D.5 Critical Care Transport Capabilities Confirmation.pdf

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AMENDMENT #1: 36C25724Q0368_NTX ER to ER ambulance transportation
Solicitation number
36C25724Q0368
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This document is a Critical Care Transport Capabilities Confirmation that must be signed by prospective offerors for a federal contract opportunity. The document lists the required medications, equipment, and capabilities for critical care transport (CCT) services, up to and including Tier III capabilities, that ambulance providers must be able to supply if transporting patients with life-threatening conditions. Key details include the required medication supply list, equipment list, and capabilities such as the ability to transport patients with up to 6 IV drips and provide critical care monitoring. The related federal contract opportunity is for specialized ambulance transportation services to transport patients with life-threatening conditions from emergency rooms to community hospitals within the North Texas area. The solicitation number is 36C25724Q0368 and the contracting agency is the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 17.

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Critical Care Transport Capabilities Confirmation If a transport is classified as a Critical Care Transport (CCT) the offeror must be capable of transporting the medication 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.

Medication 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) Furosemide (Lasix) Heparin Hyperalimentation (TPN and lipids) Insulin Labetalol (Trandate) Lidocaine Lorazepam (Ativan) Magnesium Sulfate Mannitol Midazolam (Versed) 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)

*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. *

Zoll X Series Critical Care Monitor Capabilities:

Continuous 12-lead EKG monitoring

2-Temperature Monitoring

Automatic Blood Pressure

File details come from the government source that posted it. Updated .