SOW_OR Cleaning Requirement.doc

STATEMENT OF WORK

1. Background:

Contractor shall provide cleaning and sanitation services specifically for Surgical Operating Room at the Tibor Rubin, VA Long Beach Medical Center located at the Long Beach VA Healthcare System (LBVAHCS) 5901 East 7th Street, Long Beach, CA, 90822. The support consists of routine scheduled cleaning and sanitation maintenance, non-emergency maintenance, and emergency maintenance as defined in this Statement of Work (SOW).

2. Scope:

2.1. The contractor shall provide all labor, four (4) personnel, supervision, and other items necessary. Cleaning materials will be provided by facilities Environmental Management System (EMS).

3. Specific Tasks The contractor shall provide all labor to perform all cleaning and sanitation for Six Surgical Operating Rooms. Standard Precautions will be implemented at all times. Contractor personnel shall utilize Personal Protective Equipment (PPE) where required.

3.1. The standard PPE in the Operating Room area are scrubs, hair covering, and shoe covering.

3.2. When cleaning an Operating Room, contractor must wear the following PPE: scrubs or disposable gown, hair covering, shoe covering, and gloves.

NOTE: If the room has special markings that require additional PPE to protect against Airborne, Droplet, Contact, or Contact Plus Precautions please adhere to PPE posted requirements before entering the room. Operating Room Cleaning:

a. Locations: Building 126 5th Floor Operating Room (Rooms 515, 523, 524, 525, 526, 519) and surrounding areas.

b. The contractor shall follow the standard operating procedures established by LBVAHCS to ensure compliance with the Association of Perioperative Registered Nurses (AORN) & The Association for the Advancement of Medical Instrumentation/American National Standard (ANSI/AAMI ST79) Comprehensive guide to steam sterilization and sterility assurance in health care facilities.

c. NOTE: Surgical staff (Nursing, Anesthesiology, etc.) must complete all required cleaning before turning the room over to contract staff to limit the amount of traffic in the suite during decontamination process.

d. Cleaning Time Thresholds:

· Ophthalmology – Eye Surgical Cases - Total cycle time 7 min.

· Standard/Basic Surgical Cases - Total cycle time 15 min.

· Complex Surgical Cases - Total cycle time 20min

3.3. PROCEDURES

a. Cleaning Checklist- Before the first procedure day:

3.3.1. Remove unnecessary equipment.

3.3.2. Damp dusts all horizontal surfaces before the first scheduled surgical or other invasive procedure of the day.

3.3.3. Performs damp dusting methodically from top to bottom.

3.3.3.1. Overhead lights

3.3.3.2. All reachable flat surfaces

3.3.3.2.1. Furniture

3.3.3.2.2. Booms

3.3.3.2.3. Equipment

3.3.3.2.4. Countertops

b. Cleaning Checklist- Between case cleaning (Room Turnover)

NOTE: Surgical staff (Nursing, Anesthesiology, etc.) must complete all required cleaning before turning the room over to contract cleaning staff to limit the amount of traffic in the suite during decontamination process. This promotes a more detailed clean with less likelihood of missed cleaning objectives.

i. Enter the room and do a general inspection paying close attention to any sharps or other materials that might have accidentally been left on the floor or other equipment. If vendor do discover sharps, contractors are to use a mechanical device to remove and dispose of it.

ii. Nursing removes and places soiled linen into soiled linen hampers; however, if they have not contractor to remove using special caution to inspect for any sharps. Never hold linen against body to protect self from contamination and/or sharp objects.

iii. Remove the soiled linen bag and place into the proper linen cart labeled “Linen Cart”.

iv. Remove general waste and place biohazard into the proper red biohazard containers. Treat every waste as a contaminant and use proper precautions when handling any type of waste.

NOTE: If the container is overfilled never press down or compress the waste with your hands or feet. Use mechanical device to do this.

v. Remove any medical waste and place into the proper labeled container. Never hold any type of waste next to body to protect from contamination and/or sharp objects.

NOTE: If the container is overfilled never press down or compress the waste with your hands or feet. Report this to the Nurse Manager and/or supervisor prior to handling or removing it.

vi. Begin cleaning the room with a hospital grade disinfectant moving in a clockwise direction stating at the highest point and working down as you move either right or left.

NOTE: When cleaning operating rooms where a patient has known medical conditions, such as, C-diff / Norovirus (Contact Plus Precautions) or TB (Airborne Precaution), you must use Bleach Germicidal Cleaner which will be communicated by Nurse Manager, supervisor, and/or circulating operating room nurse upon arrival of tour of duty.

Inspect the floor where the operating table sits to pick up any visible items that may have fallen since you began your cleaning procedure. Remove any noted using a disposable mechanical device and deposit them appropriately into the correct waste container.

vii. Clean the entire floor. Place wet floor signs appropriately.

viii. Remove gloves and wash hands.

ix. Reposition the operating room table and all other equipment and make it using fresh clean linen established procedures (Confirm with Circulator Registered Nurse for position and linen).

NOTE: Assigned Circulating Registered Nurse will be verbally communicated by Operating Room Nurse Manager and/or supervisor at the start of tour of duty.

x. Reline any general or medical waste containers.

xi. Place a clean linen bag onto the linen hamper.

xii. Inspect work.

xiii. Notify the appropriate personnel that the room is ready (Operating Room Team Lead or any member from the perioperative team).

1. Clean Up

a. Put on gloves again.

b. Place soiled cleaning cloths into a plastic bag for laundry pick up.

c. Clean and replenish any chemicals to prepare for next case.

d. Clean all equipment used and housekeeping cart and replenish with the appropriate number of cleaning cloths.

e. Empty the automatic scrubber, wipe it down including electric cord, and refill with the appropriate chemical to be ready for the next case.

f. Remove gloves and wash hands.

b. Cleaning Checklist- Terminal Cleaning

· Enter the room and do a general inspection paying close attention to any sharps or other materials that might have accidentally been left on the floor or other equipment. If contractor discover sharps, contractors are to use a sharps mechanical device to remove and dispose of it.

· Nursing removes and places soiled linen into soiled linen hampers; however, if they have not contractor is to remove it using special caution to inspect for any sharps. Never hold linen against body to protect self from contamination and/or sharp objects.

· Remove the soiled linen bag and place into the proper linen cart.

· Remove general waste and place into the proper container. Never hold any type of waste next to body to protect self from contamination and/or sharp objects.

· NOTE: If the container is overfilled never press down or compress the waste with hands or feet. Use sharps mechanical device to do this.

· Remove any medical waste and place into the proper container. Never hold any type of waste next to body to protect self from contamination and/or sharp objects.

· NOTE: If the container is overfilled never press down or compress the waste with your hands or feet. Report and notify contractor supervisor and courtesy notification to Nurse Manager.

· Begin cleaning the room with a hospital grade disinfectant moving in a clockwise direction stating at the highest point and working down as you move either right or left.

NOTE: When cleaning operating rooms where a patient has known medical conditions, such as, C-diff / Norovirus (Contact Plus Precautions) or TB (Airborne Precaution), must use Bleach Germicidal Cleaner which will be communicated by Nurse Manager, supervisor, and/or circulating operating room nurse upon arrival of tour of duty.

· Terminally cleans and disinfects perioperative areas daily when the areas are being used and according to facility policy and procedure.

· Disinfects all floors in the perioperative and sterile processing areas.

· Terminally cleans floors with either a wet vacuum or a single-use mop and a disinfectant.

· Must clean from the cleanest to dirtiest areas of the floor.

· Disinfects floor surfaces at the perimeter of the room before floor surfaces in the center of the room.

· Disinfects the entire floor surface, including areas under the Operating Room bed and mobile equipment.

· Terminally cleans and disinfects all exposed surfaces, including wheels and casters of all items.

· Uses a checklist and documents that terminal cleaning was performed.

1. All floors – wet vacuum or a single-use mop

2. Anesthesia carts

3. Anesthesia equipment

4. Anesthesia machines

5. Patient monitors, including cables.

6. Operating Room beds

7. Reusable table straps

8. Operating Room bed attachments

9. Positioning devices

10. Patient transfer devices

11. Overhead procedure lights

12. Tables and Mayo stands.

13. Mobile and fixed equipment

14. Storage cabinets, supply carts, and furniture

15. Light switches

16. Door handles and push plates

17. Telephones and mobile communication devices

18. Computer accessories

19. Chairs, stools, and step stools

20. Trash and linen receptacles

· Notify the appropriate personnel that the room is terminally cleaned (Operating Room Team Lead or any member from the perioperative team).

· Clean Up

· Put on gloves again.

· Place soiled cleaning cloths into a plastic bag for laundry pick up.

· Clean and replenish any chemicals to prepare for next case.

· Clean all equipment used and housekeeping cart and replenish with the appropriate number of cleaning cloths.

· Empty the automatic scrubber, wipe it down including electric cord, and refill with the appropriate chemical to be ready for the next case.

· Remove gloves and wash hands.

· Inspect and change out any remaining Personal Protective Equipment that is suspected or visibly soiled.

c. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI)

a. No Government equipment will be used by the Vendor.

d. Hours of Coverage

a. All work shall be scheduled during normal work hours - Monday through Friday from 8:00 am to 4:00 pm, Pacific Standard Time (PST), excluding Federal Holidays, and Weekend (Saturday or Sunday). Work shall not impact patient care services.

b. All service will be performed during stipulated hours of coverage as requested by the COR.

c. In accordance with 5 U.S.C. 6103, Executive Order 11582 and Public Law 94-97 the following National holidays are observed and for the purpose of this contract are defined as “Legal Federal official holidays”:

New Year’s Day: January 1

Martin Luther King ‘s Birthday: Third Monday in January

President’s Day: Third Monday in February

Memorial Day: Last Monday in May

Juneteenth Independence Day: June 19

Independence Day: July 4

Labor Day: First Monday in September

Columbus Day: Second Monday in October

Veterans Day: November 11

Thanksgiving Day: Fourth Thursday in November

Christmas Day: December 25

e. Delegation of Authority

a. No additional service shall be provided without the approval from the Contracting Officer (CO) or his/her designee of this contract. The Contractor shall not accept any instructions issued by any other person(s) other than the CO or his/her delegated representative acting within the limits of his/her authority.

f. Authorized Services

a. Only those services specified herein are authorized under this contract. Before permitting and/or performing any service of a non-contract nature, the Contractor shall advise the CO of the reason (s) for the additional work and/or service. The Contractor is cautioned that only the CO or his/her designee may authorize additional service that are within the scope of this contract and that reimbursement shall not be made unless prior authorization is obtained from the CO. All changes to the contract shall be issued through a contract modification in writing from the CO to the Contractor.

g. Parking Policy

a. It is the responsibility of contractor personnel to park only in designated parking areas. Parking information is available from the VA Police. The VA shall not invalidate or make reimbursement for parking violations of contractor’s personnel under any circumstances.

h. Badges

a. All contractor personnel shall be required to wear VA provided identification (I.D.) badges above the waist at all times while on the VA grounds. Contractor shall be required to coordinate with the COR to obtain the VA provided I.D. badges for all staff. All VA provided I.D. badges shall be returned at the end of the contract or upon completion of service. Failure to wear ID badges may result in removal from any of the VA facilities and/or otherwise referred to Government property.