EXHIBIT 8 PWS -HCW Minimum Requirements.docx

Exhibit 8 PWS HCW Minimum Requirements

Exhibit 8 PWS HCW Minimum Requirements The qualifications listed in this exhibit are the labor category minimum qualifications. Task Order Contracting Officers (TOKOs) may use these qualifications as minimum or modify the minimum qualifications and duties in the Task Order PWS to meet their specific requirements.

ANCILLARY SERVICES MARKET SEGMENT LABOR CATEGORIES

Allergy Technician

Minimum Qualifications:

· Degree: High School Degree.

· Education: Graduate from a medical assistant training program accredited by Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) of the American Medical Technologists or a formal medical services training program of the United States Armed Forces.

· Certification: Successful completion of a didactic specialty course in Allergy & Immunology or possess three (3) years of Allergy/Immunology and Immunization experience within the last four (4) years in a specialty clinic.

Core Duties:

· Prepare examination rooms prior to patient's arrival.

· Assist with patient check-ins, admissions, discharges, and transfers as directed.

· Check patient's vital signs, to include temperature, respiration, pulse, weight and blood pressure.

· Obtain and document patient's current medical history, drug history, chief complaints, allergies and vital signs on the correct form.

· Perform diagnostic procedures when ordered such as allergy tests, pulmonary function, and skin tests.

· Provide education on symptom management and allergy serum.

· Prepare and administer allergy serums and injections.

· Maintain examination room stock levels and perform routine maintenance of examination rooms.

· Complete lab and x-ray requisitions in accordance with clinic policies.

· Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

· Identify signs and symptoms of anaphylaxis versus vasovagal reaction.

· Initiate and assist in acute anaphylaxis management.

Anesthesia/Pain Management Technician

Minimum Qualifications:

· Degree: Certificate.

· Education: High school diploma or equivalent with additional training or education; supplemented with one (1) year of related experience in an accredited health care hospital which results in familiarity with and knowledge of hospital or clinic routines and procedures in anesthesia, surgeries or pain management procedures.

· Certification: Obtain a certification in Basic Life Support by the American Heart Association and/or the Red Cross approved training program prior to contract start date.

· Experience: Provide documentation and references showing at least 1 years of experience in a clinical setting within the last 3 years.

Core Duties:

· Prepare examination rooms and procedure rooms prior to patient's arrival.

· Assist with patient check-ins, admissions, discharges, and transfers as directed.

· Check patient's vital signs, to include temperature, respiration, pulse, weight and blood pressure.

· Obtain and document patient's current medical history, drug history, chief complaints, allergies and vital signs on the correct form.

· Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.

· Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and ensuring adequate supply are always available.

· Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice.

· Integrate healthy work environment principles that result in improved patient healthcare.

Audiologist

Minimum Qualifications:

· Degree: Master's degree in audiology.

· Education: Graduate from an educational program accredited by the American Speech- Language Hearing Association’s (ASHA) Council on Academic Accreditation in Audiology and Speech Pathology (CAA) or the Accreditation Commission for Audiology Education (ACAE).

· Certification: Possess a certificate of Clinical Competence (CCC) in the field of Audiology (CCC-A) from the American Speech-Language-Hearing Association (ASHA- CCCA) or certification from the American Board of Audiology of the American Academy of Audiology (AAA).

· Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.

· Licensure: Must hold a full, current, and unrestricted license in a State, Territory, Commonwealth, or the District of Columbia.

Core Duties:

· Administer audiology tests to all types of patients.

· Identify, assess, and manage auditory, balance, and other neural systems. Provide comprehensive diagnostic and therapeutic procedures of the hearing and balance mechanisms including intraoperative monitoring of the cranial nerves, cerumen removal, cochlear implant assessment and management, post-urography, and other advanced balance mechanism evaluations.

· Review accompanying consultation forms and records, independently determine appropriate tests, adapt test techniques, and utilize clinical judgment based on audio logical and psychological precepts.

· Conduct routine tests, to include air conduction, bone conduction, speech reception thresholds and speech discrimination, including high intensity speech discrimination testing.

· Counsel beneficiaries as required regarding problem(s), interpret results and provide guidance and advice on educational and training needs. Provide narrative summary of each patient to referring physician and other interested agencies.

Cardiac Catheterization Technician

Minimum Qualifications:

· Degree: Certificate.

· Education: Graduate from a cardiovascular technologist program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular Technology (JRC-CVT).

· Registration: Registered as a Cardiovascular Invasive Specialist (RCIS) as determined by the Cardiovascular Credentialing International (CCI).

· Experience: One year of experience as a Cardiovascular Technologist after graduation.

Core Duties:

· Perform duties within the scope of practice determined by didactic, laboratory, and clinical technological education and registration.

· Review and/or record pertinent patient history and supporting clinical data.

· Perform appropriate clinical procedures and obtain a record of anatomical, pathological, and/or physiological data for interpretation by a physician.

· Exercise discretion and judgment in the performance of cardiovascular diagnostic and therapeutic services.

· Participate in interventional cardiovascular catheterization and/or cardiac electrophysiology procedures, including balloon angioplasty, stent insertion, radiofrequency ablation, and pacemaker and/or implantable defibrillator insertion.

· Perform a full range of diagnostic ultrasound examinations.

· Operate equipment identified in the TO. Perform daily warm up and assigned quality control checks of the equipment

· Receive patients and explain procedures, providing humane and appropriate care and communication to alleviate fear of examination. Correctly position the patient for the examination and make adjustments necessary for the required examination.

· Input key test data and patient information into computer of equipment to maintain record of test results.

· Identify abnormalities during testing and determine the need for additional scans of affected area.

· Recognize anatomic variants and determine which other area(s) of the body should be scanned.

· Maintain and clean equipment on a regular basis in accordance with MTF policy. Stock and maintain an adequate level of supplies required for diagnostic procedures. Recommend necessary repairs when diagnostic quality is degraded.

Cardiovascular Technologist (Echocardiographer)

Minimum Qualifications:

· Degree: Certificate.

· Education: Graduate from a cardiovascular technologist program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular Technology (JRC-CVT).

· Registration: Registered Cardiac Sonographer (RCS) as determined by the Cardiovascular Credentialing International (CCI).

· Experience: One year of experience as an Echocardiographer after graduation.

Core Duties:

· Perform duties within the scope of practice determined by didactic, laboratory, and clinical technological education and registration.

· Review and/or record pertinent patient history and supporting clinical data.

· Perform appropriate clinical procedures and obtain a record of anatomical, pathological, and/or physiological data for interpretation by a physician.

· Exercise discretion and judgment in the performance of cardiovascular diagnostic and therapeutic services.

· Perform a full range of cardiac diagnostic ultrasound examinations.

· Operate equipment identified in the TO. Perform daily warm up and assigned quality control checks of the equipment.

· Receive patients and explain procedures, providing humane and appropriate care and communication to alleviate fear of examination. Correctly position the patient for the examination and make adjustments necessary for the required examination.

· Input key test data and patient information into computer of equipment to maintain record of test results.

· Identify abnormalities during testing and determine the need for additional scans of affected area.

· Recognize anatomic variants and determine which other area(s) of the body should be scanned.

· Maintain and clean equipment on a regular basis in accordance with MTF policy. Stock and maintain an adequate level of supplies required for diagnostic procedures. Recommend necessary repairs when diagnostic quality is degraded.

Central Sterile Supply Technician

· Degree: Certificate.

· Education: Completion of a central sterile supply training course.

· Certification: Current certification by the International Association of Healthcare Central Services Materials Management or current certification by the National Institute of Health Care Sterile Processing and Distribution Personnel.

· Experience: As identified in the TO.

Core Duties:

· Receive, disassemble and inspect reusable medical devices and surgical instrumentation for damage.

· Receive and dispose of regulated medical waste, general waste and soiled linen.

· Comply with OSHA regulations governing the wearing of personal protective equipment at all times when working in the decontamination area.

· Determine the correct method of decontamination to include the following: removal of blood, tissue fragments, body fluids and other gross contaminants. Decontamination methods shall include wiping, soaking, rinsing, scrubbing and using ultrasonic and washer decontamination/sterilizer equipment.

· Examine all items after decontamination/pre-sterilization procedures to ensure that gross contaminants have been removed and that instruments function properly.

· Ensure that all medical devices and surgical instrumentation are properly labeled and identified.

· Assemble and prepare the full range of specialty trays and instrument sets. Select correct wrapping or packaging material for medical devices and surgical instrument sets, select sterilization process in accordance with standard MTF procedures to include: Ethylene Oxide (ETO) or Steam Sterilization. Correctly label, seal, wrap or place in rigid containers, items with appropriate chemical indicator tape, and aerate gas sterilized items for the correct period of time.

· Receive sterilized trays, sets, and equipment from the sterilizer; check for integrity of sterilization, (i.e., color changes on indicator tapes, external and internal indicators, and dampness of packages); stock and properly store sterile items in sterile storage room in accordance with MTF procedures.

Certified Addictions Counselor

Minimum Qualifications:

· Degree: Certificate.

· Education: Graduate from a behavioral science program with specialized training in substance abuse and chemical dependency treatment.

· Certification: Maintain a national certification credential by the National Association of Alcohol and Drug Abuse Counselors or National Board of Certification Counselors or International Certification & Reciprocity Consortium/Alcohol and Other Drug Abuse.

· Experience: One year of experience as a Substance Abuse Counselor after graduation.

· License: Current, full, active, and unrestricted license to practice as a Certified Addictions Counselor.

Core Duties:

· Perform a full range of Certified Addiction Counselor duties, in accordance with assignment and consistent with the scope of practice for profession, including but not limited to, medical care treatment and patient education in a knowledgeable, skillful, consistent, and continuous manner.

· Obtain or provide relevant information that will facilitate treatment and assist in developing programs.

· Provide assessment of substance abuse and addiction.

· Identify and document medical consequences of alcohol and other substance use, including withdrawal and detoxification.

· Facilitate the placement and management of patients in appropriate levels of care within the continuum of care model of the treatment of addictive disorders

Certified Athletic Trainer

Minimum Qualifications:

· Degree: Bachelor's Degree.

· Education: Graduate from a college or university accredited by the Commission on Accreditation of Athletic Training Education (CAATE).

· Certification: Possess and maintain a current Certification in Athletic Training through the National Athletic Trainers' Association (NATA) Board of Certification (BOC)

· Experience: One year of experience as a Certified Athletic Trainer after graduation.

Core Duties:

· Perform a full range of Certified Athletic Trainer duties. All services performed shall fall within those guidelines established by the National Athletic Trainers Association, American College of Sports Medicine, and American Medical Society for Sports Medicine.

· Prevent, recognize, treat and rehabilitate injuries.

· Provide evaluation and treatment of musculoskeletal injuries incurred, including, but not limited to the following: progressive resistance exercise (PRE), open and closed chain kinetic exercises, proprioceptive neuromuscular facilitation (PNF), manual therapy and joint mobilization, hydrotherapy, hydrocollator, cryotherapy, ultrasound, phonophoresis, iontophoresis, and all varieties of muscle stimulation.

· Provide treatment for soft tissue damage, acute and chronic edema, post-surgical edema, muscle atrophy, pain, overuse injuries, decreased circulation and loss of strength due to injury or biomechanical imbalance.

· Provide emergency first aid, evaluation and treatment of injuries, and aid in preliminary diagnosis to include recognition of severity of injury, rendering initial treatment and performing initial examination.

· Design and fabricate protective pads, equipment and braces for the prevention and treatment of injuries including the use of proper taping techniques.

Certified Genetics Counselor

Minimum Qualifications:

· Degree: Master’s Degree.

· Education: Graduate from a program in genetics counseling as determined by the Accreditation Council for Genetics Counseling.

· Certification: Possess and maintain certification as a genetics counselor through the American Board of Genetic Counseling (ABGC).

· Experience: One year of experience as a Certified Genetic Counselor after graduation.

Core Duties:

· Perform a full range of genetics counseling, both independently and in association with Maternal-Fetal Specialists, for patients at risk of chromosomal, inheritable or acquired birth defects.

· Provide genetic counseling services for a variety of indications, including advanced maternal age, abnormal maternal serum-alpha-fetoprotein (MSAFP) screening, abnormal fetal ultrasound, significant family history of birth defect or inheritable disease or exposure to known teratogen.

· Serve as a resource for health care providers, providing information regarding prenatal testing as well as assessment of need for genetic counseling.

· Collaborate and coordinate with other departments such as Pediatrics to maintain continuity of care.

Certified Medical Assistant (CMA)

Minimum Qualifications:

· Degree: Certificate.

· Education: Graduate from a medical assistant training program accredited by Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) of the American Medical Technologists or a formal medical services training program of the United States Armed Forces.

· Certification: Certified Medical Assistant Only: Current certification as a medical assistant by the American Association of Medical Assistants or Current registration by the American Medical Technologists or other formal program as specified in the TO.

· Experience: One year of experience as a Medical Assistant after graduation.

Core Duties:

· Prepare examination rooms prior to patient's arrival.

· Assist with patient check-ins, admissions, discharges, and transfers as directed.

· Check patient's vital signs, to include temperature, respiration, pulse, weight, blood pressure, and pulse oximeter reading.

· Obtain and document patient's current medical history, drug history, chief complaints, allergies and vital signs on the correct form.

· Perform diagnostic procedures when ordered.

· Maintain examination room stock levels and perform routine maintenance of examination rooms.

· Complete lab and x-ray requisitions in accordance with clinic policies.

· Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

Certified Medical Dosimetrist

Minimum Qualifications:

· Degree: Bachelor's Degree.

· Education: Completion of a Medical Dosimetry program of at least 12 months that has been accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or completion of 36 months of clinical medical dosimetry experience under the direction of a certified medical dosimetrist or medical physicist and completion of 24 continuing education credits approved by the Medical Dosimetrist Certification Board (MDCB).

· Certification: Possess and maintain certification as a Medical Dosimetrist by MDCB.

· Experience: One year of experience as a Certified Medical Dosimetrist after graduation.

Core Duties:

· Perform routine quality control tests on linear accelerator, simulator, and associated equipment.

· Perform clinical dosimetry measurements.

· Check charts of patients under treatment for completeness and accuracy and verify treatment parameters.

· Maintain patient database for record and verify system.

· Assist in fabrication of treatment blocks and patient positioning devices.

· Maintain familiarity with the proper use of radiation therapy equipment and demonstrate capability and efficiency in the operation of required equipment.

Certified Nursing Assistant (CNA)

Minimum Qualifications:

· Degree: Certificate.

· Education: Completion of a certified nursing assistant program.

· Certification: Possess and maintain certification as a certified nursing assistant.

· Experience: One year of experience as a certified nursing assistant after graduation.

Core Duties:

· Prepare examination rooms prior to patient's arrival.

· Assist with patient check-ins, admissions, discharges, and transfers as directed.

· Check patient's vital signs, to include temperature, respiration, pulse, weight and blood pressure.

· Obtain and document patient's current medical history, drug history, chief complaints, allergies and vital signs on the correct form.

· Perform diagnostic procedures when ordered.

· Maintain examination room stock levels and perform routine maintenance of examination rooms.

· Complete lab and x-ray requisitions in accordance with clinic policies.

· Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

Chiropractic Assistant

Minimum Qualifications:

· Degree: Certificate.

· Education: Attend a formal training program as a chiropractic assistant, nursing assistant, physical therapy assistant, operating room technician or other similar medically related support type occupation.

· Experience: One year of experience as a Chiropractic Assistant, or similar position, after graduation.

· Licensure: Current, full, active, and unrestricted license to practice as a chiropractic assistant if required by the state as required in the TO

Core Duties:

· Prepare treatment areas for incoming patients.

· Administer complex, specialized supportive physiotherapy treatment in areas such as ultrasound, electrotherapy, and therapeutic hot/cold and therapeutic exercise in support of chiropractic treatments in the clinic in a safe and medically accepted manner as directed by the supervisor.

· Instruct and supervise patient exercise programs.

· Report unusual patient treatment response or hazardous or malfunctioning equipment to the supervisor immediately.

· Documents patient history, reported subjective symptoms, care interventions provided, response to interventions, observations, and patient education in the electronic health record as directed by the provider and according to established protocols. Reports any abnormalities to the provider immediately.

Chiropractor

Minimum Qualifications:

· Degree: Doctor of Chiropractic.

· Education: Graduate from a college or university accredited by the Council on Chiropractic Education.

· Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.

· Licensure: Current, full, active, and unrestricted license to practice as a doctor of chiropractic.

Core Duties:

· Perform a full range of clinical diagnosis and chiropractic treatment for commonly occurring neuro-musculoskeletal conditions including subluxation complex;

· Conduct a patent history and chiropractic physical examination as clinically indicated.

· Use the modalities of heat, cold, light, electricity, sound and exercises in patient treatment area.

· Provide patient instructions and recommendations in all matters pertaining to hygiene, nutrition, exercise, life style changes and ergonomic factors in the activities of daily living.

· Plan and conduct lectures and training programs on chiropractic related subjects for staff, students and patients.

· Order orthotics, lifts, collars, and lumbar sacral supports.

· Place active duty patients on limited duty status (profile) according to MTF policy.

Clinical Pharmacist

Includes, but not limited to: Ambulatory Care Pharmacy; Critical Care Pharmacy; Nuclear Pharmacy; Nutrition Support Pharmacy; Oncology Pharmacy; Pediatric Pharmacy; Pharmacotherapy Pharmacy; Psychiatric Pharmacy

Minimum Qualifications:

· Degree: Doctor of Pharmacy (Pharm.D.).

Education: Graduate from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE).

Internship/Residency: Completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health System Pharmacists or American College of Clinical Pharmacy or documentation of appropriate education, training, and/or CME in the practice of clinical pharmacy.

· Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions plus five year experience as a registered practicing pharmacist. A minimum of one (1) year of retail, hospital, or military pharmacy experience, within the last three (3) years.

· Licensure: Current, full, active, and unrestricted license to practice as a pharmacist.

Core Duties:

· Assess patient’s response to drug therapy and planning drug therapy based on physician- established diagnoses.

· Order and evaluate laboratory tests necessary to evaluate drug therapy effects and outcomes.

· Initiate, modify, or discontinue medications for ongoing therapy of chronic disease states (e.g., hypertension, hyperlipidemia, anticoagulant, diabetes, asthma, refill clinics, etc.), in cooperation with the medical staff.

· Monitor and manage pharmacotherapy requiring periodic adjustment due to specific or changing pharmacokinetic characteristics (e.g., aminoglycosides, phenytoin, antithrombotic).

· Administer prescription or non-prescription drugs according to established agreements or MTF protocols.

· Assess metabolic needs and order therapeutic enteral or parenteral nutrition products in the inpatient setting.

· Evaluate medical and medication histories for drug-related problems and adjusting drug therapy accordingly.

· Consult with other healthcare providers (e.g., physicians, dietitians, nurses, physical therapists, etc.) about patient treatment needs or options.

· Perform a full range of pharmacist procedures.

· Review patient profiles at the time of dispensing in order to closely monitor medication therapy.

· Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.

· Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.

· Provide medication and healthcare related in service training to clinical staff on new medications on the market; appropriate use of medications; comparison of current medication therapies; and other topics as deemed appropriate by the department head.

· Consult with other specialty practitioners to provide optimal patient pharmaceutical care.

· Document significant medication interactions, and pharmacy interactions with prescribers. Conduct Adverse Drug Reaction (ADR) reporting in accordance with The Joint Commission (TJC) or the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) standards as appropriate.

· Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.

Cytotechnologists (American Society of Clinical Pathologists)

Includes, but not limited to: Cytotechnology (CT)

Minimum Qualifications:

· Degree: Bachelor's degree.

· Education: Have graduated from a school of cytotechnology accredited by the Committee on Allied Health Education and Accreditation or other organization approved by HHS.

· Certification: Current certification/registration as determined by the American Society of Clinical Pathology (ASCP) or possess a current license as a cytotechnologist issued by the State in which the laboratory is located.

· Experience: One year of experience as specified in the TO.

Core Duties:

· Perform slide interpretation and provide diagnostic results of gynecologic and non- gynecologic cytology samples.

· Evaluates and interprets cytological specimens for disease processes as manifested in cytopathology preparations. The diagnostic interpretation of these specimens directs the clinician in the treatment of patients.

· Issues the final diagnosis for those gynecological cases rendered negative these diagnoses include hormonal aberrations, microbiological findings, and inflammatory related changes.

· Determine the suitability of specimens for analysis. Prepare specimens for analysis and ensure that the cellular structures and features of diagnostic material 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.

· Participates in the collection and preparation of specimens. This includes, but is not limited to, fine needle aspiration, bronchoscopy, touch preparations, and endoscopy.

· Determines the adequacy of such specimens and if appropriate recommends repetition of procedure. Instructs clinician on the proper method for obtaining cytologic specimens for optimal diagnoses

· Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports.

Diagnostic Medical Sonographer (ARDMS/ARRT)

Includes, but not limited to: Angiography Technologists; Breast Sonographer; Registered Diagnostic Cardiac Sonographer; Registered Diagnostic Medical Sonographer; Registered Vascular Technologist; Registered Musculoskeletal Sonographer

Minimum Qualifications:

· Degree: Certificate.

· Education: Graduate from an academic program accredited by the Commission on Accreditation for Allied Health Education Programs (CAAHEP).

· Certification: Certified by the American Registry for Diagnostic Medical Sonography (ARDMS) in the specialty identified in the TO.

· Experience: One year of experience as a sonographer in the specialty area identified in the TO.

Core Duties

· Correlate the patient's clinical history with the requested examination to be performed and obtain the results from previous pertinent diagnostic tests to correlate with the ultrasound study.

· Consult with staff physicians from a variety of specialties such as obstetrics, gynecology, cardiology and surgery regarding the patient's pertinent past medical history, preliminary diagnosis, and condition so it correlates with the ultrasound examination.

· Recognize normal anatomic variants. Also, recognize anatomic changes created by medical and surgical procedures.

· Document arrival, departure, and completed tests as required by MTF policy. Send appropriate image series to the radiologist for reading according to MTF protocol.

· Perform system warm ups, calibrations and quality control tasks according to manufacturer and MTF policy. Recognize artifacts and equipment errors and notify designated Government personnel of outlying values.

· Explain process to patient, and instructs and assists patient in assuming physical position for examination.

· Assist in the compiling and archiving of records for procedures performed

· Observe and report to the radiologist any symptoms which have direct bearing on the patient's condition as a result of adverse reaction to contrast media and inform the radiologist of any condition requiring his/her attention. Recognize the need for and initiate emergency measures for critical situations such as respiratory or cardiac arrest.

· Identify abnormalities during testing and determine need for additional scans of affected area.

· Perform a full range of diagnostic ultrasonic examinations as appropriate to the discipline specified in the TO.

Dietitian

Minimum Qualifications:

· Degree: Bachelor's degree.

· Education: Graduate from a college or university accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or completion of a Didactic Program in Dietetics (DPD) accredited by the ACEND or completion of a post- Baccalaureate degree Dietetic Internship Program of supervised practice (for a minimum of 1200 hours) accredited by ACEND.

· Registration: Possess current registration as a Registered Dietitian from the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics.

· Experience: One year of specialized experience in diet therapy after graduation.

· Licensure: Current, full, active, and unrestricted dietetics license or certification as required in the TO.

Core Duties:

· Plan and organize work of considerable difficulty and responsibility under minimal supervision.

· Participate in research and performance improvement studies.

· Conduct nutrition assessment/evaluation which includes nutrient intake, activity level, appetite, intake of vitamins, minerals, nutritional supplements, and other complimentary alternative medicine usage, weight history, taste changes, feeding problems, food intolerance, food-drug interactions, unhealthy diet behaviors, socioeconomic and ethnic background, documented medical history, current diagnoses and medical treatment modalities, current drug therapy, and clinical signs and symptoms of nutritional deficiencies.

· Apply the basic principles of enteral and parenteral nutrition support.

· Apply principles and practices of clinical dietetics and medical nutrition therapy in order to plan, develop, and independently coordinate medical nutrition therapy intervention, interdisciplinary care plans, and nutrition education activities.

· Conduct studies, analysis, and document findings to evaluate staff, food, nutrition supplements/feeding or meal alternatives and therapies, supplies, equipment, and service in order to improve the efficiency of the operation.

· Apply current food service systems management, principles, and practices within a healthcare environment.

Dietitian Technician

Minimum Qualifications:

· Degree: Associates Degree.

· Education: Graduate from a U.S. accredited college or university or foreign equivalent and successful completion, of a minimum of 450 supervised clinical practice hours, through a dietetic technician program as accredited by the Accreditation Council for Education and Dietetics of the Academy of Nutrition and Dietetics (ACEND).

· Registration: Possess and maintain a current registration as a Dietetic Technician, Registered (DTR) from the Commission on Dietetic Registration of the Academy of Nutrition of Dietetics.

· Experience: One year of experience as a Dietetic Technician after graduation.

Core Duties:

· Collect nutritionally relevant data, e.g., medication, clinical symptoms, laboratory values, dietary history, anthropometrics, etc., from the medical record consistent with screening and assessment guidelines for all age specific groups from infants to geriatrics. Complete nutritional assessments of the nutritional status/needs of not- at-risk patients. Document care provided in Electronic Health Record (EHR) in accordance with MTF local standards and requirements.

· Calculate nutrient and energy intake values and assisting in evaluating data from patient’s dietary history.

· Maintain all required records, reports and statistics in accordance with MTF policy. Assist in implementing and evaluating Nutrition Management Department functions.

· Assist in the care and maintenance of equipment and supplies used in the performance of duties. Document maintenance on equipment. Requisition supplies and educational materials as required.

Early Childhood Educator

· Degree: Bachelor's Degree.

· Education: Complete formal program in special education from an accredited college or university.

· Certification: Current unrestricted state certification or licensure.

· Experience: At least three (3) years as an Early Childhood Educator in the last five (5) years.

Core Duties:

· Provide a full range of Early Childhood Special Educator and Service Coordination services targeting the patient population of infants and toddlers from birth to 36 months old inclusive of pediatric patients who have developmental delays or disabilities or are at- risk for developmental delay.

· Services provided are required by the Individuals with Disabilities Education Act.

· Assist in the coordination of services such as physical therapy, occupational therapy, speech therapy, education and counseling intervention to eligible infants and toddlers with disabilities, ages 0-36 months inclusive, and their families. The emphasis is on family centered care (i.e., emphasis on the patient [child] within the family unit, rather than on the patient alone).

· Participate in the following: implementation of child find activities, development, evaluation, implementation, and modification of Individualized Family Service Plans, consultation regarding integration of patients into child care settings with typically developing children, evaluation, fitting, procurement, and instruction in use of assistive technology devices, identification of family values, beliefs, goals, concerns, and priorities within cultural context which impact patient development, conducting patient/family screenings to determine the need for additional early intervention assessment and treatment, assessing and recommending modification of family and/or day care environment to enhance patient’s development, modifying intervention and treatment plan in accordance with patient’s and family’s changing needs, and treatment planning, family conference, and discharge planning sessions as required.

Early Intervention Specialist

Minimum Qualifications:

Core Duties:

Electroencephalographic Technologist Includes, but not limited to: Electroencephalographic Technologist (EEG); Evoked Potentials Technologist (EP); Neurophysiologic Intraoperative Monitoring Technologist (CNIM); Long Term Monitoring Technologists (CLTM); Autonomic Testing Professionals (CAP)

Minimum Qualifications:

· Degree: Certificate.

· Education: Complete certification in the specialty area identified in the TO.

· Certification: Certified by the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) in the specialty identified in the TO.

· Experience: One year of experience in the specialty area identified in the TO.

Core Duties:

· Perform routine diagnostic studies and services.

· Adhere to safety policies and procedures in accordance with the MTF policies.

· Determine if any special patient preparation is required.

· Modify or adjust the recording strategy and/or instrument parameters based on the technologist’s evaluation of recorded data to ensure a complete, comprehensive and technically satisfactory study

· Process studies and submit to the requesting physician.

· Document all procedures and maintain records in accordance with the established policy at the place of performance.

· As directed, perform system calibrations and quality control tasks according to the manufacturer and MTF policies.

· Recognize the need for and institute the necessary emergency measures for situations where a person requires resuscitation procedures due to cardiac or respiratory arrest.

Emergency Medical Technician (EMT)/Paramedic

Includes, but not limited to: Nationally Registered Emergency Medical Technician (NREMT); Nationally Registered Advanced Emergency Medical Technician (NRAEMT); Nationally Registered Paramedic (NRP)

Minimum Qualifications:

· Degree: Certificate.

· Education: Graduate from an accredited NREMT program.

· Certification: Possess and maintain certification as an NREMT, NRAEMT, NRP from the National Registry of Emergency Medical Technicians (NREMT) or applicable state EMT certification.

· Experience: One year of experience as an EMT, NREMT, NRAEMT or NRP after graduation.

Core Duties:

· Provide a full range of EMT services within the MTF and supported geographical area.

· Maintain proficiency in the operation of the ambulance radio equipment.

· Monitor and operate ambulance radio equipment as required by the circumstances.

· Provide the patient with the necessary and appropriate medical care, consistent with ambulance equipment and supplies, and personnel certification, training, and experience during transport.

· Control and properly dispose of all medical waste incurred during transport.

· Conduct routine restocking, cleaning, and disinfection of the vehicle, equipment, and supplies. Ensure the ambulances are safe to operate, sanitary, and properly functioning.

· Document all treatment provided to the patient during the patient transport.

· Rapidly stabilizing the patient, according to Advance Life Support (ALS) protocol and EMS written protocols.

· Lift, place, and deliver patients to the receiving destinations for medical care. Place patients on monitors, administer needles, IVs, oxygen, or dressings. Carry patient records

Epidemiologist Epidemiologist, Gastrointestinal (GI) - Infectious Disease Minimum Qualifications:

· Degree: Master’s Degree in Public Health or Masters of Epidemiology or Masters of Tropical Medicine and Hygiene from a body accredited by the Council on Education for Public Health (CEPH).

· Experience: Minimum of three (3) years of post-graduate experience within the last five (5) years routinely practicing as an Epidemiologist along with three professional references.

· Required Training: Currently Basic Cardiac Life Support (BCLS) certified before commencing services under this contract.

Duties:

· Perform Epidemiology services in accordance with the prevailing standards of practice for Epidemiologists in the United States. These services include, but are not limited to, public health and disease surveillance data collection and analysis; expected performance outcomes include data and trend analysis reports, complex data evaluation with result reports, statistical analyses, and/or graphic/chart representation of data and analyses as required.

· Investigate gastrointestinal or other disease outbreaks and recommend appropriate control measures. Perform interviews with patients, family members, and/or other contacts as needed.

· Interview all patients admitted to the Military Treatment Facilities/Health Clinics with gastrointestinal infection at the earliest opportunity, preferably while the patient is still in the hospital to ensure timely collection of epidemiologic information.

· Complete evidence-based public health program evaluation to include designing, planning and implementation of complete program evaluation plans, qualitative and quantitative data analyses through multiple methods (i.e., surveys, focus groups as needed, etc.), statistical evaluation of program outcomes and cumulative reports of findings.

· Provide professional epidemiological and public health advice to medical personnel with regard to patients and populations suffering from gastrointestinal infection, either out- or in-patient.

· Advise the Chief of Infectious Disease of any problems encountered, or anticipated, in connection with meeting the needs of the population. Continuing problems of any nature shall be reported in writing.

· Responsible for producing weekly/monthly GI reports.

· Prepare all reports required by the funding agency, the Armed Forces Health Surveillance Branch Global Emerging Infection Surveillance and Response Program.

· Adhere to the Centers for Disease Control guidelines concerning universal precautions while providing required services.

· Perform general epidemiology roles, to include outbreak investigations and public messaging of general health risks, as directed by the Chief of Infectious Disease, so long as these duties do not interfere with performance of specific GI Epidemiologist functions above.

· Verify the content and correctness of all prepared and transcribed reports by affixing his/her own signature and stamp to all copies of the document and validating its contents.

· Perform patient testing; examples include, but are not limited to, specimen processing; molecular and PCR based techniques; other tasks and techniques associated with microbiological, viral and molecular methods.

· Report patient test results into the LIS (CHCS), ensure all work documents are accurate and completed in full.

· Comply and participate in all Quality Control/Quality Management protocols and procedures as applicable to the tasks identified in this PWS. This includes (but is not limited to) performing Quality Control procedures applicable to testing performed and equipment used; review and comply with established SOPs; comply with all training, on-going education and safety requirements.

· Perform reporting and administrative requirements; this includes, but is not limited to, participating in result certification; report generation; and SOP review and modification as required by supervisor or designee; maintain a weekly epidemiological report of GI testing results; assist in research procedures, manuscripts and documents.

· Comply with all technical, MTF and unit specific training requirements.

· Organize and present at outreach/recruiting, and conference events at the MTF, as well as to outlying clinics (as required). Present at outreach/recruiting events in order to encourage clinics to participate in surveillance program. Present at conference events in order to report surveillance findings. Presenting outreach/recruiting and conference events to outlying clinics requires traveling to locations including, but not limited to, local clinics within the Kaiserslautern Military Community and clinics in MEDDAC-B located in Vilseck, Germany, Italy, Belgium, Spain, Great Britain. Outreach activities may require an overnight stay due to their distance from LRMC.

· Perform a minimum of one outreach activities per month. Travel and outreach activities shall occur Monday through Friday.

· Track GI related expenditures to project renewable costs; review GI weekly trends in resulting for submission to preventive medicine and host nation officials (as needed); maintain and submit specimen surveys as required.

· Recruit submission of GI specimens from outlying clinics on a weekly basis; ensure that specimen surveys are filled out and included with specimens; ensure that GI testing results are regularly submitted and received by participating clinics.

· Perform additional tasks as assigned within the scope of a regular laboratory technician, Quality Control/Quality Management and GI duties.

Exceptional Family Member Program (EFMP) Coordinator

· Degree: Master of Social Work (M.S.W.).

· Education: The EFMP must hold a Master of Social Work degree from a school of social work fully accredited by the Council on Social Work Education (CSWE).

· Certification: Maintain a current, unrestricted clinical license to practice social work in any one of the 50 states, the District of Columbia, Puerto Rico, or the U.S. Virgin Islands. A clinical social work license is defined as a license that allows the Social Worker to practice independently without clinical supervision.

· Experience: A minimum of two years full-time experience in care coordination, discharge planning or case management in a medical setting within the last four years.

· Licensure: Must hold a full, current, and unrestricted license in a State, Territory, Commonwealth, or the District of Columbia.

Core Duties:

· The EFMP Coordinator overseas and manages the installation EFMP-M IAW DoD and military component policy and any subsequent implementing guidance.

· Uses clinical assessment skills and maintains procedures to identify sponsors whose family members have special medical and educational needs in a timely manner. The EFMP uses a multi-disciplinary and collaborative approach with other key service providers, such as installation youth and child care facilities, and other officer and enlisted spouses groups, to ensure effective outreach and identification of special needs. Ensures family members of the military personnel or family of the military member are appropriately “Q coded” (EFMP-enrolled).

· Ensures all active duty sponsors known to the Air Force Personnel Center, and local Military Personnel Section (MPS) and /or Commander Support Staff (CSS) where applicable, having family member with special needs are identified in military component medical special needs data management systems. Provides oversight for base-level data entry in government-provided data management systems used in the management of EFMP-M base-wide.

· Integrally involved in the Family Member Relocation Clearance (FMRC) process. Ensures all FMRC requirements are implemented by all EFMP-M staff. Coordinates the enrollment process and travel screening for all active duty family members’ and travel screening upon request to the families of DoD civilian sponsored assignments going to an overseas base.

· Provides oversight to…