36C25719Q1114-003.pdf

Clean Room User Requirement Specification*

Date: 7/12/19 Title: Administrator Officer Pharmacy Service

Hospital: West Texas VA Hospital Big Spring, Texas Contact: Elaine Gray

Street Address: 300 Veterans Blvd. City: Big Spring

State/Province: Texas Country: U.S. Zip Code: 79720

Phone: (432)264-4836 Fax: (432)264-4894 E-mail: elaine.gray@va.gov

Additional Project Contacts: Lisa Patton, Wendy Brown, and Larry Thompson

1. Concept Sketch or drawing of area. See uploaded diagram in contracting package

2. Clean room type: See statement of work

3. Average Census of facility: 30

4. Define storage requirements: See statement of work

5. Who is cleaning the cleanroom? Staff

6. Are they trained? Yes

7. Gowning competency evaluations of all people allowed to enter the cleanroom? yes

8. Do you have appropriate Cleanroom materials? Yes

9. Where are the cleanroom cleaning supplies being kept? Pharmacy

10. Work flow description:

11. # of gown-ins per day: 4

12. # of labor hours in each area per shift: 2

13. # of shifts: 1

14. Max # of people in each area at a time: 2

15. Process performed in cleanroom -_____sterile compounding_____

16. Physical description: See statement of work

17. Installation location and considerations: See statement of work

18. Work by Aseptic Enclosures to be included in contract? See statement of work

19. Options:

Pass-throughs- See statement of work

Automatic opening doors- See statement of work

Gowning shower- N/A

Countertops - See statement of work

Storage carts - N/A

Hoods and isolators- N/A

20. Training requirements

See statement of work

*Questions in bold; Answers in normal font mailto:elaine.gray@va.gov