Att_2_-_SOW_14JUN19.pdf

Statement of Work

NREMT-P, BLS, ACLS, TCCC, PALs Recertification with 2 day Cadaver Lab

As of 14 June 2019

1. Scope This Statement of Work (SOW) defines the effort required for the Contractor to supply instructional services/training opportunities for Guardian Angel operations and procedures outlined below. All of these services shall be during the period of 2 September

2019 through 6 September 2019. This will include a human cadaver lab and 3 live tissue models for hands on advanced medical procedure training.

2. Background We require the contractor to provide classroom, supporting academic texts, hands on instruction and administrative processing of recertification through NREMT. 6 personnel from the 31 RQS will receive instruction and be awarded NEMT-Paramedic, ACLS, TCCC, PALS, and BLS certifications. Academic and hands on training will be conducted for whole blood administration, suturing, stapling, chest tubes, cricothyrotomy, and fresh human tissue.

3. Applicable Documents

a. NREMT, National Continued Competency Program, National component

b. National Critical Care Protocol (NCCP), Local (Pararescue) Component content

c. National Critical Care Protocol (NCCP), Individual (Team) Component content

d. Air Force Career Field Education Training Plan (AFCFETP 1T2X1

e. Pararescue Medical Operations Handbook, 6th Edition, November 2014

f. Air Force Tactics, Techniques and Procedures (AFTTP) 3-3 Guardian Angel

g. Special Operations Force (SOF) Medical Handbook, 2009

4. Requirements

4.1 Instructor Requirements (Instructors can be both EMT-P/Adv Med Proc)

EMT-P Instructor(s)

Advanced Medical Procedures Instructor(s)

Minimum 3:1 Student to Instructor ratio for hands on work

4.2 Training Requirements Contractor will provide the following training and equipment

4.2.1 Training Instructors will meet the requirements specified by NREMT for recertification. All other instruction blocks will be held to the standard of previous

Pararescue courses.

EMT-P (30 Hours, See Appendix A)

BLS

ACLS (8 Hours)

PALS (8 Hours)

MARCHPAWS

TCCC

Academic lesson and hands on bleeding control, suturing, stapling, cricothyrotomy, chest tube, and needle decompression

Academic lesson and hands on fresh human tissue cricothyrotomy, chest tube, and needle decompression, fasciotomy, and escharotomy

Academic lesson and hands on blood typing, whole blood administration, Plasma, and

Packed Red Blood Cells (PRBC) administration (Whole blood, Plasma, PRBC may be simulated by using a dyed liquid in the actual container)

Prolonged field care lesson (HITMAN).

4.2.2 Equipment The following equipment will be provided by the contractor.

Lunch and snacks for 6 personnel

4.3 Skill/ Capabilities Requirements The contractor must provide the following:

Delivery, preparation, monitoring, and disposal of fresh human tissue

Proper disposal of any biohazard waste authorized under Bio-Medical Waste

Management Rules.

Classroom with projector, chairs, tables and space to comfortably fit team

Lab room with enough space for equipment, team, and fresh human tissue.

Room will have adequate lights and table tops to facilitate training

Provide appropriate support staff to assist with fresh human tissue training.

Notify the 31 RQS the date(s) and location(s) of proposed training prior to training event, no later than 7 days from class start date.

Defense Federal Acquisition Regulation Supplement (DFARS)

Animal Welfare Clause 252.235-7002

ANIMAL WELFARE (DEC 2014)

(a)(1) The Contractor shall register its research, development, test, and evaluation or training facility with the Secretary of Agriculture in accordance with 7 U.S.C. 2136 and 9 CFR subpart C, and section 2.30, unless otherwise exempt from this requirement by meeting the conditions in 7 U.S.C. 2136 and 9 CFR parts 1 through 4 for the duration of the activity. The Contractor shall have its proposed animal use approved in accordance with Department of Defense Instruction (DoDI) 3216.01, Use of Animals in DoD Programs, by a DoD Component Headquarters Oversight

Office. The Contractor shall furnish evidence of such registration and approval to the

Contracting Officer before beginning work under this contract.

(2) The Contractor shall make its animals, and all premises, facilities, vehicles, equipment, and records that support animal care available during business hours and at other times mutually agreeable to the Contractor and the United States

Department of Agriculture Office of Animal and Plant Health Inspection Service

(USDA/APHIS) representative, personnel representing the DoD component oversight offices, as well as the Contracting Officer, to ascertain that the Contractor is compliant with 7 U.S.C. 2131-2159 and 9 CFR parts 1 through 4.

(b) The Contractor shall acquire animals in accordance with DoDI 3216.01, current at time of award (http://www.dtic.mil/whs/directives/corres/pdf/321601p.pdf).

(c) The Contractor agrees that the care and use of animals will conform with the pertinent laws of the United States, regulations of the Department of Agriculture, and policies and procedures of the Department of Defense (see 7 U.S.C. 2131 et seq., and

9 CFR subchapter A, parts 1 through 4, DoDI 3216.01, Army Regulation 40-33/

SECNAVINST 3900.38C/AFMAN 40-401(I)/DARPAINST 18/USUHSINST 3203). The

Contractor shall also comply with DoDI 1322.24, Medical Readiness Training, if this contract includes acquisition of training.

(d) The Contracting Officer may immediately suspend, in whole or in part, work and further payments under this contract for failure to comply with the requirements of paragraphs (a) through (c) of this clause.

(1) The suspension will stay in effect until the Contractor complies with the requirements.

(2) Failure to complete corrective action within the time specified by the Contracting

Officer may result in termination of this contract and, if applicable, Defense Federal

Acquisition Regulation Supplement Part 252-Solicitation Provisions and Contract

Clauses 1998 EDITION 252.235-6 removal of the Contractor's name from the approved vendor list for live animals used in medical training.

(e) The Contractor may request registration of its facility by contacting

USDA/APHIS/AC, 4700 River Road, Unit 84, Riverdale, MD 20737-1234, or via the

APHIS Animal Care website at:

http://www.aphis.usda.gov/wps/portal/aphis/ourfocus/animalwelfare.

(f) The Contractor shall include the substance of this clause, including this paragraph

(f), in all subcontracts involving research, development, test, and evaluation or training that use live vertebrate animals.

(End of clause) http://www.dtic.mil/whs/directives/corres/pdf/321601p.pdf http://www.aphis.usda.gov/wps/portal/aphis/ourfocus/animalwelfare

Legend

ACLS—Advanced Cardiac Life Support

ACS—Acute Coronary Syndrome

AFCFETP—Air Force Career Field Education Training Plan

AFTTP—Air Force Tactics, Techniques and Procedures

BLS—Basic Life Support

CHF—Congestive Heart Failure

CNS—Central Nervous System

HC--Healthcare

HITMAN—Hydration/Hygiene/Hypothermia, Infection, Tubes & Lines, Medications, Analgesia, Nutrition

MARCHPAWS—Massive Bleeding, Airway, Respiration, Circulation, Head Injury/Hypothermia, Pain, Antibiotics, Wound Care, Splinting

NCCP—National Critical Care Protocol

NREMT-P—National Registry Emergency Medical Technician-Paramedic

OB--Obstetrics

PALs—Pediatric Advanced Life Support

PRBC—Pure Red Blood Cells

SOF—Special Operation Force

TCCC—Tactical Combat Casualty Care

VADs—Ventricular Assist Device

Appendix A

EMT-P

Airway, Respiration, Ventilation (ARV)

Ventilation 2 hrs

Capnography 1 hr

Oxygenation 0.5 hrs

Total ARV Hours 3.5

Cardiology

Post-Resuscitation 0.5 hrs

VADs 0.5 hrs

Stroke 1.5 hrs

Cardiac Arrest 2 hrs

Pediatric Cardiac Arrest 2.5 hrs

CHF 0.5 hrs

ACS 1 hr

Total Cardiology Hours 8.5

Trauma

Trauma Triage 1 hr

CNS Injury 1 hr

Hemorrhage Control 0.5 hrs

Fluid Resuscitation 0.5 hrs

Total Trauma Hours 3

Medical

Special HC Needs 2 hrs

OB Emergencies 0.5 hrs

Infectious Disease 0.5 hrs

Medication Delivery 1 hr

Pain Management 1 hr

Psychiatric 1 hr

Toxicological/Opioids 0.5 hrs

Neurological/Seizures 0.5 hrs

Endocrine/Diabetes 1 hr

Immunological 0.5 hrs

Total Medical Hours 8.5

Operations

At-Risk Populations 1 hr

Ambulance Safety 0.5 hrs

Field Triage 1 hr

Hygiene/Vaccinations 0.5 hrs

Culture of Safety 0.5 hrs

Pediatric Transport 0.5 hrs

Crew Resource Mgmt 1 hr

Research 1 hr

Evidence Based Guidelines 0.5 hrs

Total Operations Hours 6.5

TOTAL Hours 30