SOLICITATION NOTICE
Q -- CRNA Nurse Anesthetist Services
- Notice Date
- 4/23/2002
- Notice Type
- Solicitation Notice
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North PO Box 36600, Billings, MT, 59107
- ZIP Code
- 59107
- Solicitation Number
- RFQ10-02-015
- Response Due
- 5/7/2002
- Archive Date
- 5/22/2002
- Point of Contact
- Jay Windyboy, Contract Specialist, Phone 406.247.7064, Fax 406.247.7108, - Evelyn Lucero-Juneau, Contract Specialist, Phone 406.247.7063, Fax 406.247.7108,
- E-Mail Address
-
jay.windyboy@mail.ihs.gov, evelyn.juneau@mail.ihs.gov
- Description
- Statement of Work for CRNA Anesthetist Nursing Services for the Blackfeet Service Unit in Browning, Montana. PURPOSE: The mission of the Blackfeet Service Unit, Indian Health Service (IHS) is to provide the best possible support to the IHS health centers and hospitals through the recruitment and placement of physicians and other health professionals. The purpose of this contract will be for the provision of NURSE ANESTHETIST services under the authority of FAR 37.1 Personal Services Contract and FAR Part 12 Commercial Items. Supervisory Controls: Contractor shall be supervised by the Clinical Director, Blackfeet Service Unit, Indian Health Service. The Nurse anesthetist works as a professional member of the hospital team under the general supervision of the Chief of Surgery who may give logistical and administrative support when required. The nurse anesthetist is an independently licensed anesthesia professional that makes choices of anesthetic drugs and techniques at his/her discretion or after consultation with operating room surgeon, including those patients with potentially life threatening conditions undergoing emergency surgery. The anesthetist is responsible for detecting and correcting intra-operative anesthesia complications without physician intervention, and for evaluation and following post-anesthesia complications through to resolution. In some institutions a contract anesthesiologist may be available for consultation on specific cases before surgery by telephone or review of cases after surgery is completed. The nurse anesthetist is responsible for reviewing cases (OA) for effectiveness of anesthetic plans and meeting JCAH requirements. DUTIES: The incumbent anesthetizes patients for a broad range of surgery from the simplest to the most complex, occasionally involving high-risk patients. Reviews patient?s charts and/or interviews the family to ascertain patient?s physical/psychological status and degree of anesthetic risk, then selects specific type of anesthetic suitable for the patient. Incumbent administers general and regional anesthetic (Spinal), Bier, Axillary, Epidural) to assigned patients. Induces anesthesia to proper state of narcosis and manages throughout prolonged surgery. Determines need for and administers parenteral fluids, including plasma and blood. Administers stimulants as required. Observes patient during the operation to maintain the proper stage of narcosis and to prevent overdose. Adjusts the administration of anesthetic agents as well as other drugs and utilizes proper methods to support respiratory and circulatory functions of patients. Rotates with other anesthesia personnel to provide independent coverage seven days a week for emergency operation, resuscitations, labor epidurals, and consultations. Orders anesthesia supplies, performs proper maintenance required cleaning, and storage of anesthesia equipment and supplies use in the department. Visits patients pre-operatively and post-operatively to properly evaluate physical and mental status as it relates to the anticipated surgical procedure and developed anesthesia plan. Assures enforcement of Rules and Regulations for Safe Conduct of Anesthesia within the operating room and hospital. Assists with accounting, control, and physical security of controlled substances (Narcotics-drugs, needles, and syringes). Participates and assists with in-service Progress within the Anesthesia Department and the hospital. Assists with anesthesia audits and quality assurance programs. Knowledge and ability to perform CVP?s, A-lines, Swan Ganz (assisted), cricothyrotomy, ACLS, and use pulse oximeters, pressure transducers, non-invasive end-tidal respiratory gas concentration monitors, and other state-of-the-art anesthesia equipment. Performs other duties as assigned. The contractor shall comply with all IHS facility infection control and safety procedures, practices, and standards. During the performance of this contract, the contractor shall provide for the consistent performance of patient care processes according to the standards for the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) who supply accreditation to the Blackfeet Community Hospital, IHS. These standards shall include: the Comprehensive Accreditation Manual for Hospitals, The Laboratory standards, Ambulatory Care Standards as they represent the scope of services of this contract. Contractor shall prepare and complete in a timely fashion the medical and other required records for patients he/she admits or in any way provides treatment. An orientation will be provided to the contractor prior to the notice to proceed. The contractor shall abide by the Blackfeet Service Unit Medical By-Laws. Contractors whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by P.L. 101-630, the Indian Child Protection and Family Violence Prevention Act. The IHS personnel offices will conduct these investigations following award of a personal service contract. The character investigation may be waived if, in the judgement 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 notified of the results, the contractor must not have unsupervised contact with Indian children. The Federal Tort Claims Act coverage for medical related claims is extended to the individual providing services pursuant to this contract. The services performed must have been within the scope of the personal service contract. During the performance of this contract, the contractor shall provide for the consistent performance of patient care processes according to the standards for the JCAHO who supply accreditation to the Blackfeet Community Hospital, IHS. These standards shall include: the Comprehensive Accreditation Manual for Hospitals, The Laboratory standards, Ambulatory Care Standards as they represent the scope of services of this contract. The Privacy Act of 1974 mandates that the contractor shall maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention of knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. IHS shall provide training on the Freedom of Information Act (as Amended) and the Privacy Act. All IHS regulations and policies applicable to these Acts shall be enforced. Knowledge Required by Contractor: Knowledge of the Anesthesia Profession and of the pharmacological properties and physiological affects of anesthetic drugs used in complex surgery. Knowledge of pharmacological properties and physiological affects of non-anesthetic drugs and how they may affect anesthetic care and preparation prior to surgery. Ability to administer both general and regional anesthetics and to detect and treat unfavorable reactions to anesthetics and other agents. Ability to administer and manage new drugs and to recover the patient from any side affects that might occur. Skill in preparing reports of results on the use of new drugs. Frequently new techniques, information and criteria are established from these reports. Knowledge of operating room methods, equipment and procedures. Ability to coordinate anesthesia activities with the total operating room team, hospital-wide concerned professionals and outside agencies as required. Knowledge of state-of-the-art anesthesia equipment and operation. Skill in preparing professional reports as required for Joint Commission, committees, other agencies, anesthesia service, and professionals as required. Ability to recover patients in post anesthesia recovery unit when specialty trained recovery nurse unavailable. Knowledge and ability to prepare and present quality professional level in-service lectures to anesthesia service, various concerned professionals hospital-wide. Guidelines: Incumbent works under the timeframe of established guidelines, which include protocols of accepted practice. The Nurse anesthetist assists in developing and reviewing guidelines, which include protocols of accepted anesthesia practice (RN/MD). Due to changing situations of an operating theater, the guides are not completely applicable to situations likely to be encountered. The anesthesia professional must use judgment in interpreting, and in some situations, modifying the anesthetic technique. Complexity: The work involves patient evaluation for risk of each assignment, selection of anesthetic technique and agent (s) based on patient?s physiological and psychological status as well as the surgeon?s needs. Intervention begins with a through preoperative assessment that includes the ordering of proper lab, x-ray, ECG, pulmonary studies, and appropriate consults (cardiac, pulmonary, radiology, internal medicine, etc.). The nurse anesthetist along with others as required ?tunes? the patient both physically and psychologically so as to have the individual patient maximally prepared for surgery. Anesthetic management is modified according to the actual course of events during surgery where potentially dangerous deviation must be detected and corrected measure and its implementation must occur in an extremely brief period of time under great pressure having a direct effect on the patient?s survival and successful recovery. Scope and Effect: The purpose of the work is to provide a full range of anesthetic management throughout the hospital and community for emergency and elective life threatening and potentially life threatening situations. The nurse anesthetist, and independently licensed anesthesia professional, is the primary on-site consultant and expert in anesthesiology. Personal Contacts: Contacts are with patients, their families, physicians and surgeons, as well as, other health related professionals (local, regional, national, and interagency). Purpose of Contacts: Contact with patient is primarily to administer and manage anesthetics during and after surgery. Contact is also made with the patient and his/her family to elicit information, inform, provide emotional support and endure cooperation. Contacts with surgeons and other hospital personnel are to exchange information and provide consultation before, during, and after surgery. Physical Demands: The anesthesia must be capable of frequently responding (may be several times per night or day such as weekends and holidays) on very short notice (15 to 30 min.) at any hour to potentially life threatening situations. The anesthesia professional may be required to perform cardiopulmonary resusitation in confined spaces (helicopters, planes, ambulances, etc.) The anesthetist must endure long periods of standing while confined to a small area. He/she must remain alert and make rapid and accurate decisions during periods of fatigue and anxiety induced by extended high risk surgery. Work Environment: Since the anesthetist performs the majority of anesthesia cases (90%) government-wide and is the one health professional closets to the hazardous gases for the most sustained period of time there is a much greater risk of abortions and birth defects in the children of anesthetists and possibly cancer and/or liver disease in anesthetists themselves. There is also the risk if exposure to radiation and infection ( life threatening and /or loss of professional career) such as Aids and Hepatitis. PERIOD OF PERFORMANCE: Normal in-house work hours are from 7:00 a.m. to 5:00 p.m., although contractor is expected to maintain twenty-four (24) hour immediate Callback availability. The Notice to Proceed has been set for the beginning of the Callback period on May 18,2002 Therefore, the in-house work hours shall commence at 7:00 a.m. on Aug 31,2002. Notice to Proceed Date: May 18,2002 Completion Date: August 31,2002 Dates of Service: Week #1: May 18, 2002---May 25,2002 Week #2: June 8, 2002---June 15, 2002 Week #3: June 15, 2002---June 22, 2002 Week #4: July 6, 2002---July 13, 2002 Week #5: July 13, 2002---July 20, 2002 Week #6: July 20, 2002---July 27, 2002 Week #7: July 27, 2002---August 3,2002 Week #8: August 17, 2002---August 24, 2002 Week #9: August 24, 2002---August 31, 2002 Special Provisions: INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION ACT 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 and the Indian Health Service memorandum dated February 3, 1997, Investigations on Child Care Workers. Contractors shall ensure that he/she cooperates with and assists the Government in the conduction of any necessary background checks. CRIME CONTROL ACT OF 1990 No performance under this contract will be allowed without full compliance with the Crime Control Act of 1990, Public Law 101-647, and the Indian Health Service Memo dated February 3, 1997, Investigations on Child Care Workers. Contractor shall ensure that proposed providers cooperate with and assist the Government in the conduction of any necessary background checks. FAR 52-249-4 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT (SERVICES) (APR 1984) The Contracting Officer, by written notice may terminate this contract, in whole or in part, when it is in the Government?s interest. If this contract is terminated, the Government shall be liable only for payment under the payment provisions of this contract for services rendered before the effective date of termination. FAR 52-249-12 TERMINATION FOR CONVENIENCE (PERSONAL SERVICES) (APR 1984) The Government may terminate this contract at any time upon at least 15 days? written notice by the Contracting Officer to the Contractor. The Contractor, with the written consent of the Contracting Officer, may terminate this contract upon at least 15 days? written notice to the Contracting Officer.
- Place of Performance
- Address: USPHS Indian Health Service, Blackfeet Service Unit, 760 Hospital Way, P.O. Box 670, Browning, Montana
- Zip Code: 59417
- Country: United States
- Zip Code: 59417
- Record
- SN00064687-W 20020425/020423213109 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)
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