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Medical Equipment Maintenance Programme Overview

1. Tha ts een was held in Genova in 2008 prize weich ois and opcs moet os developing secon nee Se progress on Pa heat management tal unda development since Aprl 2009 review e curent and Strategies acing e piat counties to hold an interactive session or group t present Proposals tr new e based on formation fated tom prosentatons ana SScussions The meeting was in Cairo in tne 2010 aie e document and to hele develop or implementation addon hese meetings xpos avisers have collaborate tough an Satine community o provide feecoack on at he documents The concepts were uter during ho Global Forumon Daves Saplama 2010 Sunes 1o implement intonation covered hs etes at me county level 2 Ai meeting participants people involved in aveiopment oi iese documents were aded complete a deciaraton fom 1 Avaaie vin tcl dev cel safes nat Recognizing mat mere are interpretatons Jor tne below hy are Tolowa for re purposes ci ms technica senes Heath technology Te application ot organizes and skila nthe of devices vaccines procedures and systems solve eai problem and improve Gu
2. job descriptions forthe Engineering management provide positions above are provided in tor ne maintenance Medal equipment maintenance programme 5 Management Theinbrmaton may be used calculate manage programme in an efective and econorieai manner Programme managementhas severa aspects at ypcaly concent as Managing maintenance budgets not asenin Figure 3 unike managing any oter organizaona budget The enabled budget Figure 3 management aspects ofa m ntenance represents larget or benchmark programme lorte programme Actual costs are compared to budget Any dinerence between actual and budget data triggers management ot tne reasons tor ne variance aBodgetog can be problemate wim costs because such costs Operatorat unpredictable An and management management expensive repair required for a citeal budget vince However expenses ot this type must be anticipated much as posible hat over tme the improvement mentorog Jove of CM expenses remains winin good seats locate cost of repair io a separate be tagetbudget Financial management som tor accurate costaccounting and fue budgeting or PM and more Financial management maintenance accurate repair accouning Adon programme ocusos onto Ai importanto conside
3. io record manage he actites ot mese serice invertory and a maintenance programme contactors n pace me typical important Secton 34 discusses speach is to establish some tevet of menods tor wok which are management and accel capabilites siso h phlin selectonofequpment haare Some orintusion in an inventory Appendix ono one specie metodin conducted by employees ofthe heat det organizaton Oner maintenance deis may be conducted by serve Tho ical engineering department la responsible tor developing and proiden One of ne mostimporant ventory They are goo response tor cackng at senices shouldbe provide by which caupment being is inthe inventory sevice Provider based on ine capacity ana at lhe equipment isted inne ofthe and is stat Fuster invertory can be The team may on management and implementation are inventory fundin sectona Sana which help in conyeg out inspections or aesigning an appropriate fr ven context equipment anvas inspected and nen added to intr Appendix A2 outines a poly for testing and evaluation while Append provides s sample torm tor new equipment receivec P project This requires a
4. 4 eupmonttature Over tme utes Hor wnan bo pats should be replaces systems wil degrade may become again nd helps explain condito of e pats duro curentinspecon Several example torme which can te standards Even new cities may not tor PM are in Appendix D applicable Theretore to aste utiy sections were isken incuing he ime appropriately 62 3 Inspection and etum to service Atar completan o repair itis 1o conduct a pertormanoe an lnspecton and in some cases a re Ther are varous aspect maybe required These consider whan irlementng a successu wi measure me perfomance of maintenance programme device and allow for any adustmens auch as he safety of technical personnal necessary io retum tne pertorming maintenance Once mis complete he ofthe user lowing maintenance and device may be retume to use in patent ener conto The safety of equipment maintenance personet is fundamenta Therefore t di engineers equipment lecnnieians t have is imponant io nave a ook out og working knowledge ot ulity systeme ana inastucure ica atout policy to protect peronai tam provides an overview of ese topes can be found lisa dot Revista
5. equipment montong serves vendors when maintenance mustbe outsourced see variety otequipment ypes 52 ben is importanto monitor me product femal ang outsources In some parts othe word tere ro many technical personnel on a regular pasis sence providers hich tle he When applied individu in house engineering department manager product monitoring wide variety f option However in an identy hose technicians neesing ira pari ofthe world me number t suppor or When etemal sence providers much more applied tote maintenance programme itd In some cases tese companies vnale product monitoring can opportunites to improve e cost ftocivenes ofthe programme More They are more ty etis on pertommance and expand teir service areas improvement ro founda sectons 5 4 1o negotate contact nat covers a lange inventory of equipment especialy inventory has ressonatie ievel ot The mostimportant aspect of personnel management is te ensure adequats raining Training on new reasonable to consider win omer equipment as as reese healt care faciles in order to provide on existing hardware is necessary ensure tnat technical siat are capable provider ere the artet cf property maintaining ana repairing me equipment inctuded wihn There are several ypes ot serice
6. intal response and repair clas tor nurses cca Externat up as users 1o about he operation ot sn wren require equipment Tne cinica engineering bringing in a specialized ouside sssocitad hey perform shouid also be records ina CMMS maintenance cf particular piece or revo on a gular basis ype of equipment Te cia engineering department in one otie For e atine patent and me user haer to present to biomedical proper raining is ica fr bom me user equipment technicians about ana me technical siat The technical siat sd me clinical engineering department manager have dul responsi for rising can take ouside ne ensuing at etch personnel as organizason at Third paty vining programmes tained and versed on meir specite designed explain several models responses Training and educaton spect 1a nota civi bula ental raining programmes procesa Enabling statio see mat spectat designed for equipment Jesmingie important an a constant ot neir job wi improve success in tuture protien solving Tha methods of taining suggesting secton describes he raining or shove progress tom he lest expensive technical personne and section 5 39 1o the mostexpensive implemen discusso user raining So depending on hospi reso
7. Biomedica Caters irse eia eau himi unexpected equipment else energy This policy absence test ensures hat when on equipment technical personne must essental to disconnect on care repair techniques and ton be power source One simple tests venty device x more physical be apple integrity shouid be advised keep he power source disconnected check the setings of he device and io tits inadvertently geform basi operatnal checa plor reconnected betore he epar i busing ne device wih patens When completed When tis not possible o physica lock out te power source proinent nata should be laced oo he prominent should ba poste ag so matitis not used wihoutbeng E checked by te niin Furtemore personne should when woting inthe ea poroming maintenance work of environment technical personne tear medical tecnologie nat may present special such as chemical might encounter patiens win fom chemotherapeuic mere is any aout tom radiaton generating equipment shouid ask clinicians in e radiophamnaceutcats magnete aske to work on a tom magnete resonance device mat appears toto con
8. according w he procedure an Programme oppcptae a fedamance assurance peda wal Be Ueda deta ina between and maintenance procedure cence pe devices casio as entensive characterise Value c oS are given a preventve maintenance ot imanna Devices win average or miniral requirements values 2 or 1 are scheduled for preventive fiierance Scheduedtorinspecton aeos monte Devices win an EM number of 19 or 20 wil be Sven an inspecson eur manna not included in th programme patent created equipment incus Terapeutic montong diagnosti or analytical Foment not included ua at 12 ar above may stit induded inme equipment inventory and be covered on basis Equipment classification examples Inspecton Device description uncon spllestion requirement istry frequency Anastasia vaporizer enean surgical Aspistor Bod pressure module Carsac output computer Computer mio pc unat Endoscopic system unit Hypotypertenia meshing Light surge penati tore opie opta stamp
9. usualy maintenance tes or replacing pas at wear 68 bearings or which have fit ing Tne procedures and Sre usuali by ho canes ne may any 5 planned mantenance or scheduled lechongeably Repair A process used to restore te physical Sofa ancer potormance of a device atar a iure Used inercnanges win corective maintenance Sate inspections These i ensure the device is and mechanical Th Inspectors also inclu checks Safety or dangerous or chemical ollm When hee nspactons are dona he esu are compared county or regional andare as wel manufacturer s specfcatre The ea inspects bo diferent planned Mantenanee partormance inspections e usat based on reguisiory equremens Memtenance programme planning Panning a maintenance programme is exremes are pures patot a broader enon i sors ECG sarocardiograoh comprenensivs programme for heat machines and hundreds of her ypes ot care technology management HTM devices of vatous complies This panning process incudos a review Eady inthe process of planing faces as shown in Figure 2 tenance programme tis essential to Tho challenge tor planners is to balance
10. Creste an inventory ot ali medical equipmontin the espe engineering department using a pradaneat or simple CMMS sofware current resources engineering department maintenance methodologies manager simple maintenance tasks sta ate sence enginsering deparment Develop e budget ior implementing he manager Develop the budget ior operating he programme ent budget sources Physica resources Pian or butseute apace and acquiston of tools equipment Pian tor basic computer resources Plan additonal raining tor tecnician engineering manageria capabilites wiin tne Tor manager administrator management ofthe programme Develop enteral resources management example Management Resporsbie component Assigns scheduled and unscheduled work to me epa Creal engineering department management penson manager Monitor noure worked by he tecnician completan of and engineering department management cane outby e technician manager Compare costs to budget review variances plan Tor taure budgets Operatorat Develop procedures and schedule inspecton a engineering management maintenance
11. request was complete B Probiem found during preventive maintenance ofa medica device problem tbe minor preverile rocedue can be completed and technica shoud olv e flowing a power cord has a clin ha cover The tecnician should prom te Mm ntenance procedure b The tecnician shouid the work The technician shouid updated sieker on Note if tne PM work request willie correspond with e mont wort request was completed The due dle shouta me next due based upon menih ana rder equest alabe deves neat sevice and intom me use depariment o in reum oe 2 protiem is determined be minor the fraventve procedure can Completed and device can be remed to technician soa cl ow Inese seps a hose bracie a The tecnician should pertorm te peventve procedure The technician shouid complete the work Tre technician shout an updatea maiienance sicker on devin Nore itine PM monin etalon dats Sucker 1o carrespona wit me monn me wort was completes The de daie sould redi nex daie based upon Pa last mont ana approprate
12. eem about towne equpmenthas bean uneonang Al Pings Considered is example about weeks angie tchician is and mannar equipment maintenance programme Appendix D Examples otinventory and inspection ome equipment torm D2 Equipmentinspection torm equipment receives tom Equipment Category Dept Waranty Date Replacement Cost B Lie Expectancy ys annua te equipment maintenance programme SERVICE MANUAL Medi Therm INSPECTION FORM 74 INSPECTION FORM Eauionentinspecton MEDIOIPRN LIFE SUPPORT SERVICES NC 800287777 vemiama sancooe TTL a ian Dsn ese EE mese ETT Mata equipment maintenance sic courage we
13. Inspection tregueney equipment maintenance programme Appendix A 2 Int esting on Purpose assure mat ali equipments inspected pior io equipment coming tne hospital tested betore and aporopratey added asn inventony Tese tests evaluations invenionea are documented Al equipment ang under ire responsi orne incl Engineering covered by s ply fegaraess of anor and must pasa Incoming inspection twi be alowed ino Examples of ownership eategores Rentaieased equipment Physcian cwnad equipment Donatdioanad equipment Hosplakouned equipment A Hospitaiowmned equipment 4 When matnew cinica equipment i moaie inne hospita he engineenng apartment wil a wo order 2 Tne engineering department wil ensure atte new equipment is spaced Presence of ali accesses required tor proper P Presence operates manuals and technical Sarica mandala and schematic Proper operation afte equipment Partomance Spectator manufactures sevice alarm aay t Passage of local requirements t t inclusion or exclusion equipment 2 Complance on latet ing ofequpmenL to ensure farne equipment has peen eluate
14. cade 7 Coloration wih clinical fto provide ot patent 8 Ensuring tat applicable accrestaton standaras polies ana procedures Managing omer projects as assigned 11 Managing department and improvement 22 Assistance in me managementorme computerized maintenance management Ensuring tmely completion and al mainenance aces Maintaining he eek of repair pars to ensure maintenance of equipment 148 Ensuring tmely completion of preventive 16 Representing diel engineering atmeetngs bstuetog personnal on sate and proper operation and maintenance medical Education Requires a wo year degree in engineering or equivalent degres in cinicaitiomecical i rone Experience Work eques minimam too eis c ciicaltionedicallacnnalagyexperence including management snd leadership experience hopend HA Smal hospital planning example Smalihospitai management example Regional health systern planning example HA Regional heath system management trampas equipment maintenance programme Appendix H 1 Sat rang example Asmali has one technician ith nied ining one eom wim ined equipment a very imted budget as posso needs flowing Resporsbie
15. secs powder neede ana user narrated telas aang course and coicates work le engineer mechanical engineer inthe medical device teid Primary focus is maintenance cf medical equipment and sometmes managerial positons Biomedical equipment tecnicians Primary oes on specialized medical equipment repair and maintenance Cer elds e g Proventve maintenance and repair of esa complex technolo poiyvalent chascar equipment nis important iat iney receive specializes raining medical Senses provider Engincerortchnican Prose maimtenance hat cannotbe pertormed in They are product ented and ina carin fel programmes an proide continuing and CM tor equipment nat intemal ucaton for technical personnel in ro notati Me shor tite necessary the most sophisticated engrnoors and technicians tom omer equipment is oniy accomplished as above ando waned specialists who focus provide mer wit raining related io ona single tecnnology or smal group mecical technology 3 operate under te supervision Tha size ota healthcare organizaton he cfinnouse bonadical equipment uber an ype o medial equipment tor te purpose of senice maintenance programme me s management cost
16. and repair isol replaceatie or me repair can be completa as part component in clecica devices components ot electronic devices device pecore wini s ouch as resistors or capacitors in design specitcatons as defined by lactone oruso is he most etectve repair necessary to communicato wth relato devices componentievel may be consuming as expected See secton 53 on managing use eror and secton ut bords creuit afecing equipment Boards especialy are requety failure for further information not repairable aha component 622 Factors attecting equipment exen systemdevel repair nsed When investigating an unesgiained tue ue consideraton For example medical peticuarcicutbeard ana to replace devices hat require be adversely alco by power issues component power shold havea Deuce or system level in some cases steady otage othe appropriate value even roubleshootng to testo tine volage spes surges or dropouts consuming such cases be relatie win rare poner more contefecive replace he Unotunsel idea characarstes entre esca or subsystem ways extn many developing courts Technical personnel shuld is importanto choose an approp
17. procure and maintain tay nt be Supptes to take responsi torne primary consist ot leaning and supplies and need quantes The The and test equipment may manufacturers serce manuals give exceed ten years ney are carey autons about using e wrong cleaning maintained Typical y test equipmentcan agens wtih can damage labeling and uses tor about seven years pesi of some equipment specialize such as Sotware and laptop computers to connect Replacement parts computer based or imaging When planing an PM programme t equipment may have ust possibi to frecastin advance wnat Mespanbecsuse the and need bo replaced and how Medea equipment maintenance programme venien ote by relaring o operation manuals and guidelines Tus based on the number not awaya avaliable or may ben language notspoken by pats oc pars is to be sed doing equipment technicians Tortor i proventve maintenance e bare is imgonantmat a engineering Mors valves tining sels department stepa natsi ow hem onered many months in avance access to such manuals For existing any volume discounts ana equipment manuals may be borrowed minimizing shipping c
18. Y World Health EN Organization Medical equipment maintenance programme overview WHO Medical device technical series See ee maintenance programme TO ENSURE MPROVED ACCESS QUALITY Reguiaton Reguiaton Management by cinica INTRODUCTION MEDICAL EQUIPMENT Decommissioning MEDICAL EQUPMENT TO ENSURE IMPROVED ACCESS QUALITY Medical equipment maintenance programme WHO Libary Calogung e Publcaton Data Procurement procese resource io Wo Medea technica 1 Aparopnate technology 2 Equipment and supply and S Technology assessment Biomedical Heat Organizanon INLMclssitaton WX 47 Wort Heath Organization 2011 reserved Pabicalons othe Healt Organization can be obaned fon WHO Pros Heat Organization 20 Avenue 1211 Geneva 27 Switzerland tl 41 22 Requests parson or vanae WHO pubicators Tax 41 2291 eal PemissionsQuuno nt Tho designation employe te presentaton materai in tis pubcaton do ba Sxpession any opinion whatsoever on fne Heat Organizaton concening e stats of any county leo ciy or area or sits authores or conceing e of fe toners crboundafes Doned on maps approximate border ines ranch ore may not yet be agreement Tha men
19. othe device Sida tor eventual acon when me deuce d avataie take appropriate actons to complete he request problem is determined more man rinor Rod ne praventve maintenance procedure cannot completed e tenrian shouid complere Example e ow cont nodu tna mathancal ventre damaged referencing e preveritve work request Sumber alix a label he Sevice is save and norm he user of he Satay in retum 1o serves of he devie nul cole preventive completion orme comectve acson the mustresume preventive Mmantenance procedure document Pata prevensve mainenance procedure was completed compel wor request an Note ne completion dae wii ve me date me PM wortresesdcumaniaanis completed order syste Fr a PM Teques was compiles in Gober and CM Work request was opened and card over The due daie shoul on due date uzon ta last due monin ana peep intera fer e deve copies the order ana document me te CH TOC Sg np nC uires Appendix employee wil ve aware ot poisas regarding acon cont Employees wi not knomingiy expose themselves v any ypes ot fecto Purpose To provide employes
20. scope programme Seaton 522 as outined in Tabie 3 Sevice Sscusses vaining in itor deta agreement can include various ives of the terms of service 1o prove ai maintenance sencas in agreements is valuable to the clinical engineering department manager but necessary use sence must be taken understand provider tora signincant porton oti terms nefore enering ino a tomai Adena itis advisable Ther are generaly catagories or vendor poro hem tema sence providers equipment manufacture and independent Atara soo agreementis in place tis service organizations Many equpmentessenta to me performance o serve provider This necessary to make sure tatie tems of he agreement lorte equipment mey se being met ana mat me health care Some maintenance service for organizaton is receiving te seios it equipment maintenance programme Table 3 Service agreement types inside organization Thie may be a cinician teaching biomedical Tye Desctoton Rates cost equipment technicians now he Quick response avai wors frame ora Varying response device guiding omer about plus costat maintenance and operan jets sThebiomedicateguipmentshaed stat pod os aking partin education
21. wi ha lage a positon as a omedeal equipment number oft and management technician However torengineers to personnel including become quate as a particular technologies wih engineer tay must receive he Jevels of supervision in general nowever higher ducato and degree are two catagories of cinicl Tabie 2 provides a ciassticaton ofthe personnel technical and ypes of etna personnel and teir management autos 1n many counties tere is a shortage ot Wainin mo category personnel chica engineers and biomedica engineers and technicians Biomedical equipment technicians A long term engineers are educated in lop ho educational general enginsening lotastucte so at qualites technical Physica and local sciences personne can ve crestea witin application to medics technology county or ragion tmay be a good i Sinn technicians receive technical include me county wim a primary focus on or region in human resource planning uorantmantenane Biomescaor ss hey can develop equipment maintenance programme Table 2 Classification and roles of personnel Persone Engineer Biomedical engineer or cinica engineer Management specialized maenance S penvson of
22. Hanning managing and implementing such senos may not ott tuy me maintenance of medical equipment stabsned may also be of al to is tana o be concise and tex and technicians responsible may be adapted io various setings lorcaryng many tasks deserved focuses on onerat principles ater an being a ngid model so mat sochcounryoristuon design Soproprste programme to owe specto requirements Key terms used in discussion of medical are dened below Acceptance testing The inspection performed on piece o equipment por o pino senice tie checked matches te pursue order unctoning as spected Framing for has been and itis computed maintenance management s registered CNS Some medal equipment mose win energy ouput defe Sectosuical unt physical merapy stimulators needs pono Tha means hal energy levels be measured andit musto nace le irons itin specicalons Devices hat ike measurements eg elechucardogapha equipment patentsclas puimonany Acton e reque periode engineer A professioni who supports and advances patient are applying engineer and manager kil technology American Ca
23. assessment abes pertormanee may aiso indicate how ECR Met wie act or aters Biomedical Benchmark which provides epon moy tad several valuable or medal technology Management including benchmarking equipment mainienance equipment maintenance programme SA PM productivity Ropaiime une between The sod efectveness ofthe star an ish of ep IPM statis an important management Downtime The percentage measure By modiyog department secos tevais test equipment Deinguent work orders Work errs sar toms or procedures great rot completed within improvements in individus or oup can be achieved However can be managed SS Pedomance improvement PM poduciuymoasurement Fora maintenance programme louse today is PH product petormance inprovement apples 1o very aspect ofthe programme with production expression of mate objective of improving patent care Tho perborance improvement we complete inge PM process has me following steps procedure died by the time procedure is expected to The Lidentityopportunitiestorsme ken oes not include preparaton improvement Tis is one othe setup tme meray e acua tme of aretu ana th
24. detemine ypes ot dences hat need tactors designe maintenance included in me progamae Ths programme tatis appropriate and cost vil depend on te ypes ais tbe covere by he programe ranging tom primary care cinics tartar hospitis ne range ot devices in mose As inventory Tho ical engineering department devices range tom identty and select the devices to simple highly comple For example be included in te inventory and whi pressure onygmonanoretes have programe While some may preterito oniy tew components and are easly al equlpmentio inventory assuming tht prs castration land some goverment agencies may requ bis studies nave shown tat notai equipment needs to be wacked in imaging ad laboratory dices an inventon inspected or maintains Repairofa magnetic resonance maging veny ew hosp system requires extensive nancial nganizatons have me manpower ana human resources Between accomplish tis level of eto Approaches Figure 2 Creal factors in planning a maintenance programme factors inventory Methodology Tho ypes and numbers ot Tho fanaa and by which maintenance willbe by te hospita and mose that rowed ne toms includes programme includ in the in tne programme tenance programme equipment maintenance programme overview electing
25. hospital management o make nat be However uing vacaton decision In is way be decision making or naliday whore stating is spread to a broader group in the department may be reduced otintarested partes Vinen me consideration canbe given 1o reduce me engineering depamentisutomiarwi by moving inspectons Ine equipment best singly fol ow sung created by scheduled enit ajust he procedures and tequency oniy where may be needed Ster tamiharty increases a levat Appendix explains how less than te speciteaton statt ime so they can be matched as equipments maintenance reco as positio 533 Scheduling maintenance Wot can be assigned manually by management personne or automaticaly tortie of equipment minimize by be using estabistod expenses The most appropiate by management Greater can scheduling maintenance in a be gained by creating a system where paricuiar shouid be chosen For inspections one approach ie sthand wmoutinterupton Tis wit 1o plan tor ne given cies equ suficient stao be abieto department to te inspected at me same repairs or service calls tat may This works wel tor Avatar approach would be o schedule
26. improvement improvement Medical equipment maintenance programme Department Essential Hear Technologies i Oganzaton zo Avenue Mipu wno devices
27. manager Monitor snes provided unde sevice Clinical engineering department manager Monitor oniy tose perfomance measures rig department Compare to objectives annually engineering equipment maintenance programme Appendix Regions nesin system planning example facte Responsible person oven Creste invertory of al mecical equipmentin te system engineering department CMMS Menodology Define maintenance memodoiogies engineering deparment simple and moderate maintenance tasks hop Sat manager equipment greater complet service vit siat ently resources moderate engineering department manager Develop budget tor implementing he programme Develop budget tor operating he programme budget sources Physica resources physical resources some space toos and Cinta engineering departnent omen manager Pian tor ot space and acquisito of tools equipment Pran tor basic computer resources Pian tor vansporaton among hospitais and cinics Aamrinisiator vansport seres Pian fr service request dispatching and ceca suppor aerstycunenthuman resources fone engineer a tew engineering department technicians vit varying skins manager
28. Riskbased prioritization way he devices with the highest ek ne matod prone medical mostimoortantto te work orme hospiti equipment is based on assigning me ighest to equipment win Me highest ikelihood of causing patent wi s lower proritzaton rank would be injury ititas devices by maintained resources permed tenance api tinci esty maintenance is not necessary requires be given IPM and CM of equipment systematic approach For over 20 inst generates revenue tor he heath organizaton The saa is rue Accrdiaton of Heathcare Organizatons ity of equipment has required a kasd approach o locus higher costs ore organizator of medical equipment to costs temporary renra ot ofhow mis isk based replacement equipment for example Yechnique implemented s in S35 Keeping records Missiondased prioritization 4 Include dentying such as a bet Tris metnodology is based on deserton model setat Question Wnion devices most ana locaton reduction important io us in provicing Equipment nvenoy foe patent For example the Managementin ts technical Stes or positis priorites were caring or people mero dolis tis include Ming win HIV and earn for pregnant aa regarng te and expense ot women anther
29. conval and me in martetpiace ana opportunity t become nancial capaci of me organization win tamia wih amer equipment be te basi tor corect end otengacors ana technicians Having some tower level general satt Almost all maintenance programmes win inecessary complement best oe maintenance te alt i extemal sti cendo nave lactone ing providers elmer ne vendor an ndestanding orme manatees servos representatives equipment concep coltrane andine operating pipes Such providers may pom the mecical acierto do tne job fecal nado vesting the Word Hoa Piger ievel aloe ana he Russian Malan varus Atean Pe ergineeing sparen aganizatn nas conducid numerous workshops en CE and HTM in coumes Americ aed evenly provide in house seice Caribbean in cooperation win ACCE Engineered Heath Mars awn org conducts ain programmes n Cosa Rica even e highest evel Isboratony surgical Kenya ORBIS conduct prograenmes n Bangladesh imaging general t China Etiopia inda Pers and VietNam more me wok at can be undenisken by programme inconcertwitn inhouse Technical adrinstaton tey set vera
30. cost of maintaining me nospiiars department policies provide budget equipment wel vanea recommendations spese technical and qualite bomedical equipment stat arange tor raining set pres for department acivtes and respons wit reduce cost of tne overa programme Tre background equipment otiose in mis positon moy a degree years wih many years of experience in medical equipment 1 supporttechnical personnal ts samice buta pero combination hatone technical person may wouid be someone wiin a fouryear be responstie tor e maintenance engineering degree ana ecology Management suppetrosouros number of devices gertcinca person mustbe oftvainess and technical ling They reduced This is especiat y rue in ne may be engineers ores who arty stages of implementing a hesti have satona taining and expesence technology management programme in management and supervision The Over tne improvement urbe of management personnel ors wit increase the producti of in a group personne Care shouldbe depends on size and of however o avoid overburdening group and is based primariyon technical personne at ne outset of new an appoprae span or programmes ont foreach supervisor and manager
31. found in se ongoing expenses requires to keep programme in opeaton Tabie 1 summarzes major tema each Direct maintenance costs can be catego but wit imorove win tie and experence contact f Financial resources required fora by negotiation with sence maintenance programme providers These ypes of services can on a ume and basis Operating costs overa set peros ata Space Operation uis tenteqipment planned in advance and included computer resources budgets Secon 521 acusa tutor he issues surounding innat engagement or serce vendors mover continuing rot poise measure in determining financial pars and mata tavel shipping programme rato calculated by ne totai annual cost ot operating a mecical equipment maintenance Tne trat stap in calcula costs is to programme value speci me physical and human ot medical equipmentin me inventon needed based on me number and ypes Inthe United States or example te ot medical equipment inventon sd on ne evei and ype otmainenance 1 Thie rato oniy metodoigy selected The and when substan supporting resources operating costs are on sng he appiicabie ratas in the county period of perfomance improv
32. he change requestor serves and siart impro revisite orina perfomance aras adt accordingly and repeat Ine technicians operate o procesa This systematic approach demon workshop purchase automated ot managing programme peromance improvement can ave very poste system etc costofese changes inpaetoveraparod at several yeas can be juste he changes wil be wel accopes by ho and uror measuring improve systemic changes can continue tote mentin petormance and quay ater making changes to me system in whch equipment maintenance programme nenien amp 1 nepecton and preventive PM procos Ihe actos or related repars not accomplished in a canain predtinad perlog ne 611 1 IPM procedures should b lt op and te statt Using conect and appropriate procedures ter equipment maintenance repair tas soon as reason possible Higher poy devices not having esate and property speed in previous poro s should not As discussed in be located and inspected trst Append Secton 53 1 he procedures usd in AS presens sangle ploy petorming activites should te corective aeons deni during port execution of o iepeclon preventve maintenance or maintenance wort ough acre ofeach ype of equipment or Mostin procedures are co
33. operation wahin specications ot auto and manual Verity cnet alia using manufacturer s sbectcalons conect operation ofl buts contis enor Les conect operaton utat clean exterior including al accessories cables contis displays This used oy sence companies 12 iae Pa accounts e cial engineering parent esti accongiish siat do tos won mors ly he worl be accomplished and goals Tho ses re as lows 1 Trai me te covered grup Sipe stroman aros vr evi 2 Create complete inventory of 3 Record tme it takes a technician to arm the inapeeton procedure Each ofequipment oud pe raised inapecion and ties entare spreadsheet and annust me for inepecton preventive maintenance calculated tr frequency Minor teguency Major PM ino Equipment per year ber year Laboratory Laboratory bod retsgerator Heating Mock Chemisty Computer Computer monitor Chemisty equipment maintenance programme Chemisty ansiy
34. or equipment ota given ype ea simutansousty For ortis te hill and maintenance equipment may be scheduled by calendar dates So rather tan pian a programme copending on he manutacturer s wit the goal w inspect and mainisin a e g once every equipment and tn not completing monna ste Atamatveiy canbe scheduled wort hus teaving some scheduled by our of usage e g tor tthe high nisk support volume tts cas creating equipment not serviced itis vener carey me equpmentn device s elapsed usage Ume neann care tatis most io inspect and maintain patentit mey do propety schedule tie work as a porty Creating sa nave a signitcant potential to such ated process where te most improper itey are not provided with an equipments dat wih test equal level of PM Devices excused benet tom schedule taining competd me notiower ter of equipment can be aed to te schedule Rescurcesbosed priortization Managing process in mis manner The metnodology uses es ne mona ree priortizaton modal above te work and he outcome The folowing in combination with knowledge about exanles maintenance may stating and resource levels orme be pote particuiar or egion in order io deine Maintenance porises m is
35. schedule activites necessary io enaure a at medica includes bot perfomance Inspectons and safety inspections These accra Gore peni 2 complete a stand alone actly scheduled pectic Inspecton and refers to ali schedules necessary 1o a piece of mecical equigmont luctonng Includes inspection and preventive maintenance PM mantenance PM gnanagency com Universal Device Nomenclature System we org ProdochPagesiUNNS equipment maintenance programme Pefamance Those achites are designed 1o test the operating satus ofa medical deca Tests compare te inspectons bythe in Inspectons are meant io extend he of but merely o assess curent Petrmeceispecton sre sometimes pertomance assurance act a forecasting technique to Soma terit ils ccn pest replaceable components eg bates va pumps seals The maintenance is mon fet components are replaced bare ey ta Sawing equpmontcontmues 1o operate care iis ia done ina nat nas large number ot medical devices oma single auc involves maintenance pafomed extend me at e device and prevent fatura
36. two years response donor agencies and insist postgraduate ang a degree or on adherence to appropriate uidet tor more infomation Plematvel particulary in counties wih cases important io discuss tever specialized raining programmes win supplier if ranusie are vati engineers and tecnicians may be in related tela auch as language perhaps at an additonal cost or technology and have taken courses received or completed an apprenticeship Developing numan resources enabling nento workin me area ot necessary o operate ciue equipment Engineers or tenance programme is a slow steady procesa The trst is ident taning becouse medial equipment and type stat mat a specialize an or group facies requires For matsina or repaired may hs example asmat may consequences on human ite This ype s single technician who fone or technician is usual y easier service tora sal inventory me employment marketplace simple equipment On the other nand a need more supenison ang lial engineering department serving taining toefectvely accomplish meir alone number othe ae veri ad wit experience special y when mose faciles may become qualites evei
37. wi safe clean environment to protect neal Sigineanng fom contaminated Genera Precautions 2 Vityconaminatd equipment wil notte tar repair unni adequately cleaned by Be department personal equipment is andi procedures tor area in wich hy are wring sua tener winoutobaiing permission tom ne charge engineering employee wil atend Tsang wi be documented employees personal raining recordin he cial engineering Handwashing required whenever a Hands become contaminated with blood or dy Prtetve ives are removes Between patent cones inking cosmetics handing contact lenses in areas Where occupatonl expose ood orbody ius Personal protective equipment PPE Disposable gloves within the cinesi engineering department for al workers a fiak arexpoaure lor usa ala discreton oras per 2 Eye protection andlor a facemask wil bo wom nanding mat pts he at rk af occupotonal exposure to ond tbody aude trough spiasning 5 Personal ptactve equipment e gowns Soves maska and goggles willbe supe by he er deparment whenever needed Contaminated supplies e gowns gloves maaka and
38. HS za DATE DUE BHS ELECTRICAL SAFETY CHECK NDICHOSPITA OWNED DEVICE Caman Doa Ate ELECTRICAL SAFETY CHECK NDICHOSPITA OWNED DEVICE Caman Doa Ate SUNICAL ENGINEERING PERFORMANCE TEST RESULTS Record sicker e and owner apartment Thes tags are sometimes Serent colours ane reach year or nspecion Tren tis aero devices at are inspection Tha tag may be covers wah ost schasvocoverto t tom bang aung losing proces WHO Medical device technical series Simple paper inspection completed sticker indicating the date inspected and owner department These tags sometimes printed indifferent colors one for each Year or inspection cycle Then it is easier to identify Which devices now due for inspection This tag may be covered with a plastic adhesive cover to protect it from being defaced during the cleaning process paper calibration tag which provides space to record the output readings taken during the performance assurance inspection These can be used to record outputs on many energy producing devices including ultrasound therapy equipment lasers defibrillators electro current therapy devices nerve stimulators etc This label is placed on medical equipment which has been Inspected by the clinica
39. a procedures Mesicai equipment maintenance programme eren These documents are ended for use by Deda engineers heal managere donors nongovernmental and academic involved in heath analogy atthe ariet regionai or giana The purpose is o move accens appropriate Metical deces and b impe use lay order i provide ate System and thus enhance quay oie Maintenance series and externa guidance Deen developed species yio a heat fr anatonal ofheath or Improve equipment naimenance programme Te aadress modica management maintenance Sd computerized maintenance management systems alone document but together they present al of he MEG be Reon aban eouomentmactenance programme compretensive series ot or he manageren technology known Sine How To Manage sores ox people work or assist hoa seno provider rgonizatons in developing counts and scalable Methodology experts in Par respective fede and ore Tecnica on Heath Technology AGHT The TAGHT was estabilsned in 2002 ta provide a oum fornan experienced prolessionsis and county opresonttios t develop and ois and documents o ofthe GMT The group has met on
40. a quarante pats mey quienes schematics a reasonable slain in many laste owner requires mem todo cases but associated rsks e p loss of sone time of purchase Even it manutacturer guarantee non compliance does notplan todo mantenance on a patiar of device must be carey having maintenance and senice manuals enables te aptat 1o prove he manuals t emat Operation and service manuals maintenance prodr repairs he maintenance programme vi have an operation user manual anda change equipment The operaton manualis For donated equipment when manuals not oniy tor equipmontusars not been provided and due tome butte tor equipment tecnicians who or ype o equipment are equipments used in clic stat wil be me primary resource However engineering lnspecton maintenance repair and Zbstuctons on how to join he nach ten Sre und here pi itatehonine department should consider engineers come into me positon own gudeinos and emphasizing Ster completion ata tour to tve year importance of inctuding oparaton bachelors degre pogamme service manual wim every donation equipment tecnicians onen Developing counties shouid work wim come into me positon wah
41. absorbent tows af obo ced in Sly plasti bage and cloned tor Soproprate sposa Equipment precautions 4 Allequipment containing serviced tr wil pave en leaned or epiaced 2 Gloves wi e wom during HEPA pign air er changes Those win be placed in normal waste Any equipment containing HEPA fte requires that gloves partite respirator gown grec eyewear are wom These as be ot as tor ast 4 Alrepced ier tom e cea iaboratory Shouta be considered contaminated disposed tas infectus wast PPE wit 5 A equipment mat needs be opened and patent care or employee work areas whenever Eguisrrent an be or asiy wi pe romosed o orceaning engineering personne wit wear mask eliminate ot Beating me dust or any machine equipment inat moved tomte area be vacuumed apposed town coma Medical equipment maintenance programme Appendix Examples otinspection and preventive mierance procedures Template JatAnaigesia unit gas machine Centituge table top BA Monitor BS Pump infusion 85 X Ray system Inspecton and preventive maintenance procedure Example fom Name anor ype of equipment Safety iepoclon
42. ack or events a paper formatis ea IPM CM recati sotware updates eJ and or pint The maintenance programme must stive tor accurate recon of both htt istot Sore P procedures and related equipment reguinng maintenance as weli an accurate accountng othe spect Schedule IPM procedures change completed Using an organized schedule of PM procedures and CMS system to print appropriate print a summary hst of what has b procedures fr each sched a good system ot annotations and coding to recon me resus otme soproprate procedure past tew or quay conto events oretronco and purposes sre good methods to expected completon date Keep recons Anoberimpotant aspect equipment convoi an waking is keeping accurate recor of locations of Ine IPM inspection procedures equipment to taciitste quick locaton of including tasks mat passed or equipment procede atenton ie keeping accurate and mags in trying to equipment atas Record CM act incudag removed tom sence disposed problem wih ne device spent 9 putin siorage or was moved to a in the repair process a doscipton Serent department Keeping database pas intomaton updated is an ongoing ask Produce summary reports ot tor good programme
43. additonal generat specialised raining Tor Cineal engineenng dopariment manager administrator Plan management airing tor engineer Develop inks 1o external resources hopend Regions hesin system management example Management component chs assigne schedule and unscheduled wor Sing Cinca department management protocols manager Monitor noure worked by te technica statt compieton schede unscheoued work assignments Technical personnel document work on work order pe CIUS san win wor nial engnening i meragenent ouby chicas menager Operator Develop procedures and schedules inspecton Cic engineering department management preventve maintenance manager Work closely wit cinicians and conduet Customer satlacton surveys snes provided unger sevice Participate in medal equipment planning incdentnvesigaton and activites Sasocion Cinca engineenng department manager measures described stove engineering department sons measures suppor by CMMS manager Manage compliance applicatie standards petormance benchmaring and inglementaton ot Prepare win report comparing perfomance engineering deparment improvement te objectives an opportunities tor manager
44. an mid level Job description aks involving he and maintenance cf terapeute diagnosi and medioa equipment Paton routne and oorsien ass fav ofa dvese ange including e support equipment 2 Wating independent in routne and Being tie prot wok ans Being atie eectvly work wi cinidane to cinicai probiers medical Equipment atia 1o salve tori einans 4 Providing wining mertonng nd guidance tor nay tevel 5 Partcipaton in commises Cootsinaton of nita inspection and instal aton equipment as requested 7 Coordination management ot projects tom State completion peromung any necessary Sommunicaton and we owner separment Assisting wi pre purchase evaluations of as Partapaton in vestgatons as provides low 1o management Education Two year degree equivalent airing Inelectoncs biomedical equipment technology or related ted Experience Atleast iee years expatence asa equipment tochricin minimum of yeas experence mechanical ot Sectomechancalroparorequvdient peteauly sening Biomedical equpmentteemician seniorievel Job description aks and mistenanco therapeu
45. ar Media equipment stangar 80601 1 Mw aam standard60601 ECRI nete uvae org devices system Mw actor Piodac Pages L yess System aspx Sint Commissioni Commission emaicna tee jonas or son jitormisoneematonal or Fre Protcion Associaton win pao Standard for neat cre fois NFPA 99 Natonal electra code NFPA TO American of Engineering Mn acooneton American Hospital Associaton ww aha on instrumentation ana Technology Mw aam og puticalonsbli com Engineering Word Heath en hor witch jamais Mw comjeejounal ine discusion pe ttaten ntalechonine nt Blomeata www oe argbionectak yo engineering handbook Burlington Elsever Academic Presa 2004 Ates LR Practcum or biomedica engineenng Sra technology management sues Dubuque Kendal Publishing 2008 Tamla Bid C et al Hom io organize me ram nanco of your healthcare technology How io Manag seres f health care technology quaes 8 81 Zien namatonar oath Parnes Iiama onsi 2005 Managing Sites Boston lower Academic Punkten Heat technologies backbone of heath Won Hom Sgn Bryce CL Cine KE The supply and use ot Selected mo
46. ay used interchangeably wi esie care Medical device An arii insturment apparatus or machine ate in the prevention Scgross orteatmont of iness or disease or tor measuring resting conectag ar stucre or uneton af Pe body tor Some heath purpose Typical y he purpose ota device not acieved by alg srl or Medical equipment vesical devices ea maintenance repair user raining and scis usual y managed by engineers equipment is uses ore Purposes ct diagnosia orrehabltaton or injury and can be sod oor lone Grin combination wit any accessory consumabie medical Messcal equipment disposable ce enge se 5 Wot Assembly esoluton WHABD 29 May 2007 iw who devesshesouton what 29 i t oridocnentigilgindrteao0S pa Medea equipment maintenance programme Acknowledgements equipment maintenance programme over ew was developed under he primary rank Pair Urwversiy Comecseu Priori Connectct United States ot America sod Mathew F Bareten Engineering Tot acit recton ot hana Velazquez Banumon WHO Geneva Swtzetoni as alive Testes pret tnded by me Bl The review
47. ayear regulator agency or consult pecore Rr Fisk rou equipment Reter Appendix A 10 Patchecksyeor manufacturers category etemine category Larme stops to uien to pero inspection and maintenance equipment maintenance programme Appendix B 2 Ansesesiatansigesia unit igas machine Satety 2 Programme sh score group Lite Support 1 Inspect exterior ot equipment for damage or rising 2 inspect he power cora relief and plugis for any son c damage Tum unit ont open user accessisie covers and tor samage 4 Clean unit components and etn im Vacuum or compressed ar 5 inspect tor signs of or missing Repair as required S spect decal components 7 Inspect quick disconnect O ings consin or necessary bing repace it 9 Inspect ali cabas for excessive wear aaay idee ou Inspectintemal by leak testing 12 Verity conect operation of gas scavenger systems conect vaporizer clraton conect tow metar conect operation of venir ae volume tow conect operation ofl buts splay onde nica 17 Vesty conect operation funt Clean exterior incuding al acce
48. diagnose ana medical equipment 1 Being consistent a wide complex and specialized wake opt ota wide range including support 2 Training monton and guidance tent evel ind riceve Conducing Session for degamment sae Speraton and maintenance of equipment for Assisting in developing technical specications 5 corning and managing Bering an necessary and deporte 6 Leadership and prontatoo of work in absence manager Education Two jar degree equivalent Inelectones biomedical equipment technology or related eii Experience Requires a minimum ottour years experience a biomedical equipment Medical equipment maintenance programme Appendix G4 enginsering supemsorimanager Job description Proms asks me isallaton and maintenance cf terapeute agnostic and medical equipment Acquisition maintenance and repair ote equipment UIS fornew equipment Evaluation and assistance in cquiing new patent care 4 Coorsinston of preventive maintenance and epar of ouside serae personnal S Evaluation of posl eevee contacts and aude vendor latonshia S Martino
49. dica technologies Hah Jonsson E etal Exseutve summery of ECHTAECAMI project The European Colatorton tor Technology Assessment fompettveness and impact health prepared or Eurspean to Mediol Equipment entry itraganent Gees Wal eann Organisten Computerized maintenance management system Geneva Heath Organzaton 2011 Satctaton and pron Geneva Heath 2017 equipment maintenance programme Appendix Sample pocios and procedures The flowing samples are provided io support ne evelopment ot medial equpment maintenance pasias an procedures na hosp heath cenre Eomer heal facilis The sould be taped and modd according o specife nd canities of any ge iaon Risk based biomedical equipment Ihanagenent programme Anal testing and A3 inspection and preventive manenance fabrenance nied HopendicA 1 Riskbases equipment management programme Equipment nelson hava been cat esc piece tequlpmenin at a hosp or The lowing etis version of me Fann and Sin model sce relerence where numeral Value haa been assigned each device by equipment cineal Seplcaton ana requred maintenance Adding ime fom eash subgroup and adding or Subracinga tacorbased on equipm
50. ed by Jenner Baragan WHO Jorge unvasdado Estadual de impias Adham WHO Jennifer Jackson Sapienza Univer yat Mobarek Parsona consultant Lsa Engineerog Wor Sod edid by is Communicaton sistance preoeading ana Karina Reyes Moya and Gudrun tor aaminisvanve supp e development Confit otters were No conc ofinerest wore Acronyms and abbreviations stumertston ACCE ot Cinca Engineering Amesican Hosp Associaton Society ot Heaimcare Engineering biomedical equipment tacrican engnsenng computerized maintenance management system Essential Hesin Technologies Food and Drug Aminisvaton iive on Heatin Technologies Heat Technoiogies care technology management and preventive maintenance independent sence organization Medeal Equipment Technology Associaton magnase resonance imaging Pan Amercan Heath Organization preventve maintenance personat equipment Lina esu Sane winteruplable power supply i Oganzaton Meses equipment maintenance programme Executive summary sl dices at racy a many cases have high maintenance coss 1 eror planned and managed progr mati able 2 Kasp the mecical equipment in a heain care stiutonreatie ste and ava
51. eformance surance nepecion These ean be 10 record puts on many energy producing devices ncudingulascund tarapy lasers Sitar dame oy ene Meses equipment maintenance programme ELECTRICAL SAFETY CHECK NDICHOSPITA OWNED DEVICE Caman Doa Nottcatn an detect warning abe This label placed on medical equipment hat has Deen inspecied by ne cinica engineering ana und be detective on very papar ta anraci aeron and prevent use of he Testequimont ger medical device category devoe category Testequpmentrequied Eiecrosugcal Radio requency anaiyzer electes equipment analyzer Heat ung machines yperhypoemia machines warring tou meta pad pumps Says machin regulators aO benders osos Physiologie monitors ballon pumps Prysclogca simulators IN pump surgical iigaton pump Radiographic and equipment lonzaon chanterradaton analyzer meter ana tasers Laser power metertaser termal imaging pates Most electronic usimeteroscloscopitincon generator Radiographic mammography CT MR blenders anesthesia machines medical gas Systems Oxygen analyzer Pacemaker anaiyzer Seals sping scale n
52. ement or region For me component For planning purposes in developing Specialy tis help oestmala me counties measure may be much by programme especial y lor new programmes relatively process estimate trme tor inspectons By countng he of devices ot esch type teach common guide tr perfomance improvement and malting it by te estimated ti posae to Over tme mere willbe opportunites programme Admistatio bme 1o creste e IPM tonne reparation tme materance programme For example Medical equipment maintenance programme programe prong meds gases tor example t samice tor a ype of equipment includes work benches and strage space by using intemal resources and stating and test equipment repair paris han outsourcing work each supotes and equipment awaiting such opportunity a simple business plan space ter shoud be arawn up atincudos he and documentation serve and operator Inland operating costs of me proposal computer resources are required compared This decision making process Inclusion oconpulr resources investments i pariculary workspace wan Rina by actuat consider Basie documentation aot tomine programme main
53. ence wih and may siso tead to te hospiti being device Then based on inputs tom seo assume repa responses Biomedical equipment tecnicians and or omer organizations wno siso own the recommendations 53 Operational management IPM procedures can be changed tis done ho ustation tor deviating 53 4 Developing or changing iPM manutscturer s suggested procedures procedure be roughly For IPM 1o be conducted procedures are selected or decision to make tis change shot siso wnten so bey provide suficient sting be reviewed periodical y eg anual y o mainenanos tr speci decus make sure te conditons leading to e ana neir teatres The process ot change persist Selecting or writing mustbegin wit a understanding ofte o mostcasos the unique characteristics in general and me relevant modal of and teatros ol devices require unique equipment inspection steps for each different When developing new procedures or generic procedure manutacturers er oid or naw equipment itis bestio and modets feg otaiophinsimoscape ike te mostconservatve approach bre opt ight source microscope can use 1e manufacturers PM procedure usea Whi using svalabi generc manual as a baseline The equipment procedures moy be very convenient it onner shoul apoctiPM proceoures muste done wim understanding and manutscturer io Ba weti designed a
54. ent adure aupment management EM number equation Function f Application Maintenance 8 s History Equpmenttuncion Includes various areas in which therapeute agnost end Siipeni a used Category F ncion desenpton Lite support Surgical en intensive care terapy and esten Diagnoste Surgical en intensive care monitoring Aston na laboratory Laboratory accessories Computers and Physica associated wa cinics pplication Lis patentor eouipment Sab during use Maitenance requirement Extensive routne and part replacement recs Average performance vonicaton and Belowaverage visual inspecton Medea equipment maintenance programme Equipment inciden history Hoy infomalon availabe regarding service be consed when evaluating he device determine an EM rumbo Average equipments Sigriteant mora man one every ments Moderate one every 8 monte Average one every 9 18 mons Mina one every 18 30 months esiqiicant las ne in the past 30 fe nudes progamna and schedules or opecions nd preventive manam Dutina the tng new deve wl be the programme deves ras been prevousy eva and comedor induson Y tow dave dasteson willbe ced be
55. fhe work order echan or completo Both wit normal be determined by the aporoprate cinica engineering manage Input uses is encouraged wih regard to stent The prot cusa at L Emergency urgent Say concor patents vistors ar staf The Sosequences tora andior sabi Emergency requests accepted by Done or Biomedical engineer ate cares passe Shou an outside vendor be required to rect ciet enger il tat sd evaluat the equipment upon reum pror o Beng taren na saree ad or taluma conpomsed deparment The response to me request as soon as oniy an emergency out rent But ne siagon does not compromise primary cono e can be sent ough he Prospect ierdeparmenal system requesting department wit noted once Routine request may be etaed based on Wottcadorprorty No werk order may be Tor more 10 working days without he te engineering manager 2 torsion the equipment me Tespecive dopannant and 1o a probem oud be proved on work request by he person me request or by Be This may ince lowing ento number Cost cantar usualy he user department c Equipment doscr
56. gramme matte considered an technology resources which especial y igi are id minimum set ot resources designated io When me varous nanc pia and asks tine by prograna Duman resource ro tis way wli patenis nave access medial equipment mat can provide cond a successiu programme that Mam vitn accurate diagnosis sul nede ota parieuiar contet or appropiate rehsbitaton Same Rate anderen natumeniston amp Technology 2010 Attalo volume 1 Weng B Levenson A Equant inclusion cita o CANO mede management Joumal of lica Engineering 2000 25 26 35 Ridgeway M medica devices toot maintenance practical risk based approach o program fanagement Biomedica hstumentaton Technology 2001 Smin B Cine equipment management Joint Commission Oganzaton Plant Technology and Seley Management Seres 1009 23 12 asl programme UA stumentaton awu aam o AAMI soluto clas sey manual Mw aam rp puicatonsbookloem m Computerized maintenance management tems aami orubestons booklet Media equipment management manu
57. ie consider rening or sharing expensive and ois wim oter equipment o temperature meter in the surrounding area Medica Voltmeter gauge stumentaton in the developing wond resistance and capactance bones an satt matr Yestoqupmentorlnoscuro setings Smal hospi cinics wi aliod 2 These ecommendatonsrepesan equipment can programme win jst several and test equipment hat can enable pieces equipment meaningt service tor medica devices simulator analyzer some basie toos fies Int tunding to start a programme wit more complex caupment more i necessa but so to s providing stvance tos and test equipment may ongoing dig to purenase be necessary For example in a large and service test equipment or wih more a few operating mecical equipment ne and moder eectosugery may acquire in me tuture or tor test equipment an elaconugical analyzer expand the scope maybe a prudent purchase Purchasing otte maintenance programme more advanced nd test equipment enable cna engineering technical A dened oftast equipment and the sta cabal mainisin and repaira devices tey are requires torie provided wider variety ot medical equipment tit Isnt possible
58. in tc 00 ese USER TRIE ipie ouu 2 o pe tejsiueq nup qse syst yug ebana coublejeq I ou teAetee OL blopjew pecu couecjeqs sapeu nowe ANI MOLK pe le mon pecu sapeu ee now Le Be 1 gebouw DiNetou 2 2EKAICE Samples of inspection labels Record of inspection Record of inspection tet results Notiteation on defect warning label equipment maintenance programme ELECTRICAL SAFETY CHECK NDICHOSPITA OWNED DEVICE Caman Doa Ate za DATE DUE BHS za DATE DUE BHS za DATE DUE B
59. ina personnel in person to inquire Winen doing IPM procedure a abel any equpmenttaed me date me wor was dore are enpotencing ni way he and me procedure that was be potes to the equipment tor parot me cic Mesa euet natananos progamme engineers and bomadial equipment technician can be in working Clinical siat understanding he reason behind and They are responsible providing nom maintaining equipment ana te wit adequste vaining or revaining it o such a programme operation ora device Tho nica engineering department woning wit he users wel ota tector leading to use device s elapsed usage tor me detention ct Ph nica sors being aot preventive maintenance perfomance changes or issues with equipment ox safety inspections are done he iod contacting 1e equipments adjusted t testo various engineering department modes of operation Three the setings when suc problema are inate user may be used to having lett The cinica statt being to locate untouched on meir equipment have equipment been changed and tey shouid check the seings ana adjustments betore using it Devices in storage being brought out win patents once again forinspec
60. incl engneetng Tho product of biomedical equipment department s repair shap to nave OUI This may bea witout appropiate toot and tst consuming process but tecnica equipment As purchases are planned gineering departiment may be the locaton where some maintenance and tast equipment can be good ana well organized provides dA example oan onina educational apport ine tenon reso 09 Unversity of Vemontin USA Pisis vm odumadtschtodox Spanish language versions o me courses are oered ough Universidad CES requ bye equipment Cons sn Petes Universidad de imaging technology changes o quicky having he iet equipment Tools and in patur test equipment increase te readings muatibenselves be appropdately accuracy ot the coins and he maintained They shouta be kaptin margin of solely tor me patenis an stat ood physical conto at sa wet as me ettciency ofthe statt doing acoroptate invi an repaired as requires Various oos and test equipment are perom ando CM testi is required estabiishing a procedures dapenaing on he ype of network echas engineers serce kis posite 1o may moon atto can be shred petom a large proportion of PM sna procedures wih a bas
61. ior ot equipment or damage or rising hana 2 inspect me power cora relief and plugis signs a damage Tum unio open user accessisie covers and damage 4 Clean unite components exteror im Vacuum or compressed ar 5 Inspect tor signs of conoson or missing Repair as required E spect decal components trsigns ot 7 Inspect patet cab and connectors tor or damage 8 and leaa snoring vertea gain pulse Inspect Vast sweep size nearly speed and vertcal spacing conect tequency response and ommon mose 12 conect brighiness and focus o trace conect operation ofioeze and cascade applicatio aceuracy ofheart rate meter st pins for accuracy aparaton ot gh iow alarme tor corea rigger ana response tne 15 lame and ve conect operaton ot canet operation ofl buts convois plays anior nica Vesty conect operation ofunitin al 19 Clean exterior of unt including al accessories Cables contis displays popendies s Puro intusion Programme nak score Pet grou Patent Support 1 Inspect exterior otequipment or damage or rising hana 2 inspect po
62. k me ica to vansport me tools equipment sebievementt clinical objective The root eause otuser eroris easier Yoidenty However n boh cases SA Pertormance monitoring an eectvenss of Ph Forefectue management otie ely ofthe tactical personne masterance programme tis ir adequacy ot me stating measure performance Most pertormance Jevels IPM congleton rates foreach compare win In such expected trme takes to compete an cases manager should manitor procedure so the technician is not peformance over tme investigate sry snitcon venas and siia 542 Equipment location rate important communicate regulary win The proportion of equipment schede colleagues whe are managing sinar bebe inspected in e assignment programmes By comparing pefomance period butnotiocalod beoe a end aot manager can ident ake ofthe inspection is known as he vantage of improvement opporunites equipment iocaton indicato Those wih the resources may gay measures accuracy otme consider subserbng toa benchmaking invertory database ino CHS system samce that wit suppor petormance mentoring focivenes ofthe policies to keep he accurate as weli as measuring Several important peromance measures or communicatons between clinicians and he mecical equipment itie ve
63. l engineering staff and found to be defective It is printed on a very brightly colored paper to attract the clinician s visual attention and prevent inadvertent use of the device Simple paper inspection completed sticker indicating the date inspected and owner department These tags sometimes printed indifferent colors one for each Year or inspection cycle Then it is easier to identify Which devices now due for inspection This tag may be covered with a plastic adhesive cover to protect it from being defaced during the cleaning process GuNCAL ENGINEERING PERFORMANCE TEST RESULTS paper calibration tag which provides space to record the output readings taken during the performance assurance inspection These can be used to record outputs on many energy producing devices including ultrasound therapy equipment lasers defibrillators electro current therapy devices nerve stimulators etc This label is placed on medical equipment which has been inspected by the clinical engineering staff and found to be defective Itis printed on a very brightly colored paper to attract the clinician s visual attention and prevent inadvertent use of tne device ue DATS our ULTRASOUND 0 Record ot nspecon test resus A paper caibraton ag provides space record he output readings taken dung p
64. lable for use when i needed for diagnose procedures era Treatments and monitoring of patents saton such a programme poonge e af me equipment and contor tuinman A maintenance includes procedures tor specto aa wes preventive and corectve maintenance Pertaance inspections ensure Siuomantsoperatn cect sy nspectons equipments sts tro patents and and preventive maintenance PM aims T erien ine he equipment ana reduce alus ratos soma hidden poses may be discovered during inspeeton However perbming inspectors a equipment ensures ha he device n good operating Conatan at sme f nspacton ad cannot Sina a psy aum sige uas components e mat hey can tal Conceive maintenance CM restore funcion ofa device and allows ti be put mecical equipment maintenance programe consists of adequate planning implementation considera franc physical numan fecources required 1o adequateiy inlet 1e Once te programme een defined personnel and operational sre y examined and managed face programe connues unrated and Improves as nacessay Uma proper implementato afte progamme is key ensuing equipment Medal equipment maintenance can be vided into o majo
65. le of Engneetoo a cincai engineers omedcal engineer Shen used inerchangeably Clinical engineering Engneertectricn or wam ot enginearatecnniians response orna management and mamtenance of medical equipment Depending on cone Sapte or wam may be by a wide vary ot names Engineering deganment medial equipment Maneranes deparan mesial management unt e In ihia document we reter Imostotan cinica engneenng department Common desciptve Me eminology used 1o serie a device Using common uvetsl names tom a single itematonaly accepted soucet is ey io Sez atre des sace cost daher impotan mavtenance management fom oi ots tough manufacturers have specie names tor aces 1 common name fine device as ald inte nomenclatre nomenciature name electosuica sym isapolarbipia vendo name devies Siectosur ca generator vendor A process used restore he physical atra maintenance mistenance re regarded equivalent lo Tris document aes nese tems interchangeably Tho of not meeting intended patomance requirements andor beach of physica FEN A taue epar dtr Inspecton refers to
66. management completion rates ate ana required repair S36 Computerized maintenance management systems actual versus expected completion bres ples ot medical equipment ists and me numer ot serie event are Iocan owner or device ype so arge atkoeping and organizing completed in a certain ifoaaton can oniy be done by Ame pero used repair equip men over a certain me period To identity o IPM iachnicians which devices have been completed shortage of sat and paticaty or toque rained stat process of implementing acms may begin as Winen taking power measurements on ua system he inital inventory equipment iat nave an ouput the token on computer but on paper so ia abackapcpton and statt lospecton tem tut many hospitals siso choose to record these readings ona record keeping avaiable win which mey Sticker which paced on e equipment comfortable The ative development tor tuture reference See Appendix otan inventory may siso uncton as an Append tor examples of extended training period Once inital lnspecton tome arabes invertory is established and staare comoratlewi computers Some hospi use coloured nspecton wit tbe inventory system te paper records canbe phased out dostinspece in e yetow ria year hus last year pink tuo years C
67. me equipment rowing scheduled unschedutes of care become prioty The second cry aner Those data are contained in work completed would then be ects tat provide documentation devices win highest ak as maintenance task onte device As a resut inventory previous secon and tnanciai history or each device in Maintenance based prortzaton 5 inventory Appendix provides a This methodology analyzes when devices sample poly otining manage have s sigritcant potentaltonarma work order system tor corective equipment maintenance programme maintenance and Append provides computer system Tus a computerized otan actual wonk order tom mantenance management system Xperia an e yo From a regulatory pointot view wot that aun on a standalone computer cante in managing te medical save Additionally when equipment maintenance programme problem win a piece otequipment occurs Aio help se what previous work was eton efectvly manage good programme a CMMS system may provida folowing capables Keep an inventory ofeach device events which have uken place over ine elec including ha tilt Me otme equipment Being anie toke asiy or cnange e equipment but senty having Koop r
68. mpleted repair by tecnica personnel tomie nest engineering department 1 some cases when a device user nas reported a however routine and easy to parom problem wih device As mentoned are completed by me user This saves tme tor technica personnel io technician in engineering more technical y compiax department tad ata is not cca taske aiso provides te user as expects ung IPM win a sense of owners The ype me user might ally acie sence as quick as eficient Exar oli day troubleshooting is required overly me of portati blood gucose and determine its ori n some monitors testing odes or checking me standard castration ofiaboraory equipment nis Tho technician determines respons te cna enginaanng What staps are necessary department to vain me user to pom problem and retur e device to tat uretonaiy The technician corective maintenance some henselvs and making use Appendix A provides policy on expense orertamal sertce lospecton and preventive maintenance rower when necessary This conclu procedure mantenance maybe accompiished at When IPM device Component levei Componentievei can ether be set aside fora rap so
69. nager Pas approved device bo marked in 18 1 equipment has notboen locate tor wo 14 To assure PM quay technician competency ecorectesecullon IPM procedures and need 1o be evaluated Dy management 15 Maintenance completion ratas ss of Equipment urapi raes quy or pertormanes related stasies wil be repone o he relevant Safety cinica engineering at Toss quan Longer or shone preventive maintenance intervals adopted ater documented based fn previous PM dat relevant fomason and omer sane isn records Medical equipment maintenance programme Appendix A4 Wot sytem tor corrective maintenance Tho cea enginoering deparmont has adopted sandara wont ater system a departments fequestng mantenance o cincai When occu wih a piece of nical Equipment fat oncompassed win frogranme ot tne engieerng department using department shal natty Engineering dug rounds by telephone by on request By nerdeparmenll mal or By device engineering on Purpos To provide guidelines tor ma eee and processing or engineering sarace requests Upon receipt ot te request work onder wi be ated This includes pony and aito
70. nd easy io Ine intention ot providing e most basic steps in an inspection Cleary explain every step in ne Appendix B contains a procedure template procedure sample gener procedures Explain wnat test equipments reques 532 Seting Pm tequency Ex what me upper and tower The roquency of Pais specie by te manutacturer ofthe biomedical equipment tactician where are mary win Show now to replace pans equipment or because otresoiroe Explain te requires of constans the cinica scl eps department manager may petri Medical equipment maintenance programme venien eguipmentta inspect how onen engineering departments mantenance shouid be pefomed and important See socton 53 5 tor more wnat parts shoud be replaced Beiere changing inspocton tequency ot are inschoduos CM a mecical device he manager consider te regulatory environment he tis important io haves Physica environment tevel of user prioriizaton scheme in place so matem taining te resabilyof he equipment te equency atuse now much wear me ASH ee equipment during nomal use on ne numer ana types of echnical then be presentea over me calendar year so matme satay commie Qt availabe or work scale and sta capaci can
71. nicl engineering Say wl era originata ource with a deseripton ofthe Suh ponit rom beg in 1e aci thas been repaired and Salto pasos ne safety nspectn Equipment intended forse in laboratory application Vendor provided Equipment in purchase ot or consumate must oe approved by management oratory or managet nd safety tested Pior boing placed sois Hosp not responsie merterance cl ie equipment equipment maintenance programme Appendix A3 Inspecton and preventive maintenance procedure Equipement to covered by me programme wil y support equipment laboratory Equipment sur al and equipment mong ecuonent causa patent injur or death ita equpmentrequiad mained by regulators equipmenton an vendor maintenance programme iuomantndar tease where maintenance is part lease and equipment under waranty 1 equipment due tor maintenance needs tobe monin pror o maintenance da Tne lst of maintenanoe tasks can be gener by a Computerized Manienance Management System CMS piace requited tor preventive maintenance re ardere made avaiable equipment in tis pr
72. od 3 The nececlon and preventve maintenance il be assigned i space 4 Wor wl be generated and dtu io sslgned wens S Maintenance wi be pedormed in wi ha PM procedure These procedures wi be based on mandaciers recommendatons Tecommendatons and ely experience heit ote maintenance Performed any oiner imporant IPM is completed sucess y he equipment wi cave an sticker or oiner cenotng maintenance ss When IPM and documentation is competed order wi be updated i the recorde work cannotbe completes pate etd work wil be up ta later date 10 When scheduled maintenance is pertomed by outside vendor ha engineering Sepa ney he vendor ar senedle me completed wo order s updated in te records sndr suppo equipment due tor maintenance in une by ptr te WHO Maca scheduled ater tis removed tom patent The apartmen t schedule he as soon Spose 12 Pt basti cot not locata a concert etort 1o device has been made equipment ores have nade every eonedcalonginaerog superscouma
73. omputedzed maintenance management mi system in mis technical series good equipment nex aue resource when ready to implement such S system as itprovides dotate on the key an efectiva CMMS In cases Keeping in min tat e where CMMS may not be posible objective ota mainenance programme oris not necessary eg hesin cene isto improve patent care itis essential to htoduet n to deveio song working relationships wih equipment ventory managementin acetal seas good resource Tha user wi know whatioexpecttom geting stated wih racking curent Ine cinical engineering department inventory equipment maintenance vice vos Respects shown to he user Ina paperbased way for treir rots complete me m ntenance appreciation ter 537 Tags and beh work and ofie lia is good to label each piece engnooting unit Fumermore having an equipment win a unique communication system in place wi ensure mat repair requests usea by te users to communicate tom users are prompt relayed o wit medica equipment maintenance personne response dopartont so theres no contusion Many maintenance programmes have stout wien specie piece of equipment sso toun tor technical is being personne regula contact
74. oor scale valance weighs ering machine anaestnesia machine Preinan tas preumate melt Medical gas systers ases Paemodilys Pressure meter machines auton regulators Incubators intant warmers laboratory ovens Temperature probethemonetan pumps vacton unis Isolated power systems Isolated power tester Noninvasive loos pressure monitors Noninvasive bod pressure simulator Dialysis machine phiconduetiy meter Variable resistance variable capacitance box Medea equipment maintenance programme Appendix Examples deseriptons Biomedical equipment technician entry level G2 Biomedical equipment technician gt mideva Biomedical equipment technician Tantar ievel Ga Clinical engineering S parvisorimanager Biomedical equipment Job description involving e instaliaton and diagnose and monsonng medical equipment nsalaton mainanance diverse ange ot modica equipment 2 electrical satety inspectons on medcal equipment using specialized iest 3 Asssing in me systematic preventive programme of medical equipment Docunentog including new inspections correctve and preventive tenance special reque a regured documentaton in an accurate and manne
75. orough kas he teria pao be peformance monitoring as deservea procedure on each device The rest fom indvidual inspectons TER Sided up measure acions hat have been recognized weekly or win he poosson as leading 1o improves petomance They sre eund in inca engineering tor an entre maintenance programme and rough colaboraton The exacted completion meis win coleagues lily tines tom outside sources pormonce Permance Improvement projects shoul manual Eventual ter several years ot be based on best practices The experience and accurate sspectof pevlormance selectes you can use past expertence t guide should be dose expected completon umes petormance is achieved Specie changes shouid be measured sysematcal y to determine tthe changes Mst may be recorded specially improve montor pefomance For example 1d quality Thie canbe done by a caretuly measutng petamance and quay indicators ime dpsed between tor seversi measurement pelos ments quarter b making a change inme Repeated fats The numerot way ings are done and c continuing falues witin specie prod ot 1o measure perfomance and gusty ne now procedures demonsvate Response tne The imo between positive improvements hon
76. osis Most oter ioca or obiainea ipotinty me replacement parts wi ve engineering department on nand when needed This pracice wi managers should possible have improve avataby ofthe secos to or equipment and increase he produciviy purpose Manuais may be stat maintenance among me wider bath technology management community such as me many counties problem of obtaining atch replacement parts at a reasonabie cost a tmely manner can ve substantial For new equipment itis mporant that However knowing what wii be needed ese manuais are included spat of ihe and me associated costs it hein purchase agreement Al manutactures Hanning mantenance ana who sl equipment are required io management advance This may lead rove PH procedure for use 1o tunas being redirected isesi by ose who buy their equipment These Tho use ot generic pars instead oho procedures are usual y writen ceat mendaces parts is an itine in many cases win stations or charactaistes ot esch part petorming complete and apropat is y ansiyzed Purchasing generic IPM Manufacturers may not pose tom specialty medical equipment spec procedures maintenance pats suppliers wno do engineering and senice manuais roubleshoong an
77. oton Telephone nuber equipment Doscnpkon Upon compieton otme work technician wit complete wonk order win one day incuing Si iniormation relating serce Al Work orders dated and logged cord Keeping into event Tata work order cannot be completed in he requested tme or within Business days reasons ne equimont repair mit be Saye and provide Pom uh an tne nis ofeach Engineering b flow upon such Sans needed and personally contact tne fequest or manager equipment maintenance programme Appendix AS Conecte acon denied during preventive marntenance The engineering ora preventive maintenance procedures ly basis partot me hospitis equipment management lan Corectve actore ang urng preventive maintenance procedures wil te documenta appropri Purpose To ensure conecte actons are pared and documented appropratay wren found during Sreventvemalenanca roca A No problem found during preventive prevensve procede compito preverive 2 Tne tecnician wi an maintenance Slicker orte record of inspecton on o monin Be wil data ie sicher o correspond vim the month
78. quipment equipment maintenance programme Silay echnical personne shouid be Reporing wim omer uty systems e g medical For IPM actis he technician ana vacuum systems has a detailed enact flow in record rest Having such Supiy technology ana communication ete step in process Bod again shuld collaborare us helps avoid skipping or overlooking win omar in te organization io optimize specto Recording measurements of tne systers to support and documenta nal esl ther mecical equipment 1 aa or numeric vals sias in te Unique aspects orme including repairs Having he last tew sets environment such as oh temperature IPM checks on hand tor reference can adversely maintenance is eemely mecical equipment designed tor use tor decisionmaking Fr example or intemperate or equipment win merapeuic energy environments Maintenance procedures antt incuding energy readings partcular county or rego may tomme last tew nspacton on me nent need tbe adjusted based on hes lnspecton tom potentat problems as equipment energy eels may sony over tme Aon The age and condito otme Knowing when routne maintenance may play arole in medical
79. r hospiti lial and stan proper operation and maintenance fea equipment 6 Communication win users regarding status of opas Meotng needs ol cca departments obtaining ner lpn as 7 Acceptance testing on now eaupment par oponen poy Being aware ot patient ang work spore problems und and assis wih conectan isses as required dentyog ana rocommondig medical equipment cbeciet nas an repair Tory no longer essence support tom ine mandacireror has denied safey probier 10 Providing good customer serce answering phones in a plesan manner screening and as appropriate and providing Intornaton t af stor and patents upon request Mating pressions apace 12 Maintaining ood relatonships wif ow sf and omer hopial workers a oh level of producty Making suggestions to improve department posue ven appropriate Maintaining a dean and sate work place all depanmertsi ples and Procedures Education Two jar degree equivalent aig in slecronics biomedical equipment technology or a related ei Experience No experence required above minum education One year experience Sedes equipment tecnician n a halt cae seting prefered equipment maintenance programme overview Appendix 62 Biomedical equipment tecnici
80. r adjusting he taska monitoring costs and managing maintenance budget afer acquisiton Pe budget equipment or removal of oxsing equipment as tis secs costs associated Costs are monitored iy accurately wim bot IPM and documenting oto tme and expenses For work S2 Personnel management personnel isis ical y accomplished by recording tisintomaton ona wort The purpose ot personnel management order document flowed by ent into the anto provide support tote maintenance ovale Specialy programme s human resources so mat by extemal service providers programme objectives are achieved Werk the contact costs or he terized costs assignments shovis be made to maton tor senice are recorded on he werk sal of tne technical personne and 1o promote Typical y tecnica foreach medical device in me inventory personne wii ve assigned combination ia a history ofal tme and expenses and responsbiltes However asociate win maintaining tat device may be cases where emphasis on one or me oer pes of maintenance equipment rom omer Secton 53 3 some cases extending al he mecical special y dacussos me varous aspects organizaton ef scheduling maintenance Independent senice organizations range some specialize in a parteuiar Personnel management also includes
81. r catsgones untonalty is importantas can lospecton and preventive maintenance be ety invasive in inat components are ana concctve meintenance removed cleaned or replaced CH aee Figure 1 IPM includes is esonta tor any equipment tnctonaity and prevent regardes ofis size b inplamenta Breakdowns ortsiures Pertomance mantenance programme or medical sey aspects are equipment The complex orte procedures mat verity proper tinctonlty programme depends on size and ype ard safe use of a device Preventive effect section and he resources mantenance PM raters schedules required However ne principles scis extend te qnod maintenance programme wi e te ofa device and prevent by income county ora rurat seting in a tow iing etc specton can be Yomi dencomo county tor example conduc sa standalone acy Figure 1 Components maintenance programme Maintenance Inspection Preventive equipment maintenance programme 2 Purpose Tho documentis 1o provide regarsing componens responsie fo planing managing ofanefecive mecical equipment and heat technology mantenance programme tcan assist management secas at te fac haa care organizations especialy regiona and national levis in developing countes wit
82. riate abate wit tose response for ne power system inte Tisis dependent on availabilty or organizaton to neip make the system nancial physica hurran resources fureton as elective as posse as wet as on me urgency ota parteuiar may incite purchasing voltage request Forhgh prty cases urinate repaire may be power supplies UPS using surge ofa When moro ime is protectors and avoiding connecting Boara or component levei repair entension boards in senes be feasible tcomponentievei repair Furtemore personne should s proposed part placement may be work with me tacilty personnel ensure necessa Foris approach mere are backup generator is aptons fom which to choose in place and tat me The replacement can be made wit power is made in under 10 seconds specialize pars tom the manutacturer Avatar may be to select wit generic pars of he same or higher purchase equipment matis batery spectans e g tuses ar wits spares operta men considering aging ew equipment also importanttor equipment only aer hough nisk Ine technical personne to ensue mat sssessmnt and permission of tne clic power system is engineering manage cf supporting When cannot itoten makes Sens 1o opt res sophisticated moro robust e
83. rld Healt Organization WHO spec actos to Suppe Memoer Sies One of WHO s strategic objectves is o ensure improved accesa b quay and us of medical and technologies T objectve gener win o Word Ha As Global ave Heath Tachologes SMT ib dog fom te Melinda Gales sims to make core hean technologies atate at price partly to oscuro aea setings to ofecivly conti naain problema mas two Space poss chatenge ne itematonal community io iab a tamewor for he development of atonal essent hea technology progammes Pesto e Durden of enge me busines and cent o and adapt innovative Tehnologs can lave a signiteant macion puni heath To meet mese otjectves WHO and nave working vade genda an cion pian ana to appropriate devices Ts s part of a senes ot reterenee being daveloped Ior at me county Tevel Tne series wil ne folowing subject policy medical device regulations assessment hesin teciology management douce procurement mede equipment donations aes equipment ventory management aes equipment maintenance scomputtzed maintenance management systems mes devices by imcare ating maces devices by in
84. ry cut caua mantenance pacuady some of nese measures Howeverit when eaupment moved loaned or put simpatantis conguet some soot ln storage peformance a regular basis in order i to opportunites SASIPM yield dorimproremont percent ot schedules PM procedures porbemed where 54 1 Completion rate of assigned were touna mat equipment aparaton pota cosmetic The completion rate is ercenage prolema whieh do notatet uncon or of procedures compete can be are nainctused This indicator measured at the end ot an assignment measures general elit ofthe pod o monty b montiyor equipment ate tcl hen uate A cometen rate gol is modes ot equipment re salyzeditcan be ust compare be calculated evaluste te ready ot one mate against fate ot each pony group starting with me highest priorty group Te highest devices should have me highest programme if equipmentis being weli completion rate god e wih te percentage be lower pronty groups having lower goats are discovered igeninspeckon at should nave been Vostumertaton AAMS detected y e use 1e percentage Benchmading Sautan whichis selt assessment rca wil be oher an As such engineering aami orato montong
85. s Sod or ended vae by a natonaly or recognized sing laborat S tfequipmentpasses al required nspockons he Technician wil afix a cic equipment mismorance nspecton scit or oer means of 4 Tne nica engineering technician who inspection s responsible or ensuring Fhe conplaton aspacton docunenaton T me technician determines at n baratear educaon ore manager Should inservice Semanstaton be rogues Salt coordnatg efort wih hosp department B Testing of devices broughtin for demonataion or vial evaluation The hosp is fesponstie forthe safety ofl patents and ist equipment evaluation er erenstaton s tested prior to use unless an eneecy easenabl cont hatt equipments in ste conden etr operating v remain haga subsequent emeqenoyvse t vat ba styled by he Elica engineering oporteat 1 equipment nat passes cinica engineering sal inspecton wit nave cial maintenance sicker viste or equivalent nacatng nas been Inspect and is aate tor use in he hosptal Cea ban opera devices may be excuses Wii noi have a stdaratand Te programme but hat not regure regular freventve maintenance wil aiso ecev a PM Bempt sicker 2 Any equipment at tats
86. ssories Cables contis and displays tatie top Sate isp vi Programme nak score Risk roo Diagnose 1 Inspect exterior otequipment or damage or rising hana 2 inspect power cora relet and plugis for any sions c damage Tum unto open user accessisie covers and damage 4 Clean uniti components and extaror im Vacuum or compressed ar 5 Clean mator with compressed air Check istas applicate 6 Inspect inert signs af conoson or missing as required 7 inspect etal components trins ot 5 conect operation ofis ond soe spec gasket moon operan o umer and corect operation of rao Vest conect operation oftacnometer t serica 11 nead balance Check tor vbratons and 12 conect operation ofetigeaton and applicati speed sting using atest pho motor brushes and tor wear lean out carpon bug 15 Lubdcatemolrand mechanical parts where conect ofl buts splay 17 vet conect operaton clean exterior of unt including al accessories Cables conis and displays Medea equipment maintenance programme Appendix B ECG Sateyinsp ve 2 Programme sh score Risk group Diagnostic 1 Inspect exter
87. tained wit paper records but Me use ofa spreadsheet Physiesiresources aottase programme or computenzeg A maintenance programme reies on a mantenance management system ue of physical resources These suppors good record keeping Include e workspace tools andes petormance monitoring and pearance equipment supplies replacement ar improvement se 53 6 tor more oporaton and service manuals inormaton Addon when intemet to perto maintenance When panning a maintenance programme each resource Many lechnical are ofhese shouid be considered individus y educations programmes may be opton tunner krowiego Workspace Futbemoro Inexpensive voice communication and place shouldbe considered when Hanning ne programme One option isin locaton where me equipment usual y For some types ot equipment ls uneiabie keeping in ouch by such as Xray systema prone can bo an analyzers sear surgical ins going tote equipment ne oniy option The incl engineering wonianop is planning tote esentar ica y touna win te ls tols and test equipment to the work ute propane includes or equipping space closer o 1e equipment s necessary estaba centalzed repair depot Tho second option is to vanspon me Tools and test equipment equipment 1o
88. taminated imaging MRI equipment hazards tom should request asistance in cleaning compressed gas cyindes ete Training in personai protective equipment PPE have knowledge regarding me polenta sa hat il alow tecnica personne to work satay in hazardous Mazars y echnical personnel enone are ete nis preferstie shoud be aware of infecton hazards hive PPE realy avaaiewinin work might oreste or paints cinicat engineering departiment tor For example patents wit conpromsed immune systems cain organ patents patients wit ADS and others Fol owing maintenance especial y ater or omens susceptbe such procedures mat may have an premature can be severely satay eaures ot a medical device by oua and spores disturbed technical personne very mat dispersed by maintenance device is safe to use mechanical inthe Again when in doubt equipment maintainers should venta tacit safety for medical devices such at ground resistance and potentas and ways to manage hese currents are measured ensure Ses Appendix AS tor a sample Mat tey are within applicable nts infection conti pe Medal equipment maintenance programme 9 Concluding remarka ara can be designed nd However me pro
89. tion fpecie companies or of manutacnren products doe not ing Pey endorsed or recommended by Wo He rg proce tas missions excepta 1e names ot proptetary Products y ital captai ete precautons have been taken bythe ots Heath Organization 1o verity maton contains in is However tbe patched matena being rbd minout ot any ehe expressed or ged The responsibilty tor te interpretation and use of Heath Organizaton be able damages om te use Design layout L IV Com Le Mont ur programme Brane VIO Meal devo ica Preface Heath tecnologies sre essential tora tnctoning system devices in parca are iin e poventon diagnose eaten and chabitston and disease Recognizing Pi orant of ea tecnnotogies me Word Healt Assembly resolaton WHASO 28 in May 2007 Tha resolu cov ang tom me inappropriate depioyment and usa of and need to asistas ries n 1e selection management ot eal technoiogies medical devices adopting resonon delgeons tom Sates importance ot haa Technologies or lated aeseopment ode urge exparaion ot arperise rhe teid heat echrooges mecical devices and requested tat Wo
90. ton Hira tme bong spentin the user expected to apartment prone basi rune maintenance on a An improved woring relatonstip device cinica engineering deparment mm cinica department is responsible tor vaining nemon corect procedures The overall Prong cinica users wih ait ofthe Wi be a user wh feels omnership or equipment akes good cae of he a copy of PH ross or ast equipment operates tand mairtainsjit A I ee wel workload tor adtrossed are justa tow examples 1e cinical engineering department ana communication praeses improves tor equipment Tha wok ot tna including me use Travet is an important component ot technology can be viewed as an etecive maintenance programme cinical objective diagnosis required or ne accessibility oftaciites is or suppor Soun mere wi ve signitcantenects on work assignments produc standards objective due to eror aprotiem and oner vavel expenses ete For sample in remote areas tmay ike a ay or more to vravel t a local cinic impes tat e user otte device caused problem imestgaton enor Hanning maintenance aces However moy be to develop and patent ie dence he support user maintenance where maybe cine systemie that may bioc
91. totoduct n to Medical Equipment maintenance story calcultons ot inventory Managerent s technical siat requirement and knowlege of when a piece ofequgment night t Maitenance reque appropiate sans educaton and experince 42 Methodology Outside vendors necessary materance of complex equipment A maintenance programme can be implemented in any numberof ways Maintenance requires access 10 itis importanto consider me vey equipment parts which may be ot methosoiogies mat are due to budget ations and For example itis possible fora neait procuremenidifculies parsculariy organization 1o estabiien senice when purchasing fom abroad prepare contacts wim device tor such challenges tis inporantio independent sence organizations 1508 or a combination ot both such and human resources necessary cases itis essental or ine esit cre 1o property execute e xganzaton to have personel 1o mentor VG Bo Pre Tho resources required tor obti equipment be inspecties maintenance programme as one bringing toa conta work area component ota comprehensive HTM or going to of ne equipment programme tat into to catagories ost and operating costs costs pars usd are programme begins Operating costs An amplo can be
92. urces avait of information sources Training personnel can ne coorta wn oner be provided inside hospitale who technicians exganizaton tough wel can cose s methodology that best maches tar reading equipment service and Faning manuals nos eecve taining dorsophistcalea equipment more materiais provides byte expensive using materiais provided by tied The most sophisticated equipment i setings consists of computer One to one waning provided by base maticomponent systeme person trom Most otne performance inspection ana verfeaon otis equipment by sotware use tor he procedure ystems bul io he equipment ise Be provide in te predominant acces computer codes major ianguage orme regoniouniy and understanding how mainisin ti ie not posse department eupmentmay oniy come min raning rondes bye manutacturer or vendor tne best purchas tor mem oritiney fora tee I me hospita has developed a an andate me manuals competent stator biomedical equipment service airing by the vendor good investment as ho should notte changed uni to eliminate vendorelte costs owner nas some eped
93. wer cora stan relef and plugis tor any signs ot damage Tum unt ot open user accessisie covers and tor damage Clean components and etn wim Vacuum or compressed 5 inspect inter tor signs of conoson or missing anna Repa required Inspect components tor signs ot T Perom banery operation es pressure calitraton 10 Pedo auto acouracy 2 conect operation ofl convois displays onde nica 12 Yett conect operaton ot unt a nto Medical equipment maintenance programme Xray system mobile Sate isp v1 Programme nak score Pet Fisk grou Diagnostic 1 Inspect exterior ot equipment for damage or rising hana 2 inspect he power cora stan eet and plugis signs a damage Tum unt ot open user accessisie covers and damage 4 Clean unite components exteror wim Vacuum or compressed air 5 pectine tor signs of conoson or missing Repair as required S spect decal components rst 7 accuracy af Vp per mantaca speciteatons 5 corect operation of Ere Yer comectopaton foe Inapect banens applicable service as requires 11 Yet gonea support and vavel Vesty moon operation of me arive system Vesty conect operation of display devices it
94. zsr Latour ana department tan rent warmer Physiologie monitor Doppler tow probe Feta blood gas monitor metos o Seres cage es dece one bre 1 device onc per year wit no 2 nemediate dances ance tice per yen some be sym 2 4 tes per Year eniensive PM required This metod requires somme enia wit me equipment and maintenance procedures The nspecton imos and tequencies breach cass of equpmentis erered ito Chart snd are dona yield me An example fis method found in Chan B Determining workload Tha sample uses me cherry and delivery inventory above Equipment ype Simpie devices Advance systeme SCheniaty 8 Cheniaty 4 Cheniaty 3 Delivery Heursinspacton Inspectonsyenr hour inspecting equipment mate els tne needed proide Complete inspection and preventive maintenance iunt me neasa t kavet 1o cca ae Spetamine wor ba neta get ready area gather paperwort wst bas and Phi parts or me ales compete paperwork aner me wo These aka aro vaable depending where cand wi respecto eal dos vere work tes pace and atat ype ot ode wot day sf b bul rapport

Medical Equipment Maintenance Programme Overview

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