Nourishment Log Sheet - ASC Ambulatory Surgery Clinic.doc
DOC document 124 KB Posted
- Attached to
- Nutrition Care Food Services
- Solicitation number
- W81K04-20-R-0014
- Issued by
-
Department of the Army Medical Command
About this file
This document contains a solicitation for a firm fixed price contract to provide non-personal nutrition care food services. The Defense Health Agency through the Health Readiness Contracting Office intends to award a base contract period of one year with four one-year option periods. Services will include providing meals to meet special nutritional needs of patients, service members, and other customers within Military Health System hospitals. The North American Industry Classification code for this requirement is 722310. The solicitation will utilize full and open competition procedures and a tradeoff source selection method. The Randolph-Sheppard Act applies. Interested parties must register in the System for Award Management and submit any questions by 24 February 2020. The pre-proposal conference will be held on 18 February 2020 in San Antonio, Texas. Proposals are due by the date and time listed in block 8 of the Standard Form 1449.
The primary point of contact is Mr. Matt Robey, and the secondary point of contact is Mrs. Yvonne Camarce. Both may be reached via email. The requirement is identified under solicitation number W81K04-20-R-0014 and is issued by the Department of the Army Medical Command. The contract type will be firm fixed price and subject to the Service Contract Act and collective bargaining agreements.
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Updated 25JUN2019 Instructions: PTS Contract Workers will re-stock wards daily (All Items Must be Labeled and Dated) and record amounts stocked on this Nourishment log sheet. PTS Contract Workers will rotate stock using FIFO method and discard outdated items.
Report discrepancies to NCD Quality Assurance Coordinator and/or NCD Supervisor. PTS Contract Workers will initial that items were delivered. Ward Staff will initial that items were received.
NOTE: Ward Staff is responsible for general maintenance, cleaning, and temperature checks of refrigerators. FOOD ITEMS ARE FOR PATIENTS ONLY
NOURISHMENT WARD STOCK – Daily Tracking Form WARD: ASC and Recovery Room
MONTH/YEAR:___
| ASC |
| Par |
Stock
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| 10 |
| 11 |
| 12 |
| 13 |
| 14 |
| 15 |
| 16 |
| 17 |
| 18 |
| 19 |
| 20 |
| 21 |
| 22 |
| 23 |
| 24 |
| 25 |
| 26 |
| 27 |
| 28 |
| 29 |
| 30 |
| 31 |
| tOTALS |
| PTS Initials |
| pts |
| Ward Staff Initials |
| rn |
GELATIN - NO RED -
Regular & Sugar free
10 Reg
5 SF
POPSICLES - NO RED -
Regular & Sugar free (SF)
20 REG
5 SF
| Sherbet: Orange or Rainbow or Lime |
| 12 Total |
Gingerale - Regular Lemon Lime - Regular
Gingerale - Diet Lemon Lime - Diet
| APPLE JUICE |
| 30 |
| Skim Milk |
| 3 |
| 2% Milk |
| 3 |
| Vanilla Almond Milk |
| 1 |
| Vanilla Soy Milk |
| 1 |
| BROTH (Reg & Low Sodium) |
| 10 Each |
| Saltines – Indiv Pks |
| 25 |
| Graham Crackers – Indiv Pks |
| 25 |
| Peanut butter packets |
| 10 |
| Nutri Grain Bars |
| 16 |
| Plastic Spoons & Straws |
| 25 |
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