Ex 1 Lebanon Medical Center and VCC History.docx

Exhibit 1 – Medical Center and VCC History Report

Medical Center and Veteran’s Community Clinics Regulated Medical Waste Generation Report for the Lebanon VA Medical Center

Regulated Medical Waste (RMW) Summary

· Lebanon 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 Lebanon 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)

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)

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)

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)

(example) Building 1, Ground Floor

Medical Waste

5. All facilities, please complete Table E.

TABLE E – RMW History (add rows as required)

6. Complete Table F if your facility generated and tracked trace chemo waste independently.

TABLE F – Trace Chemo Waste History (add rows as required)