DRAFT PWS for Tactical Emergency Medical Services.pdf

Department of Homeland Security (DHS) Immigration and Customs Enforcement (ICE)

Office of Firearms and Tactical Programs (OFTP)

Requirement: Tactical Emergency Medical Service (TEMS) Training Courses DRAFT Performance Work Statement (PWS) dated 10/15/2024

1.0 SCOPE OF WORK

This requirement is for a single vendor to provide several emergency medical training courses to include Wilderness Emergency Medical Technician Course, Initial Credentialing Course (ICC) and a Re-certification class to support the for the ICE Tactical Emergency Medical (TEMS) Program Office, ICE Special Response (SRT) and Rapid Response Teams (RRT). Additionally, ICE requires the vendor to provide training, as outlined below, to members of the ICE Enforcement Removal Operations (ERO) Tactical Emergency Medical Services (TEMS) program. This PWS defines the effort required for the vendor to provide the different TEMS training courses required by ICE. The vendor shall provide all personnel, equipment, tools, materials, supervision, and other items deemed necessary to complete the required training courses.

2.0 REQUIREMENT

The vendor supplied personnel shall communicate with the ICE ERO TEMS program manager to provide quality assurance of ICE field and clinical medical training. The results of the quality assurance will drive the educational requirements and coursework provided by the vendor to enhance the education of ICE EMTs and provide for employee development. On an as needed basis, the instructors will provide coaching/mentoring before, during, and after emergency scenarios of which the ICE EMTs and paramedics take part in.

The vendor shall provide a per course rate (fully loaded) for each of the courses as described above. The price will include all associated costs such as instructor and facilitator labor, fees (all associated fees which are to be disclosed in the proposal), books, medical supplies, materials, parking, and all other associated costs.

The Government will require all ICE personnel participating in the Program to attend any and all mutually agreed upon continuing education courses, training and/or recertification courses.

3.0 DETAILED TASKS/TRAINING REQUIREMENTS

3.1.1 NREMT Certification - ICE TEMS providers have a requirement to maintain NREMT certification at the EMT, Advanced EMT (AEMT) or Paramedic levels. These classes shall occur during the period of performance at the vendors training site. Included in this training shall be all course work necessary for ICE TEMS providers to be certified/ re-certified at the EMT, AEMT and/or Paramedic levels in accordance with the National Registry of EMT's requirements and with CPR/ACLS recertification to American Heart Association, American Red Cross, and/or American Health and Safety Institute standards.

3.1.1.1 Initial Credentialing Course (ICC) -- 8 Day course offered one (1) time a year for up to 18 students per class. Class shall include:

• Initial Certification Course is to include:

o AHA: BLS for all providers o ACLS/PALS for advanced providers (online with in person skills, or all in person training) o EMT/AEMT/Paramedic refresher through CAPCE o TECC-LEO 16-hour refresher course.

o All fees for NAEMT, NREMT, AHA are covered in the course cost o Two (2) extra days at the beginning of the ICC for advanced providers

(online) o Initial medical gear for EMT level provider based on ERO TEMS list to be given at the beginning of the course shall be included in the cost o Advanced skills lab with no more than a 4:1 ratio of students to specimens provided with the instruction and all medical equipment needed during the lab to be included in the course cost o Pocket-sized books with current DHS protocols

3.1.1.2 Wilderness Emergency Medical Technician and ICC Course

• Initial EMT certification with Wilderness EMT add on (IEMT+W) is a 34-day course for up to 10 students per class.

• Includes:

o Lodging during course o Meals Monday-Friday o Course books o Clean 10 Panel Drug Screening o National Criminal Background Check o TB Test o American Heart Association BLS certificate prior to class start date o Immunization Titer Test o COVID-19 At home test (5 per student)

• 5 Day Initial Credentialing Course (ICC) immediately following the IEMT+W course:

Different training location (within 300 miles of IEMT+W course location)

The ICC includes:

• Comprehensive review of DHS medical protocols

• Initial TECC certification

NREMT Cognitive Exam scheduling, testing, and fees (testing to take place during ICC)

• Initial medical gear for EMT level provider based on ERO TEMS list to be given at the beginning of the course shall be included in the cost

• Pocket-sized books with current DHS protocols

• Not included in course cost

• Vaccines (provide proof of) o COVID-19 Vaccination o Hepatitis B Vaccination o Current Tetanus Shot o History of Chicken Pox or Varicella Vaccination o Flu Shot (required October-March)

• Hotels during ICC course

• Meals o On weekends during Initial EMT o During the ICC course

• Rental cars

• Transportation to and from training

3.1.1.3 Prerequisites – All ICE Personnel will have meet and provide proof of all the following prerequisites.

o COVID-19 Vaccination o Professional Level CPR Certification o Current Tuberculosis Test o Hepatitis B Vaccination o Current Tetanus Shot o History of Chicken Pox or Varicella Vaccination o Flu Shot (October-March) o Clean 10 Panel Drug Screening o National Criminal Background Check

3.1.1.4 Additional Requirements –

o Indoor training space to accommodate high-fidelity trauma lanes for protection from the weather.

o Modular Close Quarters Battle (CQB) training area that can be manipulated into multiple configurations.

o Two Story Conex tower for multiple story training scenarios o Multiple classrooms equipped with wireless and wired A/V for projectors, TVs, and audio.

o Fully equipped controlled medical resupply cage with ability to outfit up to 18 students for medical scenarios from Care Under Fire to Prolonged Casualty Care (PCC).

o Certified Armory with cameras, alarms, vaulted doors with cement walls and floor o Simunition and UTM marker weapons along with safety equipment to include helmets, vests, eye pro.

o Special Effects Moulage Lab that Accommodates up to 16 role players at a time and is equipped with all equipment needed for custom molds, hasty moulage and onsite application.

o Simulation scenarios which in the fog, sound and lighting.

o Role players to support scenarios o A medical training area equipped with all medical equipment and monitors to care for a simulated patient.

o Advanced Skills Lab room used for cadaver training. With all equipment and supplies to provide a perfused cadaver with a specialist to lead training applicable to the providers scope of practice.

o Tactical Operations Center to be used for command and control during scenarios.

o High Fidelity Medical Simulation Manikins with extremities that are able to be crushed with interchangeable wound sets. Capable of tourniquet application, airway management, wound packing, IV/IO, Needle decompression and chest tubes.

o High Fidelity K9 manikin to treat mass hemorrhage, airway management, provide CPR and IV/IO’s o Certified technicians to run manikins.

o HH-60 Simulator o Little Bird simulator o Virtual Patient Treatment Simulator- Allowing medics to see realistic patient conditions.

o Staff of instructors with extensive experience in law enforcement, SWAT, HRT or Military Special Operations o High altitude training (11,000 feet) within a reasonable distance (1-1.5 hours) from training facilities.

3.1.1.5 State and/or National Registry of EMT’s Re-Certification – The vendor shall provide a minimum of 2 - forty (40) hour re-certification training course at the vendors training site applicable for use of State and/or National Registry of EMT’s recertification to include course materials including PowerPoint slides, lecture notes and other materials developed for the re-certification course. The class should accommodate up to 18 students.

• Re-Certification Course shall include:

o AHA: BLS for all providers (in person training) o ACLS/PALS for advanced providers (online with in person skills, or all in person training) o EMT/AEMT/Paramedic refresher through CAPCE o TECC-LEO 8-hour refresher course.

o All fees for NAEMT, NREMT, AHA are covered in the course cost o Two (2) extra days at the beginning of the recertification course for advanced providers (online) o Resupply medical gear for each provider level based on ERO TEMS list to be given at the beginning of the course shall be included in the cost o Advanced skills lab or Human Analog Simulation models with no more than a 6:1 class ratio. The instruction and all medical equipment needed during the lab shall be included in the course cost o Pocket-sized books with current DHS protocols

3.2 ICE Advanced Provider Annual refresher add on – The vendor shall provide 2 - sixteen (16) hour online add-on class for ICE AEMTs and Paramedics for up to 18 students each class.

3.3 Hands on Training – The vendor shall conduct hyper realistic "hands-on “training in simulated tactical environments, followed by classroom learning and advanced skills/Human Analog Simulations labs at the vendors training site.

3.4 Training Materials – The vendor shall provide all materials to ICE TEMS providers for the successful completion of the training courses, to include textbooks, medical supplies, training aids, equipment, instructors, handouts, and testing materials.

3.5 Medical Contacts - The vendor supplied instructors shall communicate with the ICE ERO TEMS program manager in quality assurance of all ICE field and clinical medical contacts. The results of the quality assurance will drive the educational requirements and coursework provided by the vendor to enhance the education of ICE EMTs and provide for employee development.

3.6 Continuing Education - The vendor shall assist ICE with continuing education of its TEMS providers by providing a minimum of two (2), forty (40) hour re-certification classes.

3.7 Training Schedules - All training and scheduled times shall be at mutually agreed to by the parties prior to conducting any training. A training schedule will be established within 30 days of award.

3.8 Licensing/Registrations - The vendor, shall obtain and maintain in good standing all necessary licenses and registrations necessary to provide the requested training.

3.9 Treatment Protocols - The vendor shall agree to use Department of Homeland Security medical protocols and annexes.

3.10 Written Debriefings - The vendor shall provide a written debriefing to the Program Manager (PM) within five (5) days of performing the tasks described on Appendix A upon the request of ICE.

End of DRAFT PWS