SOW RN2 final.pdf

STATEMENT OF WORK (SOW)

RN2 SERVICES

PHOENIX INDIAN MEDICAL CENTER (PIMC)

The Contractor shall provide Registered Nurses, as outlined below.

Definitions: Within this document “Contractor” refers to the company that has contracted with Indian Health Service to provide nursing services. “Nurse” or “Nurses” refers to the nurses employed by the Contractor to provide nursing services under this award.

Location: All services shall be performed at the following location:

Phoenix Indian Medical Center 4212 North 16th Street Phoenix, Arizona 85016

Shifts:

Shift times and schedules are subject to change based on the medical needs of the patient population and hospital/clinic operations.

Routine Shift schedules are:

Inpatient:

12 hour shifts:* 0700 – 1930

1900 – 0730

Outpatient:

8 hour shifts:* 0700 – 1530

0730 – 1600 0800 – 1630

10 hour shifts:* 0730 – 1800

12 hour shifts:* 0700 – 1930

1900 – 0730 *Includes 30 minute unpaid lunch break.

Qualifications:

The Contractor shall supply Registered Nurses that have the requisite qualifications, education, training, licensing, previous work experience, knowledge, and competence to provide all services contained within this Statement of Work.

Education: The minimum requirement is an Associate’s Degree from an Accredited Nursing School Program; however, a Bachelor’s in Science Degree in Nursing is preferred.

Experience: Minimum of 2 years work experience as a Registered Nurse / minimum of 2 years experience working within their specialty area.

Licenses and Certifications:

Must possess a current, active, and unrestricted Registered Nurse License free from disciplinary actions. This license may be granted by any U.S. state or territory, the District of Columbia, or the Commonwealth of Puerto Rico.

Valid driver’s license granted by any U.S. state or territory, the District of Columbia, or the Commonwealth of Puerto Rico.

Certification requirements are determined by specialty area. All certifications must be current.

o Ambulatory Care :

BCLS (Basic Cardiac Life Support)/CPR (Cardiopulmonary Resuscitation) ACLS (Advanced Cardiovascular Life Support) o Inpatient:

o OB Unit :

ACLS (Advanced Cardiovascular Life Support) PALS (Pediatric Advanced Life Support) NALS (Neonatal Advanced Life Support) Neonatal Resuscitation Program (NRP) STABLE (Sugar, Temperature, Airway, Blood pressure, Lab work, Emotional support ) AWHONN Intermediate and/or Advanced Fetal Monitoring o Operating Room:

PALS (Pediatric Advanced Life Support) o Procedure Room:

Computer Literacy: Nurses shall be proficient in writing, typing, and have a basic working knowledge and understanding of computer hardware and software applications.

Health Restrictions: Duties require walking, standing, bending, and some lifting, e.g., to assist patients out of wheelchairs, move patients on and off examining tables or stretchers, etc. Nurses shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services.

Immunizations: Nurses shall comply with all immunization requirements;

immunization is a condition of employment. Please note, these immunization requirements are subject to change.

Nurses will be screened for the following in accordance with the Department of Health & Human Services Indian Health Service Employee Immunization Program and COVID vaccination policy:

Measles, Mumps, and Rubella (MMR) – 2 doses, or laboratory evidence of immunity, or laboratory confirmation of disease, or born before 1957

Hepatitis B – 3 doses or laboratory evidence of immunity by positive serum titer

Varicella shots – 2 doses of live vaccine, or healthcare provider diagnosis of varicella disease, or laboratory evidence of immunity or laboratory confirmation of disease, or employee reports date(s) of chicken pox

Tetanus, Diphtheria, and Pertussis (Tdap) & Tetanus, Diphtheria (Td) – Single dose of Tdap, or Tdap booster vaccination (one dose within 10 years)

Tuberculosis – based upon annual TB risk assessment in accordance with the most recent CDC recommendations for skin testing. Current requirement for PIMC is two‐step TST process within 12 months of onboarding

Influenza – mandatory during the CDC‐determined influenza season, currently October 1 to March 31

COVID‐19 vaccinations

Cultural and Language Sensitivity: Nurses shall demonstrate appropriate/professional behavior, plus possess sufficient initiative, interpersonal relationship skills, and, social sensitivity to constructively relate to IHS employees, contractors, vendors, patients, and members of the Native American community. They shall display sensitivity to the unique cultural factors of the people they treat, including language and communication style, village and tribal customs, use of traditional healers, isolation, housing conditions, and lack of resources. Some patients may not speak English; therefore Nurses must be comfortable rendering services while using an interpreter. Nurses must excel in a team environment and shall exhibit tact and diplomacy while working in stressful situations.

Security Clearance/Background Investigation: Successfully passing the background investigation/obtaining a security clearance through IHS is a condition of employment.

Nurses cannot begin work until they have been cleared by IHS and issued a badge. Further details of the security clearance/background investigation process may be found below.

Credentialing/Privileging: Nurses shall not provide services prior to obtaining approval by the Medical Executive and Governing Board. Privileges will require periodic renewal, in accordance with Government credentialing/privileging policy and JCAHO requirements. As written above, Nurses must possess a current, active, and unrestricted Registered Nurse License free from disciplinary actions. This license may be granted by any U.S. state or territory, the District of Columbia, or the Commonwealth of Puerto Rico.

Duties:

Nurses shall provide patient care, assist, and/or perform duties as requested within their level of competence, the allowed scope of their professional license, and state laws of Arizona. This may include assignments and duties related to the COVID‐19 pandemic. Nurses may be required to work beyond normal duty hours, on weekends, holidays and after regularly‐scheduled duty hours on an as‐needed basis during emergencies. The duties contained within this Statement of Work are illustrative of normal duties, however they are not all inclusive. Nurses may be required to perform duties within the normal scope of their employment that are not specifically outlined.

Standards of Service: Patient care shall be provided in accordance with the standards outlined by Centers for Medicare Services (CMS), The Joint Commission (TJC), The Comprehensive Accreditation Manual for Critical Access Hospitals, health promotion/disease prevention (HPDP) requirements, IHS PIMC policies such as the Indian Health Services Quality of Care document, Medical By‐Laws, IHS rules and regulations as established by the Phoenix Indian Medical Center Medical Staff, and Arizona state law. At a minimum, all Nurses shall provide a standard of care consistent with their professional qualifications, and similar to that generally provided by similarly‐qualified Registered Nurses within the State of Arizona. Nurses shall comply with all IHS facility infection control and safety procedures and standards.

Charting: In accordance with PIMC by‐laws and/or hospital policy, Nurses shall complete chart notes, medical records, and other required records on the day care was rendered. This applies to patients they admitted as well as patients they provided with care. Nurses shall enter all lab, x‐ray, and medication requests using the electronic health record (after undergoing IHS electronic health record training). Nurses shall follow approved abbreviation guidelines.

Meetings: Nurses that work continuous full‐time assignments of a week or longer shall attend assigned meetings and participate fully as staff members.

Uniform Policy: Nurses shall comply with the Department of Health & Human Services Indian Health Service Caregiver Identification Program and Uniform Allowances policy which assigns uniform colors by professional discipline. Nurses shall maintain acceptable standards of personal hygiene, grooming and professional attire such that their image as a Federal contractor is compatible with the expectations of the IHS staff.

Staff Development: Nurses will be provided with access to IHS’ learning platform. Nurses shall complete all required training prior to reporting to work at PIMC.

Specialized Duty Positions: Duties specific to specialized duty positions are outlined below:

Ambulatory Care Nurse Duties

Obtain chief compliant and/or reason for visit. Initiate the nursing process if indicated or provide care with medical provider.

Assess, design, implement and evaluate nursing interventions. Follow through with planned nursing actions.

Provide patient education according to patient education codes.

Answer and screen telephone calls.

Carry out physician orders. Administer medications, oxygen, and a variety of treatments.

Manage a wide variety of therapeutic devices such as respiratory and electrocardiograph machines and other medical equipment and supplies.

Measure and assess vital signs, height, weight, and neurological status, effects of medication, visual acuity and hearing.

Provide direct patient care; assist patients with activities of daily living and ambulation.

Observe and document patient care provided changes in patient’s condition, observations and other designated unit activities in the accepted format and form.

Collaborate and coordinate patient care with other health care providers and hospital staff.

Assign and direct the patient care provided by ancillary nursing staff.

Participate in nursing quality controls i.e., crash cart checks, lab checks, capillary blood glucose monitoring checks, etc.

Collect or assist in collection of specimens, i.e., blood, urine, stool, COVID 19 specimens, etc.

Recognize life‐threatening emergencies, initiate and maintain resuscitation measures and other emergency procedures as appropriate to the situation.

Recognize adverse reactions to medications, treatments and procedures and initiate interventions as appropriate to the situation.

Inpatient Care Nurse Duties

Provide direct patient care including diagnostic studies, treatments, medications, and other therapeutic measures in accordance with policy and procedure, in support of physician’s orders, and as required by the patient’s condition, diagnosis, and needs.

Perform complete and accurate nursing assessment. Develop and maintain a plan of nursing care based upon goals derived from identified needs. Implement individualized nursing plan of care, consistent with established policies, procedures, and protocols.

Evaluate and document effectiveness of nursing interventions. Revise plan of care based upon patient response to interventions. Complete assessments as established by scope of practice and unit standards.

Provide appropriate coordination of care and intervention to patients undergoing a medical or psychiatric emergency.

Address physical, psychological, emotional, socio‐cultural, age‐specific, and spiritual needs of patient and family throughout the continuum of care. Provide patient and family education.

OB Unit Nurse Duties (Antenatal, OB Triage, Labor & Delivery, OR Circulator/Recovery, Couplet Care)

Provide care listed in Inpatient Care Nurse Duties above.

Provide care for complex OB/neonatal patients who may require stabilization of life threatening conditions, including: management of multiple IV lines, medication administration, monitoring equipment and assisting with high‐risk, low frequency procedures.

Provide basic education to patients and their families on health maintenance, medications, disease process, treatment, diagnostic tests, procedures and discharge instructions.

Act as patient advocate and ensure that the patient’s autonomy, confidentiality, values and dignity are preserved and protected.

Operating / Procedure Room Nurse Duties

(Same Day Surgery, Pre‐Op, Operating Room, Post‐Anesthesia Care Unit)

Provide care listed in Inpatient Care Nurse Duties above.

Perform pre‐operative assessment and teaching for patients and families.

Select, prepare, and process supplies, instruments and special equipment for specific procedures; anticipating possible complications.

Devise draping techniques and protocols for special or new procedures and techniques.

Coordinate special needs with physicians and/or personnel of other departments to assure continuity of care is provided.

Anticipate patient needs through continual observation and monitoring.

Meet the needs of the surgeon and anesthesia personnel by assisting with induction, problems during the course of surgery, and assisting with procedures under conscious sedation.

Provide for and contributes to patient safety through control and monitoring of internal and external environment through biological testing, product evaluation, needle, sponge and instrument counts, aseptic practices and implementing professional standards of practice.

Assist with GI scoping procedures, obtaining lab specimens, and administering /monitoring conscious sedation.

Provide pre‐procedure assessments and post‐procedure recovery care.

Performance: Nurses will be evaluated by the Supervisory Clinical Nurse based upon the requirements stated in this statement of work. In the event that PIMC determines a Nurse should be removed from duty, the Contractor shall make a best effort to provide a replacement, who can start the on‐boarding process within 48 hours. Should this not be possible, the Contractor shall notify the COR immediately.

Scheduling: Nurses shall work all scheduled hours. The Supervisory Clinical Nurse (or designee) will provide schedules with a 15‐day advance lead time. If a Nurse cannot work a scheduled shift:

A 72‐hour notice is required. (Provided to the COR and those involved in scheduling.)

The Contractor shall make a best effort to find a replacement.

There may (on occasion) be a need to fill coverage requests with less than a 15‐day lead time.

For these emergency situations, the Contractor shall make a best effort to accommodate the request. If they are unable to provide the Nursing services needed, the Contractor shall notify the COR and those involved in scheduling immediately.

Security Clearance/Background Investigation:

IHS security clearance/background investigation is mandatory for all Nurses provided under this contract. Nurses cannot begin work until they have been cleared by IHS and issued a badge.

The Contractor shall pre‐screen Nurses prior to referring them to PIMC for employment under this contract, including verifying that the Nurse is not included on the Inspector General’s exclusion list (currently located at http://exclusions.oig.hhs.gov/).

Nurses who have been referred to work at PIMC under this contract shall work directly with IHS to complete all security clearance/background investigation requirements. The following information is for illustrative and planning purposes only. Security clearance/background investigation procedures are subject to change.

Fingerprints: Nurses shall contact PIMC Human Resource Staff Coordinator to make fingerprinting arrangements.

Documents: The following documents will need to be returned as instructed by IHS personnel. For documents that require signatures: Wet signature/date is recommended; PDF signatures will not be accepted.

1. Current resume

2. OF‐306 – Declaration for Federal Employment (All questions must be answered; signature and date in box 17a must be completed.)

3. OF‐306 Addendum

4. IHS Provisional Access Memo

5. Protecting Children from Sexual Abuse in Health Care Settings (Provide a copy of the Certificate of Completion.)

6. No FEAR Act Training (Provide a copy of the Certificate of Completion.)

7. OFI‐86C form

Include permanent address as well as any temporary addresses used while on assignments.

Fill in items 1 through 6, plus item 13.

Leave item 14 blank (IHS personnel security will fill this in.)

Return the form in fillable format

8. Applicable state forms – these will be identified by IHS personnel security.

To preview which forms will be required, please reference Child Care Agency Guide (11/01/21).

NOTE: If it is determined that a full background investigation is needed, IHS will initiate one in e‐QUIP.

Additional On‐boarding Requirements:

The Contractor shall provide the COR with copies of the following documents for each Nurse provided under this contract:

1. Resume

2. Licenses & Certifications (see requirements above)

3. Transcripts

4. Current Health Status Report (a health history indicating that a Provider has medically cleared the Nurse for employment and indicates they do not have any medical conditions that would prevent them from performing their job duties)

5. Immunizations (see requirements above)

Payment:

The hourly unit price paid to the Contractor shall be considered payment in full. The Contractor will be paid for nursing services provided under this contract according to the hourly rate outlined within the contract. Although Nurses may be required to work beyond normal duty hours, on weekends, holidays, and after regularly‐scheduled duty hours on an as‐needed basis during emergencies, it is important to note that firm fixed price contracts are all inclusive per Federal Acquisition Regulation (FAR), and as such, additional charges (such as for holiday, weekend, call‐back, or overtime pay) are prohibited. Furthermore, as neither the Contractor, nor the Nurse, are entitled to any additional payment, no attempt shall be made to bill/collect from any Indian Health Service (IHS) patient, or from any alternative source.

The Contractor shall submit invoices monthly. In compliance with HHSAR 352.232‐71 – Electronic Submission of Payment Requests, invoices shall be submitted through the Invoice Processing Platform (IPP). More information on IPP may be found at IPP.gov/home.

Reserved Rights:

IHS reserves the right to reject any proposed Nurse if it is determined to be in the best interest of the Government. Additionally, IHS reserves the right to hire—without penalty—any Nurse provided under this contract who applies for positions with the Indian Health Service.

Applicable Laws:

The following legal requirements apply to the Contractor as well as to the Nurses provided under this contract.

Pro‐Children Act of 1994

The Contractor certifies that it will comply with the provisions of Public Law 103‐ 227, Pro‐Children Act of 1994 which imposes restrictions on smoking where federally funded children’s services are provided. The Act requires that smoking should be prohibited in any indoor facility owned, leased, or contracted for or used for the routine or regular provision of health care, day care, or early childhood development (Head Start) services to children under the age of 18.

Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 per violation and/or the imposition of an administrative compliance order on the responsible entity. By submitting an offer and entering into a contractual agreement with the Government, Contractors certify that they will comply with the requirements of the Act.

Contractors must obtain the same certification from the Nurses they provide under this contract.

P.L. 101‐630, The Indian Child Protection and Family Violence Prevention Act

Contracted personnel whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101‐630, The Indian Child Protection and Family Violence Act. IHS will conduct these investigations following award of a contract. The character investigation may be waived if, in the judgment of the Contracting Officer, in consultation with the Personnel Officer, an investigation has already been conducted and is on file. Until the character investigation has been completed and the Contracting Officer has been notified of the results, contracted personnel must not have unsupervised contact with Indian children.

Department of Health and Human Services Tobacco Policy

The Contractor’s employee shall comply with the Department of Health & Human Services Tobacco‐Free Policy (copy available upon request). Contractor’s employee shall not use tobacco products of any kind (e.g., cigarettes, cigars, pipes, and smokeless tobacco) while on any HHS Property‐ owned or controlled.

Indian Child Protection and Family Violence Prevention Act and Crime Control Act of 1990

No performance under this contract will be allowed without full compliance with the Indian Child Protection and Family Violence Prevention Act, Public Law 101‐ 630, the Indian Health Service memo dated February 3, 1997, Investigations on Child Care Workers, and the Crime Control Act of 1990, Public Law 101‐647.

Contractor shall ensure that proposed providers cooperate with and assist the Government in the conduction of any necessary background checks.

END OF STATEMENT OF WORK