Contracting Office (fp), U.S. Coast Guard Academy, 15 Mohegan Ave., New London, CT 06320-4195

Q -- REGISTERED NURSE SEVICES SOL DTCG39-96-B-3KB907 DUE 031596 POC Contact David Ziemba, 203-444-8242, FAX 203-444-8299 This is a combined synopsis/solicitation for commercial items prepared in accordance with Subpart 12.6, and supplemented with additional information included in this notice. This announcement constitutes the only solicitation. Offers are requested. A written solicitation will not be issued. In responding to this invitation to bid, offerors must refer to solicitation #DTCG39-96-B-3KB907. This solicitation incorporates the provisions and clauses in effect through Federal Acquisition Circular 90-37. The SIC code for the services to be acquired is 7363. The small business size standard is $3.5M. Offers for the following items are due at the CGA Contracting Office by 2:00 P.M. on 3/15/96, (faxed bids will be accepted at (860) 444-8299): Item 0001, Registered Nurse services, Period of Performance (POP)-from date of award to 9/30/96, straight time rate, $------ /hour, Not to Exceed (NTE) 1374 hours, overtime rate, $------ /hour, NTE 384 hours; Item 0002, Option Item, Registered Nurse Services, POP-from 10/1/96 to 9/30/97, straight time rate, $------ /hour, NTE 2080 hours, overtime rate, $------ /hour, NTE 832 hours; ITEM 0003, Option Item, Registered Nurse Services, POP-from 10/1/97 to 9/30/98, straight time rate, $------ /hour, NTE 2080 hours, overtime rate, $------ /hour, NTE 832 hours; ITEM 0004, Option Item, Registered Nurse Services, POP-from 10/1/98 to 9/30/99, straight time rate, $------ /hour, NTE 2080 hours, overtime rate, $------ /hour, NTE 832 hours; item 0005, Option Item, Registered Nurse Services, POP-from 10/1/99 to 9/30/2000, straight time rate, $------ /hour, NTE 2080 hours, overtime rate, $------ /hour, NTE 832 hours. SCOPE-Provide Nursing Personnel to perform Registered Nursing Services at the U. S. Coast Guard Academy (CGA), New London, CT. Perform services in accordance with the American Registered Nurse Association standard of practice, COMDTINST M6000.1B, Coast Guard Medical Manual and COMDTINST 1850.1, Veterans Administration Guide for Disability Examinations. Contact LT A. Yates at (860) 444-8430 to review these documents. PERSONNEL QUALIFICATIONS - Provide Nursing Personnel who meet the following criteria: 1) Possess current state of Connecticut license/registration/ certificate as applicable and appropriate for the services provided. 2) Possess CPR certification. 3) Complete annual in-service training as follows: a) Full time employee-a minimum of twelve hours per year. b) Part time employee-pro-rated based upon the number of hours worked, but not be less than four hours annually per employee. HEALTH QUALIFICATIONS-Prior to starting work, provide the Contracting Officer with a certification that all Nursing Personnel working on this contract: a) Are free from mental or physical impairments which would restrict them from providing the services described herein or endanger the health and well being of patients. b) Received at least three doses of recombinant hepatitis B vaccine currently licensed in the United States, received an initial dose of hepatitis B vaccine (the series shall be completed within 6 months of the employee start date), declined hepatitis B vaccine as set forth in OSHA guidelines, or provided evidence of immunologically effective anti-HB levels in lieu of proof of vaccination. c) Show immunity to Measles, Mumps, and Rubella; varicella immune status; and a current PPD reading or evaluation. d) Received a physical examination and the date of the exam and the name of the physician who performed the examination are identified. QUALITY ASSURANCE/RISK MANAGEMENT MONITORING-The Contractor shall comply with the Quality Assurance Program in accordance with the M6000.1B, Chapter 13. Services shall meet or exceed the standard of practice prescribed by the American Registered Nurse Association. The CGA will monitor the contractor's performance using any or all of the following methods: Examination of patients, Review of the appointment logs, Review of the Clinic Data Collection Sheets, Review of Outpatient Records, Review of Patient Satisfaction Surveys, Review of at least 5% of health record entries made by the Nursing Personnel and other methods as appropriate. TASKS-Perform a full range of professional nursing concepts and practices using Government furnished facilities, equipment and supplies to a variety of patients admitted to the inpatient treatment area and the outpatient treatment area. Provide clinical services including but not be limited to: 1) Assess patients needs for nursing care, plan for nursing interventions, assess the effectiveness of the interventions and alter the nursing plan and interventions appropriately. 2) Monitor and assess patients for changes in condition, notify physicians, dentists, or caregivers appropriately and initiate interventions to provide comfort, to prevent distress or further injury, to protect the patient from injury or further deterioration to their condition. 3) Administer oxygen, IV fluids, and prescribed oral, subcutaneous and intramuscular medications. 4) Manage nasal-gastric and other drainage tubes and suction tubes. 5) Assist in instructing Coast Guard Health Services Technicians, LPNs/LVN's, nursing assistants and ancillary personnel. 6) Prepare patients for surgical and/or diagnostic procedures. 7) Observe postoperative and other patients requiring close observation as well as those under therapy for adverse conditions or reactions. 8) Prepare, operate, and monitor specialized equipment such as cardiac monitors, defibrillators, etc. 9) Inventory medicine and drug stocks to ensure adequate supplies and controls. 10) Treat patients who present a Coast Guard Health Record, a clinical record or, in the case of active duty members and/or DEERS eligible beneficiaries whose records are lost/misplaced, those patients that the Medical Administrator or his/her designee approves. Refer any patient needing care without a complete clinical record to the Clinic's Medical Administrator or his/her designee. 11) Maintain clinical records. Each record contains the following information: Patient Name, Rank/rating or relation to active duty member, Active duty member's social security number, Active duty member's unit address or non-active duty patient's home address. 12) Ensure entries are adequate for continued proper care of the patient, to evaluate quality of care, to substantiate disability, if indicated, and to justify claims for services presented to the Coast Guard. 13) Annotate all entries in the ''SOAP'' method, as follows: a) Date, time and place of service; b) S: Subjective, cc: (Chief Complaint) sore throat, cough, etc., hpi: (History of Present Illness) onset of symptoms, all problems, review of symptoms, pmh: (Past Medical History) any related problems in the past that may be present with chief complaint, fh: (Family History) any diseases, chronic/acute, possibly related to present complaint, all: (Allergies) any known allergies to drugs/medications, etc., c) O: Objective-First visual assessment/evaluation of the patient's general appearance: Limping, bleeding, double over, etc., pe: All results of physical exam, vital signs, lab, x-ray, and any other results, d) A: Assessment, imp: Impression/diagnosis, includes rule out, e) P: Plan. List of medications prescribed, lab, x-ray, physical therapy treatment plans, special studies, duty status recommendation, return appointments, referrals, etc. f) Contractor's signature, and g) Contractor's stamped, typewritten, or printed name and degree. HOURS OF WORK-Provide Registered Nursing services on a routine basis, full time, up to fifty-six (56) hours per week at the CGA, New London, CT. Normally, provide services from 7:00 AM to 12:00 PM and from 1:00 PM to 4:00 PM exclusive of Federal holidays. In the event that the Superintendent of the CGA closes the base and/or the Clinic, the contractor's services will be deemed to be not necessary, and the contractor will not be paid for the period of closure under this contract. The CGA will attempt to request Nursing Personnel at least twenty four hours prior to reporting time in order to assure prompt arrival of Nursing Personnel. Emergency requests may be placed at any time by the CGA. All information regarding reporting time and assignment will be provided at the time of the initial call. The following provisions and clauses will apply to this contract: 52.212-1 - Instructions to Offerors - Commercial Items, 52.212-2 Evaluation- Commercial Items - Evaluation Criteria - Price and Price related factors, 52.212-3 - Offeror Representations and Certifications - Commercial Items, 52.212-4 Contract Terms and Conditions - Commercial Items, 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive orders - Commercial Items. The following clauses are applicable: 52.203-6 Restrictions on Subcontractor Sales to the Government(JUL 1995), with Alternate I(OCT 1995) 52.203-10, Price or Fee adjustment for Illegal or Improper Activity(SEPT 1990),52.219-8, Utilization of Small, Small Disadvantaged and Women-Owned Small Business Concerns(OCT 1995),52.222-26, Equal Opportunity(APR 1984),52.222-35, Affirmative Action for Special Disabled and Vietnam Era Veterans (APR 1984), 52.222-36, Affirmative Action for Handicapped Workers (APR 1984), 52.222-37, Employment Reports on Special Disabled Veterans and Veterans of the Vietnam Era (JAN 1988), 52.225-19, European Union Sanction for Services (JAN 1996), 52.222-41 Service Contract of 1965(MAY 1989), 52.222.42, Statement of Equivalent Rates for Federal Hires(MAY 1989), 52.222-43, Fair Labor Standards Act and Service Contract Act-Price Adjustments(MAY 1989), 52.237-7, Indemnification and Medical Liability insurance(SEP 1989). ADDITIONAL TERMS AND CONDITIONS: The contractor shall indemnify and hold harmless the CGA from any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contractor shall maintain medical liability insurance, in a coverage amount acceptable to the contracting officer, which is not less than the amount normally prevailing within the local community for Registered Nurses. The contractor and all Nursing Personnel shall maintain confidentiality of all patient and related information. The applicable Service contract Act Wage Determination is DoL Wage Determination No. 94-2089 Rev No.5 Dated 06/07/95. Funds are available for Item 0001 only. Items 0002 through 0005 are options which the CGA MAY chose to exercise unilaterally. CBD note 26 applies. Contact David Ziemba at (860) 444-8242 for information regarding this solicitation. (0061)

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