SOLICITATION NOTICE
Q -- EMERGENCY ROOM NURSE
- Notice Date
- 11/29/2006
- Notice Type
- Solicitation Notice
- NAICS
- 621399
— Offices of All Other Miscellaneous Health Practitioners
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North PO Box 36600, Billings, MT, 59107, UNITED STATES
- ZIP Code
- 00000
- Solicitation Number
- RFQ-10-07-011-REL
- Response Due
- 12/15/2006
- Archive Date
- 12/30/2006
- Small Business Set-Aside
- Total Small Business
- Description
- This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Test Program for Certain Commercial Items (10 U.S.C. 2304(g) and 2305 and 41 U.S.C. 253(g) and 253a and 253b), FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994 (Public Law 103-355)), FAR 37.104, Personal Services Contracts (Public Law 103-332, Department of the Interior and Related Agencies Appropriation Act, Title II, September 30, 1994, 108 Stat. 2530 as implemented by 25 U.S.C. 1638c) and FAR Subpart 37.6, Performance-Based Acquisition. This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a fixed-price, performance-based, commercial item contract in response to Request for Quotation (RFQ) 10-07-011-REL. This solicitation is restricted to 100% Small Business concerns. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-14. The associated North American Industry Classification System code is 621399 and the small business size standard is $6.5 million. PRICE SCHEDULE FOR EMERGENCY ROOM NURSE: BASE PERIOD: 1550 hours @ $______________ per hour = $________________; OPTION YEAR ONE: 2090 hours @ $______________ = $________________; OPTION YEAR TWO: 2090 hours @ $______________ = $________________; OPTION YEAR THREE: 2090 hours @ $______________ = $________________; OPTION YEAR FOUR: 2090 hours @ $______________ = $________________; GRAND TOTAL: $________________. PURPOSE OF THE CONTRACT: The purpose of this acquisition is to contract for Emergency Room Nursing Services for the Emergency Department at the Crow Service Unit, PHS Indian Hospital, Crow Agency, Montana. The position will provide specialized professional nursing care to patients with severe injuries and critical illnesses that require occasional adaptation of established nursing procedures. WORK SCHEDULE: The work schedule will be coordinated by the Supervisor with shifts from 7:00 am to 7:30 pm or 7:00 pm to 7:30 am for a total of 80 hours in a 14-day period. The work schedule may vary according to the Service Units needs and the discretion of the supervisor. Duty station shall be the Emergency Room. STATEMENT OF WORK: This position functions as an ER Specialist in the Emergency Department. The purpose of the position is to provide direct, specialized professional nursing care to patients of all ages (newborn infant, child, adolescent, adult, elder, etc.) and with a variety of acute and chronic health needs in the emergent setting and their problems that require adaptation of established nursing procedures. Performs specialized, professional nursing duties in the case of critically ill, severely injured and/or traumatized emergency patients. Assesses all patients presenting for emergency care and triages based on history, physical assessments and chief complaint. Initiates treatments, medications, emergency and resuscitative measures based on appropriate utilization of standing orders and ACLS, and ATLS protocols. Administers therapeutic measures as prescribed by the physician such as medications, treatments, intravenous fluids, blood transfusions, nasogastric tubes, etc. Records observations, nursing interventions, therapeutic measures, hemodynamic monitoring data, and other relevant measures to the patients care. Continually monitors and assesses patients clinical condition and recognizes, identifies and interprets serious situations and immediately decides and initiates proper intervention. Notifies the physician when appropriate. In emergency situations, when a physician is not immediately available, initiates appropriate actions and procedures. Participates fully in nursing quality assurance activities and establishes JCAHO criteria for emergency care. Administers medications utilized in the emergency/outpatient setting and observes patients for adverse and expected effects and responds appropriately and independently. Notifies the physician when appropriate. Interprets data obtained from observation, examination, and monitoring and LAB values. Discerns between normal and abnormal findings, and provides appropriate care. Collaborates with members of the multidisciplinary care conferences. Provides nursing care to meet the physical, emotional, spiritual and sociocultural needs of the critically ill patient and family. Operates and monitors specialized equipment such as cardiac monitors, volume respirators, EKG machines, gastric and thoracic suction machines, cardiac pacemakers, hypothermia devices, peritoneal dialysis, defibrillators, etc. Provides training to the ambulance service and assists with certification requirements. Participates in run services on the course committee. Acts as a resource person to ambulance personnel on request. Acts on medical direction when necessary. KNOWLEDGE REQUIRED BY THE POSITION: Advanced knowledge of professional emergency room nursing theories, principles, practices, concepts, and procedures as applies to the care of critically ill and severely injured patients, i.e., prompt and decisive nursing assessment and diagnosis, problem oriented care plan development, use of emergency drugs, interpretation of EKG rhythm strips, and understanding of lab data. Demonstrate ability to manage nursing care for multiple diverse emergency situations (e.g., obstetrics, metabolic crisis, gunshot wounds, motor vehicle accidents, etc.) occurring simultaneously. Knowledge of the pathologic conditions associated with a wide variety of medical disorders and health problems. Highly developed and specialized skills and abilities in making assessments applicable to the care of critically ill and severely injured patients. Skill in designing comprehensive nursing care plans for a wide variety of critical and severe health problems associated with patients requiring treatment in an emergency room. Ability to serve as a senior emergency room staff member, health team collaborator, patient advocate, and leads and instructs other ancillary and support personnel. Knowledge of pharmaceuticals used in emergency settings, their desired effects, side effects and complications of their use. Knowledge and ability to implement current infection control precautions and procedures. Knowledge of principles and methods of quality assurance and ability to apply. Knowledge and ability to incorporate local cultural impact on health care provisions. SCOPE AND EFFECT: The purpose of the work is to assess, monitor, observe and treat an extremely wide range of critically injured and seriously ill patient conditions. The work affects the health and well being of the patients and their families, and the American Indian reservation community at large. PERSONAL CONTACTS: Contacts are with patients, their families, hospital professionals, such as other nurses and physicians, and numerous ancillary/support health care personnel. PURPOSE OF CONTACTS: Contacts with patients are to provide emergency intervention and health care to patients. Contacts with families are to provide information about the care of the patients, often under stressful conditions. Contact with Service Unit staff and other health care providers is to exchange information required to provide patient treatment and care and to arrange for patient follow-up. PHYSICAL DEMANDS: Prolonged periods of moving, lifting, as well as manual dexterity, ability to bend, stoop and sometimes physically restrain patients. May require rotating shifts and overtime, may require extended periods with little or no sleep. Emotional pressures of dealing with seriously injured, ill or dying patients in the emergency setting induces stress. WORK ENVIRONMENT: Work environment is in a hospital setting therefore exposure to communicable diseases, intoxicated and/or violent patients is imminent. Personal protective equipment and guidelines to prevent disease transmission are provided. SUPERVISION: This position is directly responsible to the Director of Nursing and the Emergency Room Physician and receives medical direction from the medical staff. The nurse plans and provides comprehensive nursing care in the Emergency Room for each patient in conjunction with the physician. Work is evaluated for adherence to professional nursing standards and the Crow Service Unit policies and procedures. Highly unusual problems are reports to the physician in charge or the Emergency Room Supervisory clinical nurse. SUPERVISOR: Kari Cash, Director of Nursing; ALTERNATE: Department Supervisor in charge. GUIDELINES: The supervisor defines the continuing assignments with procedures and methods to be used, priorities and deadlines. The supervisor helps the contractor with difficult or controversial aspects of the job requirement. The contractor uses initiative in planning and carrying out the day-to-day workload. Final work is reviewed, as needed, for conformance to policies and regulations, timeliness and satisfaction of the supervisor. COMPLEXITY: Providing emergency room nursing care requires a comprehensive and complex range of professional nursing competencies from prompt, decisive assessments of a very wide variety of special patient conditions, to administering special medications, to operating special emergency medical equipment, and reacting to emergency situations without delay or hesitation. The emergency room nurse must make quick decisions involving critically ill or critically injured patients. Because of the immediacy and severity of most problems, it is not always possible or feasible to obtain direction from the supervisory clinical nurse or the physician in charge. The emergency room nurse solves the majority of problems independently. Conditions change rapidly and the contractor takes immediate action to ensure a high degree of quality health care is provided for patients, many of which, are in life or death medical situations. PERIOD OF PERFORMANCE: January 1, 2007 through September 30, 2007, with four 12-month options. GOVERNMENT FURNISHED PROPERTY: The IHS shall provide all necessary equipment and supplies. The Crow Service Unit will be responsible for getting the Contractor access and clearance to all pertinent ARMS; intranet, internet, and computer services necessary to carry out his/her duties. COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including all contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors" and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel; and complete an Interconnection Security Agreement subsequent to contract award. PERFORMANCE-BASED SERVICE DELIVERY SUMMARY: The contract ER Nurse's performance will be measured based on the following Performance Requirements: (1) Quality of Performance; (2) Shift Coverage; and (3) Customer Service. The Performance Requirements will be measured against the following Government Performance Standards: (1) Provide ER Nursing services as specified in the Performance Work Statement; (2) Must be available for shift coverage in the Emergency Department; and (3) 5 or more customer complaints. The Method of Government Surveillance to determine compliance with the Performance Requirements are as follows: (1) Work is reviewed for accuracy through quality improvement activities, standards of performance evaluation, and spot checks; (2) Random sampling by project officer or his/her designee; and (3) Validated Complaints. Deduction Schedule: A 5% deduction shall be assigned to each Performance Requirement. Deductions shall be assessed against individual invoices when services are not performed or do not meet contract requirements. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. PROJECT OFFICER: The project officer shall be responsible for: (1) Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the Supervisor at the Crow Service Unit, PHS Indian Hospital, P.O. Box 9, Crow Agency, Montana 59022. The Contractor agrees to include the following information on each invoice: (1) Contractors name, address; (2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) Dates of Service including the number of hours worked; and (6) Remit to address. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. REPORTING REQUIREMENTS: The Contractor shall provide the Contracting Officer with evidence that payment of employment taxes has been made 15 days after each quarter. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where Federally funded children's services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Crow Service Unit. SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or 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. The IHS shall provide training on the Freedom of Information Act and the Privacy Act. All IHS regulations and policies applicable to these Acts shall be enforced. The Contractor shall comply with IHS facility infection control and safety procedures, practices, and standards. Federal Tort Claims Act coverage for medical related claims is extended to the individual providing ER nursing services. However, the services must have been performed within the scope of the personal services contract. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items; and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION - COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: (1) Registered Nursing License = 35 POINTS. Potential contractors must submit a copy of State nursing license with the price quote; (2) Resume = 35 POINTS. Potential contractors must submit resume with price quote; and (3) Past Performance = 30 POINTS. The offeror must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable. Technical and past performance, when combined, are considered approximately equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.204-9, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.229-3, 52.232-3, 52.232-18, 52.237-2, 52.237-3, 52.242-15, 52.242-17, 52.245-1, 52.245-2, 52.249-12, 352.202-1, 352-215-1, 352.215-70, 352.223-70, 352.232-9, 352.270-2, 352.270-3, 352.270-4, 352.270-6, and 352.270-7. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.219-6, 52.219-8, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-39, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at http://www.arnet.gov and http://hhs.gov/oamp/dap/hhsar.html. CONTRACTORS INTENDING TO CONDUCT BUSINESS WITH THE FEDERAL GOVERNMENT MUST REGISTER WITH THE DEPARTMENT OF DEFENSE CENTRAL CONTRACTOR REGISTRATION (CCR) DATABASE. THE CCR IS THE PRIMARY GOVERNMENT REPOSITORY, WHICH RETAINS INFORMATION ON GOVERNMENT CONTRACTORS. YOU MAY REGISTER VIA THE INTERNET AT HTTP://WWW.CCR.GOV OR BY CALLING (888) 227-2423. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 2:00 p.m., on December 15, 2006. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your name and address. Offers will also be accepted by e-mail at RLangager@mail.ihs.gov or by fax at (406) 247-7108. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 60 days from the date of receipt by the Government.
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