Performance Work Statement_AMT.pdf

DISTRIBUTION: DoW COMMUNITY ONLY

Performance Work Statement (PWS)

Prolonged Field Care / Advanced Medical Training (AMT) Force Company, 4th Reconnaissance Battalion

1. Background

Force Company, 4th Reconnaissance Battalion, a critical component of the Marine Corps Reserve, is tasked with providing reconnaissance and surveillance capabilities across a range of operational environments. Individual Marine and unit deployment readiness are essential to mission success.

Reconnaissance operations inherently expose Marines to high-risk scenarios with a significant potential for combat-related injuries. Proficiency in Tactical Combat Casualty Care (TCCC), Prolonged Field Care (PFC), and Advanced Medical Training (AMT) is essential to mitigate casualties and maximize survivability. These competencies directly support Marine Corps Tasks (MCTs) and Mission Essential Tasks (METs) related to casualty care, evacuation, and overall combat effectiveness.

This requirement addresses identified training gaps, particularly in hands-on experience with advanced medical procedures for managing life-threatening combat injuries. This training is necessary to sustain and enhance operational readiness.

2. Scope

This PWS defines the requirements for a contractor to provide Prolonged Field Care and Advanced Medical Training (AMT) in support of Force Company, 4th Reconnaissance Battalion.

The contractor shall deliver a five-day training event designed to enhance Marines’ capabilities in life-saving medical techniques, patient assessment, and tactical medical procedures under realistic combat conditions. Training shall incorporate current operational lessons learned and emphasize hands-on application of TCCC protocols.

Training will occur in a controlled environment and include practical application of trauma medicine techniques utilizing cadaver models to replicate battlefield conditions.

3. General Requirements

The contractor shall provide all personnel, instruction, equipment, and materials necessary to conduct a comprehensive PFC/AMT training program for 12 Marines.

The contractor shall:

• Ensure all training objectives are achieved.

• Maintain a student-to-instructor ratio not to exceed 6:1.

• Deliver instruction incorporating real-world scenarios and current operational lessons learned.

• Provide a structured, performance-based training environment with hands-on application.

4. Specific Requirements

4.1 Deliverables

The contractor shall provide:

• A five-day Advanced Medical Training course for 12 Marines, conducted within a 50-mile radius of East Carolina University from 27 April to 1 May 2026.

• All instruction, supervision, and medical oversight required to safely execute training.

• All Class VIII medical materials and supplies necessary for training execution.

• Cadaver laboratory support, including procurement, instruction, handling, and disposal in accordance with applicable regulations.

• A detailed training schedule and curriculum aligned with the objectives outlined in this PWS.

4.2 Tasks

The contractor shall:

• Provide two Subject Matter Expert (SME) instructors with extensive experience in TCCC and advanced combat medical techniques. SMEs shall:

• Possess prior or current combat experience with a special operations unit.

• Deliver instruction, demonstrations, feedback, and after-action reviews.

• Provide one trauma surgeon or equivalent medical professional with expertise in physiology and surgical procedures to:

• Oversee cadaver lab operations.

• Ensure compliance with all medical and legal standards.

• Provide:

• One (1) cadaver for medical training.

• Six (6) role players to support realistic training scenarios.

• All associated transportation and logistical support.

• Provide all necessary Class VIII medical supplies, including but not limited to:

• Tourniquets (including junctional)

• Hemostatic agents

• Chest seals

• Cricothyrotomy kits

• Bandages and splints

• Intravenous (IV) fluids

• Additional disposable medical supplies

4.3 Training Requirements

Training shall include instruction and practical application in the following areas:

• Hemorrhage Control Application of tourniquets, wound packing, and hemorrhage control techniques.

• Airway Management Use of nasopharyngeal airways (NPA), surgical airways (cricothyrotomy), and airway adjuncts.

• Respiration and Tension Pneumothorax Needle decompression, finger thoracostomy, and ventilation techniques (BVM/ventilator).

• Bandaging and Splinting Treatment of fractures and soft tissue injuries.

• Shock Management Recognition and treatment of shock, including administration of blood products (FWB), TXA, and resuscitation fluids.

• Pain Management Administration of analgesia and sedation.

• Improvised Medical Techniques Use of limited resources in austere environments.

• TCCC Continuum of Care Instruction across all phases:

• Care Under Fire

• Tactical Field Care

• Tactical Evacuation Care

• Prolonged Field Care

5. Unit Responsibilities

Force Company, 4th Reconnaissance Battalion shall:

• Provide unit-specific equipment as required.

• Provide two Special Operations Independent Duty Corpsmen (SOIDC) to support instruction and maintain a 5:1 student-to-instructor ratio.

6. Training Objectives

This training supports the following:

• MCT 1.2.3: Provide Medical Support (Prolonged Field Care in semi- and non-permissive environments)

• MCT 2.2.1: Conduct Ground Reconnaissance

• MET L.T.1.1: Command and Control

• MET L.T.4.1: Fires Integration

• MET L.T.6.1: Force Protection

7. Schedule of Events

• Monday, 27 April 2026: In-brief and introductory instruction

• Tuesday, 28 April 2026: Classroom instruction and practical application

• Wednesday, 29 April 2026: Classroom instruction and practical application

• Thursday, 30 April 2026: Cadaver laboratory training (East Carolina University)

• Friday, 1 May 2026: Field Training Exercise (FTX)

Quality Assurance Surveillance Plan (QASP)

1. Purpose

This Quality Assurance Surveillance Plan (QASP) establishes the framework for monitoring and evaluating contractor performance to ensure compliance with the requirements outlined in the Performance Work Statement (PWS). The QASP defines performance standards, acceptable quality levels (AQLs), and surveillance methods to ensure the Government receives high-quality training and services.

2. Scope

This QASP applies to all contractor-provided services associated with the delivery of Prolonged Field Care (PFC) and Advanced Medical Training (AMT), including instruction, materials, personnel, cadaver lab operations, and overall execution of the five-day training event.

3. Roles and Responsibilities

3.1 Contracting Officer (KO)

• Holds overall authority for contract administration.

• Approves contractual changes and resolves disputes.

3.2 Contracting Officer’s Representative (COR)

• A COR will not be appointed because the total contract value is below the Simplified Acquisition Threshold, and the Contracting Officer will retain surveillance functions in accordance with NMCARS 5201.602-2(d)(v)(A)

3.3 Contractor

• Responsible for meeting all performance requirements outlined in the PWS.

• Implements internal quality control measures.

• Addresses deficiencies identified by the Government in a timely manner.

4. Performance Standards and Surveillance Plan

Performance Objective Performance Standard

Acceptable Quality Level (AQL)

Surveillance Method Frequency

Training Delivery

Conduct a complete 5-day PFC/AMT course in accordance with the approved schedule and curriculum

100% of required training completed

Direct observation, schedule review Daily

Instructor Qualifications

Provide qualified SMEs and medical personnel as specified in PWS 100% compliance

Credential review, observation

Prior to and during training

Student-to- Instructor Ratio Maintain ratio not exceeding 6:1 100% compliance Direct observation Daily

Training Effectiveness

Deliver instruction that meets all required TCCC/PFC learning objectives

≥ 90% of students demonstrate proficiency (as assessed by practical evaluation)

Observation, student evaluations, testing

Throughout training

Medical Materials and Equipment

Provide all required Class VIII supplies in sufficient quantity and serviceable condition 100% availability Inventory inspection Daily

Cadaver Lab Compliance

Conduct cadaver lab in accordance with all legal, safety, and ethical standards Zero violations

Inspection, documentation review During lab

Performance Objective Performance Standard

Acceptable Quality Level (AQL)

Surveillance Method Frequency

Safety Compliance

Adhere to all safety protocols during training execution

Zero safety violations or preventable incidents

Observation, incident reporting Continuous

Deliverables Submission

Provide training schedule, curriculum, and required documentation 100% on-time submission

Documentation review As required

Role Player Support

Provide required number of role players and realistic scenarios 100% compliance Observation

During applicable events

5. Surveillance Methods

The Government will utilize the following surveillance methods:

• Direct Observation: On-Site SME with Recon will monitor training events, instruction quality, and execution.

• Document Review: Evaluation of schedules, curriculum, certifications, and reports.

• Interviews/Feedback: Collection of feedback from participating Marines.

• Inspection: Verification of materials, equipment, and facilities.

• Performance Testing: Assessment of student proficiency through practical exercises.

6. Acceptable Quality Levels (AQLs)

AQLs define the minimum level of acceptable performance. Failure to meet AQL thresholds may result in corrective action, payment reduction, or other contractual remedies.

• Critical requirements (safety, instructor qualifications, cadaver compliance): 100% compliance required

• Training effectiveness: Minimum 90% student proficiency

• Administrative and logistical requirements: 100% compliance

7. Non-Performance and Corrective Actions

If contractor performance does not meet established standards:

1. The On-Site SME with Recon will document the deficiency.

2. The contractor will be notified and required to submit a corrective action plan.

3. The contractor must correct deficiencies within a timeframe specified by the KO.

4. Continued non-compliance may result in:

• Withholding of payment

• Negative past performance evaluation

• Contract termination (if applicable)

8. Documentation and Reporting

The On-Site SME with Recon shall maintain records including:

• Daily surveillance logs

• Performance checklists

• Deficiency reports and corrective actions

• Student feedback and evaluation results

All documentation will be retained in accordance with applicable federal acquisition regulations and agency policies.

9. Review and Updates

This QASP may be updated as necessary by the Contracting Officer to reflect changes in mission requirements, performance standards, or surveillance priorities.