Attachment A
Updated
A Word document (24 KB) attached to Non-Emergent Ambulance Transport Services for Fayetteville VAMC, from the Department of Veterans Affairs. Due Nov 6, 2026, 12:00 PM (UTC-5).
File name: Attachment A.docx
The full file is for paid members, or buy this bid alone.
Preview
Attachment A
Specialty Care Transport (SCT) or Critical Care Transport (CCT) Confirmation
If a transport is classified as a Critical Care Transport (CCT) the offeror must be capable of transporting the drugs and/or equipment as required by the patient (listed below), up to and including Tier III, if necessary, based on the EMS region the ambulance provider is functioning in. Prospective offerors must sign and return this form confirming they can meet these criteria for CCTs ordered under this contract.
Drug Supply List:Equipment List:
Acetylcysteine (Acetadote, Mucomyst)Chest tubes
Amiodarone (Cordarone)Portable mechanical vents; including CPAP AntibioticsAll VADs
Blood and Blood ProductsCVP lines
Diltiazem (Cardizem) Swan-Ganz line
Dobutamine SmartPump Capability: up to 6 IV drips
Dopamine
right5715*Any pump(s) capable for up to and including 6 infusion lines or IV drips as required by the patient. If the pumps are not compatible with VA supplied IV tubing, the contracted ambulance would need to provide their own tubing and be able to switch the tubing over prior to transport. * 00*Any pump(s) capable for up to and including 6 infusion lines or IV drips as required by the patient. If the pumps are not compatible with VA supplied IV tubing, the contracted ambulance would need to provide their own tubing and be able to switch the tubing over prior to transport. * Fentanyl (Sublimaze)
Furosemide (Lasix)
Heparin
Hyperalimentation
(TPN and lipids)
Insulin
Labetalol (Trandate)
Lidocaine
Lorazepam (Ativan)
Magnesium Sulfate
Mannitol
right37465Zoll X Series Critical Care Monitor Capabilities: Continuous 12-lead EKG monitoring
2-Temperature Monitoring
Automatic Blood Pressure
Capnography
2 arterial lines monitoring
00Zoll X Series Critical Care Monitor Capabilities:
Continuous 12-lead EKG monitoring
2-Temperature Monitoring
Automatic Blood Pressure
Capnography
2 arterial lines monitoring
Midazolam (Versed)
Milrinone (Primacor)
Nicardipine (Cardene)
Nitroglycerin (NitroStat, Nitro-Dur, Nitro-Bid)
Norepinephrine (Levophed)
Octreotide (Sandostatin)
Ondansetron (Zofran)
Pantoprazole (Protonix)
Phenylephrine (Neo-Synephrine)
Potassium Chloride
Propofol
Sodium Bicarbonate
Vasopressin (Pitressin)
TPA* (Pending)
Signature of Company Representative Date
The beginning of the document. Download the full file to read on.