Ex 1 Butler Medical Center and VCC History.docx
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- Attached to
- Regulated Medical Waste Disposal Services - VISN 4 VA Medical Centers: Re-post of RFQ with Corrective Action
- Solicitation number
- 36C24425Q0204
About this file
This document is an exhibit detailing the Regulated Medical Waste (RMW) generation history and requirements for the Butler VA Medical Center and associated clinics. The report outlines three service methods available under the current VISN contract (36C24425P0007): Service 1 (used by Altoona and Butler) involves combined sharps and non-sharps waste disposal with disposable containers; Service 2 (not currently used) separates sharps waste with reusable containers managed by VA staff; and Service 3 (used by seven other facilities) includes contractor-managed reusable sharps containers with separate pricing for RMW and sharps disposal.
The document provides detailed waste generation data for Butler's facilities, including the main Medical Center, Health Care Center, and two Community-Based Outpatient Clinics (CBOCs). Historical data shows annual RMW volumes ranging from 9,100 pounds at the HCC to approximately 1,050 pounds at each CBOC, with weekly pickups at main facilities and monthly pickups at CBOCs. The facility's sharps container usage is documented, showing annual purchases of various sizes (19-gallon, 2-gallon, 5.4-quart, and 1-quart containers) over fiscal years 2021-2023.
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Exhibit 1 – Medical Center and VCC History Report
Medical Center and Veteran’s Community Clinics Regulated Medical Waste Generation Report for the Butler VA Medical Center
Regulated Medical Waste (RMW) Summary
· Butler currently utilizes the VISN contract (36C24425P0007) for RMW (sharps and red bag) disposal.
· There are 3 methods of RMW service, plus one add-on service, available under the current VISN contract. The methods of service for each facility are as follows:
· Service 1: Altoona, Butler
· Sharps waste is not separated; it is included in the non-sharps RMW. This service does not incorporate reusable sharps containers. The RMW is consolidated to a central location at each facility for Contractor pick-up. Pricing is based on a flat rate per pound for all RMW removal to include trace chemo and disposable sharps containers.
· Service 2: None
· Sharps waste is separated from non-sharps RMW. Contractor provides reusable sharps containers. VA employees collect and distribute reusable sharps containers throughout the Medical Center and applicable VCC’s and consolidate the collected full containers to a central location at each facility for pick-up by Contractor. The non-sharps RMW is also consolidated to a central location at each facility for Contractor pick-up. This service includes the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing is based on a flat rate per pound for RMW removal including trace chemo and a separate flat rate for reusable sharps containers removal.
· Service 3: Coatesville, Erie, Lebanon, Philadelphia, Pittsburgh, Wilkes-Barre, Wilmington
· Sharps waste is separated from non-sharps RMW. Contractor provides reusable sharps containers. Contractor collects and distributes reusable sharps containers throughout the Medical Center and applicable VCC’s. Reusable sharps containers, located in areas where Contractor is not permitted entry, are collected and distributed by VA employees. The sharps containers collected by VA employees and the non-sharps RMW are consolidated to a central location at each facility for pick-up by Contractor. This service includes the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing is based on a flat rate per pound for RMW removal to include trace chemo and a separate flat rate for reusable sharps container removal.
· Add-on Service: Coatesville, Wilkes-Barre, Wilmington
· Provides for the installation and full-service exchange of drug sequestration units to securely manage DEA controlled substance wastage.
· The Butler VAMC is requesting (check one, plus add-on if needed):
☒ Service 1 ☐ Service 2 ☐ Service 3 ☐ Add-on Service
History
Locations
1. All facilities please complete Table A.
TABLE A – RMW Pick-up Location Addresses (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| Street Address |
| City |
| State |
| Zip |
| HCC |
| 353 N Duffy Rd |
| Butler |
| PA |
| 16001 |
| VAMC |
| 325 New Castle Rd |
| Butler |
| PA |
| 16001 |
| Lawrence Co. CBOC |
| 1750 New Butler Rd |
| New Castle |
| PA |
| 16101 |
| Mercer Co. CBOC |
| 295 North Kerrwood Drive, Suite 110 |
| Hermitage |
| PA |
| 16148 |
Sharps Waste
2. If your facility utilized Service 1, with NEIE, please complete Table B and move to number 4. If your facility utilized Service 3, skip Table B and proceed to number 3.
TABLE B – Disposable Sharps Containers Purchased (add rows as required)
| Sharps container size |
| Quantity purchased FY2021 |
| Quantity purchased FY2022 |
| Quantity purchased FY2023 |
| 19 Gallon |
| 45 |
| 20 |
| 26 |
| 2 Gallon |
| 108 |
| 76 |
| 54 |
| 5.4 Quart |
| 360 |
| 312 |
| 348 |
| 1 Quart |
| 53 |
| 80 |
| 75 |
3. If your facility utilized Service 3 with NEIE, please complete Table C and move to number 4.
TABLE C – Recyclable Sharps Containers in Use at Each Pick-up Location (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| Sharps container size |
| Number in use |
| Brand of sharps container utilized |
4. If your facility is intending to use Service 3, compete Table D for sharps container locations. For Services 1 and 2, proceed to number 5.
TABLE D – Sharps Container Location Manifest (make changes as necessary)
| General location (crash cart, floor, building number.) |
| Beige Small S14 |
| Beige Med S22 |
| Beige Large S32 |
| Red Large S32 + Collector |
| Red 2X Large S64 + Collector |
Medical Waste
5. All facilities, please complete Table E.
TABLE E – RMW History (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| RMW (excluding sharps) weight FY2021 |
| RMW (excluding sharps) weight FY2022 |
| RMW (excluding sharps) weight FY2023 |
| Frequency of pick-up (daily, weekly, etc.) |
| HCC |
| 9100lbs |
| 9100lbs |
| 9100lbs |
| Weekly |
| VAMC |
| 1300lbs |
| 1300lbs |
| 1300lbs |
| Weekly |
| Lawrence Co CBOC |
| 1100lbs |
| 1050lbs |
| 1050lbs |
| Monthly |
| Mercer Co CBOC |
| 1100lbs |
| 1050lbs |
| 1050lbs |
| Monthly |
6. Complete Table F if your facility generated and tracked trace chemo waste independently.
TABLE F – Trace Chemo Waste History (add rows as required)
| Pick-up location |
| Trace chemo weight FY2021 |
| Trace chemo weight FY2022 |
| Trace chemo weight FY2023 |
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