A.02 Sterilization PWS - WAMC.docx

Statement Of Work (PWS) Dry Cleaning for Privacy Curtain/Window Drapes Performance Work Statement (PWS) Dry Cleaning for Privacy Curtain/Window Drapes Performance Work Statement (PWS) Sterile Processing Services for Womack Army Medical Center Operating Room

1.0 INTRODUCTION/OVERVIEW

This contract is for sterile processing services under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees. The vendor / contractor of this work statement has full authority to transport government property both on and off the “post” of Fort Bragg, North Carolina.

1.1 BACKGROUND

Womack Army Medical Center requires sterile processing services for the department of surgery in support of patient care. A local vendor historically provided this service with the government purchase card as the method of payment. It is the intent of the Defense Health Agency Contracting Office, on behalf of Womack Army Medical Center to solicit, negotiate, and award a contract for a performance period of (approximately) 12-18 months, with options to extend. The (Pseudo Contract Type) will serve as a method to gather data to measure the frequency and amount of sterile processing services required for a future long term contract.

1.2 SCOPE

The Contractor shall provide all personnel, vehicles, equipment, tools, materials, supervision and other items necessary to perform the sterile processing of surgical medical instrumentation as described in this PWS. The Contractor shall have the tools and expertise to provide sterile processing services for up to 2,000 – 5,000 instrument trays per month, and 3,000 – 6,000 peel packs per month.

1.3 OBJECTIVES

The primary objective is to provide sterile processing services to the operating room and sterile processing department within Womack Army Medical Center.

2.0 REQUIREMENTS

2.1 TASKS

2.1.1 The Contractor shall assist the Government in sterilizing the required medical surgical instrumentation trays and peel packs as provided.

2.1.2 The Contractor shall pick up all medical surgical instrumentation trays at Womack Army Medical Center Sterile Processing (SPD) Department receiving area, and transport to the contractor’s facility to wash and dry and sterilize all medical surgical instrumentation trays provided and return to Womack Army Medical Center Sterile Processing (SPD) Department receiving area once sterilized. Unserviceable items that are not deemed repairable must be brought to the attention of Womack Army Medical Center and the SPD Department Chief. Unserviceable items due to sterilizer machine malfunction, or any other damage or loss done at the sterile processing facility shall be replaced at Contractor's expense.

2.1.3 The Contractor shall ensure each medical surgical tray and peel pack is sterile and meets all The American National Standards Institute/ Association for the Advancement of Medical Instrumentation (ANSI/AAMI) guidelines and standards as well as Occupational Safety and Health Administration (OSHA) and The Joint Commission (TJC) guidelines and standards.

2.1.4 The contractor shall ensure that the trailer or truck used to transport soiled or clean instruments meets requirements outlined in ANSI/AAMI, OSHA and TJC guidelines with respective to keeping sterilized instrumentation separate from contaminated instrumentation.

2.1.5 The Contractor shall maintain a system of records as to work performed sufficient to respond to request by the government.

2.1.6 The contractor shall monitor the temperature and humidity in the transport vehicle when transporting sterile instrumentation in accordance with ANSI/AAMI standards.

2.1.7 The contractor shall provide sterilization cycle verification by written or electronic means. Including but not limited to biological and chemical indicator with every sterilization load, daily sterilizer and washer verification testing and all equipment preventative maintenance testing.

2.1.8 The contractor shall package and sterilize all instrumentation identified for clinic support identified by baskets for respective clinic.

2.1.9 The contractor shall peel pack and sterilize and excess instrumentation discovered during the QA/QC process.

2.1.10 The contractor shall allow all instrumentation to cool as recommended by ANSI/AAMI standards before being bagged and placed into transport carts.

2.2 DELIVERABLES

2.2.1 Pick-Up/ Delivery Procedures. The Contractor shall perform a joint inventory of medical surgical instrument trays and peel packs prior to taking custody of items to be sterilized. The Contractor shall annotate the number medical surgical instrument trays and peel packs received for sterilizing with concurrence from the requiring activities representative. All medical surgical instrument trays and peel packs processed under this contract shall be picked up/dropped off every Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, and Sunday. There will be only one pick up site, Womack Army Medical Center (WAMC), Building 4-2817, Reilly Road, Fort Bragg, North Carolina 28310 (Sterile Processing Department – Receiving Area). The Contractor may coordinate with the COR to determine the best times to pick up and deliver.

2.2.2 Medical Instrumentation Tray Sterilizing Ticket Sheet. The contractor will provide a mechanism by written or electronic means to track the instrumentation from pick-up through delivery to Womack Army Medical Center.

2.2.3 Contracting Officer Representative (COR). The government point of contact for this service is Mr. Aaron B. Neal – Director Surgical Services Service Line – (3SL), @ (910) 907-3643, aaron.b.neal.civ@mail.mil.

2.3 SCHEDULE

2.3.1 Period of Performance: 18 July 2022 –TBD

2.3.2 Pick-up and Delivery Schedule: Services for WAMC to be provided 7 days a week (Mon, Tues, Wed, Thurs, Fri, Sat, Sun), 52 weeks a year (excluding federal holidays).

2.3.3 Hours of Operations: 0630 -1700

2.3.4 The following Government Holidays are observed:

New Year’s Day, January 1.

Labor Day, 1st Monday in September.

Note: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

2.4 QUALITY CONTROL PROGRAM

2.4.1 Quality Control Program (QCP). The Contractor shall establish and maintain a complete QCP to verify the requirements of the contract are provided as specified. The plan shall include procedures to implement all requirements of the contract, which shall include the in-processing of the medical surgical instrument sterilizing processes and the following:

2.4.2 The Contractor shall have an inspection system covering all the services required by this contract which must specify the areas to be inspected on either a scheduled or unscheduled basis, how often inspection will be accomplished and documented, and the name and title of the individual who will perform the inspection.

2.4.3 The Contractor shall establish methods of identifying and preventing defects in the quality of service performed before the level of performance becomes unacceptable. This will include procedures for a method of inspection to assure proper temperatures, chemical rinse, detergents and other additives are adhered to.

2.4.4 The Contractor shall maintain records of all quality control inspections conducted by the Contractor and corrective action taken to prevent continued reoccurrence of deficiencies. This documentation shall be made available to the COR or Contracting Officer during the term of the contract. The Contractor shall provide its Quality Control Reports and Infection Control Reports on the last working day of each month to the COR throughout the duration of this contract.

2.4.5 The Contractor shall have a plan to keep products segregated and returned to WAMC in accordance with their inspection status, such as accepted, rejected, set aside for re-cleaning, and awaiting decision by the COR, to prevent intermixing and unauthorized use.

2.5 EMPLOYEES AND EXPERIENCE.

2.5.1 Contractor personnel shall present a neat appearance and must be easily recognizable as an employee of the Contractor. This may be accomplished by wearing distinctive clothing bearing the name of the company, or by wearing appropriate badges or identification tags which contain the company name. This applies to any individual that enters the military installation under this contract.

2.5.2 The Contractor will ensure that employees have the following current and valid professional certifications before starting work. For all trucks exceeding 26,001 lbs. Maximum capacity, a certified Commercial Driver’s License will be necessary for each driver.

2.5.3 The Contractor shall adhere to AR 40-1 regarding the employment of Government personnel.

2.5.4 The contractor will ensure it meets all DOT requirements for transporting infectious waste.

2.6 CONTINGENCY PLAN

2.6.1 The Contractor shall have the responsibility of notifying the COR if at any time the plan is changed. The Contractor shall notify the COR of any event that jeopardizes performance under this contract. The plan shall include contingency operations for:

2.6.2 Mobilization. If mobilization and services are required beyond the Contractor’s capability to provide services, the Contractor shall advise the Contracting Officer of the capability and additional volume, which the Contractor can obtain from the local civilian community. Mobilizations that extend beyond the normal contract purview may be subject to a claim by the Contractor for the additional cost incurred as agreed upon by the Contracting Officer.

2.6.3 Labor Disputes. In the event of a labor dispute, the Contractor’s responsibility to provide the service will not be terminated. The Contractor shall provide the Contracting Officer his/her strike or other employee job action contingency plan to continue performance of service without interruption or degradation in the quality of service. In the event of a strike or other labor dispute interference with timely contract performance, the Contractor shall immediately notify the Contracting Officer and initiate action under the contingency plan.

2.6.4 Disaster. In the event of a disaster, to include but not limited to destruction of the facility, sabotage, or an act of God or nature that renders the Contractor’s facility unsafe, the Contractor shall determine feasible alternative method of providing services and make recommendations to the Contracting Officer.

2.6.5 Severe Weather Plan. The Contractor shall establish a severe weather plan with procedures of providing the laundry services to WAMC.

3.0 GOVERNMENT FURNISHED PROPERTY

The Government will provide the property and the services listed herein:

3.1.1 Forms and Publications. The Government will provide authorized Army (Military) forms, Department of Defense (DOD) Defense Health Agency (DHA) publications, and services specifically identified in this contract. All commercial, industry publications related to the performance of medical surgical instrumentation sterilizing process / service shall be provided by the Contractor.

3.1.2 The Government will provide instrumentation to be sterilized either by trays or peel packs, including the bags that the contaminated items will be stored in during the transport process.

3.1.3 The Government will provide medical surgical instrument trays that are commercially acceptable and serviceable. Contractor shall return clean sterilized medical surgical instrument trays to WAMC.

3.1.4 The Government will provide inventory data for information purposes only.

3.2 CONTRACTOR FURNISHED ITEMS.

In addition to items specified elsewhere in the contract, the Contractor shall furnish:

3.2.1 The Contractor shall provide all property or services necessary for the performance of this contract that is not specifically identified as furnished by the Government. Such property or services shall include, but is not limited to facilities, tools, materials, equipment.

3.2.2 The Contractor shall provide their employees all appropriate protective clothing as required by OSHA.

3.2.3 Pick-up and Delivery Vehicles. Pick-up and delivery vehicles with proper temperature and humidity to maintain sterility of instruments in accordance with ANSI/AAMI standards. Contaminated instruments will be kept separate from sterile instruments. If sterile instruments will occupy a once previously occupied contaminated instruments, it will be properly disinfected in accordance with recommended standards and guidelines.

3.2.4 Storage space for Government provided medical surgical instrument trays, necessary for performance of this contract. The Contractor shall provide adequate storage for all Government materials and equipment in such a manner as to maintain proper identification, prevent damage to items, protect items from soiling and other unsanitary conditions, and maintain segregation of items as required by the contract.

3.2.5 The Contractor shall provide tracking methods that will be by written or electronic means for each medical surgical instrument tray and peel pack delivered to WAMC. This document shall identify the contents in the medical surgical instrument tray or peel pack by item count for each type item in the medical surgical instrument tray.

3.2.6 A facility equipped and ventilated to prevent dissemination of contaminants. The ventilation system shall include adequate intake filtration, exchange rate, and exhaust in accordance with local, state, and federal requirements (Joint Commission). The Contractor's facility shall be subject to inspection of sanitary conditions at any time by an authorized representative of the Government.

4.0 SECURITY REQUIREMENTS

4.1.1 The Contractor shall furnish a list of all employees entering the military facilities at least five (5) calendar days prior to the start of contract performance. The list shall include the full name and work assignment of each employee. The Contractor shall notify the respective COR of all additions, deletions, or changes at least five (5) days in advance of such changes whenever practicable, or as soon thereafter as is reasonably practicable.

4.1.2 Contractor Employee Compliance. The Contractor shall ensure that Contractor’s employees entering the military installation observe and comply with all Army policies, regulations, and procedures concerning fire, safety, environmental protection, sanitation, security, traffic, parking, flag courtesy, “off limits” areas, and possession of firearms or other lethal weapons.

4.1.3 Automation Installation Entry (AIE). The contractor shall obtain AIE badges for all employees who will be coming on post to provide services. Fort Bragg AIE Access Cards may be issued for a maximum of three years for individual(s) who require recurring access to the installation for official business. The application request form (DES Form 118) for access cards will be located on the Fort Bragg Provost Marshall webpage http://www.bragg.army.mil/directorates/DES/pmo/Pages/AIE.aspx under the Installation Access Control Tab. Sponsorship is required in order to obtain a card and all applications (DES Form 118) will be turned into the All American VCC for processing and approval. An employee from Environmental Services, WAMC, will have authorization to sign for the AIE badge.

4.1.4 GATE CONTROL. The award of this contract does not bestow a right to have access to any military installation. Unscheduled gate closures by the Security Police may occur at any time and personnel entering or leaving the installation may experience delays. All vehicles are subject to search while on federal installations pursuant to current directives. Although delays due to the Government cannot be held against the Contractor, the Contractor shall ensure delivery is scheduled in time to allow for these inspections. Any violation of installation regulation, state or federal statue may result in the termination of the privilege to enter one or more military installations.

4.1.5 GATE ACCESS. All commercial vehicles, vans and larger, will be required to enter Womack Army Medical Center’s Main Post through the Knox Street Gate. The Knox Street gate hours of operation are 7 days a week 24 hours a day. Commercial vehicles are expected to complete their business and exit Fort Bragg through any Gate applicable to their direction of travel. Commercial vehicles may be searched. Upon entry of the installation drivers will be required to show photo identification.

4.1.6 DOCK OPERATIONS. Upon arrival at WAMC drivers will notify the warehouse personnel of their arrival. Personnel from the warehouse must be present at all times with the driver while the driver is performing loading and unloading procedures.

4.1.7 LOST ITEMS. All lost articles/hospital instruments, etc., found by the Contractor employees shall be turned over to the COR.

5.0 CONTRACTOR MANPOWER REPORTING

5.1.1 The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/. The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-Contractor); (6) Estimated direct labor dollars paid this reporting period (including sub-Contractor); (7) Total payments (including sub-Contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by Contractor (and separate predominant FSC for each sub-Contractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information); (10) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country). (13) As part of its submission, the Contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each Government fiscal year and must be reported by 31 October of each calendar year. The Contractor shall notify the Contracting Officer’s Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the Contractor will notify the Contracting Officer.