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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 Pittsburgh VA Health Care System
Regulated Medical Waste (RMW) Summary
· Pittsburgh 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 pathological, 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 Pittsburgh 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 |
| VAPHS 646 University Drive |
| University Drive C |
| Pittsburgh |
| PA |
| 15240 |
| VAPHS 646 HJ Heinz |
| 1010 Delafield Road |
| Pittsburgh |
| PA |
| 15240 |
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 |
Coviden Sharp Safety 1 Quart
| 100 units (VHAPTH LMS GIP Purchase & Managed Outcomes). |
| 100 units (VHAPTH LMS GIP Purchase & Managed Outcomes). |
· Estimate included. VAPHS 646 has establish protocols and do not foresee this change.
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 (estimate-piece count of containers)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| Sharps container size |
| Number in use |
| Brand of sharps container utilized |
| VAPHS 646 University Drive |
| S14 (small) |
| 441 |
| Stericycle-mail box style required |
| VAPHS 646 University Drive |
| S22 (medium) |
| 524 |
| Stericycle-mail box style required |
| VAPHS 646 University Drive |
| S32 (large) |
| 81 |
| Stericycle-open top, securable lock lid, roll away cart |
| VAPHS 646 University Drive |
| S64 (extra-large) |
| 202 |
| Stericycle-open top, slide lid, securable lid lock, roll away cart |
| VAPHS 646 HJ Heinz |
| S14 (small) |
| 224 |
| Stericycle-mail box style required |
| VAPHS 646 HJ Heinz |
| S22 (medium) |
| 230 |
| Stericycle-mail box style required |
| VAPHS 646 HJ Heinz |
| S32 (large) |
| 30 |
| Stericycle-open top, securable lock lid, roll away cart |
| VAPHS 646 HJ Heinz |
| S64 (extra-large) |
| 30 |
| Stericycle-open top, slide lid, securable lid lock, roll away cart |
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.
TABLE D – Sharps Container Location Manifest (estimate)
| General location (crash cart, floor, building number.) |
| Beige Small S14 |
| Beige Med S22 |
| Beige Large S32 |
| Red Large S32 + Collector |
| Red 2X Large S64 + Collector |
University Drive Estimate
| Ground Floor (Sharps Cart Work Center) by AA143-1-UD RMW Systems Room |
| 40 |
| 60 |
| 30 |
| 30 |
| 30 |
| 1st Floor RMW Sharps Container Clean Storage |
| 40 |
| 60 |
| 30 |
| 30 |
| 30 |
| 3rd Floor Operating Rooms |
| 16 |
| 20 |
| 20 |
| 20 |
| 20 |
Research Bldg. 30 Estimate
| Wet Lab Ground |
| 10 |
| 0 |
| 0 |
| 0 |
| 20 |
| Wet Lab 1st Floor |
| 10 |
| 0 |
| 0 |
| 0 |
| 20 |
Building 29
| Patient Wards 3, 4, 5 |
| 18 |
| 0 |
| 0 |
| 0 |
| 0 |
HJ Heinz Estimate
| Building 50 (all floors ground, 1st, 2nd) |
| 46 |
| 117 |
| 0 |
| 0 |
| 0 |
| Building 51 (all floors ground, 1st, 2nd, 3rd). |
| 62 |
| 91 |
| 0 |
| 0 |
| 0 |
| Building 51 Clean Storage RMW Sharps |
| 30 |
| 60 |
| 20 |
| 20 |
| 20 |
| Building 71 (all floors ground, 1st, 2nd, all medical PODS). |
| 135 |
| 0 |
| 20 |
| 20 |
| 10 |
| Building 70 (administration restrooms) |
| 6 |
| 0 |
| 0 |
| 0 |
| 0 |
| Building 69 (medical areas) |
| 10 |
| 0 |
| 0 |
| 0 |
| 0 |
| Building 49 Restrooms |
| 2 |
| 0 |
| 0 |
| 0 |
| 0 |
| Inoculation Clinic UD |
| 6 |
| 0 |
| 30 |
| 30 |
| 20 |
| Inoculation Clinic HJH |
| 6 |
| 0 |
| 30 |
| 30 |
| 20 |
Future Renovation Project Estimate
| 1st Floor Clinics UD |
| 0 |
| 80 |
| 0 |
| 0 |
| 0 |
| Building 51, 2nd floor-HJH |
| 0 |
| 40 |
| 0 |
| 0 |
| 0 |
Medical Waste
5. All facilities, please complete Table E.
TABLE E – RMW History (pounds)
| 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.) |
| VAPHS 646 University Drive |
| 293,101.9 |
| 294,728.6 |
| 316,425 |
| 2X per week |
| VAPHS 646 HJ Heinz |
| 5,232.2 |
| 3,935.4 |
| 3,836.1 |
| 1X per week |
| Pick-up location (Facility, VCC, Satellite, etc.) |
| RMW (sharps) weight FY2021 |
| RMW (sharps) weight FY2022 |
| RMW (sharps) weight FY2023 |
| Frequency of pick-up (daily, weekly, etc.) |
| VAPHS 646 University Drive |
| 30,120.5 |
| 37,152.5 |
| 43,258.1 |
| 1X per week, service exchange service 2X per week. |
| VAPHS 646 HJ Heinz |
| 2,930.7 |
| 3,102.5 |
| 4,362.7 |
| 1X per week |
6. Complete Table F if your facility generated and tracked trace chemo waste independently.
TABLE F – Pathology & Trace Chemo Waste History (pounds)
| Pick-up location |
| Pathology & Trace chemo weight FY2021 |
| Pathology & Trace chemo weight FY2022 |
| Pathology & Trace chemo weight FY2023 |
| VAPHS 646 University Drive |
| 13,516.4 |
| 7,042.9 |
| 7,487.6 |
| VAPHS 646 HJ Heinz |
| 227.7 |
| 760.8 |
| 668.4 |
