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This document is a sources sought notice from the Department of Veterans Affairs seeking intraoperative neurophysiological monitoring services. The notice requests responses by January 19, 2024 if potential offerors have the ability and intent to provide intraoperative neurophysiological monitoring at the Loma Linda VA Healthcare System, including a capabilities statement and GSA contract number if applicable. The anticipated NAICS code is 621399. Minimum needs include provider certification as a registered electroencephalographic and evoked potential technologist or certified neurophysiologic intraoperative monitoring technologist. Services required are detailed and include monitoring equipment, probes, testing, recording, and reporting throughout surgeries. All responses must be submitted to the specified contracting officer by the response deadline via email.

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SUBJECT* NEUROPHYSIOLOGICAL MONITORING -SOURCES SOUGHT NOTICE LOMA

LINDA VA HEALTHCARE SYSTEM

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE* 90815

SOLICITATION NUMBER* 36C26224R0041

RESPONSE DATE/TIME/ZONE 01-19-2024 4:00 pm PACIFIC TIME, LOS

ANGELES, USA

ARCHIVE 15 DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS N

SET-ASIDE

PRODUCT SERVICE CODE* Q523

NAICS CODE* 621399

CONTRACTING OFFICE ADDRESS Department of Veterans Affairs

Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

POINT OF CONTACT*

Contract Specialist Cristine Carmody cristine.carmody@va.gov

PLACE OF PERFORMANCE

ADDRESS Department of Veterans Affairs Loma Linda VA Healthcare System Surgical Services 11201 Benton Street Loma Linda CA

POSTAL CODE 92357

COUNTRY USA

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

This is a Sources Sought Notice for Intraoperative Neurophysiologic Monitoring (IONM) services at the Loma Linda VA Healthcare System. IONM services are key technical support for successful outcomes of complex brain and spinal cord procedures. Please respond if you have the ability and intent to complete this requirement. Include in your response a copy of your capabilities statement and FSS or GSA Contract Number, if applicable.

This Sources Sought Notice is intended to locate Service-Disabled Veteran Owned Small Businesses (SDVOSB), Veteran Owned Small Businesses (VOSB), and Small Businesses.

The anticipated NAICS Code for this requirement is 621399.

This is not a Request for Quotation and quotes shall not be reviewed at this time.

The Department of Veterans Affairs shall not be responsible for any costs incurred by the contractor as a result of this Sources Sought Notice.

This notice shall not be construed as a commitment by the Government to ultimately award a contract, nor does it restrict the Government to a particular acquisition approach. All information submitted in response to this announcement is voluntary; the Government will not pay for information requested nor will it compensate any respondent for any cost incurred in developing information provided to the Government.

Minimum needs of the Government are as follows:

Certifications

• Minimal requirement-Registered Electroencephalographic and Evoked Potential Technologist certification (R.EEG T)

• Preferred requirement- Certified Neurophysiologic Intraoperative Monitoring Technologist (CNIM).

• Basic Life Support (BLS) certification and additional credentialing and privileging forms.

• Employed in Neuro diagnostics field with minimum 2 yrs. clinical experience.

SERVICES REQUIRED:

Intraoperative Neuromonitoring

• Contractor will provide required monitoring equipment and probes

• Confers with the surgeon regarding structures at risk, modalities to be monitored, and documents the conversation.

• Communicates IONM preferences to the anesthesia team and other operating room personnel in a clear, definite, and collegial manner and documents conversation(s) before the patient enters the operating room suite, and/or during intubation and prepping:

• Sets up and confirms proper operation of all equipment.

• Applies electrodes (primary and backup) and secures placement.

• Tests equipment and checks integrity of electrodes by checking and documenting impedances.

• Arranges head box, cables, and electrodes for minimization of artifacts and electrical hazards preventing electrodes from being dislodged, dried out, or contaminated with fluids.

• Obtains initial responses and obligate peaks after induction and positioning prior to incision and sets baselines as appropriate to the procedure; marks waveforms and calculates the absolute latencies, amplitudes, or inter-peak intervals at baseline.

• Sets or resets baselines as appropriate to the surgical procedure per the facility policy and procedures, but in all cases prior to any part of the surgery that puts neural tissue at risk.

• Obtains an interpretation of baselines from the attending neurophysiologist and communicates the information to the surgeon.

• Throughout the surgery, reports any change in data which meets the alarm criteria outlined in the facility policy and procedure manual.

• During the recording, changes methods of data collection as needed per facility policies and procedures including:

• Adjusting stimulus rate as needed to reduce time-locked artifacts.

• Establishing and documenting that stimulating parameters are within safe limits.

• Recording from additional electrode derivations in case of technical problems to allow continuous recording.

• Use a montage that records obligate peak responses from peripheral nerve, spinal cord, subcortical structures, and the cerebral cortex as appropriate.

• At the end of the procedure, removes and discards disposable supplies, especially sharps and contaminated items per facility policies and procedures; cleans and disinfects equipment, cables, etc.

All responses shall be submitted via email by Friday, January 19, 2024, at 4:00 pm PST.

Responses shall be submitted to Cristine Carmody at cristine.caromdy@va.gov Phone calls shall not be accepted for this notice.

mailto:cristine.caromdy@va.gov

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