EXHIBIT D - Position Descriptions Amendment 3.pdf

6 June 2025

EXHIBIT D, POSITION REQUIREMENTS

Medical services shall be performed by certified/licensed medical staff. The following section establishes the training, certification, and licensure requirements for Key Personnel, Required

Personnel, and Support Staff as defined in PWS 1.1 Medical Staffing.

Position Physician/Occupational Medicine Physician (KEY

PERSONNEL)

Educational/Credential

Experience/Certifications and

Other Requirements

• Graduate from Accredited Medical School

• Physician: Board Certified as either a Medical Doctor (M.D.) or a

Doctor of Osteopathy (D.O) and a Flight Surgeon /Aviation Medical

Examiner

• Current License – Commonwealth of Virginia

• Maintain American Heart Association (AHA) Basic Cardiac Life

Support (BCLS) Course C certifications.

• Current Registration - Drug Enforcement Administration

• Council for Accreditation in Occupational Hearing

Conservation (CAOHC) Professional Supervisor (for any physician determining work-related hearing loss)

Conditional

Requirements

• Subject to drug testing (chemical substances) – Drug Free

Workplace Act 1988

• Ability to pass Clinic’s credentialing process

• Ability to obtain professional liability insurance coverage

Primary

Responsibilities

• Shall be assigned to serve as Center Medical Director

• Perform scheduled and non-scheduled health related services as provided to the LaRC population

• Maintain a daily schedule of physicians’ examination appointments

• Coordinate with nurse staff and medical laboratory regarding patient services and treatments

• Provide emergency treatment of occupational and non- occupational illnesses and injuries within capabilities of the clinic; refer more serious illness and injury cases to medical specialists for in-depth diagnosis and treatment

• Consult with resident LaRC EAP Coordinator regarding health and welfare of LaRC employees

• Participate in providing medical coverage for special LaRC events

• Maintain professional credentials; attend medical educational sessions

• Support and participate in locally sponsored medical associated activities (maintain respected professional reputation with community physicians and recognized health facilities)

Primary Responsibilities

(cont’d)

• Observe universal precautions regarding blood-borne pathogen program for patient protection and personal protection

• Observe regulatory agencies’ standards regarding hazardous waste management/disposal

• Participate in State and National associations and activities relating to occupational medicine and aerospace medicine

• Support and participate in NASA-sponsored occupational health events including, but not limited to video teleconferences, conferences, webinars

• Perform computer medical data entry: patient visits, treatments and services administered, medical chart/records documentation

• Support health promotion program activities

• Participate in continuing education to update knowledge of occupational health and safety including legal regulations applicable to occupational health and safety

Center Medical Director Responsibilities

Primary Responsibilities • Responsible for the overall direction of the Langley Research

Center (LaRC) occupational medicine programs

• Maintain interface and respond directly to National Aeronautics and Space Administration (NASA)/LaRC requirements

• Ensure contract compliance and capability to perform program management duties to support Performance Work Statement.

• Develop, implement, and monitor quality assurance programs including proficiency of medical personnel

• Direct and guide the staff of the occupational medicine programs in providing services to LaRC

• Actively participate in examining patients scheduled for examination appointments

• Assure operational readiness for emergency care/treatments.

• Perform medical evaluations and provide treatments for occupational and non-occupational medicine injuries and illnesses within scope of contract effort

• Consult with LaRC Employee Assistance Program (EAP) regarding health and welfare of LaRC employees

• Provide guidance to LaRC executive and management level personnel on matters relating to health and welfare of LaRC personnel

• Evaluate applicants applying for participation in the

NASA/LaRC Exchange Physical Exercise program

• Serve as the LaRC Automated External Defibrillator (AED) program Physician Director and Medical Technical Authority for

LaRC; Physician advisor to LaRC Wellness Center, Physician advisor to LaRC Reasonable Accommodations program

• Arrange and designate staff support and necessary medical supply items for special LaRC events

• Attend contract required meetings (e.g., quarterly, semi-annually, annually, or monthly)

Position Nurse Practitioner/ Physician Assistant

Educational/Professional

Experience/Certifications and Other Requirements

• Master’s Degree from an Accredited University

• Certified Nurse Practitioner/Physician Assistant

• Current License - Commonwealth of Virginia

• Maintain American Heart Association (AHA) Basic Cardiac

Life Support (BCLS) Course C, AHA Advanced Cardiac

Life Support (ACLS) provider certifications.

• Current Autonomous Practice License for State of VA

• Drug Enforcement Administration (DEA) License

• Two years of Clinical experience

Subject to drug testing (chemical substances) - Drug Free

Workplace Act 1988

(cont’d)

• Provide general medical care and treatment to patients, under direction of physician (includes when physician is out of office)

• Actively participate in examining patients scheduled for examination appointments

• Assure operational readiness for emergency care/treatments.

• Perform medical evaluations and provide treatments for occupational and non-occupational medicine injuries and illnesses within scope of contract effort

• Perform physical examinations and preventive health measures within prescribed guidelines and instructions of physician

• Order, interpret, and evaluate diagnostic tests to identify and assess patient's clinical problems and health care needs. Record physical findings, and formulates plan and prognosis, based on patient's condition. Discuss case with physician and other health professionals to prepare comprehensive patient care plan

• Prescribe or recommend drug or other forms of treatment as allowed by current license and/or certification

• Assist medical and nursing staff with appropriate daily workload activities as directed by the staff physician and/or

Medical Director

• May refer patients to physician for consultation or to specialized health resources for treatment

• Observe universal precautions regarding blood-borne pathogen program for patient protection and personal protection

• Observe regulatory agencies’ standards regarding hazardous waste management/disposal

• Perform computer medical data entry: patient visits, treatments and services administered, medical chart/records documentation

• Support health promotion program activities

• Participate in continuing education to update knowledge of occupational health and safety including legal regulations applicable to occupational health and safety

Position On-Site Project Manager (REQUIRED)

Experience/Certifications and Other Requirements

• Bachelor's degree in Occupational Health, Industrial

Hygiene, Public Health, or a related field.

• 5+ years of a combination of clinical and/or occupational medicine experience including at least 2 of the 5 years in occupational medicine or an occupational health clinic setting

• Maintain American Heart Association (AHA) Basic Cardiac Life Support (BCLS) Course C

Conditional Requirements Subject to drug testing (chemical substances) - Drug Free

Primary Responsibilities • Oversee administrative and clinical staff and daily office operations

• Manages resources effectively to improve overall patient outcomes

• Responsible for managing clinic medical and office supply inventory

• Facilitates the delivery of quality health care; ensures a safe environment of employees and patients

• Review, analyze and present clinic metrics

• Manages supplies and equipment inventories and assures equipment is maintained and in working order

• Submits reports and data in a timely manner

• Maintains working knowledge of the Contract, abides by the contract, laws, regulations

• Educates staff on clinical performance measures and monitors compliance. Takes action to address deficiencies as identified.

• Comply with regulatory agencies’ standards regarding hazardous/biological waste management/disposal

• Ensure clinic staff maintain required credentials and educational requirements

Position Health and Wellness Program Coordinator (KEY

PERSONNEL)

Educational/Professional

Experience/Certifications and Other Requirements

• A minimum of an Associate’s degree

• 5 years of experience in the field or related area

• Current CPR, First Aid, AED certification

Conditional Requirements Subject to drug testing (chemical substances) - Drug Free

Primary Responsibilities • Promote wellness programs utilizing appropriate communications media and technologies that attend to the health literacy abilities of the target population

• Maintain statistics for all programs and provide reports monthly, annually, and as requested

• Develop, coordinate, manage, and maintain total wellbeing programs to reduce health risk, medical cost, and encourage healthy lifestyles

• Coordinate health side of Safety and Health week fair

• Maintain clinic and fitness website

Position Registered Nurse(s) (REQUIRED)

Experience/Certifications and Other Requirements

• Certified Registered Nurse (RN)

• Current RN License - Commonwealth of Virginia

• Maintain American Heart Association (AHA) Basic Cardiac

Life Support (BCLS) Course C, AHA Advanced Cardiac Life

Support (ACLS) provider certifications. 2 Years Registered

Nurse Experience

• Shall hold current certification as an Occupational Hearing

Conservationist (COHC) from the Council for Accreditation in

Occupational Hearing Conservation (CAOHC).

Certification Preference Certified Occupational Health Nurse (COHN)

Conditional

Requirements

Subject to drug testing (chemical substances) - Drug Free

Workplace Act 1988

Primary

Responsibilities

• Provides a range of nursing services, including preventive health care counseling

• Coordinates health care needs and makes referrals to medical specialists

• Required to perform audiometric hearing exams

• Assesses and treats minor health problems,

• Administers emergency treatment

• Performs advanced cardiac life support

• Performs limited portions of physical examinations

• Performs audiometric examination

• Pulmonary function testing

• Perform medical evaluations and provide treatments for occupational medical injuries and illnesses within scope of contract effort

• Perform computer medical data entry: patient visits, treatments and services administered, medical chart/records documentation

Supporting administrative and/or clerical personnel necessary to operate the Clinic as required by this PWS:

Position Nursing Assistant/Certified Medical Assistant (REQUIRED)

Experience/Certifications and Other Requirements

• Certified by the American Association of Medical

Assistants (AAMA)

• Two (2) Years Certified Medical Assistant Experience

• Maintain American Heart Association Basic Life Support for Healthcare Providers (BLS) certification and or

American Red Cross CPR/AED for the Health Care

Providers (2-year certificate) and American Red Cross

First Aid Certification.

Conditional Requirements Subject to drug testing (chemical substances) - Drug

Free Workplace Act 1988

Primary Responsibilities • Assistant may perform several procedures sequentially, chart patient care, administer prescribed medication and simple treatments, teach patient self-care, and lead lower level nursing assistants.

• In addition, this position maintains medical records of clinic patients, reviews medical records for completeness and accuracy, codes diseases, operations, diagnoses and treatments, compiles medical care and census data for statistical reports, and maintains indexes on patient, disease, operation, and other categories.

Position Supporting administrative and/or clerical personnel (Scheduler/Receptionist/Medical Records

Clerk/Administrative Assistant) (REQUIRED)

Educational/Professional

Experience/Certifications and Other Requirements

• Two (2) years of experience in the field or related area.

Subject to drug testing (chemical substances) - Drug

Free Workplace Act 1988

Primary Responsibilities • Schedules appointments; receives money for bills; completes insurance forms; files and maintains patient charts and medical records.

• Reviews medical records for completeness and accuracy.

Position Medical Assistant (REQUIRED)

Experience/Certifications and Other Requirements

• Two (2) years experience in the field or health related area

• Maintain American Heart Association Basic Life Support for Healthcare providers (BLS) certification and or

American Red Cross CPR/AED for the health Care

Providers (2-year certificate) and American Red Cross

First Aid Certification

• Proficiency in performing laboratory procedures

• Ability to write routine reports and correspondence

• Knowledge of normal and abnormal ranges of vital signs and results of medical testing performed in clinic

Conditional Requirements • Subject to drug testing (chemical substances) – Drug

Free Workplace Act 1988

Primary Responsibilities • Prepare patients for examination and assist physician or nurse practitioner with procedures

• Provide instructions to patients undergoing testing/procedures

• Clean and sterilize medical supplies and equipment

• Assure cleanliness of patient clinical areas

• Provide coverage for a fitness center in absence of regular fitness center staff

• Assist with clerical/administrative duties as needed (greet patients, answer phones, enter computer data, auditing medical records, mailing correspondence)

• Participate in health promotion and wellness programming as directed by the Project Manager/Clinic

Administrator

• Other duties as assigned within your scope of practice

NOTE:

1. All personnel who conduct audiometric monitoring examinations shall hold current certification as an Occupational Hearing Conservationist (COHC) from the Council for Accreditation in Occupational Hearing Conservation (CAOHC).

2. Shift Work and Balancing Work-Rest Cycles

Contractor roles which are deemed "Critical or Key Positions" shall be identified in the description of their work. For these Critical and Key Positions, the Contractor shall cover the requirement in NPR 1800.1 to "ensure appropriate resources to satisfactorily cover unexpected absences without having individuals work more than 12 hours per day or negatively impacting the work-rest cycles." This may include redundant employees, or other solutions coordinated with the COR and Contracting Officer. Otherwise, the Contractor's strategy for meeting the requirements of this Statement of Work shall comply with the limitations identified in NPR

1800.1 process.