Performance_Work_Statement_(PWS).pdf

Performance Work Statement for

Combat Medicine and Technical Rescue Specialist Training

1.0. Description of Services. The contractor shall provide all equipment, tools, parts, transportation, personnel, labor, supervision, and management to provide sustainment Combat Medical Training (CMT) and Technical Rescue Specialist (TRS) skills to Pararescuemen assigned to the

, Davis-Monthan Air Force Base, AZ.

1.1 Basic Services. The contractor shall provide one (1) ten (10) day course 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 fresh human tissue (simulation aids) provided by the contractor. The course of instruction shall incorporate the tactical employment of medical treatment rendered by Pararescuemen through full mission profile (FMP) 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 also be utilized to provide tactical instruction on sound employment of Close Quarters Battle (CQB), threat recognition and elimination, precious cargo recognition, recovery, and treatment, and scene security. The course will instruct technical objectives to include rope rescue (high and low angle) scenarios, and confined space scenarios. Participants will exercise their Technical Rescue Specialist (TRS) skills in full-mission-profile events. 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 the training schedule is to provide realistic CMT and TRS training for up to 16 Pararescuemen (PJs), Combat Rescue Officers (CROs), and supporting medical personnel. 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 Pararescueman as a technical rescue specialist. There shall be a total of 10 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 training 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

http://www.cecbems.org/

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

1. Current concepts in Tactical Combat Casualty Care

2. Human anatomy review

3. Patient assessments

4. Mechanism of injury

5. Blast and burn injuries

6. Ocular trauma

7. Neck trauma

8. Chest trauma

9. Abdominal trauma

10. Crush injuries

11. Pediatric emergencies

12. Orthopedic emergencies

13. Hemorrhage control

14. Advanced/difficult airway emergencies

15. Respiratory emergencies

16. Shock

17. Environmental emergency considerations

18. Patient packaging

19. Critical care transportation

20. Intravenous and intraosseous fluid therapy

21. Improvised and field expedient medicine

22. Sick call medicine

23. Patient handoff

24. Cardiopulmonary resuscitation (CPR)

25. Advanced Cardiac Life Support (ACLS)

26. Pediatric Advanced Life Support (PALS)

1.3.2. The TRS portion of the course will cover (at a minimum) the following topics:

1. Rope Rescue (High and Low Angle)

2. Solid Anchor selection and construction

3. Proper belay/rappel techniques

4. Safe mechanical advantage employment

5. Proper litter rigging (vertical and horizontal)

6. Heavy Lift and Extrication

7. Safe tool selection and employment

8. Confined space entry and operations

9. Threat recognition

10. Personal protective equipment considerations

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.

1.4.3 All medical instructors must hold and maintain at least an NREMT-P certification or higher.

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 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 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.

f. Contractor will provide extensive confined space facilities to thoroughly exercise technical rescue skills to include at least 200 continuous feet of vertical confined space for advanced scenario training.

1.6. Deliverables

1.6.1 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.

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

• 10-day Training Course: 18-29 September, 2017

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.

2.3. Contact Information

2.3.1. The POC at the for this Performance Work Statement is