W9127818R0058_PWS_Mobile_ROHC_Nursing_Services.pdf

Performance Based Work Statement

For ROHC Nursing Services

1. Contractor will serve as a staffing agency for professional registered nurses who will provide

Occupational Health Nursing services for the US Army Corps of Engineers (USACE) South Atlantic

Division (SAD) region, including Alabama, Florida, Georgia, Mississippi, North Carolina, South

Carolina, Virginia, and Tennessee. The contract ordering period shall be five (5) years. Services will be provided to Federal employees of participating agencies in accordance with the SAD Regional

Occupational Health Center (ROHC) Standard Operating Procedures (SOP), applicable public health regulations, and other directives/protocols. The Regional Occupational Health Center is headquartered in the Federal Building, 109 St. Joseph Street, Mobile, AL. The ROHC will provide direction for

Occupational Health services within the Region.

2. It is recommended that nursing support in the region can be recruited in, or around, the following

USACE District office locations:

a. Mobile, Alabama (ROHC has a fully-operational Occupational Health Clinic and is headquartered at this location and usually requires two Full Time Employees.

b. Jacksonville, Florida (ROHC has a fully-operational Occupational Health Clinic at this location and usually require one Full Time Employees with periodic relief and additional supporting nursing services).

c. Savannah, Georgia (ROHC has a fully-operational Occupational Health Clinic at this location and usually requires two Full Time Employees with periodic relief and additional supporting nursing services).

d. Wilmington, NC (ROHC has no on-site clinic at this location, but will need a periodic assignment for health promotion, training and immunizations).

e. Wake Forest, NC is the location of the Raleigh Regulatory Field Office, a subordinate organization of Wilmington District (ROHC has no on-site clinic at this location, but will need a periodic assignment

f. Charleston, SC (ROHC has no on-site clinic at this location, but will need a periodic assignment

3. Registered Nurses (RNs) shall hold current licensure in the respective State or States where services are to be rendered.

4. It is required that experienced, professional nurses have at least 3 years’ experience in medical surgical or critical care nursing with an interest in Occupational Health. Experience in Occupational Health

Nursing is preferred.

5. Nurses shall have current certification in Basic Life Support (BLS) for Healthcare Provider and be proficient in phlebotomy.

6. The ROHC maintains a ZERO TOLERANCE drug abuse policy. Contractor shall provide a random drug testing program for nurses hired under this contract, with provisions for probable cause and post-accident testing, which is compliant with the Mandatory Guidelines for Federal Workplace Drug Testing

Programs, Department of Health and Human Services, Federal Register April 30, 2010, 75 FR 22809.

7. Replacement nursing personnel will be provided within 24 hours of notification or less in the event of the absence of the assigned contract nurse.

8. Prospective employees shall be screened and credentialed by the Prime Contractor, and then cleared by the ROHC Nurse Manager or COR. This clearance will require the prospective candidate to submit a copy of any required credentials and a copy of their resume.

9. The Contractor will provide copies of RN Licensure and Professional Health Care CPR/AED/First Aid certification before accepting assignment and upon request thereafter.

10. The Contractor must provide evidence of Professional Nurse Malpractice Insurance.

11. Contractor shall provide for a system of written evaluations so the ROHC Nurse Manager can provide feedback to the Contractor on the observed performance of individual nurses at 30 days, at 6 months after starting work, and at 6-month intervals thereafter.

12. The PRN pool of RNs shall include at least 2, but not more than 4, RNs for Clinic identified above.

This pool of RNs will be screened, credentialed, and cleared in advance, as outlined in para 8, above.

13. Federal Acquisition Regulation (FAR) 52.237-3 (Continuity of Services) shall be incorporated into the contract, with 60 days established as the phase-in, phase-out period at the beginning and end of this contract period. A detailed phase-in, phase-out plan shall be submitted for Government acceptance prior to the start of the contract period.

14. Services to be performed will include, but not limited to, some or all of the following:

a. Works independently in on-site Occupational Health Clinic during respective hours of operation for occupational and non-occupational office visits.

b. Manages the occupational health program for District employees.

c. Administers emergency care for occupational and non-occupational illness or injury.

d. Operates under the guidelines of the ROHC’s Clinical and Program Management SOP.

e. Schedules health service activities such as preliminary tests for physical exams (i.e. blood pressure, EKG, phlebotomy, health fairs, etc.).

f. Assists physician during physical exams and with screenings for uterine, breast, and skin cancer.

g. Administers injections, vaccines, medications, and treatments according to Centers for Disease

Control and Prevention (CDC) and as authorized by the Occupational Health Physician.

h. Counsels employees on healthcare subjects including nutrition, dental, care of minor injuries and illness, family and health problems, smoking cessation, home care, communicable diseases, etc.

i. Advises employees to obtain medical care and makes referral to private physicians, dentists, clinics, or community resources, with advice depending on the apparent nature and origin of employee’s problem.

j. Provides narrative documentation on Nurse’s Notes for services rendered and follows-up on referrals to insure employee’s optimum medical care.

k. Conducts telephonic or face-to-face interview on serious or acute conditions, compensable injuries, chronic illness, pregnancy, etc. with clinics, hospitals, and the respective employee.

l. Maintains records and assists with inventory assessment of supplies and equipment.

m. Coordinates with the ROHC Nurse Manager regarding medical surveillance of employees who work in hazardous environments.

n. Assists ROHC Nurse Manager with communication between managers, safety personnel, and building officials to ensure specific actions are taken by appropriate personnel to eliminate or reduce hazards and improve health and safety of employees.

o. Maintains medical privacy for employee patients and has an understanding of the Health Insurance

Portability and Accountability Act (HIPAA) and the Privacy Act.

p. Conducts visits to work places to ensure a healthful environment is maintained.

q. Performs computer-related tasks associated with travel medicine and the Corps of Engineers' software programs for financial and/or deployment documentation, electronic medical records, and statistical reporting.

r. Serves as an occupational health advisor in support of District activities.

s. Provides support to District Safety Office endeavors.

15. Labor Categories:

a. Registered Nurse I. The Registered Nurse I provides general nursing care to patients whose conditions and treatment are normally uncomplicated; follows established procedures, standing orders, and doctor’s instructions; uses judgment in selecting guidelines appropriate to changing patient conditions; and recognizes and determines proper actions for medical emergencies. Routine duties are performed independently; variations from established routines are performed under specific instructions.

Typical assignments include:

Health Unit/Clinic: Administers immunizations, inoculations, and medications in a clinic; performs first aid for minor burns, cuts, bruises and sprains; obtains patient histories; performs phlebotomy; keeps records, maintains both electronic and hard copy employee medical records; writes reports; and maintain supplies and equipment.

b. Registered Nurse II. The Registered Nurse II plans and provides comprehensive nursing care in accordance with professional nursing standards; uses judgment in assessing patient conditions, interpreting guidelines, and modifying patient care as necessary; recognizes and determines proper action for medical emergencies, e.g., calls physician or takes preplanned emergency measures. Typical assignments include:

Health Unit/Clinic: Provides a range of nursing services, including preventive health care counseling; coordinates wellness programs; assesses and treats minor health problems; coordinates health care needs and makes referrals to medical specialists; administers emergency treatment; performs limited portions of physical examinations, i.e. EKG, spirometry, and audiometry; provides individual health and wellness counseling; and provides training on occupational health topics.

c. Registered Nurse III. The Registered Nurse III is certified in Occupational Health Nursing or is board eligible for certification; plans and performs specialized and advanced nursing assignments; focuses on promotion and restoration of health, prevention of illness and injury, and protection from work-related and environmental hazards; work extends beyond patient care to the evaluation of concepts, procedures, and program effectiveness; knowledgeable of Federal regulations put forward by the Occupational Safety and Health Administration (OSHA), HIPAA, Privacy Act; follows the Professional Practice Standards of

Occupational and Environmental Health nursing. Typical assignments include:

Health Unit/ Clinic: Provides health care and nursing services in clinics; provides for and delivers health and safety programs and services to employees; employs preventive strategies to keep workers healthy and productive; works with management toward compliance with regulations that affect employee health and safety; provides training on occupational health topics; serves as an expert consulting in areas of occupational health.

16.Travel:

a. May be assigned to distant locations to provide Occupational Health Nurse services for

Disaster and Emergency Response Missions (i.e. hurricane relief efforts, etc.), working up to 12 hours per shift, seven days per week, for one to six months, or longer if required by the mission.

b. Nurses may be required to travel by air or ground vehicle during the contract period for the purpose of providing nursing services, training, or supporting Safety and Occupational Health activities.

This travel will be covered by the Contractor and billed to the US Army Corps of Engineers according to the awarded bid structure for same.

c. Reimbursement for travel expenses will be in accordance with allowances published in the current Department of Defense (DoD) Joint Travel Regulation (JTR)

d. Travel outside the Continental United States (CONUS) may be required

17. Pricing Items

Clinic Nurse Level III ____________________

PRN nursing Level III ____________________

Clinic Nurse Level II ____________________

PRN nursing Level II ____________________

Clinic Nurse Level I ____________________

PRN nursing Level I ____________________

18. AT/OPSEC Requirements:

a. AT Level I Training. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, controlled access areas, or require network access, shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. Upon request, the contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer (if a COR is not assigned), within 5 calendar days after completion of training by all employees and subcontractor personnel. AT Level I awareness training is available at the following website: http://jko.jten.mil/courses/atl1/launch.html; or it can be provided by the RA ATO in presentation form which will be documented via memorandum."

b. Access and General Protection Policy and Procedures - All contractor and all associated sub-contractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation/facility access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor

Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any installation or facility change, the Government may require changes in contractor security matters or processes.

c. Contractors requiring Common Access Card (CAC) –The contractor and all sub-contractors employees will be issued a CAC only if duties involve one of the following: (1) Both physical access to a

DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an interim CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

d. Suspicious Activity Reporting Training - The contractor and all associated sub-contractors shall receive a brief/training (provided by the RA) on the local suspicious activity reporting program. This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the project manager, security representative or law enforcement entity. This training shall be completed within 30 calendar days of contract award and within

30 calendar days of new employees commencing performance with the results reported to the COR NLT

5 calendar days after the completion of the training.

e. Contractor Employees Who Require Access to Government Information Systems - All contractor employees with access to a government info system must be registered in the Army Training

Certification Tracking System (ATCTS) at commencement of services, and must successfully complete the DOD Information Assurance Awareness prior to access to the information systems and then annually thereafter in accordance with personnel security standards listed in AR 25-2 (Information Assurance), an appropriate background investigation will be conducted prior to accessing the government information systems.

f. OPSEC Training. Per AR 530-1, (Operations Security) contractor employees must complete

Level I OPSEC Training within 30 calendar days of contract award. Proposed language: "All new contractor employees will complete Level I OPSEC Training within 30 calendar days of their reporting for duty. Additionally, all contractor employees must complete annual OPSEC awareness training. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee, to the COR or to the contracting officer (if a COR is not assigned), within 5 calendar days after completion of training. OPSEC awareness training is available at the following websites:

https://www.iad.gov/ioss/ or http://www.cdse.edu/catalog/operations-security.html; or it can be provided by the RA OPSEC Officer in presentation form which will be documented via memorandum."

g. Information Assurance (IA) Information Technology (IT) Training. - All contractor employees and associated sub-contractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-

2 within six months of employment.

h. For Contracts Requiring Performance or Delivery in a Foreign Country. -All non-local contracting personnel will comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor's compliance with combatant commander and subordinate task force commander policies and directives.

i. Will be escorted in areas where they may be exposed to classified and/or sensitive materials and/or sensitive or restricted areas. -All contract employees, including subcontractor employees who are not in possession of the appropriate security clearance or access privileges, will be escorted in areas where they may be exposed to classified and/or sensitive materials and/or sensitive or restricted areas.

j. Pre-screen candidates using E-Verify Program -The Contractor must pre-screen Candidates using the E-verify Program (http://www.uscis.gov/e-verify) website to meet the established employment eligibility requirements. The Vendor must ensure that the Candidate has two valid forms of Government issued identification prior to enrollment to ensure the correct information is entered into the E-verify system. An initial list of verified/eligible Candidates must be provided to the COR no later than 3 business days after the initial contract award." *When contracts are with individuals, the individuals will be required to complete a Form I-9, Employment Eligibility Verification, with the designated

Government representative. This document will be provided to the Contracting Officer and shall become part of the official contract file.