News Column

Combine Solicitation - Q-- 544-14-4-041-0038 Ten RN Nurses

August 11, 2014

Notice Type: Combine Solicitation

Posted Date: 08-AUG-14

Office Address: Department of Veterans Affairs;W.J.B. Dorn VA Medical Center;6439 Garners Ferry Road;Columbia SC 29209-1639

Subject: Q-- 544-14-4-041-0038 Ten RN Nurses

Classification Code: Q - Medical services

Solicitation Number: VA24714R1238

Contact: Nora Louise Costa [Contract Specialist]

Setaside: Total Small BusinessTotal Small Business

Place of Performance (address): Department of Veterans Affairs Medical Center;6439 Garners Ferry Road;Columbia, South Carolina

Place of Performance (zipcode): 29209

Place of Performance Country: USA

Description: Department of Veterans Affairs

Columbia (SC) VAMC

William Jennings Bryan Dorn Department of Veterans Affairs Medical Center

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement is being issued as a request for proposal (RFP) and constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular #2005-71 Effective 25Nov2013.

This combined synopsis/solicitation is being competed on a 100% Small Business (SB) set aside. This acquisition will be competed to the full extent required by regulation. The NAICS code that applies is 621399 and business size standard is $7.5 Million. PSC Code Q401.

This requirement is for Ten (10) Registered Nurses for a period of five (5) months from date of award.


1. General:

This performance based work statement describes the requirements for a non-personal service contract for Registered Nurse services to support the mission of the Williams Jennings Bryan Dorn (WJBD) Veterans Affairs (VA) Medical Center, Columbia, South Carolina.

2. Background:

a. The WJBD VA Medical Center is a 216 bed facility, encompassing acute medical, surgical, psychiatric and long term care. The hospital is located in Columbia, South Carolina and provides primary, secondary and some tertiary care. Annually, the medical center services approximately 56,116 patients. Satellite Community Based Outpatient Clinics (CBOC's) are located in Anderson, Greenville, Florence, Orangeburg and Sumter, South Carolina.

b. Contract Nurse Services are needed to provide nursing care for the Intensive Care units (ICU's), MICU, CCU, PCU and the SICU.

c. The terms and conditions of the Contractor's Federal Supply Schedule (FSS) fully apply to this contract.

3. Scope:

a. Place of Performance: In accordance with the task order duty pricing schedule, each Registered Nurse (RN) shall be assigned to:

(1) Intensive Care Unit: (MICU, CCU, PCU and SICU)

b. Work Flexibility: Each RN shall rotate into duty sections as needed to support patient care.

c. Work Schedule: The Contracting Officer's Representative (COR) will provide technical direction on specific tour of duty. Typically, the tour of duty shall be:

1. For ICU the work schedule shall consist of compressed tour of coverage of day and/or night shifts consisting of six (6) 12 hour tours; 7:00 am-7:30 pm and 7:00 pm-7:30 am and one eight (8) hour shift. This will include Federal Holidays and rotating weekends during an 80 hour pay scale.

2. RN's shall be present are the VA Facility during working hours and shall work 100% of the contracted hours. Any leave, including sick leave or vacation time shall be the responsibility of the contractor.

3. The ICU RN shall be the primary care nurse and provide nursing care for 2:1 patient to nurse ratio in the ICU's and a 4:1 patient to nurse ratio in the PCU.

d. Duties: The contractor shall provide responsible management of medical care. Care provided shall respect and integrate the patient's beliefs, values and cultural influences. The duties of each contract nurse shall include but not limited to treating inpatients, performing nursing assessments and appropriate nursing procedures. They will provide direct nursing care including completion of basic hygiene and activities of daily living, administering medications and monitoring patient's response to medications. Also, assuring that diagnostic tests are completed and results are communicated, arranging follow up care, patient education and documenting all aspects of patient care into the clinical record.

4. Qualifications: Each RN providing services under this contract shall:

" Throughout the contract term, possess an unrestricted license in a U.S. states, Territory or US Commonwealth.

" Speak English proficiently.

" Provide evidence of demonstrated current clinical competencies-ie; skills assessment checklist within the current year.

" Be a US citizen.

" Provide evidence of current professional liability insurance.

" Have a current Advance Cardiac Life Support (ACLS) and Basic Life Support (BLS) certifications.

" Be a team player.

" Be computer literate at Dorn VAMC, Columbia SC and be able to utilize Computerized Patient Record System (CPRS). The RN shall have moderate typing skills, 25 words per minute, in order to enter their own progress notes into CPRS.

" Have a minimum of 2 years' experience working as a Critical Care Registered Nurse (CCRN).

4. Compliance with Policies, Procedures and Regulations: The contractor shall meet Veterans Health Administration (VHA) performance and quality criteria and standards including but not limited to customer satisfaction, preventative index and clinical guidelines. Performance and quality standards may change during the term of the contract. New or revised quality/performance criteria or standards will be provided to the contractor before the implementation date. The contractor shall comply with mandated performance as a condition of this contract. The services required in this contract shall be performed in accordance with established principles and ethics of the medical profession. The quality of healthcare provided shall meet or exceed recognized standards established by the American Medical Association (AMA), The Joint Commission (TJC), Veterans Health Administration regulations and medical staff by-laws and those of other professional associations.

5. Orientation and Training: All nurses providing services under this contract shall attend all mandatory orientation and training specified by the government.

a. Facility orientation period. All nurses providing services under this contract shall attend all mandatory nursing orientation which includes:

" Training on nursing policy and procedures.

" Skills self- assessment.

" Contract duties

" Performance Based Matrix

" VA Internet resources

" Emergency Care and Crash Cart

" Administering facility specific medication.

" Administration test for RN's (within 10 business days of the date of the task order. Each RN shall pass the facility specific medication administration test with no more than 3 attempts and shall achieve a score of no less than 80% out of a possible 100%.

" Training on pressure ulcers and wound care, fall prevention, isolation, correct site surgery, pain management, documentation and post mortem care.

" Training in Accu-chex, CPRS, Alaris CBT, restraints, bed safety, Internal feeding and safe patient handling.

" Training on Hemotherapy, IV therapy/policy, venous access, Bar Code Medication Administration (BCMA), medication policy, PCS pump, Alaris IV pump, Essentris, hands on skills check-off and the Pyxis system.

" Prevention and Management of Disruptive Behavior (PMDB) training.

b. Each nurse shall report to their assigned ward if any orientation session is cancelled or shortened.

6. Competencies: Perform 100% of required task at 100% of the required competencies.

7. Information Technology Skills: The RN shall be required to use the hospital computer system to include; taking off orders, completing progress notes, keeping reminders for preventative health current, checking computerized patient medical record on a daily basis for accuracy and flagging medications for provider review. The RN shall also review patient information via CPRS for information such as labs, medications and progress notes from other providers and support staff.

8. VISTA (Veterans Information System Technology Architecture). VA will provide the contractor with access to VISTA and the facility CPRS that contains patient medical records, medication profiles, laboratory and radiology data. This will also include other diagnostic test results. Access shall be for the purpose of:

" Obtaining patient specific information

" Requesting specialty consults laboratory, radiology and other diagnostic tests.

" Communicating with VA staff about patient care issues.

" Checking formulary status of drugs.

9. Contract Performance Monitoring:

a. The contractor shall send certified time to the COR on a weekly basis for the reporting and departing work. Services rendered shall be verified by the record keeping system, maintained by the COR who assures the VA pays for only those services actually performed.

b. The Government may evaluate the quality of professional and administrative services provided but retains no control over the medical, professional aspects of services rendered (e.g. professional judgment, diagnosis for such medical treatment).

10. Termination for Convenience: Subject to 14 day notice, the Government reserves the right to terminate this contract for convenience if the need for this service changes or is no longer required.


1. SF1449, signed and dated (completed in full)

2. Completed FAR 52.212-5, Contract Terms and Conditions required to implement statutes or

executive orders-Commercial Items (JUN 2014)

3. Ensure to review Evaluation Factors for basis of award

4. Technical

5 Price

6. Ensure to read entire SF1449 for any other documents as required for completion to include all contract clauses.

This is a Lowest Price Technically Acceptable (LPTA) acquisition. The Government will make an award to the responsible offeror whose offer conforming to the solicitation is the most advantageous to the government. For further information and solicitation package, please contact, phone # 803-776-4000, x5749.

Terms of the solicitation and specifications remain unchanged unless the solicitation is amended in writing. If an amendment is issued, normal procedures relating to the acknowledgement and receipt of solicitation shall apply.

All offers are due by 4:00 p.m. Eastern time18 Aug 2014 by facsimile by email to or Fax: 803-647-5668.


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