20240605 PWS Simulation Training_updated.pdf

PERFORMANCE WORK STATEMENT

FOR

AIR FORCE RESERVE COMMAND

ASTS Medical Simulation Training

5 June 2024

1.0 DESCRIPTION OF REQUIREMENT.

1.1. Scope. The Contractor shall provide all management, tools, equipment, and labor necessary to create and provide simulation training for the 934th Aeromedical Staging Squadron (ASTS), Minneapolis-St Paul Air Reserve Station, Minneapolis, MN as defined in this Performance-based Work Statement (PWS).

1.2. Background. The clinical staff of the 934th Aeromedical Staging Squadron (ASTS) require simulation training as a component of their Comprehensive Medical Readiness Program requirements. The requirement includes 12 hours of simulation training annually for nurses and every 24 months for medical technicians. This Performance-based Work Statement (PWS) describes the requirements for the creation and provision of this training for the 934th ASTS clinical staff. All work performed by the Contractor shall be performed in accordance with all applicable laws, regulations, Headquarters Air Force (HAF) standards, instructions, and commercial practices. Contractor tasks include but are not limited to the following: The Contractor will build a clinical simulation training curriculum that will meet the training requirements of the Air Force Surgeon General for the nurses and medical technicians. The training must meet specific criteria to include but not all inclusive the skills as outlined in Attachments 1 and 2_ Comprehensive Medical Readiness Program (CMRP) Checklists for 4NOX1 (Medical Technician) and 46NX (Nursing). The Contractor will provide the training to the ASTS clinical staff every Unit Training Assembly (UTA) for approximately 30 members (max 10/ session) per UTA.

1.3. Description of Training Requirements.

A. Training requirements necessitate simulation facilitation with high fidelity manikins and content experts, along with the utilization of focused objectives supported by evidence-based practices contained in the Joint Trauma System Clinical Practice Guidelines.

i. The designated training will focus to meet specific criteria as outlined in the Comprehensive Medical Readiness Program (CMRP) Checklist 4NOX1 (Medical Technician) and 46NX (Nursing).

ii. The training must be tailored to suit the ERPSS (En Route Patient Staging System) unit training codes (UTCs) which includes efforts in creating a realistic deployed environment unique to the military.

B. There will be three simulation sessions per UTA which are 2.5 hour each which will focus on the following required CMRP skills which will vary each UTA but are not limited to these required skills:

• Trauma with Damage Control Resuscitation

• Thermal Injury

• Blast/Burn Injury

• Neurological Injury

• Mechanical ventilation

• Pain, Anxiety and Delirium

• Expeditionary Equipment

• Deployed Environment Considerations

• Pediatric Care

• Renal Trauma

• Orthopedic and Soft tissue injuries

• Transport/Evacuation Considerations

(see Attachments 1 and 2, CMRP checklists, for details of the above topics)

• Although specific skills will be taught based on nurse and medic CMRPs, not all skills will be covered in their entirety each simulation as the main intent is to meet the requirement includes 12 hours of simulation training annually for nurses and every 24 months for medical technicians. However, the number of skills taught will be maximized in each simulation.

C. Additionally, a certificate of completion with 2.5 continuing educations unit (CEU’s) will be provided with objectives that meet the Minnesota Board of Nursing and National Emergency Medical Technician recertification.

1.4. Required Materials.

For each simulation session, the contractor will have a simulation education specialist, one operations technician, and dependent on the simulation, a simulation may require standardized patients to act within the sim. Best practice or standards of simulation practice require a subject matter expert to be available from the 934th ASTS to help build the sim and subsequently participate in the post simulation debriefing. There will be 3 simulation sessions occurring on Sunday of each UTA which will accommodate 30 members (max 10/session) per the primary UTA schedule.

a. High fidelity manikins

b. Medical equipment

c. Medical supplies

d. Simulated medications

e. Deployed environment simulation materials

f. Simulation center staff with content expertise

g. Audio-visual recording

1.5. Description of Services. The Contractor shall provide all the management, tools, equipment, and labor necessary to conduct the training each UTA weekend and shall provide the appropriate number of certified trainers based on the number of participants. The standards of practice for simulation dictate that the number of educators to be at a 1:10 ratio per simulation so the number of educators would vary based on number of participants. The simulation platform would be expected to adhere to the Society of Simulation in Healthcare and the International

Nursing Association for Clinical Simulation and Learning. All staff would be trained in clinical simulations.

Simulation-based training is primarily an experiential modality. Not all team members present actively participate in the simulation at one given time; often, only 2 to 3 people perform the simulation while the rest of the team observes and then the roles are changed swapped. Once the simulation is completed, the team, along with the subject matter expert and the simulation educator, conducts a debriefing to address the positives and areas for improvement identified during the simulation.

Simulation Preparedness and Execution

Planning and Coordination

• Simulation preparedness involves extensive planning, typically starting 60 days before the simulation day.

• The subject matter expert (SME) from the 934th ASTS will coordinate and provide specific details related to the simulation.

• Objectives will be outlined, discussed, and integrated into the simulation's focus.

Simulations are based on the nurse and medic CMRPs (Attachments 1 and 2).

• This preparation process follows a structured approach, utilizing dedicated documentation and forms to ensure clarity and thoroughness.

Day of Simulation

• On the day of the simulation, the simulation team arrives at the contractor’s facility about an hour early to complete final preparations.

• Historically, the simulation room, including all equipment and supplies, is set up and verified the day before to ensure everything is in place and functioning correctly.

• The simulation team is responsible for ensuring that all equipment and supplies are readily available and operational on the day of the simulation.

Training and Testing Stations

• While the primary focus has traditionally been on providing the simulation itself, specific tasks or training/testing stations can be coordinated if required.

o For example, during a massive trauma resuscitation with blood administration simulation, the 934th participants could follow established algorithms and protocols.

• To enhance the simulation training, 934th members will complete prerequisite prep work which may include review of CPGs and other materials assigned by the 934h ASTS training section.

Flexibility and Customization

• The simulation center needs the flexibility to adapt to specific training needs and provide customized training stations to address particular skills or protocols.

o This ensures that participants not only engage in the simulation but also have opportunities to refine and practice specific tasks critical to their roles.

Summary

• Effective simulation preparedness and execution require meticulous planning, coordination, and documentation.

• By ensuring that all equipment and supplies are ready and available, and by offering tailored training opportunities a comprehensive and impactful simulation experience can be provided.

Based on feedback from the field, a contractor would like at least 60 days and no less than 30 days to plan and prep for simulation

The contractor would provide a report at the end of all training sessions a formal after-action report (AAR) related to the training. They would outline the specific objectives, training goals, the evaluation of the process not necessarily of individuals but the process within the simulation and should there be best practices and or deltas they would highlight those and provide that to the 934th ASTS.

The simulation center would contract to perform all set up and take down of the supply equipment. The contractor may need to borrow a NATO litter and cart to utilize within the simulations which would be coordinated with the 934th ASTS the UTA prior to the simulation.

934th ASTS personnel would transport the NATO litter to the contractor’s facility in the morning one hour prior to the first simulation session.

The contractor would also provide note-taking material as well as reference material as warranted.

The Contractor shall communicate with the Customer in the event of planned changes to the scheduling and availability of medical simulation training and on any and all other required correspondence.

2.0. ORGANIZATION.

2.1. Contact. The Air Force Reserve Component (AFRC) with primary responsibility for this requirement is 934th Aeromedical Staging Squadron (ASTS).

934TH ASTS Operations Representatives

Lt Col Adam Hohman, 934th ASTS Director of Operations Phone: 701-306-1851

Email: adam.hohman@us.af.mil

Maj Marie Krezowski, 934th ASTS Chief Nurse Interim Phone: 612-713-1641 Email: marie.krezowski.2@us.af.mil

Maj Jon Polos, Senior ART (Billing) Phone: 612-713-1607 Email: jonathan.polos@us.af.mil

2.2. Period of Performance. The period of performance shall include a base year and four option years.

2.3. Schedule. The Contractor will provide the training to the ASTS clinical staff every Unit Training Assembly (UTA) for approximately 30 members. There are 11 UTA’s per year and training will be provided on Sundays only. The Contractor shall be provided with the UTA schedule on Attachment 3_UTA Schedule. The Contractor and the Customer shall create a written schedule with exact showing times for training that will be turned into the Contracting Officer and documented in the contract file. Any updates to the schedule shall be provided by the customer 30 days prior, and a new annual schedule shall be provided to the Contractor 30 days prior to each Option Year. The Contractor shall be notified 7 days prior to training the approximate number of members that will be in attendance for training that UTA.

UTA Weekends Trainings per UTA Members per Training Total Sessions/Members Trained

11 3 10 33 30

2.4. Place of Performance. These simulation services will be performed at the contractor’s facility.

2.5. Housekeeping Services. The Contractor shall clean up the specific area used, as well as any equipment or related items upon training completion.

2.6. Schedule Changes. The 934th Aeromedical Staging Squadron reserves the right to postpone, cancel, or reschedule a training event no later than 1 week prior to, in the event if necessary due to unexpected mission restrictions.

2.7. Submittals.

a. Prior to training commencement- the Contractor shall send a finalized training plan and design for approval by the 934 ASTS representative.

b. Prior to training commencement- the Contractor shall coordinate with the Government to create an approved annual schedule for all training to take place showing that 100% of the requirements will be met.

c. Monthly- the Contractor shall send all training rosters/no-shows relating to medical simulation to the appointed 934 ASTS representative(s) for the Comprehensive Medical Readiness Program. The contractor would provide a comprehensive training evaluation within the AAR. The simulation platform does not perform testing of any type for verification or validation of competency. Billing invoices will be sent to

WAWF.

3.0 CONTRACTOR PERSONNEL.

3.1. Management. The Contractor shall provide a full-time contract manager for correspondence. The name of this person, and an alternate(s), who will act for the Contractor when the manager is absent, shall be designated in writing to the CO. The contract manager or alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available to discuss problem areas. The contract manager and alternate or alternates shall be able to read, write, speak, and understand English. The positions shall at no time be vacant.

3.2. Uniform Requirement. The Contractor shall provide Contractor personnel with uniforms, nametags, and any other specialty clothing (gloves, rubber gloves, aprons, etc.). Contractor personnel shall wear clean, neat, and appropriate uniforms at all times while performing training.

Contractor personnel shall wear clothing bearing the name of the company or badge labels identifying the company. All personnel shall wear a Contractor-furnished nametag that indicates, at a minimum, the Contractor personnel’s last name.

4.0. GOVERNMENT PROPERTY AND SERVICES.

4.1. Government Furnished Facilities and Services. Not applicable as all simulation training will be held off site at the contractor’s facility.

5.0. GENERAL INFORMATION.

5.1. Hours of Operation. • Simulation preparedness involves extensive planning on behalf of the contractor, typically starting 60 days before the simulation day. The 934th ASTS also has UTA scheduling to consider in the planning process so the 934th ASTS POC will coordinate and deconflict the upcoming training schedules with the contractor 30 days prior to each UTA The Contractor shall perform the services required under this contract on Saturday and Sunday of the UTA from 8:00 a.m. to 3:30 p.m. with lunch factored into between sessions. Military members will be expected to bring lunch to the contractor’s facility or eat prior to attending their assigned training session. The Contractor is not required to perform services on Federal Holidays.

ATTACHMENTS AND LINKS TO REGULATIONS

Attachment: Section Referenced Attachment or Link

Attachment 1: 1.2. Comprehensive Medical Readiness Program

(CMRP) Checklists for 4NOX1 (Medical Technician)

Attachment 2: 1.2. Comprehensive Medical Readiness Program

(CMRP) Checklists for 46NX (Nursing)

Attachment 3: 2.3. UTA Schedule