GUILFORD COUNTY SCHOOLS RFP # 5190 Request For Proposal to provide Nursing Services (RN, LPN)

Similar documents
HAMILTON COUNTY SCHOOL DISTRICT

Name: Last First Middle. Mailing Address: Street City/State Zip Street Address: Street City/State Zip Telephone: ( ) Social Security Number:

HESI Exam. Name: (last) (first) (middle) (maiden) Address: (street/route) (city) (county) (state) (zip)

National Recreation and Park Association Recommended Guidelines for Credentialing Volunteers

(

CRIMINAL RECORD AND ABUSE HISTORY VERIFICATION

List of questions for RFP-Supplemental Nursing Services-LPN and RN 2014

Pearl River Community College Nursing Assistant Program 5448 U.S. Hwy 49 South Hattiesburg, MS 39401

OKLAHOMA. 21 Okl. St Sexual Assault Examination Fund--Establishment

SEALING OF RECORDS. Conviction / Acquittal / Dismissal CLARK COUNTY DISTRICT ATTORNEY S OFFICE. DAVID ROGER District Attorney

EMPLOYMENT/CREDENTIALING APPLICATION

APPLICATION FOR ADMISSION BACCALAUREATE PROGRAM IN NURSING Generic and RN-to-BSN Completion Programs PRINT CLEARLY

Keweenaw Holistic Family Medicine Patient Registration Form

OREGON INSTITUTE OF TECHNOLOGY Medical Imaging Technology Program (MIT) STATEMENT OF COMPREHENSION FOR THE MIT PROGRAMS SELECTION PROCESS

APPLICATION FOR ALLIED PROFESSIONAL STAFF

1. VERIFICATION OF LICENSURE- Choose one of the following options.

INSTRUCTIONS FOR COMPLETING THE U VISA CERTIFICATION FORM

REV. JULY 23, 2014 NEBRASKA DEPARTMENT OF MEDICAID SERVICES MANUAL LETTER # HEALTH AND HUMAN SERVICES 471 NAC

Criminal Background Clearance Policy page 1 of 9

DEPARTMENT OF HEALTH NURSING CARE QUALITY ASSURANCE COMMISSION PROCEDURE

Educator Professional Conduct FAQs

District School Board of Collier County. Criminal Background Screening, Guidelines & Procedures

Application Packet. Hopewell Page 1

REQUEST FOR PROPOSALS Occupational Therapy Services July 29, 2014

10 Victims and the law 57

I. SCOPE AND PURPOSE II. DEFINITIONS

MIDWIFERY JOINT COMMITTEE STATE OF NORTH CAROLINA

Criminal Record/Abuse History Verification. Form 3

ADMISSION WITH ADVANCED STANDING PROCEDURE ASSOCIATE DEGREE NURSING/REGISTERED NURSING Academic Year

California Victim Compensation Program. Information for First-Responders

PROBATION PEACE OFFICERS & OFF-DUTY WEAPONS

EASTER SEALS REHABILITATION CENTER SERVICES

DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF AUDIT SERVICES 233 NORTH MICHIGAN AVENUE CHICAGO, ILLINOIS April 23,2002

DELAWARE COUNTY TREATMENT COURT APPLICATION

Nurse Practitioner Application for Professional Liability Insurance Additional Insured Basis*

ATTACHMENT B FEDERAL CERTIFICATIONS FOOD SERVICE MANAGEMENT COMPANIES AND PUBLIC SCHOOLS

State of Utah Department of Commerce Division of Occupational and Professional Licensing

NURSE AIDE TRAINING PROGRAM APPLICATION

NOTE: All mailings will be sent to the address you indicate below; if you change your address, you must advise this office.

Surgical Center of Greensboro/Orthopaedic Surgical Center Div of Surgical Care Affiliates

EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31

VICTIM COMPENSATION APPLICATION

Instructions for Lottery Application

Department of Purchasing 100 N. Main Street, 2 nd Floor Suffolk, VA (757) Fax (757)

CHAPTER 9: NURSING HOME RESPONSIBILITIES REGARDING COMPLAINTS OF ABUSE, NEGLECT, MISTREATMENT AND MISAPPROPRIATION

Claim Form. Before you fill out this application, please read the information below. Before you complete this application:

Health Sciences Application

APPLICATION FOR APPROVAL/RE-APPROVAL OF EDUCATION PROGRAM(s) FOR REGISTERED NURSES PROVIDING EXAMINATIONS TO VICTIMS OF SEXUAL OFFENSES

How To Get A Teaching Certificate In Michigan

Licensure Code of Professional Conduct for Ohio Educators

Request for Proposals RFP No

COLLINGSWOOD BOARD OF EDUCATION 200 LEES AVENUE COLLINGSWOOD, NJ REQUEST FOR PROPOSAL

REQUEST FOR PROPOSALS/QUALIFICATIONS FOR. EMERGENCY HOME REPAIR PROGRAM ADMINISTRATOR Community Development Block Grant CITY OF DUNKIRK

In-Home Services License Application Packet

PROHIBITIVE OFFENSE PROCEDURE FOR SCHOOL OF HEALTHCARE SCIENCE PROGRAMS AT LEHIGH CARBON COMMUNITY COLLEGE

ASSOCIATE DEGREE REGISTERED NURSING PROGRAM

Prohibitive Offense Procedure for Health Career Programs

Perry Housing Partnership Transitional Housing Program APPLICATION FOR ADMISSION

LPN to RN ADMISSION REQUIREMENTS

PROHIBITIVE OFFENSE PROCEDURE FOR ADN AND PN NURSING PROGRAMS AT LEHIGH CARBON COMMUNITY COLLEGE

9 TH Judicial District CRIME VICTIM COMPENSATION FUND 109 Eighth Street, Suite 308 Glenwood Springs, Colorado (970)

Application & Information Packet. Bachelor of Science in Nursing Degree BSN PROGRAM

LEASE APPLICATION RESIDENCY INFORMATION

Thank you for your interest in doing business with Greystar!

Domestic Violence Resource Guide for Mecklenburg County Including Information about Domestic Violence Protective Orders

Campus security Report

State of Utah Department of Commerce Division of Occupational and Professional Licensing

Criminal History and Effect on Nursing Education Program Enrollment, License Eligibility and Employment

2010 CRIMINAL CODE SENTENCING PROVISIONS. Effective July 29, 2010

DEPARTMENT OF HUMAN SERVICES Med-QUEST Division CRIMINAL HISTORY RECORD AND BACKGROUND CHECK STANDARDS

MAGNOLIA BOARD OF EDUCATION 801 Preston Ave Suite D Somerdale, New Jersey 08083

ARKANSAS BOARD OF PODIATRIC MEDICINE

NC General Statutes - Chapter 93B 1

January Admission 1st Friday in October

Guilford County Schools Online Application Lyons, Leslie Date Started: 2/18/2015

DRUG PREVENTION PROGRAM

Computerized Clinical Placement System (C.C.P.S.)

COMMONWEALTH of VIRGINIA

APPLICATION TO BEGIN A TRAINING PROGRAM NURSING HOME ADMINISTRATION

Transcription:

GUILFORD COUNTY SCHOOLS RFP # 5190 Request For Proposal to provide Nursing Services (RN, LPN) 2011-12 School Year Proposals are being solicited for Nursing Services (RN, LPN) for students in the Guilford County Schools. The Guilford County Schools (GCS) provides an appropriate education for all students identified as having special needs pursuant to the Individuals with Disabilities Education Act (IDEA). Some handicapped students need Nursing services as part of their individual education program (IEP) as well as some students covered under Section 504. Proposal Proposals shall include, but are not limited to, all performance requirements/specifications listed below. Any proposed services which are over and above standards for professional practice and/or the requirements/specifications listed below shall also be noted. All financial considerations shall be noted, as well as a listing of recent similar work in school districts, including the Guilford County Schools. Performance Requirements/Specifications 1. Agencies that provide the services of a Licensed Practical Nurse will provide appropriate supervision by a Registered Nurse. Agencies will provide nurses who are licensed for the specific duties assigned. 2. Providing direct nursing services to assigned students, based on the individual student s educational need, health care plan and physician s orders. 3. Providing medical treatments to assigned student(s), based on the individual student educational need, healthcare plan and physician s orders. 4. Attending parent conferences and or individual education plan meetings, if invited, to contribute to the educational program of the assigned students. 5. Complete required documentation including Medicaid billing forms as required by Guilford County Schools 6. Be available to accompany student on the school bus when student needs warrant it. Following is a link to the NC Board of Nursing website: http://www.ncbon.com/content.aspx?id=440 RFP-Nursing (RN,LPN) - Page 1 of 5

General Requirements 1. Proposals must address all aspects of the above stated performance requirements. 2. Proposals must include the maximum number of hours of nursing services that could be provided per week. 3. Proposals must include at least two references of persons familiar with similar work done by this service provider. 4. Proposals must clearly state the cost per hour of services delivered. Guilford County Schools does NOT reimburse for mileage in addition to cost/hour rate. Proposals must clearly state other financial considerations that may be incurred in addition to the hourly rate. 5. Proposals must include R.N. or L.P.N. licensure status, and the agency s Federal ID Number, where applicable. 6. Proposal must include a copy of the current Professional Liability insurance certificate, with Guilford County Schools listed as an Additional Insured. 7. Proposals must specify any services or supplies to be provided by GCS (eg: training, testing, materials, equipment). General Conditions. 1. All applicable sections of the Guilford County Board of Education Policies and the General Statutes of North Carolina, as amended, are made part of this contract by this reference. This includes, but is not limited to, purchasing and payment procedures. Copies of the above are available for inspection and review at 712 North Eugene Street, Greensboro, NC, 27401. 2. Any exceptions to the performance requirements/specifications and/or conditions shall be noted and explained in a clearly identified section of the proposal. 3. Contract may be renewed for an additional two (2) years if mutually agreeable between both parties Evaluation of Proposal Evaluation shall be based on an assessment of submitted proposals and shall include consideration of the performance requirements/specifications, financial considerations, qualifications, and prior experiences. Follow-up discussion with the offerers best suited to complete the work may be requested. RFP-Nursing (RN,LPN) - Page 2 of 5

Questions Questions regarding the provision of services to GCS or the proposal and evaluation process should be directed to Fonda Curtis, Coordinator, Exceptional Children Services, curtisf@gcsnc.com Questions are due via e-mail, NO later than Wed, Apr. 20, 2011, at 5:00pm. Proposal Due Date Three (3) signed, sealed ORIGINAL copies of the proposal shall be sent to John Mann, Purchasing Officer, Guilford County Schools, 501 West Washington Street, Greensboro, North Carolina 27401, beginning on Friday, May 20, 2011. Due to our ongoing need for providers, there will NOT be a closing date for proposals. However, we would like to receive proposals as soon as possible, in order to begin the review process and award contracts well in advance of the start of the 2011-12 school year, which, for students, is August 25, 2011. Proposal Format The proposal may be in any format desired by the offerer. A sample is included on a following page. Please also include the following statement: In addition to the proposal as presented and any exceptions clearly noted, I understand that all requirements, specifications and conditions of the Request for Proposal are made part of any subsequent contract. Billing Requirements Please refer to the separate GCS Billing instructions for details on how to submit invoices for payment for services rendered. Termination of Contract Contracts may be terminated by either party upon 30 days written notice. Drug and Alcohol Free Workplace Please refer to Guilford County Schools Board of Education Policies and Procedures, under the Board of Education link on the GCS website. Under Section G, Personnel, carefully review GA and GA-P, regarding GCS commitment to a Drug and Alcohol Free Workplace. RFP-Nursing (RN,LPN) - Page 3 of 5

Special Requirements Regarding Criminal Background Criminal Background Investigations of individuals working on school property A. At a minimum, a vendor shall obtain a complete North Carolina statewide criminal background investigation for all employees who will work on a site, covering a period for the last seven (7) years. In the event that the vendor is from out of state, the criminal background investigation shall be broadened to include their home state, as well as the state of North Carolina as outlined above. The company providing such information must be recognized by local law enforcement agency as qualified to do so. All costs associated with these criminal background checks is the responsibility of the vendor. B. Any individual with the following criminal convictions or pending charges will NOT be permitted on any school property. 1. Child Molestation or Abuse or indecent liberties with a child; 2. Rape; 3. Any Sexually Oriented Crime; 4. Drugs: Felony use, possession or distribution;. 5. Murder, manslaughter or other death related charge; or 6. Assault with a deadly weapon or assault with intent to kill. C. Any individual with a prior conviction or pending charges contained in the aforementioned list, shall be banned (not allowed) from any school property. D. Each person on site must wear a plastic laminated identification badge or item of clothing that identifies the name of the company and the person s name. These badges are to be computer produced at a font large enough to be clearly visible. Guilford County Schools, may, at any time, request verification of criminal background investigation for any employee on school property. RFP-Nursing (RN,LPN) - Page 4 of 5

(Sample) 2011-12 School Year Proposal to Offer Nursing (RN, LPN) Services In response to the current Request for Proposal for Nursing (RN, LPN) services, I am proposing the following: 1. I agree to meet all the Performance Requirements/Specifications described in the Request for Proposal. 2. I have the following specialized skills:. 3. I can provide a maximum of hours of services per week. 4. a. b. (Provide names, addresses and phone numbers) are familiar with my professional work and may be contacted for references. 5. My fee will be $ per hour of service delivered. 6. My Licensure status in North Carolina is. 7. I would expect the Guilford County Schools to provide the following equipment and services: In addition to the proposal as presented and any exceptions clearly noted, I understand that all requirements, specifications and conditions of the Request for Proposal are made part of any subsequent contract. Signature of Provider Are you a Minority or Woman Business Enterprise? yes no Signature Federal ID or SS Number Date RFP-Nursing (RN,LPN) - Page 5 of 5