Attachment 1 Performance Work Statement.pdf

PERFORMANCE WORK STATEMENT

for

59th Training Support Squadron Medical Readiness

Course Instruction on Specialized Medical

Equipment and Scenarios

14 January 2020

1 SECTION 1 – DESCRIPTION OF SERVICES/GENERAL INFORMATION

1.1 Purpose

The purpose of this Performance Work Statement (PWS) is to define the requirements for providing the 59th Training Support Squadron course instruction services to the Medical Readiness Training Center (MRTC) at JBSA Camp Bullis. This is a new requirement, therefore, there are no incumbent employees.

The objective of this requirement is to provide instruction on specialized medical equipment and emergency-care scenarios in the deployed environment to enhance individual and collective team readiness. The courses are structured to provide instruction to military healthcare professional personnel, known from here forward as “students”. This training includes current tactics, techniques, and procedures enhanced by contractor personnel (CP) knowledge in a simulated deployed medical environment. The CP enhance the experience by instructing the students and providing guidance on overcoming medical challenges with limited resources often present at a deployed military treatment facility (MTF). The instructors will utilize scenarios to assess student response and reaction and provide guidance on efficient and effective solutions.

The training will take place at Camp Bullis, San Antonio, TX. Instructors may be required to travel to any base within the Joint Base San Antonio area. The Contractor shall provide instruction through the following unique working conditions and required capabilities:

a. Ability to sit, bend, and stand for extended periods.

b. Ability to lift up to 80 lbs. from ground to waist level.

c. Ability to coordinate activities closely with others in stressful, changing situations.

d. Ability to effectively communicate Verbal/Written English.

e. Course instructors must maintain a satisfactory or better rating on instructor evaluations, the ability to work in a field environment for long periods, and withstand working in rain, hot/cold temperatures, and rough terrain.

f. Ability to work with live tissue, bodily fluids, and blood in a medical capacity.

g. Ability to wear and work in mission oriented protection posture (MOPP) gear.

1.2 Background

The United States Air Force Medical Service (AFMS) requires military trained personnel capable of rapid planning, coordination, and execution of a broad array of combat medical tasks as part of their organizational mission. MRTC course instructors provide specialized training to medical personnel to prepare them to be combat ready as a highly mobile force. The United States AFMS personnel are employed in a variety of operations, across a wide spectrum of warfare areas, in the execution of this mission. As such, there is a need for contracted course instructors to enhance the development, sustainment, and refinement of medical skill sets to prepare for upcoming deployments.

1.3 Scope

The contractor shall provide course instruction via 17 (seventeen) instructors across 10 (ten) disciplines to assess, advise and prepare students to react and be more efficient in a deployed location. The instructors must be capable of performing the tasks listed below in order to satisfy the course training requirements:

a. Medical Service Technicians: Perform basic medical technician skills. Demonstrate post anesthesia care of field trauma and post-surgical simulated patients. Demonstrate competency in intravenous (IV) infusions and blood management. Perform treatment procedures for Ocular emergencies.

b. Health Service Administrator Technician and Health Service Administrator: Prepare and brief the team on specific objectives. Demonstrate the ability to make first contact with the local health care authorities, joint coalition, and host nation to arrange cross coverage, evacuation, and referral procedures. Demonstrate proficiency to coordinate aeromedical evacuation (AE) of simulated patients with provider and AE personnel. Demonstrate ability to coordinate with communication support, unpack, set-up, and repack the communication system package. Coordinate with base agencies the availability of expeditionary combat support (ECS) (i.e., messing, lodging, fire, security, vehicle, logistics, communications, power, and other support needed).

c. Health Service Administrator Technician and Health Service Administrator: Effectively utilize logistical support and demonstrate the ability to maintain, secure, distribute, and reach-back for adequate levels of supplies. Complete operational reporting requirements as dictated by the employment situation (i.e. Medical Readiness Report (MEDRED), Situational Report (SITREP), etc.). Discuss goals, objectives, and rules of protecting simulated patient health information.

Explain and enforce electronic records management practices to support a closure of a deployed facility. Demonstrate proper identification, tagging, preservation and processing of personnel pronounced dead at the facility. Demonstrate proficiency in coordinating NATO 9-Line MEDEVAC evacuation of simulated patients.

d. Certified Registered Nurse Anesthetist: Observation and evaluation ability of advanced vascular access, central IV access, arterial lines, rapid infusion catheters, regional anesthesia procedures, critical care management of simulated patients, ventilators, vasoactive drips, sedation, field triage procedures and field casualty care management.

e. Clinical Nurse: Provide a full range of outcome-based nursing care that includes general screening and medical care, examinations of simulated patients for routine, acute and chronic conditions involving all organ systems, and provide immunizations, nursing diagnoses, treatment, and counseling of simulated patients.

f. Clinical Nurse: Diagnose and treat simulated patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician. Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.

g. Bioenvironmental Technician and Public Health Technician: Perform environmental health site assessments (EHSA) and site selection. Evaluate medical intelligence/medical cases and provide health risk assessments. Conduct chemical, biological, radiological, and nuclear health risk assessments. Utilize detection equipment and instruct how to obtain results.

h. Bioenvironmental Technician and Public Health Technician: Demonstrate the ability to perform preventive medical services (i.e., ensure safety of food/water supply, vector control, etc.). Demonstrate the ability to provide medical support planning and medical input into layout of sanitation facilities. Perform EHSA and site selection. Evaluate medical intelligence from Armed Forces Medical Intelligence Center (AFMIC). Demonstrate the ability to perform assessment of local disease threat; recommend and implement medical countermeasures to disease threats. Conduct initial field and industrial hygiene assessments and recommend controls. Operate epidemiological surveillance, patient tracking and occupational health system. Develop an immunizations tracking mechanism.

i. Bioenvironmental Technician and Public Health Technician: Provide medical support planning and medical input into layout of sanitation facilities. Perform EHSA and site selection. Evaluate medical intelligence from Armed Forces Medical Intelligence Center (AFMIC). Perform assessment of local disease threat; recommend and implement medical countermeasures to disease threats. Conduct initial field and industrial hygiene assessments and recommend controls. Operate epidemiological surveillance, patient tracking and occupational health system. Develop an immunizations tracking mechanism. Provide preventative medical services such as insurance of food safety, water supply safety, and vector control.

j. Pharmacy Technician: Perform pharmaceutical dispensing duties including filling new outpatient prescriptions, refilling prescriptions, and entering orders into databases. Perform information consultation duties including supporting new and refill prescriptions, supporting patient requests, supporting physician’s requests, monitoring for drug interactions, and reporting adverse drug reactions.

k. Pharmacy Technician: Perform drug storage inspection, reviewing expired supplies, and producing error and workload reports and documentation. Perform supply process duties including placing prescriptions, new orders, stocking/restocking shelves, inventory maintenance, producing not in stock reports. Demonstrate the ability to accurately interpret prescriptions, fill prescriptions, and dispense outpatient prescriptions and inpatient doctor’s orders in the field environment using allowance standard equipment. Demonstrate proficiency in the interpretation, preparation and dispensing of IV admixtures in both sterile and non-sterile field environments.

l. Medical Lab Technician: Based on simulated conditions, determine the suitability of a specimen for analysis; perform a full range of clinical laboratory tests in any one or a combination of the following sections of the laboratory: hematology, chemistry, cytology, histo-technology, urinalysis, serology, microbiology and blood bank.

m. Medical Lab Technician: Prepare specimens for analysis and ensure that the physiologic state of the properties is maintained. Prepare reagents and primary reference materials as necessary.

Calibrate, standardize, adjust, and maintain instruments. Verify correct instrument operation using established procedures and quality control checks. Identify the cause of common problems and make simple repairs. Recognize and react to indicators of malfunction. Locate and implement corrections. Obtain analytical data, convert to a prescribed unit of reporting, as necessary, and correlate data to verify results. Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports. Prepare specimens for transport to MTF laboratory or for mail out. Prepare biological waste for proper disposal

n. Dental Assistant: Performs duties in providing assistance in one or more phases of complex/difficult restorative, prosthodontic, oral surgical, endodontic, or periodontal treatment.

Receives and schedules patients for treatment. Obtains and records related medical history of patient. Charts examination and treatment information. Records information on prescriptions.

o. Dental Assistant: Sterilizes instruments, materials, and equipment; prepares surgical trays.

Maintains dental equipment in a clean and operative condition. Assists dentist at chair side.

Performs intra-oral procedures as directed by dentist. Takes preliminary impressions for study models, removes sutures, places and removes rubber dams, perio-packs, matrix bands, and wedges.

p. Dental Assistant: Relays dentist’s instructions to patient for post-treatment care. Instructs patient in proper dental techniques, care of appliances, and causes of dental decay. Operates dental X-ray equipment to take intra and extra oral radiographs. Maintains, cleans, and performs minor repairs on X-ray equipment and materials. Pours and trims models from impressions, and constructs custom impression trays. Maintains a variety of recurring reports related to dental activities.

q. All CP must maintain a satisfactory or better rating on instructor evaluations (Form 281)

1.4. Medical Readiness Training Center Course Objectives

The CP will instruct all the courses listed below in strict accordance with the Program of Instruction (POI) and lesson plans provided by the Government.

• Expeditionary Medical Support (EMEDS): Designed to support Air Expeditionary Forces (AEFs) during major combat, contingency, humanitarian assistance (HA), disaster relief (DR), defense support of civil authorities (DSCA), and stability operations.

• Aeromedical Evacuation & Patient Staging Course (AEPSC): Provides staging capability for patients. Interfaces between medical treatment facilities and Air Evacuation (AE). The goal is to keep attached MTF beds clear. The focus is on movement/treatment of patients before/during AE transport.

• Ground Surgical Team (GST): Trains small teams to operate in austere environments.

• Expeditionary Medical Readiness Course (EMRC): Basic level, initial medical field training for all

3-level students about to enter technical school.

• Patient Decontamination (DECON): Training for patient decontamination in peacetime or wartime setting.

The Government will provide Basic Instructor Training, overview and tour of facilities, training on all equipment and supplies required for the courses. The contractor shall possess a comprehensive knowledge and experience level to conduct formal classroom and austere field environment instruction to students assigned to EMEDS, DECON, GST, AEPSC, and EMRC courses.

Course objectives are as follows:

a. Demonstrate ability to recognize combat stress and control processes.

b. Perform communications using ground radio, phones, satellite communication system and local area networks.

c. Recognize standard precautions for infection control when dealing with contaminated or contagious patients.

d. Perform triage of patient injuries/disease process IAW AFI 41-307, Aeromedical Evacuation

Patient Considerations and Standards, Attachment 10 Triage/Contingency Operations.

e. Perform necessary medical and surgical care during trauma casualty scenarios.

f. List patient loading/offloading procedures of aerovac/medivac airframes.

g. Demonstrate the ability to perform patient care in a nuclear, biological, and chemical (NBC) environment.

h. Describe medical symptoms of nuclear, biological, and chemical warfare and individual force protection steps including alarm condition and MOPP recognition.

i. Demonstrate the ability to operate all medical equipment assigned to that multifunctional role, including x-ray, pharmacy, lab equipment and basic blood handling, IAW operational checklists.

j. Perform casualty movement using North Atlantic Treaty Organization (NATO) litters and gurneys;

safe loading and unloading procedures for vehicles in the deployed location to include Modular Ambulance, Highly Mobile Multipurpose Wheeled Vehicle (HMMWV).

k. Demonstrate safe usage and proficiency of all equipment listed in the Allowance Standards IAW, Air Force Occupational Safety and Health & Occupational Safety, Health Association (AFOSH/OSHA) standards, and manufacturer’s guidelines/operator’s manuals.

l. Identify steps involved with basic medical logistics in deployed location (i.e. requisitioning, accountability, and proper utilization of supplies/equipment).

m. Demonstrate the ability to assist in set up and tear down of a facility and the ability to harden the facility against NBC agents IAW manufacturer guidelines.

n. Participate in the development of course documentation, lesson plans, measurement devices, and creation of audiovisual training aids based on approved plans of instruction.

o. Deliver patients with medical report to fulfill medical scenarios.

p. Demonstrate quick response capability to emergency medical situations through live actors.

q. Build mobile field hospital, guide tent build/tear down, and site restoration (i.e. clean-up).

r. Guide population/inventory/redistribution of medical equipment/supplies.

1.5. Government Furnished Supplies and Equipment

The Government will provide use of all classrooms, field exercise areas, simulation models, LPMs, medical consumables, equipment, individual protective equipment (body armor, assault vests, eye protection, etc.), and transportation within the training complex. The contractor shall keep Government furnished supplies, equipment, and work areas in a safe, orderly and clean condition. The Government may provide voluntary specialty training to the contractor. Additionally, the Government will provide local telephone service, Class-A telephone lines and Defense Switching Network lines limited to matters related to the performance of this contract. Personal long distance calls are not authorized. The Contractor shall return all Government-issued equipment, all software, and all intangible property to the designated Government equipment custodian in the same condition as received, fair wear and tear acceptable, and shall notify the Contracting Officer Representative (COR) accordingly.

The following gear will be provided by the government annually for safety: gloves, sunglasses, hydration system, and a hat. (i.e. pinching fingers, dehydration, sun protection, eye protection, etc.).

1.6 Referenced Publications

Publications can be found electronically at https://www.e-publishing.af.mil/Product-Index/ and http://www.e-publishing.af.mil/otherpublishingsites.asp

• AFI 41-307, Aeromedical Evacuation Patient Considerations and Standards, Attachment 10 Triage/Contingency Operations (War, MOOTW, Homeland Defense, and Disaster Response).

• AFI 40-102, Tobacco Free Living

• AFI 31-218, Motor Vehicle Traffic Supervision

• AFMAN 31-116, Air Force Motor Vehicle Traffic Supervision

• DoD Instruction (DoDI) 6055.04, DoD Traffic Safety Program

• AFI 71-101, Volume 1, Criminal Investigations Program (Chapter 2, paragraph 2.7) and Volume-

2, Protective Service Matters, (Paragraph 1.2).

• DOD 5200.2-R, Personnel Security Program, Appendix 1

• AFI 31-501, Personnel Security Program Management (Paragraph 3.24)

• 42 CFR Part 75, Standards for the Accreditation of Educational Programs for and the Credentialing of Radiologic Personnel.

• HSPD-12, Homeland Security Presidential Directive 12

2 SECTION 2 – CONTRACTOR PERSONNEL

2.1 Contractor Personnel Qualifications

Clinical Competence: Able to function with professional accountability in clinical settings. Have relevant knowledge in the application of their skills in an operational environment and possess knowledge on basic medical procedures.

Teaching Competence: Able to create a climate conducive to positive student learning. Two years of clinical experience appropriate to the specialized teaching responsibilities. Up to date CP credentials must be made available to the CO upon request. Use up-to-date knowledge of advanced medical subjects (standards of care) and processes, practices, procedures that are pertinent and applied in the program of instruction. The CP must be comfortable working around land with Live Patient Models (LPM’s). At this time, swine are utilized as the LPM’s yet the type of animal utilized may be subject to change depending on written protocol. The AF Form 281 will utilized to evaluate the CPs teaching ability to ensure all standards are being met. All AF Form 281 expectations and standards will be taught during the initial Basic Instructor Training. CPs will be expected to demonstrate a lecture, while meeting the standards and a member of the MRTC staff will evaluate him or her.

Technology Competence: Able to use computer technology such as Microsoft Suite™, E-mail and Internet at a minimum. Instructors will provide recommendations and suggestions, to assist in the development of instructional programs, to include writing, revising and/or proofreading lesson plans that deals with trauma treatment, primary care, medical evaluation, force protection, trauma scenario development and warrior skills.

The below table lists the 17 (seventeen) instructors required on this contract. The instructor hours will be based on mission need per session. The Government has listed a not to exceed (NTE) number of hours each CP title can be expected to work each session.

Number of

Personnel

Contractor Personnel Title

NTE Hours Per

Session 8 Medical Service Technicians 40 1 Health Service Administrator Technician 40 1 Health Service Administrator 40 1 Certified Registered Nurse Anesthetist 40 1 Clinical Nurse 40 1 Bioenvironmental Technician 30 1 Public Health Technician 30 1 Pharmacy Technician 30 1 Medical Lab Technician 30 1 Dental Assistant 30

Table 01 – Instructor Requirements

A course schedule will be provided to the contractor upon award. There will be a minimum of six (6) sessions with a maximum of twenty-five (25) sessions per calendar year total. During specifically stated non-course session weeks, schedules will vary to include training and observation days.

2.1.1 Medical Service Technician

Perform basic medical technician skills. Demonstrate post anesthesia care of field trauma and post-surgical patients. Demonstrate competency in intravenous (IV) infusions and blood management. Perform treatment procedures for Ocular emergencies.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Associate’s Degree in a healthcare related field preferred.

Certifications: Emergency Medical Technician (EMT) Certification, and Basic Life Support Certification

Experience: A minimum of two (2) years’ experience in this field. Prior Aeromedical Evacuation or deployment experience is preferred but not required.

2.1.2 Health Service Administration Technician

Prepare and brief the team on specific objectives. Demonstrate the ability to make first contact with the local health care authorities, joint coalition, and host nation to arrange cross coverage, evacuation, and referral procedures. Demonstrate proficiency to coordinate aeromedical evacuation (AE) of patients with provider and AE personnel. Demonstrate ability to coordinate with communication support, unpack, set-up, and repack the communication system package. Coordinate with base agencies the availability of expeditionary combat support (ECS) (i.e., messing, lodging, fire, security, vehicle, logistics, communications, power, and other support needed).

Effectively utilize logistical support and demonstrate the ability to maintain, secure, distribute, and reach-back for adequate levels of supplies. Complete operational reporting requirements as dictated by the employment situation (i.e. Medical Readiness Report (MEDRED), Situational Report (SITREP), etc.).

Discuss goals, objectives, and rules of protecting patient health information. Explain and enforce electronic records management practices to support a closure of a deployed facility. Demonstrate proper identification, tagging, preservation and processing of personnel pronounced dead at the facility. Demonstrate proficiency in coordinating NATO 9-Line MEDEVAC evacuation of patients.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Associates Degree from an accredited two-year patient care technician or medical assistant program preferred.

Experience: A minimum of two (2) years’ experience in this field. Deployment experience is preferred, but not required.

2.1.3 Health Service Administrator

Prepare and brief the team on specific objectives. Demonstrate the ability to make first contact with the local health care authorities, joint coalition, and host nation to arrange cross coverage, evacuation, and referral procedures. Demonstrate proficiency to coordinate aeromedical evacuation (AE) of patients with provider and AE personnel. Demonstrate ability to coordinate with communication support, unpack, set-up, and repack the communication system package. Coordinate with base agencies the availability of expeditionary combat support (ECS) (i.e., messing, lodging, fire, security, vehicle, logistics, communications, power, and other support needed).

Effectively utilize logistical support and demonstrate the ability to maintain, secure, distribute, and reach back for adequate levels of supplies. Complete operational reporting requirements as dictated by the employment situation (i.e. Medical Readiness Report (MEDRED), Situational Report (SITREP), etc.).

Discuss goals, objectives, and rules of protecting patient health information. Explain and enforce electronic records management practices to support a closure of a deployed facility. Demonstrate proper identification, tagging, preservation and processing of personnel pronounced dead at the facility. Demonstrate proficiency in coordinating NATO 9-Line MEDEVAC evacuation of patients.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Bachelor’s or Master’s Degree in healthcare administration or business administration.

Experience: A minimum of two (2) years’ experience in this field. Prior Aeromedical Evacuation or deployment experience preferred, but not required.

2.1.4 Certified Registered Nurse Anesthetist (CRNA)

Knowledge and ability to evaluate students on the following skills is mandatory: advance vascular access, central IV access, arterial lines, rapid infusion catheters, regional anesthesia procedures, critical care management of patients, ventilators, vasoactive drips, sedation, field triage procedures and field casualty care management. Knowledge of LPM airway management helpful.

Technically direct and teach other staff, provide evidenced-based educational lectures and participate in in-service training to staff members. Diagnose and treat patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician. Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.

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. Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.

Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Possess an advanced academic degree as Certified Registered Nurse Anesthetist.

Certifications: Basic Life Support Certification and certified in the specialty required by the Task Order as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of Pediatric Nurse Practitioners and Nurses, American Nurses Association, National Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties).

Licensure/Registration: Current, full, active, and unrestricted license as a Registered Nurse.

Experience: As required, to meet clinical competency requirements specified in the Service-specific credentialing instructions. A minimum of one (1) year experience as a registered nurse, which may include the six (6) months as a privileged practitioner. Prior deployment experience is preferred, but not required.

2.1.5 Clinical Nurse.

Provide a full range of outcome-based nursing care IAW privileges granted by the MTF (e.g., provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems. Provide immunizations, nursing diagnosis, treat, and counsel patients as indicated). Technically direct and teach other staff. Provide evidenced-based educational lectures and participate in in-service training to staff members. Diagnose and treat simulated patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician.

Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.

Communicate and collaborate with a diverse group of people for informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Bachelor Degree in Nursing required. Associate Degree in Nursing will be considered, but must have more than 2 years Surgical and Trauma nursing experience, and graduate from an academic program within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Associate Degree in Nursing will also be considered if applicant held position as an Independent Duty Medical Technician, an Army 68W-M6, or Independent Duty Corpsman with Surgical and Trauma Intensive Care Unit/ward experience.

Certifications: Basic Life Support Certification

Licensure/Registration: Current, full, active, and unrestricted license as a Registered Nurse.

Experience: As required to meet clinical competency requirements specified in the respective service-specific credentialing instructions. Prior Aeromedical Evacuation or deployment experience is preferred, but not required.

2.1.6 Bio-Environmental Technician.

Demonstrate the ability to provide medical support planning and expertise input into Base Operating Support and Integration. Perform environmental health site assessments (EHSA) and site selection.

Evaluate medical intelligence/medical cases and provide health risk assessments. Conduct chemical, biological, radiological, and nuclear health risk assessments. Utilize detection equipment and instruct how to obtain results.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Associate’s degree in field is preferred.

Experience: Must have a background to instruct environmental monitoring/analysis, health risk assessments, and field surveys. A minimum of two (2) years’ experience in this field. Prior deployment experience is preferred, but not required.

2.1.7 Public Health Technician.

Demonstrate the ability to perform preventive medical services (i.e., ensure safety of food/water supply, vector control, etc.). Demonstrate the ability to provide medical support planning and medical input into layout of sanitation facilities. Perform EHSA and site selection. Evaluate medical intelligence from Armed Forces Medical Intelligence Center (AFMIC). Demonstrate the ability to perform assessment of local disease threat; recommend and implement medical countermeasures to disease threats. Conduct initial field and industrial hygiene assessments and recommend controls.

Operate epidemiological surveillance, patient tracking and occupational health system. Develop an immunizations tracking mechanism.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Associates Degree or sixty (60) credit hours, including fifteen (15) credit hours in the natural sciences. Acceptable natural sciences include biology, chemistry, geology, hydrology, or physics.

Experience: A minimum of two (2) years’ experience in this field. Prior deployment experience is preferred, but not required.

2.1.8 Pharmacy Technician II.

Perform a full range of pharmacy technician procedures. Perform pharmaceutical dispensing duties including filling new outpatient prescriptions, refilling prescriptions, and entering orders into databases.

Perform information consultation duties including supporting new and refill prescriptions, supporting patient requests, supporting physician’s requests, monitoring for drug interactions, and reporting adverse drug reactions.

Perform quality improvement duties including performing drug storage inspection, reviewing expired supplies, and producing error and workload reports and documentation. Perform supply process duties including placing new orders, stocking/restocking shelves, inventory maintenance, producing not in stock reports. Demonstrate the ability to accurately interpret, fill, and dispense outpatient prescriptions and inpatient doctor’s orders in the field environment using allowance standard equipment. Demonstrate proficiency in the interpretation, preparation and dispensing of IV admixtures in both sterile and non-sterile field environments.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Certificate from completing a formal pharmacy technician program accredited by the American Society of Health-System Pharmacists (ASHP) or a formal pharmacy technician program (i.e., technical, hospital, or retail-based program) or a formal medical services training program of the United States Military.

Certifications: Certified by the Pharmacy Technician Certification Board (PTCB).

Experience: A minimum of one (1) year of experience as a pharmacy technician after graduation. Prior Aeromedical Evacuation or deployment experience is preferred, but not required.

2.1.9 Medical Lab Technician

Perform a full range of clinical laboratory tests in any one or a combination of the following sections of the laboratory: hematology, chemistry, cytology, histo-technology, urinalysis, serology, microbiology and blood bank. Determine the suitability of specimens for analysis. Prepare specimens for analysis and ensure that the physiologic state of the properties is maintained.

Prepare reagents and primary reference materials as necessary. Calibrate, standardize, adjust, and maintain instruments. Verify correct instrument operation using established procedures and quality control checks. Identify the cause of common problems and make simple repairs.

Recognize and react to indicators of malfunction. Locate and implement corrections. Obtain analytical data, convert to a prescribed unit of reporting, as necessary, and correlate data to verify results. Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports. Prepare specimens for transport to MTF laboratory or for mail out.

Prepare biological waste for proper disposal.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Certificate from completing a medical laboratory technician-training program accredited by the National Accrediting Agency for Clinical Laboratory Sciences or the Accrediting Bureau of Health Education Schools or educational program acceptable to the American Medical Technologist (AMT).

Certifications: Basic Life Support Certification. Certification/registration as determined by the American Society for Clinical Pathology or AMT.

Experience: A minimum of two (2) years’ experience in this field. Field blood banking/walking blood bank experience highly preferred. Prior deployment experience is preferred, but not required.

2.1.10 Dental Assistant

Performs duties in providing assistance in one or more phases of complex/difficult restorative, prosthodontic, oral surgical, endodontic, or periodontal treatment. Receives and schedules patients for treatment. Obtains and records related medical history of patient. Charts examination and treatment information. Records information on prescriptions.

Sterilizes instruments, materials, and equipment; prepares surgical trays. Maintains dental equipment in a clean and operative condition. Assists dentist at chair side. Performs intra-oral procedures as directed by dentist. Takes preliminary impressions for study models, removes sutures, places and removes rubber dams, perio-packs, matrix bands, and wedges.

Relays dentist’s instructions to patient for post-treatment care. Instructs patient in proper dental techniques, care of appliances, and causes of dental decay. Operates dental X-ray equipment to take intra and extra oral radiographs. Maintains, cleans, and performs minor repairs on X-ray equipment and materials. Pours and trims models from impressions, and constructs custom impression trays. Maintains a variety of recurring reports related to dental activities.

Knowledge: Fulfillment of education and experience requirements satisfies the knowledge required.

Additional knowledge in aspects of injury and illness in combat or field situations is highly preferred.

Education: Certificate from successful completion of a military Red Cross dental assistant program or a military dental technician or dental assistant school or dental assistant program accredited by the Commission on Dental Accreditation of the American Dental Association. All training must have included a course in radiation physics; radiation biology; radiation health, safety, and protection; X-ray films and radiographic film quality; radiographic techniques; darkroom and processing techniques; film mounting;

and, digital radiographic processing techniques.

Certifications: Basic Life Support Certification. Certified in radiography as required by 42 CFR Part 75.

Experience: A minimum of one (1) year of experience as dental assistant or technician after graduation.

Prior deployment experience is preferred, but not required.

2.2 Contractor Personnel Requirements

2.2.1 Safety

The Government has the right to restrict the performance under this contract of any CP, or prospective CP, who is identified as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population.

The contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. CP performing work under this contract shall be U.S. citizens and possess a valid civilian driver’s license issued in the United States.

CP performing work under this contract shall be able to read, write, speak, and understand the English language to safely and effectively carry out all contract requirements. They shall have a command of both the written and spoken English language to properly clearly, and effectively communicate in person or via electronic devices (telephone or Email) with co-workers, customers, and the general public.

Government Operated Vehicle (GOV) License: Contractors will receive training to be issued a GOV license. Vehicles include but are not limited to: ambulance, flatbed truck, High Mobility Multipurpose Wheeled Vehicle (HMMWV), Light Medium Tactical Vehicle (LMTV). The training and process to obtain a GOV license will be provided by the Government at no extra expense to the contractor.

2.2.2. Recognized Holidays:

Course Instruction will not be required on recognized holidays.

Holiday Projected Date

New Year's Day January 1 Martin Luther King Jr's Birthday 3rd Monday in January President's Day 3rd Monday in February Memorial Day Last Monday in May Independence Day July 4 Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veterans' Day November 11 Thanksgiving Day 4th Thursday in November Christmas Day December 25

When a holiday occurs on a Saturday, Federal employees are normally granted the previous Friday as the holiday observance. When a holiday occurs on a Sunday, Federal employees are normally granted the following Monday as the holiday. The contractor shall work on the calendar days the Government is scheduled to work.

2.2.3. Identification, Appearance, and Behavior of CP:

All CP attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties, are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are government officials.

All CP performing work under this contract shall obtain a Department of Defense (DoD) Common Access Card (CAC).

CP shall be required to obtain a CAC within thirty (30) calendar days after the start of base contract period or prior to performance under this contract, whichever comes first.

The contractor shall develop, maintain and provide to the COR an updated roster which shall include full names and positions of all CP as well as indicating which CP were issued CAC or other forms of government identification cards. The contractor shall submit initial roster to the COR within thirty (30) calendar days after commencement of base period of performance.

The contractor shall immediately report any lost CAC or government issued identification cards to the COR and Military and/or DoD police agencies. The contractor shall immediately collect the CAC and other government issued forms of identification upon termination of CP, or at the end of the contract performance period. The CAC and other government issued forms of identification shall be returned to the COR within one (1) hour of CP termination, or at the end of contract period of performance, whichever comes first.

Final payment may be delayed if contractor fails to comply with these requirements.

It is essential that all CP meet the highest standards of professionalism and personal integrity. The contractor shall ensure their personnel do not perform work under the influence of alcohol, illegal prescribed drugs or any other incapacitating agents. Appropriate attire may be worn in accordance with section assignments.

I.e. scrubs and field uniforms where applicable.

The contractor shall not use Government facilities or other Government property for personal use or other business not related to this contract.

Contractor shall not respond to any media inquiries nor provide interviews, comments, or any other responses to the media regarding any subject related to this contract. All inquiries or complaints from the media or other sources shall be immediately relayed to the COR.

The contractor shall ensure that its CP conduct themselves in a professional manner while on the installation and refrain from disruptive, offensive, or otherwise improper behavior that undermines order and discipline.

The CO may direct the contractor to remove from performance of this contract on this installation any CP engaging in such misconduct.

Contractors are advised that the AF has placed restrictions on the smoking of tobacco products in AF facilities. AFI 40-102, Tobacco Free Living, outlines the procedures used by the commander to control smoking in our facilities. CP and visitors are subject to the same restrictions as government personnel.

Smoking is permitted only in designated smoking areas.

All applicable Traffic Codes will be enforced and apply to all personnel operating vehicles on a JBSA installation. The governing instruction for all Traffic Codes is AFI 31-218 and AFMAN 31-116.

Contractors are advised that DoD Instruction (DoDI) 6055.04 prohibits cellular telephone usage when approaching, entering or exiting any installation gate. Cell phone usage by drivers on installations is prohibited in moving vehicles unless used with a hands-free device. The installation Security Forces Squadron (SFS) is strictly enforcing this regulation. Those found in violation of this regulation are subject to be ticketed.

2.2.4 Contractor Responsibility

The contractor shall identify the name and telephone number of the contractor's point of contact to the Contract Officer (CO) in writing prior to beginning performance. The contractor shall identify in the designation letter any limitations on its representative's authority to act on behalf of the contractor. The contractor shall provide an updated designation letter whenever any changes occur. The contractor representative may be required to meet with the Government during the performance of this contract at the request of the CO.

The Contractor Representative shall respond to a request to meet with the CO within twenty-four (24) hours of notification under routine circumstances.

2.2.5 Performance and Absences

The contractor shall provide qualified and trained CP to cover the required performance. The contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the government facility is not closed for the above reasons. When hiring CP, the contractor shall keep in mind that the stability and continuity of the workforce are essential to successful performance under this contract. Any quality control/assurance training observation by the contractor will not interfere with ongoing training. The contractor shall ensure that any absences do not interrupt service performance.

If the contractor is prevented from performing due to acts beyond the contractor's control including emergency base closure, the standards in FAR clause 52.212-4(f) will be applied to determine if the non-performance is excusable. In the event of an emergency base closure due to weather or other contingency situation, the CO will notify the contractor of any changes in performance requirements. The contractor shall be responsible for instructing CP concerning their duty status. Under no circumstances will the contractor be paid for services not rendered.

2.2.6 Bystander Reporting Requirements

The contractor shall comply with AFI 71-101, Volume 1, Criminal Investigations Program (Chapter 2, paragraph 2.7) and Volume-2, Protective Service Matters, (Paragraph 1.2). Contractor shall report to Security Forces any information or circumstances which may pose a threat to DOD or contractor, resources, or DoD information.

2.2.7 Installation Access

Criminal History Check will be conducted on all prime/sub-CP requiring personnel ease access. The contractor shall provide the CO and the Information Protection Office a current list of CP needing access.

The list shall include CP full name, date of birth, state driver's license/state ID number and state of issue.

Notifications of CP additions and deletions shall be provided with the same information listed above and within three (3) calendar days. The Government will notify the contractor that installation access passes are available for those CP clearing the criminal history check. The duration of any pass issued will not exceed the duration of the contract.

2.2.8 Freedom of Information

The contractor shall not respond to any Freedom of Information Act request or release any information in response to a Freedom of Information request. Any request for information received by the contractor under the Freedom of Information Act will be referred to the CO.

2.2.9 Physical Security

The contractor shall comply with Force Protection Condition (FPCON) procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements. The contractor shall safeguard all government property, including controlled forms, provided for contractor use. At the close of each work period, government training equipment, ground aerospace vehicles, facilities, support equipment, and other valuable materials shall be secured.

Additional Security Requirements: NACI’s will be IAW Homeland Security Presidential Directive 12

(HSPD- 12).

2.2.10 Unescorted Entry to Restricted/Controlled Areas

If this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with DOD 5200.2-R, Appendix 1, and AFI 31-501, Personnel Security Program Management (Paragraph 3.24).

If the performance of this contract requires unescorted entry to a restricted/controlled area, personnel must have a favorably adjudicated NACI investigation. All CP affected by this requirement must have completed an acceptable submission that complies with all directions for completion, of the investigation request through the government security office within thirty (30) calendar days of Contract Award or Notice of Award. To begin this process, all affected CP must complete within fifteen (15) calendar days after Contract Award or Notice of Award Standard Form 85P worksheet that can be downloaded from http://www.opm.gov/forms/pdf_fill/SF85P.pdf

The contractor shall notify the Contracting Officer Representative (COR) or Government Inspector when the worksheet is complete. The affected CP will then be scheduled by the government for two (2) or more appointments to complete the security package. If at any point after submission of the security worksheet, disqualifying information is discovered or developed, the government reserves the right to deny entry to restricted/controlled areas. In this instance, the CO will notify the contractor of the denial. That individual will not be allowed to perform duties requiring access to restricted/controlled areas. Upon receipt of a favorable investigation results and authorization by the appropriate commander, the CP will receive appropriate entry credentials for access to restricted/controlled areas, unless disqualifying information is subsequently discovered. In this instance, access will be revoked.