3(e)_SOW lab technologist.docx

Note: The use of the terms Contractor, Contract Provider, Medical Technologist (MT), and Clinical Laboratory Scientist (CLS) refers to the provider of care throughout this document.

1. Scope of Work. The Contractor shall provide an individual to provide personal medical services to all Active Duty beneficiaries within the capabilities normally granted to a Medical Technologist/Clinical Laboratory Scientist (MT/CLS).

A. The MT/CLS shall meet or exceed the industry standards in accordance with established principles, practices and ethics of a certified MT or CLS. The standards of performance for all employees provided by the contractor shall reflect the degree and care, skill and learning expected of a reasonably prudent healthcare provider in the MT/CLS profession in the state of their practice.

B. The Contractors will provide professional services to U.S. Coast Guard locations Specified in the Performance Work Statement (PWS) (Attachment 3).

2. Qualifications. The provider of MT/CLS services shall possess and maintain for the duration of this agreement:

A. A diploma from an accredited school of Medical Technology or Clinical Laboratory Science. (Bachelors degree at a minimum).

B. Current certification as a MT or CLS with the American Society for Clinical Pathology (ASCP).

C. Maintain current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety & Health Institute (ASHI) or the American College of Emergency Physicians (ACEP).

D. A minimum of two (2) years recent (immediately preceding the submission of this offer) clinical experience in providing MT/CLS services.

E. "No adverse information on file" with the National Practitioners Data Band (NPDB).

3. Credential Review. The contractor shall submit the following credentials in order to be evaluated for technical acceptability.

A. A current resume including AT LEAST the following information:

(1) Degrees earned;

(2) Professional Experience;

(3) Social Security Number;

(4) Date of birth (to be used only for the purposes of independent query of the NPDB);

(5) Career history;

(6) Professional Training/Courses attended in the past two years;

(7) Professional organization affiliations and memberships;

(8) Previous work references including name of organization, number of years rendered, address and name of point of contract with telephone number;

(9) Awards and certifications received.

ATTACHMENT 3(e) Page of

MEDICAL LABORATORY TECHNOLOGY SERVICES

Rev. 11/1/18

B. Copies of:

(1) A diploma from an accredited school of Medical Technologist or Clinical Laboratory Science (a “Polaroid” picture is acceptable as a copy);

(2) Current certification as an MT or CLS with the American Society for Clinical Pathology (ASCP);

(3) Evidence of immunity to Hepatitis “A” and “B” and evidence of freedom from chronic communicable disease(s) i.e., HIV, TB and sexually transmitted infections (within 30 days of start of work);

(4) Current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety & Health Institute (ASHI) or the American College of Emergency Physicians (ACEP);

(5) Proof of insurability against malpractice in the amount of one million ($1,000,000.00) dollars per occurrence;

(6) At least three (3) letters of recommendation from recent employers addressing Medical Laboratory services.

4. Professional Services. The Contractor shall perform a full range of Medical Technologist/Clinical Laboratory Scientist professional concepts and practices on site, using Government furnished facilities, equipment and supplies to a variety of patients. All aspects of Medical Technologist/Clinical Laboratory Scientist service shall be commensurate with the capabilities of the provider and the Medical Department including but not limited to the items listed below; and in PWS.

Perform laboratory testing and evaluation including interpretation of tests in the areas of:

1. Hematology;

2. Urinalysis;

3. Other CLIA-Waived Tests Perform evaluation and interpretation of tests in the areas of: Bacteriology;

Chemistry;

Special Chemistry;

1. Blood Bank;

2. Serology;

A. Ensure the establishment and maintenance of acceptable levels of analytical performance for each test system;

B. Fulfill the duties of a laboratory technical consultant for a moderately-complex laboratory as defined by CLIA; Prepare, manage and submit appropriate documentation testing related to Clinic Laboratory Improvement Amendment (CLIA);

C. Implement policies and procedures for monitoring individuals who conduct preanalytical, analytical and postanalytical phases of testing to assure that they are competent and maintain their competency to process specimens, perform test procedures and report test results promptly and proficiently, and whenever necessary, identify needs for remedial training or continuing education to improve skills;

D. Order Medical Laboratory supplies;

E. Restock Medical Laboratory supplies;

F. Inventory Medical Laboratory supplies to ensure adequate supplies and controls;

G. Provide immediate evaluation and management of emergent problems as they occur;

H. Prepare and submit appropriate documentation as specified in applicable regulations;

I. Participate in the Quality Improvement (QI) program of the clinic;

J. Other administrative duties as may be assigned by the Clinic Administrator;

5. Hours of Performance. The contractor shall provide all aspects of personal Medical Technologist/Clinical Laboratory Scientist services at locations in the PWS (Attachment 3) and hours specified by the Clinic Administrator.