Attach 1- 11 FTE Clincial RN PWS- 10May21.pdf

FA301021R0011

Attachment 1

10 May 2021

PERFORMANCE WORK STATEMENT

11 FTE CLINICAL REGISTERED NURSES (EMERGENCY SERVICES,

ENDOCRINOLOGY, ENDOSCOPY, FAMILY HEALTH,

HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE, PEDIATRICS,

PULMONOLOGY, RHEUMATOLOGY, WOMEN’S HEALTH)

Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Contractor shall provide eleven (11) full time equivalent (FTE) Clinical Registered Nurses (RNs) (Credentialed). The 11 FTE positions will be assigned to the following sections within the Medical Treatment Facility (MTF): Emergency Services (1 FTE), Endocrinology (1 FTE), Endoscopy (1 FTE), Family Health (2 FTEs), Hematology/Oncology (1 FTE), Internal Medicine (1 FTE), Pediatrics (1 FTE), Pulmonology (1 FTE), Rheumatology (1 FTE), and Women’s Health (1 FTE). Health Care Workers (HCWs) shall provide services for Government beneficiaries at Keesler Medical Center (KMC), 81st Medical Group (81 MDG), Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the MTF herein. The Contractor shall provide services on a personal service basis. Performance shall be in accordance with (IAW) the requirements contained in this Performance Work Statement (PWS) and the professional standards of the Joint Commission (JC). This contract shall be issued under a personal services arrangement, which is intended to create an employer-employee relationship between the Government and the individual contract HCWs only to the extent necessary for providing the health care services required under this contract. The performance of health care services by the individual contract HCW under personal services contracts are subject to day-to-day supervision and control by Government personnel comparable to that exercised over military and civil service HCWs engaged in comparable health care services. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association, or other party or legal entity with which the contract HCW may be associated. The authority for personal services under this contract is 10 United States Code 1089 and 10 United States Code 1091, IAW DHA-PI 6025.05.

1.1. CONTRACTOR MANAGEMENT STAFF RESPONSIBILITIES.

1.1.1. Verification and Validation of Candidate Qualifications. The Contractor shall verify and validate candidate qualifications against Government minimum requirements prior to submission of qualifying documents.

1.1.2. The Contractor shall submit a qualifying documentation package for the Government to validate against the minimum requirements as outlined in this Performance Work Statement (PWS). The minimum requirements include education, experience, licensure, and certification.

After award, a package for each HCW shall be submitted to the Contracting Officer (CO) for review prior to performance on this contract.

1.1.3. Placement of Contractor Personnel. The Contractor shall recruit and place contractor personnel in a timely manner; personnel shall physically start work no later than 30 calendar days form the initial date on the period of performance (POP).

1.1.4. Replacement of Contractor Personnel. The Contractor shall replace permanent contractor personnel such that vacancies will not exceed 30 consecutive calendar days. When replacing contractor personnel, the consecutive calendar days begin when the contractor personnel terminates employment.

1.1.5. Substitute or Temporary Coverage. The Contractor shall substitute permanent contractor personnel whenever a temporary absence is expected to exceed 30 consecutive calendar days. The Contractor shall promptly notify the Contracting Officer Representative (COR) and Functional Requirements Evaluation Designee (FRED) of any projected absences exceeding 30 consecutive calendar days and ensure no temporary absence exceeds 30 consecutive calendar days through the use of a qualified substitute.

1.1.6. Resolve Performance Issues. The Contractor shall adequately resolve MTF and patient complaints regarding contractor personnel which satisfy Government concerns.

1.2. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE

RESPONSIBLE. The contractor shall provide all labor, management, supervision, consultations, and reports necessary to ensure all tasks meet the requirements in this PWS and Services Summary (section 2). Specific duties are outlined below and shall be performed with minimal direct oversight.

1.2.1. Clinical Registered Nurse, Emergency Services (ES)

1.2.1.1. Adhere to and maintain a system of supply inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the work center and clinical laboratory to minimize waste and ensure uninterrupted services.

1.2.1.2. Practice general hospital safety, infection control, aseptic and sterile techniques for safe handling of sharps, electrical equipment, and blood or blood products, to include cleaning of work areas and equipment.

1.2.1.3. Participates in patient assessment, procedure set-up, teardown, and clean-up while incorporating safety, quality, and values aligned with trusted care and patient centered principles.

1.2.1.4. Participate in the orientation, training, and peer review evaluation of duty performance of newly assigned ES RN personnel ensuring compliance with standards of care and practice.

1.2.1.5. Provides emergency nursing care for emergent (Level 1), urgent (Level 2), non-urgent (Level 3, 4, 5) patients coming to the Emergency Department.

1.2.1.6. Assesses, plans, implements, and evaluates nursing care for all patients including newborns, children, adolescents, adults and the elderly; disabled to include visually and hearing impaired; and individuals of varying ethnic and religious backgrounds to include those who do not speak or understand English.

1.2.1.7. Possess/maintain proper certification and skills to perform required duties within regulatory compliance and with minimal oversight.

1.2.1.8. Complete applicable documentation to include manual and computer methods.

1.2.1.9. Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use to include knowledge of the administrative requirements for proper documentation of patients condition including disease progress, acknowledgement of teaching, and follow up care. Including knowledge of emergency medication usage and administration.

1.2.1.10. Assumes full responsibility of healthcare for assigned patients and ancillary personnel.

Delegates tasks, directs emergency room technicians, specialty technicians, and provides counseling, guidance, and patient education.

1.2.1.11. Recognizes medical emergencies and responds appropriately. Initiates Cardio- Pulmonary Resuscitation (CPR) if required. Assists medical team in administering advanced cardiac life support measures when necessary.

1.2.1.12. Assists with orientation and training of newly assigned and inexperienced personnel.

1.2.1.13. Participates in in-services and continuing education programs.

1.2.1.14. Establishes and maintains good interpersonal relationships with co-workers, families, peers, and other health team members.

1.2.1.15. Will be oriented/trained on the use of all equipment available for patient care.

1.2.1.16. Excellent oral communication skills.

1.2.1.17. Ensure all equipment is properly cleaned and stored at the end of each work shift.

Ensure preventive maintenance and routine cleaning are performed as directed.

1.2.1.18. Ensure a safe work environment and employee safe work habits.

1.2.1.19. Mixes and administers prescribed medications orally, intramuscularly, subcutaneously, intravenously, topically, etc., and knows contraindications of which medications may alter the effects of another medication if administered concurrently prior to the administration of said medication.

1.2.1.20. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.2. Clinical Registered Nurse, Endocrinology

1.2.2.1. The HCW shall provide professional nursing care for patients as scheduled by the Government.

1.2.2.2. Practice general hospital safety, infection control, aseptic and sterile techniques for safe handling of sharps, electrical equipment, and blood or blood products, to include cleaning of work areas and equipment.

1.2.2.3. Ensure a safe work environment and safe employee work habits.

1.2.2.4. Possess/maintain proper certification and skills to perform required duties within regulatory compliance and with minimal oversight.

1.2.2.5. Perform assigned test procedures within the endocrinology clinic.

1.2.2.6. Utilize and maintain proficiency in use of electronic medical records.

1.2.2.7. Take immediate care of patients by recognizing adverse reactions to the procedure and instituting immediate corrective measures.

1.2.2.8. Ability to recognize adverse signs and symptoms and react quickly in emergency situations.

1.2.2.9. Participate in the orientation, training, and evaluation of duty performance of newly assigned personnel ensuring compliance with standards of care and practice.

1.2.2.10. Help plan, coordinate and conduct evidence-based programs and classes aimed at diabetes education, health improvement and disease intervention/prevention.

1.2.2.11. Perform annual routine comprehensive diabetic foot exam and quarterly high risk foot visual inspection.

1.2.2.12. Accurately accomplishes appropriate documentation in patients’ medical record in a timely manner in the Armed Forces Health Longitudinal Technology Application (AHLTA), Healthcare Artifacts and Image Management Solution (HAIMS) and other systems as the Air Force Medical Service (AFMS) deems necessary.

1.2.2.13. Adheres to infection control procedures including use of personal protective equipment, disposal of waste, and aseptic technique when conducting finger sticks, triage and standard of care.

1.2.2.14. Participates in in-service training and continuing education programs for new procedures, techniques, and equipment.

1.2.2.15. Serves as an advocate for, and ensures education is provided to, the patient and family/caregiver as required.

1.2.2.16. Develops, utilizes and maintains a variety of military and community resources to optimize access to services and medical care for endocrinology patients.

1.2.2.17. Receives and makes patient telephone consultation calls, written, or encrypted mail correspondence regarding specialty clinic appointments, test results, treatments, medications and referrals following MTF-specific processes. Communicate information to the physician and adheres to acceptable protocol for patient care per physicians.

1.2.2.18. Provide nursing management of patients with diabetes and other endocrine disorders to facilitate achievement of outcomes important to their condition including blood glucose control, cardiovascular risk reduction, depression assessment, and self-management of their condition.

1.2.2.19. Provides education regarding diabetes and treatment options, diabetes nutrition, exercise and activity, managing blood sugar, and diabetes medications which include skills related to the self-administration of injectable drugs.

1.2.2.20. Under physician order with proven competencies and with endocrinology departmental policy/procedures, perform routine endocrinology metabolic testing/procedures, injections, and IV infusions.

1.2.2.21. Works collaboratively with diabetic vendors (physicians and other providers) to ensure that patients obtain equipment/treatment resources.

1.2.2.22. Administer medications prescribed to appropriate patients and documents every dose of medication administered, including the strength, dose or rate of administration devices used, access site or route, adverse drug reaction and patient’s response to medication.

1.2.2.23. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.2.24. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.3. Clinical Registered Nurse, Endoscopy

1.2.3.1. Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to care, quality and cost effectiveness.

1.2.3.2. Ensures compliance with standards of care and practice IAW all established policies, procedures, and guidelines used in the MTF. Provides care within ethical and legal boundaries.

1.2.3.3. Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.

1.2.3.4. Ability to effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format in addressing professional issues.

1.2.3.5. Ability to recognize adverse signs and symptoms and react quickly in emergency situations.

1.2.3.6. Skill in setting up, operating and monitoring specialized medical equipment such as intravenous (IV) infusion pumps, cardiac monitoring devices, electrocardiogram (EKG) units, oxygen analyzers, nebulizers, and other unit specific equipment.

1.2.3.7. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.3.8. Work proactively with the Gastrointestinal (GI) Lab team to continually assess patient’s discharge planning needs and ensure timely discharge of patient.

1.2.3.9. Function independently in administering treatments and procedures, and in using endoscopy equipment. Treatments include IV sedation (Conscious Sedation), IV cannulation and therapy (including antibiotics and blood products).

1.2.3.10. Procedures include assisting with endoscopy procedures, as needed, pH probe insertion and monitoring, prepping patients for procedures. Recovering patients from sedation effects is needed for specific patients (i.e. Patient on isolation precautions are recovered in the clinic).

1.2.3.11. Transfer patients to the recovery area and recover patients in the Gastroenterology Recovery Unit (GRU).

1.2.3.12. Performs a full range of nursing procedures such as: IV fluid administration, oxygen administration, vital signs, specimen collection and other unit specific procedures as prescribed by the provider.

1.2.3.13. Completes orientation and competency verification programs IAW unit guidelines.

1.2.3.14. Participates in the orientation and training of newly assigned personnel, as appropriate.

1.2.3.15. Serves and participates in committees, functions and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service initiatives, and medical readiness activities, designed to enhance health services.

1.2.3.16. Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.

1.2.3.17. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.4. Clinical Registered Nurse, Family Health

1.2.4.1. Uses the nursing process in delivery of care in Family Health Clinic or via telephone.

1.2.4.2. Performs a systematic, comprehensive patient assessment during clinic visits or via telephone in order to establish urgency of patient’s complaint. Rapidly recognizes life-threatening emergencies and is able to discern between relevant and irrelevant information in taking patient history.

1.2.4.3. In collaboration with the patient, develops a plan of care which facilitates safe, cost-effective, high quality healthcare services aimed at promoting optimum wellness. Incorporates assessment parameters unique to nursing across distances, such as patient distance from care and availability of resources.

1.2.4.4. Carries out plan of care, facilitating referral to the appropriate level of care and provides home care instructions as indicated. Provides care within the context of the patient’s own agenda.

Facilitates continuity of care.

1.2.4.5. Evaluates effectiveness of care and other quality parameters such as customer satisfaction at the conclusion of clinic visit or telephone encounter.

1.2.4.6. Appropriately utilizes approved protocols for patient assessment and clinical decision-making, recognizing when deviation from protocol is required.

1.2.4.7. Applies professional, community, and regulatory standards in delivery of care in clinic setting or via telephone.

1.2.4.8. Maintains current knowledge of all over-the-counter medications that are recommended in approved protocols.

1.2.4.9. Understands the importance of and shows competence in the application of excellent communication skills, recognizing and demonstrating the critical role of telephone communication (tone of voice, telephone etiquette, etc.) in the delivery of care by telephone.

1.2.4.10. Utilizes critical decision-making skills, incorporating a variety of patient characteristics and elements of care delivery, such as, distance from care, available resources, age, and chronic illness, into decision making.

1.2.4.11. Assumes accountability for own practice and delegates tasks appropriately.

1.2.4.12. Documents effectively, facilitating care and reducing organizational risk.

1.2.4.13. Possess a knowledge base that supports independent clinical decision-making (as guided by protocols and nursing judgment), and seeks collaboration when indicated.

1.2.4.14. Facilitates access to the health care system through referral to primary providers, specialists, healthcare facilities, and community resources. Schedules appointments IAW hospital policies and procedures.

1.2.4.15. Completes clinical nurse triage orientation and initial competency verification program.

Participates in on-going competency verification program.

1.2.4.16. Demonstrates knowledge of telephone triage approved protocols, and professional nursing standards of care and practice.

1.2.4.17. Ensures patient safety, confidentiality, informed consent, and patient rights IAW JC guidelines and Air Force (AF) policy when providing care and services.

1.2.4.18. Maintains professional manner and displays positive/cooperative attitude.

1.2.4.19. Ability to recognize adverse signs and symptoms and react quickly in emergency situations.

1.2.4.20. Performs a full range of nursing procedures such as: IV fluid administration, oxygen administration, vital signs, specimen collection and other unit specific procedures as prescribed by the provider.

1.2.4.21. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.4.22. Completes orientation and competency verification programs IAW unit guidelines.

1.2.4.23. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal

1.2.5. Clinical Registered Nurse, Hematology/Oncology

1.2.5.1. Acts as Hematology Oncology nurse in both in-patient and outpatient capacity.

1.2.5.2. Obtain patient history by reviewing medical information and interviewing patient and family. Assess a baseline status (e.g. physical, function, social and emotional).

1.2.5.3. Possess/maintain proper certification and skills to perform required duties within regulatory compliance and with minimal oversight but not limited to timeliness, accuracy, content and signature.

1.2.5.4. Assess symptoms at weekly treatment/status check visits. Assess problems that arise in between status check visits, either in the department or over the phone. Assess for long-term effects and follow-up visits. Integrates findings of assessment to correctly identify actual and potential problems.

1.2.5.5. Prepares the exam room and medical equipment for procedures to be performed.

Documents the procedures in the patient’s chart.

1.2.5.6. Provides appropriate nursing intervention for actual or potential problems that the patient and family may experience related to the disease and treatment processes.

1.2.5.7. Calculate body surface (BSA), medication dosage, and verify dosage on all medications administered. Review lab results prior to treatment to clarify patient is able to receive treatment.

1.2.5.8. Administer IV and subcutaneous (SQ) chemotherapy. Monitors patient receiving treatment. Manages urgent problems (e.g. allergic reactions, uncontrolled nausea, vomiting, and pain).

1.2.5.9. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.5.10. Completes orientation and competency verification programs IAW unit guidelines.

1.2.5.11. Coordinates care for patients receiving multimodality treatment (e.g. provides patient calendar with dates of chemotherapy; communicates and collaborates with physicians and nurses in surgical and radiation oncology regarding timing of treatments and management of patient problems).

1.2.5.12. Coordinates care with primary physician, skilled nursing facility, rehabilitation, home care, and hospice as needed.

1.2.5.13. Coordinates transfers to emergency room or to inpatient units.

1.2.5.14. Participates in performance improvement activities.

1.2.5.15. Adheres to established aseptic procedures to protect patients from unnecessary exposure to infectious agent.

1.2.5.16. Cleans and prepares equipment. Disposes of infectious and hazardous waste materials IAW established procedures.

1.2.5.17. Act as an advocate for the patient and family and encompasses patient/family teaching, symptom management, counseling and age specific training. Informs patients and family members about self-care. Provides input for patient care planning.

1.2.5.18. Accurately educates patients and family members about the disease, the procedures needed, and the goals or treatment with chemotherapy; and coordinates patient care throughout the continuum of care and refers to social work consultation as needed.

1.2.5.19. Exemplifies and promotes professional responsibilities. Provides leadership, demonstrating honesty, integrity accountability and responsibility in performance of daily activities. Participates in professional development of self and others. Participates in multi-disciplinary working groups implementing new standards/policy/directives for the Medicine Flight. Identifies training needs and provides reliable related in-service training to staff.

1.2.5.20. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.6. Clinical Registered Nurse, Internal Medicine

1.2.6.1. Knowledge of professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Utilizes the nursing process as a basis for professional practice.

1.2.6.2. Knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments, as appropriate.

1.2.6.3. Knowledge of preventive health schedules, disease management, population health principles and education methods.

1.2.6.4. Knowledge of the military health care system including TRICARE health benefits or a working knowledge of the principles of fee-for-services, preferred provider network and managed care/Health Maintenance Organization (HMO) organizations.

1.2.6.5. Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use to include knowledge of the administrative requirements for proper documentation of patients’ condition including disease progress, acknowledgement of teaching, and follow up care.

1.2.6.6. Ability to synthesize data from a variety of sources and make appropriate clinical decisions.

1.2.6.7. Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.

1.2.6.8. Ensures compliance with standards of care and practice IAW all established policies, procedures, and guidelines used in the MTF. Provides care within ethical and legal boundaries.

1.2.6.9. Assesses patients, including the ability to assess/evaluate telephonically.

1.2.6.10. Ability to recognize adverse signs and symptoms and quickly react in emergency situations.

1.2.6.11. Ability to effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family, and for the organization.

1.2.6.12. Excellent oral communication skills for patient/family education. Prescribes and communicates treatment plans IAW established cardiac clinic protocols. Telephone and in-person assessment/evaluation includes the determination of optimal time and location for patient management (emergency room (ER), clinic, and homecare) and follow-up care as required.

Collects and assesses significant patient history information and performs all necessary patient teaching.

1.2.6.13. Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity, including telephone contacts.

1.2.6.14. Arranges for procedures and performs telephone follow-up, as appropriate.

1.2.6.15. Skilled in setting up, operating, and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers and other clinic specific equipment.

1.2.6.16. Ensure medication/supplies are replenished.

1.2.6.17. Performs/assists with procedures such as bladder catheterizations, pulse oximetry, oxygen administration, nebulizer treatments, EKGs, phlebotomy and other clinic specific procedures, IAW established protocols. Provides clinical oversight of all paraprofessionals involved in the provision of therapeutic treatments.

1.2.6.18. Ensures for proper documentation and coding of procedures and treatments.

1.2.6.19. Completes orientation and competency verification programs IAW unit guidelines.

1.2.6.20. Serves and participates in committees, functions and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service initiatives, quality projects, and medical readiness activities, designed to enhance health services.

1.2.6.21. Skilled in starting IV lines and accessing ports or willingness to learn in order to assist the infusion clinic inside of Internal Medicine Clinic with blood draws, infusions and injections.

1.2.6.22. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.6.23. Ability to recognize adverse signs and symptoms and quickly react to emergency situations.

1.2.6.24. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.7. Clinical Registered Nurse, Pediatrics

1.2.7.1. Uses the nursing process in delivery of care in pediatric clinic, via telephone, or secure messaging.

1.2.7.2. Assessment: Performs a systematic, comprehensive patient assessment during clinic visits or via telephone/secure messaging in order to establish urgency of the patient’s problem.

Rapidly recognizes life-threatening emergencies and is able to discern the difference between relevant and irrelevant information in taking a patient history.

1.2.7.3. Planning: In collaboration with the patient, develops a plan of care which facilitates safe, cost-effective, high quality healthcare services aimed at promoting optimum wellness.

Incorporates assessment parameters unique to nursing across distances, such as patient distance from care and availability of resources.

1.2.7.4. Implementation: Carries out plan of care, facilitating referral to the appropriate level of care and provides home care instructions as indicated. Provides care within the context of the patient’s own agenda. Facilitates continuity of care.

1.2.7.5. Evaluation: Evaluates effectiveness of care and other quality parameters such as customer satisfaction at the conclusion of clinic visit or telephone encounter.

1.2.7.6. Appropriately utilizes approved telehealth protocols, for patient assessment and clinical decision-making, recognizing when deviation from the telehealth protocol is required.

1.2.7.7. Applies professional, community, and regulatory standards in delivery of care in clinic setting or via telephone.

1.2.7.8. Maintains current knowledge of pediatric medications, immunizations, and the ability to correctly perform pediatric dosage calculations.

1.2.7.9. Performs a full range of nursing procedures such as: IV fluid administration, oxygen administration, vital signs, specimen collection and other unit specific procedures as prescribed by the provider.

1.2.7.10. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.7.11. Understands the importance of and shows competence in the application of excellent communication skills, recognizing and demonstrating the critical role of telephone communication (tone of voice, telephone etiquette, etc.,) in the delivery of care by telephone.

1.2.7.12. Utilizes critical decision-making skills, incorporating a variety of patient characteristics and elements of care delivery, such as, distance from care, available resources, age, and chronic illness, into decision making.

1.2.7.13. Assumes accountability for own practice and delegates tasks appropriately.

1.2.7.14. Facilitates access to the health care system through referral to primary providers, specialists, healthcare facilities and community resources. Schedules appointments IAW with hospital policies and procedures.

1.2.7.15. Maintains clinical competency and currency of skills through on-going in-services, competency verification program, continuing education, and professional development.

Participates in meetings and committees as necessary.

1.2.7.16. Demonstrates knowledge of telephone triage approved protocols, professional nursing standards of care and practice.

1.2.7.17. Ensures patient safety, confidentiality, informed consent, and patient rights IAW the JC guidelines and AF policy when providing care and services.

1.2.7.18. Demonstrates skill in patient teaching and knowledge of growth, development, and pathophysiologic needs of age specific populations.

1.2.7.19. Follows age-specific, routine, and emergency protocols to manage patients within the scope of professional nursing knowledge, practice, judgment, and skills IAW approved policies/protocols.

1.2.7.20. Demonstrates critical thinking in nursing assessment and accurately determines the most appropriate triage protocol for the situation/presenting problem.

1.2.7.21. Utilizes clinical assessment of caller variables (including those unique to patient care by telephone such as distance from care and non-visible assessment parameters) to maintain appropriateness of disposition (defined urgency) with availability of clinical service (provider visit, urgent care, Emergency Department, etc.)

1.2.7.22. Completes concise, thorough, accurate, objective documentation on each patient interaction, including assessment, plan of care, intervention and disposition, using either standard documentation forms or an approved computerized software program.

1.2.7.23. Demonstrates excellent communication skills. Maintains a customer-driven professional attitude, utilizing appropriate tone, and reflective questioning techniques.

1.2.7.24. Safely administer medications and perform nursing procedures/treatments using developmental and age appropriate approaches for pediatric patients.

1.2.7.25. Set up and operate a variety of specialized medical equipment such as cardiac monitoring devices, IV pumps, EKG units, oxygen therapy and nebulizers.

1.2.7.26. Apply critical thinking and diagnostic reasoning in order to assess patient care needs, formulate individualized nursing care plans, and recognize/respond to changes in the patient status.

1.2.7.27. Ability to recognize adverse signs and symptoms and react quickly in emergency situations.

1.2.7.28. Completes orientation and competency verification programs IAW unit guidelines.

1.2.7.29. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.8. Clinical Registered Nurse, Pulmonology

1.2.8.1. Ability to synthesize data from a variety of sources and make appropriate clinical decisions.

1.2.8.2. Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.

1.2.8.3. Ensures compliance with standards of care and practice IAW all established policies, procedures, and guidelines used in the MTF. Provides care within ethical and legal boundaries.

1.2.8.4. Assesses patients, including the ability to assess/evaluate telephonically.

1.2.8.5. Ability to recognize adverse signs and symptoms and quickly react in emergency situations.

1.2.8.6. Ability to effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family, and for the organization.

1.2.8.7. Excellent oral communication skills for patient/family education. Prescribes and communicates treatment plans IAW established cardiac clinic protocols. Telephone and in-person assessment/evaluation includes the determination of optimal time and location for patient management (ER, clinic, homecare) and follow-up care as required. Collects and assesses significant patient history information and performs all necessary patient teaching.

1.2.8.8. Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity, including telephone contacts.

1.2.8.9. Arranges for procedures and performs telephone follow-up, as appropriate.

1.2.8.10. Skilled in setting up, operating, and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers and other clinic specific equipment.

1.2.8.11. Ensure medication/supplies are replenished.

1.2.8.12. Performs/assists with procedures such as bladder catheterizations, pulse oximetry, oxygen administration, nebulizer treatments, EKGs, phlebotomy and other clinic specific procedures, IAW established protocols. Provides clinical oversight of all paraprofessionals involved in the provision of therapeutic treatments.

1.2.8.13. Ensures for proper documentation and coding of procedures and treatments.

1.2.8.14. Completes orientation and competency verification programs IAW unit guidelines.

1.2.8.15. Serves and participates in committees, functions and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service initiatives, quality projects, and medical readiness activities, designed to enhance health services.

1.2.8.16. Skilled in starting IV lines and accessing ports or willingness to learn in order to assist the infusion clinic inside of Pulmonology Clinic with blood draws, infusions and injections.

1.2.8.17. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.8.18. Ability to recognize adverse signs and symptoms and quickly react to emergency situations.

1.2.8.19. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.9. Clinical Registered Nurse, Rheumatology

1.2.9.1. Knowledge of professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Utilizes the nursing process as a basis for professional practice.

1.2.9.2. Knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments, as appropriate.

1.2.9.3. Knowledge of preventive health schedules, disease management and population health principles, and education methods.

1.2.9.4. Knowledge of the military health care system including TRICARE health benefits or a working knowledge of the principles of fee-for-services, preferred provider network and managed care/HMO organizations.

1.2.9.5. Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use to include knowledge of the administrative requirements for proper documentation of patients condition including disease progress, acknowledgement of teaching, and follow-up care.

1.2.9.6. Ability to synthesize data from a variety of sources and make appropriate clinical decisions.

1.2.9.7. Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.

1.2.9.8. Ensures compliance with standards of care and practice IAW all established policies, procedures, and guidelines used in the MTF. Provides care within ethical and legal boundaries.

1.2.9.9. Assesses patients, including the ability to assess/evaluate telephonically.

1.2.9.10. Ability to recognize adverse signs and symptoms and quickly react in emergency situations.

1.2.9.11. Ability to effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family, and for the organization.

1.2.9.12. Excellent oral communication skills for patient/family education. Prescribes and communicates treatment plans IAW established cardiac clinic protocols. Telephone and in-person assessment/evaluation includes the determination of optimal time and location for patient management (ER, clinic, homecare) and follow-up care as required. Collects and assesses significant patient history information and performs all necessary patient teaching.

1.2.9.13. Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity, including telephone contacts.

1.2.9.14. Arranges for procedures and performs telephone follow-up, as appropriate.

1.2.9.15. Skilled in setting up, operating, and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers and other clinic specific equipment.

1.2.9.16. Ensure medication/supplies are replenished.

1.2.9.17. Performs/assists with procedures such as bladder catheterizations, pulse oximetry, oxygen administration, nebulizer treatments, EKGs, phlebotomy and other clinic specific procedures, IAW established protocols. Provides clinical oversight of all paraprofessionals involved in the provision of therapeutic treatments.

1.2.9.18. Ensures for proper documentation and coding of procedures and treatments.

1.2.9.19. Completes orientation and competency verification programs IAW unit guidelines.

1.2.9.20. Serves and participates in committees, functions and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service initiatives, quality projects, and medical readiness activities, designed to enhance health services.

1.2.9.21. Skilled in starting IV lines and accessing ports or willingness to learn in order to assist the infusion clinic inside of Rheumatology Clinic with blood draws, infusions and injections.

1.2.9.22. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.9.23. Ability to recognize adverse signs and symptoms and quickly react to emergency situations.

1.2.9.24. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal

1.2.10. Clinical Registered Nurse, Women’s Health

1.2.10.1. Knowledge of professional care theories, principles, practices, standards and procedures to provide comprehensive primary care to a select population of essentially healthy women.

1.2.10.2. Knowledge of growth, development, and pathophysiology of disease processes specific to the obstetrical and gynecological population.

1.2.10.3. Knowledge of a wide range of medical disorders to include sickle cell anemia, diabetes, sexually transmitted diseases, thyroid disorders, hypertension, and cardiac disease among other and their potential impact on perinatal outcomes, as well as broad knowledge of normal delivery variations, their complications and indicated therapeutic intervention required.

1.2.10.4. Knowledge of pharmacological agents used in patient treatment, to include desired effects, side effects, and complications/contraindications for their use. Demonstrated ability to administer pharmacologic agents and accurately compute dosage calculations as required.

Knowledge of the administrative requirements for proper documentations of patient’s condition including disease progress, acknowledgement of teaching, and follow up care.

1.2.10.5. Ability to administer medications orally, intramuscularly, subcutaneously, intravenously, and topically.

1.2.10.6. Knowledge of computer operations and proficiency in the use of basic word processing, data entry and medical records.

1.2.10.7. Collaborate with the physician, nurse practitioner, nurse midwife, or clinical nurse specialist in the health care/education of patients

1.2.10.8. Promote prevention and health maintenance care, to include annual physicals/health assessments, positive health behaviors, and self-care, skills through education and counseling.

1.2.10.9. Coordinates patient care through a multi-disciplinary continuum and facilitates the achievement of optimal outcomes in relation to provision of care, quality improvement and cost effectiveness.

1.2.10.10. Ensures compliance with standards of nursing care and practice IAW all established policies, procedures, and guidelines used in the MTF. Provides care within ethical and legal boundaries.

1.2.10.11. Assesses patients, including the ability to assess/evaluate telephonically.

1.2.10.12. Effectively communicates and collaborates within a diverse group of people for the purpose of informing the healthcare team of plans/actions/outcomes, and for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format to address professional issues.

1.2.10.13. Excellent written communication skills to perform accurate documentation, both written and electronic, of all activates IAW unit/MTF requirements.

1.2.10.14. Recognizes adverse signs and symptoms and react quickly in emergency situations.

1.2.10.15. Completes orientation and competency verification programs IAW unit guidelines.

1.2.10.16. Participates in the orientation and training of newly assigned personnel, as appropriate.

1.2.10.17. Serves and participates in committees, functions and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement initiatives. Participates in customer service initiatives designated to enhance health services.

1.2.10.18. Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control polices, and process improvement.

1.2.10.19. Provide telephone triage services using approved protocols for section.

1.2.10.20. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.3. CONTRACTOR PERSONNEL QUALIFICATIONS

1.3.1. Required Skills and Ability

1.3.1.1. Knowledge and experience in computer operations and proficiency in the use of basic word processing, data entry, and automated medical records.

1.3.1.2. Must be able to stand while wearing up to 25 pounds of Personal Protective Equipment (PPE) for up to four hours.

1.3.2. Formal Training

1.3.2.1. Degree Program. All positions contained within this PWS require successful completion of a nationally accredited associate’s degree or baccalaureate degree program in nursing. Documentation of degree completion shall be included as part of the qualifying package.

1.3.2.2. Licensure. IAW Air Force Instruction (AFI) 44-119 Medical Quality Operations, 15 Aug 11, paragraph 4.1, healthcare practitioners who require a license, certification, or registration to perform their duties must maintain a license or other authorizing document such as certification or registration from any U.S. jurisdiction. (NOTE: Dietitians, physician assistants, and substance abuse counselors are exempt from the requirement for an authorizing document from a U.S. jurisdiction. For these professional groups, national registration/certification meets the requirement). Assignment to a position not involving direct patient care within or outside an MTF does not eliminate the requirement for license or authorizing document. The licensure requirement for contract personnel is determined by the type of contract--personal services vs.

non-personal services.

1.3.2.2.1. All positions contained within this PWS must maintain an active license or authorizing document from any U.S. Jurisdiction.

1.3.2.2.2. In a personal services contract, the Government is more directly involved in the hiring process and, importantly, indemnifies the HCW for malpractice (i.e., they are covered by the Federal Tort Claims Act).

1.3.2.2.3. Documentation of active required license shall be included as part of the qualifying package.

1.3.2.3. Certification and Experience

1.3.2.3.1. Clinical Registered Nurse, Emergency Services

1.3.2.3.1.1. Certification. HCW shall possess, maintain, and show proof of current certification in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS).

1.3.2.3.1.2. Experience. A minimum of 24 months experience, as a clinical nurse, in an emergency department and/or 24 months intensive care unit (ICU) experience, within the last 36 months.

1.3.2.3.2. Clinical Registered Nurse, Endocrinology

1.3.2.3.2.1. Certification. HCW shall possess, maintain, and show proof of current certification in BLS.

1.3.2.3.2.2. Experience. A minimum of 36 months of experience, as a clinical nurse, in any area of nursing such as endocrinology/diabetes within the last 48 months.

1.3.2.3.3. Clinical Registered Nurse, Endoscopy

1.3.2.3.3.1. Certification. HCW shall possess, maintain, and show proof of current certification in in BLS and Advanced Cardiac Life Support (ACLS).

1.3.2.3.3.2. Experience. A minimum of 24 months experience as a clinical nurse in the medical/surgical or critical care inpatient setting, and 12 months experience months experience in post anesthesia/sedation within the last 36 months.

1.3.2.3.4. Clinical Registered Nurse, Family Health

1.3.2.3.4.1 Certification. HCW shall possess, maintain, and show proof of current certification in BLS.

1.3.2.3.4.2. Experience. A minimum of 36 months of experience, as a clinical nurse, in any area of nursing such as Family Health within the last 48 months.

1.3.2.3.5. Clinical Registered Nurse, Hematology/Oncology

1.3.2.3.5.1. Certification. HCW shall possess, maintain, and show proof of current certification in BLS. Additionally personnel shall have possessed and show proof of previous Oncology Certificate in Nursing (OCN) and/or Oncology Nursing Society (ONS) and/or Chemotherapy/Biotherapy certification. OCN and/or ONS and/or Chemotherapy/Biotherapy certification must be current within six (6) months of beginning work under this contract.

1.3.2.3.5.2. Experience. A minimum of 24 months of experience, as a clinical nurse in Hematology/Oncology within the last 48 months if the HCW has previously held an OCN and/or ONS; Chemotherapy/Biotherapy certification; or as a minimum of 48 months of experience, as a clinical nurse in Hematology/Oncology within the last 60 months if not previously certified.

Certification may be expired but must be renewed prior to or within 6 month of start date.

1.3.2.3.6. Clinical Registered Nurse, Internal Medicine

1.3.2.3.6.1. Certification. HCW shall possess, maintain, and show proof of current certification in BLS.

1.3.2.3.6.2. Experience. A minimum of 36 months of experience, as a clinical nurse, in any area of nursing such as Medical-Surgical within the last 48 months.

1.3.2.3.7. Clinical Registered Nurse, Pediatrics

1.3.2.3.7.1. Certification. HCW shall possess, maintain, and show proof of current certification in BLS and PALS.

1.3.2.3.7.2. Experience. Minimum of 36 months of experience, as a clinical nurse, in emergency, medical-surgical, or primary care…