Medical Equipment and Class VIII Supplies .docx

Salient Characteristics

Requirements of Services to be provided:

Basic Requirements: The contract must include capability to provide cadavers, medical equipment, Class VIII Supplies, training days, transportation/logistical support, Subject Matter Expert (SME) support, and cadaver medical training support.

Cadaver Specimens: The contractor must be able to provide up to 20 non-dissected perfused cadaveric specimens annually to support trauma sustained training events. The contractor shall be capable of supporting events with 2 to 6 cadavers per event. The contractor shall procure and deliver ethically sourced high-quality human cadaver specimens that meet the following criteria:

· All specimens shall be whole-body, non-prosected, fresh or preserved with a formalin-free solution, aged between 20-65 years, and weigh ≤ 250 lbs.

· All specimens must be serologically negative for HIV-1/2, Hepatitis B/C, and Syphilis. The contractor shall provide documented negative test results and full chain-of-custody documentation upon delivery.

· The vendor/supplier of the cadaveric specimens must ensure all state and U.S. territory laws and regulations applicable to the use and/or transport of cadavers are followed. The use of each specimen must be consistent with the donor’s intent, as documented on the donor authorization form.

· The vendor/supplier of the cadaveric specimens must be certified by the American Association of Tissue Banks (AATB), or an equivalent accrediting body.

Training Days: The contractor shall be capable of supporting training events for a minimum of two training days. The contractor shall be capable of supporting additional training days upon the government’s request. Training days will be up to eight (8) hours (9:00 am – 5:00 pm). Schedule will be dependent on training listed below.

Transportation: The contractor must be able to provide refrigerated transportation. The contractor must be able to support the primary places of performance:

· Fort Bragg, NC

· Fort Campbell, KY

· Fort Stewart-Hunter Army Airfield (HAAF), GA

· Fort Polk, LA

Access to U.S. installations, buildings and controlled areas is limited to personnel who meet security criteria and are authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to U.S. installations, buildings and controlled areas. The Contractor shall ensure that any subcontractors (to include SMEs defined below) used in performance of this contract complies with these requirements and that all employees, of both the Contractor and any subcontractor utilized by the Contractor, are made aware of and comply with these requirements.

The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm’s failure to comply with Installation Access Control System (IACS) processing requirements.

The Contractor shall return installation passes to the issuing IACS office when the contract is completed or when a Contractor employee no longer requires access.

Subject Matter Expert (SME) Support: The contractor shall be able to provide SME support upon request of the government for training days. The government will provide proof to the servicing contracting office showing the government is unable to secure internal medical providers prior to requesting SME support. SME must be able to support up to 10 cadaver training events per fiscal year. Each cadaver event is at minimum two-training days from 9:00 am – 5:00 pm (8 hours). A two-day training event will not exceed a total of 16 hours. SMEs may be requested to travel to the following locations for cadaver exercises:

· Fort Bragg, NC

· Fort Campbell, KY/TN

· Fort Stewart-Hunter Army Airfield (HAAF), GA

· Fort Polk, LA.

Note: Labor and travel costs will differ between the above locations.

SMEs may be requested to support activities mentioned in the “Cadaver Medical Training Support” section of this document. SMEs may be requested to provide Observer, Coach/Trainer (OC/T) support for exercises. Support requested may include:

· Observe & Mentor: Observe training events, provide doctrinal guidance, and mentor Soldiers and leaders.

· Conduct AARs: Deliver structured After-Action Reviews (AARs) to help units improve performance.

· Facilitate Exercises: Support cadaver exercises while serving as the Lead Medical Instructor.

SMEs must meet the minimum qualifications:

· Graduate of a US allopathic or osteopathic medical school that is accredited by Liaison Committee on Medical Education (LCME) or American Osteopathic Association (AOA) leading to the awarding of the Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.

· Graduate of an Accreditation Council for Graduate Medical Education (ACGME) accredited residency in General Surgery that is a minimum of five (5) years in duration/length.

· Board certified in general surgery by the American Board of Surgery.

· Skills competency in the following surgical procedures at a minimum:

a. Escharotomy

b. Cricothyroidotomy

c. Chest tube placement/thoracostomy

d. Needle decompression for pneumothorax

e. Finger thoracostomy

f. Fasciotomy of the upper and lower extremity

g. Laceration repair

h. Intraosseous access placement

i. Exploratory Laparotomy

j. Lateral Canthotomy

k. Amputation

l. Resuscitative endovascular balloon occlusion of the aorta

m. Central line access

n. Junctional cutdown(s)

o. Pericardiocentesis/Thoracotomy

The preferred qualifications include the above minimum qualifications and the following qualifications:

· Graduate of an ACGME accredited fellowship in trauma/critical care surgery of 1-2 years in duration/length.

· Board certification in Surgical Critical Care by passing the certifying examination administered by the Trauma, Burns & Surgical Critical Care Board of the American Board of Surgery.

· Current certification in Basic Life Support (BLS) and Advanced Trauma Life Support (ATLS)

· Minimum of 2-years’ experience after graduating residency.

SMEs will be required to complete the following training requirements for military installation access:

· Anti-Terrorism (AT) Level I Training: All Contractor employees, including subcontractor employees, who are employed under the contract, shall complete AT Level I Training within 30 days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies, or 30 days after employment of new personnel. Contractor personnel travelling overseas shall complete area of responsibility (AOR) specific AT awareness training for U.S. based Contractor employees and associated subcontractor employees. AT Level I awareness training is available at https://jkodirect.jten.mil. Contractor personnel shall complete refresher training every twelve (12) months except AOR specific AT Level I training which shall be completed as required by local AT policies. If training cannot be conducted on the website, the Contractor shall coordinate with the Contracting Officer Representative (COR) who will contact the local AT Officer at their assigned location for classroom training. Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the AT Officer.

· iWATCH Training: The Contractor and all associated subcontractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity. This training shall be completed within 30 days after the contract is awarded and within 30 days after new employees commence contract performance. Training slides can be found on the Army OneSource we site: http://www.myarmyonesource.com/familyprogramsandservices/iwatchprogram/default.aspx

Cadaver Medical Training Support: The SME must be able to support cadaver medical training support upon the request of the government. The SME must be able to provide training on the following surgical procedures:

a. Escharotomy

b. Cricothyroidotomy

c. Chest tube placement/thoracostomy

d. Needle decompression for pneumothorax

e. Finger thoracostomy

f. Fasciotomy of the upper and lower extremity

g. Laceration repair

h. Intraosseous access placement

i. Exploratory Laparotomy

j. Lateral Canthotomy

k. Amputation

l. Resuscitative endovascular balloon occlusion of the aorta

m. Central line access

n. Junctional cutdown(s)

o. Pericardiocentesis/Thoracotomy

Medical Equipment/Class VIII Supplies: The contractor shall be capable of providing the following medical equipment durables for rent (or like items) and consumable Class VIII supplies (or like items) upon request of the government. Consumable Class VIII supplies will only be requested when all military mandatory supply channels are exhausted:

Note: Durables can be reused for each training event after decontamination of equipment.

Durables.

PERFUSION

SUCTION

LAERDAL COMPACT SUCTION UNIT 4 300ML

AIR/RESP/CIRC

LARYNGOSCO GREEN SYS ENT POCKET LIGHT ORIGINAL BLACK WATERPROOF

HANDLE,LARYNGOSCOPE

SURGICAL

FINOCCHIETO CHEST RETRACTOR

ORCEPS THORACIC MIXTER 9" LG GEMINI FULL CRVD SERRATED JAWS CRS

RIGHT ANGLE MIXTER FORCEPS 10.5 INCHES LONG

FORCEPS MIXTER PEDIATRIC RIGHT ANGLE

SCISSORS GEN SURG MAYO CLASSIC PLUS ST DISSECTING 5.75"L

SCISSORS METZENBAUM CURVED

FORCEPS,DRESSING

FORCEPS TISSUE ADSON 4.50" LG TWEEZER STRAIGHT & SMOOTH JAW CRS

SAM IO INTRAOSSEOUS ACCESS DRIVER

NEEDLE HOLDER-SCISSORS,SURGICAL

MOSQUITO FORCEPS CURVED

CLAMP ARTERY DEBAKEY CURVED AND SERRATED 120MM JAW LG 12.25 IN. O/A LG

7 IN DEBAKEY FORCEPS

SCISSORS,IRIS

SCISSORS IRIS POINTED STRAIGHT STORZ 28MM

RETRACTOR MASTOID WEITLANER STEEL CORROSION RESISTING-5.5 IN

WEITLANDER RETRACTOR 3X4 PRONG SHARP 6.5IN

WEITLANDER RETRACTOR 3X4 PRONG SHARP 6.5IN

RETRACTOR, FARABEUF, 6-INCH SET

RETRACTOR DBL-ENDED SS SET OF 2 8.25 IN LG

BALFOUR RETRACTOR

RICHARDSON RETRACTOR SMALL

DEAVER RETRACTOR MEDIUM

LEBSCHE KNIFE STERNUM 10" LG

STERNUM MALLET SURGICAL

FORCEPS THORACIC DEBAKEY & BULLDOG CRS 5.0" O/A LG

FORCEPS BONE CUTTING CRS JAWS ANGULAR 10.5" HORSLEY STYLE

FORCEPS 5.75IN STRAIGHT LISTON BONE CUTTING

ELEVATOR PERIOSTEAL MCKENTY DESIGN 4MM WIDTH TIP 4.8" LENGTH CRS

DILATOR TRACHEAL TROUSSEAU DESIGN 5.5" OVERALL LENGTH CURVED SMOOTH STRAIGHT HANDLE FINGER RING GRIP

FORCEPS, STAINLESS-STEEL, FINE POINTS, STRAIGHT, 4 1/2 INCHES.

HANDLE BONE CUT WIRE

SAW BONE CUTTING WIRE

FORCEPS TOWEL 5.25" LG DIAMOND KNURL PATTERN NONPERFORATING CRS

PPE/MISC

LIGHT SURGICAL STAND 18" TO 22" DIAMETER 85" HEIGHT STEEL BODY

MAYO STAND

IV POLE

TABLE SURGICAL BACK TABLE

Consumables.

MASHEM/BCON

BNDG GZE 4.1YDX4.5IN 6 PLY ABS KRINKLE

BANDAGE, GAUZE, HEMOSTATIC, QUIK CLOT 3IN BY 4 YD.

BANDAGE,EMERGENCY TRAUMA DRESSING

TOURNIQUET,NONPNEUMATIC

BATTLE WRAP 10S

PERFUSION

KIT CATH 4FR 13CM 2 LUM CV BLU FLXTP PED

Cadaver tubing set (tubing, couplings)

SIMULATED BLOOD POWDER 1 BAG 37GM

SUCTION

COLLECTION CANISTER SUCTION APPARATUS

TUBING SUCTION SUPPLY FOR SUCTION APPARATUS 6FT.

DUCANTO SUCTION CATHETER

SQUID TELESCOPING SUCTION DEV, SQUIDTELESCOPINGSUCTIONDEV, EMS1R

AIR/RESP/CIRC

BLADE LARYNGOSCOPE MILLER 3 DISP

BLADE LARYNGOSCOPE MAC 3 DISP

BLADE LARYNGOSCOPE MILLER 4 DISP

BLADE LARYNGOSCOPE MAC 4 DISP

RESUSCITATOR SINGLE PATIENT USE ADULT BAG VALVE MASK 12S

VALVE EXPIRATORY PRESSURE 10S

TUBE ENDOTRACH 5.0 MM CHILD W/O CUFF 10S

TUBE TRACH CHLD 5.5MM 10S

TUBE TRACHEAL MURPHY E12 6.0MM

TUBE TRACHEAL MURPHY E12 W/CUFF 26 FR UNIV 6.5MM

TUBE ENDOTRACH 7.0 MM 10S

TUBE ENDOTRACH 7.5 MM

TUBE ENDOTRACH 8.0 MM 10S

AIRWAY KIT, SUPRAGLOTTIC SIZE 4; KING LTS-D

CRICOTHYROTOMY SET

INTRODUCER ENDOTRACHEAL TUBE (BOUGIE) 10S

LARYNGEAL AIRWAY MASK; SIZE 4; 15 CM

MASK, AIRWAY, LARYNGEAL (LMA CLASSIC); REUSABLE SILICONE, SIZE 5, 20 CM

NASOPHARYNGEAL AIRWAY 28FR, STERILE, GREEN.

ORAL AIRWAY BTM BERMAN ORAL AIRWAY KIT

LUER LOCK TIP HYPODERMIC SYRINGE WITHOUT NEEDLE, 10CC

SYRINGE HYPODERMIC 60CC STERILE LUER LOCK 100S

NEEDLE, HYOPODERMIC

NEEDLE HYPODERMIC SAFETY 20G 1.5IN DISP 50S

CATHETER URETHRAL FOLEY 10 FR PEDIATIC 3CC BALLOON CAP RD TIP 10S

CATHETER URETHRAL FOLEY 14FR RD TIP RUBBER ADULT SIZE STER 10S

TRAY CATHETER FOLEY 16FR 10S

CATHETER URETHRAL FOLEY B10 MOD ADULT SZ RUBBER 18 FR 2 EYE 12S

CATHETER URETHRAL FOLEY 20FR RD TIP RUBBER ADULT SIZE STER 12S

CATHETER URETHRAL FOLEY 22FR RD TIP RUBBER ADULT SIZE STER 12S

CATHETER URETHRAL FOLEY 24FR RD TIP RUBBER ADULT SIZE STER 12S

CATHETER EXCHANGE KIT INFUSION R/C RAPID STER 25S

INSERTION KIT,CHEST TUBE STERILE

THORACIC CHEST TUBE DRAINAGE VALVE, STERILE DISPOSABLE

PRESSURE BAGS FOR IV FLUIDS

TRAINER, HYFIN CHEST SEAL TWIN PACK

PNEUMOTHORAX NEEDLE / CATHETER, 10 GA, 3.25 INCHES, EACH

NEEDLE PEDIATRIC INTRAOSSEOUS VASCULAR ACCESS SYSTEM,EZ-IO 15MM

NEEDLE HYPODERMIC SET 25 MM INTRAOSSEOUS 15 GA STERILE 5S

NEEDLE HYPODERMIC SET 45MM INTRAOSSEOUS 15GA STERILE 5S

SAHARA CHEST TUBE DRAINAGE SYSTEM

SURGICAL

SCALPEL SURGICAL SAFETY SHIELDED SIZE NO. 10 DISPOSABLE STERILE 100

BLADES SCALPEL SURG SS NO.23 FOR NO.4 HANDLE 100S

NO. 3 KNIFE HANDLE LONG

SURGICAL BLADE HANDLE LARGE NO. 4

SURGILUBE SURGICAL LUBRICANT 3G PACKETS, 1728 EA

PUNCH CUTANEOUS BIOPSY KEYES DESIGN 8MM SIZE CRS

SHEARS TRAUMA 7 1/4IN. LG. EASY-TO-GRIP

LAP SPONGES

SUTURE NONABS PLASTIC POLYESTER SZ 6-0 18" L B2 3/8 CIR P-3 GREEN 12S

SUTURE NONABS PLASTIC POLYESTER SZ 5-0 3' L B3 1/2 CIR DA ARMED 36S

SUTURE ABS POLYGLYCOLIC ACID SZ 4-0 27" L B2 3/8 CIR C3 RVS CUTTING STER 36S

SUTURE ABS PLASTIC GLYCOLIDE LACTIDE COPOLYMER SZ 3-0 18" L 4 STRANDS UNARMED 24S

SUTURE ABS GUT SZ 2-0 54 INCHES L UNAARMED NATURAL STER 12S

SUTURE ABS SZ 0 36IN L PLASTIC GLYCOLIDE LACTIDE COPOLYMER SZ 0 36IN 1/2 CIR 36S

ARGYLE CAROTID SHUNT 6"

PRESSURE INJECTABLE MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION KIT

LOOP VASCULAR SURGICAL 16" OVERALL LENGTH BLUNT TIP RADIOPAQUE RED MAXI SILICONE RUBBER DISPOSABLE STERILE 10S

WRITESITE PLUS SURGICAL SKIN MARKER STERILE 2700

PPE/MISC

BODY BAG, FULL FASTENER; PLASTIC; 36 IN BY 94 IN; NON-CHEM/BIO; EA

UNDERPADS, DISPOSABLE, 36" X 36", 50S

ADHESIVE TAPE SURGICAL 0.5IN BY 5YDS 36S

DRAPE, TABLE COVER, STERILE, HEAVY DUTY 60IN X 90IN 24S

SURGICAL PACK DISP HEAVY DUTY BACK TABLE CVR 50X90" STERILE 3S

NEEDLE SUTURE POST MORTEM B6 HALF CURVED 4.0 INCHES LG 0.076 INCHES DIA

BULK ROLL SUTURE THREAD

GLOVES, EXAM, XLARGE, NITRILE XTRA LONG, PURPLE, 200

GLOVE PATIENT EXAMINING & TREATMENT SZ 10 LG PURPLE 5.9 MIL 100S

GLOVE PATIENT EXAM AMBID MED PURPLE NONSTER 6MIL BEADED 100S

GLOVE EXAM SMALL NONSTERILE PURPLE NITRILE X-STRENTH 12 IN

GOWN OPERATING STERILE LARGE DISPOSABLE

MASK, FACE, PROCEDURE

MASK SURGICAL CLEAR FLUID SHIELD DESIGN W/2IN EXTENSIONS 100S

TOWELS OPERATING ROOM

TABLE 1. WORKLOAD DATA.

Type of Support

(BASE YEAR)

(OPTION 1)

(OPTION 2)

(OPTION 3)

(OPTION 4)