water testing SOW corrected to include 30 additional testing-TJC updated.pdf

STATEMENT OF WORK according to VHA Directive 1061(4), ANSI/AAMI ST108:2023, ES- 2019-001 and Safe Water Drinking Act.

Contractor shall provide a comprehensive validation testing and use the current existing Web- based Data Management System to record, store, and report all data in accordance with the requirements of The Joint Commission Standard for Water Management Program – Hospitals, Critical Access Hospitals, and Nursing Care Centers (EC.02.05.02, EPs 1 through 4), VHA Directive 1061(4), ANSI/AAMI ST108:2023, ES-2019-001 and Safe Water Drinking Act.

1. Testing

• The contractor shall provide quarterly Legionella testing for potable water and monthly

Legionella testing for cooling tower and chiller water.

• Cooling towers 1-3 are located next to Bldg. Surgery Cooling tower is located on 4W roof.

Chillers are located in Bldg. 2 and on 4W roof.

• The contract shall provide quarterly metals (copper and silver) validation testing for the potable water.

• The contractor shall provide quarterly water quality testing (Total coliforms, Escherichia coli) for the hospital’s potable water system.

• The contractor shall provide biannual water testing panels for the SPS system.

• The contractor shall provide bi-weekly Heterotrophic Plate Counts (HPC) or Total Aerobic Bacteria for each cooling tower basin.

• The contractor shall provide weekly testing of SPS (6 samples) critical water for pH, conductivity, total alkalinity, total hardness, bacteria and endotoxins.

• The contractor shall provide quarterly Utility Water Samples from SPS ( 6 samples), and will test for: pH, conductivity, total Alkalinity, total hardness and bacteria.

• The contractor shall sample as required. However, if a failure results, then retesting must be scheduled as soon as corrective actions have been completed. Vendor must be able to return to the site for retesting within 72 hours. Thirty return visits for retesting must be allotted for each year in the contract.

2. Web-based Data Management System

The contractor shall use the existing web-based data management in accordance with the specifications to collect, analyze, and store data collected. It will store WMP validation test results in addition to data recorded from the existing PWA systems.

3. SPECIFICATIONS

• Validation Testing

The contractor will provide all labor, materials, and equipment necessary to complete environmental validation testing of the potable and utility water.

The contractor’s laboratory must be certified by the Centers for Disease Control and Prevention (CDC) Environmental Legionella Isolation Techniques Evaluation (ELITE) program. In addition to the CDC ELITE certification, the laboratory must have environmental microbiology accreditation by a nationally recognized accrediting body, such as EMLAP, NELAP, etc.

• Legionella Testing

Legionella environmental testing shall occur at a minimum of once per Federal fiscal year quarter.

The laboratory will provide a report indicating the analytical results for each sample submitted.

Results will be calculated in terms of colony forming units (CFU/mL). All samples shall be properly preserved, and protocol records kept for final QA/QC. Results shall be provided within the timeline outlined for each test shall be immediately uploaded into the web-based data management site and emailed in PDF format to the client point of contact.

The contractor shall collect water samples from Building 1 and cooling towers for each quarterly testing cycle. The contract will collect samples from locations designated by the COR according to the following frequency and schedule:

• Month 1 of each quarter

- 4 Cooling Tower Water samples (11731 ISO spread plate method)

- 6 Copper Samples

- 6 Silver Samples

- 6 Potable Water Quality Samples (Total Coliforms, Escherichia coli)

• Month 2 of each quarter

- 4 Cooling Tower Water samples (11731 ISO spread plate method)

- 8 Potable Water samples (11731 ISO spread plate method)

- 2 Potable Water samples (PVT Premium)

- 6 Potable Water Quality Samples (Total Coliforms, Escherichia coli)

• Month 3 of each quarter

• 4 Cooling Tower Water samples (11731 ISO spread plate method)

• 8 Potable Water samples (11731 ISO spread plate method)

• 2 Potable Water samples (PVT Premium)

• 6 Potable Water Quality Samples (Total Coliforms, Escherichia coli)

At the time of sampling, the contractor shall test and document the following for each sample:

water temperature, level of residual biocide, and pH. The laboratory shall use either 11731 ISO spread plate method or PVT Premium with Next Day PCR Legionella Test as indicated in the schedule listed.

Legionella 11731 ISO spread plate method for Legionella pneumophila and non-pneumophila species.

• Measures L. pneumophila serogroup 1, L. pneumophila serogroup 2-14, and non-pneumophila species

- Inoculated at the laboratory – overnight shipment recommended

- Limit of Detection (CFU/ml) = 1**

- Reports: 10 days after laboratory receives samples

PVT Premium with Next Day PCR Legionella Test

● TimeZero culture test method for Legionella pneumophila and non-pneumophila species

- Measures L. pneumophila serogroup 1, L. pneumophila serogroup 2-14, and non-pneumophila species

- Inoculated at TimeZero™ (t=0), eliminating need to ship water

- Limit of Detection (CFU/ml) = 10

- Reports: four days after samples taken in the field

● TimeZero culture test method for Total Heterotrophic Aerobic Bacteria (THAB)

- Inoculated at TimeZero™ (t=0), eliminating need to ship water

- Limit of Detection (CFU/ml) = 10

- Reports: four days after samples taken in the field

● Legionella 11731 ISO spread plate method for Legionella pneumophila and non-pneumophila species

- Measures L. pneumophila serogroup 1, L. pneumophila serogroup 2-14, and non-pneumophila species

- Inoculated at the laboratory – overnight shipment recommended

- Limit of Detection (CFU/ml) = 1**

- Reports: 10 days after laboratory receives samples

● PVT Next Day Legionella PCR (molecular marker negative screen)

- Utilizes Ultra-Rapid DNA Extraction (P.U.R.E.)™

- Inoculated at the laboratory – overnight shipment required

- Limit of Detection (CFU/ml) = ~1

- Reports: same day laboratory receives samples

• Metals Testing

The contractor shall provide metals testing for Building 1 for each quarterly testing cycle. The contractor shall collect six (6) water samples quarterly for testing from locations as directed by the COR. The laboratory will provide a report indicating the analytical results for each sample submitted. Results shall be immediately uploaded into the web-based data management site and emailed in PDF format to the client point of contact. The laboratory shall test for the following metals:

● Copper, Dissolved

● Silver

• Water Quality Testing

The contractor shall provide water quality testing for the East Storage Tank, West Storage Tank, Filter Out, Filter in, and 2 samples from Building 1 (9th floor and NFS kitchen) for each monthly testing cycle. The contractor shall collect six (6) water samples from locations as directed by the COR. At the time of sampling, the contractor shall test and document the total chlorine level of the sample. The laboratory shall test for Coliforms (total) & Escherichia coli. The laboratory will provide a report indicating the analytical results for each sample submitted. Results shall be immediately uploaded into the web-based data management site and emailed in PDF format to the client point of contact.

• SPS Testing

The contractor shall provide water testing for the SPS water for each biannual and weekly testing cycle in alignment with AAMI TIR108-2023. The contractor shall collect one (1) water sample from the location directed by the COR. The laboratory will provide a report indicating the analytical results for each sample submitted. Results shall be immediately uploaded into the web-based data management site and emailed in PDF format to the client point of contact. The laboratory shall test for the following:

● LAL/Endotoxin

● Chloride

● Conductivity

● Hardness, Calcium

● pH

Contractor shall provide weekly Critical Water Testing in SPS, the lab will test for:

- pH

- Conductivity

- Total Alkalinity

- Total Hardness

- Bacteria

- Endotoxin

• Testing locations shall be:

- RO Machine

- Tank (taken at the filter-in pathogen filter)

- Filter Out (taken at the filter-out pathogen filter)

- Decontamination sink (at the back of the room in scope decon)

- Midline return (Decontamination room, last sink by washers)

Contractor shall provide quarterly Utility Water Samples from SPS, the lab will test for:

- pH

- Conductivity

- Total Alkalinity

- Total Hardness

- Bacteria

• Testing locations shall be:

- Each Medivators (3 Medivators, 2 bays per Medivators, for a total of 6 samples)

4. Web based Data Management System

The existing web-based data management system provides the following functions and therefore must be used to upload validation test results:

• All information stored in the system is available 24/7 via password protected access

• WMP-related reports (including validation testing results, meeting minutes, verification reports, and service provider reports) can be stored and available for immediate access by all users

• Customized charts, reports, views and data entry screens as requested

• Management dashboards with industry benchmarking

• Send text or email alerts for data that is outside of set parameters

• Data collection via tablets and other hand-held devices

• Automated data collection via continuous monitoring equipment (equipment not included)

• Validation test results immediately uploaded into your analysis site

• Exportable data to excel and other formats