be a legally established business entity authorized to conduct business and provide the proposed services in the State of Colorado.

b. Relevant Staffing Experience - The proposer must have a minimum of three (3) years of experience providing EMT, emergency medical services, healthcare staffing, or substantially similar personnel services.

c. Qualified EMT Personnel - The proposer must demonstrate the ability to recruit, hire, credential, and maintain a sufficient number of qualified EMT personnel to provide the required twenty-four (24) hour per day, seven (7) day per week coverage.

d. Colorado Certification Requirements - All EMT personnel assigned to the Boulder County Jail must possess and maintain the certification, licensure, credentials, and other qualifications required under applicable Colorado law and regulations.

e. Background and Security Requirements - The proposer must be able to ensure that all personnel assigned to the Boulder County Jail satisfy BCSO background screening, security clearance, identification, and facility access requirements before providing services, unless otherwise authorized by

BCSO.

f. QMAP Requirements - The proposer must demonstrate the ability to ensure that EMT personnel assigned to medication-administration duties complete all required Qualified Medication Administration Person (QMAP) training and certification before administering medications.

g. 24/7 Staffing Capability - The proposer must demonstrate the organizational capacity and staffing resources necessary to provide continuous EMT coverage, including the ability to provide qualified replacement personnel for vacancies, call-offs, leave, turnover, and other unplanned staffing needs.

h. Insurance and Risk Requirements - The proposer must be able to meet all insurance, indemnification, and risk-management requirements established by Boulder County and applicable to the services provided under the contract.

i. Compliance with Applicable Laws and Regulations – The proposer must agree to comply with all applicable federal, state, and local laws, regulations, licensing and certification requirements, BCSO policies and procedures, and contractual requirements applicable to the services.

j. References - The proposer must provide at least two (2) professional references for comparable EMT, emergency medical services, healthcare staffing, correctional healthcare, or other 24/7 healthcare staffing contracts performed within the previous five (5) years.

k. No Disqualifying Contractual History - The proposer must not have been terminated for cause from a substantially similar healthcare staffing contract within the previous five (5) years, unless the proposer provides an explanation acceptable to BCSO. Failure to meet any of the minimum qualifications or to disclose past terminations for cause may result in the proposer being deemed non-responsive and removed from further consideration or in contract termination.