Performance Work Statement - Sexual Assault Forensics Examination.pdf

PERFORMANCE WORK STATEMENT (PWS)

12 May 2026

Sexual Assault Forensics Exams and Administrative Support

David Grant Medical Center (DGMC), Travis AFB CA

1. SCOPE OF WORK:

The 60 MDG David Grant Medical Center has a requirement for the Contractor to provide comprehensive Sexual Assault Forensic Exams (SAFE) and administrative support to Travis Air Force Base for all eligible adult, adolescent, and pediatric patients on a 24/7, on-call basis. The Contractor must be a qualified provider of these services within 40 miles (60 mins) of Travis Air Force Base, with 24/7 response capability. The examiner must be a credentialed healthcare provider (MD, DO, NP, CNM, PA or RN) and must be able to address the medical needs of a patient who discloses sexual assault and/or other physical violence or a patient who is suspected of being sexually and/or physically assaulted in coordination with the ED providers. The ED provider will order all medications and medical tests to be completed at DGMC and document in MHS GENESIS for the civilian examiners. Examiners must be capable of responding within 60-minutes time to meet patient care needs. This contract ensures that service members and eligible beneficiaries at Travis AFB have immediate, expert forensic response available at all hours.

a. SAFE will be performed in accordance with the steps outlined in DHA-PI 6055.2 Enclosure 4 (Forensic Health Care Program Protocol).

b. Availability and Response: The Contractor shall maintain dedicated on-call SANE availability 24 hours per day, 7 days per week, 365 days per year. This requirement ensures a qualified forensic nurse examiner is immediately accessible at all times and able to respond to Travis Air Force Base within one hour of notification.

This requirement includes:

• Dedicated 24/7/365 on-call SANE examiner availability, including nights, weekends, and federal holidays.

• On-call scheduling, coordination, and immediate activation infrastructure maintained by the Contractor.

• One-hour or less response time from notification to arrival at the examination location.

• Availability for both adult/adolescent and pediatric sexual assault response within the same on-call coverage model.

c. Administrative Support: The Contractor shall maintain the essential operational infrastructure required to sustain forensic examination services. This includes the administrative personnel necessary to ensure proper contract performance, documentation, and compliance.

This requirement includes:

• Case documentation management, medical records retention, and case file organization.

• Contract billing, invoicing, and financial reporting.

• Compliance monitoring and program data tracking.

• Administrative responsibility for procurement and inventory management of all examination materials — evidence collection kits, specimen collection supplies, and photographic documentation materials.

d. Training and Proficiency: The Contractor shall ensure ongoing professional development and continuing education for forensic nurse examiners to maintain proficiency and currency in their specialized forensic practice. Examiners must remain current with evolving evidence collection standards, legal requirements, trauma-informed care protocols, and certification maintenance.

This requirement includes:

• Continuing education in forensic evidence collection and documentation techniques, including updates to nationally recognized forensic examination protocols.

• Pediatric and adult sexual assault examination protocol updates and specialized training for complex case presentations.

• Trauma-informed, survivor-centered care training to ensure the highest standard of patient-centered forensic response.

• Legal and court preparation training for forensic nurse examiners, including expert witness testimony skills and documentation for legal proceedings.

• Certification maintenance training required to sustain SANE credentials and forensic nurse examiner qualifications.

• Ensuring examiner proficiency to protect the quality and legal defensibility of forensic evidence and that testimony provided by examiners meets military and federal legal standards.

e. Court Testimony: The Contractor’s forensic nurse examiners shall provide expert witness testimony in legal or military proceedings arising from examinations conducted under this contract. Forensic nurse examiners must be available to testify regarding examination findings, injury interpretation, and evidence collection methodology.

This requirement includes:

• Provision of expert witness testimony at court appearances or legal proceedings.

• Travel and transportation to and from court, military, or other legal proceedings.

• Pre-testimony preparation time, including case record review, coordination with trial counsel or military prosecutors, and documentation review.

f. Forensic Examination Requirements: The Contractor shall deliver complete forensic sexual assault examinations conducted by qualified forensic nurse examiners. Each examination shall include:

• Comprehensive Forensic Medical Examination: Head-to-Toe physical assessment and anogenital examination using evidence-based protocols for adult, adolescent, and pediatric patients.

• Forensic Evidence Collection: Collection of all biological and physical evidence using standardized kits, including swabs, reference samples, and clothing, with strict chain-of-custody documentation.

• Blood and Urine Specimen Collection: Collection of specimens as clinically indicated, including toxicology samples in cases where drug- or alcohol-facilitated assault is suspected.

• Photographic Documentation: Comprehensive forensic photography of all injuries and findings using forensic-grade imaging equipment and admissible chain-of-custody protocols.

• Forensic Medical Documentation: Detailed written forensic medical reports documenting findings and clinical observations in a format consistent with military, federal, and California legal standards.

• Evidence Transfer Coordination: Coordination with Travis AFB law enforcement, SARC, and military criminal investigative personnel regarding evidence kit transfer and case follow-up.

g. Individual Specimen Kits: The Contractor will provide Individual Specimen Kits with each examination. Each kit will include:

• Examiner instructions and evidence collection forms

• Consent and documentation forms

• A large paper sheet for collecting loose evidence with removal of clothing

• Paper bags for storing physical evidence, such as clothing

• Dental floss for removing evidence from the mouth

• Small sticks for removing evidence from the fingernails

• Cotton swabs for collecting biological evidence

• Containers for storing biological evidence, such as blood and urine

• Sterile water and saline solution

• Envelopes, boxes, labels, and evidence seals for evidence collected for chain of custody

• Toxicology kit

h. Site Requirements: The Contractor will be available 7 days a week, 24 hrs. a day, 365 days a year. The Contractor must have the ability to report within 1 hr. of examination notification.

Personnel must maintain REAL ID compliance and necessary records to receive and maintain access to Travis AFB, CA (the government will provide base pass once contract is awarded).