36C25626Q0315: HOUSTON CRNA

Statement of Work (SOW) / Performance Work Statement (PWS)

This Performance Work Statement (PWS) outlines the requirements for Certified Registered Nurse Anesthetists (CRNAs) to provide non-personal services for onsite anesthetic patient care at the Michael E. DeBakey VA Medical Center (MEDVAMC) in Houston, TX.

• Services: Provide a complete range of anesthesia care, including preoperative assessment, intraoperative administration and monitoring, and post-anesthesia care, in compliance with national Joint Commission accreditation standards.

• Tasks: Perform pre-anesthetic evaluations, collaborate on anesthesia plans, administer all forms of anesthesia, provide intra- and post-operative patient care, and offer emergency airway and resuscitation management.

• Collaboration: Function as a cooperative team member with interdisciplinary staff.

• Coverage: Provide services 7 days a week, 24 hours a day. On weekends and holidays, CRNAs will be the sole anesthesia provider for emergency airways, with an anesthesiologist on-call within 45 minutes. For surgeries and procedures, CRNAs will work with the on-call anesthesiologist.

• Routine Duties: Translate anesthesia principles into practice, conduct pre-anesthetic evaluations, administer anesthesia, manage pain, ensure timely and accurate charting, provide patient care abreast of advancements, practice collaboratively, guide/train students, and manage a broad range of surgical procedures.

• Emergency Duties: Respond to emergencies by providing airway management, administering fluids/medications, and using resuscitation procedures.

• Documentation: Collect and document pertinent data into the electronic patient medical record.

• Confidentiality: Maintain patient/resident confidentiality and a safe patient care environment.

• Professional Conduct: Conduct themselves in a professional manner, treating patients, visitors, and staff courteously. Abuse allegations will result in immediate removal.

• Dress Code: Wear professional attire in accordance with VA Handbook 1850.4.

• Quality Assurance: Performance standards include House of Operations and Uniforms (100% on time, dressed in scrubs), Quality Care (95% weekly evaluations), Patient Safety (98% of incidents reported within 24 hours, investigated, confirmed, and resolved), Patient Satisfaction (98% of complaints addressed), Mandatory Training (100% completed), License and Board Certification (100% current), Testing Required (100% compliance), and Privacy/Confidentiality/HIPAA (100% compliance).

• Place: Michael E. DeBakey VA Medical Center (MEDVAMC), Houston, TX.

• Period: The contract term is not explicitly stated but implies ongoing service with flexibility for scheduling.

• Point of Contact: Contractor must provide a 24/7 point of contact for coordination and problem reporting.

• Conflict of Interest: Contractors must identify and communicate any conflicts of interest.

• Citizenship/Immigration: Compliance with Immigration and Nationality Act and "E-Verify" requirements.

• Qualifications: Minimum two years of CRNA experience, current unrestricted RN license, graduation from an accredited nursing school and nurse anesthesia program, and current certification by the Council of Certification of Nurse Anesthetists (or grandfathered status).

• Training: Personnel must attend mandatory VA training classes, including basic orientation.

• Security: Background investigation (National Agency Check with Inquiry - NACI) is required for access to VA computer systems.

• Insurance: Required liability insurance includes Worker's Compensation, General Liability, Bodily Injury, and Property Damage.

• Scheduling: Flexible scheduling based on MEDVAMC needs, with options for 8, 10, or 12-hour tours. VA reserves the right to cancel shifts with two hours' notice.

• Personnel Substitutions: Strict rules apply for substitutions, especially within the first 30 days of performance.

• Payment: Payment is for actual hours worked, based on rates in the Schedule of Services, and requires proper documentation (service tickets, invoices).

Other / Unclassified

This document is a Sources Sought Notice (RFI) for non-personal services to provide Certified Registered Nurse Anesthetists (CRNAs) for onsite anesthetic patient care at the Michael E. DeBakey VA Medical Center (MEDVAMC) in Houston, TX. The requirement includes providing these services for varying periods and in various areas of the medical center.

This notice is for market research purposes only and is not a request for quote or a solicitation. It aims to identify potential sources capable of providing the required CRNA services. Interested parties capable of meeting the requirement should submit a response via email by January 23, 2025, 4:00 PM CST. The response should include contractor information, company background and capabilities, business size and socioeconomic status, and interest in responding to a future solicitation. The period of performance is anticipated to be 5 years (Base + 4, 1-year options), with a tentative start date of June 1, 2026. The NAICS code is 561320 (Temporary Help Services) with a size standard of $34 million. Service Contract Labor Standards will apply.