David Grant Medical Center (DGMC), Travis AFB, CA

Clinical Pharmacist

Place of Performance: The work to be performed under this contract will be at David Grant Medical Center (DGMC), Travis AFB, CA. HCWs shall receive notification two weeks prior to the reassignment to another location within a 40-mile commuting radius of their assigned MTF. 101 Bodin Cir Ste 777, Travis AFB, CA 94535

Degree/Education (5.2.4): See Exhibit 5 of the Defense Health Agency’s Medical Q-coded Series (MQS) Indefinite Delivery/Indefinite Quantity (IDIQ) contract, hereafter referred to as “Exhibit 5”

• A Doctor of Pharmacy Degree (PharmD) from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE). OR

Completion of a Bachelor of Science in Pharmacy (BS Pharmacy) plus one of the following:

• • Certification by the Board of Pharmacy Specialties in one or more recognized practice areas appropriate for the privileges requested (e.g., Pharmacotherapy, Ambulatory Care Pharmacy, etc.); or
  • Completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health-System Pharmacists or American College of Clinical Pharmacy.
  • Completion of a Post-Graduate Master of Science degree with emphasis in medication therapy management or direct patient care.
• Certification: Certifications in addition to Basic Life Support (5.2.3): In addition to BLS, Advanced Cardiovascular Life Support (ACLS).

· Experience: At least one year of inpatient/hospital clinical pharmacy experience within the

previous five years.

· Licensure/Registration: In addition to Exhibit 5, licensed in a United States of America jurisdiction with the license fully active and in good standing (i.e., no pending or ongoing disciplinary action(s) and/or restriction(s) from the jurisdiction’s board of pharmacy against the HCW).

HCW Duties (5.1 Task 1): In addition to Exhibit 5, the duties for the HCW are:

• Conducting and coordinating clinical investigations and research (consistent with other healthcare professionals) approved by a local or regional Investigational Review Board (IRB) and participating in outcome studies generated by the department of pharmacy and approved by the P&T Function.
• Counsel patients regarding appropriate use of medications.
• Compound medications as required.
• Supervise inventory control of all pharmaceuticals in the pharmacy, especially scheduled pharmaceuticals, and ensure pharmacy security. Maintain appropriate records and security of all scheduled controlled substances according to applicable regulations.
• Ability to respond to Cardiac Arrest and ‘Code Blue’ life support situations in an urgent manner.
• Ability to comply with USP 797 Sterile Compounding to include proper wear of barrier/protective clothing.
• Precepts pharmacy students and residents when present.
• Performs the full range of pharmacist duties.
• Perform a full range of pharmacist procedures, operate as a preceptor for pharmacy students/residents. May include coordination of experiences, rounding, and organizing and attending journal clubs

Exhibit 5 Core Duties:

• Assess patient’s response to drug therapy and planning drug therapy based on physician-established

diagnoses.

• Order and evaluate laboratory tests necessary to evaluate drug therapy effects and outcomes.

• Initiate, modify, or discontinue medications for ongoing therapy of chronic disease states (e.g., hypertension, hyperlipidemia, anticoagulant, diabetes, asthma, refill clinics, etc.), in cooperation with the medical staff.

• Monitor and manage pharmacotherapy requiring periodic adjustment due to specific or changing pharmacokinetic characteristics (e.g., aminoglycosides, phenytoin, antithrombotic).

• Administer prescription or non-prescription drugs according to established agreements or MTF protocols.

• Assess metabolic needs and order therapeutic enteral or parenteral nutrition products in the inpatient setting.

• Evaluate medical and medication histories for drug-related problems and adjusting drug therapy accordingly.

• Consult with other healthcare providers (e.g., physicians, dietitians, nurses, physical therapists, etc.) about patient treatment needs or options.

• Perform a full range of pharmacist procedures.

• Review patient profiles at the time of dispensing in order to closely monitor medication therapy.

• Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.

• Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.

• Provide medication and healthcare related in service training to clinical staff on new medications on the market; appropriate use of medications; comparison of current medication therapies; and other topics as deemed appropriate by the department head.

• Consult with other specialty practitioners to provide optimal patient pharmaceutical care.

• Document significant medication interactions, and pharmacy interactions with prescribers. Conduct Adverse Drug Reaction (ADR) reporting in accordance with The Joint Commission (TJC) or the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) standards as appropriate.

• Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.

Hours of Performance: Pharmacy Monday – Friday 0600 - 2000

Work Schedule

8 - 10-hour day shifts Mon-Fri, start time can vary from 0600 to 0900

0900.

# Regular Hours

1920

# Overage

500

/On-Call/Call-Back Hours

N/A

Scheduling: The schedule or scheduling process is as follows: The schedule is maintained by clinic personnel based on demands of the clinic and appointments booked that day. The specific schedule for each two-week period will be provided one month in advance. At the mutual agreement of the Contractor and the Government, alternative schedules may be implemented such as a compressed work schedule. Any changes in the schedule shall be coordinated between the HCW and the Government. Any planned absences of the HCW shall be communicated to the Government supervisor in advance of the absence to ensure that clinical operations are not adversely affected. The Government reserves the right to change shift hours with a five-day notice to accommodate patient care needs and mission requirements.

Closures: During a planned closure of the facility due to training, holiday, or unplanned closure due to unusual and compelling circumstances (e.g., natural disasters, military emergencies, severe weather), the Contractor will: ? be compensated only for the actual hours the HCW provided services ? be compensated for the unplanned closure (personal services only)

Unplanned Closures: Other than the Federal Recognized Holidays as described in paragraph 1.5.6, the following are considered training days or days where the HCW will not be required to work on this TO: None.

Recognized Holidays: Contract HCWs will be required to work on Federally Recognized Holidays IAW the: Note: At time of award, it is anticipated the Medical Treatment Facility (MTF) will be closed for the following Federal Holidays: New Year’s Day, Martin Luther King Day, President’s Day, Memorial Day, Juneteenth National Independence Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day, and Christmas Day. However, there may be other Federally Recognized Holidays during the Period of Performance, if so, those holidays will apply to this PWS Para.

Mission Essential: The following labor categories are designated as mission essential: Physical Therapist is NOT Mission Essential.

Orientation: Orientation will be ? paid

Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows: Clinical Pharmacist – No

MTF Training: Additional training requirements are as follows: Complete MTF Newcomers Orientation and annual training requirements to include, but not limited to: Safety Storm Training, Health Insurance Portability and Accountability Act (HIPAA), Trusted Care Training, Interventional Violence Prevention Training (IVPT), Sexual Assault Prevention and Response (SAPR), Suicide Prevention, Computer Based Training (CBT) from sites including MEDLEARN, Joint Knowledge Online (JKO) and Relias. Contractors must complete CBTs once they are allowed on base and have computer access.

MTF Standards: Specific policies, procedures, and instructions/regulations for the place of performance are as follows: HCWs will comply with all relevant DoDI, AFIs, AFMANs, MDGIs, policy letters and HHQ directives; including, but not limited to, DHA policies and regulations, DoDMs, DoDDs and other pertinent guidance. Additional job specific requirements are listed in the MDGI Operating Instructions, provided upon request.

Competency-Based HCW Interviews: Prior to HCW placement, the Government ?may ? will not contact the HCW to determine if the HCW meets the requirements set in the contract and/or task order. A competency based HCW Interview may be conducted to determine if the candidate is qualified (i.e., ready) desires the job (i.e., willing) and capable (i.e., able) to work at the place of performance.

HEALTHCARE REQUIREMENTS

1.6.20 HCW Health Requirements: The Contractor ? shall ? shall not provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing (i.e., tuberculosis, N95 particulate respirator duckbill mask fitting) and physical examination when required at the time of initial placement.

Occupational Health: The HCW ?shall ?shall not be required to obtain documentation of required physical testing or a report of a physical examination.

Tuberculosis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:

• HCWs with a baseline positive or newly positive test result for M. tuberculosis infection (i.e., TST or BAMT) or documentation of treatment for LTBI or TB disease should receive one chest radiograph result to exclude TB disease or an interpretable copy within the past 12 months.
• 1. Two-step tuberculin skin test (TST) for M. tuberculosis (BAMT) that was performed within the previous 12 months

OR

• 2. An approved blood assays for M. tuberculosis (BAMT) that was performed within the previous 12 months.

GOVERNMENT SECURITY PROCESS

1. . ? HCWs shall be subject to the following additional security investigative processes, to include appointments with Security Managers: To initiate security review, the contractor will submit a completed and accurate Common Access Card (CAC) Vetting Form to the MTF Security Manager. Information will include, but is not limited to, the HCW full name, other names used (maiden), date of birth, social security number, email address, physical address, home telephone and mobile phone numbers, place of birth (city, state, country), citizenship, prior military end date, reserve status and branch, prior government end date.

1. The contractor shall advise their HCWs that favorable fingerprints with an open investigation, verified through Defense Information System for Security (DISS) Web Application is needed as a condition of employment under this TO. The contractor understands that while the MTF may allow contracted HCWs temporary or interim access to Government systems in a non-sensitive position, pending the outcome of the T1, this contract requires the immediate removal of a contracted HCW from the position if their investigation return with an “unfavorable” adjudication.

5.2.9.4. ? HCWs shall be subject to the following security processes for fingerprints: Fingerprints will be taken during the first week of assignment to the MTF at the Travis AFB Information Protection Office. Appointment date and time will be provided on the first day of assignment.

1. . ?The HCW shall complete either a ?SF-85 or an ?SF-86 Questionnaire for National Security Positions (or equivalent OPM investigative product).

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