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Tripler Army Medical Center -TAMC, Hawaii - Honolulu, HI 96859

Registered Nurse – LABOR & DELIVERY (L&D)

Tripler Army Medical Center, Hawaii

Place of Performance: The work to be performed under this contract will be at Tripler Army Medical Center (TAMC), Hawaii. HCWs shall receive notification two weeks prior to the reassignment to another location.

Recognized Holidays: Contract HCWs will be required to work on federally recognized holidays.

New Year's Day, January 1st; Martin Luther King's Birthday, 3rd Monday in January; President's Day, 3rd Monday in February; Memorial Day, Last Monday in May; Juneteenth, June 19th; Independence Day, July 4th; Labor Day, 1st Monday in September; Columbus Day, 2nd Monday in October; Veteran's Day, November 11th; Thanksgiving Day, 4th Thursday in November; Christmas Day, December 25th.

Hours of Performance: The performance hours of the MTF are as follows:

Hours of performance may include shift work. Normal duty hours may include rotating 8, 10 and 12-hour shifts, 7 days per week including nights, weekends and federal holidays.

Scheduling: The schedule or scheduling process is as follows:

The work schedule may include shift work (see hours of performance). Work will not exceed 12 hours in a 24-hour period and 80 hours in a consecutive 14-day period. Specific days, hours, and shift length will be scheduled by the designated government representative. The specific schedule for each two-week period will be provided one month in advance. 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. Any planned absences of the HCW shall be communicated to the Government supervisor in advance of the absence in order to ensure that clinical operations are not adversely affected. The Government reserves the right to change shift hours with a five day notice to accommodate patient care needs and mission requirements. Over-time is not allowed for each labor category work schedule.

Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows:

The contractor shall ensure that all contract HCWs providing services under this contract shall be able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers. In addition, if the position requires the use of computers, the contract HCWs shall be computer literate and be able to type a minimum of 40 words per minute.

MTF Training: Additional training requirements are as follows:

HCW(s) shall complete all MTF-specified orientation program(s), initial and annual training requirements, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF.

HCW Health Requirements: The Contractor shall 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:

A two-step Tuberculin Skin Test (TST) is required within 12 months of reporting to TAMC. The requirement for a two-step TST depends on prior TST screen history as explained below. A single negative Interferon Gamma Release Assay (IGRA) result within 12 months of reporting to TAMC will be accepted in lieu of a two-step TST. In those areas where there is a higher risk of transmission of tuberculosis, contracted HCW(s) may be tested frequently as directed by the MTF policy. A single TST must be performed within 12 months of reporting to TAMC for personnel who have had two consecutive annual negative tests with the most recent test within one year of the new TST placement date OR who have documentation of a negative two-step TST within one year of the new TST placement date. In other circumstances, a two-step TST will be required within 3 months of reporting to TAMC. Positive TST results of 10mm or greater or a positive IGRA result will require results of chest x-ray screening performed on or after the date of the positive TST or IGRA as well as a medical provider assessment documenting absence of signs and symptoms of active TB disease. Chest x-rays completed outside of TAMC must be completed within 3 years of reporting to TAMC. Chest x-rays completed at TAMC must be completed within 5 years of reporting to TAMC.

Registered Nurse – LABOR & DELIVERY (L&D)

May be required to work on the Mother/Baby and Obstetrics/Gynecology Wards/Clinics and other inpatient nursing areas based on their prior clinical experience. This position is mission essential.

HCW Qualifications

• Degree/Education: Associates Degree of Nursing - Contract RNs must be a graduate of a nursing program accredited by the American Association Colleges of Nursing or the National League for Nursing. If candidate is an international nurse graduate from jurisdictions other than the U.S., must possess valid certification for Full Education Course-by-Course Report by the Commission on Graduates of Foreign Schools.
• Possess and Maintain current Basic Life Support (BLS) and Neonatal Resuscitation Program (NRP) Online certification is unacceptable.
• Experience: Minimum of three years of experience as a registered nurse with at least one year of experience within the last three years caring for neonates in a Level III Neonatal Intensive as a registered nurse. Waivers may be granted by Contracting Officer on ad hoc basis.
• Licensure/Registration: Possess and maintain a current, unencumbered RN license from any state or territory of the United States.
• Legal Authorization to Work in the United States: HCWs performing under this contract must be a U.S. Citizen.

Core Duties:

• Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
• Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
• Perform physical exam and health histories.
• Provide health promotions, counseling, and education.
• Administer medications, wound care, and numerous other personalized interventions.
• Direct and supervise care provide by other healthcare professionals.
• Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.
• Recognize adverse signs and symptoms and quickly react in emergency situations.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Make referral appointments and arrange specialty care as appropriate.
• Perform nursing services identified in the TO.
• Conduct research in support of improved practice and patient outcomes.

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

• Perform and record comprehensive physical assessments of critically-ill term and premature infants to include monitoring of vital signs, cardiovascular, respiratory, and neurological status, intake and output, potential complications associated with birth and/or prematurity, family interactions and bonding behaviors.
• Recognize significant changes in the neonates' status, which are indicative of complications and/or the need for emergency treatment; take nursing action, and/or reports changes to physician, as appropriate.
• Operate complex monitoring equipment to include pulse oximetry, infant care systems, Cardiovascular monitoring, phototherapy, bedside glucose monitoring, chest tube/replogle/oral/nasal/gastric suctioning devices, oxygen therapy equipment to include ventilators, high-flow nasal cannula, nasal cpap, high frequency ossicilators, and nitric oxide delivery.
• Administers ophthalmic and intramuscular medications, IV medications via peripheral and central indwelling catheters to include PICC lines utilizing syringe pumps.
• Obtain blood samples from heel sticks, peripheral and central arterial and venous sampling.