The VAHCS Bay Pines has awarded a sole source commercial service continuation to Central Admixture Pharmacy Services, Inc. (CAPS). This acquisition is for: Total parenteral nutrition (TPN) is an intravenous feeding method indicated for those patients who require complete bowel rest or fail to obtain nourishment from a dysfunctional gastrointestinal tract. The full daily caloric requirement can be met with parenteral delivery of macronutrients (carbohydrates, amino acids, and fats), as well as the replacement of micronutrients (electrolytes, minerals, vitamins, and other additives), tailored to the individual patient. The majority of calories are supplied with carbohydrates, followed by lipids, then amino acids. TPN can be a life saving treatment for patients who are not able to absorb nutrition from their gut, but it can also lead to many severe complications if not formulated and prepared appropriately. TPN solutions at BPVAHCS are prepared by a technician and a pharmacist using aseptic technique in an ISO Class 7 sterile room in an ISO Class 5 Laminar Flow Hood to ensure sterility. The pharmacy staff uses a Baxter compounding machine to custom prepare the macronutrient base of the TPNs. Then the electrolytes, minerals, and other additives are individually and manually drawn up into syringes and injected into the TPN base. There are several series of double and triple checks throughout this process to ensure the complex TPN solution is formulated correctly. Currently, Bay Pines dictates a standard hang time of 1800 for all TPN solution bags; to meet this hang time, all orders should be submitted by 1300. Preparation and delivery of TPN must meet VHA, FDA and JCAHO admixture standards. Several factors favor the outsourcing of the preparation of the TPN solutions by the pharmacy department. A total of approximately seven (7) TPN will be delivered daily, three hundred and sixty-five (365) days a year to 10,000 Bay Pines Blvd., Bay Pines, FL 33744. Total Parenteral Nutrition Services has a more cost efficient model of preparing the TPN for the period of 1 October 2012- 31 March 2013. The North American Industry Classification System code (NAICS) is 325412 and the size standard is 750. This NOTICE OF CONTRACTING ACTION (NCOA) is for the notification purpose only and does not constitute a request for competitive proposals. Justification and Approval for urgent acquisitions is attached. Contract point of contact is Janice Fornaro e-mail: [email protected].

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