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Registered Nurse-Wound Care

Registered Nurse-Wound Care

REGISTERED NURSE
WOUND CARE CLINIC
NAVAL MEDICAL CENTER PORTSMOUTH

1. Site of Service. The contractor shall provide personnel for service in support of Naval Medical
Center Portsmouth, VA (NMCP). The primary site of service shall normally be located in the
Wound Care Clinic, Plastic Surgery Department, NMCP.

1.1. The Wo und Care Clinic provides centralized care for complex, chronic and acute wounds,
diagnostic evaluations; local wound care including debridement, topical therapy, and
fistula/stoma care and care of artificial wound care devices. In addition, the Wound Care Clinic
(WCC) manages home nursing issues, special care beds, and special home therapy issues for
patients with chronic wounds, fistulas and ostomies. The services are offered for inpatients and
outpatients. Patients are from all medical services are cared for on a referral basis, including
vasculopathic wounds, diabetic ulcers, pressure ulcers, osteomyelitis, necrotizing fasciitis, etc.

2. Labor Category. The contractor shall provide personnel from the following labor category:
RN (One (1) individual)

3. Qualifications . The health care worker (HCW) shall possess and maintain the applicable
qualification requirements given in Section C of the basic contract. In addition, the following
qualifications are required:

3.1. Possess a minimum experience of on e (1) year within the last two (2) years as an RN
working in a wound care or inpatient and ambulatory care setting.

Section C from Basic Contract:

C.8.5.2.1. Possess a Baccalaureate Degree in Nursing, a Graduate Diploma in Nursing, or an
Associate Degre e in Nursing, from an accredited agency such as the Accreditation Commission
for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

C.8.5.2.2. Possess and maintain a current unrestricted license to practice as a registe red nurse
in any one (1) of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico,
Guam or the U.S. Virgin Islands.

4. Staffing and Scheduling.

4.1. The contractor shall provide one (1) full time RN. To maintain continuity of service s, the
HCW MUST BE A FULL -TIME INDIVIDUAL. The Commanding Officer will not credential
more than one (1) individual for the required position.

4.2. The Commanding Officer or a designated government representative will supervise the
HCW.

4.3. Services shall be provided Monday through Friday, between the hours of 0700 – 1800 for an
eight and a half (8.5) hour shift (includes an uncompensated thirty (30) minute meal break). The
HCW shall be on duty for about forty (40) hours each week, excep t during periods of approved

leave and holidays. In no instance will the HCW exceed eighty (80) hours (on -site service plus
approved leave and holidays) per two (2) week period. At the mutual agreement of the contractor
and the Government, alternative sche dules may be implemented such as a compressed work
schedule. Specific schedules will be provided one (1) month in advance by the supervisor. Any
changes in the schedule shall be coordinated between the HCW and the Government. The
Government reserves the ri ght to change shift hours with seventy two (72) hours’ notice to
accommodate patient care needs and mission requirements.

4.4. Services will NOT be required on the day of observance of Federal holidays. Holiday
compensation shall be provided in accordanc e with Section C of the basic contract.

4.5. Leave shall be managed in accordance with Section C.3 of the basic contract.

5. Duties . In addition to the applicable duties provided in Section C of the basic contract, the
HCW shall:

5.1. Provide assist ance to physicians and nursing staff in developing and implementing protocols
used in the identification and management of patients with potential and/or actual alteration in
skin integrity.

5.2. Provide guidance to physicians and nursing staff in implem entation of protocols to identify,
control, or eliminate etiological factors for skin breakdown.

5.20. Provide technical support to paraprofessional nursing staff.

ADDITIONAL DUTIES AS OUTLINED IN BASIC CONTRACT :

C.10.4.2. REGISTERED NURSE. Perform a fu ll range of RN duties in accordance with assignment
under the task order, including: triage; patient assessment and monitoring; use of patient
monitoring and treatment equipment; appropriate nursing care, procedures, and treatments;
execution of physicians ’ orders within the guidelines of standard nursing practice;
documentation of patient care and observations; and patient education and emotional support.

C.10.4.2.1. Assess each patient and perform triage duties as assigned.

C.10.4.2.2. Formulate and car ry out a goal directed plan of care which based on determined
nursing diagnosis and patient outcomes and which is prioritized according to patient needs and
available resources including time, personnel, equipment, and supplies.

C.10.4.2.3. Evaluate effec tiveness of self -care given by all health team members, and
contribution of systems, environment, and instrumentation in progressing patient toward
outcomes.

C.10.4.2.4. Provide treatment and discharge instructions upon patient release.

C.10.4.2.5. Perform assessment/data collection in an ongoing and systematic manner, focusing
on physiological, psychological, and cognitive status.

C.10.4.2.6. Provide a safe and clean environment for each patient.

C.10.4.2.7. Identify patient/significant other lear ning needs and implement appropriate
measures to meet identified needs.

C.10.4.2.8. Assist in planning, provide clinical guidance and provide instruction to LPNs/LVNs,
nursing assistants and ancillary personnel.

C.10.4.2.9. Demonstrate sound knowledge ba se and action in the care and decision making for
designated patient populations. If weaknesses or deficiencies are identified either by peer
reviews, quality control reports (QCRs), or evaluations the HCW will be required to complete
refresher training (i n-services, competency reviews, continuing education, etc.) at Contractor
expense.

C.10.4.2.10. Perform documentation (manually and/or by use of computer) duties on unit and
in-patient record that are timely, accurate, and concise.

C.10.4.2.11. Participa te actively in staff development for unit and Directorate personnel and
evaluation of personnel.

C.10.4.2.12. Seek validation of knowledge base, skill level, and decision making as necessary
and assertively seek guidance in areas of question.

C.10.4.2.13 . Implement care in a knowledgeable, skillful, consistent, and continuous manner.

C.10.4.2.14. Establish priorities of patient care based on essential patient needs and available
unit, command, and community resources including time, personnel, equipment, and supplies.

C.10.4.2.15. Demonstrate competency in medication and intravenous (IV) administration to
include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous
(SQ) administration and demonstrate competency in phlebot omy as specific to the position.

C.10.4.2.16. Safely administer prescribed medications to include intravenous drips and
intravenous push drugs.

C.10.4.2.17. Identify patient/significant other learning needs and implement appropriate
measures to meet iden tified needs.

C.10.4.2.18. Perform documentation (manually and/or by use of computer) duties on unit and
in-patient record which are timely, accurate, and concise.

C.10.4.2.19. Participate actively in multifaceted staff development activities at the unit,
Director, and command level, such as teaching formal and informal classes, acting as a role
model, educator and mentor to new paraprofessional personnel with the goal of helping them
successfully complete competency based skills list and weekly goal setting, assisting in the

Command’s Basic Cardiac Life Support classes and promoting staff competency and efficiency in
emergent situations, and by participating in cross -training initiatives.

C.10.4.2.20. Demonstrate self -directed learning.

C.10.4.2.21 . Participate in development and attainment of unit and Nursing Directorate goals.

C.10.4.2.22. Demonstrate effective and professional communication methods, and skills, using
lines of authority appropriately.

C.10.4.2.23. Formulate and use effective wo rking relationships with all health care team
members, patients, and significant others. Refer unsolved complaints or infractions to the
Division Head with recommendations for appropriate action

C.10.4.2.24. Practice effective problem identification and r esolution skills as a method of sound
decision making.

C.10.4.2.25. Remain flexible in staffing patterns and resolution of staffing conflicts; participate
in temporary assignment measures.

C.10.4.2.26. Provide individual, group, and family/significant ot her counseling and health
teaching in relation to the patient's condition and his/her ability for self -care. Provide for
accessibility to various literature resources dealing with subjects related to specific patient
health problems. Provide physical and p sychological support to patients and significant others,
explain procedures and treatments, and promote cooperation among staff, patients, and
significant others.

C.10.4.2.27. Participate in the orientation and training of newly assigned unit personnel.
Participate in cross -training initiatives.

C.10.4.2.28. Provide input into competency assessments of newly assigned unit personnel.

C.10.4.2.29. Collaborate in the review of clinic standing operating procedures.

C.10.4.2.30. If directed, perform phone tr iage based on accepted protocols and assist as needed
in accessing appropriate ambulatory/emergency care for beneficiaries.

C.10.4.2.31. Provide training and/or technical guidance as applicable to supporting Government
employees (i.e. hospital corpsmen, t echnicians, students) assigned to the HCW during the
performance of clinical procedures. Such guidance and interaction will adhere to Government
and professional clinical standards and accepted clinical protocols.

C.7. GENERAL QUALIFICATIONS THAT APPLY TO ALL HCWS THROUGHOUT THE DURATION OF
THE CONTRACT.

C.7.1. HCWs shall read, write, speak, and understand the English language fluently and maintain
good communication skills with patients and other health care personnel.

C.7.2. HCWs shall be physically capable of standing and/or sitting for extended periods of time
and physically capable of performing all services required under the task order.

C.7.3. HCWs shall be in good standing and under no sanction or suspension by the Federal
Government.

C.7.4. I n order to carry out the duties required by the contract, all HCWs will be required to
access Navy information technology networks/systems containing sensitive information. Only
HCWs who are United States (U.S.) citizens can be granted access to Department of Navy (DON)
Information Technology networks/systems and sensitive information (see Section H clause
SUPTEXT 204 -9400 (1 -17) Contractor Unclassified Access to Federally Controlled Facilities,
Sensitive Information, Information Technology (IT) Systems or Protected Health Information
(Jan 17) and Section J, Attachment AA List of Acceptable Documents to Establish U.S.
Citizenship).

C.7.5. HCWs shall represent an acceptable malpractice risk to the Government.

C.7.6. HCWs shall be in good standing, and und er no restrictions, with the state licensure board
in any state in which a license is held or has been held within the last ten (10) years.

C.7.7. Each healthcare worker shall possess and maintain current certification in one of the
following: American He art Association Basic Life Support (BLS) or American Red Cross Basic Life
Support (BLS) for Healthcare Providers or American Heart Association or American Red Cross
Healthcare Provider Course. HCWs who do not hold current certification must acquire
certifi cation prior to initiating contract performance. Web based classes do not meet these
standards. Other certification may be acceptable as specified in the task order. Certification
cards must display the American Heart Association, American Red Cross or M ilitary Training
Network emblem. A copy of the BUMED BLS instruction (BUMEDINST 1500.15f) is available at
http://www.med.navy.mil/directives/Pages/BUMEDInstructions.aspx.

C.7.8. HCWs shall be current with and have completed all continuing education requir ements
specified by their professional licensure or certification. All continuing education
documentation shall be submitted to the COR.

Registered Nurse-Wound Care

United States
Full Time
Early Career (2+ yrs experience)
Associate

Published on 11/25/2021

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