ANSWERS_TO_QUESTIONS_W912LR-17-T-0024.docx

ANSWERS TO QUESTIONS IN SOLICITATION W912LR-17-T-0024 (As of Mar 8, 2017)

1) Is it possible to offer the service in our Location? We have x-ray equipment at this location? Are the x-rays solicited for Chest X ray? Is there an x-ray equipment in Salinas’s location?

Answer; CSJMTC does not have the capability to perform Chest X-ray. Whoever get the contract to perform the OSHA annual physical exam, it NEED to have the capability to perform the Chest X-Ray (Example Portable X-Ray Machine)

3) Is this a new requirement or are there currently personnel filling these slots? If so who is the current incumbent of the contract?

Answer; This a new requirement. These are incidental services. Services were last rendered September 26-29 of last year. The contractor name is as follows;

QUEST DIAGNOSTICS OF PUERTO RICO

CAGE CODE; 5V2F9

1) When referring to item listed in d. CSC with different platelets , are you referring to Cell Blood Count (CBC) differential with platelets?

Answer; Yes, I'm referring to Cell Blood Count (CBC) differential with platelets.

2) When referring to item listed in g. Lead & ZPP (Blood) , we are not clear as what ZPP stand for, can you clarify .

Answer; Zinc protoporphyrin (ZPP) is primarily ordered to help detect iron deficiency in children and to detect and monitor chronic exposure to lead.

3) When referring to item listed in e. SMA-20, in the actual CPT (Current Procedural Terminology code) the SMA-20 had been substitute by CMP (Comprehensive Metabolic Panel) that include (Glu, BUN,Creatinine, Cl, K, Na, Total Prot.,Alb, Total Bili, Calcium, ASP, ALT, ALP) in order to make it a SMA-20 we will have to add to : LDH , URIC ACID, PHOSPHOROUS, CPK, TRIGLYCERIDES, CHOLESTEROL. Is this is what your are requesting?

Answer; Comprehensive Metabolic Panel (CMP) Also known as: Chem 12; Chemistry Panel; Chemistry Screen; SMA 12; SMA 20.

The CMP includes the following tests:

1) Glucose - energy source for the body; a steady supply must be available for use, and a relatively constant level of glucose must be maintained in the blood.

2) Calcium - one of the most important minerals in the body; it is essential for the proper functioning of muscles, nerves, and the heart and is required in blood clotting and in the formation of bones.

3) Albumin - a small protein produced in the liver; the major protein in serum

4) Sodium - vital to normal body processes, including nerve and muscle function.

5) Potassium - vital to cell metabolism and muscle function.

6) CO2 (carbon dioxide, bicarbonate) - helps to maintain the body's acid-base balance (pH).

7) Chloride - helps to regulate the amount of fluid in the body and maintain the acid-base balance.

8) BUN (blood urea nitrogen) - waste product filtered out of the blood by the kidneys; conditions that affect the kidney have the potential to affect the amount of urea in the blood.

9) Creatinine - waste product produced in the muscles; it is filtered out of the blood by the kidneys so blood levels are a good indication of how well the kidneys are working.

10) ALP (alkaline phosphatase) - enzyme found in the liver and other tissues, bone; elevated levels of ALP in the blood are most commonly caused by liver disease or bone disorders.

11) ALT (alanine amino transferase, also called SGPT) - enzyme found mostly in the cells of the liver and kidney; a useful test for detecting liver damage.

12) AST (aspartate amino transferase, also called SGOT) - enzyme found especially in cells in the heart and liver; also a useful test for detecting liver damage.

13) Bilirubin - waste product produced by the liver as it breaks down and recycles aged red blood cells.

In A LIPID PROFILE the following tests are included:

1) Total cholesterol

2) High-density lipoprotein cholesterol (HDL-C)

3) Low-density lipoprotein cholesterol (LDL-C)

4) Triglycerides