S02 - Attachment A - Critical Care Transport Capabilities Confirmation.docx
DOCX document 21 KB Posted
- Attached to
- V225--Non-Emergency Ambulance Services (607) 5-Year Ordering Period 9/1/2025 - 8/31/2030
- Solicitation number
- 36C25225Q0647
About this file
Attachment A is a Critical Care Transport (CCT) Capabilities Confirmation document for a VA ambulance services contract (Solicitation Number 36C25225Q0647). The document details specific drug and equipment requirements for critical care medical transports, including an extensive list of 20+ medications (such as Amiodarone, Dobutamine, Propofol) and specialized medical equipment (including portable mechanical vents, chest tubes, Swan-Ganz lines, and Zoll X Series Critical Care Monitor).
The document requires ambulance providers to confirm capabilities for transporting patients requiring complex medical interventions, with specific technical specifications like SmartPump capability for up to 6 IV drips, continuous 12-lead EKG monitoring, dual temperature monitoring, and arterial line monitoring. The contract is with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12, with a 5-year ordering period from 9/1/2025 to 8/31/2030. Prospective offerors must sign the attachment confirming their ability to meet all specified critical care transport criteria.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 - Attachment B - Veterans Transportation Services Patient Transport PPE and Vehicle CleaningDisinfection Standard Operating Procedures.docx | DOCX document | |
| S02 - Attachment C - Surveillance Checklist.docx | DOCX document | |
| 36C25225Q0647_2.docx | DOCX document | |
| S02 - DOL WD 2015-4897 rev 29 dated 7.8.2025.pdf |
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Text version
Attachment A
Critical Care Transport Capabilities Confirmation If a transport is classified as a Critical Care Transport (CCT) the offeror must be capable of transporting the drugs and/or equipment as required by the patient (listed below), up to and including Tier III, if necessary, based on the EMS region the ambulance provider is functioning in. Prospective offerors must sign and return this form confirming they can meet these criteria for CCTs ordered under this contract.
| Drug Supply List: | Equipment List: | ||
| Acetylcysteine (Acetadote, Mucomyst) | Chest tubes | ||
| Amiodarone (Cordarone) | Portable mechanical vents; including CPAP | ||
| Antibiotics | All VADs | ||
| Blood and Blood Products | CVP lines | ||
| Diltiazem (Cardizem) | Swan-Ganz line | ||
| Dobutamine | SmartPump Capability: up to 6 IV drips |
Dopamine Fentanyl (Sublimaze) *Any pump(s) capable for up to and including 6 infusion lines or IV drips as required by the patient. If the pumps are not compatible with VA supplied IV tubing, the contracted ambulance would need to provide their own tubing and be able to switch the tubing over prior to transport. *
Furosemide (Lasix) Heparin Hyperalimentation (TPN and lipids) Insulin Labetalol (Trandate) Lidocaine Lorazepam (Ativan) Magnesium Sulfate Mannitol Midazolam (Versed)Zoll X Series Critical Care Monitor Capabilities:
Continuous 12-lead EKG monitoring 2-Temperature Monitoring Automatic Blood Pressure Capnography 2 arterial lines monitoring
Milrinone (Primacor) Nicardipine (Cardene) Nitroglycerin (NitroStat, Nitro-Dur, Nitro-Bid) Norepinephrine (Levophed) Octreotide (Sandostatin) Ondansetron (Zofran) Pantoprazole (Protonix) Phenylephrine (Neo-Synephrine) Potassium Chloride Propofol Sodium Bicarbonate Vasopressin (Pitressin) TPA* (Pending)
I hereby confirm that can meet the criterion for Critical Care Transports. (Company Name)
| _____________________________________ | ______________ | |
| Signature of Company Representative | Date |
File details come from the government source that posted it. Updated .