Statement of Work Final.pdf

Statement of Work - Blood Cx Collection Diversion Device

Laboratory supplies are required to collect blood samples for diagnostic testing in the laboratory of Gallup Indian Medical Center, 516 East Nizhoni Blvd., Gallup, NM 87301. Blood sequestration devices are used to prevent blood culture contamination during the blood collection process.

Current standards dictate a blood culture contamination rate of less than 3%. These materials will be required on an as needed basis with orders being scheduled approximately 4 times in the calendar year. Blood culture contamination is monitored in the facility’s laboratory on a monthly basis. We estimate that this facility will collect 3,500 blood cultures during a 12 month period from September 2025 to August 2026.

The vendor must be able to reliably supply quantities of the aforementioned product sufficient to meet the estimated demand. Variant options for the device should include:

1. 21 gauge slide-needle variant

2. 23 gauge slide-needle variant

3. Peripheral IV connector w/ 6’ ext. for use concurrent with IV initiation

Payments to any subcontractor of the vendor are the sole responsibility of the vendor.

Vendor must package their supplies in a sterile manner. Each package should include only one blood culture collection device.

Any training provided by the vendor is to be offered on a no charge basis. The vendor will be strictly responsible for any training, travel or, per diem costs incurred. These efforts to be coordinated with Gallup Indian Medical Center’s nurse educator.

Representatives of the vendor are to register all visits with the Gallup Indian Medical Center Security department on entry to the facility. Vendor trainers and representatives are not to oversee actual patient collections without proper HIPPA and Privacy Act training, nor without written approval of the GIMC privacy officer.

Versions of the supplies required are listed below estimated as follows:

ITEM DESCRIPTION

21 GAUGE SAFETY SLIDE NEEDLES – 200/CASE

23 GAUGE SAFETY SLIDE NEEDLES – 200/CASE

PERIPHERAL IV CONNECTOR W/ 6’ EXT. – 200/CASE

All deliverables must be accompanied by a bill of lading. Contractor must submit an itemized invoice for all deliverables for payment to be received. Shipping and packaging of supplies, reagents, equipment and, other associated materials to be done in conformance with established law and regulations. Shipping charges for off-schedule items, and hazmat fees for those items classified as hazardous do apply. Vendor will ship items on the negotiated schedule and may request reasonable and customary compensation for shipping of supplies.

Vendor must ship supplies in a manner that conforms to U.S. Department of Transportation guidelines and, must meet requirements for Division 6.2 material shipments per the Center for

Disease Control as applicable. Likewise, the vendor must ship materials in a manner that maintains the integrity of the supplies. The vendor must agree to replace supplies damaged during shipment, as well as supplies subject to recall where a defect renders the devices non-effective or, where a device poses a danger to patients or, healthcare workers during device usage when that usage conforms to the manufacturer’s guidelines.

(1) Applicable conditions

a. Compatibility.

Supplies must be compatible with current blood culture collection media (Becton Dickinson Bactec bottles) and, with blood collection accouterments such as venipuncture needles and needle hubs (Vacuette® and Vacutainer®) already employed in the facility. In addition, technical support must be available from the vendor in regard to the products vended.