Atch_3_-_AMSA_EMT_Instructor_PWS_Non-Personal_Services_09122019.pdf

PERFORMANCE WORK STATEMENT (PWS) FOR

AEROSPACE MEDICAL SERVICE APPRENTICE (AMSA)

EMERGENCY MEDICAL TECHNICIAN (EMT) INSTRUCTORS

JOINT BASE SAN ANTONIO – FORT SAM HOUSTON 12 September 2019

1. AGENCY BACKGROUND

The United States Air Force Headquarters, Air Education and Training Command (AETC) 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. The EMT Instructors provide specialized training to Emergency Medical Technicians to make them combat ready as a highly mobile force. The United States Air Force Medical Service military 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 the need for contracted EMT Instructors to enhance the development, sustainment, and refinement of Emergency Medical Technician skill sets to prepare for upcoming future assignments and deployments.

2. DESCRIPTION OF SERVICES

The contractor shall recruit qualified healthcare professionals to perform the duties outlined in the contract and performance work statement. Employment will begin once the EMT Instructors have been placed and have performed as required by the performance work statement. The tasks to recruit, qualify, and place an EMT Instructor are not severable; therefore, the time to recruit, qualify, and place an EMT Instructor starts from the first day of the Instructor Training course or Plan of Instruction (POI), whichever comes first.

This is a non-personal services requirement to provide course instruction services to provide Emergency Medical Technician (EMT) instruction for the development, sustainment, refinement, and enhancement of basic medical skill set capabilities for upcoming assignments. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

3. SCOPE

The contractor shall provide two (2) EMT Instructors to assess, advise, and prepare students to react and be more effective in emergency situations. If the student is having difficulty completing or performing tasks/procedures, and/or emergency medicine or critical care, the EMT Instructors will assist the student to increase the knowledge base of tasks or procedures in question.

The contractor shall provide two (2) Course Instructors as follow:

Number of

Contractor Personnel

Position Hours Classes per year

2 Emergency Medical Technician Instructors 1920 per FTE

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

The current course is Monday to Friday from 0730 to 1700 with an hour lunch. Recognized Holidays:

EMT Instructors will not be required to work on recognized holidays.

Unless excused by the contracting officer representative, all contractor personnel are required to complete Instructor Training course prior to commencing instructor services in order to obtain practical teaching experience and classroom management skills. The Instructor Training course is a four week class taught at various USAF locations and contract personnel will be placed into the first available open seat. This course will be funded by the contractor. Upon successful completion of the Instructor Training course, contractor personnel will be assigned a Date Assigned Instructor Duty (DAID). Contractor personnel are required to attend the four day ICDT course (four day training session from 0730-1630 with an hour lunch) and the one day METC orientation provided at Ft Sam Houston, Texas per METCOI 41-034 (para

6.2.1 and 6.2.2, page 11).

Prior to the Instructor Training course start date, contractor personnel will assist the lead EMT Instructor with student skills checklist 2 days per week. They will also be utilized to fulfill the Lab Safety Multiple Instructor Requirement (MIR) under supervision of the lead Lab Instructor, assist with administrative tasks to include curriculum development, and shadow EMT Lead Instructors in the classroom to obtain familiarization with course instruction.

The contractor shall place emphasis upon learning and mastering skills with the team Instructors during the familiarization orientation.

5. REQUIRED SUBJECT KNOWLEDGE AND COURSE INSTRUCTION DUTIES

EMT Instructors shall provide relevant Course Instruction support in subject areas listed below. The curriculum will be provided by the Government. The desired result is to enable the Emergency Medical Technician Units to react more quickly and efficiently to emergency situations with encountered obstacles using the tools available in the performance measures.

5.1. Instructor is responsible for providing quality standardized instruction and testing for the US Air Force Medical Technician.

5.1.1. Conduct instruction in a variety of environments; to include: classrooms, laboratories, or outdoors at Fort Sam Houston, Texas.

5.1.2. Instruction will include didactic and psychomotor training in an academic setting for basic EMT and limited primary care. Subjects presented include: basic anatomy and physiology, cardiac life support, sanitation and first aid procedures, shock management, respiratory maintenance, hemorrhage control, emergency wound treatment, management of fractures, burns, and injuries from chemical agents, emergency medical treatment.

5.1.3. Use appropriate training aids including computer based material and devices approved by the Director, AMSA and listed in the Plan of Instruction (POI), to execute and enhance training outcomes.

5.1.4. Review current lesson plans with handbooks, study guides, and tests. Designs, prepares, and keeps other instructional aids including flip charts, viewgraphs, slides, etc. current.

5.1.5. Use up-to-date knowledge of advanced medical subjects (standards of care) and EMT processes, practices, procedures that are pertinent and applied in the program of instruction.

5.1.6. Use the most suitable and effective method of training, i.e.; lectures, performance demonstration or discussions, as prescribed by the lesson plan or material presented to achieve desired lesson objectives or outcomes.

5.1.7. Follow and apply Student Evaluation and Administration Plan to assure processes are applied fairly to students during all course phases.

5.1.8. Prepare records and provide student grade input for inclusion in student training records. Monitor, evaluate and counsel students on academic performance, non-academic behavior and prepare/maintain student records of training in accordance with applicable directives

5.1.9. Instructors will provide recommendations and suggestions, assist in the development of instructional programs for 4N0X1 and EMT training programs to include writing, revising and/or proofreading lesson plans that typically deals with EMT, trauma treatment, primary care, medical evaluation, force protection, CBRN, trauma scenario development and warrior skills.

5.2. All curriculum or training material must be staffed and approved by the Air Force, Career Field Manager and AMSA’s Department Chair, Program Director, and Senior Enlisted Advisor before implemented. Instructor may be detailed as a subject matter experts (SME) to develop sustainment training products as an individual or panel member.

5.2.1. Secures classroom space and announces upcoming classes. Ensures classroom training equipment is operational and supplies are available.

5.2.2. Ensure quality training is provided to assigned personnel. Instructs new trainers on the fundamentals of curriculum development, instructional techniques, and effective job skills training including initial classroom orientation, and recurring training for trainers in selecting the most appropriate instructional method for the course being taught (lecture, instructional model, hands on experience, etc.).

5.2.3. Review course plans/outlines, and adhere to course schedule to ensure all topics are covered on time. Produce or locate appropriate hand-out material, communicate the objectives of the course material, and ensure courses are evaluated upon completion.

5.2.4. Makes certain that newly assigned trainers understand the fundamentals of establishing learning objectives, developing course outlines and lesson plans, etc.

5.2.5. Participates in in-service refresher training sessions to learn latest processes, procedures, and practices as the course curriculum/POI evolves.

5.2.6. Ensures refresher training methodologies selected will enable incumbent to apply best design and most effective instruction to students in; Basic Life Support (BLS), EMT, and limited primary care.

5.2.7. Maintain and enforce standards of conduct, dress, and personal appearance specifically AFI 36- 2903: Dress and Personal Appearance of Air Force Personnel, AETCI 36-2909: Recruiting, Education, Accessions, and Training Standards of Conduct, and AFI 36-2618: The Enlisted Force Structure.

5.2.8. Assigns and conducts orientation and continuing education training sessions for newly assigned instructors. Refresher training may include, but is not limited to, training methods and computer based training.

5.2.9 Instructors will be subject to scheduled and no-notice evaluations. Contractor instructors shall maintain a satisfactory or better rating on instructor evaluations.

5.3. Conditions:

5.3.1. Essential requirement: Candidates for EMT Instructor need to be physically fit and able to perform tasks.

5.3.2 Job requires physical capabilities due to some heavy lifting in field environment.

5.3.3 Ability to sit, bend, and stand for extended periods of time.

5.3.4 Ability to lift up to 50 lbs. from ground to waist level.

5.3.5 Ability to coordinate activities closely with others in stressful situations.

5.3.6 Ability to effectively communicate Verbal/Written English.

5.3.7 Ability to take direction and adapt to changing situations/job duties.

6. KEY PERSONNEL AND QUALIFICATIONS

6.1 Key Personnel

The contractor shall provide the following certified Emergency Medical Technician Instructors:

Two (2) Emergency Medical Technician Instructors

Should an instructor be removed or unable to perform, the contractor must provide a certified replacement within 30 days.

6.2. Qualifications

The contractor shall submit resumes of qualified candidates to the Contracting Officer and COR for approval. EMT Instructors shall be credentialed for their field as stated below. Credentials shall not be lapsed or expired. Prior military combat/operational/deployed experience and/or prior military experience in the Air Force Specialty Code (AFSC) 4N0X1, or equivalent Army or Navy occupational code, is highly desired.

6.2.1.1. EMT Instructor. Serves as an instructor primarily assigned to the AMSA program to fulfill the training mission. Instructor is further assigned to the EMT section on one of the training teams. Instructor is responsible for providing quality standardized instruction and testing for the US Air Force Emergency Medical Technicians.

Education: Graduate from a National Registry of Emergency Medical Technicians (NREMT) program is required. Certificate or Associate’s Degree in a healthcare related field is required. Knowledge and skills as they pertain to Emergency Medical Technician Department of Transportation (DOT) curriculum and objectives, advanced trauma treatment using tenants of Tactical Combat Casualty Care (TC3) is desired but not required. Knowledge and skills of a first responder; and of pre-hospital care as it applies to the 4N0X1 (Air Force Medical Technician). Knowledge and skill of limited medications as they apply to limited primary care; of physical and emotional reactions to a variety of treatment procedures, medical evaluation, procedures and treatment, trauma scenario development..

Certifications: Possess and maintain certification as an Emergency Medical Technician (EMT), Nationally Registered Advanced Emergency Medical Technician (NRAEMT), or Paramedic from the

NREMT

Experience: EMT instructor should possess no less than five years of EMS field experience as an EMT, AEMT, or Paramedic after certification.

Licensure/Registration: All licensure/certification fees, as well as completion of mandatory continuing education units (CEU’s) required for re-licensure/certification, are the responsibility of the incumbent. All licensure/certifications must be available and released to the hiring authority 10 days prior to employment.

Internship: All contractor personnel are required to complete the teaching internship process. Minimum period of internship is three months from the DAID. Maximum period is 12 months from the DAID. This includes 120 hours of supervised teaching, 30 hours minimum of curriculum development, 30 hours minimum of test administration and review, academic counseling of students, instructor performance feedback, and instructor subject matter testing. Contractor personnel must receive three evaluations within 365 days of the set DAID; two evaluations within 90 days of the Assigned to Course (ATC) date and the third evaluation by the 365th day from the DAID’s date. Evaluations must be annotated on the METC form 41-01 (March 2015). All instructor personnel are required to sign the DD Form 2982, Recruiter/Trainer Prohibited Activities Acknowledgment, annually.

6.3. Changes in personnel

The Contractor shall provide resumes of proposed instructors for review. The contractor shall obtain the consent of the COR prior to making personnel substitutions. If approved by the COR, any replacement must possess the required qualifications. Requests for changes in personnel shall be submitted to the COR and CO at least 30 business working days prior to making any permanent substitutions.

7. GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

The Government will provide use of all classrooms, simulation models, medical consumables, equipment, personal protective equipment (gowns, shoe protection, eye protection, gloves, etc.). 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.

8. GENERAL INFORMATION

8.1. Contractor Representative. The contractor shall identify the name and telephone number of the contractor's point of contact to the Contracting Officer (CO) in writing 5 days after contract award. 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.

8.2. The Contractor Representative shall respond to a request to meet with the CO within twenty-four

(24) hours of notification under routine circumstances.

8.3. Hours of Performance.

8.4. The Contractor shall provide qualified and trained personnel to cover the required hours of performance. The current schedule is Monday to Friday from 0730 to 1630 with an hour lunch. The contractor may be subject to work other than normal work hours.

8.5. Absences. The contractor shall ensure any absences do not interrupt service performance. Any back-up instructors must be approved at least 30 working days in advance, unless the COR approves an exception. If approved by the COR, any replacement must possess the required qualifications.

8.6. 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 contracting officer will notify the contractor of any changes in performance requirements. The Contractor shall be responsible for instructing contractor personnel concerning their duty status. Under no circumstances will the contractor be paid for services not delivered.

8.7. Services performed under this contract have been determined not to be essential for performance during crisis declared by the National Command Authority.

8.8. The Government will restrict the performance on this contract by any individual who is identified as a potential threat to the health, safety, security, general well-being, or operational mission.

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

8.10. 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 Contracting Officer through the COR.

8.11. The contractor shall ensure that its employees 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 contractor employee engaging in such misconduct.

8.12. Smoking in AF Facilities. Contractors are advised that the AF has placed restrictions on the smoking of tobacco products (cigarettes and e-cigarettes) in AF facilities. AFI 40-102, Tobacco Free Living, outlines the procedures used by the commander to control smoking in our facilities. Contractor employees and visitors are subject to the same restrictions as government personnel. The Medical Education and Training Campus (METC) is a smoke free campus.

8.13. Joint Base San Antonio (JBSA) Traffic Code. 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: Motor Vehicle Traffic Supervision, and AFMAN 31-116: Air Force Motor Vehicle Traffic Supervision.

8.14. Cell Phone Usage. Contractors are advised that DoD Instruction (DoDI) 6055.04: DoD Traffic Safety Program, 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.

8.15. Any materials developed for training are the sole prosperity of the United States Air Force.

9. SECURITY

9.1. 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 immediately report to the Contracting Officer and Security Forces any information or circumstances which may pose a threat to DOD or Contractor, resources, or DoD information.

9.2. Installation Access. Criminal History Check will be conducted on all prime/subcontractor employees requiring base access. The contractor shall provide the Contracting Officer and the Information Protection Office a current list of employees needing access. The list shall include employee's name, date of birth, state driver's license/state ID number and state of issue. Notifications of contractor employee additions and deletions shall be provided with the same information listed above and within 3 working days. The Government will notify the Contractor that installation access passes are available for those employees clearing the criminal history check. The duration of any pass issued will not exceed the duration of the contract.

9.3. 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 Contracting Officer.

9.4. 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.

9.5. Additional Security Requirements. National Agency Check with Inquiries (NACI) will be IAW Homeland Security Presidential Directive 12 (HSPD- 12).

9.6. 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 contractor employees 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 30 calendar days of Contract Award or Notice of Award.

To begin this process, all affected contractor employees must complete within 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 COR or Government Inspector when the worksheet is complete. The affected employee will then be scheduled by the government for two 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 Contracting Officer 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 contractor member will receive appropriate entry credentials for access to restricted/controlled areas, unless disqualifying information is subsequently discovered. In this instance access will be revoked. The NACI adjudication process normally takes 2 to 5 months after submission of the package.

9.7. Weapons, Firearms, and Ammunition. Contractor employees are prohibited from possessing weapons, firearms, or ammunition, on themselves or within their contractor-owned vehicle or privately-owned vehicle while on JBSA.

10. CONTRACTOR MANPOWER REPORTING APPLICATION (CMRA)

10.1. The Contractor shall report ALL Contractor labor hours (including Sub-Contractor labor hours) required for performance of services provided under this contract via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

10.2. Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year.

Contractors may direct questions to the CMRA help desk.

10.3. Uses and Safeguarding of Information: Information from the secure web site is considered to be proprietary in nature when the contract number and Contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the Contractor name and contract number associated with the data.

10.4. User Manual: Data for Air Force service requirements must be input at the Air Force CMRA link.

However, user manuals for Government personnel and Contractor are available at the Army CMRA link at http://www.ecmra.mil. Once you get to this site, click the Department of Air Force CMRA link, to log-in or to initially set-up a user account.

11. QUALITY CONTROL

The Contractor shall be responsible for quality control for all work accomplished during the performance of the contract. The Contractor shall maintain a Quality Control Plan (QCP) which ensures the requirements in this PWS are met. As a minimum, the Contractor shall develop quality control procedures that address the areas identified in the Service Summary. The QCP shall be submitted to the Contracting Officer, for Government acceptance fifteen (15) working days after contract award.

11.1. The QCP is subject to the CO's acceptance or rejection. In the event that sections of the QCP are rejected by the CO, the service provider shall make necessary changes within ten (10) working days after the notification of rejection by the CO.

Non-acceptance. The written QCPs shall include complete outlines on how quality will be controlled in all functional areas. Changes to the QCP during contract performance shall be submitted to the CO for acceptance not later than ten (10) working days prior to any changes being effected.

12. QUALITY ASSURANCE

The government will periodically evaluate the Contractor's performance by appointing a Contracting Officer Representative(s) (COR) to monitor performance to ensure services are received and are acceptable. The COR will evaluate the Contractors performance in accordance with the government's Quality Assurance Surveillance Plan (QASP) developed for this requirement.

13. SERVICE SUMMARY

PO#

Performance Objective (PO)

PWS

Para

Performance Threshold-Per FTE (This is the maximum error rate)

The contractor will provide certified qualified personnel. NREMT & BLS credentials are not lapsed or expired.

6.1 &

6.2

Zero Discrepancies

Provide two (2) certified EMT instructors per class, as indicated in PWS paragraph 3 & 6.1

3 & 6.1

Zero Discrepancies

3 Instructors must maintain a satisfactory or better rating on instructor evaluations

5.2.9 No less than two

satisfactory evaluations within six months

4 Instructors must conduct themselves in a professional manner IAW publications listed in Appendix A and AMSA Flight policies

5.2.7 & 8.11

No more than three complaints per six months

5 Complete daily instruction as prescribed in METC Plan of instruction (POI)

5.1.3 No more than three

infractions per year

APPENDIX A

REFERENCED PUBLICATIONS

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

AFI 36-2903: Dress and Personal Appearance of Air Force Personnel

AETCI 36-2909: Recruiting, Education, Accessions, and Training Standards of Conduct

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)

AFI 71-101, Volume-2, Protective Service Matters, (Paragraph 1.2)

DOD 5200.2-R, Appendix 1, Personnel Security Program

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

METCOI 41-34 (Paragraph 6.2.1 and 6.2.2, page 11)