VA Maine RSO PWS.pdf

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H958--Radiation Safety Officer Services - Request For Information
Solicitation number
36C24124Q0187
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This performance work statement outlines radiation safety officer services required by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. The contractor shall provide radiation safety officer coverage and perform associated duties at VA Maine Healthcare facilities from 0800-1600 Monday through Friday, excluding holidays. Duties include responding to emergencies within 15 minutes by phone and one hour on-site, conducting inspections, participating in inspections and committee meetings, reviewing personnel monitoring records, providing training, auditing programs, and developing policies and procedures in compliance with Nuclear Regulatory Commission, Joint Commission, and other regulatory standards. The contractor must be qualified as a radiation safety officer and obtain necessary licenses to perform the work. All work is to be conducted by the contractor's employees without subcontracting.

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Performance Work Statement for Radiation Safety Officer (RSO) coverage for VA Maine Healthcare

(1) Summary: Furnish all labor, tools, equipment, material, and travel to perform Radiation Safety

Officer (RSO) duties at VA Maine Healthcare

(2) Hours of Coverage: 0800-1600hrs Monday through Friday, excluding National Holidays.

(3) Response Time: This contract includes intervening calls and emergent calls between scheduled inspections. In an emergent situation a telephone response is required within 15 minutes of notification and, if requested, the Contractor shall be on site within 1 hour (i.e... spills, equipment failure...). All other work as scheduled by the Center's Radiation Safety Officer will commence and proceed progressively to accomplishment without undue delay. All work shall be in accordance with good commercial practice and conform to all NRC and Joint Commission rules and regulations.

(4) Due to the sensitive nature of radiation safety, all items within this Performance Work

Statement shall be provided by employees of the bidder. Subcontracting is prohibited.

(5) Qualification of Vendor: The contractor shall obtain all necessary licenses and/or permits required to perform this work as Radiation Safety Officer under the NRC, NHPP and Joint

Commission rules and regulations. The RSO shall be qualified to serve on a limited scope medical use permit.

(6) The personnel will perform a function that requires them to access VA system or VA sensitive information.

(7) Specifications of Work: Work requested is to be named Radiation Safety Officer for the limited scope medical permit to use unsealed radioactivity.

• The vendor shall perform the functions of the Radiation Safety Officer for the VA Maine

Healthcare radioactive materials permit and x-ray program.

• Provide recommendations for applications, renewals, and draft amendments to NRC Licensing and Compliance Divisions also compliance with 10-CFR Part 20 & Part-35.

This includes recommendations for preparing updates of necessary ALARA documentation. Permit draft amendments shall be provided to the permittee for review and signature upon request.

• Participate on site in permit inspections from NHPP or NRC.

• Participate on site in accreditation or OIG inspections as necessary.

• Attend (in person) for quarterly Radiation Safety Committee (RSC) meetings.

Performance Work Statement for Radiation Safety Officer (RSO) coverage for VA Maine Healthcare

• Review personnel monitoring records for federal compliance, and ALARA considerations. Summarize findings for presentation at the RSC meeting.

• Immediately review personnel monitoring records which exceed ALARA thresholds.

• Provide routine updates to the RSC regarding accreditation program changes such as the Joint Commission.

• Provide quarterly updates to the RSC regarding NHPP program changes/memos.

• Provide quarterly updates to the RSC regarding regulatory changes from the Nuclear Regulatory Commission.

• Provide fetal dose assessments for patients and staff with summary at the RSC meetings.

• Provide patient dose assessments for nuclear medicine and imaging studies conducted at the VA Maine Healthcare with summary at the RSC meetings.

• Provide Radiology and Nuclear Medicine policy and practice review at permittee request.

• Provide shielding evaluations meeting NCRP 147 at permittee request.

• Provide skin dose assessments for any patient exceeding facility thresholds meeting TJC and NHPP requirements. Turnaround time of skin dose assessments is expected to be less than 48h from receipt.

• Provide template documentation for annual RSO audit, review and summarize at least annually for RSC.

• Provide in-service radiation safety training of research, nursing, intensive care, or any other personnel as necessary. Training provided should be approved for nursing CE credit. Training is to be set up with the requesting department, Nuclear Medicine, Research and Radiology.

• Provide fluoroscopy training material for non-radiologist fluoroscopists which meets NHPP directives, TJC accreditation requirements, and best practices.

• Provide a backup RSO plan meeting NHPP requirements.

• Provide evidence that the RSO can be available on site within 1 hour and available via the phone within 15 minutes.

(8) Updates: All updates of information will be provided to Chief Radiologic Technologist VA Maine

Healthcare

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