Attachment D-2 Critical Care Transport Capabilities Confirmation.pdf
PDF 44 KB Posted
- Solicitation number
- 36C25624R0020
About this file
This document includes an attachment and federal contract opportunity related to ground ambulance and patient transportation services. The attachment is a capabilities confirmation form requiring the contractor to transport specific drugs, equipment, and use certain medical devices up to and including tier III critical care levels depending on the EMS region. The contractor must sign confirming they can meet these criteria for critical care transports ordered under the contract.
The federal contract opportunity is a solicitation from the Veterans Health Care System of the Ozarks seeking ground ambulance and patient transportation services for their medical center, clinics, and affiliated healthcare facilities. The contractor will provide all necessary vehicles, personnel, supplies, equipment, and reporting to deliver stretcher transports, basic life support, advanced life support, and critical care transports on an emergency and non-emergency basis 24/7 including weekends and holidays. The estimated value of the contract is between $100,000 to $15,000,000.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25624R0020 Amendment 0002.pdf | ||
| 36C25624R0020 Solicitation Tracker 02-01-2024.xlsx | XLSX spreadsheet | |
| 36C25624R0020 Solicitation Tracker 01-17-2024.xlsx | XLSX spreadsheet | |
| 36C25624R0020 Amendment 0001.pdf | ||
| 36C25624R0020_Solicitation_FAY_Ambulance Updated 01-17-2024.docx | DOCX document | |
| Attachment D-1 Performance Work Statement FAY.docx | DOCX document | |
| Attachment D-3 Business Associate Agreement FAY.docx | DOCX document | |
| 36C25624R0020_Solicitation_FAY_Ambulance.docx | DOCX document | |
| Attachment D-4 Wage Determinations.pdf |
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Text version
Attachment D.2
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 Antibiotics All VADs Blood and Blood Products CVP lines Diltiazem (Cardizem) Swan-Ganz line Dobutamine SmartPump Capability: up to 6 IV drips Dopamine Fentanyl (Sublimaze) Furosemide (Lasix) Heparin Hyperalimentation (TPN and lipids) Insulin Labetalol (Trandate) Lidocaine Lorazepam (Ativan) Magnesium Sulfate Mannitol Midazolam (Versed) 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 Representative Date
*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. *
Zoll X Series Critical Care Monitor Capabilities:
Continuous 12-lead EKG monitoring 2-Temperature Monitoring Automatic Blood Pressure Capnography 2 arterial lines monitoring
File details come from the government source that posted it. Updated .