IHS1488582 - PWS.pdf

REGISTERED NURSING SEBVICE - MEDICAL.SURGICAL ANO PEDIATBIC

INPATIENT DEPARTMENT

1'1.0 List o, Attachments and Exhibits

Page

Table ol Contents

General

Def initions

Government Furnished lnformation, Property, & Services

3-62.0

3.0 6

Contractor Furnished Property4_0 7-9 rmance Based Requirements5.0 9-12 l"- tractor Oualif ication nequlrements6.0 13-14

7.4 14

8.0 Challenge of Conflict

52.249a2 f erfiination (Personal Services) (Apr. 198a)9.0 14

Technical Direction10.0 !:)

16-17

CrownPoint Service Unit Performance Base Work Statement (PBWS)

For Personal Services

Section I t---I 10 I I r i -1 I

I

I l I

I

I I l

I

Federal Tort Claims

L II

L- _l i I

I

1.0

REGISTERED NUFSING SERVICE - MEDICAL SURGICAL AND PEDIATRIC

DEPARTMENT

1 .1 Backqround; IHS is an agency within the U.S. Department ot Health and Human

Servic6s and is responsible for providing federal health services to Amerlcan lndians and Alaska Natives. The provision ol health services to members of federally recognized tribes grew out of the special government to government relationship botlveen the federal government and lndian tribes. The IHS is the principal federal health care provider and health advocate for lhe lndian people.

The goal is to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American lndians and Alaska Natives. The IHS currenlly provides health services to approximately 1.5 million American lndians and Alaska Natives who belong to more than 557 federally recognized tribes in 34 states.

There is a nationwide shortage of nurses which is amplitied by the remote and rural areas served by the lndian Health Service. The nursing vacancy rate wilhin IHS has been consistently at 32%. These vacancies are being rilled through the use of contracts.

1.2 Scope: The Contractor shall provide lvledical-Surgical and Pediatric lnpatienl nursing services for the Navajo Area lndian Health Service (NAIHS) in accordance with seciion 5.0, performance base requirements.

1 .2.1. Dulies and responsibilities will encompass Medical/Surgical Adults and Pediatric lnpatients and community health nursing services to all patients.

1.2.2 Place of Performance: Services will be per{ormed at various NAIHS Iacilities (Service Units, Health Centers) localed throughout the State ol Arizona, New Mexico and Utah. The NAIHS administers health centers, and hospitals, provrding health care to approximately 201 ,583 members ol the Navajo Nation. The Navajo Nation as the largest lndian tribe in the United States and has the largest reservation, which encompasses more than 25.516 square miles in northern Arizona, western New Mexico, and southern Utah, with three satellite communities in central New Mexico. The NAIHS is the primary provider o, lnpatienyPeds, ambulatory care, preventive and community health, and environmenlal health services lor members oi the Navajo Nation and the San Juan Southern Paiute Tribe.

Point of contact: The contractor shall provide a point ol contact that will be responsible for the performance of the work. This indjvidual shall have full authorily to act lor the Contractor on all matters relating to the daily

General: This performance base work statement describes the requirements for a

Personal service contract- Registered Nursing services to supporl the mission of the lndian Health Service (lHS).

.t .2.3 l :.:..r: r. il':-:. :n1.. i'i r.l operation ol the contracl. The point of contract may be a provider providing care in accordance with this Performance Base Work Statement' The

Conlractor shall designate this individual in writing to the Contracting

Officer (CO) before the contract slarl date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary point of contact.

1 .2.4 Availability: The point oi contact shall be available via telephone 24 hours a day. seven days a week including federal holidays.

1 .2,5 Arrange lor Replacement Stafl: The Contractor shall arrange lor pre-credent:aled replacement staff when their health care provider(s) is unable to provide services for one ('l) or more consecutive scheduled shifts.

1 .2.6 't/York Roster: The point ol contact shall provide a list by date, time, and individual nurse's name for those days the contractor shall be providing services. The work roster shall be provided to the Proiect Officer by the 20ri of each month of the preceding month. Any proposed work schedule changes shall be submitted to the Project Officer at least 48 hours in advance-

1.2.7 Continuity of S€rvices: The Contractor shall ensure that qualiried backup nurses are available to provide coverage during scheduled and unscheduled absences to primary contract providers. Absences without backup coverage will be subject to deduction in accordance with FAR Part 52-212-4la\

1.3 Applicable Documents: Please see the web link listed unless document is listed as an attachmenl.

1.3.1 The Joint Commission on Accredltation of Healthcare Organizations. The Joint Commission (TJC) htto:/lwww.ioantcommission.orq

1,3.2 Centers for Medicare and Medicaid Services (CMS) Standards http: lrwww.cms.hhs.qov

1.3.3 Accreditation Association for Ambulatory Health Care (AAAHC) htlp:liwww-aaahc.orq

1.3.4 Section 231 ol Public Law 101-647, the Crime Control Act of 1990 bltp@law,Lol!sye[Da!a!. orq/crime/archive/crs federal crime oolicv,sh im!

't.3.5 Section 4087 of Public Law 101-630, the lndian Child and Family Violence Act. htto:iiwlrlrr.nicwa.orq/oolic vllaW0rotsctioni rndex. asp

1,3.6 Health lnsurance Portability and Accountability Act (HIPAA) ol 1996 http/www.cms.hhs.qov/hipaa

Practice and Care (1996) htto:,rww!Y,nu rsinoworld.oro

1,3.9 State Nurse Practice Act lor the Conlractor's licensing state' http:llmedi smart.csm/ ractice.htm

1.3.7

1.3.8

1.3.10

1.3.11

1 .3.'12

1.3.13

1.3.14

Privacy Act of 1974 httD:r'www.u sdoi.qovioip/p rivstat.htm

Revised American Nurses Association Code of Ethics and Standards of

Navajo Area IHS Service Unit and Health Center Policies, Procedures and Protocols. (See section 11.0 for a list ol attachments and exhibits)

Location Map (attached)

Sample Task Order (attached)

Customer Evaluation Form (attached)

Computer Security Act of 1980 h11p4w!v-w.!I9.!qY/ adminmqqrresouceycomputersecurityact

1.3-1 7 IHS Computer Security Directives htto:/i\,vww.ihs.qov,'admrnmqoresources

1.3.18 Nurse License Look up http:llwww.nursys.com

2.O Definitions

2,'1. Acceptance: Constitutes acknowledgement that the supplies or services conlorm to the applicable contract quality and quantity requirements, except as provided in FAR subparl 46.5 and subject to other terms and condilions of the contract.

2.2. Approval: Acknowledgment by the designated Governmenl olficial that submittals, deliverables, or adminislrative documents (e.9., ansurance certificates, installation schedules, planned utility interruptions, etc.) conrorm to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.3. Area: A detined geographical region ror lndian Health Service administrative purposes. Each Area Office may administer several Service Units.

Code of Ethics: The Revised American Nurses Association Code o, Ethics and Standards ol Practice and Care, published in .1996 by the American Nurses Association which makes explicil primary goals, values and obligations of the nursing prolession.

2.4.

1.3.15 Federal Code o{ Conduct hnpllwww.ihs.oov

1.3.16 IHS General Directives htto:i/www.ihs.govladminmoorresouces l

Pl.ljs l.l.i (/,rsll- i::,r:r::';.'i rr aa

2.6.

Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related delerminations and findings.

Contractor: The individual awarded a legal binding contract to provide supplies and services.

2.7 . Contracting Officer's Representative (COR) or Ptoiecl Ofticer (PO): A lederal employee who assists the ordering/issuing aclivity contracting olficer in the administration of task orders issued under this contract. The COR is primarily responsible lor the technical assistance and day-to-day program management ol the ordering activity's task orders. Ordering activities may have different deslgnators for this employee (e.9. GTFI - Governmenl Technical Flepresentative, COTB-Contracting Officer's Technical Representalive, or PO-Project Oflicer).

2.8. Cooperative Attitude: Behavior that is positive and displays a willingness to perform assigned patient care tasks and to be a team player.

2.9. Cultural Awareness: Realization and respect for American lndian and Alaska Native practices.

2.10. Cuslomer: Patients. staf{ and visitors ol an NAIHS service unit and NAIHS health center.

Customer Evaluation: Writlen comments made to the Contracting Officer regarding the Contractors performance. This is one ot the criteria used to evaluate the Contractor's pedormance.

Dependability: Oualilies ol being trusled and being able to repeat the same task to yield the same result.

2.11.

2.12.

2.13. Federal Acquisition Regulation (FAR): The FAR is the primary regulation tor use by all Federal Execulive agencies in their acquisilion of supplies and services with appropriated lunds.

2.14. Government Vehicle: A NAIHS owned motor vehicle or a vehicle leased by NAIHS through agreements with the General Sewices Administration (GSA) or through commercial rental agreements.

2.15. Pueblo Pintado Health Clinic & Thoreau Health Station, (THS): A racility physically separated from a hospital. with a rull range of ambulatory services including at least primary care physicians, nursing, and laboratory. and x-ray which are available at least 40 hours a week for outpatient care.

Non-Personal Services Contract: A conkact under which the personnel rendering the seruices are not subiect, either by the contract's terms or by the manner ol its administration, to the supervision and control usually prevailing in relationships between the Government and ats employees, as de{ined in FAB 37.

2.16.

f,'lay 18 2023

2.17. Ordering Activity: An authorized user ol NAIHS that may issue a task order to obtain required services under this contract.

2.18. Ordering Activity Conttacting Officer: A Governmenl employee of NAIHS authorized and warranted to issue task orders and to make subsequent task order modification(s) under this contracl. The Ordering Activity (CO) has the authority to make initial determinations on all matters of dispute regarding task orders.

2.19. Orientation: An activity designed to provide basic familiarization of the facility and transition the nurse into the NAIHS Service Untt and/or Health Station and the nursing unit where lhe services will be provided.

2.20. Past Performance lntormation: Relevant information regarding a contractor's actions under previously awarded contracts. This includes the contractor's record of conlormance to specifications and to standards of good workmanship; the contractor's record of containing and forecasting cosls on any previously pedormed cost roimbursable contracts; the contractor's adherence to conlracl schedules, including the adminislrative aspects of performance; lhe contractor's history for reasonable and cooperative behavior and commitment to cuslomer satislaction; and generally, the contractor's business-like concern lor the interest of the cuslomer.

2.21. Patient Outcome: End result of nursing care.

2.22. Pedotmance based Matrix: Lists lhe services to be monitored and the standards to be applied.

2.23. Personal Protective Equipment (PPE): The equipment used to protecl medical personnel from exposure to biological, chemical, and radioactive hazards.

2.24. Quality Assurance Surveillance Plan (OASP): Service Unit: Wrinen documenl prepared and used by the government lor Quality Assurance surveillance ol the contractor's perf ormance.

2.26. Standards of Practice and Standards ol Care: Authoritative statements by which the nursing profession describes the responsibilities for which its practitioners are accounlable. The slandards provide direction tor professional nursing practice and a framework lor the evaluation of practice- The standards of professional nursing practice may pertain to general or specialty practice.

2.25. Ouality Control Plan {QCP): Those actions taken by the Contractor to control the quality of services provided. The Contractor's OCP must be equivalent to the Government's Ouality Assurance Plan.

2.27. supervisor: Government employee authorized to provide verbal and written perrormance direction to the contractor that the contraclor musl follow wilhout exception.

2.28. Task Order: An order issued in accordance with the terms ol the contract thal details an ordering activity's speciric requirements. An ordering activilies written order to obtain services, at a minimum will include lhe lollowing where applicable:

description of services, skill categories, hours, price, period of performance, contract number, and the ordering activities task order number.

2.29. Technical Direction: A drrective to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or olherwise completes the general description ol work or documentation items; shirts emphasis among work areas or tasks; or furnishes simjlar instruction to the Contractor. Technical direction includes requi.ing studies and pursuit ol certain lines o, inquiry regarding matters within the general tasks and requirements in Section 5 o{ this contract.

2.30. Tour of Duty: The time ot day the nurse is scheduled to perform nursing care duties; also considered the shift of the day- The time can vary according to the needs o, each NAIHS facility and/or clinic, e.g. 11.5 hour Tour of Duty, with one shift at 11 hour Tour ol Duty totaling 80 hours every two weeks. There may be a mid-shift scheduled trom 1100 to 2330 or 1500 to 0330.

2.31. Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.

2.32. Verifiable Medical-Surgical and Pediatric Inpatient Unit. An unexpectecyunplanned absence by the contraclor requiring valid documentalion to conlirm the occurrence.

3.0 Government Furnished lnlormation, Property and Services

3.1. lnlormation: Government unique in{ormation related to this requ'rement, which is necessary for Contraclor perlormance, will be made available to the Contractor. The Contracting Of{icer or designee will be the point ol contact for identiiication of any required information to be supplied by the Government.

3.2 Joint Use by lhe Government and the Contractor: Except for the property and service listed in 3.3 and 4.0. the Government will provide. lor joint use by the Gove.nment and the Contractor, all necessary equipment. supplies, and clinic space to perform the services under this contract.

3.2.1 GSA Vehicle: ll required by the position, authorization shall be in accordance with NAIHS Chapter 12, Section '13 Motor Vehicle Management. Conlractors may ride in Government vehicle but not authorized to drive a Government vehicle, Ltay 18.2023

3,2.2GovernmentHousing:Nogovernmenthousingisavailable,unlessthere is a vacancy. This wili be determined by lhe Housing Committee

3.3 Conlractor Exclusive Use:

3.3.1 Personal Protective Equipment (PPE): The Government will f urnish the

Contractor with appropriate PPE other than specitied in paragraph 4 of the PBSOW. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type ol uniform or laboratory coat.

3.3.2 The Government will provide facility specific contractor identrfication badges lor each contractor. A minimum fee of $5.00 will be charged for lost or destroyed badges.

3.4 Training: Facility speciiic orientation/training necessary lor the Contractor to perform the required duties, e.9., NAIHS inlormation technology (lT) syslems and operational procedures. Training will be provided ONLY if the subject matter is necessary to improve or enhance the quality of nursing services or includes mandates made by lhe NAIHS Service Units,/Health Centers while the nurse is working under this contract. Training will not be provided for the purpose ol continuing education, career development or individual development.

3.5 Supervisor: The conlractor is subject to the supervision and directron ol Penny Tuzo, Supervisory Nurse (SN) for Medical Surgical and Pediairic lnpatient Department or designee, Jennifer Moore CNE, for this order.

3.5.1 Contracting Otficer Representative (COR): Fern Detsoi Outpatient Nurse Manager is primarily responsible for monitoring the technical progress including surveillance and assessment ol performance tor this order.

3.5.2 Point ot Contact (POC): Penny Tuzo, Supervisory Nurse (SN) (505) 786-

3.6 Protection ol Government Building, Equipment, and Vegetation: The Contractor shall use reasonable care to avoid damaging existing building.

equipment, and vegetation on lhe Government installation. lf the Contractor's tailure to use reasonable care causes damage to any oi this property, the Contraclor shall replace or repair the damage at no expenses to the Government as the Conkacting Ofticer directs. ll the Conlractor fails or ref uses to make such repair or replacement, the Contractor shall be liable lor the cost. which may be deducted lrom the contract price.

4.0 Contractor Furnished Property

Except lor the property specified in paragraph 3 as government iurnished, the

Contractor shall provide all uniforms and other personal medical instruments subject to the tollowing:

4. 1 .1. Unllorms and Lab Coals: Uniforms and Lab Coats shall conlorm to the requirements of the lndian Health Service Manual, Part 3 Chapter 4 and meel the approval of the Chiel Nurse Executive at each IHS facilily.

4.1.2. Other personal medical instruments: 'Other personal medical instruments" are defined as Contractor owned items may include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor shall not use unsaie equipment or supplies at any time during pedormance ol this conlract. All Contractor turnished equipment and supplies shall be subiect to inspection by the Government and must be approved by the COH prior to use by the Contractor. The Governmenl reserves the righl to prohibit the use of any materials, supplies, or equipment.

4.1.3 lndemnification and Medical Liability lnsurance:

(a) lt is expressly agreed and understood that this is a personal services contract, as defined in Federal Acquisition Begulation (FAR) 37.101, under which the proiessional services rendered by the Contraclor are rendered in its capacity as an independent contractor. The Government may evaluate the qualily of professional and administralive services provided, but retains no control over lhe professional aspects ol the services rendered, including by example, the Contractor's proressional medical iudgment, diagnosis. or specific medical treatments- The Conlractor shall be solely liable tor and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents.

The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than $1 ,000.000 per specialty per occurrence, $3,000.000 aggregale.

(b) An apparently successful offer or upon request by the Contractor Officer, shall furnish prior to contract award evidence of its ansurability concerning lhe medical liability insurance requared by paragraph (a) of the clause.

(c) Liability insurance may be on either an occurrences basis or on a claims-made basis. It the policy is on a claims-made basis, an extended reporting endorsemBnt (tail) tor a period ol less than 3 years aiter the end of the contract term must also be provide.

4.1.

(d) Evidence ol insurance documenting the required coverage tor each health care provider who will perform under this contract shall be provided to lhe Contracting Officer prior to the commencement ot services under this contract. ll the insurance is on a claims-made basis and evidence o{ an exlended reporting endorsement is not provided prior to the commencement of seryices, evidence of such endorsement shall be provided to the Conlracting Officer prior to the expiration ol this contract. Final payment under this contract shall be withheld until evidence o{ the extended reporting endorsemenl is provided to the Contracting Ollicer.

(e) The policies evidencing required insurance shall also contain an endorsement to the effect that any cancellation or material change adversely aftecting the Government's interest shall not be etfective until 30 days alter the insurer or the Contractor grves written notice to the Contracting Officer. lf, during the performance period ol the contract the Contractor changes insurance providers, the Contractor must provide evidence that the Government will be indemnilied to the limits specilied in paragraph (a) of this clause, lor the entire period of the contract, either under the new policy, or a combination of old and new policies.

(f) The Contractor shall insert the substance ol this clause, including this paragraph (l), in all subcontracls under this contract for health care services and shall require such subcontractors lo provide evidence of an maintain insurance in accordance wlth paragraph (a) ol this clause.

At least 5 days belore the commencement oi work by any subcontraclor, the Contractor shall lurnish to the Conkacting Otficer evidence of such insurance.

(a) Contractor shall be responsible lor housing, per diem, travel and other associated cost lor their employee. Government housing wrll be available ONLY i, there is a Vacancy.

5,0 Performance Based Bequirements: The Conlractor shall provide nursing services in

5.1. Nursing Duties:

5.1.1. The Contractor shall pertorm nursing duties and manage patient's needs in a Medical-surgical and Pediatric lnpatient setting as described in the attached Position Description (PD) - identilied by the Service Unit and as directed by the Supervisory Nurse.

5.1,2. The Contractor shall pedorm in accordance with the competency standards listed in Exhibits, paragraph 1 1 .2.

4.1.4 Housinyper diem/travel and other associated cost:

the delivery ol patient care to the NAIHS. A specilic tasks include the lollowing:

tl

5.1.3. The contractor shall provide professional nursing service in direct patient care as lollows

(a) Contractor shall provide lull range of Medical-Surgical services to adult and pediatric patients in the Medical-Surgical and Pediatric lnpatient Dopartment.

(b) Contractor shall exercise knowledge of the nursing process and its application to clrnical practice in ordet to provide individualized, goaF orientated nursing care to the adulV pedialric patient.

(c) Contractor shall exercise knowledge of scientilic and psychosocial nursing theory, principles, practices and techniques in order lo plan and provide quality nursing care which meels the physical, spiritual, and social-cultural needs oJ the lndian patient,

(d) Conlractor shall exercise knowledge of biological aspects of disease processes and illness in order to recognize complications and implement appropriate therapeutic interventions required.

(e) Conlractor shall exercise knowledge of the medications and dosages in order to recognize their desired effects, side-effects, and complications of their use.

(l) Contractor shall analyze the resulls of various medical procedures and translate them into appropriate nursing interventions-

(g) Conlractor shall work effectively and harmoniously within the health care team and with lndian patients and their tamilies.

(h) Provide appropriale documentation regarding care rendered using Crownpoint Service Unit (CPSU) Eleclronic Health Record (EHR) & RPMS system. All documentation by the provider shall be entered electronically using the Electronic Heallh Becord system. The provider is responsible ior utilizing the EHR/RPMS system to obtain pertinent patient intormation in assisting care. lt is the responsibility of the provider to use the training resources provided to develop competency in utilizing the Electronic Health Record system/RPMS.

(i) Follows facility policaes and procedures, The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), lndian Health Services (lHS) and other federal licensing. accredltation and regulating body standards.

5-1-il Contraclor shall be subiect to peer review per The Joint Commission standards.

5.1.5 Contractor shall meet the Salety management reporting requirements in li l',1ay 18.2023

5.1.6

Work Schedule: 36 to 48 hours, Sundey lhru Salurday, days/nights, rotating weekends, holidays. Shift starts at 0700 and 1900.

5.2.1. Work shift: The Supervisor at each NAIHS facilily will provide technical direction on the specific lour ol duty. The Contractor shall work 100% of the contracted hours.

5.2.2. Work Flexibility. As directod by the Supervisor, the Contractor shall rotate into other duly sections as needed to support patient care.

5.2.3. The Contractor shall obtain approval of the department Supervisor or designee prior to any absence from work. ll the length ot the absence exceeds eight (8) work hours the Contractor shall request approval at least Iifteen (15) days. (the exception is veritiable emergencies) in advance o{ the desired absence.

5.2.4. Approval of leave is contingent upon availability o, a qualified replacement.

5.2.5. The Contractor shall provide written documentation from a qualitied health care provlder ,or absences of three (3) or more consecutive days, due to illness, stating:

A. The cause of the current illness or incapacitation AND

8. tndicating the Contractor as contagious or non-contagious

The Government resarves the right to examine and or re-examine any Contractor who meets the criteria.

Conduct: The Contractor shall meet standards as listed in the Federal Code of Conduct.

5.3.1. The contractor shall be subject to character investigation as required by Public Law 101-360, the lndian Health Child Protection and Family Violence Prevenlion Act prior to performance of a contracl by utilizing the US Office ol Personnel Management (OPM), Eleckonic Ouestionnaire lor lnvestigation Processing (eQlP) system and this shall include all tingerprinling procedures and clearances. The contractor shall provide all requested information necessary to perlorm Level land Level ll background checks. The contractor shall comply with the requirement to accordance with the Service Unit Satety Measure Policy'

Contractor shall be responsible for all applicable Federal, State, And Local

Taxes, Meals, Travel/Transportation. Lodging is provided but must be paid for by the contractor or contract agency. Government quarters are available at prevailing rental rates plus utilities, as applicable, i{ government quarters are utilized. The contractor shall be responsible and liable for lhe proper care ol government owned or leased property furnished in occupied quarlers.

5.2

5.3

'.a l obtain security lnvestigations. The contractor shall work with the l H S to ensure lhat

'the pre'employment screening process includes the appropriate investigation questionnaires and forms to be completed All completed lorms will be reviewed by the contractor and forwarded to the government personnel. The contractor will be immediately removed from the position it at any time the investigation receives unfavorable adiudication, or, if other unfavorable inlormation that would atlect the investigation becomes known.

5.6.

5.4. PerformanceEvaluation:

5.4.1. The Contractor's performance wiil be evaluated in accordance with the standards setiorth in the contract and Performance-based Matrix o{ section 11.0.

5.4.2. Substantiated reports written by any customer dealing with patient satety, infection control, or olher procedure that adversely aflects patient outcome conslitutes a breach of contract.

5.5. ldentificationofContractor:

5.5.1. The Contractor shall wear a government issued contractor identification badge during perlormance of duty. PIV cards are issued after 6 months at Service Unit.

Management ol Medical lnlormation: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and NAIHS Service Unit and/or Health Center specilic policjes and prolocols.

5.6.1. The Contractor shall ensure adherence to DHHS lT system security policies and procedures. The lT policies and procedures will be made available to the Contractor.

5.6.2. The Contractor shall immediately report to the Contracting Oflicer or COR lor any information or circumstances that may violate any statute, policy, or procedure.

5.7. IHS lnformation Technology Syslems:

5,7.1. ln performance ot this contract, the Contractor shall adapt to and successlully utilize IHS information technology systems lhat are deemed by the Supervisor as necessary for acceptable contractor performance.

5.7.3. The Contractor shall iollow all appropriate federal and locally required rnformation Technology security requirements and will be operating under

5.7.2. The Conlractor shall ensure that NAIHS information technology system security policies and procedures are adhered to. The lT policies and procedures will be made available to the Contractor at each NAIHS tacility.

Health lnsurance Portability and Accountability (HIPAA) and Privacy Act regulations.

5.7.4. ln{ormation Technology Skills. The Contractor shall possess basic knowledge, skills, and abilities to use a computer

6.0 Contraclo r Oualitication Requirements:

6.1 Experience: The Contractor shall have thirty-six {36) months of nursing experience, with a minimum ol two (2) years in the specialty required by the' contract. unless otherwise approved by the Contracting Otficer.

6.2 Lieense/Registration: All nurses shall possess a current, valid, unreslricted nursing license in a stale, the District ol Columbia, the Commonwealth of Puerto Flico, or a Territory oi the United States. throughout the term ol this contract.

6.3 Motor Vehicle Operator's License: lf required by the position, the Contractor shall possess a valid state driver's license throughout the term ol this contract.

6.4 Certifications: Current Basic Life Support (BLS) is mandatory lor all speciallies.

Pediatric Advanced Life Support (PALS), Newborn Life Supporl (NLS), Advanced Trauma Care Nurse (ATCN) or Trauma Nurse Critical Care (TNCC), and Advanced Cardiac Lile Support (ACLS) are recommended lor each appropriate duty section at the time ol selection for contract award. The contractor shall ensure that the contract nurse's certifications remain valid throughout the term of this contract.

6.5 HealthRequirements/ConditionsotEmployment:

6.5.1 Medical Evaluation. The Contractor shall provide a {itness for duty certi{icate issued by a licensed physician to perform the proposed job without signiricant risk to personal health or the health and safety of others.

6.5.2 lmmunization. The Contractor shall also provide the lollowing documentation prior to RN Candidate selection:

A. lmmunity to Flubella, Mumps, and Rubeola (Measles):

B. Proof of Hep B vaccination x3 OR positive tit€r OB a signed declination of the Hep B vaccinations will also be accepted;

C. Documented history ol chicken pox OFI varicella vaccination x2 OR positive varicella titer;

D. History of Tdap vaccination. with subsequent Td vaccination if older than

10 years;

E. Documentation of Tuberculosis testing (TB skin test or IGRA) within the past 12 monlhs with documentation of chest x-ray and follow-up tor a positive history; 12 months with documentation ol lollow-up for a positive test.

F. Proof o{ influenza vaccination from October -1 thru March 31, per IHS Mandatory lnfluenza Vaccination Policy.

G. Prool of Vaccination against SAFIS-COV-2, the virus that causes COVID 19.

tll.) ' " I -']'!:t

6.5.3TravelstatusDocumenlalion.Contractormuslprovidestatusinwriting for the 30 days preceding to contract stan date.

6.6 Language Requirements and Cultural Awareness. The Contractor shall read, understandlspei2k, and write English to eflectively communicate with patients and other heatth care workers, and shall be respectful ol the local, American Indian and Alaska

Native culture.

7.0

8.0

9.0

6.7 lnlormation Technology Skills, The Contractor shall possess basic knowledge, skills, and abilities to use a computer.

6.8 Orientation, All nurses providing service under this contract shall attend mandatory orientations and training speci{ied by the government.

6.9 Background Checks. As directed by lhe Contracting Officer, the Contractor shall provide all requested information necessary to perform Level land Level ll background checks. The Contractor shall comply with the requirement to obtain security investigations. The Contractor shall work with lhe NAIHS to ensure that the pre-employment screening process includes the appropriate investigation questionna!res and lorms to be completed. All completed forms will be reviewed by the Contractor and lorwarded to the Supervisor. The Contractor will be immediately removed rrom the position i.f at any time the investigation receives unfavorable adjudication, or, rf other unfavorable information lhat would affect the investigation becomes known.

An Agreement to a Temporary Waiver oi character investigation {orm shall be signed and used pending completion ol background investigation.

Federal Tort Claims Act (28 USC 1346 (B) 1946)i FTCA is not extended to Non-Personal Service Contractors, reler to clause 52.237-7 lndemnification and Medical Liability lnsurance.

Challenges to Contlicts: For any inconsistency between supervisor directions, this Pertormance Work Statement, attachments and exhibits, the following order of precedence will apply:

(a) Firsl Priority: Supervisor's directions {b) Second Priority: Position Description (attached)

(c) Third Priority: Performance Work Statement Exhibits

ld) Fourth Priority: Pedormance Work Slatement Narrative

52.24$12 Termination (Personal Services) (Aor 1984):

The Government may terminate this contract at any time upon at least 15 days'written notice by the Contracting Of{icer to the Contractor. The Contractor, with the written consent of the Contracting Ofticer. may terminate this contract upon at least 15 days' written notico to lhe Contracling Officer.

9.1. Any Contractor employee demonstrating impaired judgment shall not be allowed to continue working immediately on the contract. The Government reserves the righl to remove from the facility any Contractor employee who in the judgment o{ a licensed healthcare practitioner is impaired.

10.0 Technical Direction

10.1 Performance ot the work under this contract is subject to the written and verbal technical direction of the Nursing Supervisor.

10.2 The Nursing Supervisor does not have the authority to. and shall not, issue any instructions purporting to be technical direction that:

Constitutes an assignment of additional work outside the performance work statemenl:

Constitutes a change as delined in the changes;

ln any manner causes an increase or decrease in the total estimated contract cost, tixed fee (if any), or the time required for contract pedormance:

Changes any of lhe expressed terms, conditions, or specifications o, the contract;

or the terms and conditions of the conlract.

10.3 All technical direction shall be issued in writing by the Nursing Supervisor. All verbal direction will be conlirmed in writing within 24 hours (one business day).The Contractor shall proceed promptly with the pedormance ot technical direction duly issued by lhe Nursing Supervisor in the manner prescribed by this clause and within the aulhority. lf, jn the Contractor's opinion, any instruclions or direction by the Nursing Supervisor falls within any o, the categories deflned in paragraph above, the Contractor shall not proceed but shall notify the Contracting Officer in writing within 5 working days after receiving it and shall request lhe Contracting Ofticer to take action as described in this clause. Upon receiving lhis notification, the Contracting Oflicer shall either issue an appropriate contract modi{ication wilhin a reasonable time or advise the Contractor in writing that the instruction or direction is within the requirements of the contract and does nol constitute a change under the changes clause of the contracl and that the contractor shall proceed promptly with its perlormance.

10.4 A lailure ol the Contractor and Contracting Officer to agree that the instruction or direction is both rescinded in its entirety; or within the requirements of the contract and does nol constitute a change under the changes clause, or a lailure to agree upon the contract action to be taken with respect to the instruction or direction shall be subject to the Disputes clause ol this contract.

1:, 10-5 Any action taken by the Contractor in responso to any direction given by any person other than lhe Conlracling Officer or the Nursing Supervisor shall be at the Contractor's risk t'jWS No.i Cf 'SU-lnDalienYl'e(ls Fobt\M{y 23,242.1

'\i' \ |r.r 510r,, t!.rr!l j, i..r 'i ,,..t. . :

,,.r! !,- rr rl,r,rieLrurfi)l lr 1o' i..1,r, i I. 1l,r,r J l0O% (ornplfnce \iiilh IHS Servico unils and/or Health (:on1€r5 publishcd Poliqes. Procedure5; Slrndrrrr5 ol Lare, nnd ho!,p,ral and nuring Proto.ol!,.

100? J! r.cri nl rlldof!nn , ,ali.r, trldrl1r1r, l,rr,Jt(l rr!

r,l(riir,l l.i. li!. ll(,,,r Ll(M'iLt dJftl!!.i .r,ir, t),r' Jr.

' ()l llnrir.dto.rtrtrci .!\r k,Brb,,iy.,rrur.rir,,), !or'1.,!rr.

Irr c, :ruLrru,r r,.r, Llr.r Sf,rrld trrl,l.\ltrol r L ,i |i i,i|lr.r! ri r.\ (r' I .r r/r tl ) i,i/(,lnl r,lli(,rr r.i: tr, lL,!rr !r I ! rr1!.1. ,.'rLl,,irJ

Per{orfid^ce charsclclr.ed by contmual ( uhur.l awar(,,rers :rnd roc!5 on c u rlonx{ .iervnro lm pe,.en1 adherenao ro l lre

NursiflB Cod.,ol Ethi('inrl lede.dlCodr of Condlct.

lrr r|1. rLrt)r'rr i rrr(Llrr.i! i r!,ir.ll,r ilri L i) rr 1,3 i., t(rl(]a i.. .

trr rll! i!rrli,lr r,,p1! l li ,, r (i

(lonlrirto. B{ lonr.n,Le wrll b.

!!tlurl.d i.,r,rtlt :. I orlrnilo'r l\,rl(Jrn,rn( (, ,\!s!rrnn I d{,por l l( PA,l) rl I i",,r !i'r (.r, ,!r I h.

ir{r\!rl(ted $ilr(!1 itirirf il ! (\, !rr'l r!! rrtr',, .ir ' r fn, l',rr'r.rrr.rl ,r,.,r lrr '.irr

11.0 Performance - based Matrix

lncentives

I

I

I

I

I lrdiaaid Qualw A56unnce

PSJS N.r' CPSLI'lll piuientiPe4s firerci 4. 2021

11.2 List of Attachments and Exhibits. To be provided by the Contracting Officer upon request.

11.1. Attachments

1. Position Desffiption (lvledical- Surgical and Pediatric lnpatient Unit)

11.2. Exhibits Applicable to the Navajo Area HIS

11.2.1-. Written Competency Assessments

a. Confidentiality/HIPAA/Patient's Rights

b. EMTALA Compliance Exam, 2004

c. Age Specific Competency Verification

d. RN Medication Administration Competency Examination

e. RN Medication Administration Competency Verification

f. lntravenous Therapy Exam

g. Venipuncture Procedure Skills competency Verification

h. Pain Management Competency Verification i- Restraints

j. Soft Restraint Application Competenry Verification

77.2.2.

11.2.3.

17.2.4.

t1.2.5.

lt.2.6, 71,.2.7.

tt.2.8.

L1.2.9.

11.2.10.

!1.2.r7.

1,1,.2.1,2.

lr.2.L3.

tt.2.t4.

11.2. 15.

11,.2.1,6.

1t.2.t1 .

11.2.18, Contract Nurse Orientation Check List

Contract Nurse O.ientation Competency Verification lnstructions Contract Nurse Biliing lnformation

Standard INPATIENT/PEDS Codes

Confidentiality: Legal and Ethical Concerns in Healthcare

EMTALA - INPATIENT/PEDS Medical Treatment and Labor Act

What are Age-Specific Competencies?

An lntroduction to the Navajo Culture Verbal and Telephone Orders

Medicatlon Administration

Pain Management

Latex Allergy

Focus Charting

Patient Restraints

Charge Nurse Duties: Responsibility and Expectation Nursing Standarcis

Standards of Nursing Practice