QA_Medical_Waste_03_05_2018.pdf

Regulated Medical Waste Disposal Services San Carlos Apache Healthcare Corporation

Peridot, AZ

RFQ-IHS1338711-2018

3/5/2018

QUESTIONS AND ANSWERS

No. Vendor Question Government Response 1 How many pounds of RCRA waste, non RCRA waste and narcotic waste you estimate annually?

Based on our scope of work, we are seeking the removal of regulated medical (red bag and sharps containers) waste. We average 3,800 lbs per month X 12 = 45,600 lbs annually.

There is no “non-RCRA” waste.

We have not tracked narcotic waste, but we estimate 36 lbs annually. 1 - 1 Gal containers per month

2 Further clarification requested. The solicitation claims there will be pharmaceutical waste. Pharmaceutical waste is segregated into 3 categories; narcotics, RCRA and non-RCRA.

RCRA would be any drugs that are hazardous to the environment as classified by NIOSH, and non-RCRA would be everything else, for example, Warfarin is a RCRA hazardous drug and Tylenol is a non- RCRA drug.

Is it to be stated that there are only narcotics?

No, there will be RCRA, Non-RCRA, and narcotics.

We estimate 60% of our pharmaceutical waste stream to be

RCRA.

3 For the controlled substances:

a. How many containers would you need?

b. What size container is required (choices are 1.4 Qt or 1 Gal containers)?

c. How often would you like them scheduled (choices are every 12, 16, or 24 weeks)?

1 gallon containers, 4 each per month (total capacity is 4 gallons/month). Service every 12 weeks requires a total of 12 containers on site.

Peridot, AZ

4 We can bill RMW and Pathological waste by the pound, however we cannot bill pharmaceuticals by the pound. Is it okay to add a separate line item for the pharmaceuticals with a monthly service fee?

Yes, a separate line item for pharmaceuticals is acceptable. The price schedule will be modified to reflect this change.

5 How long would it take to fill an 8-gallon container for pharmaceutical waste?

We estimate is would take two months.

6 Do you supply or have on-site any P-listed medications?

Is there more than 2.2 pounds per month of P-listed medications that need to be disposed of?

Yes, there is a supply of P-listed medications.

No. (These is less than 2.2 pounds per month of P-listed meds that need disposal.) 1# per month.

7 Have you ever had to dispose of the following medications – Aerosols, Collodion/Nitrocellulose, Corrosives, or Oxidizers?

No.

8 In order to save the San Carlos Apache Healthcare Corporation money, can you separate the sharps from the Pathological waste so that we do not need to incinerate everything?

Yes, the Government shall separate sharps from pathological waste.

9 Do you perform any of the following services on-site or supply the following medications?

a. Do you vaccinate patients on-site?

b. Do you supply medications to treat diabetes?

c. Do you treat cardiological emergencies on-site (e.g. heart attacks)?

d. Do you perform procedures requiring the use of anesthesia, either topical or otherwise?

e. Do you supply medications to treat blood pressure or long-term heart ailments?

f. Do you administer chemotherapy?

Government response in red.

a. Do you vaccinate patients on-site? Yes

b. Do you supply medications to treat diabetes? Yes

c. Do you treat cardiological emergencies on-site (e.g. heart attacks)? Yes

d. Do you perform procedures requiring the use of anesthesia, either topical or otherwise? Yes

e. Do you supply medications to treat blood pressure or long-term heart ailments? Yes

f. Do you administer chemotherapy? No

Peridot, AZ

g. Do you treat skin ailments or supply dermatology medications including lice or dandruff treatments?

h. Do you perform ophthalmological procedures or supply eye medications such as eye drops or ointment?

i. Do you supply or administer multivitamins (nasal/oral/injectable)?

j. Do you ever need to dispose of unopened alcohol pads or swabs*?

g. Do you treat skin ailments or supply dermatology medications including lice or dandruff treatments? Yes

h. Do you perform ophthalmological procedures or supply eye medications such as eye drops or ointment? Yes

i. Do you supply or administer multivitamins (nasal/oral/injectable)? Yes

j. Do you ever need to dispose of unopened alcohol pads or swabs*? Yes

10 The details of the narcotic waste are fairly vague.

a. Do the 36 estimated pounds need to be picked up weekly, monthly, yearly?

b. The price schedule lists 2,600 estimated pounds per month but the 2nd question that was answered lists 3,800 estimated pounds per month. Which is correct?

a. See SOW Section II.2.6.

b. Correct quantity is 3,800. Price schedule has been updated.