Appendix L_CCRT Deployment Scenario Staffing Roster.xlsx
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RFP Template
| CCRT Deployment Scenario Staffing Roster. Indicate names of qualified individuals in spaces below. | ||||
| CLIN # | Labor Category | CCRT Team 1 | CCRT Team 2 | Back-Ups |
| 001 | Critical Care Response Team Members | |||
| 001A | Physician (Task 2.3.1) | |||
| 001B | Critical Care Registered Nurse (RN) - A (Task 2.3.2) | |||
| 001B | Critical Care Registered Nurse (RN) - B(Task 2.3.2) | |||
| 001C | Registered Respiratory Therapist (RRT) (Task 2.3.3) | |||
| 001D | Nurse Practitioner (Task 2.3.4) - optional labor category | |||
| 001E | Physician Assistant (Task 2.3.5) - optional labor category | |||
| 001F | Health Care Professional – Optional |
(Task 2.3.6)
| 002 | Key Personnel |
| 002A | Program Manager (Task 1) |
| 002B | Physician and Nursing Oversight |
| Indicate "X" for the labor categories that your organization can provide by the Requested Deployment Start Date. Indicate N/A if unable to provide service at that hospital; or when you anticipate being able to meet the need. Per Task 2, a fully resourced CCRT is comprised of 1 physician, 1-2 RNs, and 1 RRT. Multiple teams may be deployed at any one time, and that marking “X” below indicates that Offeror's sufficient staffing pool exists to fully staff all required CCRT teams (based on the tentative month that service will begin referenced in Column E. | ||||||||||
| IHS Area | Hospital Name | Primary Purpose (Scenario 1, 2, or 3) | Estimated Onsite Deployment Length | Month Service is Required to Begin (tentative) | Offeror's Proposed Deployment Start Date 2 | Physician | RN - A | RN - B | RRT | other labor category |
| Alaska Area | Alaska Native Medical Center (Anchorage, AK) | Scenario 1: Surge Support and Initial Consultation | 10-14 days with one 24-hour rest period | November 2020 | ||||||
| Albuquerque Area | Zuni IHS Hospital (Zuni, NM) | Scenario 1: Surge Support and Initial Consultation | 10-14 days with one 24-hour rest period | December 2020 | ||||||
| Navajo Area | Gallup Indian Medical Center (Gallup, NM) | Scenario 1: Surge Support and Initial Consultation | 10-14 days with one 24-hour rest period | November 2020 | ||||||
| Bemidji Area | Red Lake Hospital (Red Lake, MN) | Scenario 2: Surge Support and Initial Consultation | 10-14 days with one 24-hour rest period | November 2020 | ||||||
| Bemidji Area | Cass Lake Hospital (Cass Lake, MN) | Scenario 2: Surge Support and Initial Consultation | 10-14 days with one 24-hour rest period | December 2020 | ||||||
| Great Plains Area | Pine Ridge Hospital (Pine Ridge, SD) | Scenario 2: Surge Support and Initial Consultation | 10-14 days with one 24-hour rest period | November or December 2020 | ||||||
| Great Plains Area | Rosebud Hospital (Rosebud, SD) | Scenario 2: Surge Support and Initial Consultation | 10-14 days with one 24-hour rest period | November or December 2020 | ||||||
| Billings Area | Crow Hospital and Northern Cheyenne Service Unit (Crow Agency and Lame Deer, MT) | Scenario 3: Revisit | 5-7 days, no rest period | November 2020 |
1/ Primary Purpose Description: Surge Support and Initial Consultation describes when the primary reason for onsite support is for surge support and clinical education with bedside critical care training to develop and prepare current emergency department, inpatient, and outpatient personnel; critical patient care support of patients with confirmed or suspected COVID 19. Additionally, the facility requests consultation and review of current practice and protocols with recommendation for process improvements.
2/ Offeror's Proposed Deployment Start Date: Offeror shall indicate proposed deployment dates based on facility(ies) that the Offeror can provide a fully resourced CCRT. Earliest Date Deployment would begin assuming all CCRT are eligible to perform services under the contract and receive a favorable federal background investigation pre-clearance determination from IHS.
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