Provides perioperative nursing care, for all types of patients admitted to the surgical suite for surgical intervention. Includes elective, urgent and emergency procedures on patients of all ages.

Assesses, plans, implements, and evaluates nursing care for all patients including newborns, children, adolescents, adults and the elderly; disabled to include visually and hearing impaired; and individuals of varying ethnic and religious backgrounds to include those who do not speak or understand English.

Provides accurate and complete documentation of patient care events and process improvement activities IAW MTF guidelines.

Participates and complies with quality and process improvement activities and events to ensure compliance with national standards and guidelines.

Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.

Knowledge of the administrative requirements for proper documentation of patient’s condition including disease progress, acknowledgement of teaching, and follow up care.

Knowledgeable of laboratory test values.

Administers medications, electrolytes, fluids, blood, and blood products.

Adheres to perioperative, infection control and safety policies and procedures.

Safely operates and monitors specialized therapeutic and resuscitative equipment.

Skilled in setting up, operating and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, and other unit specific equipment.

Effectively communicates and collaborates with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format in addressing professional issues

Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements.

Knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records.

Must be able to synthesize data from a variety of sources and make appropriate clinical decisions.

Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to care, quality and cost effectiveness

Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility. Provides care within ethical and legal boundaries.

Recognizes medical emergencies and responds appropriately. Initiates CPR if required.

Assists surgical team in administering advanced cardiac life support measures when necessary.

Participates in the orientation and training of newly assigned personnel, as appropriate.

Serves and participates in committees, functions and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision- making and process improvement. Participates in customer service initiatives, and medical readiness activities, designed to enhance health services.

Communicate and collaborate with a multidisciplinary medical team acting as a role model and expert in the perioperative nursing care of patients. Establishes and maintains good interpersonal relationships with co-workers, families, peers, and other health team members.

Completes orientation and competency verification programs in accordance with (IAW) unit guidelines.

Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.

Meet OSHA requirements for the Respiratory Protection Program by having N-95 mask fit testing, and OSHA requirements for the Laser safety program by having a complete eye exam (color vision, Ansler grid, ocular history and visual acuity) within one year prior to start date.

Core Duties:

Coordinate patient care in collaboration with a wide array of healthcare professionals.

Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.

Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.

Perform physical exam and health histories.

Provide health promotions, counseling, and education.

Administer medications, wound care, and numerous other personalized interventions.

Direct and supervise care provide by other healthcare professionals.

Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.

Recognize adverse signs and symptoms and quickly react in emergency situations.

Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.

Make referral appointments and arrange specialty care as appropriate.

Perform nursing services identified in the TO.

Conduct research in support of improved practice and patient outcomes.

Hours of Performance: Registered Nurse Operating Room:

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.

Mission Essential: The following labor categories are designated as mission essential: Registered Nurse - Operating Room is Mission Essential.

Orientation: Orientation will be paid

Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows: Registered Nurse - Operating Room – 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 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 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 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

5.2.9.1. 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.

5.2.9.3.3. 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.

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