HSFE70-17-R-0008_Attachment__9_-_Labor_Category_Descriptions.pdf

Labor Category Descriptions

1. Subject Matter Expert (CLIN 0007)

Project Manager The Contractor shall provide a Project Manager who shall be responsible for all Contractor work performed under this IDIQ contract and has the authority to obligate the Contractor to the terms and conditions of the contract as well as operational task orders. The Project Manager is further designated as Key Personnel by the Government. The Contractor shall supply a resume of the proposed project Manager for evaluation by FEMA.

The Project Manager shall be the primary point of contact (POC) for the CO and the COR. There shall be at least one Alternate Project Manager designated by the Contractor and communicated to FEMA in the event the primary Project Manager is unavailable to perform his/her duties. The Alternate Project Manager is also designated as Key Personnel.

The Project Manager and/or Alternate Project Manager shall be available to the CO and COR via telephone and email on a 24 hours, seven (7) days a week basis.

Before replacing any individual designated as Key Personnel by the Government, the Contractor shall notify the COR in advance and provide an acceptable substitute to the Government. The Government may designate additional Contractor personnel as Key Personnel in each Task Order awarded under this contract.

The Project Manager shall be a senior level employee empowered to execute and direct on behalf of the contractor. The Project Manager shall have no less than 10 years of direct emergency management and/or medical administration experience. In the absence of the Project Manager, the Alternate Project Manager shall be empowered to execute and direct on behalf of the contractor. The Alternate Project Manager shall have no less than 10 years of direct emergency management and/or medical administration experience.

Additionally, the Project Manager and all designated alternates shall be able to read, write, speak and understand English.

Medical Liaison The medical liaison shall coordinate between the deploying ambulances and the existing local medical direction and control system to ensure the number of assets ordered are integrated and comply with local medical directives and protocols. If local medical control is unavailable, NMTS disaster responders shall follow medical control and direction from the authorized medical director of the disaster-affected state. If that is unavailable, the national ESF8 primary agency, U.S. Dept. of Health and Human Services or their delegate(s) shall provide medical control and direction. If that is unavailable, and as a last resort, the contractor’s medical liaison assigned to the disaster shall provide medical control and direction.

Summary of the Medical direction and control will be provided by one or more of the following methods below, as determined by FEMA:

• Utilize existing local medical control and direction through a contracted medical doctor

• State or Regional NMTS medical director(s) will perform control and direction

• HHS will perform control and direction function through one of its own physicians if required

• Contractor shall provide medical control and direction

The Medical Liaison must be a person who maintains a current medical license as a physician in good standing. Additionally, the Medical Liaison and all designated alternates shall be able to read, write, speak and understand English.

If required by FEMA, the Contractor may provide a Medical Liaison Critical Care Transport (CCT) Physician licensed to practice in the theater(s) of operations, to provide medical direction to NMTS providers in the field, in emergency situations, at a central operating base.

Medical Exercise and Support Planners Medical planners shall have no less than ten years direct medical experience within the emergency response field. Planners shall also be licensed and certified at not less than the paramedic level. Further, candidates shall have demonstrated experience in planning, exercise, and administration of medical support services. Specialized medical planning and exercise experience may be substituted for overall years of experience. The Contractor shall supply a resume of proposed medical planners for evaluation by

FEMA.

2. Communications Support Team Member (CLIN 0008)

A Communication Support Team (CST) member shall have no less than five years’ experience in a police, fire, or rescue emergency management experience emergency communications role and meet the minimum requirements of the Incident Command System (ICS) course, IS-704. Information on the ICS courses is found at https://training.fema.gov/nims/.

A CST member shall have direct experience with:

• Flexible communications and information systems inclusive of interoperability across agencies and jurisdictions

• Specifying communication protocols and information-sharing arrangements through mutual aid and assistance agreements

• Developing strategies and systems to support communication, storage, and reporting for all stages of a deployment

• Assuring all equipment is in operating condition and deployed to the field

3. EMT and Paramedic (CLIN 0009 & 0010)

Medical Personnel The Contractor shall provide qualified personnel to perform all requirements specified in Task Orders awarded under this IDIQ contract. All sub-Contractors shall be with licensed and credentialed (in their State of origin) ambulance provider organizations. FEMA will assist in getting the affected state(s) to allow reciprocity for Contractor and subcontractors responding pursuant to this contract.

The NMTS scope of practice for EMTs and paramedics will follow the National Highway Traffic Safety Administration’s published “National EMS Scope of Practice Model.” DOT HS 810 657 February 2007, referenced in section 14.3.

A certified EMT may perform any of the following functions:

• Rescue, first aid, resuscitation and other services to the extent that he/she has been trained to perform such services under the provisions of the national standard EMT training curriculum developed by the U.S. Department of Transportation (DOT).

https://training.fema.gov/nims/

The functions authorized above may be performed by the certified EMT under any of the following conditions:

• While he/she is at the scene of a medical emergency where voice contact is established with a physician and under a physician’s order.

• While he/she is at the scene of a life threatening emergency and under a protocol that has been approved by the local medical authority, until voice communication with the physician is established.

A certified paramedic may perform any of the following functions:

• Any services to the extent that he/she has been trained to perform under the provisions of the national standard paramedic training curriculum developed by the DOT.

• Administration of other drugs or procedures for which the certified paramedic has received training, certification and approval in their state of origin; is recognized, authorized and approved in the state where responding; and which may be considered necessary by the ordering physician.

The functions authorized above may be performed by the certified paramedic under any of the following conditions:

• While he/she is caring for a patient in a participating hospital under the direct supervision of a physician.

• While he/she is at the scene of a medical emergency where voice contact is established with a physician and under physician’s orders.

• While he/she is at the scene of a life threatening emergency and under a protocol that has been approved by the local medical authority, until voice communication with a physician has been established.

Fixed Location Medical Support The Contractor shall supply paramedics and EMTs with the required certification to be stationed within shelters, airheads, triage centers, or other fixed locations.

4. Field Operations Team Member (CLIN 0011)

FOT members shall have no less than five years police, fire, or rescue emergency management experience. Members must be certified at Incident Command System (ICS) level 400.

5. Specialty Nurse/Advanced Practice Nurse Medical Support (CLIN 0012) The Contractor shall supply specialty nurses and advanced practice nurses with the required certification and qualifications meeting the description in Section 7.3 of this PWS, to be stationed within shelters, airheads, triage centers, or other fixed locations.

6. Registered Nurse Medical Support (CLIN 0013) The Contractor shall supply registered nurses with the required certification and qualifications meeting the description in Section 7.3 of this PWS, to be stationed within shelters, airheads, triage centers, or other fixed locations.

7. Critical Care Ground Transport (CCT) Personnel (Critical Care Paramedic, CLIN 0014)

CCT ground ambulances are staffed by a minimum of one driver and two medical attendants, one of which must be a certified Critical Care Paramedic, Advanced Practice Paramedic (APP), Critical Care Registered Nurse (CCRN), Advanced Practice Registered Nurse (APRN) or Physician Specialist (M.D. or D.O.) with specialized training in critical care or emergency medicine.

The level of medical care required to transport a critical care patient includes:

• Expert level of provider knowledge and skills appropriate to the medical needs of the patient;

• Patient care environment commensurate with the critical care provided, including the necessary equipment and supplies;

• Ability to address the added challenges of transport and initiate and/or maintain the continuity of tertiary or quaternary hospital care during transport; and

• Vehicle (ground, fixed-wing or rotor-wing) equipped to support the delivery of medical to critical care patients during transport. The critical care transport teams actually delivering the care to patients must have sufficient capability to meet the medical needs of critical care patients

8. Physician Medical Support (CLIN 0015) The Contractor shall supply physicians with the required certification and qualifications meeting the description in Section 7.3 of this PWS, to be stationed within shelters, airheads, triage centers, or other fixed locations.