Ex 1 WilkesBarre Medical Center and VCC History.docx

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Regulated Medical Waste Disposal Services - VISN 4 VA Medical Centers: Re-post of RFQ with Corrective Action
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36C24425Q0204
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This file is an exhibit document detailing the Regulated Medical Waste (RMW) history and requirements for the Wilkes-Barre VA Medical Center and its associated clinics. The document outlines three service methods currently used under VISN contract 36C24425P0007, with Wilkes-Barre utilizing Service 3, which includes separated sharps waste, contractor-provided reusable containers, and contractor collection/distribution services. The facility operates across four locations: the main Wilkes-Barre VA center and outpatient clinics in Allentown, Sayre, and Williamsport, PA.

The document provides detailed historical data on RMW handling, including the use of various sizes of Stericycle sharps containers (2, 4, 8, and 17 gallon) with specific quantities in use at each location. Historical waste volumes are documented, showing Wilkes-Barre generated 19,628.5 pounds of RMW (excluding sharps) in FY2023, down from 27,963 pounds in FY2022, with weekly pickups. Trace chemotherapy waste is tracked separately, with 4,861 pounds generated in FY2023. The facility also utilizes an add-on service for drug sequestration units to manage DEA controlled substance wastage.

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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 Wilkes-Barre VA Medical Center

Regulated Medical Waste (RMW) Summary

· Wilkes-Barre 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 Wilkes-Barre 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
Wilkes-Barre VA
1111 East End Blvd.
Wilkes-Barre
PA
18711
Allentown OPC
3110 Hamilton Blvd
Allentown
PA
18103
Sayre OPC
1537 Elmira Street
Sayre
PA
18840
Williamsport OPC
1705 Warren Ave. Suite 304
Williamsport
PA
17701

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

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
Wilkes-Barre VA
2 Gallon
140
Stericycle
Wilkes-Barre VA
4 Gallon
195
Stericycle
Wilkes-Barre VA
8 Gallon
34
Stericycle
Wilkes-Barre VA
17 Gallon
29
Stericycle

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

(example) Building 1, Ground Floor

0
5
24
0
12

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.)
Wilkes Barre
19,925
27,963
19,628.5
weekly

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
Wilkes-Barre
4,961
4,374
4,861

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