PWS_Advanced_Tactical_Medical_Training.pdf

Performance Work Statement for

Advanced Tactical Medical Training

1.0. DESCRIPTION OF SERVICE

1.1. Description of Services. The contractor shall provide all equipment, tools, parts, transportation, personnel, labor, supervision, and management to provide sustainment Combat

Medical Training (CMT) to Pararescuemen assigned to the 48th Rescue Squadron (48 RQS), Davis-Monthan AFB, AZ.

1.1.1. Scope. The contractor shall provide three (3) five (5) day courses of instruction for a maximum of 16 Guardian Angel (GA) personnel. The course of instruction shall include the latest medical procedures, casualty treatment, and triage techniques currently utilized throughout today’s evolving battle-space. Course of instruction shall combine classroom academics, along with procedure based training on medical cadaver tissue (simulation aids) provided by the contractor. The course of instruction shall incorporate the tactical employment of medical treatment rendered by pararescuemen through academics and scenario based training. The contractor shall provide realistic training scenarios in which personnel will have the ability to utilize all medical skills taught throughout the course. The course shall be utilized to provide realistic training on hemorrhage control, airway interventions, and surgical procedures to include chest tubes, fasciotomy, and lateral canthotomy. Upon completion of the five-day course, participants will have met the requirements necessary for Emergency Medical Technician –

Paramedic (EMT-P) recertification.

1.2. Training Requirements. The objective of the training schedule is to provide realistic CMT for 16 Pararescuemen. The training, which incorporates academics and scenarios, shall be applicable to the current areas of operation and injury patterns as well as provide the ability to train to the specific skills of the Pararescuemen as a tactical rescue specialist. There shall be a total of 5 training days per student. To accomplish this training requirement, simulation technology shall be used in all training scenarios. Each day shall end with debrief/lessons learned. All CMT will take place at the contractors owned and operated facility.

1.2.1. Instructor to student ratio for the 5-day CMT shall not exceed 1:6.

1.2.2. Patient model to student ratio shall not exceed 1:3 during CMT scenarios.

1.2.3. The contractor must be nationally accredited as described on the National Registry of

Emergency Medical Technicians (NREMT) official website: NREMT.org. However, NREMT.org does not list approved recertification courses/vendors. Instead, it refers inquiries to the state EMS office and the Continuing Education Coordinating Board for Emergency Medical

Services (CECBEMS) website (www.cecbems.org). Accreditation is found on the CECBEMS website. The pre-requisites for paramedic re-certification are also posted on the CECBEMS website.

http://www.cecbems.org/

1.2.4. The contractor shall provide the course material in accordance with the NREMT.org and

CECBEMS websites criteria for EMT-P re-certification.

1.3. Minimum Contractor Requirements

1.3.1. The offsite CMT will take place during a 5-day block. The course of instruction will include (at a minimum) the following topics:

a. Current concepts in Tactical Combat Casualty Care

b. Human anatomy review

c. Patient assessments

d. Advanced/difficult airway management

e. Patient triage

f. Mass casualty management

g. Mass casualty scenarios

h. Blunt trauma scenarios

i. Tactical medical scenarios

j. Prolonged care for patients

k. Suturing I Wound care

l. Burn trauma management

m. Extended care considerations

n. Tactical rescue scenarios

o. Surgical procedures

1.4. Instructor Minimum Qualification Requirements

1.4.1. Instructors must be experienced in medical and trauma skills as well as have extensive knowledge in the application of these skills in operational environments. Licensed and practicing MD's and PhD’s must have oversight of instructors.

1.4.2. Instructors must have intimate knowledge of pararescue operations and skill sets.

1.5. Specific Contractor Requirements for CMT

a. Contractor shall provide all medical supplies required for training.

b. CMT simulation aids must be properly and legally procured.

c. CMT shall adhere to applicable testing for Hepatitis B, Hepatitis C and HIV and any other communicable diseases as required by state law and institutional policy, and the contractor shall provide relevant information about the results of testing for communicable diseases to the 48 RQS point of contact. All personnel who may come in contact shall be made aware of the positive test result and maintain necessary precautions to prevent disease transmission.

d. CMT simulation aids disposal must be in a manner consistent with donor intent and legal requirements.

e. Problems related to the conduct involving CMT use of human simulation aids must be promptly reported to the 48 RQS point of contact and the Contracting Officer and in accordance with Section 1.5.3 of this PWS. Examples of problems include, but are not limited to: loss of confidentiality, breach of security, significant deviation from the approved protocol, failure to comply with state laws and/or institutional policies and public relations issues.

1.6. Deliverables

1.6.1. Blank

1.6.2. On the final day of instruction, a certificate of completion for each student passing the course shall be provided, along with documentation outlining the number of continuing medical education (CME) hours earned throughout the course.

1.6.3. A comprehensive after action report (AAR) of attending personnel’s performance and a summary report of all activities/training shall be submitted to the 48 RQS point of contact. in electronic format no later than 30 days after the final training day. A brief description of the

CMT activity and a brief description of the contractor’s involvement shall be included.

1.7. Applicable Documents and Reference. The contractor shall comply with the following:

a. Revised Uniform Anatomical Gift Act (UAGA), drafted by the National Conference of

Commissioners of Uniform State Laws, 2006.

b. Laws or regulations applicable to the states and U.S. territories that govern the use of subject CMT activity and curriculum simulation aids.

c. Pre-Hospital Trauma life Support/Tactical Combat Casualty Care (PHTLS/TCCC) protocols as established by the American College of Surgeons Committee on Trauma, the

National Association of Emergency Medical Technicians

1.8. Licenses and Permits. The contractor shall, without additional expense to the Government, obtain any necessary licenses and permits, and comply with any Federal, State, and local laws, codes and regulations applicable to the SOW. The contractor shall provide proof of such applicable licenses and permits upon submittal of their proposal and at any time on request by the Government. The contractor shall submit any applicable certifications.

1.9. Place of Performance. Contractor will provide all facilities. The Government will provide transportation and lodging for all attendees.

1.10. Period of Performance. The following are projected periods of performance for the three

(3) detailed courses of instruction. Note that some deviations from the itinerary may occur due to time, personnel, or environmental limitations and every effort will be made to communicate all changes 21 days prior to implementation to the contractor.

Course #1: 22-26 February 2016

Course #2: 05-09 September 2016 (These dates my change as detailed above)

Course #3: 19-23 September 2016 (These dates my change as detailed above)

2.0. GENERAL INFORMATION

2.1. Privacy and Security.

2.1.1. Reporting Requirements. Contractor personnel shall immediately report to an appropriate Government authority any information or circumstances of which they are aware may pose a threat to the security of Department of Defense personnel, contractor personnel, resources, and classified or unclassified defense information.

2.1.2. Privacy Act. Work on this project requires that personnel have access to Privacy Act

Information. Personnel shall adhere to the Privacy Act, Title 5 of the U.S. Code, Section 552a and applicable agency rules and regulations.

2.1.3. Security. Work on this project requires all personnel having access; knowledge and/or involvement complete Non-disclosure Agreements (NDAs). Personnel shall adhere to the provisions against sensitive information and/or information that effects national security under

18 U.S.C., Sec 1905 ("Trade Secrets Act") and 5 U.S.C. Secs 552(b)(1) and (b)(4), which prohibit the release of sensitive information trade and national security information, in addition to the provisions under Executive Orders 13526 and 12356 ("National Security Information)

2.2. Contractor Personnel

2.2.1. Contract Manager. The contractor shall designate a point of contact that’s responsible for the performance of the work. The name of this person, and an alternate, who shall act for the contractor when the manager is absent, shall be designated in writing to the contracting officer prior to the contract start date. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract and have contract authority to provide the services and obligate the contractor.

2.2.2. The contractor shall not employ persons for work on this contract if such employee is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the installation and its population.

2.2.3. The contractor shall not employ any person who is an employee of the US Government if employing that person would create a conflict of interest. Additionally, the contractor shall not employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval according to Department of Defense

(DoD) Regulation 5500.7-R, Joint Ethics Regulations (JER). The contractor shall not employ any person who is an employee of the Department of the Air Force if such employment would be contrary to the policies in AFI 64-106, Air Force Industrial Labor Relations Activities.