Nonpersonal Ambulatory Healthcare Services - Hopi & Ft Yuma Service Units

PERFORMANCE WORK STATEMENT Registered Nurse (Ambulatory Nursing Services) Fort Yuma Health Care Center (FYHCC) BPA - Multi-Specialty Ambulatory Care Services 1. Background and Purpose Fort Yuma Health Care Center (FYHCC) is an Indian Health Service (IHS) facility located in Winterhaven, California, serving a primarily Native American patient population. FYHCC requires contractor-provided ambulatory nursing services from time to time to maintain continuity of outpatient clinical operations, patient safety, and timely access to care. This Performance Work Statement (PWS) defines the required service outcomes, performance standards, deliverables, and operating constraints for contractor-provided Registered Nurse (RN) ambulatory care services in FYHCC ambulatory care settings. This PWS is structured as a nonpersonal services requirement. It does not establish a requirement to fill Government staffing vacancies or to augment Government supervisory chains. The contractor remains responsible for managing and supervising its workforce while the Government evaluates whether BPA call services meet applicable BPA, call, and PWS requirements. 2. Scope and Required Service Outcomes The contractor shall provide ambulatory nursing services at FYHCC during BPA call coverage periods through qualified, cleared, competency-validated, and authorized Registered Nurse clinicians. Services shall be performed in accordance with applicable licensure, validated competencies, valid provider orders, standing orders or protocols authorized for use at the facility, FYHCC policies and procedures provided during onboarding, current IHS requirements, applicable privacy and security rules, and current accreditation standards applicable to the facility. • Perform patient intake, nursing assessments, triage, medication administration, treatments, immunizations, specimen collection, patient monitoring, and other nursing interventions within the RN scope of practice, validated competencies, and applicable provider orders or authorized protocols. • Recognize changes in patient condition; initiate appropriate nursing response; and promptly notify or escalate to the appropriate licensed independent practitioner, emergency response team, or higher level of care when clinically indicated. • Document patient encounters, assessments, vital signs, medications, treatments, education, telephone or triage advice, hand-offs, and follow-up instructions accurately and timely in the Government electronic health record (EHR). • Carry out ordered nursing tasks safely and timely, including medication reconciliation support, patient education, discharge instructions, referrals, and coordination of follow-up services as applicable to the BPA call coverage. • Support safe clinic flow, timely patient access, and continuity of care during BPA call coverage periods while applying independent professional nursing judgment to each patient interaction. • Protect patient rights, informed consent, privacy, dignity, and cultural considerations in all interactions. • Comply with infection prevention, medication safety, mandatory reporting, workplace safety, exposure control, and emergency response requirements applicable to the clinic setting. • Participate in required orientation, patient safety, competency validation, quality activities, and other administrative requirements reasonably associated with the BPA call services. • Meet the measurable performance standards and deliverable requirements stated in this PWS and the applicable BPA call. 3. Nonpersonal Health Care Services and Independent Contractor Relationship This requirement is for nonpersonal health care services. The contractor and all contractor personnel perform in the capacity of independent contractors and are not Government employees. Contractor personnel shall not -- 1 of 7 -- receive Government employee benefits, shall not be integrated into Government personnel-management systems, and shall not be supervised or managed as Government employees. The Government may identify required workload, clinic coverage periods, patient access requirements, service outcomes, Government-furnished systems and facility rules, and performance expectations. The Government may also evaluate the quality, timeliness, completeness, and acceptability of services for contract administration, competency validation, credentialing or privileging when applicable, quality assurance, patient safety, and compliance purposes. These functions do not create an employer-employee relationship and do not authorize Government personnel to perform contractor supervisory functions. The contractor is solely responsible for recruiting, employing, compensating, scheduling, directing, supervising, training, evaluating, disciplining, retaining, and replacing its personnel. Government personnel shall not assign daily work to contractor employees, approve contractor employee leave, prepare contractor employee performance appraisals, discipline contractor employees, direct contractor staffing decisions, or otherwise exercise employer authority over contractor personnel. Routine contract administration, staffing continuity, leave coverage, backfill, performance deficiencies, corrective action, and personnel matters shall be communicated through the Contracting Officer, COR, and the contractor's designated contract manager. Communications needed for patient scheduling, clinic workflow, provider orders, authorized nursing protocols, emergency response, referral pathways, EHR use, infection control, safety, privacy, or compliance with facility rules are clinical and operational coordination only and do not constitute Government supervision of contractor personnel. The Government retains no control over professional nursing judgment or patient care decisions within the RN scope of practice. Contractor clinicians remain responsible for exercising independent professional nursing judgment within their licensure, scope of practice, validat…