Statement of Work Pharmacy TPN DRAFT.docx

Bay Pines Veterans Affairs Healthcare System (BPVAHCS)

STATEMENT OF WORK (DRAFT)

1.0 Introduction

Total parenteral nutrition (TPN) is an intravenous feeding method indicated for those patients who require complete bowel rest or fail to obtain nourishment from a dysfunctional gastrointestinal tract. The full daily caloric requirement can be met with parenteral delivery of macronutrients (carbohydrates, amino acids, and fats), as well as the replacement of micronutrients (electrolytes, minerals, vitamins, and other additives), tailored to the individual patient. Most calories are supplied with carbohydrates, followed by lipids, then amino acids. TPN can be a lifesaving treatment for patients who are not able to absorb nutrition from their gut, but it can also lead to many severe complications if not formulated and prepared appropriately.

TPN solutions at BPVAHCS are prepared by a technician and a pharmacist using aseptic technique in an ISO Class 7 sterile room in an ISO Class 5 Laminar Flow Hood to ensure sterility. The pharmacy staff uses a Baxter compounding machine to custom prepare the macronutrient base of the TPNs. Then the electrolytes, minerals, and other additives are individually and manually drawn up into syringes and injected into the TPN base. There are several series of double and triple checks throughout this process to ensure the complex TPN solution is formulated correctly. Currently, Bay Pines dictates a standard hang time of 1800 for all TPN solution bags; to meet this hang time, all orders should be submitted by 1300.

2.0 Requirements

2.1 Terms of contract

2.1.1 Period of Performance:

Ordering Period 1: May 01, 2026 – April 30, 2027 Ordering Period 2: May 01, 2027 – April 30, 2028 Ordering Period 3: May 01, 2028 – April 30, 2029 Ordering Period 4: May 01, 2029 – April 30, 2030 Ordering Period 5: May 01, 2030 – April 30, 2031

2.1.2 Type of contract: Firm Fixed Unit Price

2.1.3 Contract is subject to availability of VA funds

2.2 Work hours

2.2.1 Total Parenteral Nutrition Services Hours of Operation

2.2.1.1 0900 – 1730 (EST) seven (7) days per week

2.2.1.2 Contact phone numbers must be provided for all after hours inquiries

2.2.2 Order Transmission/Delivery Times

2.2.2.1 TPNs will be ordered throughout the day, seven (7) days a week

2.2.2.2 Orders placed by the 1200 (EST) will be delivered to BPVAHCS no later than 1500 (EST) the same day

2.2.2.2.1 Total Parenteral Nutrition Services will deliver all products to the Inpatient Pharmacy located on the ground floor of the BPVAHCS, 10,000 Bay Pines Boulevard, Bay Pines, Florida 33744

2.2.2.3 Receipt of delivery

2.2.2.3.1 A packing slip in duplicate copies will be delivered along with the TPNs and signed by a pharmacy staff member to verify the shipment is complete. BPVAHCS will keep the copy of the packing slip and the yellow copy will be returned to Total Parenteral Nutrition Services.

2.2.3 Nonstandard/Late Deliveries

2.2.3.1 Total Parenteral Nutrition Services will make every effort to accommodate late or early orders. Delivery will be arranged on a per case basis.

2.2.3.2 In the event orders are sent after the 1200 (EST) cut-off time, BPVAHCS pharmacist must contact Total Parenteral Nutrition Services personnel. Total Parenteral Nutrition Services pharmacist will work with BPVAHCS to determine delivery time of the product.

2.2.3.3 Total Parenteral Nutrition Services will notify BPVAHCS if a delivery is late in leaving the Total Parenteral Nutrition Services facility and may result in a late delivery to the healthcare center.