Nurse Practitioner - Goodfellow

The contractor is advised that any special time off granted by the President or other competent authority is for Government personnel ONLY and does not apply to the contractor personnel. Contractor personnel shall take their direction concerning their duty status and hours of performance from their management chain and not from Government personnel.

Family Down Days: CP may not be required to work on Family/Down Days if the MTF closes. The contractor representative will be notified at the beginning of each year of the AFGSC Family/Down Days for that calendar year. The contractor will only be compensated for the actual hours worked.

Hours of Performance: Normal Duty hours from Monday- Friday 0600-1630 (Student Clinic) 0730-1630 (All other clinics) with a 1-hour non- working lunch. Contractor lunches will not be taken at the start or end of the duty day and will be coordinated within the respective work center/clinic.

Scheduling:

Normal Duty hours from 0600-1630 (Student Clinic) 0730-1630 (All other clinics), or otherwise notified. The specific schedule for each two-week period will be provided one month in advance the section FRED. At the mutual agreement of the Contractor and the Government, alternative schedules may be implemented such as a compressed work schedule. Any changes in the schedule shall be coordinated between the HCW and the Government (FRED, COR, and CO).

Core Duties: The duties for the HCW are as follows:

• Provide a full range of Physician Assistant services in primary and specialty medical care within the limits of their training and privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).
• Technically direct and provide care for a variety of diseases and types of injuries (i.e., acute, chronic and minor trauma), and the skills to recognize emergency conditions in order to diagnose, prescribe for and treat diseases, disorders and injuries, and refer the more complex cases and serious conditions to qualified medical personnel and perform designated treatment.
• Technically direct and teach other staff, provide educational lectures and participate in in-service training to staff members.

• Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
• Prescribe in accordance with approved treatment protocols and the Pharmacy and Therapeutics Committee approved medications and immunizations.
• Identify a medical problem and determine appropriate action to meet the problem, including referral to a physician.
• Perform specific diagnostic and therapeutic practices and procedures in accordance with scope of practice.
• Establish collaborative rapport with physician, nursing and others in order to promote and facilitate primary care services.
• Teach patients and family member's healthy regimen and responsibility for achieving wellness.
• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement.

Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows:Microsoft (Outlook, Word, and Excel), Adobe Acrobat Reader, Electronic Health Record (EHR), Electronic Medical Record (EMR), and all required military operation systems

MTF Training: Additional training requirements are as follows:

Contractor must complete all required annual training IAW MTF, DHA policies, and Unit Training Managers guidelines. The Government will ensure adequate resources and time be allocated to accomplish the training. Certification may be provided by the facility, as appropriate (to include BLS). The Contractor may attend BLS classes if offered at the MTF.

MTF Standards: Specific policies, procedures, and instructions/regulations for the place of performance are as follows:MDGI 41-117, Health Care Information Privacy, MDGI 44-111 Infection Prevention and Control Program, 44-120 Organizational Ethical Code of Practice and Behavior, 44- 119 Medical Waste Management, MDGI 44-112 Patient Assessment/Reassessment, MDG Provision of Care, 48-118 Employee Health Program, 48-120 Bloodborne Pathogens, MDGI 40-101 Patient Safety Plan, MDGI

46-102 Nursing Practice: Scope and Standards, and other computer-based trainings for clinical competencies

HCW Health Requirements: provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing (i.e., tuberculosis, N95 particulate respirator duckbill mask fitting) and physical examination when required at the time of initial placement.

Occupational Health: The HCW shall be required to obtain documentation of required physical testing or a report of a physical examination.

Tuberculosis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:

IAW Centers for Disease Control and Prevention Testing Guidelines (2-step testing protocol are an approved blood assay screening); must be performed within the last 12 months for new employees to the Military Healthcare System. If the member has a history of previous latent TB or active TB, a chest radiograph may be required before being cleared to work based upon physician’s discretion. Periodic requirement based on annual TB Risk Assessment. Prior to contract performance, the CP shall provide proof of immunization or immunity from or screening for the following diseases according to Air Force guidelines equivalent to that provided to active work Armed Forces: Hepatitis B, MMR (Measles, Mumps, and Rubella), Varicella, Tdap (Tetanus, Diphtheria, and Pertussis), Tuberculosis (TB), HIV (CP who has direct patient care) and influenza for all personnel. CP shall control and prevent disease in accordance with AFI 48105 Surveillance Prevention and Control of Diseases and Conditions of Public Health or Military Significance, and the American Public Health Association Publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report, Air Force Policy (as applicable) and its supplements. For the TB screening, the CP shall provide proof of negative TB 2- step skin testing IAW CDC. If an individual has a past positive TB skin test, the CP shall provide proof of a negative chest X-ray within 12 months prior to personnel performing. The Government reserves the right to require more frequent TB testing of