275223.pdf

Alvin C. York VA Medical Center Renovate Ward 1B

VA Project #626A4-19-101 Murfreesboro, TN

27 52 23 - 1

SECTION 27 52 23

NURSE CALL AND CODE BLUE SYSTEMS

PART 1 - GENERAL

1.1 SECTION SUMMARY

A. Work covered by this document includes design, engineering, labor, material and products, equipment warranty and system warranty, training and services for, and incidental to, the complete installation of new and fully operating National Fire Protection Association (NFPA) – Life

Safety Code 101.3-2 (a) Labeled and (b) Listed, Emergency Service

Nurse-Call and/or Life Safety listed Code Blue Communication System and associated equipment (here-in-after referred to as the System) provided in approved locations indicated on the contract drawings. These items shall be tested and certified capable of receiving, distributing, interconnecting and supporting Nurse-Call and/or Code Blue communications signals generated local and remotely as detailed herein.

B. Work shall be complete, Occupational Safety and Health Administration

(OSHA), National Recognized Testing Laboratory (NRTL – i.e., Underwriters Laboratory [UL]) Listed and Labeled; and VA Central Office

(VACO), Telecommunications Voice Engineering (TVE 005OP3B) tested, certified and ready for operation.

C. The System shall be delivered free of engineering, manufacturing, installation, and functional defects. It shall be designed, engineered and installed for ease of operation, maintenance, and testing.

D. The term “provide”, as used herein, shall be defined as: designed, engineered, furnished, installed, certified, tested, and warranty by the Contractor.

E. Specification Order of Precedence: In the event of a conflict between the text of this document and the Project’s Contract Drawings outlined and/or cited herein; THE TEXT OF THIS DOCUMENT TAKES PRECEDENCE.

HOWEVER, NOTHING IN THIS DOCUMENT SHALL SUPERSEDE APPLICABLE EMERGENCY

LAWS AND REGULATIONS, SPECIFICALLY NATIONAL AND/OR LOCAL LIFE AND

PUBLIC SAFETY CODES. The Local Fire Marshall and/or VA Public Safety

Officer are the only authorities that shall modify this document’s

EMERGENCY CODE COMPLIANCE REQUIREMENTS, on a case by case basis, in writing and confirmed by VA’s Contracting Officer Representative (COR)

. The VA COR is the only approving authority for other amendments to

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27 52 23 - 2 this document that shall be granted, on a case by case basis, in writhing with technical concurrencies by VA’s COR, and identified

Facility Project Personnel.

F. The Original Equipment Manufacturer (OEM) and Contractor shall ensure that all management, sales, engineering and installation personnel have read and understand the requirements of this specification before the system is designed, engineered, delivered and provided. The Contractor shall furnish a written statement stating this requirement as a part of the technical submittal that includes each name and certification, including the OEMs. The Contractor is cautioned to obtain in writing, all approvals for system changes relating to the published contract specifications and drawings, from the CO before proceeding with the change.

1.2 RELATED SECTIONS

A. Section 01 33 23, SHOP DRAWINGS, PRODUCT DATA AND SAMPLES.

B. Section 07 84 00, FIRESTOPPING.

C. Section 26 05 19, LOW – VOLTAGE ELECTRICAL POWER CONDUCTORS AND CABLES

(600 Volts and Below).

D. Section 27 05 11, REQUIREMENTS FOR COMMUNICATIONS INSTALLATIONS.

E. Section 27 05 26, GROUNDING AND BONDING FOR COMMUNICATIONS SYSTEMS.

F. Section 27 05 33, RACEWAYS AND BOXES FOR COMMUNICATIONS SYSTEMS.

G. Section 27 10 00, CONTROL, COMMUNICATION AND SIGNAL WIRING.

H. Section 27 11 00, TELECOMMUNICATIONS ROOM FITTINGS.

I. Section 27 15 00, COMMUNICATIONS STRUCTURED CABLING.

1.3 DEFINITION

A. Provide: Design, engineer, furnish, install, connect complete, test, certify and warranty.

B. Work: Materials furnished and completely installed.

Review of contract drawings: A service by the engineer to reduce the possibility of materials being ordered which do not comply with contract documents. The engineer's review shall not relieve the

Contractor of responsibility for dimensions or compliance with the contract documents. The reviewer's failure to detect an error does not constitute permission for the Contractor to proceed in error.

C. Headquarters (aka VACO) Technical Review, for National and VA

Communications and Security, Codes, Frequency Licensing Standards, Guidelines and Compliance:

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Office of Telecommunications

Special Communications Team (005OP3B)

1335 East West Highway – 3rd Floor

Silver Spring, Maryland 20910,

(O) 301-734-0350, (F) 301-734-0360

D. Apogee: Apogee Consulting Group, P.A.

1151 Kildaire Farm Road

Cary, NC 27511

919-858-7420

E. Owner: TVHS VAMC

F. General Contractor (GC): You, Successful bidder.

G. Contractor: Systems Contractor; you; successful bidder.

1.4 REFERENCES

A. The installation shall comply fully with all governing authorities, laws and ordinances, regulations, codes and standards, including, but not limited to:

1. United States Federal Law:

a. Departments of:

1) Commerce, Consolidated Federal Regulations (CFR), Title 15 –

Under the Information Technology Management Reform Act (Public

Law 104-106), the Secretary of Commerce approves standards and guidelines that are developed by the:

a) Chapter II, National Institute of Standards Technology

(NIST – formerly the National Bureau of Standards). Under

Section 5131 of the Information Technology Management

Reform Act of 1996 and the Federal Information Security

Management Act of 2002 (Public Law 107-347), NIST develops

– Federal Information Processing Standards Publication

(FIPS) 140-2—Security Requirements for Cryptographic

Modules.

b) Chapter XXIII, National Telecommunications and Information

Administration (NTIA – aka ‘Red Book’) Chapter 7.8 / 9;

CFR, Title 47 Federal communications Commission (FCC) Part

15, Radio Frequency Restriction of Use and Compliance in

“Safety of Life” Functions & Locations.

2) FCC - Communications Act of 1934, as amended, CFR, Title 47 –

Telecommunications, in addition to Part 15 – Restrictions of

VA Project #626A4-19-101 Murfreesboro, TN

27 52 23 - 4 use for Part 15 listed Radio Equipment in Safety of Life /

Emergency Functions / Equipment/ Locations (also see CFR, Title 15 – Department of Commerce, Chapter XXIII – NTIA):

a) Part 15 – Restrictions of use for Part 15 listed Radio

Equipment in Safety of Life / Emergency Functions /

Equipment/Locations.

b) Part 58 – Television Broadcast Service.

c) Part 90 – Rules and Regulations, Appendix C.

3) Health, (Public Law 96-88), CFR, Title 42, Chapter IV Health &

Human Services, CFR, Title 46, Subpart 1395(a)(b) JCAHO “a hospital that meets JC accreditation is deemed to meet the

Medicare conditions of Participation by meeting Federal

Directives:”

a) All guidelines for Life, Personal and Public Safety; and, Essential and Emergency Communications.

4) Labor, CFR, Title 29, Part 1910, Chapter XVII - Occupational

Safety and Health Administration (OSHA), Occupational Safety and Health Standard:

a) Subpart 7 - Definition and requirements (for a NRTL – 15

Laboratory’s, for complete list, contact

(http://www.osha.gov/dts/otpca/nrtl/faq_nrtl.html):

a) UL:

b) 44-02 – Standard for Thermoset-Insulated Wires and

c) Cables.

d) 65 – Standard for Wired Cabinets.

e) 3-03 – Standard for Thermoplastic-Insulated Wires

f) and Cables.

g) 467-01 – Standard for Electrical Grounding and

h) Bonding Equipment

i) 468 – Standard for Grounding and Bonding Equipment.

j)486A-01 – Standard for Wire Connectors and Soldering k)Lugs for Use with Copper Conductors l)486C-02 – Standard for Splicing Wire Connectors.

m)486D-02 – Standard for Insulated Wire Connector n)Systems for Underground Use or in Damp or Wet o)Locations.

p)86E-00 – Standard for Equipment Wiring Terminals for http://www.osha.gov/dts/otpca/nrtl/faq_nrtl.html

VA Project #626A4-19-101 Murfreesboro, TN

27 52 23 - 5 q)Use with Aluminum and/or Copper Conductors.

r)493-01 – Standard for Thermoplastic-Insulated s)Underground Feeder and Branch Circuit Cable.

t)514B-02 – Standard for Fittings for Cable and u)Conduit.

v)1069 – Hospital Signaling and Nurse Call Equipment.

w)1449 – Standard for Transient Voltage Surge x)Suppressors.

y)1479-03 – Standard for Fire Tests of Through-z)Penetration Fire Stops.

aa) 1666 – Standard for Wire/Cable Vertical (Riser) Tray

bb) Flame Tests.

cc) 1863 – Standard for Safety, Communications Circuits

dd) Accessories.

ee) 2024 – Standard for Optical Fiber Raceways.

ff) 60950-1/2 – Information Technology Equipment –

gg) Safety.

hh) Canadian Standards Association (CSA): same tests as for

UL.

ii) Communications Certifications Laboratory (CCL): same tests as for UL.

jj) Intertek Testing Services NA, Inc. (ITSNA formerly

Edison Testing Laboratory [ETL]): same tests as for UL.

b) Subpart 35 – Compliance with NFPA 101 – Life Safety Code.

c) Subpart 36 - Design and construction requirements for exit routes.

d) Subpart 268 - Telecommunications.

e) Subpart 305 - Wiring methods, components, and equipment for general use.

5) Veterans Affairs (Public Law No. 100-527), CFR, Title 38, Volumes I & II:

a) Office of Telecommunications:

a) Handbook 6100 – Telecommunications.

b) Spectrum Management FCC & NTIA Radio Frequency

c) Compliance and Licensing Program.

d) Special Communications Proof of Performance Testing,

e) VACO Compliance and Life Safety Certification(s).

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b) Office of Cyber and Information Security (OCIS):

a)Handbook 6500 - Information Security Program.

b) Wireless and Handheld Device Security Guideline

Version 3.2, August 15, 2005.

c) VA’s National Center for Patient Safety – Veterans Health

Administration Warning System, Failure of Medical Alarm

Systems using Paging Technology to Notify Clinical Staff, July 2004.

d) VA’s Center for Engineering Occupational Safety and Health, concurrence with warning identified in VA Directive 7700.

e) Office of Construction and Facilities Management (CFM):

a)Master Construction Specifications (PG-18-1).

b)Standard Detail and CAD Standards (PG-18-4).

c)Equipment Guide List (PG-18-5).

d) Electrical Design Manual for VA Facilities (PG 18-10), Articles 7 & 8.

e)Minimum Requirements of A/E Submissions (PG 18-15):

Volume B, Major New Facilities, Major Additions; and

Major Renovations, Article VI, Paragraph B.

Volume C - Minor and NRM Projects, Article III, Paragraph S.

Volume E - Request for Proposals Design/Build

Projects, Article II, Paragraph F.

f) Mission Critical Facilities Design Manual (Final Draft –

2007).

g) Life Safety Protected Design Manual (Final Draft–2007).

h) Solicitation for Offerors (SFO) for Lease Based Clinics–

(05-2009).

b. Federal Specifications (Fed. Specs.):

1) A-A-59544-00 - Cable and Wire, Electrical (Power, Fixed

Installation).

2. National Codes:

a. American Institute of Architects (AIA): Guidelines for Healthcare

Facilities.

b. American National Standards Institute/Electronic Industries

Association/Telecommunications Industry Association

(ANSI/EIA/TIA):

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1) 568-B - Commercial Building Telecommunications Wiring

Standards:

a) B-1 – General Requirements.

b) B-2 – Balanced twisted-pair cable systems.

c) B-3 - Fiber optic cable systems.

2) 569 - Commercial Building Standard for Telecommunications

Pathways and Spaces.

3) 606 – Administration Standard for the Telecommunications

Infrastructure of Communications Buildings.

4) 607 – Commercial Building Grounding and Bonding Requirements for Telecommunications.

5) REC 127-49 – Power Supplies.

6) RS 270 – Tools, Crimping, Solderless Wiring Devices, Recommended Procedures for User Certification.

c. American Society of Mechanical Engineers (ASME):

1) Standard 17.4 – Guide for Emergency Personnel.

2) Standard 17.5 – Elevator & Escalator Equipment (prohibition of installing non-elevator equipment in Elevator Equipment Room /

Mechanical Penthouse).

d. American Society of Testing Material (ASTM):

1) D2301-04 - Standard Specification for Vinyl Chloride Plastic

Pressure Sensitive Electrical Insulating Tape.

e. Building Industries Communications Services Installation (BICSI):

1) All standards for smart building wiring, connections and devices for commercial and medical facilities.

2) Structured Building Cable Topologies.

In consort with ANSI/EIA/TIA.

f. Institute of Electrical and Electronics Engineers (IEEE):

1) SO/TR 21730:2007 - Use of mobile wireless communication and computing technology in healthcare facilities -

Recommendations for electromagnetic compatibility (management of unintentional electromagnetic interference) with medical devices.

2) 0739-5175/08/©2008 IEEE – Medical Grade – Mission Critical –

Wireless Networks.

3) C62.41 – Surge Voltages in Low-Voltage AC Power Circuits.

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g. NFPA:

1) 70 - National Electrical Code (current date of issue) –

Articles 517, 645 & 800.

2) 75 - Standard for Protection of Electronic Computer Data-

Processing Equipment.

3) 77 – Recommended Practice on Static Electricity.

4) 99 - Healthcare Facilities.

5) 101 - Life Safety Code.

3. State Hospital Code(s).

4. Local Town, City and/or County Codes.

5. Accreditation Organization(s):

a. Joint Commission (JC) – Section VI, Part 3a – Operating

Features.

1.5 QUALIFICATIONS

A. The OEM shall have had experience with three (3) or more installations of Nurse Call systems of comparable size and interfacing complexity with regards to type and design as specified herein. Each of these installations shall have performed satisfactorily for at least one (1) year after final acceptance by the user. Include the names, locations and point of contact for these installations as a part of the submittal.

B. The Contractor shall submit certified documentation that they have been an authorized distributor and service organization for the OEM for a minimum of three (3) years. The Contractor shall be authorized by the

OEM to pass thru the OEM’s warranty of the installed equipment to VA.

In addition, the OEM and Contractor shall accept complete responsibility for the design, installation, certification, operation, and physical support for the System. This documentation, along with the System Contractor and OEM certifications shall be provided in writing as part of the Contractor’s Technical submittal.

C. The Contractor’s Communications Technicians assigned to the System shall be fully trained, qualified, and certified by the OEM on the engineering, installation, operation, and testing of the System. The

Contractor shall provide formal written evidence of current OEM certification(s) for the installer(s) as a part of the submittal or to the COR before being allowed to commence work on the System.

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D. The Contractor shall display all applicable national, state and local licenses.

E. The Contractor shall submit copy (s) of Certificate of successful completion of OEM’s installation/training school for installing technicians of the System’s Nurse Call and/or Code Blue equipment being proposed.

1.6 CODES AND PERMITS

A. Provide all necessary permits and schedule all inspections as identified in the contract’s milestone chart, so that the system is proof of performance tested, certified and approved by VA and ready for operation on a date directed by the Owner.

B. The contractor is responsible to adhere to all codes described herein and associated contractual, state and local codes.

1.7 SCHEDULING

A. After the award of contract, the Contractor shall prepare a detailed schedule (aka milestone chart) using “Microsoft Project” software or equivalent. The Contractor Project Schedule (CPS) shall indicate detailed activities for the projected life of the project. The CPS shall consist of detailed activities and their restraining relationships. It shall also detail manpower usage throughout the project.

B. It is the responsibility of the Contractor to coordinate all work with the other trades for scheduling, rough-in, and finishing all work specified. The owner shall not be liable for any additional costs due to missed dates or poor coordination of the supplying contractor with other trades.

1.8 REVIEW OF CONTRACT DRAWINGS AND EQUIPMENT DATA SUBMITTALS (AKA TECHNICAL

SUBMITTAL[S])

(Note: The Contractor is encouraged, but not required, to submit separate technical submittal(s) outlining alternate technical approach(s) to the system requirements stated here-in as long as each alternate technical document(s) is complete, separate, and submitted in precisely the same manner as outlined herein. VA shall review and rate each received alternate submittal, which follows this requirement, in exactly the same procedure as outlined herein. Partial, add-on, or addenda type alternates shall not be accepted or reviewed.)

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A. Submit at one time within 10 days of contract awarding, drawings and product data on all proposed equipment and system. Check for compliance with contract documents and certify compliance with

Contractor's "APPROVED" stamp and signature.

B. Support all submittals with descriptive materials, i.e., catalog sheets, product data sheets, diagrams, and charts published by the manufacturer. These materials shall show conformance to specification and drawing requirements.

C. Where multiple products are listed on a single cut-sheet, circle or highlight the one that you propose to use. Provide a complete and through equipment list of equipment expected to be installed in the system, with spares, as a part of the submittal.

D. Provide four (4) copies to the COR for technical review. The COR shall provide a copy to the offices identified in Paragraph 1.3.C & D, at a minimum for compliance review as described herein where each responsible individual(s) shall respond to the COR within 10 days of receipt of their acceptance or rejection of the submittal(s).

E. Provide interconnection methods, conduit (where not already installed), junction boxes (J-Boxes), cable, interface fixtures and equipment lists for the: ENR(s) ( aka DMARC), TER, TCR, MCR, MCOR, PCR, ECR, Stacked

Telecommunications Rooms (STR), Nurses Stations (NS), Head End Room

(HER), Head End Cabinet (HEC), Head End Interface Cabinet (HEIC) and approved TCO locations TIP interface distribution layout drawing, as they shall be installed and interconnected to teach other.

F. Equipment technical literature detailing the electrical and technical characteristics of each item of equipment to be furnished.

G. Engineering drawings of the System, showing calculated of expected signal levels at the headend input and output, each input and output distribution point, and signal level at each telecommunications outlet.

H. Surveys Required as a Part of The Technical Submittal:

1. The Contractor shall provide the following System surveys that depict various system features and capacities required in addition to the on-site survey requirements described herein (see

Specification Paragraph 2.4.3). Each survey shall be in writing and contain the following information (the formats are suggestions and shall be used for the initial Technical Submittal

Survey requirements), as a minimum:

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a. Nurse Call Cable System Design Plan:

1) An OEM and contractor designed functioning Nurse Call System cable plan to populate the entire TIP empty conduit/pathway distribution systems provided as a part of Specification

27 11 00 shall be provided as a part of the technical proposal. A specific functioning Nurse Call: cable, interfaces, J-boxes and back boxes shall coincide with the total growth items as described herein. It is the

Contractor’s responsibility to provide the Systems’ entire

Nurse Call cable and accessory requirements and engineer a functioning Nurse Call distribution system and equipment requirement plan of the following paragraph(s), at a minimum:

2) The required Nurse Call and/or Code Blue Equipment Locations:

EQUIPPED ITEM CAPACITY GROWTH

Master Stations 100% 25%

Dome Lights 100% 25%

Room 100% 25%

Corridor 100% 25%

Other 100% 25%

Patient Stations 100% 25%

Single 100% 25%

Dual 100% 25%

Isolation 100% 25%

Other 100% 25%

Emergency Stations 100% 25%

Bath 100% 25%

Toilet 100% 25%

Isolation 100% 25%

Other 100% 25%

Staff Stations 100% 25%

Duty Stations 100% 25%

Code Blue 100% 25%

Patient Locations 100% 25%

Surgical Recovery Locations 100% 25%

Medical Recovery Locations 100% 25%

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EQUIPPED ITEM CAPACITY GROWTH

ICU Locations 100% 25%

SICU 100% 25%

MICU 100% 25%

CCU 100% 25%

Other 100% 25%

Emergency Room Locations 100% 25%

Other 100% 25%

Supervisory Locations 100% 25%

Nurse Stations 100% 25%

On-Call Rooms 100% 25%

Other 100% 25%

Remote Locations 100% 25%

Telephone Operator’s Room 100% 25%

Police Control Room 100% 25%

Other 100% 25%

Wireless Access (when pre-approved by TVE-005OP3B)

100% 25%

Maintenance/Programming Console 100% 25%

Location(s) 100% 25%

Central Control Cabinet/Equipment 100% 25%

Location 100% 25%

Power Supply(s) 100% 25%

UPS(s) 100% 25%

3) The required Nurse Call and/or Code Blue Cable

Plant/Connections:

4) The Contractor shall clearly and fully indicate this category for each item identified herein as a part of the technical submittal. For this purpose, the following definitions and sample connections are provided to detail the system’s capability:

EQUIPPED ITEM CAPACITY GROWTH

Central Control Cabinet/Equipment 100% 25%

Location 100% 25%

Power Supply(s) 100% 25%

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EQUIPPED ITEM CAPACITY GROWTH

UPS(s) 100% 25%

Essential Electrical Power Panel(s) 100% 25%

Other 100% 25%

Cable Plant 100% 25%

Supply to Locations Identified in Paragraph 1.8.H.1.a.2)

100% 25%

Remote Locations 100% 25%

Telephone Operator Room 100% 25%

Police Control Room 100% 25%

Other 100% 25%

Maintenance/Program Console 100% 25%

Location(s) 100% 25%

Other 100% 25%

LAN (Local Facility) Access/Equipment/Location

100% 25%

Wireless Access/Equipment/Location 100% 25%

PA Access/Equipment/Location 100% 25%

Other 100% 25%

1.9 PROJECT SCOPE OF WORK

A. Nurse call system shall provide TVHS full ownership of all nurse call system data.

B. Nurse call system shall provide TVHS a data dictionary for the nurse call software data tables, stored procedures, and entity relationship diagrams.

C. Nurse call system shall provide TVHS for certification system administration training.

D. Nurse call system must provide a bidirectional transfer of information with the VistA CPRS and future Cerner EMR for Patient Status, Positioning, Rounding, Pain Assessment, and Patient Data.

E. Nurse call system must be One-VA Technical Reference Model (TRM) approved. More information can be found at: www.va.gov/trm

F. Nurse call system must provide the ability to chart more than just bed data.

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G. Nurse call system must provide multiple staff assignments to one patient.

H. Nurse call system must include the ability to prioritize rounding in real-time based veteran satisfaction indicators and notify the nursing staff.

I. Nurse call system must include the ability to prioritize rounding reports and rounding reminders.

J. Nurse call system must be able to set a customizable volume per patient pillow speaker.

K. Nurse call system must provide ability to pre- assign staff requirements.

L. Nurse call system must provide ability to assign staff from any PC on

VA LAN.

M. Nurse call system must provide patient stations with the following minimum functionalities:

1. Code blue/staff assist push button

2. Call cancel button

3. Call placed LED indicator

4. Bed out LED indicator

5. Customizable pillow speaker with receptacle/call cord

6. Must have capabilities to control hospital grade TV system and overhead lights

7. Must have direct channel select and staff assist push buttons

(i.e. pain, toilet assist, water)

8. Audio microphone and speaker

9. Capable of multiple call-in priorities

10. Auxiliary device receptacle with separate call-in priority setting

11. IV and bed exit alarm capabilities

12. Capability of disconnecting handset for cleaning

N. Nurse call system must provide Audio and Non-Audio Pull-Cord Stations with the following minimum functionalities:

1. Provide audio to bathroom

2. Pull cord

3. Call-in button

4. Water resistant

O. Nurse call system must provide LED Corridor Light with the following minimum functionalities:

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1. Seven (7) color corridor light with customizable icons placed outside:

2. Patient rooms

3. Hallway bathrooms

4. Any room with code blue/staff assist push buttons

P. Nurse call system must provide nurse station components with the following minimum functionalities:

1. Nurse Console

a. VoIP capabilities

b. Customizable one-touch functions

2. Staff Terminal

a. Touch screen capable of displaying/answering calls

b. Capable of placing calls

c. Customizable functions

Q. Nurse call system must provide equipment manufactured in the USA.

R. Nurse call system must have an FDA listing.

S. Nurse call system must have FCC Part 68 compliance for interface to the wireless phone switch.

T. Nurse call system must provide ability to support off-site diagnostics.

U. Nurse call system must provide local service within 24 hours.

V. Nurse call system must provide ability to support SIP enabled wireless phones with no 3rd party software needed.

W. Nurse call system must include the ability to prioritize Veteran

Experience Scores in real time.

X. Nurse call system must provide an open architecture platform for interoperability to other systems.

Y. Nurse call system must provide two-way audio bath stations which support Fall Prevention Protocols.

Z. Nurse call system must include the capability to provide on-call scheduling, viewing on-call schedules, attendant console and web directory management capabilities.

AA. Nurse call system must include real-time visibility of the all events including date, time, unit, event type, recipients, status, delivery history, and action taken.

BB. Nurse call system must provide must include bed and call data export capability for retrospective analysis which includes but is not limited to the following data sets:

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1. Bed exit alarm status

2. Head rails setting

3. Foot rails setting

4. Bed brakes status

5. Head-of-bed angle

6. Patient weight

CC. Nurse call system must include the capability to include capability to provide staff web access to the full employee directory.

DD. Nurse call system must include the capability to maintain on-call schedules with real-time updates.

EE. Nurse call system must include an option to integrate with staff and employee database of record.

FF. Nurse call system must include the capability of providing an answering service module included in the software.

GG. Nurse call system must include the capability for identifying and tracking exit alarms by bed and by patient.

HH. Nurse call system must include the capability to adjust patient bed assignments based upon activity care demands.

II. Nurse call system must include the capability to identify low activity patients to reduce the stress of new unit orientation.

JJ. Nurse call system must include the capability to display patient behavioral information in the rounding tool.

KK. Nurse call system must include the capability to identify high activity levels by nurse and nursing unit in the facility, so that resources can be allocated.

LL. Nurse call system must include the capability to provide real-time patient experience insights and tracking by patient by nursing unit.

MM. Nurse call system must include the capability to display real-time patient experience insights by individual patient room, unit activity, and assigned caregiver detail.

NN. Nurse call system must include the capability to include critical event alarm management for managing alarms and critical notifications generated by the Nurse Call Light, Patient Monitoring, Telemetry, Stat

Order, PRN and Code systems.

OO. Nurse call system must include the capability to include smart alarm and alert notifications to securely notify the appropriate staff of required

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27 52 23 - 17 action to be taken on the wireless device (e.g. actionable life-threatening event alarm, alert, or notification).

PP. Nurse call system must include audit trail reporting for the Joint

Commission.

QQ. Nurse call system must have ability to integrate with Cisco 7925 and

Cisco 8821 phones and voice badge communication system and all VA approved WiFi devices such as Zebra MC40, TC51, iPhones running Spok

Mobile and the current wifi phones.

1.10 PROJECT RECORD DOCUMENTS (AS BUILTS)

A. Throughout progress of the Work, maintain an accurate record of changes in Contract Documents. Upon completion of Work, transfer recorded changes to a set of Project Record Documents.

B. The floorplans shall be marked in pen to include the following:

1. Each device specific locations with UL labels affixed.

2. Conduit locations.

3. Each interface and equipment specific location.

4. Head-end equipment and specific location.

5. Wiring diagram.

6. Labeling and administration documentation.

7. Warranty certificate.

8. System test results.

1.11 WARRANTIES

A. The Contractor shall warrant the installation to be free from defect in material and workmanship for a period of five (5) years from the date of acceptance of the project by the owner. The Contractor shall agree to remedy covered defects within four (4) hours of notification of major failures or within twenty-four (24) hours of notification for individual station related problems.

1.12 USE OF THE SITE

A. Use of the site shall be at the GC’s direction.

B. Coordinate with the GC for lay-down areas for product storage and administration areas.

C. Coordinate work with the GC and their sub-contractors.

D. Access to buildings wherein the work is performed shall be directed by the GC.

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1.13 DELIVERY, STORAGE, AND HANDLING

A. Deliver, store, and handle products using means and methods that shall prevent damage, deterioration, and loss, including theft.

B. Store products in original containers.

C. Coordinate with the GC for product storage. There shall be little or no storage space available on site. Plan to potentially store materials off site.

D. Do not install damaged products. Remove damaged products from the site and replaced with new product at no cost to the Owner.

1.14 PROJECT PROGRAMMING

A. Schedule a programming meeting with the VA thru the COR.

B. Provide a basic system functions for all users.

C. Provide optional programming functions for the VA to select from.

D. Provide a chart showing how each system is going to be programmed after the initial programming meeting.

E. The VA shall sign on the programming before it is implemented.

F. Provide extra programming time per the VA request if needed. (maximum of 2 days).

G. Programming shall be tweaked per the VA.

1.13 PROJECT CLOSE-OUT

A. Prior to final inspection and acceptance of the work, remove all debris, rubbish, waste material, tools, construction equipment, machinery and surplus materials from the project site and thoroughly clean your work area.

B. Before the project closeout date, the Contractor shall submit:

1. OEM Equipment Warranty Certificates.

2. Evidence of compliance with requirements of governing authorities such as the Low Voltage Certificate of Inspection.

3. Project record documents.

4. Instruction manuals and software that is a part of the system.

5. System Guaranty Certificate.

C. Contractor shall submit written notice that:

1. Contract Documents have been reviewed.

2. Project has been inspected for compliance with contract.

3. Work has been completed in accordance with the contract.

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PART 2 - PRODUCTS / FUNCTIONAL REQUIREMENTS

2.1 GENERAL REQUIREMENTS FOR EQUIPMENT AND MATERIALS

A. Furnish and install a complete and fully functional and operable Nurse

Call and Code Blue System for each location shown on the contract drawings and TCOs. Basis of Design: Rauland Borg Responder 5 with

Enterprise platform software and hardware.

B. The New Nurse Call System and Code Blue shall be a replacement of the existing Rauland Borg Responder 4, Hill-Rom, Ektacom, Cornell, and other nurse call systems that are no longer supported. All new components and operation system provided shall be 100% compatible with the existing Nurse call system as shown on the drawings and specified herein and shall be 100% compatible with existing wireless phones and new phones the facility may procure as part of this project as well as expand to support other devices in the future. The new nurse call system shall be an Upgrade to Rauland Borg Responder 5 with Enterprise platform software and hardware.

C. Coordinate features and select interface components to form an integrated Nurse Call system. Match components and interconnections between the systems for optimum performance of specified functions.

D. Expansion Capability: The Nurse Call equipment interfaces and cables shall be able to increase number of enunciation points in the future by a minimum of 25 percent (%) above those indicated without adding any internal or external components or main trunk cable conductors.

E. Equipment: Active electronic type shall use solid-state components, fully rated for continuous duty unless otherwise indicated. Select equipment for normal operation on input power usually supplied between

110 to 130 VAC, 60 Hz supplied from the Facility’s Emergency Electrical

Power System.

F. Meet all FCC requirements regarding equipment listing, low radiation and/or interference of RF signal(s). The system shall be designed to prevent direct pickup of signals from within and outside the building structure.

G. Weather/Water Proof Equipment: Listed and labeled by an OSHA certified

NRTL (i.e. UL) for duty outdoors or in damp locations.

2.2 HIGHLY AVAILABLE HIGH PERFORMANCE CONVERGED ARCHITECTURE

A. Requirements

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1. The hyper converged software shall be fully compatible with the servers that hosts it. This includes:

a. Being able to recognize all hardware components and utilize them according to their published specifications.

b. Being able to achieve the compute speed, spinning disk and flash transfer speeds, and network transfer speeds advertised for the individual components.

c. Not have any faults or errors during boot sequence with all hardware components enabled that are necessary for the system to operate.

d. Not have any faults or errors during normal system operation.

2. All server hardware and components shall be a listed configuration on the hyper converged software vendor’s hardware compatibility list.

3. The Management Switches that connect to the fabric interconnects

(brand name or equal) will be of a product line that VA OIT will support.

4. The contractor will arrange all servers will be racked and have cables/cords arranged so that the server can be slid out on its rails to its maximum outward position without any cables/cords being at risk for becoming tangled or disconnected or suffer undue stress.

5. All Cisco fabric interconnects (brand name or equal) will be compatible with cluster server nodes and on the software vendor’s hardware compatibility list.

2.3 HYPER CONVERGED TECHNOLOGY/SOFTWARE

A. Requirements

1. VMs and the VM’s data shall run local to the server it is hosted on (data locality i.e. direct attached storage) with I/O handled by the hyper converged software on that same node for maximum performance, with the hyper converged software handling I/O requests on the same physical node on the VMs running on that same physical node.

2. Solution shall be able to do replication factor of 2 or 3 to protect data from hardware failure.

3. Solution shall be able to do encryption of data at rest.

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4. Hyper converged operating system (OS) shall have a S3 REST compatible API object storage solution that is native to the system to avoid additional management layers with third party solutions, while also supporting native erasure coding, compression and deduplication for the object storage solution provided by the hyper converged solution.

5. Hyper converged OS shall be compatible with “hybrid” disk combinations within a server where some disks are flash/SSD and others are spinning disk to maximize performance and minimize cost while maintaining redundancy during failure.

6. Solution will be able to seamlessly add new single nodes without downtime, contributing additional storage and/or compute as needed and be available in a GUI console.

7. The solution’s software defined storage features must include the following data management features native to the system without add-on software:

a. Automated tiering (including RAM cache, flash read/write, HDD read/write)

1) Tiering must occur real-time and elevate data from the HDD tier into the flash and RAM tiers based on access patterns

2) A minimum of 4GB of RAM cache must be available on every storage node

b. Thin provisioning (both storage containers and virtual machine

HDs)

c. Rapid VM cloning

d. Snapshots (native storage level snapshots with no impact on Guest

VM performance)

e. Compression (Configurable as either Inline or Post Process)

Compression is on by default in All-Flash systems.

f. Deduplication (Deduplication must span all storage tiers including RAM, flash and HDD, and scale as the storage cluster grows)

g. Data Redundancy policies that provide options for single host failure and simultaneous host failure with no impact to data availability

8. Solution must include a native, automated application provisioning and orchestration engine to provision, scale and

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27 52 23 - 22 manage applications across multiple environments, to include on-premise and across public clouds. Application provisioning must be present in a self-service catalog within the native HTML5 interface, requiring no additional hardware or software to utilize or configure. Automated application provisioning must include admin-configurable application templates as well as vendor-provided templates with an automated approval process and workflow, i.e., Citrix Xen Desktop for rapid virtual desktop provisioning with a single-click.

9. Storage solution must support NFS, SMBv3 and iSCSI

10. For ease of management, the converged solution must be managed through a single HTML5 web based console that provides a single pane of glass view for the entire environment. The solution must not require additional management tools beyond the virtualization consoles already used in the environment.

11. The solution must provide the highest-level cryptographic algorithms following NIST-SP800- 131A guidance for FIPS 140.2 as well as multiple embedded STIGs following NIST-SP800-53.

12. The solution must be able to operate on nodes that have at least 12% flash/SSD capacity compared to the total storage capacity (including all spinning disk) to maximize performance as well as safeguard against disk failure.

13. Ability to “pin” VM’s or virtual disks (either fully or partially) to flash/SSD for latency sensitive applications.

14. The solution shall provide graphical and predictive analytics of future use of available resources including storage, CPU, and RAM.

2.4 HYPER CONVERGED LICENSING/SUPPORT FOR IMPLEMENTATION

A. Requirements

1. All storage, CPU, and RAM will be fully licensed and utilized by the hyperconverged technology.

2. The licenses to activate a cluster shall not begin its period of performance until a hospital site’s cluster is activated/validated/operational and signed as acceptable for use by the site owner e.g. Biomedical Engineering.

3. All CPU and flash must be licensed to support disk encryption.

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2.5 TOP-OF-RACK SWITCHES

A. Requirements

1. Solution shall provide server management capabilities inherent to the platform, without the use of third-party software. The servers shall be configured by the management application within the top of rack switch via a "profile template" where a server of similar specification can be “swapped in” and receive the same profile as the unit it replaced.

2. The platform shall support Cisco virtualization-aware networking and Cisco Data Center Virtual Machine Fabric Extender (VM-FEX) architecture (Brand name or equal).

3. Solution shall be able to have multiple Vlans trunked both at the uplink interface as well as at the interfaces that will connect the hyper converged servers/nodes.

4. Solution shall possess the capability to provide policy-based virtual machine connectivity, with network properties moving with the virtual machine, and a consistent operational model for both physical and virtual environments.

5. Each site shall receive a redundant pair of the solution so that no one component failure will interrupt services.

6. Solution shall not be a “layer 3” switch as that is managed by VA

OIT and this switch solution shall be able to be owned and configured by Biomedical Engineering.

7. Solution shall be compatible with the hyper converged software.

8. Solution must support LACP.

9. Solution must support QoS.

10. Per-port configuration.

11. Eight hardware queues per port.

12. Egress priority queuing and port-based scheduling.

13. Solution must provide hot-swappable field replaceable power supplies, fan modules, and expansion modules.

14. All hardware must be supported by Cisco-VA ESA (Enterprise Service

Agreement) to minimize ongoing warranty support costs, or equivalent.

15. Switch platform must be able to update all attached server’s bios/firmware/drivers through a server profile template to maximize server updating throughput while requiring minimal biomedical engineering staff support.

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2.6 END-OF-ROW-SWITCHES

A. Requirements

1. The layer-3 switches shall be 1-Rack-Unit (1RU) switch with latency of less than 1 microsecond that supports 3.6 Terabits per second (Tbps) of bandwidth and over 2.6 billion packets per second (bpps) and be compatible with VA OIT network.

2. The layer-3 switches shall have 48 downlink ports can be configured to work as 1-, 10-, or 25- Gbps ports.

3. The layer-3 switches shall have uplinks that can support up to six 40- and 100-Gbps ports, or a combination of 1-, 10-, 25-, 40-

, 50-, and 100-Gbps connectivity.

4. The layer-3 switches shall be FC-FEC enabled for 25Gbps, and supports up to 3m in DAC connectivity.

5. The layer-3 switches shall have 24 GB system memory.

6. The layer-3 switches shall have 4 CPU cores.

7. The layer-3 switches shall have 64 GB SSD.

8. The layer-3 switches shall have 1 RJ-45 management port and 1 SFP management port.

9. The layer-3 switches shall have 1 USB port.

10. The layer-3 switches shall have 1 RS-232 serial console port.

11. The layer-3 switches shall redundant 1200 watt AC power supplies or

930 W DC (up to 2); 80 Plus Platinum-rated power supplies that provide at least 90% efficiency with 20% utilization.

12. The layer-3 switches shall hot-swappable, dual fan trays with redundant fans.

13. The layer-3 switches shall have port-side intake or port side exhaust airflow direction.

14. The layer -3 switches will connect to the fabric interconnect to facilitate connection of the biomed hyperconverged solution to the

OIT managed layer 3 switches and enterprise network.

15. Each site shall receive a redundant pair of the solution so that no one component failure will interrupt services.

16. All hardware must be supported by Cisco-VA ESA (Enterprise Service

Agreement) to minimize ongoing warranty support costs, or equivalent.

17. All fiberoptic cables will be provided along with SFP-10G-X2 adapters to plug into the hospital Cores (each site has two cores) or SFP-10G-

SR after site visit determination.

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2.7 SERVERS/UCS MANAGER

A. Requirements

1. Servers shall be compatible with the profile management software built into the switches they are directly attached to.

2. All server hardware must be compatible with server profile management software within the fabric interconnects and on the vendors hardware compatibility list.

3. All available storage shall be fully licensed to be utilized within the 2.7 hyper converged solution licensing requirements.

4. All hardware must be supported by Cisco-VA ESA (Enterprise

Service Agreement; Brand name or equal) to minimize ongoing warranty support costs, or equivalent.

5. All server SSD/flash used for caching of “hot data” must be 3X endurance rated (not value rated) to maximize performance.

6. Servers bios/firmware/drivers shall be one or two versions

“behind” upon delivery from the latest release so that the switch platforms server updating feature can be fully tested on premise

(opposed to an offsite lab).

2.8 GRAPHICS CARD IN SINGLE STANDALONE NODE

A. Requirements

1. VA will have one (1) standalone node in addition to their number of nodes in requirement 2.10 with a vGPU capable graphics card

(nVidia P40) that is on the hyper converged and server vendor’s hardware compatibility list.

2. The vGPU graphics card will be licensed for up to 5 concurrent users.

3. The node will be “standalone” and have the hyper converged software installed, but it will lack the features to participate in a cluster i.e. no data replication will take place to it and require no license

2.9 COMMVAULT INTEGRATION

A. Requirements

1. Ensure the hyper converged software within all clusters has provided the necessary hosting space for any VM commvault may have.

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2. Ensure the hyper converged software is configured to accept the requests made by commvault to perform Guest OS backups including full, incremental, and Intellisnap snapshots.

3. Services needed of Commvault will not be issued with this procurement.

2.10 PHYSICAL TO VIRTUAL CONVERSION

A. Requirements

1. Contractor will provide technical support for migrating physical servers to virtual for all sites. Physical servers can be either

Windows or Linux, with Windows versions dating back to Server

2010. Anticipated drive size per server is 300 GB.

3. Conversion software shall be able to convert “live” servers i.e.

server doesn’t need to be shut down to perform any part of the conversion.

4. Conversion software shall be “agentless” whereby the physical server does not have any software installed to facilitate conversion as medical server’s configuration cannot be modified.

5. Conversion software should be able to throttle network traffic it uses to not disrupt production services.

6. Conversion software shall be able to convert to multiple hypervisors, including ESXI, Hyper-V, KVM, and Acropolis

Hypervisor.

7. Contractor will provide technical documentation and any licensed toolkits needed to perform future conversions to be done independently by Biomedical Engineering staff without the need of contractors.

8. Contractor will include any costs for server licenses that are pre-requisites (e.g. Windows Server 2016, Microsoft SQL 2016, Red

Hat Enterprise Linux 7, etc.) for the physical-to-virtual converter software to fully operate in the described capacity.

B. When the System is approved to connect to a separate communications system (i.e. LAN, WAN, Telephone, Public Address, radio raging, wireless systems) the connection point shall meet the following minimum requirements for each hard wired / wireless connection:

1. UL 60950-1/2.

2. FIPS 140-2.

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3. FCC Part 15 Listed Radio Equipment restriction compliance approved by SM – 005OP2B.

C. System Performance:

1. At a minimum, each distribution, interconnection, interface, terminating point and TCO shall be capable of supporting the

Facility’s Nurse Call and/or Code Blue System voice and data service as follows:

a. Shall be compliant with and not degrade the operating parameters of the Public Switched Telephone Network (PSTN) and the Federal

Telecommunications System (FTS) at each PSTN and FTS interface, interconnection and TCO terminating locations detailed on the contract drawings.

b. The System shall provide the following minimum operational functions:

1) Code Blue calls shall be cancelable at the calling station only. The nurse call master station (s) that a managing Code

Blue functions shall not have the ability to cancel Code Blue calls.

2) Each Code Blue system shall be able to receive audio calls from all bedside stations simultaneously.

3) Calls placed from any Code Blue station shall generate Code

Blue emergency type audible and visual signals at each associated nurse control and duty station, respective dome lights and all local and remote annunciator panels. Calls placed from a bedside station shall generate emergency type visual signals at the bedside station and associated dome light(s) in addition to the previous stated stations and panels.

4) Activating the silencing device at any location, while a Code

Blue call or system fault is occurring shall mute the audible signals at the alarm location.

a) The audible alarm shall regenerate at the end of the selected time-out period until the call or fault is corrected.

b) The visual signals shall continue until the call is canceled and/or a fault is corrected. When the fault is corrected, all signals generated by the fault shall

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c) Audible signals shall be regenerated in any local or remote annunciator panel that is in the silence mode, in the event an additional Code Blue call is placed in any Code Blue system.

d) The additional Code Blue call shall also generate visual signals at all annunciators to identify the location of the call.

5) The system shall be capable of 990 different distinctive call types and 99 distinctive staff types within the system.

a) The system shall be expandable to any combination of over

15,000 bed, duty, or staff stations and 120,000 substations connected as a contiguous interconnected system.