36C24720Q0979 0001.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 08-25-2020 508A

DEPARTMENT OF VETERANS AFFAIRS

VETERANS HEALTH ADMINISTRATION

Network Contracting Office (NCO) 7 2957 CLAIRMONT ROAD NE, Suite 1200 Atlanta

GA

30329 508A

DEPARTMENT OF VETERANS AFFAIRS

VETERANS HEALTH ADMINISTRATION

Network Contracting Office (NCO) 7 2957 CLAIRMONT ROAD NE, Suite 1200 Atlanta

GA

30329 To all Offerors/Bidders

36C24720Q0979

X

See CONTINUATION Page X This amendment is to provide and updated copy of the PWS and questions/answers.

There are no other changes as a result of this amendment.

Don Grier

CONTINUATION PAGE

PERFORMANCE WORK STATEMENT

NURSING AND NURSING SUPPORT SERVICES

BACKGROUND

The U.S. Department of Veterans Affairs (VA) requires contingent staff to augment Full Time Employee Equivalent (FTEE) clinical staff to the Atlanta VA Health Care System (AVAHCS) Nursing/Patient Care Services Department in support of all inpatient, outpatient, critical and acute care areas.

1. GENERAL

1.1. SERVICES REQUIRED:

The contractor(s) shall provide 5 FTE General RNs, 3 FTE Specialty RNs, 2 FTE LPNs, and 5 FTE NAs to the Atlanta VA Health Care Center (AVAHCS), 1670 Clairmont Road, Decatur, GA 30033 with nursing and nursing support services of appropriately qualified candidates to perform the requirements of this contract. “Appropriately qualified” is defined as a nursing or nursing support professional providing services under this a contract who is licensed, credentialed, and privileged in accordance with the provision of VHA Handbook 1100.19. Contractor will ensure contractor personnel will provide appropriate, effective interventions to individual patients needs according to established facility policies, safety standards and procedures as described at the orientations and trainings conducted by AVAHCS Nurse Education.

1.2. The contractor shall provide Registered Nurse (RN) and associated subspecialties, Licensed Practical Nursing (LPN), and Certified Nursing Assistant (CNA) services to cover for Nursing and CNA vacancies or lack of available full-time employees while recruitment and hiring are in process in accordance with the terms and conditions outlined herein, to the AVAHCS. AVAHCS facilities include, but not limited to:Atlanta VA Clinic 250 N. Arcadia Avenue Decatur, GA 30030

Austell VA Clinic 2041 Mesa valley way suite 185 Austell, GA 30082

Blairsville VA Clinic 1294 Highway 515 East, suite 100 Blairsville, GA 30512

East Point VA Clinic 2675 N. Martin St., Building 700 suite A East Point, GA 30344

Ft McPherson VA Clinic 1701 Hardee Ave., SW Atlanta, GA 30310

Fulton County VA Clinic 1513 Cleveland Ave., Building 300 East Point, GA 30344

Gwinnett County VA Clinic 1970 Riverside Parkway Lawrenceville, GA 30043

Lawrenceville VA Clinic 455 Philip Blvd, suite 200 Lawrenceville, GA 30046

Newnan VA Clinic 39-A Oak Hill ct.

Newnan, GA 30265

Oakwood VA Clinic 4175 Tanners Creek Drive Flowery Branch, GA 30542

Rome VA Clinic 30 Chateau Dr, SE Rome, GA 30161

Stockbridge VA Clinic 175 Medical Blvd.

Stockbridge, GA 30281

Atlanta VA Clinic 250 N. Arcadia Avenue Decatur, GA 30030

Austell VA Clinic 2041 Mesa valley way suite 185 Austell, GA 30082

Blairsville VA Clinic 1294 Highway 515 East, suite 100 Blairsville, GA 30512

East Point VA Clinic 2675 N. Martin St., Building 700 - suite A East Point, GA 30344

Ft McPherson VA Clinic 1701 Hardee Ave., SW Atlanta, GA 30310

Fulton County VA Clinic 1513 Cleveland Ave. Building 300 East Point, GA 30344

Gwinnett County VA Clinic 1970 Riverside Parkway Lawrenceville, GA 30043 Henderson Mill VA Clinic 2296 Henderson Mill Road Atlanta, GA 30345

Trinka Davis Veterans Village 180 Martin Dr Carrollton, GA 30117

Henderson Mill VA Clinic 2296 Henderson Mill Road Atlanta, GA 30345

Lawrenceville VA Clinic 455 Philip Blvd, suite 200 Lawrenceville, GA 30046

Newnan VA Clinic 39-A Oak Hill ct.

Newnan, GA 30265

Oakwood VA Clinic 4175 Tanners Creek Drive Flowery Branch, GA 30542

Rome VA Clinic 30 Chateau Dr, SE Rome, GA 30161

Stockbridge VA Clinic 175 Medical Blvd.

Stockbridge, GA 30281

Trinka Davis Veterans Village 180 Martin Dr Carrollton, GA 30117

1.3. SERVICES PROVIDED:

REGISTERED NURSE (RN)

Contractor will ensure that contractor RN’s are a professional nursing practice that delivers a broad range of nursing care in the context of disease or injury prevention, health promotion and restoration and health maintenance. The contract Registered Nurse delivers/demonstrates fundamental, knowledge-based care, while developing and increasing technical competencies to provide and plan nursing care for patients with simple or complex needs.

1.3.1. Medical/Surgical RN

Medical-Surgical Nurse is a professional nurse who provides holistic approach to the care of the patients requiring acute medical or surgical interventions. The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current RN license in the state of Georgia (United States).

1.3.1.1. Contractor nurses will be assigned based on patient care needs and contractor’s experience.

1.3.1.2. All registered nurses shall have at least three (3) years current experience in an acute care, medical/surgical unit in an urban, academic Medical Center setting exclusive of agency assignments and must have worked within the last six (6) months in the above settings.

1.3.1.3. Education requirements: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN), The Commission on Collegiate Nursing Education (CCNE) and The American Nurses Credentialing Center (ANCC). Bachelor’s Degree in Nursing or in related field or a Master’s Degree in Nursing or in related field is highly preferred.

1.3.1.4. Agency nurses assigned to AVAHCS Medical/Surgical units can expect to work 10 and or 12-hour shifts, with alternating weekend shifts preferred.

1.3.1.5. The minimum requirement for all registered nurses assigned to a Medical-Surgical unit shall include a current unrestricted registered nurse license from the state of Georgia (United States) and a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association.

1.3.1.10. Maintaining central lines for administration of intravenous fluid

1.3.1.11. Providing emergency care as indicated

1.3.1.12. Administration of medications (oral, subcutaneous, intramuscular and intravenously) and blood products

1.3.1.13. Verification of physician orders

1.3.1.14. Complete and accurate documentation of care according to facility/unit policies

1.3.1.15. Phlebotomy and bedside testing

1.3.1.16. Psychological support of patients as indicated

1.3.1.17. Complex wound dressing care and maintenance

1.3.2. Operating Room RN

Operating Room Nurse is a professional nurse who provides holistic approach to the care of the patients requiring surgical interventions by working closely with surgeons and anesthesia care providers. The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have an active, current License as a professional nurse in the state of Georgia (United States). Contractor nurses may be utilized in the Operating Room (OR) and Post Anesthesia Care Unit (PACU) Unit. Duty hours are normally 0630 AM – 15:00 PM, and there are times when the Nurses are required to work after normal duty hours based on the severity of procedures, OR delays, or needs of the staff or AVAHCS.

1.3.2.1. All registered nurses shall have at least three (3) years current experience in an operating room setting exclusive of agency assigned tours of duty and shall be able to scrub and/or circulate and must have worked within the last six months in an operating room setting.

1.3.2.2. Agency nurses assigned to the OR, or Post Anesthesia Care Unit (PACU) units can expect to work 8-hour shifts Monday through Friday exclusive of holidays.

1.3.2.3. Education requirements: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). Preferred Bachelor’s Degree in Nursing but an Associate’s Degree, or diploma educational level considered with valid license and current experience.

1.3.2.4. The minimum requirement for all registered nurses assigned to an OR/PACU shall include a current unrestricted registered nurse license from the state of Georgia (United States) and a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association.

1.3.2.5. Additional requirements for all registered nurses assigned to the OR/PACU include current Advanced Cardiopulmonary Life Support Course (ACLS) certificate accredited by the American Heart Association.

1.3.2.6. Agency nurses are preferred to have a current Certified Nurse Operating Room (CNOR) certificate accredited by the Competency & Credentialing Institute (CCI).

1.3.2.7. Prevents infection by utilization of universal precautions, correct hand washing techniques between procedures and/or patients, maintains aseptic techniques, and maintains isolation techniques. Maintains good body mechanics to prevent injury to self, patients, and staff. Uses safety protective devices for self and patient. Checks all emergency supplies and equipment per unit routine.

1.3.2.8. Demonstrates positive effective interpersonal skills.

1.3.2.9. Mechanical equipment in the operating room: Electro-Surgical unit, fracture table, suction (wall outlet portable), and nerve Stimulator.

1.3.2.10. Circulating Nurse’s specific duties. All nurses in the operating room must be certified to perform the following routine scrub nurse duties and procedures on all patients:

· Demonstrates proper aseptic technique

· Operates mechanics of or table

· Operates mechanics of or lights

· Assists anesthesiologist

· Positions patients properly

· Opening room

· Conducts sponge count

· Completes work sheet

· Scrub Nurse specific duties. All nurses in the operating room must also be certified to perform the following routine scrub nurse duties and procedures on all patients:

· Demonstrates proper aseptic technique

· Minor surgery

· Rectal surgery

· Abdominal surgery

· GU surgery

· Eye surgery

· Orthopedic surgery

· ENT surgery

· Bronchoscopic procedure

· Vascular surgery

· Neurosurgery

· Chest surgery

1.3.3. Emergency Department RN

Emergency Department Nurses will provide prescribed medical treatment and personal care services to ill and injured veterans. Duties include documenting observations, assessments, and changes in patient's condition; collaborating with health team members to facilitate positive patient care outcomes; providing a full range of nursing care to patients with a variety of physical and/or behavioral problems; and accountable for meeting and maintaining the qualification standards. The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current license as a professional nurse in the state of Georgia (United States.)

1.3.3.1. Contractor nurses may be utilized as needed in specialty units including the Emergency Department.

1.3.3.2. All registered nurses shall have at least three (3) years recent prior experience in an emergency department or major trauma center emergency room with no more than a six-month gap working in that setting.

1.3.3.3. Education requirements: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). Bachelor’s Degree in Nursing or in related field or a Master’s Degree in Nursing or in related field is highly preferred.

1.3.3.4. Agency nurses assigned to the Emergency Department can expect to work twelve (12) hours shifts including no less than rotating weekends and holidays.

1.3.3.5. The minimum requirement for all registered nurses assigned to the Emergency Department shall include a current unrestricted registered nurse license from the state of Georgia (United States), a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association and a current Advanced Cardiopulmonary Life Support Course (ACLS) certificate accredited by the American Heart Association.

1.3.3.6. Agency nurses are preferred to have the Certification of Emergency Nursing (CEN) through the Board of Certifications for Emergency Nurses (BCEN). Nurses with Acute/Critical Care Nursing (CCRN) certifications through the American Association of Critical Care Nurses Certification Corporation (AACN) with ED experience will also be considered. current and (must have worked within the last six months)

1.3.3.10. Care of patients requiring special precautions such as isolation

1.3.3.11. Inserting and maintenance of peripheral lines

1.3.3.12. Maintaining central lines for administration of intravenous fluid

1.3.3.13. Providing emergency care as indicated

1.3.3.16. Phlebotomy and bedside testing

1.3.3.17. Psychological support of patients as indicated

1.3.3.18. On-Call status may be required at the discretion of the Nurse Manager

1.3.3.19. Insertion and troubleshooting of Urinary catheters

1.3.3.20. Collaborates with physicians, residents, and ancillary staff in providing care to patients

1.3.3.21. Initiates patient education, as prescribed by physician during discharge

1.3.3.22. Display and promote professionalism and excellent customer service during interactions with patients and their families/caregivers

1.3.4. Intensive Care Unit RN

Intensive Care Unit Nurses will be accountable clinically for ensuring that nursing care complies with accepted standards of care and clinical practice. Nurses will use judgment in assessing, planning, implementing, documenting and evaluating patient care in an Intensive Care Unit (ICU) setting where life-threatening disease or injury requires close monitoring and at times, quick intervention. Coordinates and implements patient care specific to the age of the patient population served on the ICU (adult and geriatric). The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current License as a professional nurse in the state of Georgia (United States).

1.3.4.1. Contractor nurses may be utilized as needed in specialty the Medical Intensive Care Unit (MICU), Surgical Intensive Care Unit (SICU), Cardiac Care Unit (CCU), or the Emergency Room.

1.3.4.2. All nurses considered for assignment to an ICU shall have completed an accredited course in Intensive Care Nursing as well certification in Moderate Sedation or equivalent. In lieu of ICU certification, candidates shall possess at least five years clinical experience in an Intensive Care Unit or other critical care environment.

1.3.4.3. All registered nurses shall have at least three (3) years prior experience in an intensive care setting to include Critical Care experience. Nurse Managers reserve the right to determine if ICU experience is conducive to their needs and no more than 6-month gap working in that setting.

1.3.4.4. Education requirements: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). Bachelor’s Degree in Nursing or in related field or a Master’s Degree in Nursing or in related field is highly preferred.

1.3.4.5. Agency nurses assigned to the MICU/SICU/CCU can expect to work twelve (12) hours shifts including no less than rotating weekends and holidays.

1.3.4.6. The minimum requirement for all registered nurses assigned to any of the ICU shall include a current unrestricted registered nurse license from the state of Georgia (United States), a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association, a current Advanced Cardiopulmonary Life Support Course (ACLS) certificate accredited by the American Heart Association and the Moderate Sedation Certification or equivalent.

1.3.4.7. Agency nurses are preferred to have the Nurses with Acute/Critical Care Nursing (CCRN) certifications through the American Association of Critical Care Nurses Certification Corporation (AACN) CCRN certificate. current and (must have worked within the last six months).

1.3.4.8. All nurses in the ICU are certified to perform the following routine procedures on all patients but not limited to:

· Insertion of peripheral lines and Central lines. Open Heart, General Surgery, Vascular Surgeries, Intra-Aortic Balloon Pump management, CRRT and management, and Vasoactive drugs. Assist with the insertion of Chest Tubes. Care for PCI, Post Cath Patients

· Collection of blood samples by venipuncture and central lines and swan Ganz catheter. Also, care for patients with on mechanical Ventilators, Airvo humidification systems, and Bipap-breathing support.

· Drawing of arterial blood from existing lines.

· Hemodynamic Monitoring

· Under the physician’s direction, the nurses in ICU may remove peripheral intravenous lines, central venous catheters and percutaneous arterial lines.

· In the event that the patient experiences chest pain or signs and symptoms of cardiac abnormalities, the nurse will perform a 12 lead EKG immediately.

· In the event that the patient develops asystole, ACLS protocol will be followed.

· In the event that a patient requires placement of an external pacemaker, the nurse will attach the patient to a pacing wire and pacing generator.

· Records pertinent information in CPRS and/or Clin Comp Hospital Electronic Record (HER) flowsheet throughout the shift.

1.3.5. Long Term Care/Nursing Home RN

· Years of Experience in the Specialty: Minimum three years current (must have worked within the last six months) experience in a long-term care setting.

· Minimum Education: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). Bachelor’s Degree in Nursing or in related field or a master’s degree in Nursing or in related field is highly preferred.

· State Licensure: The minimum requirement for all registered nurses shall include a current unrestricted registered nurse license from the state of Georgia (United States).

· Certification: Not required

· BLS: Required (American Heart Association)

· Assuming a patient care assignment for a group of patients

· Maintaining central lines for administration of intravenous fluid

· Providing emergency care as indicated

· Administration of medications (oral, subcutaneous, intramuscular and intravenously) and blood products

· Verification of physician orders

· Complete and accurate documentation of care according to facility/unit policies

· Phlebotomy and bedside testing

· Psychological support of patients as indicated

· Complex wound dressing care and maintenance

1.3.6. Dialysis RN

Under the supervision of the nurse manager, the dialysis staff nurse maintains accountability for the coordination and delivery of care to patients with end stage renal disease. The responsibilities of the dialysis staff nurse include:

1.3.6.1. For the Acute Dialysis Setting, Registered Nurses require: a current Advance Cardiopulmonary Life Support (ACLS) certificate accredited by the American Heart Association, minimum three (3) years’ experience performing hemodialysis on patients who are hospitalized in an acute setting, and experience with dialysis of patients in intensive care unit setting. and (must have worked within the last six months in a Dialysis setting.)

1.3.6.2. Agency Nurses are preferred to have completed the Electro Cardia Gram Course. and be familiar with the Gambro Dialysis Machine and (must have worked within the last six months in that setting.) Basic Life Support (BLS) certification required.

1.3.6.3. Oversees the preparation of the delivery system, dialysate bath, and dialyzer and confirms that all mandatory alarm tests on the dialyzer and equipment are performed.

1.3.6.4. Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis.

1.3.6.5. Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient’s vascular access, laboratory findings, and the patient’s general health.

1.3.6.6. Verifies that patients are taking all prescribed medications and performs medication reconciliation.

1.3.6.7. Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information.

1.3.6.8. Discusses patient concerns and answers questions relevant to care.

1.3.6.9. Oversees dialysis LPN’s in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines and demonstrates an in-depth understanding of the mechanics of dialysis.

1.3.6.10. Assesses, prepares, and cannulates a patient’s vascular access (including needle insertion in arteriovenous fistula or grafts for aseptic connection with dialysis equipment).

1.3.6.11. Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient’s vascular access (dialysis catheter, arteriovenous access) per protocols.

1.3.6.12. Maintains skills necessary to perform surveillance on dialysis access (catheter, fistula, graft) for early signs of failure or infection; this includes (if needed and after receiving the appropriate training) the ability to perform arteriovenous access monitoring using Transonic machine per protocol.

1.3.6.13. Reviews patient’s electronic/paper records for orders as appropriate and administers dialysis-related intra-venous and/or oral medications as prescribed and/or per protocol.

1.3.6.14. Conducts post dialysis assessment and patient discharge by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular access, discharging the patient when vital signs are stable, and documenting and recording patient treatment data.

1.3.6.15. Provides patient education/teaching applicable to the patient’s medical condition.

1.3.6.16. Refers patient to other disciplines or services as needed (nutrition, social work, etc.).

1.3.6.17. Performs other treatments and diagnostic tests such as blood sugar testing and other tests required as part of patient treatment.

1.3.6.18. Oversees disassembly and disinfection of dialysis equipment.

1.3.6.19. Maintains skills necessary to do regional heparinization, separate and store blood samples, set up oxygen, administer saline, and maintain dialysis equipment.

1.3.6.20. Performs surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures) to ensure that these machines are operating within the parameters set in the facility’s written protocols.

1.3.6.21. Demonstrates a working knowledge of dialysis laboratory tests and dialysis medications.

1.3.6.22. Demonstrates an in-depth understanding of infection control and prevention of transmission of blood borne pathogens.

1.3.6.23. Demonstrates a working knowledge of the national guidelines and the facility’s protocols for immunization of the dialysis patients (such as influenza, pneumococcal, and hepatitis-B vaccination).

1.3.6.24. Counsels patient on and administers vaccines per protocols.

1.3.6.25. Participates in quality improvement activities to include collection of data for the dialysis unit Quality Assurance Performance Improvement (QAPI) plan.

1.3.6.26. Responds appropriately and provides assistance in emergency situations.

1.3.6.27. Provides leadership in improving patient care, maintaining standards of care, directing and teaching personnel in a variety of settings, and providing charge nurse responsibilities as needed.

1.3.6.28. Works closely with others on the dialysis team and participates in interdisciplinary team meetings.

1.3.6.29. Maintains responsibility for providing coverage to the dialysis center.

1.3.6.30. Education requirements: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). Bachelor’s Degree in Nursing or in related field or a Master’s Degree in Nursing or in related field is highly preferred.

1.3.6.31. The minimum requirement for all registered nurses assigned to the Hemodialysis Department shall include a current unrestricted registered nurse license from the state of Georgia (United States), and a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association.

1.3.7. Cardiac Catherization Lab/Electrophysiology RN

Cath Lab Unit Nurses will be accountable clinically for ensuring nursing care complies with accepted standards of care and clinical practice. Nurses will use judgment in assessing, planning, implementing, documenting and evaluating patient care in the Cath Lab Unit setting where life-threatening disease or injury requires close monitoring and at times, quick intervention. Coordinates and implements patient care specific to the age of the patient population served in the Cath Lab (adult and geriatric). The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current License as a professional nurse in the state of Georgia (United States).

1.3.7.1. Contractor nurses may be utilized as needed in the Cath Lab.

1.3.7.2. All nurses considered for assignment to the Cath Lab shall have completed an accredited course in Intensive Care/Cath Lab Nursing as well certification in Moderate Sedation or equivalent. In lieu of ICU certification, candidates shall possess at least five years clinical experience in an Intensive Care Unit or other critical care environment and must have worked within the last six months in one of the above settings.

1.3.7.3. All registered nurses shall have at least three (3) years prior experience in an intensive care setting to include Critical Care/Cath Lab experience. Nurse Managers reserve the right to determine if ICU experience is conducive to their needs and nurses must have worked within the last six months in the specialty.

1.3.7.4. Education requirements: required Bachelor’s Degree in Nursing or in related field or a Master’s Degree in Nursing or in related field is highly preferred.

1.3.7.5. Agency nurses assigned to the Cath Lab can expect to work eight (8) hours shifts including rotating call every other week 7 days on/7 days off which includes weekends and holidays.

1.3.7.6. The minimum requirement for all registered nurses assigned to Cath Lab shall include a current unrestricted registered nurse license from the state of Georgia (United States), a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association, a current Advanced Cardiopulmonary Life Support Course (ACLS) certificate accredited by the American Heart Association and the Moderate Sedation Certification or equivalent. and (must have worked within the last six months).

1.3.7.7. Agency nurses are preferred to have the Nurses with Acute/Critical Care Nursing (CCRN) certifications through the American Association of Critical Care Nurses Certification Corporation (AACN) CCRN certificate.

1.3.7.8. All nurses in the Cath Lab are certified to perform the following routine procedures on all patients but not limited to:

· Insertion of peripheral lines.

· Collection of blood samples by venipuncture, central lines and swan Ganz catheters.

· Drawing of arterial blood from existing lines.

· Hemodynamic Monitoring

· Under the physician’s direction, the nurses in ICU may remove peripheral intravenous lines, central venous catheters and percutaneous arterial lines.

· In the event that the patient experiences chest pain or signs and symptoms of cardiac abnormalities, the nurse will perform a 12 lead EKG immediately.

· In the event that the patient develops asystole, ACLS protocol will be followed.

· In the event that a patient requires placement of an external pacemaker, the nurse will attach the patient to a pacing wire and pacing generator.

· Records pertinent information in Computerized Patient Record System (CPRS), Clinical Assessment Reporting and Tracking System-Catherization Laboratories (CART CL) and WITT Systems tracking systems throughout the shift.

· Setup and monitoring for intra-aortic balloon pump (IABP)

· Setup and monitoring for Impella (Heart Pump) device for high-risk Percutaneous Coronary Intervention (PCI) procedures

· Knowledge and/or experience working with patients who require Rotoblator, (Arterial plaque removal), and Cardiovascular Systems, Inc. (CSI) rotational atherectomy systems

1.3.8. GI Lab Nurses

GI Lab nurses will be accountable clinically for ensuring nursing care complies with accepted standards of care and clinical practice. Nurses will use judgment in assessing, planning, implementing, documenting and evaluating patient care in the GI Lab Unit setting where life-threatening disease or injury requires close monitoring and at times, quick intervention. Coordinates and implements patient care specific to the age of the patient population served in the GI Lab (adult and geriatric). The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have an active, current License as a professional nurse in the state of Georgia (USA)

1.3.8.1. Contractor nurses may be utilized as needed in the GI Lab.

1.3.8.2. All nurses considered for assignment to the GI Lab shall have completed an accredited course in Intensive Care/GI Lab Nursing as well certification in Moderate Sedation or equivalent. In lieu of Gastroenterology certification, candidates shall possess at least five years clinical experience in an Intensive Care Unit or other critical care environment.

1.3.8.3. All registered nurses shall have at least three (3) years prior experience in an intensive care setting to include Critical Care/GI Lab experience. Nurse Managers reserve the right to determine if ICU experience is conducive to their needs and nurses must have worked within the last six months in this specialty/setting.

1.3.8.4. Education requirements: required Bachelor’s Degree in Nursing or in related field or a Master’s Degree in Nursing or in related field is highly preferred

1.3.8.5. Agency nurses assigned to the GI Lab can expect to work eight (8) hours shifts Monday-Friday with weekends and holidays off.

1.3.8.6. The minimum requirement for all registered nurses assigned to GI Lab shall include a current unrestricted registered nurse license from the state of Georgia (United States), a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association, a current Advanced Cardiopulmonary Life Support Course (ACLS) certificate accredited by the American Heart Association and the Moderate Sedation Certification or equivalent. and (must have worked within the last six months)

1.3.8.7. Agency nurses are preferred to have the Nurses with Acute/Critical Care Nursing (CCRN) certifications through the American Association of Critical Care Nurses Certification Corporation (AACN) CCRN certificate.

1.3.8.11. Under the physician’s direction, the nurses in ICU may remove peripheral intravenous lines, and central venous catheters.

1.3.8.12. In the event that the patient experiences chest pain or signs and symptoms of cardiac abnormalities, the nurse will perform a 12 lead EKG immediately.

1.3.8.13. In the event that the patient develops asystole, ACLS protocol will be followed.

1.3.8.14. Records pertinent information in CPRS throughout the shift.

1.3.8.15. Setup and monitoring for Colonoscopies, GI endoscopy or (EGD), Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS)

1.3.8.16. Setup and monitoring for Pill Cam and manometry

1.3.9. Operating Room RN

Years of Experience in the Specialty: Minimum three years current (must have worked within the last six months) experience in an Operating Room setting or current operating room nursing certification.

1.3.9.1. Specialty Clinical Skills Prevents infection by utilization of universal precautions, correct hand washing techniques between procedures and/or patients, maintains aseptic techniques, and maintains isolation techniques. Maintains good body mechanics to prevent injury to self, patients, and staff. Uses safety protective devices for self and patient. Checks all emergency supplies and equipment per unit routine.

1.3.9.2. Circulating Nurse’s specific duties.

1.3.9.3. All nurses in the operating room must be certified to perform the following routine scrub nurse duties and procedures on all patients:

· Demonstrates proper aseptic technique

· Operates mechanics of or table

· Operates mechanics of or lights

· Assists anesthesiologist

· Positions patients properly

· Opening room

· Conducts sponge count

· Completes work sheet

· Scrub Nurse specific duties. All nurses in the operating room must also be certified to perform the following routine scrub nurse duties and procedures on all patients

· Demonstrates proper aseptic technique when scrubbing in on the following surgeries: Minor

· Minimum Education: Graduate of a school of professional nursing approved by the

· State Licensure: The minimum requirement for all registered nurses shall include a current

1.3.10. Interventional Procedure RN

· Minimum Education: Graduate of a school of professional nursing approved by the

· State Licensure: The minimum requirement for all registered nurses shall include a current unrestricted registered nurse license from the state of Georgia (US).

· Assuming a patient care assignment for a group of patients

· Assessment and care of patients with a wide range of physical and psychological diagnoses and with a wide range of treatment modalities

· Care of patients undergoing diagnostic/invasive procedures and/or moderate sedation

· Care of patients requiring special precautions such as isolation

· Inserting and maintenance of peripheral lines

· Maintaining central lines for administration of intravenous fluid

· Providing emergency care as indicated

· Administration of medications (oral, subcutaneous, intramuscular and intravenously) and blood products

· Verification of physician

· Complete and accurate documentation of care according to facility/unit policies

· Phlebotomy and bedside testing

· Psychological support of patients as indicated

· Medical/Surgical- Long Term Care- Psychiatric RN

1.3.11. Primary Care RN

· Minimum Education: Graduate of a school of professional nursing approved by the

1.3.12. Post Anesthesia Care RN

· Minimum Education: Graduate of a school of professional nursing approved by the

· Assume a patient care assignment for a group of patients

· Assessment and care of patients with a wide range of physical and psychological diagnoses and with a wide range of treatment modalities

· Care of patients requiring special precautions such as isolation

· Inserting and maintenance of peripheral lines

· Maintaining central lines for administration of intravenous fluid

· Providing emergency care as indicated

· Administration of medications (oral, subcutaneous, intramuscular and intravenously) and blood products

· Verification of physician orders

· Complete and accurate documentation of care according to facility/unit policies

· Phlebotomy and bedside testing

· Psychological support of patients as indicated

· Complex wound dressing care and maintenance

1.3.13. Psychiatric/Mental Health RN

· Specialty Skills: Expert in assessing, diagnosing, and treating psychiatric problems and

· Minimum Education: Graduate of a school of professional nursing approved by the

1.3.14. Licensed Practical Nurse (LPN)

Contractor will ensure that contract LPN provides skilled nursing care to patients in Acute Care, Primary Care Clinics in Atlanta and surrounding Community-Based Outpatient Clinics. He/she may perform those approved Medical Center procedures that are described in the Licensed Practical Nurse Act, Vocational Nurse VA Qualification Standards. The Contract LPN demonstrates increasingly more independence in his/her management of patient care. The contract LPN demonstrates competence in caring for adult psychiatric, medical, and geriatric patients.

1.3.14.1. Under the supervision of the nurse manager, the LPN works closely with others as needed in the Acute Care Medical/Surgical areas and Primary Care setting throughout the AVAHCS and surrounding Community-Based Outpatient Clinics. The LPN functions both dependently and independently with guidance and direction from the Nurse Manager/designee. LPN must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

1.3.14.4. Demonstrated ability to serve as a responsible member of the nursing team and interact [in an appropriate manner] with patients, family members, professional and [other] supportive personnel [involved in the delivery of] patient care, incorporating acceptable, established customer service standards into practice.

1.3.14.5. Education requirements: required to be a graduate of a state approved school of practical/vocational nursing. Associate Degree in Nursing or Bachelor’s Degree in related field is highly preferred. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE).

1.3.14.6. The minimum requirement for all LPNs assigned to the AVAHCS shall include a current unrestricted LPN license from the state of Georgia (United States), and a current Cardiopulmonary Resuscitation (CPR)/Basic Life Support (BLS) certificate accredited by the American Heart Association.

1.3.14.7. Med/Surg- minimum three years current experience and (must have worked within the last six months) in a medical/surgical unit.

1.3.14.8. Long Term Care/Nursing Home - minimum three years current experience and, (must have worked within the last six months) in a long-term care setting.

1.3.14.9. Psychiatric/Mental Health - Minimum three years current experience (must have worked within the last six months) experience in an inpatient psychiatric unit

1.3.14.10. Position: Primary Care - Minimum three years current experience and (must have worked within the last six months) in a primary care setting

1.3.15. CERTIFIED NURSING ASSISTANT

Contractor will ensure that Contract Certified Nursing Assistant (CNA) perform requirements with minimal monitoring by a Registered Nurse (RN) provides basic, appropriate, effective interventions to individual patient needs according to established facility policies, safety standards and procedures. The contract CNA refers to the professional RN when deviations and problems not covered in the assignment occur. The contract CNA anticipates the needs of professional staff and works with them as a team member.

1.3.15.1. Nursing Assistants (NA) provide a vital role assisting the licensed nurses providing direct patient care for patients in the medical center. In addition, they have proven their value in providing a pool of one-to-one special observers for “at risk” patients. The AVAHCS has no intent of contracting “sitters” specifically as those initially assigned as a special observer are subject to reassignment to either role in either facility. Their basic duties are outlined below, and contract agencies shall provide a competency checklist verifying their level of expertise in these skills.

1.3.15.2. Performs a range of personal nursing care which includes feeding, walking, lifting, turning patients, providing related hygiene care to patients using specialized equipment receiving oxygen or suction therapy.

1.3.15.3. Performs a range of diagnostic support duties which includes taking, recording and reporting to the nurse deviations in vital signs and change in patients’ condition such as diabetic, uremic coma, insulin shock, gastro-intestinal hemorrhage and reporting them to the nurse or doctor. Assists the doctor in a variety of diagnostic examinations such as lumbar punctures, liver biopsy, bone marrow examinations and emergency procedures.

1.3.15.4. Assembles necessary equipment and positions patients, collects,…