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  • Medical Support Personnel - Occupational Health Branch - NASA

    Locations:
    Kennedy Space Center, FL

    Period of Performance: 1 Oct 2020 - 33 Sept 2030

    The Contractor shall provide AsM services to the NASA·KSC AsM and Occupational Health Branch as described below.

    The Contractor shall:

    1. Provide expert consultation in AsM and human systems integration to the Health and Medical Technical Authority (HMTA) and NASA KSC AsM and Occupational Health Branch for systems development and implementation of policy and procedures for planned future crewed spacecraft operations.

      • Consultation activities include review and update of plans and technical documents, participation in meetings, and preparation of presentations for ongoing activities related to the International Space Station Program, Exploration Ground Systems Program, Commercial Crew Program, and other NASA Programs requiring HMTA representation.

      • When directed, the Contractor will act as the proxy for the HMTA in coordinating activities with Johnson Space Center and NASA HQ.


    2. Provide technical reviews and inputs to NASA AsM plans and documents such as, but not limited to:

      • NASA Medical Operations Requirements Document (MORD).

      • NASA Flight Crew Health Stabilization Program (HSP) Document.

      • Program Requirements Documents (PRDs).

      • Mission-Specific Medical Spaceflight Support Packages.


    3. Assist NASA in updating and maintaining KSC AsM plans and documents such as, but not limited to:

      • KSC Medical Operations Support Implementation Plan.

      • KSC Emergency Medical Services (EMS) Plan.

      • KSC Flight Crew HSP Implementation Plan.


    4. Assist NASA in developing, updating, and maintaining new KSC AsM plans, procedures, processes, checklists, and other documents when directed by the Government.

    5. Update the KSC AsM Medical Support Training Course (MSTC) annually or when requested by the Government.

    6. Prepare new modules and launch vehicle-specific modules for the MSTC, when directed by the Government.

    7. Deliver the MSTC to medical personnel supporting launch/landing exercises, simulations, and events and maintain training records such as names, training location/method, training dates, modules completed, course version completed, etc. The MSTC may be delivered using one or more techniques such as in• person onsite training, in-person offsite training, teleconference, webinar, self-study videos, etc.

    8. Ensure that medical personnel have completed the MSTC within the last three years and have completed the most recent version of any applicable launch vehicle-specific modules prior to supporting a launch/landing exercise, simulation, or event.

    9. Ensure that KSC AsM plans, procedures, processes, checklists, and other documents align with current requirements described in NASAAsM documents such as the MORD, NASA Flight Crew HSP Plan, and PRD.

    10. Coordinate with offsite medical facilities regarding trauma and contingency capabilities prior to crewed missions and update KSC AsM plans, training courses, and documents accordingly.

    11. Ensure that the KSC Astronaut Crew Quarters, triage van, triage site kits, and launch area clinic are adequately stocked with the necessary medical supplies, materials, and equipment.

    12. Identify and forecast AsM equipment needs and include needs in ORD 1.4.1-005, Equipment Needs Forecast.

    13. Recommend IT tools and applications to the Government to improve AsM capabilities and coordinate with the NASA IT Contractor to develop and implement approved IT tools.

    14. Provide expert consultation and support in the planning, development, and implementation of NASA-KSC biomedical studies and assist in the functions of the KSC Human Research Institutional Review Board. Tasks include grant identification, application, proposal writing and submittal, subject acquisition, subject qualification, test scheduling, data collection, medical monitoring, clinical sample collection and analysis, data analysis, and publication.

    15. Manage the NASA-KSC Medical Education Program.

      • Program participants generally include, but are not limited to, medical students; medical residents in various fields, including AsM and Occupational Medicine; and college students in the areas of musculoskeletal rehabilitation, athletic training, health and wellness, fitness, environmental health, sanitation and public health; and health physics.

      • Tasks include scheduling participants, providing lectures and tours, preparing participant evaluations, and completing checklists of program activity.

    Launch and Landing Support

    The Contractor shall:

    1. Provide specialized medical support at KSC during training activities, exercises, simulations, launch and landing planning meetings, launches and landings, when requested by the Government as described in KSC AsM plans, procedures, processes, checklists, and other documents.

    2. Assist NASA Flight Surgeons with providing medical services to flight crews, implementing mission-specific medical spaceflight support packages, administering medications, and performing clinical sampling and analysis for launches and landings.

    3. Implement and administer NASA Flight Crew HSP and KSC Flight Crew HSP Implementation Plan requirements prior to launch, manage and participate in flight crew quarantines, and perform medical evaluations to clear individuals prior to physical access to flight crews.

    4. Provide additional specialized medical personnel for exercises, simulations, launches, and landings at KSC as requested by the Government and in accordance with the KSC EMS Plan.

      • Based on the mission requirements, the Government will identify the total number of specialized medical support personnel (and the number of personnel that must possess flight certifications and critical care certifications) to the Contractor in advance of each exercise, simulation, launch, and landing event. The total number of specialized medical support personnel will typically range from eight (8) to twelve (12) per event.

      • For launch and landing events, NASA-KSC AsM and Occupational Health Branch or KSC EMS Coordinator will determine the report and release times for specialized medical personnel.

    Requirements

    1. All specialized medical support personnel shall be trained and experienced in prehospital medicine and possess an unrestricted paramedic license with certification in Basic Life Support, ACLS, Pre-Hospital Trauma Life Support, or equivalents.

      • Specialized medical support personnel shall be capable of providing prehospital care to illness or injuries related to fire, blast/explosion, deceleration/impact, toxic chemical exposures (such as coolants, cryogens, hydrazine fuels, nitrogen oxides, and hydraulic fluids), atmospheric decompression, hyperthermia, and hypothermia.

      • Specialized medical support personnel shall complete the MSTC and applicable launch vehicle-specific modules as specified in PWS Section

      • Specialized medical personnel shall be deployed to KSC Triage Sites, provide prehospital triage, provide medical/trauma stabilization, and prepare patients for transport (via helicopter or ambulance).

    2. The KSC Triage Site is an austere prehospital setting supported by ambulances, decontamination and medevac, which does not possess advanced diagnostic imaging nor definitive medical or surgical capabilities.
      The purpose of the KSC Triage Site is to receive and medically treat all spacecraft flight crew and associated ground crew members who may have an illness, injury or toxic exposure condition(s) resulting from a spacecraft contingency or non-spacecraft emergency.

      • If flight certified, specialized medical personnel shall attend the helicopter transport with a patient when assigned.

      • Specialized medical support personnel shall provide all medications, supplies, and equipment in order to provide medical support for the following cases involving the entire spacecraft flight crew: multisystem trauma, ACLS codes, rapid sequence intubations, seizures, head injuries, spinal shocks, hemorrhagic shocks, and toxic exposures to hydrazine, nitrogen tetroxide and ammonia. Toxic exposures may result in skin reactions/burns, inhalation conditions (e.g., pneumonitis), neurologic conditions (e.g., seizures) and/or hematological conditions (e.g., methemoglobinemia) for which expected treatment would be pyridoxine for hydrazine and methylene blue for nitrogen tetroxide. Specialized medical personnel shall be trained and proficient in the use of all provided medications, supplies, and equipment.

      • Specialized medical support personnel may also be tasked to provide medical care to onsite launch or landing spectators and other personnel.

    3. Participate in post simulation or post exercise review meetings; identify areas for improvement; and adjust KSC AsM plans, procedures, processes, checklists, and other documents accordingly.

    4. Participate in NASA and KSC launch and landing readiness review meetings when requested by the Government and provide status reports about Contractor readiness.

    5. Prepare and provide medical support readiness documents for the NASA-KSC AsM and Occupational Health Branch prior to each crewed launch and landing event such as:

      • Medical Operations Mission Checklist.

      • Medical readiness certifications.

      • EMS Coordinator and Kennedy Medical Doctor contingency packets.

      • Physician Consultant List.

      • KSC Medical Support Facilities.

      • Medical Code Black Plan contact list.

      • Medical Packet for Launch which includes:

        • Launch timelines
        • General mission information
        • Launch deployment staging maps
        • General communications listing
        • Personnel duty, notification tree, and on-call schedules
        • Triage site maps
        • Hospital emergency contacts and resources
        • Flight crew identification, seating, and configuration
        • Special preparations and unique requirements

    6. Participate in post-launch and post-landing medical support performance review meetings; identify areas for improvement; and adjust KSC AsM plans, procedures, processes, checklists, and other documents accordingly.

    7. Provide post-launch and post-landing medical support performance mission reports which document the medical support provided for each event

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