Emergency Medical Technician Training

RFQ# HSCG23-13-Q-PBJ004 Description: Emergency Medical Technician Training. This acquisition is being issued in accordance with FAR Subpart 13. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with the additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. The Request for Quote number is HSCG23-13-Q-PBJ004. The North American Industry Classification System (NAICS) Code for this requirement is 611699 with a size standard of $7.0 Million. This requirement is a TOTAL SMALL BUSINESS SET ASIDE; submissions that do not meet the small business requirement will not be considered. This solicitation documents and incorporates provisions and clauses that are in effect through FAC 2005-66 (February 28, 2013). It is the responsibility of the contractor to be familiar with the applicable clauses and provisions. The U.S. Coast Guard intends to establish a single award Purchase Order for the services detailed in the Performance Work Statement (PWS). FAR 52.212-1 Instructions to Offerors - Commercial items (Feb 2012) and is supplemented as follows: Offerors shall submit an electronic version of their quote via up loading to FBO NLT August 21, 2013 at 1400 ET and shall contain the following information: Solicitation Number; Time Specified for receipt of offers; Name; Address; Telephone Number of Offeror; Terms of the expressed warranty; Price, Payment terms, Any discount terms, CAGE code, DUNS number, Tax ID number and acknowledgement of all solicitation amendments. Offerors that fail to furnish the required information, or reject the terms and conditions of the solicitation may be excluded from consideration. Offerors shall submit a description of the course they are offering, IAW CLIN 0001, which should also include dates and locations available for USCG students to attend. Offerors shall submit their Firm Fixed Price quote per course that is inclusive of all tuitions and fees. System for Award Management (SAM) - Offerors must be registered in the SAM database to be considered for award. Registration is free and can be completed on-line at http://www.sam.gov/ . CLIN 00001 Description: EMT Training courses IAW National EMS Education Standards and Instructional Guidelines Emergency Medical Technician Instructional Guidelines (http://www.ems.gov/pdf/811077c.pdf) For 30 Students. Contractor's facility must be within 25 miles of a Pearson Vue, http://www.pearsonvue.com/ authorized testing facility for the student to take the online NREMT Examination. The contractor shall schedule the student to take the NREMT examination, and pay all associated examination fees required for the student to take the NREMT examination. Courses must be NLT 6 Weeks in length Quantity: 1 Unit: Each Total: ____________ FAR 52.212-2, Evaluation - Commercial Items (JAN 1999) is applicable to this procurement. The USCG intends to award a purchase order to the company whose quote represents the best value to the Government using the Lowest Price Technically Acceptable process. The evaluation shall consider the quoters response to each of the following evaluation factors in no order of importance: 1. Technical Acceptability: Capability to meet the Government's needs as detailed in the PWS. 2. Price: Lowest Price of the Technically Acceptable Quote 52.212-3 Offeror Representations and Certifications-Commercial Items (Dec 2012) 52.212-4 Contract Terms and Conditions - Commercial Items (Feb 2012) FAR 52.212-5 - Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items (Aug 2012) (a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (1) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104(g)). _X_ Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)). (2) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553). (3) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Pub. L. 108-77, 108-78). (b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: [Contracting Officer check as appropriate.] __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 253g and 10 U.S.C. 2402). __ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)). __ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.) _X_ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Aug 2012) (Pub. L. 109-282) (31 U.S.C. 6101 note). __ (5) 52.204-11, American Recovery and Reinvestment Act-Reporting Requirements (Jul 2010) (Pub. L. 111-5). __ (6) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Dec 2010) (31 U.S.C. 6101 note). __ (7) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Feb 2012) (41 U.S.C. 2313). __ (8) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (May 2012) (section 738 of Division C of Pub. L. 112-74, section 740 of Division C of Pub. L. 111-117, section 743 of Division D of Pub. L. 111-8, and section 745 of Division D of Pub. L. 110-161). __ (9) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C. 657a). __ (10) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Jan 2011) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a). __ (11) [Reserved] _X_ (12)(i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011) (15 U.S.C. 644). __ (ii) Alternate I (Nov 2011). __ (iii) Alternate II (Nov 2011). __ (13)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644). __ (ii) Alternate I (Oct 1995) of 52.219-7. __ (iii) Alternate II (Mar 2004) of 52.219-7. __ (14) 52.219-8, Utilization of Small Business Concerns (Jan 2011) (15 U.S.C. 637(d)(2) and (3)). __ (15)(i) 52.219-9, Small Business Subcontracting Plan (Jan 2011) (15 U.S.C. 637(d)(4)). __ (ii) Alternate I (Oct 2001) of 52.219-9. __ (iii) Alternate II (Oct 2001) of 52.219-9. __ (iv) Alternate III (Jul 2010) of 52.219-9. __ (16) 52.219-13, Notice of Set-Aside of Orders (Nov 2011)(15 U.S.C. 644(r)). __ (17) 52.219-14, Limitations on Subcontracting (Nov 2011) (15 U.S.C. 637(a)(14)). __ (18) 52.219-16, Liquidated Damages-Subcon-tracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)). __ (19)(i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns (Oct 2008) (10 U.S.C. 2323) (if the offeror elects to waive the adjustment, it shall so indicate in its offer). __ (ii) Alternate I (June 2003) of 52.219-23. __ (20) 52.219-25, Small Disadvantaged Business Participation Program-Disadvantaged Status and Reporting (Dec 2010) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323). __ (21) 52.219-26, Small Disadvantaged Business Participation Program- Incentive Subcontracting (Oct 2000) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323). __ (22) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Nov 2011) (15 U.S.C. 657 f). __ (23) 52.219-28, Post Award Small Business Program Rerepresentation (Apr 2012) (15 U.S.C. 632(a)(2)). __ (24) 52.219-29, Notice of Set-Aside for Economically Disadvantaged Women-Owned Small Business (EDWOSB) Concerns (Apr 2012) (15 U.S.C. 637(m)). __ (25) 52.219-30, Notice of Set-Aside for Women-Owned Small Business (WOSB) Concerns Eligible Under the WOSB Program (Apr 2012) (15 U.S.C. 637(m)). _X_ (26) 52.222-3, Convict Labor (June 2003) (E.O. 11755). _X_ (27) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (Mar 2012) (E.O. 13126). _X_ (28) 52.222-21, Prohibition of Segregated Facilities (Feb 1999). _X_ (29) 52.222-26, Equal Opportunity (Mar 2007) (E.O. 11246). _X_ (30) 52.222-35, Equal Opportunity for Veterans (Sep 2010)(38 U.S.C. 4212). __ (31) 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010) (29 U.S.C. 793). __ (32) 52.222-37, Employment Reports on Veterans (Sep 2010) (38 U.S.C. 4212). __ (33) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). __ (34) 52.222-54, Employment Eligibility Verification (Jul 2012). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.) __ (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.) __ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.) __ (36) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42 U.S.C. 8259b). __ (37)(i) 52.223-16, IEEE 1680 Standard for the Environmental Assessment of Personal Computer Products (Dec 2007) (E.O. 13423). __ (ii) Alternate I (Dec 2007) of 52.223-16. _X_ (38) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Aug 2011) (E.O. 13513). __ (39) 52.225-1, Buy American Act-Supplies (Feb 2009) (41 U.S.C. 10a-10d). __ (40)(i) 52.225-3, Buy American Act-Free Trade Agreements-Israeli Trade Act (May 2012) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, and 112-42). __ (ii) Alternate I (Mar 2012) of 52.225-3. __ (iii) Alternate II (Mar 2012) of 52.225-3. __ (iv) Alternate III (Mar 2012) of 52.225-3. __ (41) 52.225-5, Trade Agreements (May 2012) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note). _X_ (42) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury). __ (43) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150). __ (44) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150). __ (45) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 255(f), 10 U.S.C. 2307(f)). __ (46) 52.232-30, Installment Payments for Commercial Items (Oct 1995) (41 U.S.C. 255(f), 10 U.S.C. 2307(f)). _X_ (47) 52.232-33, Payment by Electronic Funds Transfer-Central Contractor Registration (Oct 2003) (31 U.S.C. 3332). __ (48) 52.232-34, Payment by Electronic Funds Transfer-Other than Central Contractor Registration (May 1999) (31 U.S.C. 3332). __ (49) 52.232-36, Payment by Third Party (Feb 2010) (31 U.S.C. 3332). __ (50) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a). __ (51)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631). __ (ii) Alternate I (Apr 2003) of 52.247-64. (c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: [Contracting Officer check as appropriate.] __ (1) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.). __ (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 1989) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.). __ (3) 52.222-43, Fair Labor Standards Act and Service Contract Act-Price Adjustment (Multiple Year and Option Contracts) (Sep 2009) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.). __ (4) 52.222-44, Fair Labor Standards Act and Service Contract Act-Price Adjustment (Sep 2009) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.). __ (5) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (Nov 2007) (41 351, et seq.). __ (6) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services-Requirements (Feb 2009) (41 U.S.C. 351, et seq.). __ (7) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Mar 2009) (Pub. L. 110-247). __ (8) 52.237-11, Accepting and Dispensing of $1 Coin (Sept 2008) (31 U.S.C. 5112(p)(1)). (d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records-Negotiation. (1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract. (2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved. (3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law. (e)(1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1) in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause- (i) 52.203-13, Contractor Code of Business Ethics and Conduct (Apr 2010) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)). (ii) 52.219-8, Utilization of Small Business Concerns (Dec 2010) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $650,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities. (iii) [Reserved] (iv) 52.222-26, Equal Opportunity (Mar 2007) (E.O. 11246). (v) 52.222-35, Equal Opportunity for Veterans (Sep 2010) (38 U.S.C. 4212). (vi) 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010) (29 U.S.C. 793). (vii) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40. (viii) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.). (ix) 52.222-50, Combating Trafficking in Persons (Feb 2009) (22 U.S.C. 7104(g)). ___Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)). (x) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (Nov 2007) (41 U.S.C. 351, et seq.). (xi) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services-Requirements (Feb 2009) (41 U.S.C. 351, et seq.). (xii) 52.222-54, Employment Eligibility Verification (Jul 2012). (xiii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Mar 2009) (Pub. L. 110-247). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6. (xiv) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64. (2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations. (End of clause) FAR 52.252-2 - CLAUSES INCORPORATED BY REFERENCE (FEB 1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address: http://farsite.hill.af.mil/vffar1.htm 52.203-5 Covenant Against Contingent Fees (April 1984); 52.203-7 Anti-Kickback Procedures(October 2010); 52.204-2 Security Requirements (August 2006); 52.204-6 Data Universal Numbering System (DUNS) Number(April 2008); 52.204-7 Central Contractor Registration (Apr 2008); 52.204-8 Annual Representations and Certifications(Nov 2011); 52.209-6 Protecting the Government's Interest When Subcontracting with Contractor's Debarred, Suspended, or Proposed for Debarment(Dec 2010); 52.232-25 Prompt Payment(Oct 2008); 52.233-2 Service of Protest (Sept 2006); 52.233-4 Applicable law for Breach of Contract Claim (Oct 2004); 52.249-1 Termination for convenience of the Government (Fixed price) (Short Form) (Apr 1984); and 52.252-6 Authorized Deviations in Clauses (Apr 1984); HSAR 3052.247-72 - F.O.B. destination only. (End of clause) NOTICE FOR FILING AGENCY PROTESTS It is the policy of the United States Coast Guard (USCG) to issue solicitations and make contract awards in a fair and timely manner. The Ombudsman Program for Agency Protests (OPAP) was established to investigate agency protest issues and resolve them without expensive and time-consuming litigation. OPAP is an independent reviewing authority that is empowered to grant a prevailing protester essentially the same relief as the Government Accountability Office (GAO). Interested parties are encouraged to seek resolution of their concerns within the USCG as an Alternative Dispute Resolution (ADR) forum, rather than filing a protest with the GAO or some external forum. Interested parties may seek resolution of their concerns informally or opt to file a formal agency protest with the contracting officer or Ombudsman. Informal forum with the Ombudsman. Interested parties who believe a specific USCG procurement is unfair or otherwise defective should first direct their concerns to the cognizant contracting officer. If the contracting officer is unable to satisfy the concerns, the interested party is encouraged to contact the USCG Ombudsman for Agency Protests. Under this informal process, the agency is not required to suspend contract award performance. Use of an informal forum does not suspend any time requirement for filing a protest with the agency or other forum. In order to ensure a timely response, interested parties should provide the following information to the Ombudsman: solicitation/contract number, contracting office, contracting officer, and solicitation closing date (if applicable). Formal Agency Protest with the Ombudsman. Prior to submitting a formal agency protest, protesters must first use their best efforts to resolve their concerns with the contracting officer through open and frank discussions. If the protester's concerns are unresolved, an independent review is available by the Ombudsman. The protester may file a formal agency protest to either the contracting officer or as an alternative to that, the Ombudsman under the OPAP program. Contract award or performance will be suspended during the protest period unless contract award or performance is justified, in writing, for urgent and compelling reasons or is determined in writing to be in the best interest of the Government. The agency's goal is to resolve protests in less than 35 calendar days from the date of filing. Protests shall include the information set forth in FAR 33.103. If the protester fails to submit the required information, resolution of the protest may be delayed or the protest may be dismissed. This will not preclude re-filing of the protest to meet the requirement. To be timely, protests must be filed within the period specified in FAR 33.103(e). Formal protests filed under the OPAP program should be submitted to: Department of Homeland Security United States Coast Guard (CG-9131) Ombudsman Program for Agency Protests 1900 Half Street, SW, Room 11-0602 Washington, D. C. 20593-0001 FAX: +1 (555) 000-0000 The Ombudsman Hotline telephone number is +1 (555) 000-0000 Contracting Office Address: USCG Headquarters (CG-9121) 2100 2nd St. SW Washington, DC 20593-0001 Point of Contact: Deborah A. Culver Contract Specialist contact@example.gov Phone: +1 (555) 000-0000 Section 1 Performance Work Statement 1.0 GENERAL. 1.1 SCOPE. The purpose of this Performance Work Statement (PWS) is to obtain contractor support to provide Emergency Medical Technician (EMT) training in order to meet the demands of the field for additional EMTs. Specifically, this PWS requires the contractor to provide all management, supervision, expertise, personnel, materials and equipment necessary to provide EMT Training in accordance with the National Highway Traffic Safety Administration (NHTSA) National EMS Educational Standards and NHTSA Emergency Medical Technician Instructional Guidelines. Additionally this course will provide E-3 through E-9 personnel of any rating the Emergency Medical Technician skills necessary to quickly assess, stabilize, and transport a victim of a sudden illness or injury. Upon completion, an EMT will know their roles and responsibilities as part of the Coast Guard's emergency medical services (EMS) system and employ all means within the scope of their training to deliver a stable patient, whenever possible, to a higher level of EMS care. 1.2 BACKGROUND. 1.2.1 Mission: The mission of the Coast Guard EMT training is to prepare enlisted personnel whose duties include the emergency assessment and transport of the sick and injured. Trainees typically include, but are not limited to, Health Services Technicians, Aviation Survival Technicians, and members of other ratings involved in operational missions likely to encounter victims of severe trauma or illness. 1.2.2 Problem Statement. Over the years, the National Registry of Emergency Medical Technicians has maintained four general levels of care provided to the public. Each level of care has a specific Scope of Practice that being "A description of what a licensed individual legally can, and cannot, do." The 2010 National EMS Scope of Practice Model was established by the National Highway & Traffic Safety Administration (NHTSA) as a vision for the future of EMS in the United States. Higher, more efficient quality out-of-hospital care is a key factor and an important part of the United States health care system. Each level of care has been evaluated and each level has been increased on both the knowledge and skill aspect to meet the demands of our customers. Many patients have complicated traumatic or medical conditions that require considerable knowledge, skill, and judgment to be treated effectively in the out-of-hospital setting. The current and future provider levels by the NREMT are as follows: Beginning fy12: New Levels as of 1 Jan: First Responder NR-Emergency Medical Responder EMT-Basic NR-Emergency Medical Technician EMT-Intermediate (I-85 and I-99) NR-Advanced Emergency Medical Technician EMT-Paramedic NR-Paramedic At the onset of fy12, the USCG EMS School educated at the EMT-Basic level. Beginning January 1, 2012, the NREMT no longer offered cognitive or psychomotor skills testing on those levels. It was expected that the Coast Guard would certify our personnel to the EMR level however, after a complete and thorough review of care provided and the austere environment in which we are called to operate it was determined Emergency Technician was the correct CG certification level. As a result, the CG EMS School to change course mid-year increasing our course length from 3 - 7 weeks causing throughput to drop nearly half. 1.3 CONTRACTOR PERSONNEL. 1.3.1 Qualified Personnel. The Contractor shall provide qualified personnel, with minimum certifications as a NREMT; it is preferred that the instructors have further qualifications to include nurse practitioners, physician assistants, and/or paramedics. The contract company must be familiar with providing EMS care in the austere environments the Coast Guard routinely operates in i.e. high seas. Contractor shall maintain a minimum of 6 to 1 instructor to student ratio for all practical exercises. 1.3.2 Class Manager. The Class Manager shall be a single point of contact for the Contracting Officer (KO) and the Contracting Officer's Representative (COR). It is anticipated that the Class Manager shall be one of the senior level employees provided by the Contractor for this work effort. The name of the Class Manager, and the name(s) of any alternate(s) who shall act for the Contractor in the absence of the Class Manager, shall be provided to the Government as part of the Contractor's proposal. During any absence of the Class Manager, only one alternate shall have full authority to act for the Contractor on all matters relating to work performed under this PWS. The Class Manager and all designated alternates shall be able to read, write, speak and understand English. Additionally, the Contractor shall not replace the Class Manager without prior consent from the Contracting Officer. 1.3.2.1 The Class Manager shall be available to the COR via telephone between the hours of 0800 and 1600 EST, Monday through Friday, and shall respond to a request for discussion or resolution of technical problems within four hours of notification. 1.4 PERIOD OF PERFORMANCE. N/A 1.5 PLACE OF PERFORMANCE. The primary place of performance will be contractor's facility. Place of performance may change as necessary to support mission requirements. 2.0 CONTRACTOR FURNISHED ITEMS. Contractor shall provide all supplies and equipment necessary to execute the training requirements for training. 3.0 GOVERNMENT FURNISHED ITEMS. 3.1 Student meals and lodging 3.2 Transportation for students to the contractor's facility 4.0 REQUIREMENTS. This PWS requires the Contractor to provide all EMT training utilizing the following NHTSA References: National EMS Educational Standards, Emergency Medical Technician Instructional Guidelines, EMS Education Agenda for the Future: A Systems Approach, National EMS Core Content, and National EMS Scope of Practical Model. The training will include the following tasks: 4.1 Given a patient in cardiac arrest that is pulseless and apneic, an equivalent to the standard Coast Guard EMT pack, and an Automatic External Defibrillator (AED), ADMINISTER cardiopulmonary resuscitation (CPR) to a patient. CPR is administered correctly IAW current American Heart Association guidelines. 4.2 Upon arrival at scene of emergency, and given an equivalent to the standard Coast Guard EMT pack, a certified high-visibility public safety vest, an N95 respiratory, and a radio, EXECUTE a scene size-up to ensure scene safety and determine EMS needs. Scene safety has been determined and emergency medical needs identified 4.3 Given a patient experiencing an emergency, given an equivalent to the standard Coast Guard EMT pack, a radio, and a patient care report form, CONDUCT a primary assessment of the patient. Patient has been assessed and immediate life threats identified and managed. 4.4 Given a simulated patient who is unconscious or whose airway has been compromised, an equivalent to the standard Coast Guard EMT pack, and a radio, CORRECT a patient's airway. Patient has a patent airway. 4.5 Given a simulated patient who is not breathing adequately, an equivalent to the standard Coast Guard EMT pack, an airway mannequin, a manually triggered ventilator, a humidifier, a Venturi mask, and a radio, CORRECT a patient's breathing. Patient is ventilating satisfactorily and receiving adequate oxygen supply. 4.6 Given a simulated patient with external bleeding and/or signs and symptoms of shock, an equivalent to the standard Coast Guard EMT pack, and a combat application tourniquet (CAT), CONTROL bleeding and shock. Patient's vital signs are stable and external bleeding is controlled. 4.7 Given a simulated patient experiencing a medical emergency and an electronic patient care report, OBTAIN a pertinent patient history in the SAMPLE format. Patient history as it pertains to the present injury/illness is ascertained and documented. 4.8 Given a simulated patient experiencing a medical emergency and for whom obvious life threats have been identified and managed and from whom a history has been ascertained and documented, an equivalent to the standard Coast Guard EMT pack, a radio, and a patient care report, CONDUCT a secondary assessment of patient to determine detailed prehospital emergency needs. Patient is thoroughly assessed and interventions applied. 4.9 Given a simulated patient with soft tissue wounds and/or burns, an equivalent to the standard coast Guard EMT pack, and a radio, TREAT each wound and/or burn in the correct manner. Patient's wounds and burns are dressed appropriately. 4.10 Given a simulated trauma patient and an equivalent to the standard Coast Guard EMT pack, IMMOBILIZE a patient. Patient is secured to long backboard and ready for transport. 4.11 Given a simulated patient with a musculoskeletal injury, an equivalent to the standard Coast Guard EMT pack, stabilization equipment including traction splints, formable splints, rigid splints, and a radio, STABILIZE a musculoskeletal injury. Patient's musculoskeletal injury is protected from further injury. 4.12 Given a simulated patient whose condition and assessment findings indicate a need for acetaminophen, albuterol, activated charcoal, glucose, diphenhydramine, ibuprofen, aspirin, epinephrine, nitroglycerin, or a prescribed medication already in the patient's possession, ADMINISTER medication to patient. Medication administered correctly IAW the "six rights." 4.13 Given a simulated patient experiencing a childbirth emergency, an equivalent to the standard Coast Guard EMT pack, and a radio or other communication device, ASSIST in the delivery of a newborn. Assistance is provided as directed by Medical Control. 4.14 Given a simulated pediatric patient, an equivalent to the standard Coast Guard EMT pack, and a radio or other communication device, TREAT a pediatric patient correctly. Pediatric patient has stable vital signs and has been provided the appropriate pre-hospital emergency care required. 4.15 Given a simulated patient who needs to be moved and an equivalent to the standard EMT pack, a wheeled stretcher, a stair chair,...