SOW Respiratory contractors.pdf

Department of Health and Human Services Indian Health Service

Statement of Work (SOW) Registered Respiratory Therapist (RRT)

1. PURPOSE OF THE PROJECT

The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The mission of IHS is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level and assure that comprehensive, culturally acceptable personal and public health services are available and accessible to members of the 574 federally recognized Tribes across the United States.

To meet the mission, IHS requires contractor support to assist the facility in the placement of respiratory therapist(s) into temporary duty assignments in the Indian Health Service (IHS) hospitals and clinics in the Oklahoma Area.

The Lawton Indian Hospital is a Joint Commission accredited federal facility in Oklahoma. To meet our mission, Registered Respiratory Therapist (RRT) care is medical modality that has been deemed necessary to augment the services as such are necessary to support and supplement health care within the hospital. The mission of the Lawton Indian Hospital is to deliver quality care in order to attain positive health outcomes for all our valued patients with emphasis on cultural sensitivity and human dignity.

The purpose of this non-personal services contract is for the placement of two Registered Respiratory Therapists (RRT) at the Lawton Indian Hospital. The contractor shall provide RRT services for patients as required by this statement of work (SOW) and in accordance with the terms and conditions of this contract. The period of performance is for a period of twelve months. This may be rotating shifts to cover holidays, weekdays, weeknights and/or weekends (days and/or nights) and will be assigned by the Respiratory Supervisor as needed. The contract effort shall be tailored to provide a wide range of RRT services and responding to rapidly changing and unexpected needs for temporary coverage. The care provided by the RRT shall be as comprehensive as the Indian Health Service supplied facilities; equipment and support services permit. Contractor RRTs shall provide services to eligible beneficiaries of the Indian Health Service who present themselves for treatment at the Lawton Indian Hospital in Lawton, Oklahoma.

The contractor shall provide:

• Two Registered Respiratory Therapists to work 36-48 hours per week for up to one year. Overtime as needed.

• An all-inclusive rate to include any travel, food, housing, night /weekend differential/holiday pay, overtime, etc.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

The contractor shall perform the following:

• Serves as a Registered Respiratory Therapist (RRT) and is responsible for the administration of a wide variety of complex and exacting procedures to patients of all ages, including acute and critical care.

• Establishes and maintains mechanical ventilation for critical newborn, pediatric, and adult patients using a variety of pressure and volume ventilators.

• Responsible for making ventilator adjustments as determined by the interpretation of diagnostic test results, observation and assessment, patient response, and ventilator status.

• Monitors the patient for changes in cardio-pulmonary status and responds appropriately.

• Responsible for maintaining a patent airway during resuscitation and mechanical ventilation.

• Assists with oral intubations; establishes and maintains stability of artificial airway, maintains appropriate cuff pressures.

• Applies advanced ventilator techniques such as Continuous Positive Airway Pressure (CPAP), BiPAP, Pressure Support (PS), Synchronized Intermittent Mandatory Ventilation (SIMV), Positive End Expiratory Pressure (PEEP), Pressure Control Ventilation (PC), and (ASV) Adaptive Support Ventilation.

• Demonstrated expertise in the management of patients on life support systems and is responsible for total patient care and maintenance of equipment.

• Establishes ventilator weaning criteria specific for each patient and initiates weaning procedures;

extubates when appropriate.

• Proficient in the use of a variety of ventilators specific to age and clinical application.

• Demonstrates expertise in the administration of a variety of treatment modalities including but not limited to: PEP therapy, hand held nebulizers, continuous nebulizers, oxygen therapy, chest percussion and oxygen walk tests.

• Ability to initiate and perform CPR effectively without physician direction.

• Ability to use a variety of manual resuscitation devices to ensure air exchange and respiration is successfully performed.

• Assists with patient education on home oxygen, MDI use, and other respiratory modalities.

• Perform cardiograms (12 Lead EKG) as ordered by the provider.

• Respond to hospital emergency calls, such as Code Blue or Code RRT (Rapid Response Team).

• Transports patients when necessary within the hospital while maintaining adequate ventilation and perfusion.

• Continually assesses the cardio-pulmonary status of the patient using information collected by the physical observation and accurate interpretation of diagnostic test results.

• Determines effectiveness and/or need for therapy.

• Assists physician with special procedures such as thoracentesis, tracheotomy, and thoracoscopy.

• Performs arterial punctures on adult and newborn patients for blood gas analysis,

• Interprets results and acts accordingly.

• Makes recommendations to the physician regarding treatment based on blood gas results.

• Obtains arterial blood sample form the appropriate anatomical location when arterial catheters are utilized.

• Participates in Outpatient Asthma Clinic by providing spirometry screening, pulmonary function testing, and education for asthmatic patients.

• Performs diagnostic testing for patients requiring Forced Vital Capacity (FVC), Slow Vital Capacity

(SVC), Lung Volumes (FRC), and diffusing capabilities (DLCO).

• Serves as consultant to the nursing and medical staff regarding diagnostic information, patient status, and the appropriate clinical application of therapies.

• Assess inpatient oxygen requirements on Med-Surg Unit.

• Performs other related duties as assigned.

3. PERIOD OF PERFORMANCE

• Period of Performance will be 12 months from date of award.

4. LEVEL OF EFFORT

• The contractor shall hold at minimum the credentials of Certified Respiratory Therapist (CRT) and/or Registered Respiratory Therapy (RRT) by the National Board of Respiratory Care (NBRC).

• The contractor must maintain the required continuing education units (CEUs) to maintain appropriate credentials and a valid Respiratory Care Practitioner (RCP) state license.

• Contractors must complete and maintain current BLS, ACLS, PALS, and NRP.

• The contractor shall independently perform all respiratory procedures and document per Lawton Indian hospital policy.

• The contractor shall exercise extreme care, tact and patience in caring for our patients. Utilize two (2) patient identifiers before beginning any patient care procedure. Utilize proper technical factors when operating equipment.

• The contractor shall have thorough knowledge of Respiratory Care Standards, devices and techniques.

• The contractor shall report to assigned tour of duty on time as scheduled by the Respiratory Supervisor.

• Physical demands- The work requires rapid movement of equipment, moving and positioning patients, excessive walking, and prolonged standing. The ability to move around quickly in small places with above average agility is essential in order to perform intricate procedures in confined areas. The therapist must have a great deal of psychological and physical stamina to function competently under stress.

• The contractor shall have the capability to work 12 hour shifts days and/or nights and ability to work holidays.

5. SPECIAL REQUIREMENTS

• In accordance with HHSAR 304.1300(b) non-routine contractor employees shall comply with OPDIV DHHS/SE Region – Human Resources, Security Clearance Guidance – Visitors (3/29/12) policy for contract performance period.

• The USPHS Lawton Indian Hospital is a tobacco/smoke free environment (buildings and grounds). No tobacco/smoking use will be tolerated during service.

• Security Requirements: The contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by Lawton Indian Hospital official (s), presenting valid identification, smoking restriction and any safety procedures.

• The contractor shall not disclose or cause to disseminate any information concerning operations of Lawton Indian Hospital. Such action(s) could result in violation of the contract and possible legal actions.

• All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

• Termination Amortization Schedule: A termination amortization schedule shall be included as an attachment of the awarded contract. If the government does not exercise any of the options listed in the price/cost schedule, the government’s not exercising the options will have the same effect as if the government terminated for convenience. All remedies afforded to contractor in regards to a termination for convenience shall be available to the contractor.

6. DELIVERABLES AND REPORTING REQUIREMENTS

• Delivery: The contractor will report for tour of duty that is assigned by the Respiratory Supervisor.

• Contractor Point of Contact: The contractor shall communicate with Respiratory Supervisor for assigned schedule.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

• The Government will provide the facilities, supplies and equipment of the Indian Health Center and all hospital and specialty/support staff. The Government will provide nursing support, laboratory and x-ray services; medical and pharmaceutical supplies as prescribed by the contract physician in accordance with Area Formulary and Service Unit Resources for services provided.

8. CHANGES TO THE STATEMENT OF WORK (SOW)

• Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

9. DELIVERABLES/PERFORMANCE MATRIX

• Respiratory Therapist(s) shall be monitored by the Clinical Director to ensure that all services called for under this contract have been received and to ensure complete contract compliance.

• The IHS will maintain a sign-in/sign-out log at each IHS clinic site. Respiratory therapist(s) shall sign-in upon arrival at the respective facility and sign-out when leaving for the day. The log shall provide for individual name, date, hour of arrival and hour of departure.

• The sign-in/sign-out log shall be reviewed in order to verify services rendered and certify payments.

Clinical Director Signature:_____________________________