36C24418Q9267-0003001.pdf

Pittsburgh VAMC Comprehensive Airflow Testing Services Statement of Work Revised July 6, 2018

I. The VA Pittsburgh Healthcare System (VAPHS) has a requirement for all labor, tools, supervision, material, parts, equipment, and transportation necessary to provide comprehensive airflow testing services at our Oakland Division, located at University Drive C, Pittsburgh, PA 15240.

II. Monthly testing schedule and rooms are as follows:

a. Twelve (12) Operating Rooms, One (1) Procedure Room (OR Standards), Twenty-One (21) TB Isolation Rooms, Nine (9) Scrub/Anterooms, Two (2) Decon Rooms, Three (3) Sterile Prep Rooms, Two (2) Sterile Storage Rooms, Three (3) Cardiac Cath Labs, Three (3) Morgue Autopsy Rooms, and Nine (9) Ambulatory Surgery Procedure Rooms in Building 1. The testing shall include measurement of supply air, exhaust air, temperature, relative humidity, and positive/negative pressure determination.

Air changes per hour shall be calculated.

Regulation Air Changes are as follows:

ROOM DESCRIPTION REGULATION

OR1, OR2, OR3, OR4, OR5, OR6, OR7,

OR8, OR9, 3W232 (OR10), 3A211, 3A212

Operating Rooms 20 Air Changes/Positive

3W219 Procedure Room (OR Standards)

20 Air Changes/Positive

1NW103, 3A117, 3A121, 3A147, 3A149,

3A150, 3A152, 3E118, 3E133, 3N239, 4E102, 4E104, 4W113, 4W115, 4W116, 4W138, 5A107, 5W113, 5W115, 5W116, 5W138

TB Isolation Rooms 12 Air Changes/Negative

3A148, 3A151, 3A179, 3A180, 3A190, 3A197, 3A199, 3A206, 5A106

Scrub/Ante Rooms 10 Air Changes/Negative

AA117, 3W218 Decon Rooms 6 Air Changes/Negative

AA122, 2A214, 3W215 Sterile Prep Rooms 4 Air Changes/Positive

AA103/106, 3A201 Sterile Storage 4 Air Changes/Positive

4N113, 4N114, 4N115 Cardiac Cath Labs 20 Air Changes/Positive

BN201, BN202, BN206

Morgue Autopsy Rooms

12 Air Changes/Negative

3W201, 3W211, 3W220, 3W231, 3W233, 3W234, 3W235, 3W236, 3W237

Ambulatory Surgery Unit (ASU) Procedure Rooms

12 Air Changes/Negative

Regulation Air Temperatures:

OR’S, Decon Rooms, Sterile Prep Rooms and Sterile Storage – 66 to 72 degrees F

Regulation Humidity Ranges:

OR’S, Decon Rooms, Sterile Prep Rooms, and Sterile Storage – 20% to 60%

OPERATING ROOM (OR) MEASUREMENTS SHALL BE TAKEN IN ACCORDANCE WITH THE

OPERATING ROOM (OR) SCHEDULES. TESTING SHALL BE COORDINATED WITH THE

Contracting Officer’s Representative (COR) AHEAD OF TIME.

III. Semi-annual testing schedule and rooms are as follows:

a. Testing shall be performed in the months of December and June in Thirty-Three (33) Animal Research Laboratory Rooms in Building 6. The testing shall include measurement of supply air, exhaust air, temperature, relative humidity and positive/negative pressure determination. Air changes per hour shall be calculated.

Regulation Air Changes are as follows:

ROOM # DESCRIPTION REGULATION

GA101 Dirty Cage Wash 15 Air Changes/Negative

GA102 Animal Holding 15 Air Changes/Positive

GA103 Animal Holding 15 Air Changes/Positive

GA104 Animal Holding 15 Air Changes/Positive

GA109 Office 15 Air Changes/Positive

GA110 Supply Room 15 Air Changes/Negative

GA111 Autoclave 15 Air Changes/Negative

GA112 Tank Storage 15 Air Changes/Negative

GA115 Procedure Room 15 Air Changes/Positive

GA117 Lunch Room 15 Air Changes/Positive

GA119 Procedure Room 15 Air Changes/Negative

GA123 Animal Holding 15 Air Changes/Positive

GA124 Animal Holding 15 Air Changes/Positive

GA127 Animal Holding 15 Air Changes/Positive

GA128 Animal Holding 15 Air Changes/Positive

GA130 Animal Holding 15 Air Changes/Positive

GA131 General Storage 15 Air Changes/Negative

GA140 Feed and Bedding 15 Air Changes/Positive

GA141 Store Room 15 Air Changes/Negative

GA142 Animal Holding 15 Air Changes/Positive

GA143 Animal Holding 15 Air Changes/Positive

GA144 Animal Holding 15 Air Changes/Positive

GA145 Diet/Procedure 15 Air Changes/Positive

GA146 Procedure Room 15 Air Changes/Negative

GA147 Operating Room 15 Air Changes/Positive

GA148 Operating Room 15 Air Changes/Positive

GA149 Scrub Area 15 Air Changes/Negative

GA149A Store Room 15 Air Changes/Positive

GA150 Procedure Room 15 Air Changes/Negative

GA151 Office 15 Air Changes/Neutral

GA152 Animal Holding 15 Air Changes/Positive

GA153 Animal Holding 15 Air Changes/Positive

GA154 Clean Cage Wash 15 Air Changes/Positive

b. Testing shall be performed in the months of December and June in Thirty-One (31) Clinical Laboratory Rooms in Building 1. The testing shall include measurement of supply air, exhaust air, temperature, relative humidity and positive/negative pressure determination. Air changes per hour shall be calculated.

Regulation Air Changes are 6 per hour/negative airflow:

ROOM # DEPARTMENT DESCRIPTION

10E115 Clinical Lab - ancillary testing

2E143 Anatomic Path Lab - molecular

2NE100 Clinical Lab - ancillary testing

2NE105 Clinical Lab - blood bank

2NE108 Anatomic Path Lab - block and slide storage

2NE112 Anatomic Path Lab - cytology

2NE113 Anatomic Path Lab - molecular lab

2NE116 Anatomic Path Lab - gross room

2NE117 Anatomic Path Lab - histo lab

2NE118 Anatomic Path Lab - histo lab

2NE119 Anatomic Path Lab - histo lab

2NE128 Anatomic Path Lab - cytology

2NW101 Clinical Lab - automated

2NW102 Clinical Lab Supplies

2NW103 Clinical Lab - molecular

2NW104 Clinical Lab - molecular

2NW106 Clinical Lab - micro

2NW107 Clinical Lab - micro

2NW107a Clinical Lab - micro

2NW107b Clinical Lab - micro

2NW108 Clinical Lab - micro

2NW110 Clinical Lab - micro

2NW111 Clinical Lab - micro

2NW117 Electrical Closet

2NW120 Clinical Lab - immuno

2W168 Clinical Lab - molecular

2W168b Clinical Lab - molecular

2W171 Clinical Lab - molecular

2W173 Clinical Lab - molecular

2W174 Clinical Lab - molecular

3N115 Frozen Section Room

IV. Quarterly testing schedule and rooms are as follows:

a. Testing shall be performed in the months of December, March, June and September in Sixteen (16) Soiled Utility Rooms in Building 1. The testing shall include measurement of supply air, exhaust air, temperature, relative humidity and positive/negative pressure determination. Air changes per hour shall be calculated.

2A218 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

2NW118

Biohazardous

Waste

6 Air Changes Negative 66°F - 72°F

20% - 60%

3A153 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

3E102 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

3E120 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

3W228 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

4E100 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

4N119 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

4N138 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

4W150 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

5W150 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

6W150 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

7E125 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

8W108 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

9W140 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

10W111 Soiled Utility 6 Air Changes Negative 66°F - 72°F 20% - 60%

General Notes Applicable to all tests:

Contractor shall report to the VA police to sign in and obtain access control badge, then report to COR on date and time previously arranged with COR. Once work is complete, contractor shall leave field report with COR, sign out with VA police and return access control badge before leaving medical center property.

All testing shall be completed by the 28th of each month.

All scheduling shall be coordinated in advance by contacting Chuck Jennings, HVAC Supervisor at (412) 735-4620.

Some testing will need to be completed during normal business hours (Monday-Friday, 7:30 AM – 4:30 PM, excluding Federal Holidays). The majority of testing will need to be completed outside of normal business hours (after hours on weekdays and/or weekends).

Report any deficiencies immediately to Richard Powell, Supervisory General Engineer/Utility/HVAC Unit, (412) 360-3681. Submit electronic reports to Richard.Powell4@va.gov.

A brief report including test methods and field test forms shall be provided upon completion of the testing.

Report shall be in an Excel spreadsheet format with the following column headings: Room, Room Number, Supply (cubic feet per minute), Exhaust (cubic feet per minute), Temperature (degrees F), Relative Humidity (%), Air Balance (required), Air Balance (actual), Room Volume (cubic feet), Air Changes per Hour, Baulin Tube Functioning (Y/N)

SOME ROOMS MAY REQUIRE PROTECTIVE CLOTHING.

VA employees accompanying vendor will provide guidance on which rooms require protective clothing prior to entry.

VHA Directive 1192 requires all health care personnel (HCP) to participate in the seasonal influenza prevention program and outlines the key implementation steps. Health care personnel is defined in VHA Directive 1192 as all VA licensed and unlicensed, clinical and administrative, paid and unpaid, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, students, researchers, volunteers, and trainees who work in VHA locations. HCP covered by the policy are expected to receive annual influenza vaccination. Those HCP unable or unwilling to be vaccinated are required to wear a face mask throughout the influenza season. Masks are available at entrances throughout the medical center.

It is the responsibility of the contractor to ensure that all contract staff are compliant with the requirements outlined in VHA Directive 1192. The contractor shall maintain the following documentation:

- Documentation of vaccination, e.g., signed record of immunization from a health care provider or pharmacy, or a copy of medical records documenting the vaccination.

- Completed Health Care Personnel Influenza Vaccination Form (Attachment B of VHA Directive 1192) if unwilling or unable to receive the vaccine. (Attachment 1 to Statement of Work)

The contractor is required to submit annual certification to the Contracting Officer’s Representative (COR) that all contract staff performing services at VA facilities are in compliance with VHA Directive 1192.

TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to purified protein derivative (PPD) testing for all contract personnel. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. All documentation shall be provided to the Contracting Officer’s Representative (COR).

Qualifications of Personnel Conducting Air Flow Testing Services

Personnel conducting air flow testing services at the VAPHS shall possess the following qualifications and credentials throughout the performance of this contract:

1. Current documentation demonstrating Certified Industrial Hygienist and a Certified Safety

Professional;

2. A minimum of five (5) years experience conducting air flow testing in a major medical facility;

3. Current certification of Industrial Hygienist certified in Comprehensive Practice by American

Board of Industrial Hygiene and the Board of Certified Safety Professionals.

Attachment: VA Directive 1192