N0024419Q0029_R5382419RC003SD_S2T2_PWS_WITH_ENCLOSURES_STOPS_23_NOV_2018.docx

Performance Work Statement Shipboard Surgical Trauma Training (S2T2)

1. BACKGROUND:

Shipboard Surgical Trauma Training (S2T2) is conducted during Basic Phase. It is a unit level training and provides necessary unit/team trauma skills to prepare Fleet Surgical Teams (FSTs) for sea-based damage control resuscitation and surgery in support of Casualty Receiving and Treatment Ships (CRTS) mission aboard amphibious platforms (LHA/D, LPD). The S2T2 is a simulation-based trauma initiative that emphasizes team work to improve the delivery of trauma care to severely injured patients. The S2T2 Course is Navy process improvement initiative and combines classroom didactics with hands-on simulations. The training has proven to be an effective tool in improving team performance in trauma training and already has proven improved combat trauma care and patient outcomes afloat.

2. SCOPE:

The contractor shall provide all consumables, equipment, personnel, and facilities to conduct five 5-day S2T2 courses per year. Each 5-day course (Monday thru Friday) shall be based on Enclosure 1, Course Schedule.

3. OBJECTIVE:

The contractor shall utilize their expertise in military tactics, techniques and procedures to provide a realistic, dynamic, interactive, and repeatable training platform for Shipboard Surgical Trauma Training (S2T2).

4. TASKS:

The contractor shall conduct five 5-day Shipboard Surgical Trauma Training (S2T2) training evolutions. Enclosure 1, Course Schedule is provided. The contractor shall provide all consumables, equipment, personnel, subject matter expertise, and facilities necessary to conduct the required training.

5. TRAVEL:

No travel is necessary to fulfill the requirements.

6. PERIOD OF PERFORMANCE:

One year from date of award. A total of 5 courses will be held during the 12-month period following contract award in accordance with the below target windows. Individual class convening dates, 1 class within each the target window, will be coordinated by the Contracting Officer Representative (COR):

7. PLACE OF PERFORMANCE:

All training shall be conducted at the contractor site/training compound:

Strategic Operations 4705 Ruffin Rd San Diego, CA 92123

8. Contractor Furnished Items:

The contractor shall provide all supplies and material as specified in Enclosure 2

ENCLOSURES:

(1) Shipboard Surgical Trauma Training Course Schedule

(2) Contractor Furnished Items Enclosure (1):

Shipboard Surgical Trauma Training (S2T2) Draft Schedule

Day 1: Monday 0700 30min Intro & Course Learning Objectives

0730 30min Pre-Course Exam

0800 2hrs PRE TEST SCENARIO – 2 Teams with Primary and Secondary Proctors Equipment needed – Sim Man/Trauma man trainer, airway trainer, Sonosite US, 3x IV setups with 2 bags NS, 2 “blood” bags, vacutainer needles and blood tubes, Xray cart

1030 30min Triage in mass casualty

- Understand triage in Level II facility

- Compare and contrast triage in routine vs. mass casualty

1130 30min Shock / Damage Control Resuscitation

- Understand classification and types of shock in trauma

- Understand definition and expeditionary transfusion capability

- Consequences of massive transfusion

- Permissive hypotension

- Techniques that improve outcome

- Tranexamic acid

- Indications for use

- Available equipment/technology

- Proper us

1330 30min SKILLS LAB

- PIV placement & IO placement

- Tourniquets

1400 2hrs Sim Lab #2 - 2 Teams with Primary and Secondary Proctors Equipment needed – Sim Man/Trauma man trainer, airway trainer, Sonosite US, CVC trainer for femoral/subclavian line, 3x IV setups with 2 bags NS, 2 “blood” bags, vacutainer needles and blood tubes, X-Ray cart

Day 2: Tuesday 0700 30min Shipboard Blood Bank / Walking Blood Bank

- Patterns of injury

- Approaches, techniques to improve outcomes

- Pitfalls and limitations

- Approaches, techniques to improve outcomes

- Pitfalls and limitations

- Foley Catheterization

- Understand ERC concepts

- Equipment and team members

- Techniques and capabilities

- Priorities, limitations, issues with current system

1045 75min SKILLS LAB Enroute Care (Ground, sea, air) Pt packaging (Airway/Vents/IV/Monitors/O2) Sensory Deprivation

1200 1hr LUNCH / BDS Setup

1300 3hrs Sim Lab #3 - 2 Teams plus Critical Care/ERC with Primary and Secondary Proctors

Equipment needed – Sim Man 3G, Trauma man trainer, airway trainer, Sonosite US, CVC trainer for femoral/subclavian line, 3x IV setups with 2 bags NS, 2 “blood” bags, vacutainer needles and blood tubes, X-Ray “cart. V-22 platform, patient packaging

Day 3: Wednesday

0745 30min SKILLS LAB

- Standard Splints & Traction splints

- Pelvic Binder/sheets

- Ex Fix (Surgeon, Surgical Techs, and Perioperative Nurse only)

0900 30min Pneumothorax / needle decompression, chest tube

- Needle thoracotomy & Chest tube

- Treatment of serious heat injuries

- Understand the implications in the setting of trauma resuscitation

1200 1hr LUNCH / BDS Setup

1300 3hrs Sim Lab #4 - 2 Teams plus Critical Care/ERC with Primary and Secondary Proctors

Equipment needed – 2x Sim Man 3G or 1 Sim Man 3G plus ALS mannequin, Trauma man trainer, airway trainer, Sonosite US, CVC trainer for femoral/subclavian line, 3x IV setups with 2 bags NS, 2 “blood” bags, vacutainer needles and blood tubes, X-Ray “cart” Enroute-Care. FOLLOW-ON OPERATIVE SIM (CUT SUIT)

Day 4: Thursday

0800 30min Ultrasound/FAST exam

- Understand goals and limitations

0830 60min SKILLS LAB FAST exam

0930 30min ERSS, MFST & PJ Brief

- Introduction to visitor roles and possible integration

1000 30min MRCO/MAO role

- Function and pitfalls

1030 30min C3 Command, Control & Communications

1100 30min Post-Course Exam

1130 30min Exam review

1300 3hrs Sim Lab #5 - 2 Teams plus Critical Care/ERC with Primary and Secondary Proctors

Equipment needed – Sim Man/ Trauma man trainer, airway trainer, Sonosite US, 3x IV setups with 2 bags NS, 2 “blood” bags, vacutainer needles and blood tubes, X-Ray “cart” Enroute-Care Litter, FOLLOW-ON OPERATIVE SIM (CUT SUIT)

1600 10min Scenario brief to C2 for MASCAS EX

Day 5: Friday

POST TEST SCENARIO

Equipment needed – Sim Man/ Trauma man trainer, airway trainer, Sonosite US, 3x IV setups with 2 bags NS, 2 “blood” bags, vacutainer needles and blood tubes, Xray “cart”

1530 30min Post-Course Surveys

Enclosure (2)

Contractor Furnished Items

· Subject Matter Expertise

· Surgical Resuscitation Cases (Sim Lab 1-6 and Mass Casualty Scenarios)

· Medical Resuscitation Cases (Sim Lab 1-6 and Mass Casualty Scenarios)

· Medical/Surgical Lectures

· Skills Labs

· Cut Suits:

· Surgical

· TCCC

· Advanced Surgical Skills Packages (ASSP)

· Mannequins that have the ability for:

· Amputations

· Intubation

· Life threatening extremity bleeds

· Surgical airways

· Capability of wearing the Cut Suit

· Medical Training supplies for all scenarios to include at a minimum:

· Tourniquets

· Tension splints

· Pelvic binders

· I.V. materials

· Suturing materials

· All standard consumables per training platform

· Medical Training supplies for all skill stations to include at a minimum:

· IV insertion

· Suturing

· Hemorrhage control

· External fixation

· Needle decompression

· Chest tube insertion

· Surgical airway

· Cut Suit Subject Matter Experts (SMEs) with the capability of running the CAE Learning Space and vital signs computers

· Cut Suit Actors for all required scenarios

· Role players for all required scenarios

· Amputee Role Players for all required scenarios

· Cricothyroid training devices – 2 each 6n1 for five (5) days

· Life threatening arterial bleed training devices – three (3) each BPS for five days

· Special Effects Make-up Artists

· Wardrobe personnel and applicable wardrobe items for all training scenarios

· Scrubs for all training participants

· Casualty wardrobe per the scenario description

· Instructor/Evaluator vests and clip boards

· Licensed Special Effects Pyro technicians

· 2 Explosions that simulate a crashing helicopter

· Smoke Effects

· Full use of the Tactical Training Lab to include:

· Operational training building w/ catwalk observation

· Wrecked /crashed H-60 Sea Hawk and UH-1 Huey helicopters

· V-22 airframe:

· Video recording and debrief capability

· Sound system

· Environmental Controls to replicate hot/cold environments

· Classroom with:

· Audio/visual capabilities

· Ability to seat a minimum of 60 personnel

· Capable of having practical application labs performed

· A simulated laboratory with a desk, shelving and full set of training blood products per the training platform’s standard load out

· Simulated shipboard elevator that is connected to the flight deck BDS and medical spaces

· Flight deck triage/BDS with doors that open to the outside simulated flight deck and is connected to a simulated shipboard elevator

· Emergency room (ER) with:

· Video recording and debrief capability

· Ability to change patient vital signs as the scenario dictates for every bed

· Minimum of Six (6) bed capability

· Monitors at every bed that allow for standalone simulated vital signs to be visualized/monitored

· Monitors at every bed that allow for standalone simulated lab / x-ray / ultrasound results/imagery to be visualized/reviewed

· Full set of training medications

· Crash cart at every bed

· Nursing station

· Dry erase board large enough to track all casualties

· Two (2) operating rooms (OR) with:

· Video recording and debrief capability

· Ability to change patient vital signs as the scenario dictates

· Monitors that allow for standalone simulated vital signs to be visualized/monitored

· Monitors that allow for standalone simulated lab / x-ray / ultrasound results/imagery to be visualized/reviewed

· Full set of training medications

· (1) Set of surgical instruments

· (1) External Fixator set

· All required consumables to perform surgery

· Ability to convert one (1) OR into an ICU with the above capabilities

· Simulated Casualty Receiving Treatment Ship (CRTS) training area with:

· Genuine shipboard hatches

· Medical space

· Ability to change from red light to white light in the spaces

· Video recording and debrief capability

· Audio system to allow for correct shipboard sounds/announcements

· Enroute Care Equipment

· Alaris Med‐system III Infusion System

· PROPAQ MD Monitor

· Portable Vent

· Portable Suction System

· Litter Decontamination Mass Casualty

· APLS Thermal Guard w/ head guard

· Patient Litter Strap