SOLICITATION NOTICE
Q -- CRNA NURSE ANESTHETIST SERVICES
- Notice Date
- 11/19/2002
- 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-10-03-006
- Archive Date
- 12/18/2002
- 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
- This procurement is enacted to provide/acquire CRNA Nurse Anesthetist Services at the USPHS Indian Health Service Hospital in Browning, Montana on the Blackfeet Indian Reservation. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of Federal Acquisition Regulation (FAR) 13.1 and FAR 37.104 Personal Services. The IHS intends on awarding a multiple, firm-fixed-price (FFP) contract(s) for nine (9) months from January 1, 2003 until September 30, 2003. Prospective contractors are requested to provide an offer for the nine (9) month period. MAJOR DUTIES: Specific work duties and services that the contractor shall provide under this contract shall provide include, but not be limited to the following: Adheres to established Indian Health Service hospital and health care policy and procedure related to job function. 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. APPLICABLE DOCUMENTS: The following documents will need to be included in your proposal/application. 1.) A Resume or an OF 612 Application for Federal Employment and OF 306 Declaration for Federal Employment 2.) College transcripts; conferred degrees and certified training in this field. 3.) BIA Form 4432-Certificate of Degree of Indian Blood (CDIB), if applicable, if not, disregard. 4.) 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.) Credentialing Documents, Requirements and any degrees conferred by an accredited agency. 8.) Required Questionnaire for Child Care Positions 9.) Copies of Unrestricted Licenses; Copy Board Certificate or Board Admissibility 10.) A statement of contractor health status 11.) A statement of professional sanctions regarding licenses or medical staff privileges Prospective contractors can request a copy of the RFQ Package at the address, email and phone contained in this package. This is an Open Market procurement for all small business concerns. It is the contractor?s responsibility to ensure that their bid proposal arrives at the designated IHS facility listed below in order for their proposal to be considered. FAXED PROPOSALS WILL NOT BE ACCEPTED!! Submit your proposal to the following mail address: USPHS Indian Health Service, P.O. Box 36600, Billings, Montana 59107-6600, Attention: Jay Windy Boy, Purchasing Agent or at the Physical Mailing address at USPHS Indian Health Service, 2900 4th Avenue North ? Room 304, Attention: Jay Windy Boy, Purchasing Agent, Billings, Montana 59101.
- Place of Performance
- Address: USPHS Indian Health Service, Blackfeet Community Hospital, P.O. Box 670, Browning, Montana
- Zip Code: 59417
- Country: United States
- Zip Code: 59417
- Record
- SN00207336-W 20021121/021119213211 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
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