Scope of Work-Radiation Hazard Survey and Equipment Eval.pdf

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Attached to
Radiation Hazard Survey and Equipment Performance Evaluation Federal contract opportunity
Solicitation number
75H70525Q00006
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document is a Scope of Work (SOW) for a federal contract opportunity to provide a Radiation Hazard Survey, Equipment Performance Evaluation, Preparation of Patient Exposure Charts, Mammography Equipment Evaluation, and Review of Mammography QC Manual at the Red Lake Indian Health Services in Red Lake, MN. The period of performance will be an annual review which takes place by September 15, 2024 and continues annually for a Base Plus Four Year Contract. The government will provide the equipment to be surveyed, which includes a Hologic Dimensions 3D Mammography Machine, Carestream Radiology room, and two Carestream Revolution DR Portable Radiographic Units. The contractor will be responsible for providing all labor and equipment to conduct the survey and analysis, as well as travel, meals, and lodging. The SOW outlines the technical requirements, including measurements, performance evaluations, quality assurance reports, and patient exposure/dose guides. The contractor must also provide their credentials, certifications, and continuing education documentation.

The related federal contract opportunity is a Sources Sought Notice issued by the Bemidji Area Indian Health Service to determine if there are qualified 100% Set-Aside for Indian Firms or small business concerns that can fulfill the requirements. This is for market research purposes only and is not a solicitation. Interested parties are required to provide their company information, size classification, and a Statement of Capabilities.

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IEE Sources Sought Radiation Hazard Survey.docx DOCX document
IHS IEE Representation Form.pdf PDF

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Scope of Work

Radiation Physicist

I. Purpose of Contract:

a. The purpose of this contract is to provide a Radiation Hazard Survey, Equipment

Performance Evaluation, Preparation of Patient Exposure Charts, Mammography

Equipment Evaluation, and Review of Mammography QC Manual at the Red Lake Indian

Health Services in Red Lake, MN. The period of performance will be an annual review which takes place by September 15, 2024 and continues annually. This will be a Base

Plus Four Year Contract.

II. Objective:

a. The Contractor will agree to supply facility with appropriate written records of survey within 30 days of the survey as well as a verbal exit interview; detailing the findings as well as any recommendations as to rectify any deficiencies noted in his/her report. This survey will be in compliance with FDA/MQSA guidelines. The Contractor will also be available for phone consults in regards to equipment safety questions; Monday through

Friday; 8am – 4pm.

III. Government Furnished Property, Facilities and Services:

a. The Government owned equipment that will be surveyed:

1. Hologic Dimensions 3D Mammography Machine

2. Carestream Compass Radiology room (K5810‐1063)

3. Carestream Revolution DR Portable Radiographic Unit 1‐ (K5800‐1744)

4. Carestream Revolution DR Portable Radiographic Unit 20 (K5805‐3034)

b. A Technologist will be available at all times for assistance during the survey.

IV. Contractor Furnished Equipment, Facilities and Services:

a. The Contractor will provide all labor and equipment to provide this service.

The Contractor shall provide this service at Red Lake Indian Health Services, 24760 Hospital Drive, Red Lake, MN 56671.

b. The Contractor will be responsible for travel to the facility, meals and lodging.

c. The Contractor will provide a written survey within 30 days of inspection as well as a verbal exit interview with Radiology Supervisor.

V. Statement of Work:

a. The Contractor will provide this service as stated in III, IV & VI.

The contact person shall be:

1. Casandra Hadrava, Radiology Supervisor, 218‐679‐0261

VI. Technical Requirements:

a. The Contractor will be required to provide the Red Lake Service Unit with a complete

Radiation Hazard Survey, Equipment Performance, Preparation of Patient Exposure

Charts, Mammography Equipment Evaluation, and Review of the Mammography Quality

Control Manual. The Equipment that will need to be surveyed is listed under III as stated above.

Required results:

1. COMPLETE RADIATION HAZARD SURVEY INCLUDING THE FOLLOWING:

SID accuracy

Alignment between radiation field and film

Reproducibility of KVP, exposure and time

Measurements of mR/mAs, linearity, timer accuracy, half‐value layer, and kvp accuracy.

Measurement of possible stray radiation and possible leakage radiation.

Measurement of the light field illumination.

Provide charts for determination of Patient Exposures during Radiology

Procedures.

Quality Assurance Report on each room.

Provide a MEDICAL PHYSICIST’S MAMMOGRAPHY QC TEST SUMMARY FOR Full‐

Field Digital‐Fuji. This is in guidance with current FDA/MQSA guidelines.

Provide Reference material and equipment used during survey.

2. QUALITY ASSURANCE REPORT ON EACH UNIT LISTED ABOVE.

3. PATIENT EXPOSURE/DOSE GUIDES in guidance of the Radiation Safety

Subcommittee’s Task Group.

4. EVALUATION OF FACILITIES TECHNOLOGIST QC PROGRAM.

5. FOR MAMMOGRAPHY; Provide a “MQSA requirements for Mammography

Equipment Checklist”, S Value Confirmation, System Resolution, CR Reader Scanner

Performance Test, Collimation, AEC System Performance Assessment, Mammography

Unit Assembly Evaluation, System Artifact Evaluation, Image Quality Evaluation, Dynamic Range, Primary Erasure, Inter‐Plate Consistency, KVP Accuracy/Reproducibility, Beam Quality (HVL) Measurement, Dose, Radiation Output (rate), Image Format Report

Form, Geometry Report Form, Acquisition Workstation Monitor (Image Quality), Viewbox Luminance and Room illuminance.

6. PROVIDE THE FACILITY WITH PHYSICIST’S CREDENTIALS.

Curriculum Vitae

FDA’s Initial Qualification Letter

Continuing Education in Mammography

Certificates of Continuing Education

ACR form Section H‐Personnel‐Medical Physicist form

Attachment for Section H form ATTESTATIONS.

The American Board of Radiology “Diagnostic Radiology Physics” certification

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