Performance_Work_Statement.pdf

Performance Work Statement

For

Combat Medical Training Services

1.0 DESCRIPTION OF SERVICE

1.1 Description of Service. This performance work statement (PWS) defines the efforts required to provide sustainment Combat Medical Training (CMT) to pararescuemen assigned to 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 contractor. The course of instruction shall incorporate the tactical employment, to include Movement of Urban

Training and Close Quarter Battle 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.

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 Five-day course, pararescuemen shall have met the requirements necessary for Emergency Medical Technician – Paramedic (EMT-P) recertification as well as the transition to the new nomenclature (PARAMEDIC).

1.2. Training Requirements

1.2.1. The objective of this training schedule is to provide realistic CMT for 10 Pararescuemen and Combat Rescue Officers. The 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. There will be a total of 5 training days. To accomplish this training requirement, simulation technology shall be used in all training scenarios. Each day will end with debrief/lessons learned. All CMT will take place at the contractor’s owned and operated facility.

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

1.2.3. Patient model (fresh tissue cadaver) to student ratio shall not exceed 1:3 during CMT scenarios. The customer is looking for 1:3 patient (cadaver) to student ratio. So, the number of cadavers needed is as follows:

31 July to 4 August 2017 for 10 personnel – 4 cadavers per day

1.3. Minimum Contractor Requirements

1.3.1. 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.

1.3.2. 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.

1.3.3. The Combat Medical Training (CMT) will take place during a 5-day block. The course of instruction shall include (at a minimum) the following topics:

(1) Current concepts in Tactical Combat Casualty Care

(2) Human anatomy review

(3) Patient assessments

(4) Advanced/difficult airway management

(5) Patient triage

(6) Mass casualty management

(7) Mass casualty scenarios

(8) Blunt trauma scenarios

(9) Tactical medical scenarios

(10) Prolonged care for patients

(11) Suturing I Wound care

(12) Burn trauma management

(13) Extended care considerations

(14) Tactical rescue scenarios

(15) Surgical procedures

(16) K9 Medicine

(17) High angle rescue scenarios

(18) Confined space rescue scenarios

(19) Sick call medicine current concepts

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 shall have a knowledge of Air Force Pararescue operations and skill sets.

1.4.3. Contractor must provide at least (2) Medical Doctors with an intimate knowledge of

Combat Medicine techniques and their application to Pararescue driven scenarios. Medical

Doctors will be used not only during lab work but also must be present during all scenarios.

1.4.4. Instructors must be experienced in K9 Combat Medicine.

1.5. Deliverables

1.5.1. The proposed curriculum of instruction will be provided with the contractor’s proposal.

1.5.2. On the final day of instruction, a Course Completion certificate meeting the Emergency

Medical Technician - Paramedic (EMT-P) re-certification 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.

1.5.3. After Action Report. A comprehensive after action report of attending personnel’s performance and a summary report of all activities/training shall be submitted to the

Point of Contact (POC) and the Contracting Officer in electronic format no later than 30 days after the last class date for each individual class. 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 after action report.

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 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 and proof of accreditation with their proposal.

2.2. Contractor Personnel

2.2.1. Contract Manager. The contractor shall designate a contract manager who shall be responsible for the performance of the work. The contractor shall submit the written name and telephone number of the contract manager and an alternate(s), who shall act for the contractor when the manager is absent, to the Contracting Officer upon contract award. 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 References. The contractor shall insure compliance with the following:

(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 Registry of Emergency Medical Technicians (www.NREMT.org) and

Continuing Education Coordinating Board for Emergency Medical Services

(www.CECBEMS.org)

2.2.5.1. Specific Contractor Requirements for CMT

(1) 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.

(2) CMT simulation aids (fresh tissue cadavers) 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 (fresh tissue cadavers) 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

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.

2.3. Place of Performance. Contractor is responsible to providing adequate facilities to complete all training objectives. The Government will provide transportation, lodging and meals for students attending each 5-day course during the period of performance.

2.3.1. Period of Performance. The period of performance is 31-July to 4 August 2017 for 10 personnel.

2.4. Privacy and Security

2.4.1. 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.

2.4.2. 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. Sections s 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)

2.4.3. For Official Use Only (FOUO). The contractor shall comply with DoD 5400.7-R, Chapter 4, DoD Freedom of Information Act (FOIA) Program requirements. This regulation sets policy and procedures for the disclosure of records to the public and for marking, handling, transmitting, and safeguarding FOUO material.

2.4.4. 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 employees, resources, and classified or unclassified defense information.

2.5. Safety. The contractor shall comply with all applicable laws and safety regulations.

Compliance with OSHA and other applicable laws and regulations for the protection of employees is exclusively the obligation of the contractor, and the government will assume no liability or responsibility for the contractor’s compliance or noncompliance with such responsibilities. The contractor shall provide contractor employees with all necessary/required personal protective equipment.