1. The Contractor shall provide theservices of a Physician Assistant tothe U.S. Army Medical Treatment Facility (MTF) at Womack Army Medical Center ,Fort Bragg, NC and outlying MTFs. The provider shall provide services toeligible beneficiaries of the military health care system who presentthemselves to the Medical Treatment Facility [MTF] for treatment. The qualityof care provided by the contractor shall be of a quality meeting or exceedingcurrently recognized national standards as established by the JointCommission (JC), American HospitalAssociation (AHA), American Medical Association (AMA), Department of Defense,and Army Medical Department, and established principles and ethics of themedical profession. The contractemployee shall provide services in conjunction with other non-contractproviders to include medical officers, nurse practitioners, andpara-professional clinical personnel. Contract employees shall give the highest regard to patient dignity andobserve the precepts of the American Hospital Association’s Bill of Rights forPatients. The contract employee shallabide by MTF rules, regulations and by laws, including Medical Staff By laws,as well as applicable Army regulations governing such things as medicalrecords.
2. Physician Assistant performingservices under this contract shall have sufficient training and experience tobe able to adequately perform credentialed medical procedures to include, butnot limited to the following:
2.1 Ensure that drugs are stored properly and that adequaterecords are maintained, to include records of controlled substances classifiedas such by the Controlled Substance Act (Title II of the Comprehensive DrugAbuse Prevention and Control Act of 1970), and/or those designated by theMEDCEN commander as locally controlled drugs.
2.1.2 Store, secure, and dispense ordispose drugs in accordance with JC standards and state requirements.
2.1.3 Maintain allrecords as required.
2.1.4 Using the CHCSfor keeping records, ordering of ancillary procedures, ordering of medications,entering orders, and performing other required patient record functions.
2.1.5 Universal Precautions: Adhering to the Centers for Disease ControlGuidelines concerning universal precautions and the military treatment facilityInfection Control Program at all times, while providing services under thiscontract.
2.1.6 Indicating responsibility for the contents andcorrectness of all prepared reports/forms by affixing his/her own signature tothe documents and validating their contents.
2.1.7 Attending professional staff conferences/meetings andother appropriate professional activities as requested by the COR. Meetings will be held during scheduled workhours.
2.1.8 Ensuring contractor HCPs comply with allsafety requirements of the MTF and OSHA.
2.1.9 Prepare allrecords and reports as required in support of services rendered and as requiredby the MTF standard operating procedures, federal law or Army regulation.
2.1.10 Facilitate patient access to medical care byrecommending appropriate referrals to other health care providers in accordancewith policies and regulations of the MTF.
2.1.11 Diagnosis andTreatment: Contract physician assistantsperforming services under this contract shall have sufficient experience to beable to diagnose and treat diseases and injuries, in the outpatient setting, inthe full spectrum of ages, to include, but not limited to, the following:
Central Nervous System
2.1.12 Procedures: Contractphysician assistants shall have sufficient experience to be able to performmedical procedures to include, but not limited to, the following:
Incision and Drainage
Secure and maintain an adequate airway
Bandaging of sprains, minor burns, and minor lacerations
Draw arterial blood gases for evaluation and interpret results
Suture simple lacerations
Removal of foreign bodies as appropriate
Stabilize and evaluate cervical spine injuries as appropriate
Perform venous punctures for lab studies and interpret results
Splint and stabilize traumatic injuries to extremities
Administer intravenous, intramuscular and subcutaneous medications as appropriate
Secure and maintain adequate intravenous access by peripheral routes
Cryotherapy of begin skin lesions
Cultures (throat, wound)
Clearing of ears by flush technique
2.1.13 Other tasks: Contractphysician assistants shall have sufficient experience to be able to performtasks to include, but not limited to, the following:
Consult with consultants appropriately
Provide medical ADVICE OVER THE TELEPHONE
Complete all required paperwork
Perform administrative functions to include performing military physical examinations and Medical Evaluation Boards
Obtain an adequate history, physical, assessment and plan in a timely and appropriate manner on each patient and develop treatment plan
Utilize paraprofessional staff as appropriate
Preliminarily interpret radiographs