Career Opportunities with Platinum Business Corporation
A great place to work.
Career Opportunities with Platinum Business Corporation
A great place to work.
Current job opportunities are posted here as they become available.
Subscribe to our RSS feeds to receive instant updates as new positions become available.
| Department: | Defense Health Agency, DHA MQS |
| Location: | Fort Sam Houston, TX |
Brooke Army Medical Center Department of Nursing.
PERFORMANCE WORK STATEMENT
IN ADDITION TO THE BASIC CONTRACT ACQUISITION PWS, THE FOLLOWING REQUIREMENTS ARE:
1.2. Description of Services: The service specifies are as follows: Nursing Services: License Vocational Nurse (LVN)
?Personal Services: The following labor categories are under a personal services arrangement on this TO: Nursing Services: Licensed Vocational Nurse (LVN)
1.5.6. Recognized Holidays: Contract HCWs ?will be required to work on federally recognized holidays.
New Year's Day, Martin Luther King Jr.'s Birthday, President's Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veteran's Day, Thanksgiving Day, Christmas Day
1.5.7.1. Hours of Performance: The performance hours of the MTF are as follows:
The place and hours of performance are services 24 hours a day, 365 days a year (366 days during leap years) including holidays. Clinics have designated operating hours and their normal hours of operation will be outlined in the Technical Exhibits/Task Orders. Full-Time HCW performing services under a full-time line item will normally work 32-40 hours per-seven (7) day work week on rotating shifts Sunday through Saturday, including Federal holidays. In emergency situations for continuity of care, HCWs shall be required to work over 40 hours in a one week period resulting in overtime. In the event overtime is incurred, it shall be billed to an appropriate overtime line item.
1.5.7.2. Scheduling: The schedule or scheduling process is as follows:
Hospitals and medical centers provide services 24 hours a day, 365 days a year (366 days during leap years) including holidays. Clinics have designated operating hours and their normal hours of operation will be outlined in the task orders. Below is an example of common shift times which consist of eight (8) work hours with a non-paid 30 minute lunch or dinner break, and a 12 hour shift with a 30 minute non-paid lunch or dinner break. The maximum number of shift hours to be scheduled in a twenty-four hour period is twelve.
Day Shift 0645-l5l5*
Evening Shift 1445-2315
Night Shift 2245-0715
7AM -7PM 0645-1915
7PM -7AM 1845-0715
11AM -11PM 1045-2315
*Any eight- (8) hour day shift may begin between the hours of 0600 to 1300.
Any HCW may be floated to perform healthcare services within their scope of practice in another unit if patient census requires this measure. If floating is required, the contractor shall charge the hours used to the appropriate task order and line item for which the services were provided. For situations such as increases and decreases in patient acuity or census, the KO or COR (as authorized by the KO) reserves the right to float the HCW to other appropriate patient care units or task orders under this contract, request additional shifts, and/or cancel scheduled shift(s) for HCWs. The KO or COR (as authorized by the KO) will notify the contractor’s program manager at least two (2) hours prior to the start of the shift to cancel any HCW. If the two (2) hour cancellation option is not met, and the HCW is referred to work, the government will pay for the first two hours of the shift. Should an HCW be cancelled prior to completion of any shift, the government will pay for actual time worked.
1.5.7.3. Recording HCW Time: Changes to the recording of HCW time identified in the contract PWS are as follows: Record hours worked in the Defense Medical Human Resources System – internet (DMHRSi) system. The contract employee shall accurately submit and record time worked according to MTF procedures, ensuring only actual hours worked are submitted for payment through the vendor’s time card system. Compensatory time (comp time) is not authorized. Hours scheduled for shifts do not include travel time involved in reaching the medical treatment facility, or changing into scrubs.
1.5.7.4.3. Substitute HCWs/ POOL HCWs: If the Contractor substitutes permanent HCWs for a temporary period of time, the substitute shall meet the same qualification standards and health requirements as stated in the contract and TO. Substitutions will be required when the permanent HCW is unavailable for more than 3 calendar days.
Additional qualification and standards are as follows:
PRN LVNs are not assigned to a specific unit and are requested to work during periods of increased patient census, and to backfill requested unit vacancies or staffing shortages. Pool HCWs may be provided the opportunity to work up to 40 hours in a one week period for the entirety of the Task Order, but will not be guaranteed a specific number of hours. Pool HCWs must work a minimum of two shifts per month to ensure system access and unit competency. The contractor shall have sufficient qualified personnel available so that all services are provided in the event an HCW scheduled to work becomes ill, resigns, is terminated, or is otherwise unavailable to perform. All proposed substitutes/replacements (no matter when they are proposed during the performance period) shall have qualifications equal to or higher than the qualifications of the person being substituted or replaced. All proposed substitutes/replacements shall meet the identical application submission procedures prior to performing services. Scheduled absences of contract HCWs shall be coordinated with the COR at least 30 calendar days in advance. The contractor shall notify the COR or after hours designee at least 2 hours prior to start of a scheduled shift when an HCW will be absent and a replacement will be provided. The contractor shall provide a qualified replacement for any HCW who is absent from duty, whether scheduled or unscheduled, within 2 hours of start of absence.
1.5.7.5 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
1.5.7.5.1 Unplanned Closures: Other than the federal holidays listed 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: N/A
1.5.8. Place of Performance: The work to be performed under this contract will be at Brooke Army Medical Center, Joint Base San Antonio, TX. HCWs shall receive notification two weeks prior to the reassignment to another location with a 40-mile commuting radius of their assigned MTF.
1.5.9. Mission Essential: The following labor categories are designated as mission essential: Contractor LVN is considered an essential position when scheduled for any shift.
1.6.4.2. Representative Status Change: The Contractor shall notify the TOKO in writing of changes in the status (i.e., termination or replacement) of designated Contractor representative within 30 business days of the change.
1.6.6. Contractor Travel: Reimbursement ? will not be provided for travel within a 40-mile radius of the place of performance. HCW travel requirements are as follows:
N/A
Note: For travel outside of the 40-mile radius, the travel shall not be conducted prior to the appropriate funding being obligated.
1.6.7. Relocation Costs: The Government ?will not pay the Contractor to relocate HCWs.
1.6.9 Orientation: Orientation will be ? paid at the billable rate.
1.6.9.2. Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows: Required BAMC Computer Training will be provided according to BAMC policy for each HCW. The contract HCW will be responsible for effectively learning, implementing, and demonstrating computer competency in conjunction with performing accurate and complete medical documentation of patient care utilizing BAMC designated computer systems in accordance with applicable Joint Commission, MEDCOM, BAMC, Departmental, and Clinic policies. This is to be accomplished within 3 weeks after in-processing. The COR will coordinate the computer training in conjunction with the in-processing of the contract HCW. The government will provide computer training to the contract HCW during normal duty/business hours.
1.6.10. MTF Training: Additional training requirements are as follows:
Contract HCW will be responsible for attending all BAMC specific training as outlined by the COR and/or Service chief of assigned work area. The contract HCWs will be in a paid status while attending mandatory training as part of the normal services required and billed under this contract. Competency assessment (eCAF) for Full Time HCW nurses is managed in RELIAS by the assigned Unit while Competency assessment for POOL HCWs will be managed by Nursing Operations.
1.6.12. MTF Standards: Specific policies, procedures, and instructions/regulations for the place of performance are as follows: HCW will follow all BAMC Staff policies, procedures, and instructions/regulations for the place of performance are as follows: The contract HCWs shall comply with all applicable federal, state, and local laws, DOD, agency-specific, installation, and MTF policies, procedures, and instructions as applicable at the place of performance of duty.
1.6.20. HCW Health Requirements: The Contractor ? shall provide documentation certifying health requirements such as immunizations, annual vaccinations, medical FIT testing (i.e., tuberculosis, N95 particulate respirator duckbill mask fitting) and physical examination when required at the time of initial placement. The Contractor shall provide the COR, 10 calendar days before beginning services under this contract, a physical examination certificate for all contract personnel who will provide services. The certification shall state the date on which the physical examination was completed and the name of the physician who performed the examination. The physician performing the examination shall sign this certification. For the purposes of this paragraph, a physical examination administered more than 45 days prior to performance of the contract will not be considered adequate. Duties require regular and recurring periods of standing, walking, bending, lifting, stooping, stretching, and similar activities. The LVN shall not have physical restrictions that limit their ability to perform independent patient care. The contractor shall provide documentation certifying health requirements; all immunizations, annual vaccinations, and FIT testing presented at the time of initial placement.
a. All HCW’s on this contract shall be fully vaccinated, received medical clearance and completed N95 fit testing (for an N95 Mask that BAMC uses) as a condition of employment IAW with the current BAMC policy. Medical, philosophical or religious exemptions will not be accepted.
b. A history to show that HCW has completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years).
c. A test for immunity to the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis. Non-immune Healthcare Workers (lacking anti-HB(c) or anti- HB(s)) shall be required to complete an immunization series with a Hepatitis-B vaccine (e.g., Recombivax, Engerix).
d. Serologic evidence of immunity to measles and rubella or documentation of immunization with measles, mumps, and rubella (MMR) vaccine using the following guidelines:
e. HCWs born before 1957 without documentation of previous vaccination with MMR should receive one dose.
f. HCWs born in or after 1957 who have received one dose of MMR previously shall receive one booster dose.
g. HCWs born in or after 1957 without documentation of any previous vaccination with MMR should receive two doses of vaccine, separated by no less than one month.
h. Serologic evidence of immunity to varicella or documented history of illness or
immunization.
i. For personnel who do not have proof of having completed a primary series, completion with enhanced potency inactivated poliovirus vaccine (eIPV) is recommended. Reliable history of spending early childhood and attending elementary schools in the United States since may suffice as clinical history of polio immunization but requires physician documentation in the record of the history and examination.
1.6.20.3. Occupational Health: The HCW ?shall be required to obtain documentation of required physical testing or a report of a physical examination.
1.6.20.5. Tuberculosis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:
a. HCW shall be screened before employment and annually for tuberculosis by a tuberculin skin test using the Mantoux technique (the TINE test is disallowed as a substitute). A skin test result of 10 mm of indurations or more shall be required to have a chest roentgenogram and an evaluation performed. A tuberculin skin test of 10 mm of indurations or more will require documentation providing an assessment of the patient (status of infectionactive, inactive; need for preventive treatment or not as determined by age, history of BCG (Bacillus Calmette-Guerin) vaccination; duration of skin test positivity, etc.).
b. If all the immunizations and tests set forth in the preceding paragraphs have not been completed, the contractor shall issue a certificate providing evidence of immunizations and tests that have been completed or started and shall provide a schedule for the completion of unfinished immunizations and lab tests. After the schedule is completed, the contractor must provide an updated and complete certificate. Failure to complete the immunizations as scheduled may be grounds for the Contracting Officer, upon the advice of the MTF director or his clinical staff, to determine that such contract HCW is not an acceptable individual to perform services under this contract.
c. All contract HCWs shall receive the current influenza immunization unless
documented by a physician to be medically contraindicated.
d. Failure to meet the requirements stated herein, or when test results determine a
contract HCW has a contagious disease, the Contracting Officer may, upon the advice of the MTF director or his clinical staff, determine that such contract HCW is not an acceptable individual to perform services under this contract.
e. All contract HCW’s performing services under this contract shall comply with the health and immunization requirements as stated herein at the time of initial request for clinical privileges and annually thereafter.
f. Backup/replacement contract HCWs shall be required to provide equally current certification of health at the time of initial request for clinical privileges, and annually thereafter. The expense for all physical examinations to comply with the health requirements shall be borne tractor at no additional cost to the Government.
1.6.25. Competency-Based HCW Interviews: Prior to HCW placement, the Government ? will not contact the HCW to determine if the HCW meets the requirements set in the contract and/or task order.
4.2. General: The following Contractor furnished items and services are required for this TO: Uniforms. The Contractor shall furnish or ensure that all contract HCWs have appropriate uniforms/smocks and stethoscopes. The Contractor shall furnish a nametag for the contract LVN. Scrub-ex access granted for BAMC scrubs during in-processing.
Labor Category: Personal Services
HCW Qualifications (Contract PWS 5.2; 5.2.3; 5.2.4; 5.2.6.4.4):
5.1. LVN Specific Tasks for all LVNs: All HCWs shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by the MTFs or government service health care professionals of similar experience and in similar duty assignments.
a. LVNs providing services under this contract shall perform the same clinical duties as those required of any military or government civil service nurse of similar experience assigned to the same unit. HCWs may be designated by BAMC/ BAMC Leadership to provide team lead responsibilities for patient care, assist with clinical orientation, and other activities as deemed appropriate by leadership. All LVNs may be rotated throughout BAMC/clinical areas however they will not be required to work outside their scope of practice.
b. Inserts intravenous catheters, performs phlebotomy and arterial blood draws with the appropriate training as required/mandated.
c. Obtains patient history, and pertinent family history, and advanced medical directive information. Observes, assesses, and records symptoms, reactions, and progress: assists physicians and RNs during treatments and examinations; administers medication and prescribed treatments, completes admissions and discharges, and promote convalescence and rehabilitation, LVNs are responsible for monitoring and interpretation of collected data by the CNAs and unlicensed assisted personnel, informing medical staff as appropriate.
d. Assesses patient/family knowledge level, develops and implements a plan of instruction and documents demonstrated level of understanding. Assessment plans will be targeted at age specific needs. Each nurse will manually and/or electronically document all patient care given and the progress of the patient utilizing the BAMC/WHASC documentation standards in the patients' medical record.
e. The LVN assesses the patient and plans for appropriate nursing care. The care provided is documented in the patient's medical record along with their progress. LVNs also develop and manage nursing care plans; instructs patients and their families in proper care; and helps individuals and groups take steps to improve or maintain their health.
f. Communicates pertinent patient information to charge nurse and/or physician as appropriate, The LVN verifies transcription of physician orders.
g. Administers medications and monitors the administration blood products with the knowledge of actions and usual dosages of commonly used drugs. Medications shall be administered within the scope of nursing practice and include intravenous, subcutaneous, oral, transdermal, rectal, and intramuscular. Each LVN will have knowledge of actions, adverse effects, interactions, and dosages. Anti-cancer chemotherapy drugs are excluded unless LVN HCW has obtained the appropriate documented education in cancer chemotherapeutic drugs and administration. LVN HCWs shall administer IV push medications after successfully completing the BAMC Hospital Education Intravenous Medication course. LVN HCWs shall not start blood product transfusions and can perform a vast array of direct patient care procedures but are not limited to: range of motion exercises, lifting, turnig, transporting and positioning patients, personal hygiene care, changing linen and clothing and feeding patients.
h. Performs a vast array of direct patient care procedures to include but not limited to: range of motion exercises, lifting, turning, transporting and positioning patients, personal hygiene care, changing linen and clothing and feeding patients.
i. Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions arc mechanically assisted by life support equipment.
j. Manages and ensures proper procedures are followed with the tissue/Skin bank and blood bank.
k. Licensed Vocational nurses shall provide professional oversight for CNAs and unlicensed ancillary personnel. Plans and implements care with the collaboration of other healthcare providers, Calls report to the appropriate unit/ward and provides pertinent data such as surgical procedures performed, patient problems, nursing diagnosis and actions, patient response, specialized care and equipment necessary to support the patient.
l. Performs duties in accordance with established infection control protocols.
m. Responds to breaches of standard procedures which compromise the patient or staff members. May also serve as a project officer for select committees and participate in research projects that are consultative in nature and involve shared information or data gathering for new or existing technologies.
n. Licensed Vocational Nurses shall utilize comprehensive knowledge of workload requirements in conjunction with knowledge of the composition and capabilities of assigned staff, to distribute/redistribute personnel resources in response to unforeseen patient care needs.
o. Attends and participates in: patient nursing reports, patient care conferences, team/unit/clinic conferences, discharge planning, and staff conferences as deemed appropriate by administrative officials.
p. Demonstrates the ability to manage interpersonal relationships and maintains composure and reacts appropriately while relating to patients and families; manage distraught, irritable, unreasonable or angry individuals; and to maintains positive rapport with all individuals involved in patient care.
q. Demonstrates the ability to react with alertness and skill in any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction, Initiates life saving measures in the absence of a physician, Depending on position and protocol, may serve as member of resuscitation or emergency code team.
r. Assesses patients' conditions for potential or life threatening crises and distinguishes between normal and abnormal physical findings; initiates life saving measures in the absence of a physician. Knowledgeable of the pharmacology of most commonly used emergency drugs, anticipated results, usual dosages, and their location on crash cart. Capable of emergency equipment operation: defibrillator, EKG machine, cardiac monitor, and other equipment as determined by MTF, unit/clinic and position.
LVN Technical Exhibits for areas that require additional experience, certification, and hours of operation, see Exhibit 3.
5.1.1.Legal Authorization to Work in the United States: HCWs performing under this contract must be a U.S. Citizen; able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers. The HCWs shall be computer literate to ensure patient information is documented in MTF computerized systems.
5.2.6. Qualifying/Credentialing Packages: The estimated average time, in days, it takes to complete a qualifying/credentialing package on this TO is:
The estimated average time, in days, it takes to complete package IAW DHA-PM 6025.13 Clinical Quality Managementis 45 days. The Contractor shall perform all primary source verifications and include all verifications with the credentials package IAW DHAPM 6025.13, volume 4. All current professional licenses, certifications, or registrations, including those the healthcare provider previously held that are now inactive, expired, or suspended, must undergo initial Prime Source Verification (PSV). The MTF staff/USG will not assist the Contractor in obtaining any needed information for initial credentialing. The Contractor is responsible for submission of evidence of current competency of the healthcare provider used to provide health care services under this PWS/TO to the COR as outlined below in 5.2.6.2.
5.2.6.2. ?Qualifying Package: The Contractor shall provide a complete, current, and accurate qualifying package for LVN. Therefore, no later than 10 business days prior to the start of work, the contractor shall submit profile packets on each employee who shall be performing services under this contract to the appropriate COR. The contractor shall coordinate with the COR on the method of transmission (i.e. electronic, hard copy) of the profile application packets. In the event the COR elects to receive only electronic copies of the profile packet, the contractor shall maintain all original documents. Depending on the individual position, the profile packages may be reviewed by department chiefs, supervisors, flight commanders, or clinical nurse officers in charge, as determined by the organizational structure of the department to which the HCW would be assigned. The COR will notify the contractor within five business days if the proposed contract service provider has been approved or disapproved. The profile application packets shall provide the following information: Completed Centralized Credentials Quality Assurance System (CCQAS) data entry form; Primary source verification of state licenses with expiration date, license number, name and contact information for individual performing primary source verification attesting to direct state verification and the method of verification; Education history with primary source verification of college attended/degree, and provide an official copy of the transcripts); Certifications: Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and any professional certifications required for the position. within 15 days before start of performance.
5.2.6.3. ?Credentialing Package for Non-Privileged HCWs: The Contractor shall provide a complete, current, and accurate credentialing packages for LVNs within 45 days prior to placement.
5.2.6.4.1 Clinical Competency: Each HCW requesting clinical privileges shall ? be required to demonstrate clinical competency within the past two years in the required clinical discipline as specified in this PWS.
5.2.6.4.3. Drug Enforcement Agency (DEA) Registration: Requirements for DEA registration numbers are required for. N/A
5.2.9. Security Investigative Requirements: The estimated average time, in days, it takes to complete a security investigative package on this TO is:
6-8 weeks
The Contractor shall ensure HCWs comply with the following security requirements not already identified in the contract PWS:
5.2.9.1. ? HCWs shall be subject to the following additional security investigative processes, to include appointments with Security Managers:
The contractor providing service under this contract is required to initiate and document the new employee’s Electronic-Questionnaires for Investigations Processing (e-QIP) and coordinate, or validate through the BAMC Security Manager’s Office all background investigation requirements needed for employment at BAMC, or in BAMC organizations. Clearances will be validated using the Joint Personnel Adjudication System (JPAS) when a new employee begins in-processing after contract is awarded. The SF 85P Questionnaire for Public Trust Positions is to be completed and printed and electronic copies (downloaded from internet program) are to be hand carried to the BAMC Security Manager prior to performance. The Contractor shall have proof of U.S. citizenship The contractor providing service under this contract is required to initiate and document the new employee’s Electronic-Questionnaires for Investigations Processing (e-QIP) and coordinate, or validate through the BAMC Security Manager’s Office all background investigation requirements needed for employment at BAMC, or in BAMC organizations. Clearances will be validated using the Joint Personnel Adjudication System (JPAS) when a new employee begins in-processing after contract is awarded. The SF 85P Questionnaire for Public Trust Positions is to be completed and printed and electronic copies (downloaded from internet program) are to be hand carried to the BAMC Security Manager prior to performance. The Contractor shall have proof of U.S. citizenship (certified copy of birth certificate or naturalization papers) or a valid U.S. Immigration Form 1-151 and Alien Registration Card ("Green Card"). As a minimum, the contractor providing service requiring operating government-furnished workstations that have access to Department of Defense e-mail and requiring unescorted entry to a restricted area/Controlled Areas, must successfully complete a National Agency Check (NAC). The contractor shall coordinate and schedule appointments with the BAMC Security Manager prior to performance. The BAMC security manager will initiate the Request for Personnel Security Action, review the security questionnaire and request a Local File Check from the Provost Marshall prior to scheduling an appointment with the Security Specialists to submit the e-QIP for processing. This security questionnaire must be completed and processed by the BAMC Personnel Security Office prior to contract performance. The contractor is responsible for monitoring the coordination and completion of the scheduled appointment date and time with the Security Manager.
5.2.9.4. ? HCWs shall be subject to the following security processes for fingerprints:
The Contractor is responsible for ensuring all Contractor employees complete the SF86, Authorization for Release of Information form and ensure all background check submittals are initiated in accordance with this PWS prior to employees providing services at BAMC facilities. Background checks shall be based on fingerprints of individuals obtained by qualified Government law enforcement or security personnel, inquiry’s conducted through the Federal Bureau of Investigation (FBI) and the State Criminal History Repository check, and a local Installation Record Check., if required. The procedures for completing the required background check are outlined in the Department of Defense Instruction (DoDI) 1402.5. Government will not permit employees to start work until clearance of criminal background check has been completed. The contractor is responsible for any costs associated with this process
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)
5.3.1. Initial Placement: The Contractor shall ensure HCWs begin performance as follows: Government will not allow any employees to start work until clearance of criminal background check and security clearance has been completed by both the BAMC Provost Marshall’s Office and BAMC Security Office.
5.4.3.2. Malpractice Insurance for Non-Personal Services: The Contractor and all subcontractors shall ?shall not ? meet the requirements of FAR Clause 52.237-7, Indemnification and Medical Liability Insurance, for its HCWs, in the following amounts for the entire performance period of the TO: N/A
5.4.4. Schedule Management: The TO will establish the work schedule and billable hours for each HCW. The Contractor shall maintain a process to monitor work and billable hours on the TO. When directed by the Government, the HCW shall remain on duty to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the normal work schedule.
5.4.4.1. Schedule Management for Personal Services: The work schedule for each labor category is as follows: Labor Category: Licensed Vocational Nurse
Work Schedule: The contractor shall provide HCWs to support a 7 day/week, 24 hour/day operation to include holidays. Shift times can consist of eight (8) work hours with a non-paid 30 minute lunch or dinner break, or a (12) hour shift with a 30 minute non-paid lunch or dinner break. The maximum number of shift hours to be scheduled in a 24 hour period is 12 hours.
Duty Hours: 7 day/week, 24 hour/day operation; clinics will have desigated hours in the Technical Exibits.
On-Call Hours: N/A
Overage Hours: Overage Hours (OT); Each INPATIENT unit is allotted OT hours for use in contingent situations; Any hours worked over a 40 work week (between Sunday – Saturday regardless of contract agency billing periods) will incur OT. Unit OT hours will also be used when a contract nurse works on one of the designated (11) federal holidays.
5.4.4.1. Call-Back Hours: HCWs ? will not be required to report in-person to the MTF during on-call hours if needed. The number if call-back hours and timeframe is as follows:
5.4.4.2. Schedule Management for Non-Personal Services: Hours of service and roster submission requirements are as follows: N/A
5.4.4.4. On-Call Hours: On-call requirements for each labor category are as follows:
N/A
5.4.4.5. Overage Hours: Overage hours* for each labor category are as follows:
Overage applies to all Inpatient areas
* Note, overage hours are often used by the Contractor to pay overtime pay to their employees.
5.5.3. Scope of Work: HCWs ?will ? be able to bill the Government for participation in administrative functions (i.e., orientation, quality improvement programs, clinical/administrative data collection, meetings, and training). Specific tasks associated with administrative duties beyond the tasks outlined in the contract PWS include: The Contractor shall provide LVN for nursing services for the SAMHS which includes the BAMC, Ft. Sam Houston Primary Care Clinic, Westover Hills Medical Home, Schertz Medical Home, Jennifer Moreno Primary Care Clinic, and McWethy Troop Medical Clinic (TMC), all located at Ft. Sam Houston (JBSA); Taylor Burk Health Clinic (TBHC) at Camp Bullis, Corpus Christi and Center for Intrepid (CFI), Fort Sam Houston. The primary performance location is BAMC. All persons performing work under the contract shall be and shall remain employees of the contractor and not employees of the government. Neither uniformed services personnel nor government civilian employees shall be employed to perform services under this contract.Professional Liability. Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the HCW within the scope of the HCW’s performance under this contract as claims alleging negligence by DoD military or civil service HCW. If any suit or action is filed or any claim is made against the HCW, which occurred because of work performed by the HCW under this contract, the HCW shall immediately notify thecontractor who will in turn notify the contracting officer’s representative (COR) and the contracting officer (KO)and promptly furnish them copies of all pertinent documents received. The contractor or HCW is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased. HCWs shall provide services to include, but not limited to: Medical/Surgical units, Intermediate Care units, Patient Cooridination Cell, (Institute of Surgical Research{ISR}) Burn Unit, Mother/Baby Units (In/Out Patient Pediatrics, Labor and Delivery, Ante/Post Partum), ER Department and In/Out Patient areas of the MTFs include Inpatient Psychiatry and family practice and primary care clinics. All services shall be provided in accordance with established standards, principles, and ethics of the profession and applicable professional specialty organizations, The Joint Commission standards, and Accreditation Association for Ambulatory Health Care (AAAHC), applicable Department of Defense (DoD), Army and Air Force specific regulations, directives, and policies, and MTF-specific policies, and procedures. The contractor HCWs shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The contractor HCWs shall possess sufficient initiative, interpersonal relationship skills and social sensitivitysuch that he/she can relate constructively to a variety of patients from diverse backgrounds. The contractor HCWs shall be capable of constant standing, walking, lifting and bending. In addition, the HCWsmay be exposed to highly contagious/infections disease, radiation from portable x-ray, and continuous fluoroscopy equipment. HCW must notify the COR and agency of any duty limiting conditions/change in health affecting duty.
EXHIBIT A LVN— PEDIATRIC INPATIENT AND OUTPATIENT CLINIC
Pediatric Inpatient – Department of Nursing:
Certifications: LVN shall possess and maintain a current certification in Pediatric Advanced Life Support (PALS).
Experience: The LVN shall have at least (1) one year of full-time pediatric inpatient nursing experience within the last three (3) years and shall have knowledge of age specific criteria for ages one (1) day to adult (21+) years old (for hematology/oncology patients) . Must have knowledge of pediatric medication dosages and be willing to train as support personnel in the provision of chemotherapy.
Must achieve at least 80% on the pediatric-specific pharmacology exam.
Pediatric Outpatient Clinic - Department of Pediatrics:
Certifications: Pediatric Advanced Life Support (PALS) is preferred upon hire; required to obtain within a year.
Experience: The LVN shall have at least two (2) years of full-time pediatric nursing experience within the last four (4) years and shall have knowledge of age specific criteria for newborn to adult (21+) years old .
Experience with a wide range of pediatric and adolescent medical disorders/conditions, disease processes, age-specific growth/development, immunizations, treatments, weight-based medication dosage, procedures, as well as preventive health schedules and education.
Must achieve at least 90% on the pediatric-specific pharmacology exam.
LVN will provide services for ANY CLINIC WITHIN THE DEPARTMENT OF PEDIATRICS.
EXHIBIT B LVN—MEDICAL OR SURGICAL INPATIENT SERVICE
Certifications: LVNs shall possess and maintain current certification in Advanced Cardiac Life Suport (ACLS).
Experience: The LVN shall have at least one (1) year of full-time experience within the last two (2) years working as an LVN in a Medical or Surgical unit (Must have one (1) year of concurrent experience in the type of unit being assigned to within the past two years).
Skill and Knowledge: Must be competent in demonstrating neurovascular assessment, tracheostomy care and care of patients with chest tubes. All MED/SURGE units require telemetry experience and required to pass the BAMC annual Cardiac Telemetry Test.
EXHIBIT C LVN—MENTAL/BEHAVIORAL HEALTH UNIT
Experience: The LVN shall have at least one (1) year of full-time experience within the last five (5) years working as an LVN in a Mental Health Unit.
Must have knowledge of Preventive Management of Disruptive Behavior (PMDB), de-escalation techniques, the Joint Commission recommendations for restraint application and experience in the application of mechanical restraints
Must have knowledge of general medical nursing principles and practices the mental health nursing process, individual and family dynamics in health and during illness; individual and group modalities; theories of personality development, human behavior, psychopathology, diagnosis, psychopharmacology , psychotherapies, and physiological and physical response to alcohol and drug abuse withdrawal.
Assists professional staff with identifying mental health and nursing diagnosis treatment, patient education and disposition planning.
EXHIBIT D LVN- MOTHER BABY UNIT
Certifications: LVN shall possess and maintain current certification in Neonatal Resuscitation Program (NRP) and shall possess and maintain current certification in Advanced Cardiac Life Support (ACLS).
Experience: The LVN shall have at least one (1) year of full-time experience working as an LVN on a Labor & Delivery unit within the last five (5) years.
Knowledge required: Prepare and recover cesarean section surgical patients with both regional and general anesthesia. Must also have experience managing patients with postpartum Pitocin, and insulin drips and patients with postpartum epidurals.
EXHIBIT E LVN—FAMILY MEDICINE CLINICS
Certifications. LVNs shall possess and maintain current certification in Advanced Life Support (ACLS).
Experience: LVN shall have at least one (1) year full-time experience within the past three (3) years to the area assigned or two (2) years full-time Medical /Surgical Nursing experience within the last four (4) years.
Clinic Hours of operation:
1. LVN shall provide services for any clinic within Department of Family Medicine between the hours of 0530 - 2000, Monday – Friday
2. Typical hours of performance are Monday - Friday, between the hours of 0600 - 2000 and Lunch hours for the dept. will be routinely between the hours of 1100 - 1300.
EXHIBIT F LVN - DEPARTMENT of MEDICINE (DOM) Clinics
DOM LVNs will be assigned to one of following DOM Clinics at BAMC;
Allergy & Immunology Service
Bone Marrow Transplant Clinic Service
Cardiology/Cath Lab Service
Dermatology Service
Endocrinology Service
Gastroenterology Service
Hematology/Oncology Service
Infectious Disease Service
Internal Medicine Service
Nephrology Service
