Solicitation 36C26223R0066 - Nurse Staffing Services - VALBHS.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C26223R0066 07-14-2023

Jesus Vargas, Contract Specialist 562-766-2233 08-04-2023 11:00am PDT

36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

X 100

X

561320

$34 Million

N/A

X

36C600

Department of Veterans Affairs VA Long Beach Healthcare System 5901 E. 7th Street

Long Beach CA 90822-5201

36C262

Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive

Department of Veterans Affairs Financial Services Center Submit invoices electronically to:

www.tungsten-network.com

See CONTINUATION Page

-This procurement is for Nurse Staffing Services for the VA h Long Beach Healthcare System.

-This procurement is set aside 100% for SDVOSBs. Only Offers from SDVOSBs will be considered for award.

See CONTINUATION Page x X x 1

Alice McGruder Contracting Officer

36C26223R0066

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES AND PRICE

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT (PWS) – NURSE STAFFING SERVICES

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (DEC 2022)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 VAAR 852.201-70 CONTRACTING OFFICER’S REPRESENTATIVE (DEC 2022)

C.8 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.9 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR VERIFIED SERVICE-

DISABLED VETERAN OWNED SMALL BUSINESSES (NOV 2022)

C.10 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING--

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (NOV 2022) .. 40

C.11 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.12 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

C.15 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 REFERENCE CONTRACT WORKSHEET NURSE STAFFING SERVICES - ATTACHED

D.2 PRICE WORKSHEET - ATTACHED

D.3 DOL WAGE DETERMINATION – LOS ANGELES COUNTY - ATTACHED

D.4 REFERENCE CONTRACT WORKSHEET DEMONSTRATING NURSE STAFFING

SERVICES EXPERIENCE - ATTACHED

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

E.2 INSTRUCTIONS TO OFFERORS—PROPOSAL SUBMISSION

E.3 FAR 52.212-2 EVALUATION—COMMERCIAL ITEMS (NOV 2021)

E.4 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.5 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.216-27 SINGLE OR MULTIPLE AWARDS (OCT 1995)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.9 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR/UEI:

b. GOVERNMENT: Contracting Officer 36C262 – Alice McGruder Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly in Arrears

4. GOVERNMENT INVOICE ADDRESS: Please contact Tungsten at the phone number or email address below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing. If you have any questions about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

• Tungsten e-Invoice Setup Information: 1-877-489-6135

• Tungsten e-Invoicing email: VA.Registration@Tungsten-Network.com

• Website: www.tungsten-network.com

• FSC e-invoice Contact Information: 1-877-353-9791

• FSC e-Invoice email: vafsccshd@va.gov

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

mailto:VA.Registration@Tungsten-Network.com http://www.tungsten-network.com/ mailto:vafsccshd@va.gov

B.2 SCHEDULE OF SERVICES AND PRICE

This is an indefinite delivery, indefinite quantity, (IDIQ) contract with fixed-priced line items, which may result in one or more contract awards. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, and insurance premium payments for applicable insurance coverage.

Costs not incorporated into the contractor’s price will not be reimbursed by the Government.

The guaranteed minimum amount for this contract is $1,000.00. The maximum aggregate value of the orders that can be placed under the contract is $30,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum amount.

The period of performance for this IDIQ contract is September 15, 2023 through September 14, 2028.

Item information for each contract year is included below.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

CONTRACT YEAR 1

HR $______________

Registered Nurse General (RNG) - up to and including a 12-hour shift.

Contract Year 1 POP Begin: 09-15-2023 POP End: 09-14-2024

Registered Nurse General (RNG) - Overtime (OT)

Contract Year 1

Specialty Registered Nurse (SRN) - Includes: Hemodialysis, Operating

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room - up to and including a 12-hour shift.

Contract Year 1

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room - Overtime (OT) Contract Year 1

Licensed Vocational Nurse (LVN) - up to and including a 12-hour shift.

Contract Year 1

Licensed Vocational Nurse (LVN) - Overtime (OT)

Contract Year 1

Certified Nurse Assistant (CNA) - up to and including a 12-hour shift.

Contract Year 1

Certified Nurse Assistant (CNA) - Overtime (OT)

Contract Year 1

Nurse Practitioner (NP) - up to and including a 12-hour shift.

Contract Year 1

Nurse Practitioner (NP) - Overtime (OT)

Contract Year 1

CONTRACT YEAR 2

Contract Year 2 POP Begin: 09-15-2024 POP End: 09-14-2025

Registered Nurse General (RNG) – Overtime (OT)

Contract Year 2

Specialty Registered Nurse (SRN) – Includes: Hemodialysis, Operating

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room - up to and including a 12-hour shift.

Contract Year 2

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room – Overtime (OT) Contract Year 2 shift.

Contract Year 2

Licensed Vocational Nurse (LVN) – Overtime (OT)

(over a 12-hour shift) Contract Year 2

Contract Year 2

Certified Nurse Assistant (CNA) – Overtime (OT)

Contract Year 2

Contract Year 2

Nurse Practitioner (NP) – Overtime (OT)

Contract Year 2

CONTRACT YEAR 3

Contract Year 3 POP Begin: 09-15-2025 POP End: 09-14-2026

Contract Year 3

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room - up to and including a 12-hour shift.

Contract Year 3

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room – Overtime (OT) Contract Year 3 shift.

Contract Year 3

Contract Year 3

Contract Year 3

Contract Year 3

Contract Year 3

Contract Year 3

CONTRACT YEAR 4

Contract Year 4 POP Begin: 09-15-2026 POP End: 09-14-2027

Contract Year 4

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room - up to and including a 12-hour shift.

Contract Year 4

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room – Overtime (OT) Contract Year 4

HR

shift.

Contract Year 4

Contract Year 4

Contract Year 4

Contract Year 4

Contract Year 4

Contract Year 4

CONTRACT YEAR 5

Contract Year 5 POP Begin: 09-15-2027 POP End: 09-14-2028

Registered Nurse General (RNG) - Overtime (OT)

Contract Year 5

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room - up to and including a 12-hour shift.

Contract Year 5

Room and Interventional Services, Post Anesthesia Care Unit, Intensive Care Unit, Emergency Room - Overtime (OT) Contract Year 5 shift.

Contract Year 5

Licensed Vocational Nurse (LVN) - Overtime (OT)

Contract Year 5

Contract Year 5

Certified Nurse Assistant (CNA) - Overtime (OT)

Contract Year 5

Contract Year 5

Nurse Practitioner (NP) - Overtime (OT)

Contract Year 5

B.3 PERFORMANCE WORK STATEMENT (PWS) – NURSE STAFFING

SERVICES

1. General. The Contractor shall provide contract nurse staffing services on an as needed basis to meet

VA staffing shortages for varying periods of time, from one day to several months. Services may be requested on short notice. The Contractor is responsible for providing the requested nursing staff per the terms and conditions of this contract within twenty-four (24) hours from the pool of the Contractor’s credentialed nursing staff.

2. Task Order Ordering Procedures. Task orders shall be issued against this IDIQ contract. Each IDIQ contract holder will be provided a fair opportunity to be considered for each task order exceeding the micro-purchase threshold, unless one of the exceptions at FAR 16.505(b)(2) applies. Evaluation criteria used to determine the task order awardee will be included in the task order RFP. The Contractor may propose to provide the requested services at less than the Schedule price, but the Contractor shall not propose prices that exceed the Schedule price applicable to the dates that apply to the task order period of performance. Each task order RFP and resulting task order issued shall identify the specific staffing requirements.

3. Qualification and experience requirements of Contract nursing staff. The Contractor shall provide nursing staff in the nursing staff specialties with the qualifications and experience described in the paragraphs below.

3.1. Nurse Practitioners (NPs). Contract NPs shall have:

3.1.1. A current license in at least one (1) state, territory, or commonwealth in the U.S. or the District of Columbia.

3.1.2. Current certification in Cardiopulmonary Resuscitation (CPR) by an American Health Association Vendor.

3.1.3. Current certification in Advanced and Basic Life Support (ACLS/BLS).

3.1.4. A minimum of one (1) year direct patient care experience within the last three (3) years.

VA experience is desirable.

3.2. Registered Nurses (RNs). Contract RNs, including Specialty Registered Nurses, shall have:

3.2.1. A current license in at least one (1) state, territory, or commonwealth in the U.S. or the

3.2.2. Current certification in CPR by an American Health Association Vendor.

3.2.3. Current Basic Life Support certification. If assigned to a specialty clinic, RN shall also have current ACLS certification.

3.2.4. A minimum of one (1) year direct patient care experience within the last three (3) years.

VA experience is desirable.

3.3. Specialty Registered Nurses. Specialty Registered Nurses shall have:

3.3.1. All qualifications listed in 3.2. above.

3.3.2. A minimum of one (1) year direct patient care experience within the specialty care setting to which being assigned.

3.3.3. A certification in the assigned specialty care area discipline is highly desirable.

3.3.4. Critical Care Registered Nurses shall have a minimum of two years current experience in this field and hold and maintain BLS and ACLS and or certification.

3.3.5. Med/Surg Registered Nurses, Radiology Nurses (RN), and Chronic Hemodialysis Nurse (RN) and Psychiatric Nurse (RN), shall be experienced in this field.

3.3.6. Psychiatric RNs working in Acute Locked Psychiatry shall possess current ProAct or equivalent Management of Assaultive Behavior (MAB) training and or certification.

Understands the Principles of Chemotherapy and the various Chemotherapeutic Agents.

3.3.7. Chemotherapy and Oncology RNs shall:

3.3.7.1. Understand the Principles of Chemotherapy and the various Chemotherapeutic Agents.

3.3.7.2. Possess knowledge of fundamental of Chemotherapy Administration, safety measures for administration, Treatment schedules, Pretreatment and Treatment.

3.3.7.3. Possess knowledge of complications of Cytotoxic Therapy and what interventions to initiate for them.

3.3.7.4. Be competent in the Management of Patients Receiving Chemotherapy with specific skills in assessment, patient education, Toxicity management and Oncologic Emergencies.

3.3.8. The Contractor shall provide Specialty RNs for the following specialty care settings:

3.3.8.1. Emergency & Intensive (Critical) Care Units

3.3.8.2. Operating Room & Interventional Cardiology & Radiology

3.3.8.3. Cardiology & Gastroenterology Laboratories

3.3.8.4. Post Anesthesia Care Unit

3.3.8.5. Hemodialysis Unit

3.3.8.6. Inpatient Psychiatric Unit

3.3.8.7. Wound Care and Ostomy (Inpatient & Outpatient)

3.3.8.8. Case Management

3.3.8.9. Infection Control

3.3.8.10. Infusion Clinic

3.4. Licensed Vocational Nurse (LVNs). LVNs shall have:

3.4.1. A current license in at least one (1) state, territory, or commonwealth in the U.S. or the

3.4.2. Current certification in CPR by an American Health Association Vendor.

3.4.3. Current Basic Life Support certification.

3.4.4. A minimum of one (1) year direct patient care experience within the last three (3) years.

3.4.5. LVNs working in Acute Locked Psychiatry shall possess current ProAct or equivalent MAB training and or certification.

3.5. Certified Nursing Assistants (CNA). CNAs shall have:

3.5.1. Current certification as a CNA by the State Department of Consumer Affairs.

3.5.2. Current certification in CPR by an American Health Association Vendor.

3.5.3. Current BLS certification.

3.5.4. A minimum of one (1) year direct patient care experience within the last three (3) years.

3.5.5. CNA’s working in Acute Locked Psychiatry shall possess current ProAct or equivalent MAB training and or certification.

3.6. The Contractor shall ensure all nursing staff provided under this contract meet the following requirements:

3.6.1. Be current on tuberculosis testing, rubella testing, and all immunizations prior to performing services.

3.6.2. Have the knowledge and ability to use computers and technology efficiently in the course of the duties and responsibilities outlined herein.

4. Duties and Responsibilities of Contract Nursing Staff. The Contractor shall provide nursing staff who will perform the duties described in the paragraphs below.

4.1. Duties and Responsibilities of the NP. The Contractor shall provide nursing staff who will perform the duties described in the paragraphs below.

4.1.1. General: In any area of assignment within the HCS, the NPs provide diagnosis, treatment, consultation, and follow-up patient care. NPs participate in the care of inpatient and outpatient clients in an independent and interdependent role as assigned by the NP Professional Leader or Chief of Patient Care Services.

4.1.2. Duties and Responsibilities: The NPs shall adhere to the policies of VALBHS which shall be provided by the Government upon assignment. The duties and responsibilities of the NP include:

4.1.2.1. Executes position responsibilities independently and collaboratively in accordance with the scope and Standards of Nursing Practice within the specialty area.

4.1.2.2. Works in an independent and interdependent relationship with members of the medical staff.

4.1.2.3. Effectively identifies, evaluates, and addresses disease prevention and health promotion issues while administering quality patient care.

4.1.2.4. Demonstrate advanced assessment and decision-making skills.

4.1.2.5. Maintains legible, accurate, and confidential medical records. Documents all medical evaluations, diagnoses, treatment, outcomes, education, referrals, and consultations.

4.1.2.6. Documents care/visit in CPRS appropriately, accurately, and concisely. Utilizes

POE.

4.1.2.7. Follows clinical guidelines and standards of practice as provided by VALBHS for health promotion, maintenance, and illness prevention.

4.1.2.8. Completes health histories and other clinical documentation consistently and with pertinent information.

4.1.2.9. Responsible for the diagnosis and treatment of acute, chronic, and long-term healthcare issues.

4.1.2.10. Care and treatment plans are consistent with assessments. Orders and interprets diagnostic tests appropriately.

4.1.2.11. Selects/furnishes (prescribes) or recommends pharmacological agents and durable medical equipment appropriately.

4.1.2.12. Sets priorities to provide care in an organized and timely manner.

4.1.2.13. Presents cases in a concise, organized manner. Participates in professional development.

4.1.2.14. Evaluates own performance according to the Advance Practice Nurse (APN) Scope of Practice standards of professional and regulatory bodies and takes actions to improve practice.

4.1.2.15. Maintains mandatory requirements and competency standards.

4.1.2.16. Treats staff, patients and family with respect and dignity.

4.1.2.17. Uses clinical research techniques in decision-making and in making recommendations. Identifies and documents appropriate International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for patient encounters.

4.1.2.18. Educates patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.

4.1.2.19. For Mental Health NP assignments will maintain panel of patients providing comprehensive Mental Health Evaluation and follow up care.

4.2. RNs assigned to Intensive Care Units, Post Anesthesia Care Unit, Cardiovascular Lab, Emergency Room, Operating Room, or Gastrointestinal Lab.

4.2.1. General. The RN assigned to these areas provide direct and indirect nursing care, by contributing to the patient’s assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care.

4.2.2. Duties and Responsibilities. RNs assigned to Intensive Care Units, Post Anesthesia Care Unit, Cardiovascular Lab, Emergency Room, Operating Room, or Gastrointestinal Lab (GI) shall provide services in accordance with the policies of the VALBHS which shall be provided by the Government upon assignment. Nurses shall have professional and legal responsibility to the patient. Specific duties and responsibilities of these RNs include:

4.2.2.1. Perform critical care nursing to Intensive Care Unit patients.

4.2.2.2. Performs scrub and circulating duties in the Cardiovascular Lab and the Operating Room.

4.2.2.3. Assist with the GI Lab procedures and demonstrate competency in monitoring patients undergoing conscious sedation.

4.2.2.4. Obtain patient history and pertinent family history.

4.2.2.5. Assess patient and plan appropriate nursing care.

4.2.2.6. Document plan of care and care given in patient’s medical record.

4.2.2.7. Verify transcription of physician’s orders, no verbal orders are to be accepted.

4.2.2.8. Carry out prescribed physician’s orders and document inpatient medical record.

4.2.2.9. Communicate pertinent patient data to charge nurse and/or physician as appropriate.

4.2.2.10. Re-assess patient’s condition and revise plans of care based on identified nursing problem.

4.2.2.11. Administer medications and Intravenous (IV) therapies.

4.2.2.12. Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart.

4.2.2.13. Assess and document patient response to medication that have been administered.

4.2.2.14. Be able to interpret cardiac rhythms and their implications.

4.2.2.15. Reorganize and initiate appropriate measures in emergencies/therapies and surgical/diagnostic procedures that shall be accomplished.

4.2.2.16. Instruct patient/family regarding prescribed medications/therapies and

4.2.2.17. Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.

4.2.2.18. Operate defibrillator, EKG machines and cardiac monitor and other emergency technical equipment.

4.2.2.19. Care for patients with Swan-Gans catheters, central venous catheters, arterial lines and mechanical ventilators.

4.2.2.20. Participate in discharge planning, as appropriate.

4.2.2.21. Be able to initiate life saving measures in the absence of physicians.

4.2.2.22. Assure content and correctness of a prepared report and sign the document to validate its content.

4.2.2.23. Maintain neat, personal appearance and maintain professional decorum.

4.2.2.24. Consistently demonstrate helpful, courteous, and respectful conduct at all times.

4.2.2.25. Respect patient’s rights, including but not limited to visual and auditory privacy.

4.2.2.26. May accept a verbal order in compliance with the facility policy.

4.2.2.27. Intake and output are assessed every shift, and more frequently if indicated by specific standard nursing drug care.

4.2.2.28. Reviews all laboratory data, and electronic medical records

4.2.2.29. Shall have ability to titrate medications.

4.2.2.30. Be responsible for feeding tubes which are aspirated for gastric residual prior to every intermittent feed and every four (4) hours for continuous tube feedings.

4.2.2.31. Shall perform urinary catheter care by using soap and water cleaning technique every twelve hours or as required.

4.2.2.32. Shall perform central line and ventilator care in compliance with HCS policy.

4.2.2.33. Perform skin assessment and initiate measures to prevent Hospital Acquired

Pressure Ulcer (HAPU).

4.2.2.34. Ensures that medication orders from the previous shift have been noted and either carried out or transcribed onto the medical records appropriately.

4.2.2.35. Shall be and able to provide nursing services in each of the following areas:

Catheterization laboratory, Cardiac Ambulatory Center (CAC), Electrophysiology (EP) Lab, Interventional Radiology, magnetic resonance imaging (MRI) lab and Gastrointestinal Lab.

4.3. RNs assigned to Medical/Surgical units, Chronic Hemodialysis, Radiology, or Psychiatry.

4.3.1. General. When assigned to Medical/Surgical units, Chronic Hemodialysis, Radiology or Psychiatry, the RN provides direct and indirect nursing care, through assessing patient status, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care. RNs assigned to the Med/Surg units shall also be proficient in telemetry.

4.3.2. Duties and Responsibilities: The services of Med/Surg Registered Nurses, Radiology Nurses (RN), and Chronic Hemodialysis Nurses (RN) shall be provided in accordance with the policies of VALBHS which shall be provided by the Government upon assignment.

Specific duties and responsibilities of these RNs include:

4.3.2.1. Utilized the nursing process and an inter-disciplinary approach to provide direct, continuous, comprehensive patient care.

4.3.2.2. Perform nursing functions related to physician prescribed treatments.

4.3.2.3. Perform the function of a scrub nurse.

4.3.2.4. Assist patient with activities of daily living.

4.3.2.5. Perform the functions of a circulating nurse.

4.3.2.6. Administer medications and IV therapies in compliance with local facility policies.

4.3.2.7. Obtains patient history and pertinent family histories.

4.3.2.8. Assess patients and plan appropriate nursing care.

4.3.2.9. Document plan of care and care provided in patient’s medical record.

4.3.2.10. Verify transcriptions of physician’s orders, no verbal orders are to be accepted.

4.3.2.11. Carry out prescribed physician orders and document in patient’s medical record.

4.3.2.12. Communicate pertinent patient data to charge nurse and or physician as

4.3.2.13. Re-assess patient’s condition and revise plan of care based on identified nursing

4.3.2.14. Assess and document patient’s response to medications and treatments

4.3.2.15. Recognize and initiate appropriate measures in emergencies and assist with surgical/diagnostic procedures.

4.3.2.16. Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures.

4.3.2.17. Assess patient/family knowledge level, implement plan of instructions and record

4.3.2.18. Care for patients with a variety of catheters and prostheses.

4.3.2.19. Perform skin assessment and initiate measures to prevent HAPU.

4.3.2.20. Participate in discharge planning.

4.3.2.21. Be able to initiate life saving measures in the absence of a physician.

4.3.2.22. Maintain neat and clean personal appearance with professional decorum.

4.3.2.23. Consistently demonstrate helpful, courteous, and respectful conduct at all times.

4.3.2.24. Respect patient rights, including but not limited to visual and auditory privacy.

4.4. RNs assigned to Chemotherapy and Oncology units.

4.4.1. General. The RN providing services in the Oncology units or Chemotherapy clinics provides direct and indirect nursing care by contributing to the patient’s assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care.

4.4.2. Duties and Responsibilities. The services of Chemotherapy Registered Nurses shall be provided in accordance with the policies of VALBHS which shall be provided by the Government upon assignment. Specific duties and responsibilities of these RNs include:

4.4.2.1. Perform Administration of Chemotherapy to patients on Oncology Units or in Chemo Clinic in accordance with Medical Center Policies and Procedures which the Government shall provide upon assignment and the Lippincott Manuel of Nursing Practice which is incorporated herein by reference.

4.4.2.2. Obtain patient history and pertinent family history.

4.4.2.3. Assess patient and plan appropriate nursing care

4.4.2.4. Document plan of care and care given in patient’s medical record.

4.4.2.5. Verify transcription of physician’s orders, no verbal orders are to be accepted.

4.4.2.6. Carry out prescribed physician’s orders and document inpatient medical record.

4.4.2.7. Communicate pertinent patient data to charge nurse and/or physician as

4.4.2.8. Re-assess patient’s condition and revise plans of care based on identified nursing

4.4.2.9. Administer medications and IV therapies.

4.4.2.10. Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart.

4.4.2.11. Assess and document patient response to medication that have been

4.4.2.12. Reorganize and initiate appropriate measures in emergencies.

4.4.2.13. Instruct patient/family regarding prescribed medications/therapies and

4.4.2.14. Assess patient/family knowledge level, implement plan of instructions and record

4.4.2.15. Operate defibrillator, EKG machines and cardiac monitor.

4.4.2.16. Participate in discharge planning, as appropriate.

4.4.2.17. Be able to initiate life saving measures in the absence of physicians.

4.4.2.18. Maintain neat personal appearance and maintain professional decorum.

4.4.2.19. Consistently demonstrate helpful, courteous, and respectful conduct at all times.

4.4.2.20. Respect patient’s rights, including but not limited to visual and auditory privacy.

4.5. Duties and Responsibilities of LVNs.

4.5.1. General. LVNs may be assigned to any unit within the HCS. For any assignment within a

HCS the LVN provides direct and indirect nursing care by contributing to the patient’s assessment, determining priorities, identifying nursing measures and therapeutic objectives, and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an inter-disciplinary approach in the provision of nursing care.

4.5.2. Duties and Responsibilities. The LVN functions within the policies of VALBHS and the section where assigned which shall be provided by the Government upon assignment.

Specific duties and responsibilities of LVN include:

4.5.2.1. Serves as a member of the nursing team and participates in the planning, implementation and evaluation of nursing care provided.

4.5.2.2. Serves as a direct patient care provider and carries out nursing care for assigned patients. Is alert to physical and emotional changes and complications related to patient disease process and reports such immediately to the RN.

4.5.2.3. Observes patient’s changing condition and reports and records changes on the nursing progress note and care plan. Enters accurate, complete information in the medical record about patient’s condition and responses to treatment and actions taken to carry out nursing care.

4.5.2.4. Reinforces instructions to patient scheduled for invasive, diagnostic, or pre/post operative procedures. Instruct patients on use of equipment (e.g. oxygen, suction, incentive spirometry, etc.). Reinforces instructions to patients and families on the use of prescribed medications.

4.5.2.5. Performs a range of treatment and procedures that include but are not limited to changing sterile dressings, inserting urinary drainage catheters, irrigating catheters and/or nasogastric tubes, irrigation wounds, giving enemas, using various forms of body temperature control, administering oral, topical and intramuscular medications and reporting information concerning adverse effects, caring for patients in isolation, and/or continuous observation status, and giving treatments that require use of specialized oxygen, suction or other supplies.

4.5.2.6. Observes, promptly reports, and documents observations regarding the physical and emotional status of patients, including such things as changes in vital signs, bodily functions, clarity of speech and/or orientation to time, place, or person.

4.5.2.7. Performs a range of diagnostic support duties which include taking vital signs, during neurological checks, collecting specimens, obtaining laboratory reports, and assisting in a variety of examinations such as lumbar punctures, paracentesis, liver biopsies, thoracentesis, and bone marrow examinations by positioning and draping patients and providing other assistance as necessary.

4.5.2.8. Recognizes emergency situations (e.g., cardio-pulmonary arrest, choking, etc.)

and takes prompt, appropriate action.

4.5.2.9. Initiates emergency measures to control patient’s disruptive or violent behavior.

Assumes responsibility for patients requiring constant observation, including those placed on legal holds as a danger to themselves, others, or gravely disabled, which includes fifteen (15) minute documentation of patient’s condition on appropriate forms.

4.5.2.10. Prepares, administers, and records prescribed medications in accordance with

Medical Center’s Policy and Procedure which shall be provided by the Government upon assignment. Observes and reports physical and emotional reactions to medications.

4.5.2.11. Counts narcotics, assuming responsibility for narcotic security and the accuracy of records. Administers narcotics according to VALBHS policy which shall be provided by the Government upon assignment.

4.5.2.12. Reports to the RN completion of care rendered changes in patient’s response or condition and care needs remaining prior to leaving the clinical area.

4.5.2.13. Maintains completeness and accuracy of all continuing patient records, including intake and output, vital signs, and activities of daily living.

4.5.2.14. Performs a range of personal care that includes feeding, bathing, lifting, and turning patients, providing for personal hygiene, and performing preventative, rehabilitative, and therapeutic care/procedures within the scope of the LVN.

4.5.2.15. Accompanies patients on diagnostic or therapeutic trips, assuming responsibility for nursing decisions while away from the nursing unit, within the scope of the

LVN.

4.5.2.16. Meets safety and security needs of patients at all times.

4.5.2.17. Promotes a sense of dignity and self-worth for all patients and staff.

4.5.2.18. Consistently demonstrates helpful, courteous, respectful conduct at all times.

4.5.2.19. Respect patient’s rights, including but not limited to, visual and auditory privacy.

4.6. Duties and Responsibilities of the Certified Nurse Assistant (CNA).

4.6.1. General. The CNA may be assigned to any unit within the HCS and provides direct nursing care under the (direct or indirect) supervision of a VA Registered Nurse. The position requires the ability to follow directions, determine priorities as they relate to basic patient care needs, within the scope of CNA organization skills and observational skills.

4.6.2. Duties and Responsibilities. The CNA functions within the policies and procedures of the VALBHS which shall be provided by the Government upon assignment. Specific duties and responsibilities of the CNA include:

4.6.2.1. Serves as a member of the nursing staff and carries out routine nursing care and other personal services to assigned patients on any ward or tour assigned.

4.6.2.2. Performs a range of personal nursing care which includes activities of daily living, such as feeding, bathing, lifting, and turning patients, providing oral, nail, hair related hygiene care, and performing preventive, rehabilitative, and therapeutic care/procedures within the scope of a CNA.

4.6.2.3. Records in appropriate clinical records all care provided.

4.6.2.4. Observes significant conditions, both physical and emotional, relevant to the health status of the patient. Providing timely and accurate reports to designated clinical care team members and records all relevant information in the clinical record. Gives special attention to details of care since patients are often too ill or confused to speak for themselves.

4.6.2.5. Performs a range of diagnostic support duties, which includes taking vital signs, neurological checks, collecting specimens, and preparing patients for tests, examinations, treatments and/or surgery according to established procedures.

4.6.2.6. Performs a range of treatment procedures that include changing dressings, giving enemas, colostomy care, tracheotomy care, and caring for patients in isolation, and/or continuous observation status.

4.6.2.7. Maintains a safe and therapeutic environment; Provides for safety needs of patients.

4.6.2.8. Recognizes emergency situations (cardiopulmonary arrest, choking, seizures, dysreflexia, etc.), takes appropriate action and reports situation in a timely fashion.

4.6.2.9. Accompanies patients on diagnostic or therapeutic trips assuming responsibility for basic decisions within the scope of a CNA while away from nursing units.

4.6.2.10. Initiates emergency measures to control disruptive or violent behavior.

4.6.2.11. Assists in the delivery of patient care as directed by the RN or LVN.

4.6.2.12. Respects patient’s rights, including but not limited to visual and auditory privacy.

4.6.2.13. Consistently demonstrates helpful, courteous, and respectful conduct at all times.

5. Credentialing and Privileging Requirements.

5.1. The Contractor shall submit initial applications for NP, RN and LVN credentialing and for NP clinical privileges to the Contracting Officer’s Representative (COR) or designee for each nursing candidate proposed to perform services under the contract. Additionally, the Contractor shall also make proposed candidates available for interview by the Government during the credentialing process. Required documentation includes:

5.1.1. Copy of valid, current, unrestricted state license and applicable Certification.

5.1.2. Copy of valid, current, unrestricted Drug Enforcement Agency (DEA) license in a state where medical licensure is current (Nurse Practitioner only).

5.1.3. Candidate education and training.

5.1.4. Current ACLS for nursing staff working in specialty care areas such as emergency department, operating room, intensive care and step-down units, and post anesthesia care unit. BLS certification is required for all nursing staff from either the American Heart Association or the Military Training Network.

5.1.5. A signed consent for release of information.

5.1.6. A copy of the nurse candidate’s curriculum vitae, accompanied by that individual’s sworn affidavit of the truthfulness of same, indicating experience, training, and technical expertise in the type of care to be rendered.

5.1.7. A list of all states in which the contract nursing candidate currently holds or has held a license to practice related services.

5.1.8. Certification of current physical examination for each contract nursing candidate. The certification shall contain a signed statement by the examining provider that the nursing candidate is free of any contagious diseases. The examination shall comply with public health regulations covering immunization and blood test requirements. Physical examination shall be current within thirty (30) calendar days prior to application for privileges.

5.2. Contractor’s NP, RN and LVN nursing staff shall be re-credentialed every two years.

5.3. Only complete credential applications will be accepted by the Government for processing.

Incomplete applications (those that do not fully comply with the requirements, as stated herein) will be returned to the Contractor without action.

5.4. The Contractor shall take specific action, including Primary Source Verification, to ensure that proposed nursing candidates’ applications contain the required prerequisites for NP privileging and do not include any disqualifying impediments for privileges at the VA. This is the sole responsibility of the Contractor and is non-delegable.

5.5. The Contractor shall submit applications only for those contract nursing candidates who can reasonably be expected to render the actual, substantial services for performance. The Contractor shall not submit applications for credentialing of individuals who lack the requisite qualifications.

6. Denial/Termination of Privileges. The Government reserves the right to limit, suspend, or revoke clinical privileges for any Contractor nursing staff for any reason. The Contracting Officer or COR will notify the Contractor when this authority has been exercised.

7. Non-Acceptance of Contract Nursing Candidates. The Contractor shall ensure that all nursing staff candidates have met the qualifying criteria, including health requirements and with valid licenses.

Ultimately, the decision to accept or reject nursing candidates rests with the VA. Non-acceptance of individual Contractor nursing staff does not relieve the Contractor from satisfying and fulfilling the Task Order requirements.

8. Standard of Conduct.

8.1. The Government reserves the right to refuse acceptance of services from Contractor’s nursing staff whose personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include, but are not limited to, intoxication or debilitation resulting from drug or alcohol use, theft, patient abuse, dereliction, or negligence in performing assigned tasks, or other abuse, or other conduct resulting in formal complaints by patients or other staff members to designated Government Representatives.

8.2. Complaints concerning Contractor’s nursing staff’s conduct with Government employees or patients will be dealt with by the Contractor and the COR. The Contracting Officer is the final authority on validating complaints. The Government reserves the right to refuse acceptance of services from individual Contractor nursing staff and require the Contractor to remove such staff from performing work under the contract for any reason that the Government determines to jeopardize performance of this contract or create the potential for harm to Veterans or VA staff.

In the event the Government refuses acceptance of services of Contractor nursing staff, the Contractor shall immediately remove the individual(s) from performing work under the contract and provide replacement nursing staff that are acceptable to the Contracting Officer. The cost of removing and replacing such nursing staff shall be borne solely by the Contractor.

9. Conflict of Interest. The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest with that individual’s duties as a Government employee. The Contractor shall not employ any person who is a current employee of the VA, unless such person seeks and receives approval in accordance with the VA regulations.

10. Alcohol/Drug Screening. Contractor shall ensure its nursing staff are not using alcohol or illegal drugs while performing work under this contact and are subject to random alcohol/drug testing performed by the Contractor. Contractor shall also perform alcohol/drug testing when there is a reasonable suspicion that a staff member is using or is impaired by alcohol or illegal drugs while on duty. Reasonable suspicion of alcohol/drug use or impairment includes, but is not limited, to the following:

10.1. Observable phenomena, such as direct observation of drug use, possession, or the physical symptoms of being under the influence of a drug.

10.2. A pattern of abnormal conduct or erratic behavior.

10.3. Arrest or conviction for a drug-related offense or the identification of a nursing staff member as the focus of a criminal investigating into illegal drug possession, use or trafficking.

10.4. Information concerning drug use provided either by reliable and credible sources or independently corroborated.

10.5. Newly discovered evidence that the nursing staff member has tampered with a previous drug test.

11. Health Requirements.

11.1. Contractor shall not present nursing staff to perform services under this contract unless a pre-assignment medical examination has been performed within thirty (30) calendar days of their first scheduled shift. Pre-assignment medical examinations shall be the responsibility of the Contractor at no cost to the Government.

11.2. The Contractor shall ensure that all Contractor nursing staff receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection. The immunization shall be the responsibility of the Contractor at no cost to the Government.

11.3. The Contractor shall ensure that Contractor nursing staff are immunized against, be granted an immunization waiver, or have documented proof of immunity to: rubella, mumps, polio and Hepatitis B. In addition, Contractor shall ensure that nursing staff performing work under this contract are free of infectious diseases (to include, but not limited to, active Tuberculosis and Viral Hepatitis).

11.4. The Contractor shall provide the Government with all the information necessary to ensure that Government records are maintained correctly and in compliance with The Joint Commission (TJC), OSHA, and the Center for Disease Control health records requirements, for all contract nursing staff.

11.5. The Contractor shall provide the Government with certificates of completion for any related testing/requirements that show compliance with TJC, OSHA and the Center for Disease Control requirements, for all contract nursing staff. Any such required certifications routinely performed by the Government, onsite where the contract nursing staff is providing services and which would result in no undue burden upon or additional cost to the Government, shall be provided by the Government.

11.6. The Contractor shall provide the COR with certification that individual Contractor nursing staff have completed the medical evaluation required above, a minimum of two (2) working days prior to performance of services by the nursing staff under this contract. This certification shall state the date that the medical examination was completed, the provider’s name that performed the examination, a statement concerning the physical health of the individual nurse candidate, and the following statement:

[Name of Contractor nursing staff member] is suffering from no contagious diseases to include, Tuberculosis and Hepatitis.

11.7. The Contractor shall inform the nursing staff performing services under this contract that they might be asked to submit to Government may take nose and throat cultures from contract nursing staff when required by Government Infection Control Committees (ICC). The Government reserves the right to refuse services under this contract from nursing staff who decline to be tested.).

11.8. When Contractor’s nursing staff are found medically unfit for providing services required under the contract, they shall be required to discontinue working immediately and will not return to work until given clearance by the COR.

11.9. The Government will provide emergency health care to Contractor nursing staff for injuries sustained while on duty. These services will be billed to the Contractor at the current full reimbursement rate.

12. Arrangement for Replacement Staff. The Contractor shall provide nursing staff for scheduled services throughout the contract period. In the event of the absence of the Contractors scheduled nursing staff for any reason, the Contractor shall coordinate a replacement provider.

13. Alternate Sources. If routine nursing staff services are disrupted for more than two (2) consecutive scheduled shifts or requests for shifts, the Government reserves the right to procure such services from an alternate source, until the services can be provided by the Contractor. When the Government exercises its right to procure these services from an alternate source, the Contractor shall reimburse the Government for all charges in excess of the amount that would have normally been paid to the Contractor. A copy of the other source’s time sheet or other verifiable documentation shall be used as the basis for any reimbursement.

14. Identification Badge. An identification (ID) badge will be issued by VALBHS to Contractor’s nursing staff. The Contractor shall ensure that the appropriate ID badge shall be is worn at all times while on Government facility grounds, clearly displayed on the outermost garment (i.e., scrubs, coat, jacket, sweater, shirt, blouse, lab coat etc.).

15. Health Insurance Portability and Accountability Act (HIPAA).

15.1. Contractor shall take reasonable measures to ensure patient privacy and confidentiality. The Contractor shall ensure that contract nursing staff assigned to provide services under the contract agree to take all reasonable precautions to safeguard patient information from unauthorized access or modification, in both electronic and hard-copy formats.