36C25925R0017 - Questions and Answers.pdf

36C25925R0017 Patient Monitoring Upgrade for the Oklahoma City VA Medical Center

Questions and Answers

1. What is the basis of design for Nellcor? Would you consider other equivalent options?

Answer: Other options will be considered. Workflow, compatibility/integration with existing facility equipment hospital-wide, and cost.

2. Would it be possible for Masimo to schedule a side-by-side evaluation with Nellcor in the hospital?

Answer: This cannot be accomplished within the required timeframe.

3. Section 3.4.1 references the “smart hopping network feature” - the smart hopping is a vendor-specific trademarked phrase. We recommend restating as “dedicated medical wireless infrastructure” as this achieves the very same functionality and utility without being restrictive.

Answer: Any vendor provided network solution must be able to provide a continuous, uninterrupted, wireless data stream with bidirectional communication between telemetry devices/transport monitor and central station.

“Temporary suspension of telemetry monitoring is not acceptable” - ONS VHA Telemetry Guidebook 2020.

4. Section 3.4.1 almost references the 2.5-3” touch screen size for viewing telemetry which respectfully is not clinically significant as the VA already possesses a solution which proves the ability to view the telemetry patient with real time wave forms, vitals, and event history at the patient bedside.

Answer: Touch screen is not required. Agreed that a touchscreen is not needed. However, the issue is not a touch screen as much as it is the ability to monitor in areas such as radiology holding when a Med/Surg patient is waiting there for imaging. They are supposed to be able to be monitored during this time according to ONS standards. The real time forms would be significant if the telemetry transmitter pack is able to transit to a central monitoring station from these locations.

5. Is VA requiring the vendor to supply the patient monitoring network infrastructure?

Answer: Yes, communicate on both patient monitoring network and VA provided network.

6. Is VA requiring the vendor to use the existing VA network infrastructure?

Answer: The system will not use the VA network infrastructure. VA desires an isolated, stand-alone patient monitoring network. If the question is asking if the new vendor will be required to use the existing incumbent’s network infrastructure, the answer is also no.

7. Is VA requiring the proposed system in this solicitation to be implemented upon the existing incumbent vendor’s network infrastructure?

Answer: The current vendor’s network infrastructure is at end of life, at least for the switches, so it is therefore NOT desired to implement this requirement using the existing infrastructure.

8. Please clarify if VA is requiring software capability only versus requiring the software capability and functionality to be included.

Answer: Both software capability and functionality so that Clinical Engineering department can trouble shoot and test functionality. If this is referencing the test environment to be installed in the Biomed shop, then the answer in red is correct.

9. Per department, please confirm how many monitors are required to have the clinical functionality available at the bedside simultaneously.

Answer: All monitors in each department should have clinical functionality.

10. There are 16 transport monitors called for in OR. Please confirm that (14) of the (16) transport monitors will be docked to the (14) Anesthesia Monitors called for in this area, and the other two dedicated for extra transport monitors.

Answer: OR/PACU/Bronch Room actually need 18 anesthesia monitors total – 8 in the OR, 9 in PACU, 1 in the bronch room. They need 4 transport monitors.

11. If a different number of transport monitors are needed in OR, how many are needed in this area?

Answer: 4 transport monitors are required.

12. Please confirm if the VA is requiring Cardiac Output, Continuous Cardiac Output or both on ICU patient monitors.

Answer: Both are desirable on ICU level bedside monitors.

13. If the VA is requiring a third-party CO device to be integrated with the patient monitor, please confirm how many integration modules are needed per department with ICU monitors. Most customers purchase one module per third-party device.

Answer: 10 modules requested for ICU total.

14. Please confirm the make, model and quantity of the third-party Cardiac Output device in use at the Oklahoma City VA (Edwards, LidCo etc.)?

Answer: Edwards, EV1000 and HemoSphere, Qt:8

15. If the VA is requiring a third-party CCO device to be integrated with the patient monitor, please confirm how many integration modules are needed per department with ICU monitors. Most customers purchase one module per third-party device.

Answer: 10 modules requested for ICU.

16. Please confirm the make, model and quantity of the third-party Continuous Cardiac Output device in use at the Oklahoma City VA?

17. The bedside monitor has software capability to monitor EEG and the OEM EEG module can be moved from bed to bed with plug and play capability. Please confirm How many EEG modules are required per department for ICU monitors.

Answer: 40 EEG modules are being requested.

18. Please confirm how many invasive blood pressures the VA requires to simultaneously view per bed with ICU monitors. The vendor needs to know a specific number of pressures to ensure invasive pressure hardware is included.

Answer: 4 invasive blood pressures.

19. Please note that the requirement is asking for (2) non-invasive blood pressures. Bedside monitors are only able to monitor (1) non-invasive blood pressure. Was this a typo in the SOW?

Answer: SOW shows only 1 non-invasive blood pressure in section 3.4.1. Only one is needed.

20. The bedside monitor has software capability to monitor capnography and the OEM capnography extension can be moved from bed to bed with plug and play capability. Please confirm how many MicroStream EtCO2 modules are required per department with ICU monitors.

Answer: 40 total capnography modules are requested for ICU monitors.

21. Please identify the quantity and model of ventilators you would like to integrate with the patient monitors. The number of integration modules is typically determined by identifying the maximum quantity of ventilators used simultaneously throughout the hospital.

Answer: We currently have, 20 Puritan Bennett 980s, 12 Philips v60s, 12 Hamilton T1s and 6 specialty vents – Hamilton G5s that are occasionally used. Would request 40 ventilator modules compatible with these brands/models.

22. Each bedside monitor can have a Strip Thermal Array recorder for ECG strip printing however, if the monitor is connected to a central station with printer, the ECG wave strips can be sent directly to the laser printer.

Answer: Any areas with a central station monitor can print to a laser printer. This includes all monitors in the ED, ED annex, CDU, and ICU. Bedside strip thermal array is not necessary in these areas provided laser printing from central station is available.

23. Please confirm how many Strip Thermal Array Recorders are needed per department with ICU monitors.

Answer: All ICU level monitors without central stations would need strip thermal array recorders for strip printing. So 2 IR, 6 cath, 13 GI lab, and 9 pre-op ICU level monitors with strip recorders – for a total of 30 ICU level monitors with strip recorders/printers.

24. Most monitors come with (4) USB ports. Please confirm the VA requires (6) USB ports for each department with ICU monitors.

Answer: The minimum number of USB ports is 4.

25. How will the VA utilize each USB port on the ICU monitor?

Answer: USB ports are necessary for data transmission to CIS/ARK minimally. Extra are necessary for damage that occurs to the ports over the lifespan of the equipment.

26. Please clarify how many USB ports are required per department and for what purposes(s) the USB ports will be utilized?

Answer: 4 USB ports per department. All bedside monitors should have the minimum 4 USB ports. See above.

27. Please clarify in the parameter requirements “pre/post anesthesia” and “ventilator”.

Answer: NIBP, pulse-ox, etco2/capnography, ECG display and print, EEG/BIS, continuous cardiac monitoring, and multiple invasive line monitoring.

28. The optional iPC (integrated PC), which is a medical grade PC residing within the monitor, is designed for continuous operation in the patient vicinity. The IPC allows access to relevant patient information residing on the hospital’s intranet. It is designed as an “open” PC and can be serviced and maintained by the hospital’s IT department as well as by OEM. The iPC is shipped with Windows 10 as the operating system and can host compatible applications which are loaded by IT such as Windows applications, like Internet Explorer, OEM applications such as iSite clients or LaunchPad, Third-party applications and Hospital owned and developed software. Please confirm the VA is requiring an integrated fan-less, medical grade PC for use with each ICU monitor called for in the SOW.

Answer: Integrated fan-less, medical grade PC using latest Windows OS approved for use by VA. PC must contain the ability to be upgraded to the latest Windows OS version.

29. SOW calls for lithium ion battery technology. OEM’ 19” monitor is powered by AC power. The transport monitor (X3) IS powered via lithium-ion battery.

Answer: Current ICU patient monitors are power by AC power. AC power is fine for any bedside or rollstand monitor. However, if there is a battery back-up for the bedside or rollstand monitors, lithium ion is preferred.

30. The ICU patient monitor is capable of being operated via a remote control. Please confirm the VA would like a remote control with each ICU patient monitor quoted.

Answer: Remote must be programmable as to allow for the remote to not interfere with multiple monitors at a time. Will nursing need the same number of remote controls as ICU monitors if this is the case? No remote controls are needed/necessary for ICU level patient monitors.

31. Please confirm if the VA is requiring Cardiac Output, Continuous Cardiac Output or both on Anesthesia patient monitors.

Answer: Anesthesia level monitors require continuous cardiac monitoring only.

32. If the VA is requiring a third-party CO device to be integrated with the patient monitor, please confirm how many integration modules are needed per department with Anesthesia monitors.

Most customers purchase one per third-party device.

Answer: 10 are requested.

33. Please confirm the make, model and quantity of the third-party Cardiac Output device in use at the VA Medical Center of Oklahoma City Operating Room (Edwards, LidCo etc.)?

34. If the VA is requiring a third-party CCO device to be integrated with the patient monitor, please confirm how many integration modules are needed per department with Anesthesia monitors.

Answer: 10 modules requested.

35. Please confirm the make, model and quantity of the third-party Continuous Cardiac Output device in use at the VA Medical Center of Oklahoma City Operating Room (Edwards, LidCo etc.)?

36. The bedside monitor has the software capability to monitor EEG and the OEM EEG module can be moved from bed to bed with plug and play capability. Please confirm How many EEG modules are required per department for Anesthesia monitors.

Answer: 10 EEG modules needed for anesthesia monitors/department.

37. Please confirm how many invasive blood pressures the VA requires to simultaneously view per bed with Anesthesia monitors. The vendor needs to know a specific number of pressures to ensure invasive pressure hardware is included.

Answer: 4 invasive blood pressures.

38. Please note that the requirement is asking for (2) non-invasive blood pressures. Bedside monitors are only able

Answer: SOW shows only 1 non-invasive blood pressure in section 3.4.1

39. The bedside monitor has software capability to monitor capnography and the OEM capnography extension can be moved from bed to bed with plug and play capability. Please confirm How many MicroStream EtCO2 modules are required per department with Anesthesia monitors.

Answer: See #36

40. Please identify the quantity and model of ventilators you would like to integrate with the Anesthesia patient monitors. The number of integration modules is typically determined by identifying the maximum quantity of ventilators used simultaneously throughout the hospital.

Answer: Same as #21.

41. Please identify the quantity, make and model of Anesthesia machines you would like to integrate with the Anesthesia patient monitors.

Answer: Current anesthesia machines are Draeger Apollo; however, Biomed is currently working on replacing with unknown vendor at this time.

42. Each bedside monitor can have a Strip Thermal Array recorder for ECG strip printing however, if the monitor is connected to a central station with printer, the ECG wave strips can be sent directly to the laser printer.

Answer: Please see #22

43. Please confirm how many Strip Thermal Array Recorders are needed per department with Anesthesia monitors.

Answer: All anesthesia level monitors without central stations would need strip thermal array recorders for strip printing. So 1 bronch and 17 OR/PACU anesthesia monitors with strip recorders – for a total of 18 ICU level monitors with strip recorders/printers.

44. Most monitors come with (4) USB ports. Please confirm the VA requires (6) USB ports for each department with Anesthesia monitors.

Answer: 6 USB ports is not required. Only 4 are required minimally.

45. How will the VA utilize each USB port on the Anesthesia monitor?

Answer: USB ports are necessary for CIS/ARK EHR integration minimally. Extra are necessary for damage that occurs to the ports over the lifespan of the equipment.

46. Please clarify in the parameter requirements “pre/post anesthesia” and “ventilator”.

Answer: See #27

47. The optional iPC (integrated PC), which is a medical grade PC residing within the monitor, is designed for continuous operation in the patient vicinity. The IPC allows access to relevant patient information residing on the hospital’s intranet. It is designed as an “open” PC and can be serviced and maintained by the hospital’s IT department as well as by OEM. The iPC is shipped with Windows 10 as the operating system and can host compatible applications which are loaded by IT such as Windows applications, like Internet Explorer, OEM applications such as iSite clients or LaunchPad, Third-party applications and Hospital owned and developed software.

Answer: Integrated fan-less, medical grade PC using latest Windows OS approved for use by VA. PC must contain

48. Please confirm the VA is requiring an integrated fan-less, medical grade PC for use with each Anesthesia monitor called for in the SOW.

Answer: Integrated fan-less, medical grade PC using latest Windows OS approved for use by VA. PC must contain

49. SOW calls for lithium ion battery technology. OEM’ 19” monitor is powered by AC power. The transport monitor (X3) IS powered via lithium-ion battery.

Answer: Current ICU patient monitors are power by AC power. AC power is fine for any bedside or rollstand monitor. If there is a battery back-up for the bedside or rollstand monitors, lithium ion is preferred.

50. The Anesthesia patient monitor is capable of being operated via a remote control. Please confirm the VA would like a remote control with each Anesthesia patient monitor quoted.

Answer: Same as question 30 - Remote must be programmable as to allow for the remote to not interfere with multiple monitors at a time. Will nursing need the same number of remote controls as Anesthesia monitors if this is the case? No remote controls are needed/necessary for anesthesia level patient monitors.

51. Please confirm if the VA is requiring Cardiac Output, Continuous Cardiac Output or both on

StepDown patient monitors.

Answer: No, cardiac output capability is not necessary for stepdown monitors.

52. If the VA is requiring a third-party CO device to be integrated with the patient monitor, please confirm how many integration modules are needed per department with StepDown monitors.

Answer: N/A

53. Please confirm the make, model and quantity of the third-party Cardiac Output device in use at the VA Medical Center of Oklahoma City in the units calling for StepDown monitors (Edwards, LidCo etc.).

54. If the VA is requiring a third-party CCO device to be integrated with the patient monitor, please confirm how many integration modules are needed per department with StepDown monitors.

Answer: N/A - no stepdown monitors needed following review of needs and walk-through

55. Please confirm the make, model and quantity of the third-party Continuous Cardiac Output device in use at the VA Medical Center of Oklahoma City in the units calling for StepDown monitors (Edwards, LidCo etc.).

56. The bedside monitor has software capability to monitor EEG and the OEM EEG module can be moved from bed to bed with plug and play capability. Please confirm How many EEG modules are required per department for StepDown monitors.

Answer: Yes, any stepdown level monitors would need EEG or OEM EEG capability.

57. Please confirm how many invasive blood pressures the VA requires to simultaneously view per bed with StepDown monitors. The vendor needs to know a specific number of pressures to ensure invasive pressure hardware is included.

58. Please note that the requirement is asking for (2) non-invasive blood pressures. Bedside monitors are only able

Answer: SOW shows only 1 non-invasive blood pressure in section 3.4.1 N/A - no stepdown monitors needed following review of needs and walk-through

59. The bedside monitor has software capability to monitor capnography and the OEM capnography extension can be moved from bed to bed with plug and play capability. Please confirm How many MicroStream EtCO2 modules are required per department with StepDown monitors.

60. Each bedside monitor can have a Strip Thermal Array recorder for ECG strip printing however, if the monitor is connected to a central station with printer, the ECG wave strips can be sent directly to the laser printer.

Answer: N/A - no stepdown monitors needed following review of needs and walk-through.

61. Please confirm how many Strip Thermal Array Recorders are needed per department with StepDown monitors.

Answer: N/A - no stepdown monitors needed following review of needs and walk-through.

62. Most monitors come with (4) USB ports. Please confirm the VA requires (4) USB ports for each department with StepDown monitors.

63. How will the VA utilize each USB port on the StepDown monitor?

64. Please clarify in the parameter requirement “post anesthesia”.

65. The StepDown patient monitor can operate via dedicated wired network or wireless medical network with smart-hopping network feature. Please confirm how many and in which departments the StepDown monitors need to operate on a wireless network so that the necessary hardware is included in the quote.

66. The StepDown patient monitor is capable of being operated via a remote control. Please confirm the VA would like a remote control with each StepDown patient monitor quoted.

Answer: Same as question 30 - Remote must be programmable as to allow for the remote to not interfere with multiple monitors at a time. Will nursing need the same number of remote controls as StepDown monitors if this is the case? No remote controls are needed/necessary for stepdown level patient monitors.

67. OEM’ telemetry device can operate via disposable AA batteries or rechargeable lithium-ion batteries. What battery option would the VA prefer to use?

Answer: Rechargeable lithium-ion batteries.

68. Please confirm how many sectors (patient beds/monitors) each central station will need to view in MICU and SICU. This quantity typically coincides with the number of beds in each unit.

Answer: One monitor with 16 patient sectors.

69. Please confirm which units will be watched on the central stations in Room 5A172 (the Telemetry War Room/CMU).

Answer: ICU (12 beds), ED (9-19 beds), ED Annex/CDU (8 beds), and SDU (10 beds), 5 East (12 beds, license for 16 beds), 5 North (18 beds), 6 North (18 beds), 6 East (16 beds), 7 East (10 beds, license for 16 beds).

70. Please confirm how many sectors (patient beds/monitors) each central station will need to view in Room 5A172 (the Telemetry War Room/CMU). This quantity typically coincides with the number of beds in each unit.

Answer: ICU (12 beds), ED (9-19 beds), ED Annex/CDU (8 beds), and SDU (10 beds), 5 East (12 beds, license for

16 beds), 5 North (18 beds), 6 North (18 beds), 6 East (16 beds), 7 East (10 beds, license for 16 beds).

71. Please confirm how many sectors (patient beds/monitors) each central station will need to view in the ED. This quantity typically coincides with the number of beds in each unit.

Answer: Please set up 2 central monitors with 16 licenses/sectors on each central monitor.

72. Please confirm how many sectors (patient beds/monitors) each central station will need to view in the CDU. This quantity typically coincides with the number of beds in each unit.

Answer: Set 1 central monitor with 12 licenses/sectors on the central monitor.

73. Please confirm how many sectors (patient beds/monitors) each central station will need to view in Biomed. We typically provide 2 sectors for biomed troubleshooting/testing central stations.

Answer: 2 sectors will be sufficient for Biomed.

74. OEM no longer offers a strip recorder for the central station due to few customers requiring it any longer. The ECG strip can be printed on the hospital network printer located in the department.

Answer: The strip recorder can be removed from the request.

75. Based on the requirements outlined for a Remote (Mirror) Display, this would be what we’d refer to as an “Overview Station” where the VA would overview sectors being watched on another Central Station which we refer to as a “Surveillance Station”.

Answer: Remote display could be identified as an “Overview Station” or a “Surveillance Station.”

76. During the site visit, it was observed that each Medsurg unit (7E, 6N, 6E, 5N, 5E) had what we would refer to as a “Clone Video Display” that provides only a video feed from a central station to the wall mounted displays in these units.

Answer: Clone Video Display should be sufficient

77. For clarity and accurate quoting, please confirm whether each of these units (7E, 6N, 6E, 5N, 5E) requires a “Clone Video Display” or “Overview Station”.

Answer: All of the listed units can be Clone Video Displays

78. The system will integrate with Vocera Engage however it does require scoping discussions and additional quoting. If the VA desires functionality for the integration be included in the quote, please provide the following information:

79. Software version of Vocera Engage

Answer: We don’t currently have Engage but will have in the future. We have an upgrade that is about to kick off where we will upgrade to Vocera Platform 6 with Analytics

80. What make, model and revision of end user device is being used with Vocera Engage

Answer: The devices that are in use currently at the VA are the Vocera B3000n Badges. The B3000n badges are running firmware 4.3.4.12.

81. How many devices?

Answer: We currently have the below inventory: All B3000n's

Badge Status Definition Count of Badges

Active Badge used in last 30 days 638 Departmental Not used

Badge assigned to a department hasn't been utilized in the last 90 days 86

Assumed Lost Badge last use before 01/01/2023 285

Missing Badge assigned to a department that has not been utilized in the last 90 days

Sent for Repair RMA sent to Stryker 2

Inventory Badges that are currently in the System Administrator's possession and are loaded into the database

Spare Badges assigned to a department that are being stored as spares 78 Pending Badges needing to be entered into the database 150 Total B3000n Badges

82. How many departments and which departments are utilizing Vocera Engage?

Answer: No departments are currently utilizing Vocera Engage. We will be moving towards this in the near future.

83. What is the communication protocol type for the Vocera Engage end device?

Answer: No departments are currently utilizing Vocera Engage. We will be moving towards this in the near future.

84. Can the VA provide the most current floorplans of the hospital and highlight or simply mark where each department is located on the floor plans to ensure accurate wireless coverage infrastructure and services are quoted?

Answer: Will try to provide the most current floorplan.

85. During the Site Visit it was observed that Oncology/Medsurg (7E) had a clone video solution that only displayed a video feed from the central monitor watching those beds in Room 5A172 (the Telemetry War Room/CMU) with no sound. The SOW calls for (1) Remote (Mirror) solution for Oncology/Medsurg (7E) but, the Physical Features and Surveillance Features called for in the Remote (Mirror) are indicative of a full central station with control, sound, customization and reviewability.

Answer: The clone/remote (mirror) solution without full central station features is what is desired in this area. 7 East will have the same monitoring centrally as all other Med/Surg units and clone video feed as other Med/Surg units.

86. Does this unit require a Remote (Mirror) Display with all functionality called for in 3.8.1 or does it only need to be a clone video feed from the central monitor watching 7E in Room 5A172 (the Telemetry War Room/CMU)?

Answer: A clone video feed is sufficient.

87. If the Remote (Mirror) Display needs all functionality called for in 3.8.1, does the VA wish to have 10 patient sectors on the Remote (Mirror) Display, matching the number of beds in this unit?

Answer: A clone video feed is sufficient.

88. During the walk through it was observed that this unit had a surveillance station and overview station watching the 18 beds however there is no central station or remote (mirror) called for in the SOW. Please confirm there are no central monitoring needs in this area.

Answer: Please refer to the answer in #85. Clone video feed for 7 East will be the same as other units. 7 East does not currently have a surveillance station.

89. During the Site Visit it was observed that 6N & 6E had a clone video solution that only displayed a video feed from the central monitor watching those beds in Room 5A172 (the Telemetry War Room/CMU) with no sound. The SOW calls for (1) Remote (Mirror) solution for 6E and 6N but, the Physical Features and Surveillance Features called for in the Remote (Mirror) are indicative of an Overview Station with control, sound, customization and reviewability.

Answer: A clone video feed is sufficient

90. Does this unit require a Remote (Mirror) Display with all functionality called for in 3.8.1 or does it only need to be a clone video feed from the central monitors watching 6N and 6E in Room 5A172 (the Telemetry War Room/CMU)?

91. If the Remote (Mirror) Display needs all functionality called for in 3.8.1, does the VA wish to have 14 patient sectors on the Remote (Mirror) Display in 6N and 16 patient sectors on the Remote (Mirror) Display in 6E, matching the number of beds in these unit?

Answer: A clone video feed is sufficient. The VA wishes to have clone video feed of up to 16 on 6 East and up to 18 on 6 North.

92. There are (2) central stations and (2) Remote (Mirror) called for in MICU/SICU. During the site visit it was observed that MICU had 10 beds and SICU had 12 beds. Please confirm whether the VA would like a 10 Sector Central Station and Remote (Mirror) for MICU and a 12 sector central station and remote (mirror) for SICU, or if they would like each central station and remote (mirror) to have 18 patient sectors.

Answer: Each central station and remote should have 18 patient sectors.

93. During the Site Visit it was observed that 5N & 5E had a clone video solution that only displayed a video feed from the central monitor watching those beds in Room 5A172 (the Telemetry War Room/CMU) with no sound. The SOW calls for (1) Remote (Mirror) solution for 5N and 5E but, the Physical Features and Surveillance Features called for in the Remote (Mirror) are indicative of an Overview Station with control, sound, customization and reviewability.

94. Does this unit require a Remote (Mirror) Display with all functionality called for in 3.8.1 or does it only need to be a clone video feed from the central monitors watching 5N and 5E in Room 5A172 (the Telemetry War Room/CMU)?

95. If the Remote (Mirror) Display needs all functionality called for in 3.8.1, does the VA wish to have (18) patient sectors on the Remote (Mirror) Display in 5N and (10) patient sectors on the Remote (Mirror) Display in 5E, matching the number of beds in these unit?

Answer: A clone video feed is sufficient, however, 5N will be 18 beds and 5 East has 12 beds currently and I am requesting 16 licenses on 5E, 6E, 7E and 18 on 5N and 6N.

96. There are (19) total patient monitors called for in Table 1 for the ED ((9) bedside mounted ICU monitors and (10) low acuity portable monitors for hallway beds). During the site visit it was observed that the ED had one central station watching these beds. Please confirm whether the VA would like a (19) Sector Central Station for the ED to watch each patient monitor in this area or if they would like the central station to only have (18) patient sectors called for in 3.10.11.

Answer: All of the monitors would need to be displayed in the ED. The (10) low acuity portable monitors should be able to be viewed in the ED. The ER and ER overflow bedside monitors would need to have monitoring in a central location (5A-172) when they are admitted and remain in those areas.

97. The FCC requires hospitals to register all devices operating in the WMTS band. Please confirm if VA will handle the FCC registration and costs or does VA prefer the vendor to include registration and costs in their offer. Registration must occur before installation begins.

Answer: Please confirm if this is a hospital requirement according to the FCC. This will indicate whether or not to include in the offer.

Below is an updated grid of needs based on the most recent walkthrough: