Medical Equipment
Management
Program.
New Hire
Orientation
Biomedical Engineering Dept.
1
Objectives
Biomedical Engineering Dept. ?.
Medical Equipment Classification
Crash Cart Equipments
Basics of Defibrillator use
Battery back up Equipments & storage
Cleaning and Disinfection
How to inform Biomedical?
What is PPM and your Role in PPM?
Equipment Transfer
Mobile/cellular phone usage in critical care units.
Practical Section.
2
Biomedical [Link]. ?
A professional who supports and
advances patient care by applying
engineering and management skills to
healthcare technology. .
An Engineering staff specialized in
the commissioning and repair of all
biomedical
Equipments
in
the
hospital
To
establish
a
program
for
inspection, calibration & testing of
all medical Equipments in Mouwasat
3
Equipment Classification
Medical Equipments
in MH.Q
High Risk
Medium
Risk
Low Risk
High Risk Medical
Equipment
Which
equipments Failure
or misuse will
cause serious injury
or death to the
patient or staf.
Eg: Life saving and
life support
Equipments
IV pumps ,Cardiac
monitors etc..
5
Medium Risk Equipments
Which equipments Failure
or misuse will cause a significant
impact to patient care
eg: Diagnostic Equipments, Lab equipments
Low Risk Medical
Equipments
Which Equipments
Failure or misuse will not produce
any harm to patient or staf.
eg: patient bed, x-ray viewer etc
Crash Cart Equipments
Defibrillator
O2 Cylinder
Laryngoscope
Ambu Bag and BP Apparatus,
Portable suction
8
What is Defibrillator?
Defibrillator is an
electronic
equipment which
deliver a high level
energy to reduce
the fibrillation.
Unit of energy
joule
Energy level 0270j/360j
Type of defibrillator
9
Modes
Defibrillation
AED
Ecg Monitor
Basic check up/Set up
External Pacing
10
Defibrillation
Energy limit is 0 270/360 J
Apply jelly for contact
Make sure the paddles are
connected well
Make sure that the contact light is
lighted
Make sure no one touchs the
patient or bed
After defibrillation clean the
11
AED (Automated External
Defibrillation)
For AED needs
disposable paddles
Easy for handling
The machine will
detect the rhythm
and given the
instruction to
deliver the energy
12
Monitor
It will monitor the ecg rhythm of
the patient through the ECG
cable( 3 leads)
13
Set up
Includes date & time, volume, print
details, basic check etc.
Basic check/Operational check:
very important one, do it everyday
and confirm it working good
Basic check up always do on battery
in Nihon Kohden Model.
After basic check up plug on
14
O2 Cylinder
Should be checked and
documented daily
Documentation
is
always in PSI range
If the gauge is not in
PSI use the conversion
chart.
If the pressure shows
below 500 PSI replace
the cylinder.
Before open the main
valve be sure that flow
control knob is of. 15
Laryngoscope
Make sure daily all Laryngoscope
blades are working good.
Always keep 2 bulbs as spare
16
Battery back up Equipments
Be sure the battery back up equipments
are working well in battery.
Switch of the main power and run the
machine to make sure that the battery is
working good.
Be sure all the high risk medical
equipments are connected to UPS line
and have battery back up.
17
Cleaning and Disinfection
Clean the machine securely
Switch of the machine and remove power
outlet prior to clean the machine.
Use Biotek or any germicidal solution
recommended by PCI
Do not apply any solution directly to the
machine.
Apply the solution to J- cloth and wipe it.
Use the proper PPEs.
18
How to inform Biomedical?
In case of any equipment is defective or any
malfunctions occurred,
a) Check the equipment
b) If not functioning, put the out of order tag
c) Remove the equipment from use and replace
with other one (if available)
d) Inform the head of the department
e) Make CMR and send to Biomedical
f) If you send the equipment to biomedical make
sure it is clean and disinfected
g) If it is emergency call ext. # 5333 or mobile
19
Equipment failure flow chart
20
Equipment transfer
Intra departmental transfer of equipment,
must be documented in the borrowing book.
If there is a permanent transfer of any
equipment, notify biomedical through asset
transfer form.
21
What is PPM?
: PLANNED PREVENTIVE MAINTANANCE
End User PPM
Biomedical PPM
22
End user PPM
The senior person of each unit or the assigned
staf is responsible for this
Responsibilities
a) Check each equipment have biomedical PPM
sticker with last inspection & due date.
b) Ensure that the equipment is,
1, free from dust, dirt and corrosion
2, free from damage
3, Properly lubricated (if needed)
23
Responsibilities..
4, Free from leaking
5, Stable and safe to use
6, the power is connected to the correct
voltage (All over the hospital 220 v)
7, The power cable is safe and
appropriate
8, ensure that no unusual noise
generated
during use.
9, If it is heat generated, it is safely
dissipated
24
Biomedical PPM
Biomedical
Engineering
staf
/
contractor engineers are responsible to do
this as per the annual PPM program
As per the Risk assessment the
frequency of each equipment is stated on
the annual PPM program.
25
Biomedical PPM.
Monthly PPM
Defibrillator, Ventilators, Anesthesia machine etc.
Quarterly PPM
All cardiac vital sign monitors, IV pumps
Semi annual PPM
IVAC thermometers, Diagnostic and lab equipments
Annual PPM
Patient bed, x-ray viewer,
26
Biomedical Equipment Tags.
Asset #
PPM sticker.
BIOMEDICAL ASSET NO
PPM DATE: ________________
PPM DUE:_________________
DONE BY:__________________
ME-0255-0008
[Link] :
PPM : MONTHLY EST :
ANNUAL
LOCATION - MHQ
- ENDO.
Electrical
safety
test Sticker
EST DATE: ___________
EST DUE:
_____ _______
DONE BY:
__ __________
27
Mobile Phone Use
Strictly prohibited in Critical care units.
Mobile phones signals can interrupt the
medical equipments performance.
Mobile phone signals can be misguide
the equipments
Mobile phone signals can be stop the
equipments
operation,
especially
ventilator, IV pump, heart lung machines
etc.
28
Thank you
?
n
o
i
t
s
e
u
29