Ex 1 Coatesville Medical Center and VCC History.docx
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- Attached to
- Regulated Medical Waste Disposal Services - VISN 4 VA Medical Centers: Re-post of RFQ with Corrective Action
- Solicitation number
- 36C24425Q0204
About this file
This document is an exhibit detailing the Regulated Medical Waste (RMW) generation report for the Coatesville VA Medical Center. The report outlines three service methods for RMW disposal under the current VISN contract (36C24425P0007), with variations in sharps waste handling and container management. Service 1 involves non-separated sharps waste with flat-rate pricing, Service 2 involves separated sharps waste with contractor-provided reusable containers, and Service 3 involves separated sharps waste with contractor collection and distribution of containers. An additional add-on service provides drug sequestration unit installation for managing DEA controlled substance wastage.
The document includes detailed tables documenting RMW pick-up locations for the Coatesville VAMC and two Community-Based Outpatient Clinics (CBOCs) in Delco and West Norriton, Pennsylvania. Historical waste generation data is provided, showing Coatesville VAMC generates approximately 400 lbs of RMW and 35 lbs of trace chemo waste monthly, with pick-ups occurring twice per month. An extensive spreadsheet details sharps container locations throughout the medical center, including specific rooms, departments, and container types, demonstrating a comprehensive tracking system for medical waste management.
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Exhibit 1 – Medical Center and VCC History Report
Medical Center and Veteran’s Community Clinics Regulated Medical Waste Generation Report for the Coatesville VA Medical Center
Regulated Medical Waste (RMW) Summary
· Coatesville currently utilizes the VISN contract (36C24425P0007) for RMW (sharps and red bag) disposal.
· There are 3 methods of RMW service, plus one add-on service, available under the current VISN contract. The methods of service for each facility are as follows:
· Service 1: Altoona, Butler
· Sharps waste is not separated; it is included in the non-sharps RMW. This service does not incorporate reusable sharps containers. The RMW is consolidated to a central location at each facility for Contractor pick-up. Pricing is based on a flat rate per pound for all RMW removal to include trace chemo and disposable sharps containers.
· Service 2: None
· Sharps waste is separated from non-sharps RMW. Contractor provides reusable sharps containers. VA employees collect and distribute reusable sharps containers throughout the Medical Center and applicable VCC’s and consolidate the collected full containers to a central location at each facility for pick-up by Contractor. The non-sharps RMW is also consolidated to a central location at each facility for Contractor pick-up. This service includes the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing is based on a flat rate per pound for RMW removal including trace chemo and a separate flat rate for reusable sharps containers removal.
· Service 3: Coatesville, Erie, Lebanon, Philadelphia, Pittsburgh, Wilkes-Barre, Wilmington
· Sharps waste is separated from non-sharps RMW. Contractor provides reusable sharps containers. Contractor collects and distributes reusable sharps containers throughout the Medical Center and applicable VCC’s. Reusable sharps containers, located in areas where Contractor is not permitted entry, are collected and distributed by VA employees. The sharps containers collected by VA employees and the non-sharps RMW are consolidated to a central location at each facility for pick-up by Contractor. This service includes the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing is based on a flat rate per pound for RMW removal to include trace chemo and a separate flat rate for reusable sharps container removal.
· Add-on Service: Coatesville, Wilkes-Barre, Wilmington
· Provides for the installation and full-service exchange of drug sequestration units to securely manage DEA controlled substance wastage.
· The Coatesville VAMC is requesting (check one, plus add-on if needed):
☐ Service 1 ☐ Service 2 ☒ Service 3 ☒ Add-on Service
History
Locations
1. All facilities please complete Table A.
TABLE A – RMW Pick-up Location Addresses (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| Street Address |
| City |
| State |
| Zip |
| Coatesville VAMC |
| 1400 Blackhorse Hill Road |
| Coatesville |
| PA |
| 19320 |
| Delco CBOC |
| 4883 West Chester Pike |
| Newtown Square |
| PA |
| 19073 |
West Norriton CBOC
| 2495 General Armistead Ave Ste A |
| Norristown |
| PA |
| 19403 |
Sharps Waste
2. If your facility utilized Service 1, with NEIE, please complete Table B and move to number 4. If your facility utilized Service 3, skip Table B and proceed to number 3.
TABLE B – Disposable Sharps Containers Purchased (add rows as required)
| Sharps container size |
| Quantity purchased FY2021 |
| Quantity purchased FY2022 |
| Quantity purchased FY2023 |
3. If your facility utilized Service 3 with NEIE, please complete Table C and move to number 4.
TABLE C – Recyclable Sharps Containers in Use at Each Pick-up Location (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| Sharps container size |
| Number in use |
| Brand of sharps container utilized |
| Coatesville VAMC |
| See excel spreadsheet |
| 270 |
| Stericycle |
| Delco CBOC |
| 4 gal |
| 13 |
| Stericycle |
| Delco CBOC |
| 8 gal |
| 1 |
| Stericycle |
| West Norriton CBOC |
| 4 gal |
| 16 |
| Stericycle |
| West Norriton CBOC |
| 8 gal |
| 1 |
| Stericycle |
4. If your facility is intending to use Service 3, compete Table D for sharps container locations. For Services 1 and 2, proceed to number 5.
Medical Waste
5. All facilities, please complete Table E.
TABLE E – RMW History (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| RMW (excluding sharps) weight FY2021 |
| RMW (excluding sharps) weight FY2022 |
| RMW (excluding sharps) weight FY2023 |
| Frequency of pick-up (daily, weekly, etc.) |
| Coatesville VAMC |
| 400 lbs |
| 400 lbs |
| 400 lbs (estimated) |
| 2 x’s per month lbs |
| Delco CBOC |
| 5 lbs |
| 5 lbs |
| 5 lbs (estimated) |
| As needed/per request |
West Norriton CBOC
| 5 lbs |
| 5 lbs |
| 5 lbs (estimated) |
| As needed/per request |
6. Complete Table F if your facility generated and tracked trace chemo waste independently.
TABLE F – Trace Chemo Waste History (add rows as required)
| Pick-up location |
| Trace chemo weight FY2021 |
| Trace chemo weight FY2022 |
| Trace chemo weight FY2023 |
| Coatesville VAMC |
| 43 lbs |
| 34 lbs |
| 35 lbs (estimated) |
| Delco CBOC |
| 5 lbs |
| 5 lbs |
| 5 lbs |
West Norriton CBOC
| 5 lbs |
| 5 lbs |
| 5 lbs |
image1.emf
COA Sharps Container Locations.xls Survey
Coatesville VAMC
Containers Hardware and Dollies
Building Floor Unit / Dept C-02H C-03 C-04 H C-08 F C-08 T 17 OC-2 OC-3 OC-4 WMA 0203 WB 04 WB 08 CB Orig 8 Dolly Orig 17 Dolly Wire 8 Step On Wire 17 Step On (HL) Dept Manager - Name / Title / Contact # / Location / Additional Comments
1 2 Medication Room 1 1 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 2 2 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 2 2 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 2 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 2 Patient Room 2 2 Removed May 2019
1 2 Patient Room 2 2 Removed May 2019
1 2 Patient Room 3 3 Removed May 2019
1 2 Patient Room 1 1 Removed May 2019
1 B SPS 1 1 B22
1 1 ABG Lab 1 ` 1 Room 165A
1 1 Dental 1 1 Room 102
1 1 Dental 1 1 Room 103
1 1 Dental 1 1 Room 160
1 1 Dental 1 1 Room 162
1 1 Mental Exam Room 1 1 Room 139
2 B Exam Room 1 1 B09
2 B Exam Room 1 1 B03
2 B Exam Room 1 1 B04
2 B Exam Room 1 1 B05
2 B Exam Room 1 1 B15
2 B Exam Room 1 1 B16
2 B Exam Room 1 1 B17
2 B Exam Room 1 1 103
2 B Exam Room 1 1 104
2 B Exam Room 1 1 105
2 B Exam Room 1 1 106
2 B Exam Room 1 1 107
2 B Exam Room 1 1 108
2 B Exam Room 1 1 109
2 B Exam Room 1 1 110
2 B Exam Room 1 1 113
2 B Exam Room 1 1 119
2 B Exam Room 1 1 121
2 B Exam Room 1 1 123
2 B Exam Room 1 1 124
2 B Exam Room 1 1 131
2 B Exam Room 1 1 132
2 B Exam Room 1 1 133
2 2 Team B Exam Room 1 1 Room 250
2 2 Team B Neuro Clinic 1 1 Room 252
2 2 Pharmacy 1 1 Behind locked Pharmacy door
3 1 Optometry Clinic 1 1
3 1 Podiatry Treatment 1 1 Room 168
3 1 Podiatry Treatment 1 1 Room 170
3 1 Podiatry Treatment 1 1 Room 171
3 1 Podiatry Treatment 1 1 Room 173
3 1 Optometry Clinic Room 161 - Removed 6/1/15
3 1 Optometry Clinic Room 162 - Removed 6/1/15
3 1 Optometry Clinic Room 163 - Removed 6/1/15
3 1 Specialty Clinic 1 1 Room 131
3 1 Specialty Clinic 1 1 Room 132
3 1 Specialty Clinic 1 1 Room 133
3 1 Specialty Clinic 1 1 Room 134
3 1 Specialty Clinic 1 1 Room 135
3 1 Specialty Clinic 1 1 Room 136
3 1 Specialty Clinic 1 1 Room 139
3 1 Speciality 1 1 Room 140
3 1 Specialty Clinic 1 2 1 Room 143
3 1 Specialty Clinic 1 1 Room 144
3 1 Lab 1 1 Room 107
3 1 Lab 1 1 Room 108 (Sign wrong)
3 1 Lab 1 1 Room 109 (sign wrong)
3 1 Lab 1 2 1 1 1 2 Room 125
3 1 Lab 1 5 2 Room 103
3 Ground Urgent Care 2 2 Bay Area
3 Ground Urgent Care 1 Room B05
3 Ground Urgent Care 1 1 Room B06
3 Ground Urgent Care 1 1 B11
3 Ground Urgent Care 1 1 Room B12
3 Ground Urgent Care 1 1 Room B13
3 Ground Urgent Care 1 1 Room B20
3 Ground Urgent Care 1 1 Room B21
3 Ground Urgent Care 1 1 Room B22
3 Ground Imaging 1 1 Room B27
3 Ground Imaging Ultrasound 1 1 Room B51
3 Ground Imaging CT Scan Room 1 1 Room B65
4 1 Fresh Start 1 1 Room 109 Med Room
4 B SPD 1 1 Room B07
4 2 GEC 1 1 Room 207J
4 2 GEC 1 1 Room 207D
4 2 GEC 1 1 Room 207E
4 2 GEC 1 1 Room 207C
4 2 GEC 1 1 Room 207B
3 Ground MRI 1 Not Numbered
6 Basement Logistics 2 Room 03 Med/Surg Bulk Warehouse
6 1 LZ II 1 1 Room 103
7 1 1 1 Room 141
7 1 1 1 Room 170A Floor is Vacant
7 2 7B 1 1 Room 201
7 2 7B 1 1 Room 200
8 1 1 1 Room 119
8 1 Medcart 1 1 Room 120
8 2 1 1 Room 201
8 2 1 1 1 1 Room 220
8 1 Room 119 -Removed 9/13/16
9 1 1 Room 141
11 1 Room 120- Removed 6/1/15
58 2 Room 231D - Removed 6/1/15
58 2 Room 231F - Removed 6/1/15
58 2 Room 235 - Removed 6/1/15
38 2 Oval 2 1 1 Room 217
39 2 Oval 2 1 1 1 Room 223 Med Room and Crash Cart
39 2 Oval 2 1 1 Room 224
39 1 Oval 2 1 Room 101 in back of Rm 104
39 1 Oval 2 1 1 1 1 Room 104
57 1 Oval 2 1 1 Room 103
57 1 Oval 2 1 1 Room 104
57 1 Oval 2 Room 111 - Removed 6/1/15
57 1 Oval 2 Room 113 - Removed 6/1/15
57 1 Oval 2 1 1 Room 115
57 1 Oval 2 Room 123 - Removed 6-1-15
57 1 Oval 2 1 1 Room 129
57 1 Oval 2 Room 132 A - Removed 6/1/15
57 1 Oval 2 Room 141A - Removed 6/1/15
57 1 Oval 2 Room 151A - Removed 6/1/15
57 1 Oval 2 1 1 Room 131 (New for 2017)
57 1 Oval 2 1 Room 132B
57 1 Oval 2 1 1 Room 153
58 Basement HBPC 1 1 B04
59 B Floor Oval 2 1 1 B07 Electric Shop #3551
59 1 Oval 2 1 1 1 1 Room 141
59 1 Oval 2 1 1 1 1 Room 145 Med Cart
59 2 Oval 2 1 1 1 1 Room 210 - Med Room and Med Cart
59 2 Oval 2 1 1 220
59 2 Oval 2 1 1 Room 224 - Ladies Room
59 2 Oval 2 1 1 226
59 2 Oval 2 1 1 Room 228 - MENS Room
59 2 Oval 2 1 1 229
59 2 Oval 2 1 1 230 Tub Room
59 2 Oval 2 1 1 231
59 2 Oval 2 1 1 232
59 2 Oval 2 1 1 233
59 2 Oval 2 1 1 234
59 2 Oval 2 1 1 235
59 2 Oval 2 1 1 238
59 2 Oval 2 1 1 239
59 2 Oval 2 1 1 266
59 2 Oval 2 1 1 Room 267 - MENS Room
59 2 Oval 2 1 1 268
59 2 Oval 2 1 1 269
59 2 Oval 2 1 1 270
59 2 Oval 2 1 1 271
59 2 Oval 2 1 1 273
59 2 Oval 2 1 1 274
59 2 Oval 2 1 1 275
59 2 Oval 2 1 1 276
59 2 Oval 2 1 1 277
69 1 Across from BLDG 10 1 1 111
69 1 Across from BLDG 10 1 1 116
69 1 Across from BLDG 10 1 1 117
138 - CLC B Floor 1 1 Room 206
138 - CLC B Floor 1 1 Room 207
138 - CLC B Floor 1 1 Room 208/210
138 - CLC B Floor 1 1 Room 209/211
138 - CLC B Floor 1 1 Room 220
138 - CLC B Floor 1 1 Room 222/224
138 - CLC B Floor 1 1 Room 226/228
138 - CLC B Floor 1 1 Room 230
138 - CLC B Floor 1 1 Room 232
138 - CLC B Floor 1 1 Room 234
138 - CLC B Floor 1 1 Room 236
138 - CLC B Floor 1 1 Room 238
138 - CLC B Floor 1 1 Room 240
138 - CLC B Floor 1 1 Room 246/248
138 - CLC B Floor 1 1 Room 250/252
138 - CLC B Floor 1 1 Room 254/256
138 - CLC B Floor 1 1 Room 223 - Med Cart and room 219
138 - CLC B Floor 1 1 Room 227 Shower Room
138 CLC A Floor 1 1 Room 106
138 CLC A Floor 1 1 Room 108/110
138 CLC A Floor 1 1 Room 109/111
138 CLC A Floor 1 1 Room 112/114
138 CLC A Floor 1 1 Room 113/115
138 CLC A Floor 1 1 Room 120
138 CLC A Floor 1 1 Room 122/124
138 CLC A Floor 1 1 Room 126/128
138 CLC A Floor Room 136
138 CLC A Floor Room 138
138 CLC A Floor 1 1 Room 148
138 CLC A Floor 1 1 Room 150/152
138 CLC A Floor 1 1 Room 154/156
138 - CLC A Floor 2 1 2 Room 123 Med Cart
138 - CLC A Floor 1 1 Room 127 Shower
138 - CLC A Floor 1 1 Dental 160C
138E-Hospice 1 1 1 1 Room 138
138E-Hospice 1 1 Room 148
West Norrington CBOC 16 1 16 1 West Norriton CBOC, 2495 General Armistead Ave Ste A, Norristown, PA, 19403
Delaware County CBOC 13 13 Off Site Sharps are picked up on an "as needed" basis. Let Lorie know when they are full. Delco CBOC, 4883 West Chester Pike, Newtown Square, PA, 19073
91 0 109 9 20 12 88 0 106 0 2 6 0 4 4 15 0
241 225
TOTALS: 182 0 459 18 40 24 176 0 437 0 4 12 0 8 8 30 0
GRAND TOTAL: 723 675
C-03 3 Gallon Container Standard Top
C-02 2 Gallon Container Standard Top
C-04 H 4 Gallon Container Horizontal Drop
C-04 V 4 Gallon Container Vertical Drop
C08F 8 Gallon Container Funnel Top
C08T 8 Gallon Container Trap Top
17 17 Gallon Container
C03T 3 Gallon Container Trap Top
CO2T 2 Gallon Container Trap Top
OC-3 3 Gallon Outer Cabinet
OC-2 2 Gallon Outer Cabinet
OC-4 4 Gallon Outer Cabinet
WB0203 2 or 3 Gallon Wire Bracket
WB04 4 Gallon Wire Bracket
WB08 8 Gallon Wire Bracket
CB Counter Bracket
D08 Any 8 Gallon Dolly
D17 Any 17 Gallon Dolly
&C
&D&T
&L&D &T&R&12&P/&N
HL: Hamper lid
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