SN169015exbA.doc

Contractor

SN169015

Exhibit A

SCOPE OF WORK

1.

General Scope Contractor will provide Respiratory Therapy services to clients with developmental disabilities as requested by the Project Representative.

A. Background skills of appropriate candidates will include but are not limited to:

1. Maintains current knowledge of procedures for evaluating pulmonary dysfunction; procedures for providing ventilation assistance to conscious and unconscious client safely and effectively; respiratory disorders and appropriate therapeutic methods and practices; use and care of respiratory equipment, including inspection procedures and sterilization techniques; procedures for keeping the client’s airway free of obstruction; basic principles of training and supervision; basic pathology of respiratory.

2. Ability to perform various respiratory therapy procedures safely and effectively, apply emergency methods of cardiopulmonary dysfunction and properly interpret the results; obtain confidence and cooperation of patients, analyze situations accurately; and take appropriate action.

3. Understanding of and ability to provide respiratory therapy services to a moderate to profoundly intellectually and physically challenged population. This includes individuals displaying a broad range of autistic characteristics, behavioral challenges, partial or complete communication deficits, and difficulty complying with therapy programs.

4. Ability to provide respiratory therapy program related training to a diverse facility staff.

B. Job duties and tasks will include but not be limited to the following typical respiratory therapy clinical and supportive services, such as:

1. Administer medicated and non-medicated aerosols, chest physiotherapy and invasive or non-invasive positive pressure ventilation assistance as ordered. Perform suctioning and tracheostomy changes as ordered.

2. Act as consultant and advisor to physicians and nursing staff of all levels in matters related to modes of respiratory care. Accept and record verbal orders.

3. Instruct level of care staff in respiratory care activities. Assist with competency testing in matters regarding respiratory care for staff and peers.

4. Perform cardiopulmonary monitoring and testing, including pulse oximetry, ETCO2 monitoring, arterial blood gas analysis and continuous cardiac and respiratory monitoring. Perform EKG testing as ordered by physician.

5. Round on patients with ongoing respiratory treatments. Record pertinent information in medical records concerning patient’s responses to therapies and results of tests. Inform physician of significant findings, test results, and recommendations. Keep supervisor and colleagues informed of daily activities.

6. Research, recommend and obtain equipment necessary to meet the needs at the facility. Maintain, troubleshoot and calibrate therapeutic and diagnostic equipment as necessary, noting that Biomedical Services are available.

7. Maintain facility compliance with national, local and SDC safety procedures and standards. Maintain knowledge of advances in the field of respiratory care.

8. Provide Treatment/habilitation services in consultation/collaboration with all appropriate interdisciplinary team members.

9. Attend/ participate in Departmental Meetings, Facility Committees and interdisciplinary work groups as assigned.

2.

Project Representative

The Project Representatives during the term of this Agreement will be:

Sonoma Developmental Center

Marni Sager, Assistant to the Medical Director

(707) 938-6816 Contractor Phone

3.

Specific Services Contractor will provide up to 40 hours per week on days mutually agreed upon between Contractor and Project Representative. Services provided on scheduled days will include areas specified in General Scope section above. Hourly schedule will be based on client need and coordinated by the Sonoma Developmental Center. Contractor agrees to sign in and out daily in a location of SDC’s choosing.

4. Reports Contractor will be required to provide consultations/evaluations of services provided as requested by the Project Representative. It will be necessary to record pertinent information in medical records concerning patient’s responses to therapies and results of tests. Physicians must be notified about significant findings and specific recommendations. Reports will be completed per SDC and Regulatory Standards.

5.

Schedule Changes

Cancellations will be provided at least twenty-four (24) hours notice by either party whenever possible.

6.

Qualifications

Respiratory therapists providing services at Sonoma Developmental Center (SDC) under the terms of this agreement are required to:

a. Maintain current California License to practice

b. Provide services per SDC policies and procedures

b. Perform in a manner that permits SDC to comply with all applicable conditions of participation, regulations and legal standards.

7.

Effective Date The effective date of this contract is either June 1, 2016, or the approval date by the Department of General Services, whichever is later. No work shall commence until the effective date.