A06 - PWS_Mammo Staffing_BFSU.pdf

Billings Area Performance Work Statement (PWS) for Non-Personal

Services

Mammography Technologist

Table of Contents

Section Page

1.0 General 2

2.0 Scope 2

3.0 Applicable Documents 2 - 3

4.0 Definitions 3 - 6

5.0 Government Furnished Information, Property, & Services 6

6.0 Contractor Furnished Property 7

7.0 Conduct 7

8.0 Work Schedule 7 - 8

9.0 Deliverables 8

10.0 Contractor Qualification Requirements 8 - 9

11.0 Background Check 9

12.0 Health Requirements/Conditions of Employment 9 - 10

13.0 Transportation and Lodging 10

14.0 Performance Evaluation 10

15.0 Identification of Contractor 10

16.0 Management of Medical Information 10

17.0 IHS Information Technology Systems 10 - 11

18.0 Orientation 11

19.0 Language Requirements and Cultural Awareness 11

20.0 Challenges to Conflicts 11

21.0 Technical Point of Contact 11

22.0 Performance based Matrix 12

23.0 List of Attachments and Exhibits 13

Performance Work Statement (PWS) Non-Personal Services

Mammography Technologist

1.0 General:

1.1 Service Provided: The Contractor shall provide a Certified Mammography Technologist, a healthcare professional specifically trained to perform mammograms as a Mammography Technologist, contract staff shall perform services on site. The Indian Health Service (IHS) is an agency within the U.S. Department of Health and Human Services and is responsible for providing federal health services to American Indians and Alaska Natives. The IHS is the principal federal health care provider and health advocate for the Indigenous people. The goal is to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indians and Alaska Natives. In the following modality:

1.2 Certified Mammography Technologist (M)

1.3 Blackfeet Hospital, Billings Area-Indian Health Service, Browning, Montana provides support to the Blackfeet Indian Reservation and includes a clinic at Heart Butte, Montana.

2.0 Scope: The Contractor shall provide a licensed and specially trained mammography technologist to perform mammograms. Mammography services shall ensure that all patients have access to quality mammogram exams for the detection of breast cancer in its earliest, most treatable stages.

2.1 Duties and responsibilities consist of providing Mammography services and to operate specialized X-ray equipment to produce high-quality images of breast tissue, allowing doctors to accurately diagnose breast conditions by performing mammograms, which includes preparing patients for the procedure, positioning them correctly, and ensuring optimal image quality while adhering to radiation safety guidelines; they also need to maintain and troubleshoot the equipment and may assist with patient tracking and record keeping.

2.1.1. Place of Performance: Services shall be performed at the Blackfeet Hospital, Browning, Montana.

2.1.2. Period of Performance: Base year only period of twelve months (12).

BASE ORDERING PERIOD: 04/15/2025 – 04/14/2026

3.0 Applicable Documents: Please see the web link listed unless document is listed as an attachment.

3.1 The Joint Commission on Accreditation of Healthcare Organizations (The Joint Commission) http://www.jointcommission.org

3.2 Centers for Medicare and Medicaid Services (CMS) Standards http://www.cms.hhs.gov

3.3 FDA and MQSA Standards http://www.fda.gov/radiation-emitting-products/mammography-quality-standards-act-mqsa-and-mqsa-program http://www.jointcommission.org/ http://www.cms.hhs.gov/ http://www.cms.hhs.gov/ http://www.fda.gov/radiation-emitting-products/mammography-quality-standards-act-mqsa-and-mqsa-program http://www.fda.gov/radiation-emitting-products/mammography-quality-standards-act-mqsa-and-mqsa-program

3.4 Need for Background Checks: Section 231 of Public Law 101-647, The Crime Control Act of 1990. https://www.govinfo.gov/content/pkg/STATUTE-104/pdf/STATUTE-104-Pg4789.pdf

3.5 Need for supervision with Children: Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

https://www.govinfo.gov/content/pkg/CFR-2002-title42-vol1/xml/CFR-2002-title42-vol1-part136-subpartK.xml

3.6 Section 231 of Public Law 101-647, the Crime Control Act of 1990.

http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.sh tml

3.7 Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

http://www.nicwa.org/policy/law/protection/index.asp

3.8 Health Insurance Portability and Accountability Act (HIPAA) of 1996.

http://www.cms.hhs.gov/hipaa

3.9 Privacy Act of 1974. http://www.usdoj.gov/oip/privstat.htm

3.10 Revised American Nurses Association Code of Ethics and Standards of Practice and Care (1996) http://www.nursingworld.org

3.11 State Nurse Practice Act for the Contractor’s licensing state http://medi smart.com/practice.htm

3.12 IHS Service Unit and Health Center Policies, Procedures and Protocols. (See section 11.0 for a list of attachments and exhibits)

3.13 Federal Computer Security Act of 1987. https://www.congress.gov/100/statute/STATUTE- 101/STATUTE-101-Pg1724.pdf

3.14 Information Systems Security Awareness (ISSA). https://www.ihs.gov/issa/

3.15 Federal Code of Conduct. http://www.ihs.gov

3.16 IHS General Directives. http://www.ihs.gov/adminmggrresouces

3.17 IHS Computer Security Directives. http://www.ihs.gov/adminmggresources

4.0 Definitions:

4.1. Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart

46.5 and subject to other terms and conditions of the contract.

4.2. Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

4.3. Area: A defined geographical region for Indian Health Service administrative purposes. Each

Area Office may administer several Service Units.

4.4. ARRT: American Society of Radiologic Technologists.

4.5. Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association which makes explicit primary goals, values and obligations of the nursing profession.

https://www.govinfo.gov/content/pkg/STATUTE-104/pdf/STATUTE-104-Pg4789.pdf https://www.govinfo.gov/content/pkg/CFR-2002-title42-vol1/xml/CFR-2002-title42-vol1-part136-subpartK.xml https://www.govinfo.gov/content/pkg/CFR-2002-title42-vol1/xml/CFR-2002-title42-vol1-part136-subpartK.xml http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.nicwa.org/policy/law/protection/index.asp http://www.cms.hhs.gov/hipaa http://www.usdoj.gov/oip/privstat.htm http://www.nursingworld.org/ http://medi%E2%80%90smart.com/practice.htm https://www.congress.gov/100/statute/STATUTE-%20%20%20%20%20101/STATUTE-101-Pg1724.pdf https://www.congress.gov/100/statute/STATUTE-%20%20%20%20%20101/STATUTE-101-Pg1724.pdf https://www.ihs.gov/issa/ http://www.ihs.gov/ http://www.ihs.gov/adminmggrresouces http://www.ihs.gov/adminmggresources

4.6. Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

4.7. Contractor: The Company awarded a legal binding contract to provide supplies and/or services.

4.8. Contracting Officer’s Representative (COR): A federal employee who assists the ordering/issuing activity contracting officer in the administration of task orders issued under this contract. The COR is primarily responsible for the technical assistance and day-to-day program management of the ordering activity’s task orders. Ordering activities may have different designators for this employee (e.g. GTR – Government Technical Representative, COTR–Contracting Officer’s Technical Representative, or PO Project Officer). The Service Unit Director of Nursing (DON), Radiology Supervisor (RS), or Technical Point of Contact (TPOC) providing assistance with management of facility Task Order(s), will be responsible for monitoring the technical progress including surveillance and assessment of performance for this order.

Technical Point of Contact: Dawn Austin, Interim Radiology Supervisor, (406) 338-6177.

4.9. Cooperative Attitude: Behavior that is positive and displays a willingness to perform assigned patient care tasks and to be a team player.

4.10. Cultural Awareness: Realization and respect for American Indian and Alaska Native practices.

4.11. Customer: Patients, staff and visitors of an IHS service unit and health center.

4.12. Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor’s performance.

4.13. Dependability: Qualities of being trusted and being able to repeat the same task to yield the same result.

4.14. Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

4.15. Government Vehicle: An IHS owned motor vehicle or a vehicle leased by IHS through agreements with the General Services Administration (GSA) or through commercial rental agreements.

4.16. Health Insurance Portability and Accountability Act (HIPPA): a US law designated to provide privacy standards to protect patients’ medical records and other health information provided to health plans, doctors, hospitals and other health care providers.

4.17. Health Station: A facility physically separated from a hospital, with a wide range of ambulatory services including at least primary care providers, nursing, laboratory, and x-ray which are available at least 40 hours a week for outpatient care.

4.18. Mammography Quality Standards Act (MQSA) of care: Regulations which the Mammography profession describes the responsibilities for which its mammography technologists are accountable. The standards provide direction for medical practice and a framework for the evaluation of practice. The standards of medical practice may pertain to general or specialty practice.

4.19. Non-personal Services Contract: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.

4.20. Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.

4.21. Ordering Activity Contracting Officer: A Government employee of IHS authorized and warranted to issue task orders and to make subsequent task order modification(s) under this contract. The Ordering Activity CO has the authority to make initial determinations on all matters of dispute regarding task orders.

4.22. Orientation: An activity designed to provide basic familiarization of the facility and transition the Contractor into the IHS Service Unit and/or Health Center and the department where the services will be provided.

4.23. Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. This includes the contractor’s record of conformance to specifications and to standards of good workmanship; the contractor’s record of containing and forecasting costs on any previously performed cost reimbursable contracts; the contractor’s adherence to contract schedules, including the administrative aspects of performance; the contractor’s history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business-like concern for the interest of the customer.

4.24. Patient Outcome: End result of mammogram imaging.

4.25. Performance based Matrix: Lists the services to be monitored and the standards to be applied.

4.26. Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

4.27. Service Unit: The local administrative unit of IHS.

4.28. Task Order: An order issued in accordance with the terms of the contract that details an ordering activity’s specific requirements. An ordering activity’s written order to obtain services, at a minimum will include the following where applicable: description of services, skill categories, hours, price, period of performance, contract number, and the ordering activity’s task order number.

4.29. Tour of Duty: The time of day the contractor is scheduled to perform medical services duties;

to include thirty minutes to one hour lunch as scheduled for Internal Medicine or Family Practice.

4.30. Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.

4.31. Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

5.0 Government Furnished Information, Property and Services:

5.1. Information: Government unique information related to this requirement, which is necessary for Contractor performance, will be made available to the Contractor. The Contracting Officer or designee will be the point of contact for identification of any required information to be supplied by the Government.

5.2. Joint Use by the Government and the Contractor: Except for the property and service listed in

5.3 and 6.0, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

5.3. Contractor Exclusive Use:

5.3.1. Personal Protective Equipment (PPE): The Government will furnish the Contractor with appropriate PPE other than specified in paragraph 4 of the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

5.3.2. The Government will provide facility specific contractor identification badges for each contractor. A minimum fee of $10.00 will be charged for lost or destroyed badges.

5.4. Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures.

Training will be provided ONLY if the subject matter is necessary to improve or enhance the quality of medical provider services or includes mandates made by the IHS Service Units/Health Centers while the candidates are working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

6.0 Contractor Furnished Property:

6.1. Except for the property specified in paragraph 3 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

6.1.1. Uniforms and Lab Coats: Uniforms and Lab Coats shall conform to the requirements of the Indian Health Service Manual, Part 3 Chapter 4 and meet the approval of the Chief Nurse Executive at the IHS facility.

6.1.2. Other personal medical instruments: “Other personal medical instruments” are defined as Contractor owned items and may include but not is limited to stethoscope, scissors, as appropriate to the work unit. The Contractor shall not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR, RS or TPOC prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

7.0 Conduct: The Contractor shall meet standards as listed in the Federal Code of Conduct.

7.1. The Government reserves the right to remove from the facility any Contractor employee failing to abide with the Federal Code of Conduct.

7.2. A Contractor demonstrating impaired judgment will not be allowed to continue working on the contract. The Government reserves the right to remove from the facility any Contractor whom in the judgment of a licensed healthcare practitioner is impaired.

8.0 Work Schedule: The Staff Program Supervisor at the IHS facility will determine specific tour of duty for the Contractor within the scope of the task order. Contractor shall work in accordance with the tour of duty as scheduled to meet the patient care needs of the Service Unit facility. The Contractor will be scheduled for lunch breaks of thirty minutes to one hour as assigned and/or rotated, based upon department scheduling.

8.1. When and if applicable; Overtime, Holiday, Call-Back and On-Call hours shall be performed as agreed upon by the Program Supervisor and Contractor within the limits of the task order. Overtime hours will be scheduled where there are departmental coverage gaps, to ensure adequate staffing for patient care.

8.2. The Contractor shall provide notice of unavailability to their employer (The Contractor) and the Medical Staff Program Supervisor or designee prior to any absence from work. The Contractor shall provide notification at least fifteen (15) days in advance of a desired absence if the length of the absence exceeds eight (8) work hours. Verifiable emergencies are the only exception to the advanced notification requirements.

8.3. The Contractor shall provide a qualified replacement for any absence of more than 8 work hours.

8.4. All Contractors shall complete the credentialing and clearance requirements at the appropriate level before reporting for work.

9.0 Deliverables

9.1. Monthly Data Report: The contractor shall provide a monthly data report that identifies the task order, Contract Line-Item Number (CLIN), Contractor’s name, dates of service, quantity of hours worked, and hourly rate. The Contractor shall provide a summary of task order hours authorized, hours worked, balance of hours remaining, estimated monthly invoice amount, and estimated balance of funds remaining.

9.2. The Contractor shall notify the Contracting Officer and the COR via email when 75% of the authorized hours or 75% of the obligated funding has been expended.

10.0 Contractor Radiologic Technologist Mammographer Qualification Requirements:

10.1. Experience. The Contractor must meet initial MQSA requirements for the radiologic technologist including, among other provisions, completion of 25 supervised mammograms. Documentation of completion is required by the FDA and must be verified via the online tool. ARRT requests confirmation that the candidate is MQSA compliant but does not require online entry of these 25 mammograms

10.1.1. Experience shall equip the Radiography technologist (M) to be trained to perform mammograms and also meet the standards set by the Mammography Quality Standards Act (MQSA). The Technologist shall be versed in topics like breast anatomy, positioning, compression, and quality assurance techniques.

10.1.2. The contractor must perform mammographic imaging (screening and/or diagnostic). Select equipment appropriate to the patient and the views to be performed (e.g., compression paddles, magnification stand).

10.1.3. Adjust exposure factors, as needed (e.g., implanted devices, augmentation, post-radiation changes).

10.1.4. Evaluate the images to assure that they contain proper identification and labeling, and are of diagnostic quality.

10.1.5. Provide for patient comfort and cooperation by familiarizing patient with the equipment and process, stressing the need for compression, and by providing general psychological support.

10.1.6. The contractor must participate in the performance, evaluation and recording of all the QC tests as indicated in the 2018 ACR Digital Mammography Quality Control Manual or according to equipment manufacturer’s recommendations.

10.2. License/Registration. The Contractor shall possess a current, valid, unrestricted license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, from an FDA-approved body throughout the term of this contract and certification and registration in mammography from the American Registry of Radiologic Technologists (ARRT), which requires to first be certified in general radiography and meet specific educational and clinical experience requirements in mammography.

10.3. Motor Vehicle Operator’s License. The Contractor shall possess a valid state driver’s license throughout the term of this contract.

10.4. Certifications. The Contractor shall possess mandatory certifications by the operating facility or by applicable laws to perform such duties.

10.5. Degree or Diploma. The Contractor shall possess a degree or diploma from a professional program approved by the legally designated state accrediting agency at the time of the program was completed by the applicant.

10.6. Review of Qualifying Factors. The Radiology Program Supervisor at the onboarding IHS facility, or their designee, will review all required documentation, conduct candidate interview, and reference checks for each Contractor, to ensure verification and compliance prior to proceeding with background check/clearance process.

11.0 Background Checks / Clearance: As directed by the Contracting Officer, the Contractor shall provide all requested information necessary to perform background checks. The Contractor shall comply with the requirement to obtain security investigations. The Contractor shall work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. All completed forms will be reviewed by the Contractor and forwarded to the Government personnel. IHS will immediately remove a Contractor from the position if at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

12.0 Health Requirements/Conditions of Employment:

12.1. Medical Evaluation: The Contractor shall provide a fitness for duty certificate to perform the proposed job without significant risk to personal health or the health and safety of others.

12.2. Immunization: The Contractor shall provide the documentation of the following:

A. Hepatitis A – 2 dose series at 0 and 6 months.

B. Hepatitis B – 3 dose series at 0, 1, and 6 months or documented immunity. A signed declination of Hepatitis B vaccination series will be accepted.

C. Measles, Mumps, Rubella (MMR) – 2 doses or titer documentation.

D. Varicella (chickenpox) – 2 doses, titer documentation or history of varicella/shingles.

E. Tetanus, diphtheria, pertussis (Tdap/Td) – 1 dose of Tdap, then tetanus (Td) booster every 10 years thereafter.

F. Meningococcal – Two vaccines (MenACWY and MenB) recommended for microbiologists routinely exposed to N. meningitides.

G. Documentation of annual TB test – may include Mantoux TB skin test (PPD). All registered nurses require the 2 step TST. Acceptable lab testing: Quantiferon Gold or T-Spot test.

For positive TB test results, please submit a copy of recent chest x-ray results.

H. Influenza – MANDATORY annual vaccination.

I. Highly encourage COVID vaccination.

13.0 Transportation and Lodging: The Contractor shall be responsible for all applicable Federal, State, and Local Taxes, Meals, Travel/Transportation. Lodging is available but must be paid for by the Contractor.

Government quarters are available at prevailing rental rates plus utilities, as applicable, if government quarters are utilized. The Contractor shall be responsible and liable for the proper care of government owned or leased property furnished in occupied quarters.

14.0 Performance Evaluation:

14.1. The Contractor’s performance will be evaluated in accordance with the standards set forth in the contract and Performance-based Matrix of section 22.0.

14.2. Substantiated reports written by any customer dealing with patient safety, infection control, or other procedure that adversely affects patient outcome constitutes a breach of contract.

15.0 Identification of Contractor: The Contractor shall wear a government issued contractor identification badge during performance of duty.

16.0 Management of Medical Information: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols.

16.1. The Contractor shall ensure adherence to Department of Health and Human Services (DHHS) IT system security policies and procedures. The IT policies and procedures will made available to the Contractor upon request.

16.2. The Contractor shall immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

17.0 IHS Information Technology Systems: The Contractor shall possess basic knowledge, skills, and abilities to use a computer.

17.1. The Contractor shall adapt to and successfully utilize IHS information technology systems that are deemed by the Radiology Supervisor as necessary for acceptable contractor performance.

17.2. The Contractor shall ensure that IHS information technology system security policies and procedures are adhered to. The IT policies and procedures will be made available to the Contractor at each IHS facility.

18.0 Orientation: The Contractor providing service under this contract shall attend mandatory orientations and training specified by the IHS, the Service Unit or the Radiology Supervisor.

19.0 Language Requirements and Cultural Awareness: The Contractor shall read, understand, speak, and write English to effectively communicate with patients and other health care workers, and shall be respectful of the local, American Indian and Alaska Native culture.

20.0 Challenges to Conflicts: The Contractor shall maintain an appropriate professional demeanor in the presence of patients and with each other. Harmony and good communication between the staff are necessary to maintain the best patient care environment and all staff members are expected to contribute to a positive milieu. Violent language, profanity, and any threatening behaviors are specifically prohibited.

21.0 Technical Point of Contact: Dawn Austin, Interim Radiology Supervisor, 406-338-6177, Dawn. Austin@ His.gov.

BAO PWS June 30, 2022

22.0 Performance – Based Matrix

Performance based Task Indicator Standard Quality Assurance Incentives

State the end results or outputs that you, the customer will formally accept or reject.

For the requirement, state the feature(s) of end result that will be surveilled.

For each “indicator,” state a performance level that, when met, means the task has been performed satisfactorily.

This Standard describes “What Success Looks Like.”

For each “Standard”, state the method used to check performance (i.e. random sampling, 100% inspection, periodic inspection, customer complaints).

List Positive and Negative Incentives. Address method of linking payment to quality of service.

Contractor shall provide a Mammography Technologist in the delivery of mammographic imaging services to the Billings Area Indian Health Service.

Competency

Compliance

Quality

Patient Outcomes

Professionalism

Documentation

Maintain 100% of the required competencies (refer to Section 10.0)

100% compliance with IHS Service Units and/or Health Centers published Policies; Procedures; Standards of Care; and hospital and nursing Protocols.

Perform 100% of the required tasks (refer to Section 10.0) during scheduled tour of duty (refer to Section 8.0)

No reports of breached patient safety, infection control, and other procedures that might adversely affect patient outcome.

Performance characterized by continual cultural awareness and focus on customer service at 100% adherence to the Nursing Code of Ethics and Federal Code of Conduct.

100% percent of all documentation meets established IHS Medical Facility, Joint Commission, and Centers for Medicare and Medicaid Services (CMS) standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

See QASP. Surveillance systems will include direct observation, periodic inspections, validated customer complaints, random sampling, and verification of documentation provided by the contractor.

Payment of contract price for satisfactory service.

Contractor performance will be evaluated using the Contractors Performance Assessment Report (CPAR). The evaluation will be considered when future IHS Contract selections are made.

BAO PWS June 30, 2022

23.0 List of Exhibits and Attachments. To be provided by the Contracting Officer upon request.

23.1 Exhibits

A - Quality Assurance Surveillance Plan (QASP) B - Contract Data Requirements List (CDRL) DD Form 1423

23.2 Attachments

23.2.1 Witten Competency Assessments

a. Confidentiality/HIPAA/Patient’s Rights

23.2.2 Contract Orientation Check List

23.2.3 Contract Billing Information

23.2.4 Standard Emergency Codes

23.2.5 Confidentiality: Legal and Ethical Concerns in Healthcare

23.2.6 EMTALA – Emergency Medical Treatment and Labor Act

23.2.7 What is Age-Specific Competencies?

23.2.8 An Introduction to the Native American Culture

23.2.9 Verbal and Telephone Orders

23.2.10 Latex Allergy

23.2.11 Focus Charting

23.2.12 Mammography Standards

23.2.13 Immunization documentation

23.2.14 Required certification documentation