SOW_Clinton - Nurse Call Replacement__11.15.2023.docx

ATTACHMENT B

SPECIFICATIONS

STATEMENT OF WORK

Nurse Call Replacement

OK3CLA01C6

Clinton Indian Health Center Clinton, Oklahoma November, 2023

Oklahoma City Area Indian Health Service

Project Central Sterile Room 507 Remodel into Equipment Room

OK7CAS06H4

Clinton Indian Health Center Claremore, Oklahoma January, 2017

Department of Health and Human Services

INTRODUCTION / BACKGROUND

The Clinton Indian Health Center was originally constructed in March, 2007. This project includes removing the original obsolete Vision Link Premier® Wireless Nurse Call System nurse call system, and replacing it with a new wired and auxiliary IP-based wireless nurse call system. Refer to Drawing A-1 for Existing Conditions. The health center will be fully operational during the demolition and replacement of this system. Contractor will need to coordinate work with local Facility Manager as a non-working system will include activing NFPA 101 Life Safety measures when system is not functioning.

OBJECTIVE

Provide labor, materials, equipment, and other services as necessary to install a new wired and auxiliary IP-based wireless nurse call system and remove the old system components throughout health center building at the Clinton Indian Health Center, 10321 N. 2274 Rd, Clinton, OK, 73601.

This project will exceed the requirements of FGI Guidelines for Design and Construction and The Joint Commission Requirements. This project will require emergency call stations for restrooms designated for public use, such as those found in waiting and reception areas.

SCOPE OF WORK

The health center will remain operational during the course of this project. Contractor shall coordinate work with the Facility Manager on accessibility of areas and rooms as needed.

Due to the fact that patients are scheduled well in advance for health care services, room closures will require coordination on a daily basis with Facility Manager to minimize interruption of delivery of healthcare services.

This project will consist of the following:

1. Install new conduit distribution system from the power supply/controller units to the dome lights outside each room served by the system as shown on plans. Refer to Drawing A-2 for Existing and New Locations.

2. Pull new cable to dome lights outside each room served by the system.

3. As rooms are turned over to the Contractor, interface the existing conduit within each room to replace the cable and devices within that room while ensuring the existing Nurse Call system that is still being used in rooms yet not converted remain in operation.

4. Replace existing devices, controllers, master stations, power supplies, etc. and add new devices as identified on the plans to meet Code and other Owner requirements based on current usage of spaces.

5. Remove existing cabling, conduit, and other appurtenances when new system is fully functional.

6. The phasing of this project will be critical, as the Clinton Indian Health Center is required to provide at least 7-days of notice to patients and staff for limitations on scheduled care. Dates and durations of work will be established by the contractor.

The health center currently has ten (1) Pull-Cord Station and Dome Lights in the following Restrooms:

1. Primary Care Clinic R/R

2. Laboratory R/R

3. Physical Therapy (PT) R/R

4. Radiology R/R

5. Ultrasound R/R

6. Women's Public R/R (ADA Toilet Stall)

7. Women's Public R/R (Regular Stall)

8. Men's Public R/R (ADA Toilet Stall)

9. Dental Public R/R

10. CT Scan R/R

Part of this project is not only replacing the existing 10 Pull-Cord Stations and Dome Lights locations above, but will also add six (6) new locations for a total of sixteen (16) location. The new Restroom locations that will be added are as follows:

11. Optometry R/R

12. Mental Health R/R

13. Audiology R/R

14. Women's Public R/R by Conference Room (ADA Toilet Stall)

15. Women's Public R/R by Conference Room (Regular Stall)

16. Men's Public R/R by Conference Room (ADA Toilet Stall)

TASKS / REQUIREMENTS

Work items shall be bid on a lump sum price basis with estimated quantities and unit of measure.

Contractor shall be responsible for all aspects of preparing area of work for renovation, including demolition and removal of existing construction or services, and furnishing all labor and materials to perform work as required:

General and Administrative

A. Contractor shall provide a full-time superintendent to be on site while supervising and scheduling work that is being performed at the health center by the general contractor or their subcontractors.

B. Superintendent shall perform other administrative and supervisory duties as required for proper performance of the Work. Other duties shall include those of Quality Control and Safety Officer measures during all activities of work.

C. Contractor shall provide their own Personal Protective Equipment (PPE), Lockout Tag-out equipment, infection control barriers, vehicles barriers, and any other safety related supplies, materials, and equipment to perform this job.

D. Contractor shall clean work areas daily. Keep work area, and public access areas free from accumulations of waste materials. Contractor shall remove trash daily. Construction waste shall be transported in tightly covered containers to minimize spreading of dirt and debris associated with construction.

E. Upon completion of the work, Contractor shall remove barrier material carefully to minimize the spreading of dirt and debris associated with construction. Contractor shall conduct a final clean and leave the work area in a clean, neat, and orderly condition.

GENERAL

The Government requires the following from contractors in order to monitor progress and ensure compliance:

Progress Meetings

COR will coordinate with Contractor in scheduling and administer the construction progress meetings throughout the Construction.

Monthly Construction Meetings

Meetings shall be held monthly with additional meetings as needed. Meetings will be held on site, and cover topics pertinent to progress and completion of work.

A. Three-week look-ahead schedule of upcoming work shall be provided at each construction meeting.

Weekly Meetings

Contractor will conduct weekly meetings with the on-site Facility Manager to discuss weekly status, accomplishments, and planned activities for the upcoming week.

A. Coordinate utility shutdowns including appropriate permitting procedures including lockout/tag-out, hot work, etc.;

B. Implement and maintain required interim life safety measures (ILSM) as needed;

C. Coordinate to maintain acceptable conditions for all on-going health center functions.

D. Coordinate and manage job site access and security.

E. Coordination and scheduling of working after-hours and weekends shall be coordinated with Facility Manager and COR. Written notification must be given at least 7-working days in advance.

Inspections

Government shall inspect regarding quality assurance and remedies regarding non-conforming work.

Risk Assessment – Health Center Policy

Contractor shall read and implement the health center’s local health safety requirements needed for this job.

A. The health center’s Safety Officer will perform the Infection Control Risk Assessment (ICRA) for Construction and Renovation prior to start of project. The risk assessment will be for type of project of activity per matrix of precaution for construction and renovation (Type 1-5). This assessment will be reviewed and discussed with the Contractor prior to start of project.

Life Safety and Infection Control

Properly implemented Infection Control Measures will take priority over construction efficiency. Contractor is responsible for the health and safety of their own employees.

Contractor is responsible for implementing all safety and infection control measures during the course of this project. Before any construction or services are to be performed within the facility, the Contractor will review plan with the Facility Manger.

This project shall conform to OSHA, AIA Construction Guidelines, Joint Commission Environment of Care Standards, and applicable codes.

Initial and periodic inspection will be conducted by the Federal Acquisition Certified Contracting Officer’s Representative (FAC-COR), Safety Officer, and/or Infection Control Officer. Any life safety or infection control deficiencies will have to be immediately corrected by Contractor.

Material Delivery

Contractor is responsible for all deliveries required for this job. All materials shall be delivered to the Contractor or Contractor’s staff. No materials shall be delivered the Facility Manager, Maintenance or Property and Supply staff.

SECURITY REQUIREMENTS

Contractor shall abide by all Safety and Security procedures of the Clinton Indian Health Center.

Contractor – ID Badge

Contractor shall comply with security requirements including personal identification. Contractor shall be responsible for providing each of their employee with an ID badge. This includes all personnel working on site. ID badge shall be worn at all times when performing work during the course of this project.

Contractor – Signing In/Out

Contractor shall coordinate with the local Facility Manager on the signing in/out and scheduling of Contractor’s staff and sub-contractors in order to maintain efficient use of traffic-flow, parking, and access to building and locked areas.

DELIVERABLES

Submittals

Submittals may be shop drawings, product data, cut-sheets of equipment, material samples, sketches, manufacturer’s literature, catalog descriptions, or other description sufficient in detail for review and action to allow a decision by FAC-COR. FAC-COR will respond within 7 business days.

Substitutions or deviations not approved by the FAC-COR risk rejection. Submittals and Safety Data Sheets (SDS) for chemicals and materials shall not be used until approved.

Submittals for this job will include:

1. Summary of the complete work to be performed

a. Including a description of the entire system including the system’s sequence of operation.

2. List of equipment including equipment technical literature detailing the make and model, finish material, and electrical and technical characteristics of each item of equipment to be furnished for owner approval.

3. Drawings identifying the system architecture for owner approval:

a. Location of all equipment,

b. System control diagram,

c. Project coordination with other trade,

d. Definition of all acronyms and Standards use for the system,

e. Security and Safety requirements.

4. Project Schedule in Gant Chart or Bar Chart format.

5. System Commissioning and Testing Report that documents the commissioning and test efforts and outcomes.

6. Throughout progress of the Work, maintain an accurate record of changes in design drawings. Upon completion of Work, transfer recorded changes to a set of project record documents.

7. Submit system maintenance requirements, troubleshooting procedures, project record drawings, and complete documentation of system testing and reporting

8. Contractor is responsible to coordinate all work with the other trades for scheduling, rough-in, and finishing all work specified. Contractor is responsible for means and methods in the design, fabrication, installation and certification for the complete system operation.

RFI

If the Contractor desires an explanation or interpretation of the contract or drawings, etc., the request must be submitted in writing as a Request for Information (RFI) to the FAC-COR and CO via electronic format.

Contractor shall maintain a log, numbered sequentially, of all RFIs submitted, the date submitted, and the date an answer was provided. A copy of the RFI log will be provided at the monthly progress meeting for review.

Warranty

Warranty shall continue for a period of 1-year from the date of final acceptance of the work.

Transmittals

The contractor shall provide 2 hard copies of each deliverable, and one electronic version.

Project Record Documents (As-Builts)

1. Throughout progress of the Work, maintain an accurate record of changes in Contract Documents. Upon completion of Work, transfer recorded changes to a set of Project Record Documents.

2. The floorplans shall be marked in pen to include the following:

a. Each device specific locations with UL labels affixed.

b. Conduit locations.

c. Each interface and equipment specific location.

d. Head-end equipment and specific location.

e. Wiring diagram.

f. Labeling and administration documentation.

g. Warranty certificate.

h. System test results.

REFERENCES

Requirements

Adhere to following standards for this project:

· Unified Facilities Guide Specifications (UFGS)

· Division 27 – Communications

· Section 27-52-24: Nurse Call System

· National Fire Protection Association (NFPA)

· NFPA 70; National Electrical Code and,

· NFPA 99; Health Care Facilities Code

· Nurse call/pull cord requirements.

· Telecommunications Industry Association (TIA) TIA-569.

· Underwriters Laboratories (UL)

· UL-1069; Standard for Safety Hospital Signaling and Nurse Call Equipment.

· Governs the placement, notification, and resetting of patient-initiated and staff-initiated signals.

· Facility Guidelines Institute (FGI) Guidelines for Design and Construction

· The Joint Commission Environment of Care

Existing As-Builts

As-built drawings are available for review. Coordinate with FAC-COR.

LOCATION

The project is located at the Clinton Indian Health Center, 10321 N. 2274 Rd Clinton, OK, 73601.

A. Contractor Work Hours:

Normal business hours are Monday through Friday from 7:45 a.m. to 4:30 p.m. excluding all Federal Holidays.

Work identified in this scope of work shall be accomplished while the health center is occupied and fully operational.

All work shall be performed with the least possible impact to the mission, patients, and employees.

B. Tobacco Free Campus:

The Clinton Indian Health Center is a tobacco free campus. No smoking is permitted on the campus grounds.

POINT OF CONTACT

Facility Manager / Safety Officer ATTN: Eric Stoneroad Clinton Indian Health Center 10321 N. 2274 Rd Clinton, OK 73601

Project Manager / FAC-COR ATTN: Bobbie Gonzalez Oklahoma City Area Indian Health Service Office of Environmental Health & Engineering Division of Facilities Management 701 Market Drive Oklahoma City, OK 73114

PERIOD OF PERFORMANCE

The period of performance this scope of work is 90-calendar days after notice to proceed (NTP).

This 90-calendar day includes performance period for mobilization, submittals, material acquisition, installation, inspection, closeout items, and demobilization.

Contractor may work after-hours or weekends to complete portions of the work. Coordination and approval will be required with/by local Facility Manager.

Nurse Call Replacement

OK3CLA01C6

Clinton Indian Health Center Clinton, Oklahoma

Attachment A: Drawings

1. Drawing A-1, Existing Condition

2. Drawing A-2, Replacement and New Locations

Attachment B: Specifications

1. Specification Section 27 52 23 - Nurse Call/Code Blue Systems

ATTACHMENTS

ATTACHMENT A-1

DRAWINGS - Existing Conditions

ATTACHMENT A-2

DRAWINGS – Replacement and New Locations

SECTION 27 52 23 - Nurse Call/Code Blue Systems

PART 1 - GENERAL

1.1 SCOPE

A. The systems contractor shall furnish all equipment, accessories, material, and labor for a complete microprocessor-based system as indicated in accordance with the specifications and applicable drawings.

B. The equipment provided under this specification shall be standard product of one manufacturer and shall meet or exceed the performance and quality assurance standards as that manufactured by Tektone communications systems or equal.

C. All furnished equipment shall be listed as a total system by Underwriter’s Laboratories, Inc. Listing shall be under NBRZ Hospital Signaling and Nurse Call Equipment, conforming to UL 1069 standards. Proof of such Listings shall be made by submitting the UL Listing cards describing the equipment by model number, with bid documents. Alternate manufacturers shall submit UL Listing cards as part of prior approval ten (10) working days prior to bid date.

D. Each major component shall bear the manufacturer’s name, model number, and UL label.

E. The installing contractor shall be responsible for providing a complete functional system, supplying all system documentation, design and material lists, and station identification documents. All materials shall be provided, whether specifically itemized in this specification or not.

F. Authorized personnel of the installing contractor shall be responsible to fully train all shifts of the on-site care-giving and maintenance staff relative to the operation and use of the system.

G. The contractor shall be an authorized dealer of the specified system and shall guarantee availability of local service by factory-trained personnel. The authorized dealer shall show evidence of having inventory of standard system components. On-site service shall be provided at no additional cost to the purchaser for a period of one year (12 months) from date of installation completion. This warranty does not cover damage or malfunction caused by misuse, abuse, neglect, or accident.

H. Any modification to this written specification, whether in equipment or operation of the system shall not be acceptable.

1.2 QUALITY ASSURANCE

A. Nurse Call System and Equipment Standards: UL Standard 1069 Hospital Signaling and Nurse Call Equipment C-UL Canadian Standard C22.2

B. Electrical Design Standards: Transistors, capacitors, resistors, integrated circuits and other components shall not be operated to exceed their rated values. System shall be designed for 24-hour continuous operation.

C. Manufacturer shall have ISO 9001 certification on facility and production procedures, assuring quality standards.

1.3 WARRANTY

A. Intercommunication system shall have a three (3) year (36 months) full manufacturer’s warranty, including parts and labor, dated from completion of installation.

B. Component level repairs shall be done by TekTone, and field service shall be performed by the authorized dealer.

C. Unauthorized field service at the component level may void the manufacturer’s warranty.

PART 2 – PRODUCTS

2.1 SYSTEM DESCRIPTION

A. The system shall be the Tek-CARE120 nurse call system or equal. Majority of installation will be hard-wired with the need for integrated wireless in public restroom stalls. Operation shall be simple and require little or no training. Call signaling shall be annunciated at the Master Station, Restroom Pull-Cord Station, Corridor Dome Light, and Zone Lights, indicating that a call has been placed on the system. Communication shall be established between the Master Station and single station Restroom Pull-Cord Station. Systems requiring manual selection of the calling station shall not be acceptable.

B. The system shall be Microprocessor-based and provide the following features and functions:

1. Control Module (CM) to facilitate all wire terminations, plus control call signaling and communication functions.

2. Common trunkage wiring from the CM. Trunkage wiring shall not exceed three (3) twisted pairs, plus one additional wire for optional Zone Light. Maximum 10 stations per trunkage line. Systems requiring home-run or point wires to each Patient Station shall not be acceptable.

3. Distinctive call signaling from the Restroom Pull-Cord Station to the Master Station, indicating call priority level.

4. Individual LED display of all locations at the Master Station, indicating the calling room station. LED and tone shall indicate the call level, either routine, urgent, or cord-out status. Systems using digital readout display or computer monitor to designate calling stations shall not be acceptable.

5. Up to five (5) calls shall be displayed at the Master Station simultaneously, with cord-out and urgent calls registering ahead of routine calls. Additional calls shall be held in a queue and shall appear on the Master Station in order of call placement.

6. Incoming calls shall be answered in sequence in order of priority first, then in order of time of call placement. Pre-announce tone at Restroom Pull-Cord Station alerts patient that the call is being answered.

7. Master Station shall accommodate up to 20 single patient restroom and/or public restroom Pull-Cord Stations, with the ability to add 10 stations for a maximum of 30 call stations.

8. Master Station shall have moisture-proof and puncture-proof membrane- style control panel with tactile select switches. Mechanical switches with moving parts shall not be acceptable.

9. Functions and controls on the Master Station shall include BLANK, RESET and TONE OFF controls. Power LED indicator shall be visible at all times.

10. Master Station for remote annunciation of call tone with LED indicator and TONE OFF button.

11. Restroom Pull-Cord Station to be reset only at calling location.

12. Dual Bulb Corridor Lamp indicating a call placed from Restroom Pull-Cord Station.

13. Provides visual call annunciation at restroom, tone, and light annunciation at Master Station.

14. Wall mounting bracket for Master Station to be surface mounted on vertical surface.

2.2 EQUIPMENT

A. Provide the following equipment, which shall perform the functions specified in the operation section of this document.

1. Control Module (TekTone or equivalent):

a. Control Module (CM) shall be TekTone model Teck-Care 120 or equal, constructed of high-impact ABS plastic, and equipped with power switch and concealed status LED indicators.

b. System capacity shall be 20 call stations, with expansion capacity to 30.

c. All system functions shall be controlled from the CM.

d. The CM shall detect if any Restroom Pull-Cord Station becomes activated for more than 60 seconds, and shall send a warning tone to the Master Station.

e. All system wiring shall be terminated inside the CM.

f. Each trunkage line from CM shall contain up to 10 call stations, wired in parallel. System shall have a maximum of three (3) trunkage lines for a maximum of 30 stations.

g. Master Station, Pull-Cord Station, 4-Zone Indicator Light, and Power Supplies shall be wired directly to the CEM.

2. Master Station:

a. Master Station shall be constructed of high-impact ABS plastic, with the following indicators and controls:

1) Individual station LEDs in vertical rows of 16 stations.

2) Selector switches for each station.

3) Directory area for each station to indicate room number.

4) OFF button.

5) TONE OFF button.

6) Easily accessible tone and receive volume controls.

7) Connection for add-on selector.

b. Membrane-style control panel shall be constructed of moisture resistant material over tactile select switches. Control and selector points shall be slightly raised for easy tactile activation.

c. Wiring from Master Station to CM shall not exceed 5 twisted pair. Cable shall be 5 twisted pair, 22AWG, low capacitance (25pF/ft. or less), with an overall shield.

d. Master Station shall be desk mounted, or surface wall mounted with a bracket.

3. Restroom Pull-Cord Station:

a. Restroom Pull-Cord Station shall be equipped with the following controls and indicators:

1) Help push button with option to remove button cover and use pull cord only.

2) Nylon cord (7’, trimmed to desired length) with pendant.

3) Red LED “call placed” indicator.

b. Call station shall be waterproof, constructed with 1-piece rugged fire-retardant ABS plastic. Rubber gasket shall be provided to seal the unit to the mounting surface.

c. Nylon cord shall be durable, and able to activate a call-in signal by pulling the cord from any direction.

d. Physical size of the urgent call station shall not exceed 5” high by 3” wide and shall flush mount into a standard 1-gang electrical box.

4. Room Controller/Corridor Lamp:

a. Dual Bulb Corridor Lamp shall be constructed of 22 gauge steel, powder-coated, with two bulbs (white, with one red bulb cover). Lens cover shall be removable and made of non- yellowing acrylic material.

b. Wiring to associated Restroom Pull-Cord Station shall be 3 conductors, 22AWG.

c. Corridor Lamp shall mount on a standard 1-gang electrical box.

5. Power Supply:

a. Power Supply shall be equipped with 2-prong AC cord, secondary +/- 24V output terminals, plus GND (ground) terminal.

b. Power Supply shall be rated at 24V DC with an output of 2A, regulated and switching type. Power Supply shall be fully self-contained, having no exposed components.

c. Power Supply shall wall mount on a standard 1-gang box or mounting ring and be wired directly to CM via 18AWG 2 conductor wire. A wire from an earth ground shall be connected to the GND terminal for proper system grounding.

1) Housing shall be constructed of the highest rated (94-V5) fire- retardant ABS plastic.

6. Wall Mounting Bracket:

a. Optional wall mount bracket shall be available for Master Station to be surface mounted to a vertical surface. Bracket shall be available for either the 20-call or 30-call Master Station.

7. Wire:

a. All System wiring including communication shall be twisted pair, 22AWG, low capacitance (25pF/ft. or less), with an overall shield. Wiring to Restroom Pull-Cord Stations and Corridor Lamps shall be 3 conductor, 22AWG.

1) From CM to Master Station.

2) Trunkage line to Restroom Pull-Cord Stations.

3) From Restroom Pull-Cord Station to Corridor Lamp: 3 conductor, 22AWG.

4) From Power Supplies to CM: 2 conductor 18AWG.

PART 3 - EXECUTION

3.1 SYSTEM OPERATION

A. The specified Restroom Pull-Cord System, Master Station shall operate in the following manner:

1. Routine Call from Restroom Pull-Cord Station:

a. When a Restroom Pull-Cord is activated, the corresponding LED at the Master Station shall double-blink at 1.8 second intervals, and tone shall sound at two (2) second intervals.

b. The LED, and Corridor Lamp shall remain lit until the call is reset at the calling location.

c. The Restroom Pull-Cord Station shall be canceled only at the Restroom Pull-Cord station by an attendant resetting the switch/button.

d. Restroom Pull-Cord Station shall activate an urgent call on the Master Station.

e. To cancel the call, an attendant must go to the calling location and reset the call.

2. Call Storage:

a. Up to five (5) calls shall be displayed on the Master Station at one time, with higher priority calls being displayed first. Calls shall be displayed by individual LEDs located above each station selector.

b. All additional calls shall be held in a queue and shall be canceled when answered at the Master Station (routine call only) or at the calling location via the CANCEL/RESET button.

c. Corridor Lamp of calling station shall light, indicating the call level, when the call is one of the five (5) calls displayed at the Master Station.

3. Tone Off:

a. Pressing the TONE OFF button on the Master Station shall silence the call tone for 60 seconds, both at the Master Station and Duty Station.

b. A new call placed shall reactivate the call tone.

c. If no new call is placed, the call tone shall resume 60 seconds after TONE OFF button is pressed.

d. If the TONE OFF button is pressed a second time, the tone will not resume except in the event of a new call on the system.

4. If an incoming call remains unanswered after 60 seconds, the call tone volume shall go up to the HIGH position, regardless of the position of the call tone volume control on the side of the Master Station.

a. HIGH position is the volume level that is set with the TONE VOLUME control on the back of the Master Station.

5. No handset is required at Master Station.

6. If any Restroom Pull-Cord Station’s wiring is disconnected, a buzzer warning tone shall be heard at the Master Station and shall be considered a line-off trouble alert.

7. Corridor Lamp:

a. Corridor Lamp shall provide visual annunciation outside of a room for routine, urgent, and cord-out calls from Patient Stations.

1) A routine call shall steadily light the white lamp. Steady white lamp shall be turned off when the Master Station answers the call, or when the CANCEL button is pressed at the associated Restroom Pull-Cord Station.

2) An urgent call shall cause the red lamp to flash continuously. The flashing red lamp shall be turned off only when the urgent call is reset at the calling location.

8. Power Supply:

a. The Power Supply shall provide power for a fully functional nurse call system.

1) Power supplies shall provide power to the Control Module for tone and LED annunciation, Corridor Lamps, and communication.

3.2 TRAINING OF PERSONNEL

A. Nursing staff and maintenance staff on all shifts shall be fully trained on the operation of the system by personnel from the certified installing company.

1. Training by the installing contractor shall include operational instructions for staff using the system. Training shall include actual hands-on experience with a demonstration system, so as not to disturb the staff on duty. The demonstration system shall consist of representative components of the system, and shall include a minimum of a Master Station, two Restroom Pull-Cord Stations, and Corridor Lamps.

2. Training for maintenance personnel shall include operation of system, troubleshooting, and basic system maintenance. Training shall include checking wire terminations and replacing components in the system.

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