Performance_Work_Statement.pdf

Performance Work Statement for

Advanced Tactical Medical Training/Paramedic Refresher

1.0. Description of Services. The contractor shall provide one (1) x ten (10) day courses of instruction for a maximum of 16 x Guardan Angel (GA) personnel.

1.1 Basic Services. This Performance Work Statement (PWS) defines the efforts required to provide sustainment Combat Medical Training (CMT) to pararescuemen assigned to the

. Course of instruction will include the latest medical procedures, casualty treatment, and triage techniques currently utilized throughout today’s evolving battle-space. The course of instruction shall incorporate the tactical employment of medical treatment rendered by pararescuemen through academics and scenario based training. Contractor will provide realistic training scenarios in which personnel will have the ability to utilize all medical skills taught throughout the course. This course will 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 ten-day course, participants will have met the requirements necessary for Emergency Medical Technician-Paramedic (EMT-P) recertification.

1.2 Training Requirements

1.2.1 The objective of this training schedule is to provide realistic CMT for 16 pararescuemen. This training, which incorporates academics and scenarios, will 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 pararescueman as a tactical rescue specialist. These scenarios will include, but not limited to: high/low-angle rescue, extrication, and collapsed structure rescue. There will be a total of 10 training days. To accomplish this training requirement, simulation technology will be used in all training scenarios. Additionally, a portion of the training will be completed in a surgical skills lab, located at an accredited medical school.

Each day will end with debrief/lessons learned. All CMT will take place at the Contractors owned and operated facility.

1.2.2 Instructor to student ratio for this 10-day CMT shall not exceed 1:6.

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

1.2.4 The contractor must be nationally accredited as described on the National Registry of Emergency

Medical Technicians 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.

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

CECBEMS websites criteria for Emergency Medical Technician – Paramedic (EMT-P) re-certification.

1.3 Minimum Contractor Requirements

1.3.1 The offsite CMT will take place during a 10-day block. The course of instruction will include (at a minimum) the following topics:

o Current concepts in Tactical Combat Casualty Care http://www.cecbems.org/ o Human anatomy review o Patient assessments o Advanced/difficult airway management o Patient triage o Mass casualty management o Mass casualty scenarios o Blunt trauma scenarios o Tactical medical scenarios o Prolonged care for patients o Suturing I Wound care o Burn trauma management o Extended care considerations o Tactical rescue scenarios o Surgical procedures o K9 anatomy/physiology o K9 medical treatment protocols

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.

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

1.5 Deliverables

1.5.1 The current curriculum of instruction will be provided for approval with the Contractor’s proposal.

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

1.5.3 A comprehensive after action report (AAR) of attending personnel’s performance and a summary report of all activities/training shall be submitted to the and Contracting Officer 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 will be included. Payment will be rendered after satisfactory receipt of the AAR.

2.0 GENERAL INFORMATION

2.1 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.

2.2 Contractor Personnel

2.2.1 Contract Manager. The contractor shall provide a point of contact who shall be responsible for the performance of the work. The name of this person and an alternate or alternates, 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.

2.2.4 Organizational Conflict of Interest. If the contractor provides an agency with support in preparing for and/or conducting acquisitions under this contract, the agency may require that the contractor sign an organizational conflict of interest statement in which the contractor (and any subcontractors or teaming partners) agree not to submit any proposal or provide any support to any firm which is submitting (as prime or subcontractor) any proposal for any solicitation resulting from the work under this contract. The agency and contractor shall strive to identify and report situations in which an organizational conflict may result. All potential conflict of interest situations shall be handled in accordance with FAR Subpart 9.5.

2.2.5 Applicable Documents and Reference

Contractor shall insure compliance with:

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

Commissioners of Uniform State Laws, 2006.

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

3. 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

2.2.5.1 Specific Contractor Requirements for CMT

1. Contractor will provide all medical supplies required for training.

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

3. 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 Contractor will provide relevant information about the results of testing for communicable diseases to the

. All personnel who may come in contact must be made aware of the positive test result and maintain necessary precautions to prevent disease transmission.

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

5. Problems related to the conduct involving CMT use of human simulation aids must be promptly reported to the and contracting officer and IAW Section 1.5.3 of this SOW. 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.

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

3.1 Period of Performance. The following are the projected periods of performance for the detailed course of instruction:

1. 24July -04 August 2017

3.2 Privacy and Security.

3.2.1 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.

3.2.2 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)