SOLICITATION NOTICE
Q -- CRNA Nurse Anesthetist Services
- Notice Date
- 6/26/2002
- 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
- RFQ-10-02-025
- Response Due
- 7/15/2002
- Archive Date
- 7/30/2002
- 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
- Small Business Set-Aside
- Total Small Business
- Description
- See attached Statement of Work. This procurement is enacted to provide CRNA Anesthetist Nursing Services for the USPHS Indian Health Service Hospital in Browning, Montana. It is the contractor's responsibility to be familiar with the contents, terms, conditions and statement of work contained in the RFQ Package. This procurement is open to all individual and small business interests. Individuals or Contractors may bid on part or all of the service dates listed. The estimated range of this procurement is between $25,000 to $100,000. Statement of Work (SOW) ? Personal Services Contract - Nurse Anesthetist CRNA Acquisition Background and Objectives Introduction: The mission of the Indian Health Service (IHS) is to provide the best possible health care services to the Native American populations on the Indian Reservations throughout Montana and Wyoming. The Indian Health Service intends on hiring a contractor into a temporary duty assignment within the Blackfeet Community Hospital at the Blackfeet Service Unit, in order to achieve this mission. The contractor shall provide a number of work objectives for the department such as: Anesthetization duties; Patient preparation; Patient monitoring; Post-operative evaluation and prognosis Performance Location: The contractor will be carrying out their duties and fulfilling their contract with the Indian Health Service at the following health care facility location(s): Billings Area Indian Health Service Blackfeet Service Unit ? Blackfeet Community Hospital 760 Hospital Circle Browning, Montana 59417 Background Information: The Billings Area Indian Health Service primarily serves thirteen tribal nations in the States of Wyoming and Montana. The user populations are approximately 100,000 members annually; the Area Office facility is located in the south-central corner of the State of Montana. There are twelve ambulatory health care hospitals and health centers located on/around the reservations and five urban health centers in the townships of Billings, Butte, Helena, Great Falls and Missoula. Purpose of this Contract: The primary purpose of this contract is to hire a contractor to assist the department/program in meeting their daily work objectives in providing quality health care services. Currently this department does not have the necessary manpower and resources available to them in being able to complete both their short-term and long-term assigned duties. As a result, a work backlog has developed, which adversely affects the department?s level of service being provided to the Indian community. 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. Scope of Work: The overall purpose of this contract is to temporarily recruit and hire a qualified Nurse Anesthetist under a personal service contract for the Surgical Unit, located at the Blackfeet Service Unit. The contractor will be expected to have the necessary education, training, licensing, insurance, previous work experience and competence in being able to provide the services within the department. Work performance shall be performed according to the requirements and conditions contained in this Statement of Work. The contract resulting from this solicitation shall: 1.Be considered a ?Personal Services? contract, under which the contractor is considered to be an independent contractor, which in effect, makes the contractor a Government employee. 2.Allow the Government to evaluate both the professional and administrative quality of services provided by the contractor, but retains no control over the personal and professional aspects of the services that are rendered, (e.g., unprofessional conduct; assistance for specific work related tasks). 3.Require the Contractor to indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during any part of the contract performance period. 4.The contractor selected and utilized under this contract must submit and be able to pass their background investigation in order for them to obtain the privileges and clearances necessary to perform the requested services at the IHS facility. 5.The contractor is required to maintain current required licenses, certifications and insurance credentials requested in this Statement of Work, during the entire length of this contract. The contractor will be expected to assist and provide services and duties as may be requested for the normal operational requirements and workloads for the department and personnel. Contractor shall provide work that is consistent with the guidelines and procedures of the IHS. Failure contractor to meet these standards can result in cancellation of this contract. The contractor?s performance and abilities shall be evaluated based upon performance standards that are contained in this statement of work. If appropriate and necessary, the contractor shall provide consultation to the Supervisor on better improving and enhancing the program environment and delivery of services. The contractor shall advise the project officer, contracting officer or program manager or their designated representative of any problems encountered or which may be encountered in connection with meeting the needs of the contractor?s duties. The contractor shall posses a professional medical education from an academic institution or licensed in a field of medical study. The contractor must be proficient in writing, typing and have a basic working knowledge and understanding basic computer hardware and software. The contractor shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to the Billings Area IHS. Due to some limited driving requirements, the contractor must hold a current, valid state drivers license from any of the 50 United States or the Commonwealth of Puerto Rico. The contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the contractor can relate constructively to IHS employees, contractors, vendors and individuals from the Native American community. The contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services as there will be some moderate lifting and moving of furniture as well as boxes of office supplies and equipment. The contractor shall maintain acceptable standards of personal hygiene and grooming such that their image as a Federal contract employee is compatible with the expectations of the IHS staff. This Personal Service Contract is not guaranteed to any one specific individual or business, nor does it belong to any specific individual or business. A contractor shall not be authorized to perform any health care services for the Federal Government until the IHS governing body has granted the contractor such privileges in writing. As a Federal contract employee, taxes, retirement, social security, insurance deductions or any other form of deduction will be withheld from their invoice or pay request. THE FEDERAL GOVERNMENT DOES NOT WITHOLD LOCAL, STATE OR FEDERAL TAXES UNDER A PERSONAL SERVICES CONTRACT. THEREFORE IT IS THE CONTRACTORS SOLE-RESPONSIBILITY TO PAY FOR THEIR OWN LOCAL, STATE, FEDERAL TAXES AND OTHER OBLIGATIONS THEY HAVE. THE FEDERAL GOVERNMENT IS NOT RESPONSIBLE FOR ANY OF THE CONTRACTORS FINANCIAL DEBTS OR COMMITMENTS. Applicable Documents: The following documents will need to be included in your proposal/application. 1.Resume or OF 612/OF 306 Applications for Federal Employment 2.College transcripts; conferred degrees and certified training in this field. 3.Two (2) letters of reference from current or previous employers. 5.Knowledge, Skills and Abilities (KSA): Applicants must describe their present/previous experiences with the following KSA evaluation requirements in their application/proposal. 6.Best value price evaluation criteria submitted by the contractor. An indication as to what hourly rate the contractor is willing to work for. 7.Health Care Certification Statement 8.Current Licenses for Medical Practice 9.Medical Liability Insurance 10.Credentialing Documents and Requirements 11.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. In accordance with the Child Care National Agency Check and Investigation (CNACI) directive, implemented by the Indian Health Service. The following documents will be required from the selected contractor and all employees they utilize under an awarded contract. 1.Non-Personal Health Services Contract ? Certification Statement 2.DHHS Application Background Survey 3.DHHS/IHS Required Application Questionnaire for Child Care Positions 4.IHS Personal Services Contract ? Release of Personal Information 5.SF-85 Questionnaire for Non-Sensitive Positions 6.GSA Form 176 ? Statement of Personal History 7.FD-258 Federal Bureau of Investigation Fingerprint Analysis Chart Evaluation Criteria for Best Value: Award of this contract will be made based on price and price related factors, representing the best value to the Government. Those factors include the contractor?s knowledge of the following Knowledge, Skills and Abilities (KSA) questionnaire. 1.Knowledge and skill in Anesthesia in order to assist, prior, during and following its administration 2.Knowledge of pharmacology and physiology to predict and contract anesthetic effects, agents and drugs 3.Knowledge of sterile supply services 4.Ability to work as a team member as well as direct others in the work setting 5.Ability to work under pressure 6.Medical Education / Certified Medical Training 7.Past Work Performance Work Requirements Technical Requirements: Specific duties and services the contractor shall provide include, but may not be limited to the following: Contractor provides anesthesia services for patients experiencing a large variety of surgical therapeutic and/or diagnostic procedures. Work will vary in degree from simple to complicated anesthetic management problems, unrelated to surgical procedures, but related to patient physical and psychological status. Contractor will be responsible for reviewing and assessing the patient's psychological and physical status through patient interviews, reading clinical chart, laboratory reports and where appropriate, performs some elements of a physical examination. Contractor will make recommendations for pre-anesthetic medication, write pre-anesthetic notes in clinical chart and completes pre-anesthetic forms. Contractor will reassure the patient and their family by discussing with them the anesthetic management plan. The contractor will administer and manage a large variety of different types of anesthetic agents administered by one or more routes (regional, intravenous, inhalation, spinal, and topical). 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. 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 and psychological status and degree of anesthetic risk, then selects specific type of anesthetic suitable for the patient. 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. Anesthetist assists in accounting, control and physical security of controlled substances, such as 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. The contractor shall comply with all IHS facility infection control and safety procedures, practices, and standards. Provide for the consistent performance of patient care processes according to the standards for the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) who supplies 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. Abide by the Blackfeet Service Unit Medical By-Laws. Requires extensive knowledge of the Anesthesia Profession and the pharmacological properties and physiological affects of anesthetic drugs used in complex surgeries. Requires knowledge of the pharmacological properties and physiological affects of non-anesthetic drugs and how they may affect anesthetic care and preparation prior to surgery. Requires an ability to administer both general and regional anesthetics and the ability to detect and treat unfavorable reactions to anesthetics and other agents. Requires an ability to administer and manage new drugs and to recover the patient from any side affects that might occur. Requires skill in preparing reports of results on the use of new drugs. Frequently new techniques, information and criteria are established from these reports. Requires knowledge of operating room methods, equipment and procedures. 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. Prepare professional reports as required for Joint Commission, committees, other agencies, anesthesia service, and professionals as required. Recover patients in post anesthesia recovery unit when specialty trained recovery nurse unavailable. Prepare and present quality professional level in-service lectures to anesthesia service, various concerned professionals hospital-wide. Works under the timeframe of established guidelines, which includes protocols of accepted practice. Contractor 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 contractor must use judgment in interpreting, and in some situations, modifying the anesthetic technique. Evaluates patients 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. 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 resuscitation in confined spaces (helicopters, planes, ambulances, etc.) The anesthetist must endure long periods of standing while confined to a small area. Contractor must remain alert and make rapid and accurate decisions during periods of fatigue and anxiety induced by extended high-risk surgery. Performs a 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. As well as other duties not specified here Period of Performance: The Indian Health Service anticipates that this contract shall be in effect for six (6) months, with normal in-house work hours from 7:00 am to 5:00 pm, although the contractor is expected to maintain twenty-four (24) hour immediate callback availability. In accordance with FAR 52.232-18 AVAILABILITY OF FUNDS, this contract is dependent upon the availability of adequate funding. Dates of Service: August 17, 2002 ? August 24, 2002 August 24, 2002 ? August 31, 2002 September 14, 2002 ? September 21, 2002 September 21, 2002 ? September 28, 2002 October 12, 2002 ? October 19, 2002 October 19, 2002 ? October 26, 2002 October 26, 2002 ? November 2, 2002 November 2, 2002 ? November 9, 2002 November 23, 2002 ? November 30, 2002 November 30, 2002 ? December 7, 2002 Government Furnished Property, Equipment and Service: The department shall provide the contractor with office space including a desk, chair and office supplies. The contractor will be authorized to use all areas of the facility made available to them. The contractor must request clearance in order to access Restricted areas of the facility, authorization must be granted and is to be used only for official business activities relating to job performance. The contractor will be authorized to use administrative and professional support personnel in carrying out their assigned duties and objectives. The contractor will be allowed to utilize copy machines, facsimile machines, libraries and telephone services and should only be utilized for official business activities relating to job performance. The contractor shall be given an orientation to the IHS role and the Indian community that is being served. The Purchasing Agent/Supply Technician shall provided the contractor with an initial orientation regarding all aspects that pertain to their employment as a personal service contract employee, the layout of the facility and information on the role IHS has on the Indian communities being served. All Child care National Agency Check and Investigation (CNACI) Forms will be provided by IHS. The department will orientate the contractor as to their specific duties and responsibilities. The department will provide the contractor with standard and specialized equipment and supplies needed for the performance and delivery of services including the use of a computer. The department is responsible for getting the contractor access and clearances to all pertinent ARMS; intranet; internet and computer services that are applicable to the contractor carrying out their duties. The department must provide the contractor with direction and proper workloads, which are appropriate with the normal day-to-day operations in the department. Contractor Furnished Requirements; Equipment; Facilities and Services: 1.The Contractor shall furnish to the Indian Health Service all current and previous medical licenses, certifications, credentials, insurance requirements and any pending or previous legal action liens against them which might affect the contractor?s ability to perform the required health care services. 2.The Indian Health Service does not anticipate a need for contractor furnished equipment. Performance Evaluation Standards: As part of the Quality Control and monitoring of the contract, the contractor will be evaluated on their performance and will be conducted in line with permanent IHS employees of similar standing. They will be based upon the following review criteria as set forth in the solicitation and contained in this Statement of Work. Supporting Information Security: Security Standards required for the position 1.Privacy Act Compliance 2.Federal Employee Standards of Ethical Conduct Compliance 3.Indian Health Service Standards of Conduct 4.Child care National Agency Check and Investigation (CNACI) 5.Federal Security Identification Badge Request Form Administration: The following list of employees in the chain of command will assist the program supervisor in monitoring the contract and will be a designated alternate in absence of the supervisor. 1.Nurse Anesthetist 2.Chief Medical Officer 3.Administrative Officer IHS Responsibilities: The responsibility of the Indian Health Service is to supervise, monitor and ensure that the contractor is adequately performing the requested services, deliverables, duties and responsibilities in accordance with the Statement of Work and performance standards for which they were hired to accomplish. THE RFQ PACKAGE CONTAINS THE ENTIRE AND COMPLETE INFORMATION INHERENT TO THIS PROCUREMENT.
- Place of Performance
- Address: USPHS Indian Health Service, Blackfeet Service Unit (Blackfeet Community Hospital), 760 Hospital Circle/P.O. Box 670, Browning, Montana
- Zip Code: 59417
- Country: United States
- Zip Code: 59417
- Record
- SN00099871-W 20020628/020626213153 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
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