Attachment A_ Ambulance Ground Service.docx

DOCX document 36 KB Posted

Attached to
V225--Ambulance Ground Service | MA Federal contract opportunity
Solicitation number
36C25525Q0137
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

Attachment A is a Critical Care Transport (CCT) Capabilities Confirmation document for a VA Medical Center ambulance ground service contract (Solicitation Number: 36C25525Q0137). The document details comprehensive requirements for ambulance providers to transport patients with advanced medical needs, including an extensive list of 20+ specialized drugs and critical medical equipment such as portable mechanical vents, multiple IV drip capabilities, chest tubes, VADs, and advanced monitoring equipment like the Zoll X Series Critical Care Monitor.

The document specifies that contracted ambulance services must be capable of supporting Tier III level transports, with specific capabilities including continuous 12-lead EKG monitoring, dual temperature monitoring, automatic blood pressure tracking, capnography, and two-arterial line monitoring. Prospective offerors must sign a confirmation document affirming their ability to meet these rigorous CCT transport criteria, which covers medical transport services for the Marion VA Medical Center, its Community-Based Outpatient Clinics, and affiliated healthcare clinics in Veterans Integrated Service Network 15.

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Other files for this federal contract opportunity

Other files attached to V225--Ambulance Ground Service | MA, newest first.
File Type Posted
36C25525Q0137 0001 Ground Ambulance - Questions and Answers.pdf PDF
WAGE-RATES.docx DOCX document
Attachment B_ Ambulance Ground Service.docx DOCX document
36C25525Q0137 Ground Ambulance -Marion IL VAMC.docx DOCX document
Attachment C_ Zip Codes.docx DOCX document

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Text version

Attachment A

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

Drug Supply List:Equipment List:
Acetylcysteine (Acetadote, Mucomyst)Chest tubes
Amiodarone (Cordarone)Portable mechanical vents; including CPAP
AntibioticsAll VADs
Blood and Blood ProductsCVP lines
Diltiazem (Cardizem)Swan-Ganz line
DobutamineSmartPump Capability: up to 6 IV drips

Dopamine Fentanyl (Sublimaze) *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. *

Furosemide (Lasix) Heparin Hyperalimentation (TPN and lipids) Insulin Labetalol (Trandate) Lidocaine Lorazepam (Ativan) Magnesium Sulfate Mannitol Midazolam (Versed)Zoll X Series Critical Care Monitor Capabilities:

Continuous 12-lead EKG monitoring 2-Temperature Monitoring Automatic Blood Pressure Capnography 2 arterial lines monitoring

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)

I hereby confirm that _______________________________ can meet the criterion for Critical Care Transports.

(Company Name)

___________________________________________________
Signature of Company RepresentativeDate

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