Performance Work Statement (PWS)
Convert a Hotel into a Non-Acute COVID Patient Care Site
Target Audience: NFPA 99 Category 3 Patient, which is defined as patient care “activities in which the failure of equipment or a system is not likely to cause injury to patients, staff, or visitors but can cause discomfort” (NFPA 99 para. 4.1.3).
*USACE: Italicized fonts within this PWS are for directions or recommendations unique to the Government. They generally precede or follow bracketed sections or statements of the PWS. These bracketed sections can be left remaining in the PWS, or removed depending on the site specific conditions and needs. Please remove all brackets and italicized font before issuing to the Contractor
1.0 GENERAL
This PWS provides minimum criteria for “sufficiency of care” to provide a rapid response to the expected need, therefore, it is critical that local authorities and/or Area Fire Marshal are involved in the development of the design and acceptance of this site.
The Contractor shall convert a hotel to a non-acute infectious COVID-19 patient care site based on the requirements of NFPA 99 Space Category 3 (Basic Care). Patient rooms are considered to be NFPA 99 Category 3, which is defined as patient care “activities in which the failure of equipment or a system is not likely to cause injury to patients, staff, or visitors but can cause discomfort” (NFPA 99 para. 4.1.3). Standard hotel layouts provide the opportunity for single patient rooms with private bathrooms and isolation by floor. Hotel infrastructure has many built-in fire protection and life safety safeguards. An emergency generator shall be installed to serve the entire building. Centralized medical gas systems will not be provided. Communications systems will rely upon hotel WIFI infrastructure. These Alternate Care Facilities shall be supported by a nearby full service hospital to provide logistics, materials, and waste management support and nutrition care.
[The Contractor shall be responsible for the demobilization and removal/disposal of all facilities and equipment upon completion of this work and the restoration of the permanent site as necessary in order to return it to its original state.] – This can be edited, removed, or included as contract and site lease agreements require.
2.0 FUNCTIONAL REQUIREMENTS
2.1 Concept of Operations
This site serving non-acute COVID patients shall act as a temporary satellite Ward (NFPA 99 Space Category 3) supported by a nearby full service hospital. The full service hospital will provide the logistics, materials and waste management support, nutrition care etc. All dirty and clean supplies will be transported to/from the full service hospital. Patients are all considered ambulatory and capable of self-preservation, infectious and NOT on ventilators (i.e. the use of oxygen with either nasal tube or mask). If patients reaches a higher level of acuity (more critical condition), they will be transported to nearest local hospital (ICU) for greater level of treatment. Family visitation capabilities will not be provided. First floor level will be considered a “clean zone” (Reception, Patient Screening, Dining, Laundry, Break Room, Staff areas, Pharmacy, Command Center, etc.) Upper floor levels will be considered “Dirty (hot) zones” for infected patients/ treatment.
One (1) stairwell shall be designated as clean and one (1) as dirty, with each at opposite ends of the building (distinct separation), if practicable.
Building shall be free of asbestos, lead paint and mold.
Security measures shall be assessed and provided, with perimeter fence, site access control, door access control and security guards. Security guards shall be a service contract with a local security company procured by the Contractor for the duration of this project.
Patients will be referred and will be transported to the site via ambulance from local hospital or clinic through the emergency medical system. No walk-in patients allowed.
2.2 Site Modifications Required
The following are the anticipated site modifications required to convert a modern hotel to achieve ACS standards for a non-acute infectious COVID patient (non-isolation), NFPA Space Category 3 (Basic Care). Site selection shall be based on confirming the critical assumptions and design intent in Section 3.
The Contractor shall provide all necessary, labor, equipment and materials in order to provide the following equipment, materials, and services in accordance with this PWS and all applicable guidance, codes, and regulations.
2.3 Architectural
Existing beds shall be utilized for patients. Each room will have a single patient. Double rooms are prohibited. If double beds are in the rooms, only a single bed shall be utilized. Clinicians may use patient bathroom sinks for hand washing.
Finishes throughout such as carpet, base, etc. are anticipated to remain (rooms and spaces to be used as-is with no renovation work associated).
2.4 Mechanical
Validate that the return air from the patient floors is not being recirculated to the first floor to maintain the first floor as a clean zone. If the return from the patient floors cannot be isolated, provide a HEPA filter in the return air path or supply AHU’s (filtering all return and outside air). Recirculation between the patient floors is permissible. Modify and adjust systems as needed to achieve the functional intent.
All testing, adjusting and balancing shall be performed by qualified HVAC specialist and a certified and accredited TAB specialist.
2.5 Electrical
The Contractor shall provide and install the electrical system for the period of performance. The Contractor shall provide an emergency generator on a flatbed or on pad with skid mounted tank. Contractor to provide fuel supply in order to maintain continuous operation of generator for 24 hours before refueling. Contractor must meet state and local fuel containment requirements. The Contractor shall provide exterior switch board with automatic transfer switch(s); and connect switch board to generator power and site normal power for 100 percent back up with 10 seconds start-transfer. The Contractor shall comply with all municipal codes, including NFPA 70, 99, and 110. The electrical system must be installed to operate for the duration of the emergency and may be installed under NFPA 70 article 590, Temporary Installations, if code compliant. The generator may be configured as a second service as allowed by NFPA 70 article 230.2A, for “special conditions”. Contractor may configure generator as optional system by NFPA 70 article 702, as no life safety loads shall be connected to it; existing building emergency systems (emergency egress, fire detection and alarm, etc.) must have battery backup.
Contractor shall verify that Hotel has existing egress and emergency lighting meeting NFPA 101, including fire detection and alarm meeting NFPA 72. Upgrade of these systems is not within the scope of this project; notify Contracting Officer if work is necessary.
Contractor shall verify that Hotel has existing power panels on floors, for at least one circuit each room (normal power), to supply bed receptacles. If a sufficient quantity of circuits do not exist, extend circuits to fulfill this requirement. Circuits may be mixed by patient rooms to make up this requirement. Receptacles must be provided with an equipment grounding conductor; older facilities without grounded receptacles shall not be considered.
Bedrooms: It is assumed receptacles within the room are adequate for the care required, however, if receptacles are not within the reach of beds, they must be added; including provisions a task light to provide ambient lighting (300 lux) to allow nurses to check on patients and a night light.
Nurse stations and medication rooms: It is assumed receptacles within the rooms are adequate for the work required, however if receptacles are not available at work areas they must be added; including task lights to allow nursing staff to read/write (700 lux) at stations and to dispense medication (1100 lux) in medication rooms.
For new work, receptacles shall be duplex 20 ampere, minimum size #12 branch circuits, and no more than 6 receptacles in patient care areas shall be connected to a single circuit. Light fixtures shall be 90 CRI minimum. Illumination levels shall comply with IESNA unless more stringent levels are specified herein.
Temporary power plan. The Contractor shall prepare a Temporary Power Plan, before beginning work, and make the plan available to the Government. Contractor is responsible for design, selection, and sizing of equipment to meet this PWS and municipal codes. Contractor shall prepare drawing(s) showing locations of all new equipment, connections to existing equipment, one-line diagrams with sizes, supporting calculations, and proposed installation methods for wiring and equipment.
2.6 Plumbing / Medical Gas
[The Contractor shall provide and install water and sanitary connections as needed to serve medical equipment and nutrition care.] Based on site, existing bathrooms may be sufficient for patient care.
No centralized medical gas is to be provided. The Contractor shall provide bottled oxygen to be utilized and stored in dedicated hazardous storage room. Patient medical gas demand is estimated at 8,600 liters per patient per day.
2.7 Fire Protection / Life Safety
This is a conceptual design, therefore, it is critical that local authorities and/or Area Fire Marshal must be involved in the development of the final design and acceptance of this site.
The following items must be coordinated with the local authorities and/ or Area Fire Marshal prior to acceptance of this site.
• Provide a Fire Safety Plan in compliance with NFPA 101 or with local/State/Federal Regulations for each site.
• Dedicated fire watch must be provided 24/7 on-site. This fire watch person cannot be part of the medical staff.
• Medical staff and fire watch personal must be trained to the Fire Safety Plan.
• Fire department Operations
A life safety plan shall be provided prior to the beginning of work for review and approval by the Area Fire Marshall.
When not existing, the Contractor shall provide non-combustible partitions with 1 ¾ inch thick solid-bonded wood core doors within the corridor to divide every story used for sleeping rooms for more than 30 patients into not less than two compartments. This feature will provide safeguards for the horizontal relocation of patients while waiting for evacuation by emergency services. Contractor shall, where feasible, locate these non-combustible partitions near elevator lobby areas. Optional upon site selection, existing conditions may be deemed adequate. Adjust language as necessary.
Contractor shall properly firestop all penetrations within the floor/ceiling assemblies and the corridor walls.
Hazardous areas in accordance with NFPA 101 shall be separated from adjacent areas via 1- hour fire rated barrier and provided with a ¾ hour fire rated door assembly, i.e., central/bulk laundries, larger than 100 square feet, pharmacy, rooms with soiled linen in volumes exceeding 64 gallons, storage rooms larger than 100 square feet and storing combustible material, rooms with collected trash in volume exceeding 64 gallons, and laboratories employing flammable and combustible materials in quantities that would be classified as severe hazard.
Medical gas storage shall comply with NFPA 99.
2.8 Communications
The Contractor shall utilize broadband capabilities for clinicians to VPN into their regional center for health record accessibility and other needs. This VPN connection will enable leveraging the main hospital's cybersecurity posture. The Contractor shall provide and install wireless cameras throughout each floor for viewing at nurse stations. Existing outside plant cabling shall consist of 12 strand fiber optic cabling upgradable to at least 1 Gbps otherwise it shall be provided as part of the contract.
The Contractor shall provide and install a simplified nurse call system that allows each patient to communicate with/signal to the nurse’s station and allows the nurse’s station to identify the specific patient/location of the call.
Contractor will provide wireless video monitoring/conferencing system from each patient room to the nurse station. Video call quality in HD capable operating at least 1.5 Mbps.
3.0 Schedule
The Contractor shall submit a schedule to the Government within 24 hours of Notice-To-Proceed (NTP).
Updated March 30, 2020