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TABLE OF CONTENT

no content page
1 INTRODUCTION 2
2 TRAINING SCOPE 19
3 TRAINING CONTENT 27
4 WEEK 1 28
5 WEEK 2 32
6 WEEK 3 36
7 WEEK 4 39
8 WEEK 5 43
9 WEEK 6 46
10 WEEK7 49
11 WEEK8 52
12 SUGGESTION 56
13 CONCLUSION 58

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ACKNOWLEDGEMENT




Allhamdulillah for the successful completion of this Industrial Training .The genuine
appreciation must be given to Advance Pact Sdn Bhd at Hospital Pakar Sultanah Fatimah, Muar
Johor (HPSF) for their willingness and full cooperation in giving the opportunity for me to
undergo the industrial training in their company.

Firstly, I would like to express gratitude the my industrial supervisor, Encik Md iskandar
bin Sidek, Biomedical Engineering team and all Advance Pact staff for their valuable guidance,
assistance and mutual aid during my industrial training here. Also my appreciation goes to all
HPSF staff as well as users for their cooperation during accomplish my industrial training.

The Industrial Training has given me a bunch of experience especially the required
knowledge and proficiency presented to become a professional engineer. I have also understood
the manner required to be able to work with anyone in any condition to fulfill the objective at the
workplace. This invaluable experience can only be gained through an Industrial Training.

Also, I would like to deliver a very special thanks and appreciation to Universiti Tun
Hussein Onn Malaysia for the attention and support throughout the entire period especially to my
lecturer, Encik Mohd Kamal in Jaafar for supervising me in the industrial training visit, the
collaboration and information given during the Industrial Training.


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Last but not least, I would like to give my appreciation to my parent, family and friends
because always be at my side and support me from behind. Also for those who are involve
directly or indirectly, thanks a lot everyone.

























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ABSTRACT




In the industrial training that has been undergo from 1 April 2013 to 7 June 2013 at
Advance Pact Sdn. Bhd, Hospital Pakar Sultanah Fatimah Muar, Johor, hands-on method is
emphasized by the mean of obtaining knowledge in biomedical electronics field, which leads to
preparation for the real working life. The overall training program is very effective since students
actively involved in safe working manners including faultfinding, troubleshooting and servicing
of biomedical equipments from various types and features. The learning process and working
experiences in biomedical engineering field are both obtained as the purpose of the industrial
training, to give opportunity to students to get exposed in the real working situation as
preparation for their working life soon.
















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INTRODUCTION




The Introducing of Industrial Training

The purpose of the Industrial Training is to provide exposure for the students on practical
engineering fields. Through this exposure, students will have better understanding of engineering
practice in general and sense of frequent and possible problems. This training is part of the
learning process. So, the exposure that uplifts the knowledge and experience of a student needs
to be properly documented in the form of a report. Through this report, the experience gain can
be delivered to their peers. A properly prepared report can facilitate the presentation of the
practical experience in an orderly, precise and interesting manner.

















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The Objective of Industrial Training

To introduce the real working environment to student and to equip them with technical
experience in order to facing problem and challenges in the chosen carrier.
To examine the ability of student in practicing their knowledge with the real working
situation and in directly giving the clear description of the chosen carrier.
To widen scope of knowledge in student to enhance their technical skills in achieving a
high quality work standard.
To train student considering their safety while working and following all the safety rules
and regulation applied to the nature of the job.
To instill teamwork spirit as well as to develop good working environment between the
colleague and employer especially in term of communication and mutual respect.
To create sense of responsibility in student forward assignment or job given, confident
with their action, efficient and honest.
To help student creating more constructive ideas that can be linked between theoretical
and practical in order to produce innovative and knowledgeable student.
To create awareness on the importance of education and to increase students interest in
academic.
To prepare on official report after graduation.










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Company Background

Sultanah Fatimah Specialist Hospital

Sultanah Fatimah Specialist Hospital was established around 1900 in Jalan Petri,
Muar and are also known as' Government Dispensary. The hospital has moved its location to
Jalan Salleh 1918 when the Muar undergone the town planning. Since 1920s, the hospital which
previously known as Muar Hospital has gone through rapid development.

The naming conversion and the declaration of the Hospital name to the Sultanah Fatimah
Specialist Hospital were completed by His Highness the Sultanah Johor on October 13, 2003.

This hospital serves the third ranked hospital in Johor after Sultanah Aminah Hospital
and Sultan Ismail Hospital. It also serves as a reference hospital for the northern zone of Johor
inclusive Batu Pahat, Tangkak and Segamat.


Location of Sultanah Fatimah Specialist Hospital

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At the end of year 1996, Malaysia Government had decided to privatize the entire
engineering department in all hospitals nationwide. The Ministry of Health (MOH) was in
control of this project and had come to a decision of assigning Radicare (M) Sdn. Bhd., Faber
Medi Serve Sdn. Bhd (FMS) and Pantai Medivest Sdn. Bhd to handle their perspective regions
based on the agreement made with MOH.

The main objective of this project is to improve the quality of the support service
available in hospitals. The performance of the support services will be evaluated by the MOH
annually.

The companies and their perspective regions are as follows:


No


Consortium


Region

1.

Radicare (M) Sdn. Bhd.


Kuala Lumpur, Selangor, Pahang, Kelantan and
Terengganu


2.

Faber Medi Serve Sdn. Bhd


Perak, Kedah, Perlis, Pulau Pinang, Sabah and
Sarawak


3.

Pantai Medivest Sdn. Bhd.


Johor, Negeri Sembilan and Melacca


Companies and Perspective Regions


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Advance Pact Sdn. Bhd


Advance Pacts Logo


Company Details

Company Name: Advance Pact Sdn Bhd
Incorporated: 1997
Scope of Business: Healthcare Consultancy and Services
Registered Office & Head Office: 2-3A, Perdana The Place,
Jalan PJU 8/5G,
Bandar Damansara Perdana,
47820 Petaling Jaya,
Selangor Darul Ehsan,
Malaysia.

Telephone number: 03-77268632
Facsimile number: 03-77258636
Management Team - Corporate Office:
Managing Director: Shamsulbahrin Ludin
Executive Director: Mohd Hidzir Khamis
Medical Director: Prof. Dato Dr. Aminuddin Ahmad
Senior Manager, Finance: Aman Shah Ayub

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Head, Corporate Services: Zamri Mohamad
Head, Quality and Resource Management: Siti Ainol Khabtiah Mohd Jamil
Head, Administrations: Norzatusi Abdul Rahman

APSB Muar technical team;
Abd Rashid Bin Ali
Md Iskandar Bin Sidek
Halim Bin Johari
Azlan Zulfadli Januri
Hanif
Irfan
Ismail
Raimi
Malik

Advance Pact Sdn Bhd (APSB) is a Malaysian company that provides a comprehensive
state of the art biomedical engineering services for the healthcare industry in Malaysia, Asia
Pacific, East Asia and the Middle East. APSB was incorporated in 1997 and has progressively
developed a niche in the provision of biomedical engineering services locally and abroad. APSB
services have been designed to conform to ISO 9001 Quality Management System Standards,
ISO 13485 Quality Management Standards for Medical Devices and OHSAS 18001
Occupational Health and Safety Assessment Series.










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Companys Vision

Advance Pact Sdn Bhd strives to be leading global healthcare consultancy and Services
Company.

Companys Mission

Customer Satisfaction
Professional Competency
Technology Driven
Best International Standards
Cost Efficiency
Value Human Capital


Corporate Value

Commitment
Communication
Appreciation
Competency
Urgency
Integrity
Respect







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Services

i) State of the Art Services

APSB provides the full spectrum of biomedical engineering services from
medical equipment planning, procurement management, supervision of installation,
testing and commissioning, maintenance management, warranty management, risk
management and medical technology assessment. APSB services also include supply of
medical equipment spare parts and consumables.
ii) Medical Equipment Planning

APSB medical equipment planning services provide in depth assessment on the
need for medical equipment at various clinical and non clinical functional areas in the
healthcare facility. The planning includes identification on utility interface, structural,
radiation protection, safety and special environmental requirements.

iii) Procurement Management

The procurement management services include preparation of tender
specification, issue of tender, evaluation of tender, recommendation and award of tender
to the successful tenderers.

iv) Supervision of Installation, Testing and Commissioning

The supervision of installation ensures adequate site preparation, verification and
authorization of all related engineering drawings and design prior to physical installation
of equipment.


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The testing and commissioning services include all safety and performance test
requirement to ensure that the equipment has been correctly installed and the test
parameters conform to defined regulatory requirements.

v) Maintenance Management

The maintenance management services include planned preventive and corrective
maintenances.

The planned preventive maintenance services are carried out on a scheduled basis
for all equipment. The schedule is generated through the biomedical maintenance
management system and opens a work order which must be closed upon completion of
the works. A comprehensive preventive maintenance report will be generated by the
system.

The corrective maintenance services are carried out following detection of failures
through the normal course of routine inspection or work request by the client. A
comprehensive corrective maintenance report will be generated by the biomedical
maintenance management system.

Biomedical equipment inventory system
Work request
Work order summary
Work order summary in progress
Work order summary completed
Work order summary outstanding
Maintenance labour

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Maintenance spare parts cost
Maintenance availability and cost assessment

The system facilitates optimum selection of equipment, inventory of equipment,
traceability on preventive maintenance activities, analysis on maintenance and spare parts
costs and evaluation for decommissioning and disposal of equipment.



vi) Warranty Management

The warranty management services manage and supervise all warranty contracts of
newly installed biomedical equipment. The services monitor the implementation of all
contractual requirements and planned preventive maintenances during the warranty
period. In the event of any breakdown, the services coordinate request for corrective
maintenance, supervise the repair and consolidate all maintenance information for
presentation to the customer.

vii) Risk Management

APSB biomedical equipment risk management services evaluate the probability of
equipment failure using the probabilistic risk assessment technique. The predictive
assessment will identify the critical route for failure and plan for the appropriate
mitigation. These will include preparedness for spare parts requirement and planned
preventive maintenance.



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viii) Medical Technology Assessment

The medical technology assessment services provide the technical and financial
evaluation on the suitability and need for procuring and installing prospective medical
equipment or system. The feasibility assessment will identify the optimum needs between
applications of technology, cost effectiveness as well as health, safety and environmental
requirements.




ix) Supply of Spare Parts and Consumables

APSB supplies a wide range of spare parts and consumables for various types of
medical equipment. The range includes spare parts and consumables among others for
anesthetic equipment and related accessories, endoscopy, cardiac, dental, haemodialysis,
surgery, laboratory, lung function, neurology, obstetric and neonatal, operating tables,
operating theatres, patient monitoring, sterilization, physiotherapy and rehabilitation
equipment.











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Quality Policies

i. To deliver effective and efficient biomedical engineering maintenance services to our
customers.
ii. To develop professional technical resources.
iii. To continually improve biomedical engineering maintenance services meeting the
national and international regulatory requirements.
iv. To incorporate new standards and technology in achieving quality objectives and
target.


Occupational Health and Safety Policies

i. To sustain health and safety commitment from management & staff.
ii. To provide employee with healthy and safe working environment.
iii. To comply with OHS and other legal requirements.
iv. To continually improve OHS management system effectiveness.















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Biomedical Engineering Maintenance Services

Biomedical engineering maintenance services were included:

a) Equipment condition appraisal
b) Testing & Commissioning of new equipments
c) Online asset maintenance and registration
d) Warranty management
e) Planned Preventive Maintenance
f) Corrective maintenance
g) Statutory requirement
h) User training


1.3 MANAGEMENT

Biomedical Engineering Maintenance Services is one of the disciplines contributing to
effective and economical health care. Medical professionals depend heavily on their precision
instruments and equipment. Therefore, there is no room for errors.

As specialists, we will always ensure the management of medical device technology is
carried out by a comprehensive program of planned and scheduled maintenance. This includes
adherence to recognized safety, quality, cost and efficiency standards and statutory requirements.









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Services offered are as follows:

Equipment condition appraisal
Testing & Commissioning of new equipments
On-line asset maintenance and registration
Warranty management
Planned Preventive Maintenance
Corrective maintenance
Statutory requirement
User training
Technical support specialists


















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TRAINING
SCOPE


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Planned Preventive Maintenance (PPM)

PPM is a periodic maintenance on biomedical equipment to minimize the risk of failure
and to ensure continuous proper operation. This action includes cleaning, lubricating, calibrating,
and replacement of certain part, e.g. Batteries.

The Technical Support team will periodically review the equipment inventory or asset list
and identify equipments that require PPM to be carried out and list them in the PPM Equipment
List. The review may be based on the original equipment manufacturers recommendation of
PPM or recommendation based on international bodies or institutions like ECRI.

The Technical Support team will prepare the PPM requisites as in the Maintenance
Instruction Sheet extracted from service manuals or ECRI for each equipment identified for PPM
which amongst others include a list of work instructions which illustrates the scope of work to
the maintenance personnel such as inspection or degree of wear and tear, adjustment or
calibration of controls, replenishing of spares and consumable.

The Technical Support team will prepare an annual calendar planner for the PPM, which
is referred to as the PPM Calendar. This planner will indicate the projected implementation of
the PPM frequency and the planner will be distributed to each and every ward and unit in the
hospital. The head nurse or Sister will sign a consent form stating the receiver of the planner.

The date of PPM implementation shall be discussed between the Technical Support and
Users till a mutual agreement is achieved by considering the availability or access of the
equipment at that projected time.

The Technical Support will prepare a work order for the PPM job. If the work is to be
carried out by sub-contractors, the Technical Support will supervise the job performed and
complete the work order form. Upon completion of the PPM job, a PPM/EST/Performance
sticker will be pasted on the equipment. An example of it is as below:

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Planned Preventive Maintenance Sticker

Any PPM that needs to be rescheduled needs to be approved by the customer (user) and a
new agreed date will be recorded in the PPM Notice under the Reschedule column. Lastly, the
Technical Support will need to ensure that the customer acknowledges the acceptance of the
serviced equipment, verifies that the service was completed and all information related was
recorded in the work order form.


















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Breakdown Maintenance

Breakdown Maintenance is the action performed to restore an item to a specified
condition when it fails. Technical Support will respond, evaluate and classify each breakdown
maintenance work request.

For In-House work orders, allocation of resources or labour and requisition of spare parts
and tools will be made. The corresponding and necessary spare parts can be obtained from the
store.

As for materials and services not included in the centrally procured list, the Technical
Support will purchase those materials or services by using the Material Requisition Issue Note
(MRIN).

The Technical Support is responsible to ensure the execution of the work order to be
carried our In-House or Contract-Out by approved sub-contractors or service agents. In Contract-
Out, the Technical Support will need to ensure that the work done is within specifications. The
Technical Support upon completion of work will complete the work order.

The Technical Support is responsible in ensuring a valid calibration upon the test
equipment before tests are carried out. If the equipment is removed from the specified site, the
Technical Support will need to notify the user upon completion of the maintenance, arrange
delivery of the item back to the user and lastly operate or test run the equipment in the presence
of the user.







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Beyond Economic Repair (BER)

Beyond Economic Repair is the process upon equipment that cannot longer be used or
should be deleted from the record. The criteria for an equipment to be announced Beyond
Economic Repair is:
Cannot longer be used
Not economical for repairing
The economical use was over (~10 years in Malaysia)
The equipment is outdated

The Technical Support will make an assessment of the equipment based on the criteria
stated above and will fill up a BER Recommendation Form for approval by the Service Centre
Head and BER 1 Form for Application For Beyond Economical Repair Certificate.

The user may request for the equipment to be removed to the condemned storage area. A
work order form is needed for this removal. The Technical Support will make assessment of the
request for removal and the user will verify the removal of the item.

Once the approval is obtained, the asset records will be updated. No maintenance will be
carried out on BER certified items.








Figure 1.4: Beyond Economic Repair Sticker


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Testing and Commissioning (T & C)

Testing and Commissioning is the procedure for accepting equipment newly received or
installed in hospitals or institutions under the Biomedical Engineering Maintenance Services.

The Technical Support will open a manual work order for the acceptance for the
equipment. He/she will witness and verify the acceptance testing, demonstration and
commissioning of the delivered equipment carried out by the equipment supplier.

The Technical Support also verifies the delivery of the equipment and all accessories,
service manuals, spare parts list and warranty agreement and other documentation as per supply
contract. Inventories of the equipment will be done in the computer system by assigning a unique
number to the equipment and identifying the equipment with a label.

The Technical Support will inform the user if there were any irregularity in the supply
and will follow up with the supplier so that any shortfall in supply as mentioned in the supply
contract will be rectified.
Upon completion of the Testing and Commissioning, the Technical Support will perform
IEC 601 if required and will attach the results together with the manual work order. A safety test
sticker (PPM/EST/Performance Sticker) will be placed on the machine.








Testing and Commissioning Sticker


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It is the responsibility of the Technical Support to witness the testing which is up to the
Manufacturers Specification and Customer Requirements as per Service Manual.

The test equipment has to be ensured a valid calibration before tests are carried out. If the
test equipment has no valid certificates, the Technical Support will arrange for the equipment to
be calibrated and if necessary for the testing to be completed using certified equipments.

Upon successful completion of the test, the Technical Support will record all the
information in the Equipment Acceptance Register, where a copy of it will be issued to the user
certifying the equipment for clinical service.

The Technical Support ensures that the user of the equipment understands the operation
of the equipment and the user maintenance that is needed to be carried out by them by either
arranging or in-service training by the equipment supplier or by direst training of the users.
Either form of user training carried out will be documented.

Finally, the Technical Support will close the work order after obtaining the verification
by the user. The new equipment will be updated in the PPM schedule for periodic maintenance.













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User Training

User Training is brought up generally for understanding the operation of an equipment,
daily user maintenance and also safety and precaution of the equipment. User training is selected
based on the quantity of majority daily usage, high frequency, and demand or request by the end
users.

The training is conducted not only for the end users, but for Advance Pacts staffs as
well. This could be useful for new recruited staffs in giving them a perception on what the
biomedical equipment is and practice the maintenance.

In general, trainings can be divided into two. Firstly, the manufacturer carries out the
training indirectly during the commissioning. Secondly, Advance Pacts specialist or trained
staffs will carry out in-house training. These formal trainings are normally held in Pantai
Medivest Meeting Room at Hospital Melaka. The training session is normally half an hour and
will be followed by a Q & A session.

User trainings can also be conducted informally, for example, when the technical staffs
are on the end users request duty and technical advice. Sometimes, if the technical staffs sense an
inappropriate operating way by the end users, they will give a short and brief training in order to
enhance their skills in operating and maintaining the equipment properly.









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TRAINING
CONTENT
BY WEEK








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WEEK 1










29

DATE : 1/4/2013
OBJECTIVE : Reporting in
ACTIVITY : I go to Hospital Sultanah Aminah in Johor Bahru to report in my presence for
first day of training. The manager there gave me speech and tell me what to do for training in
Advance Pact Sdn Bhd. Then I go to Hospital Pakar Sultanah Fatimah in Muar for my site
report.







DATE : 2/4/2013
OBJECTIVE : knowing staff and working site
ACTIVITY : I was introduced to my industrial supervisor, Encik Md Iskandar Bin Sidek. Then
he take me around the Hospital to let me know all the department and building. Then he briefly
tell me about the job scope as a biomedical engineering worker.









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DATE : 3/4/2013
OBJECTIVE : learning PPM
ACTIVITY : Follow staf doing PPM. I follow Encik Abdullah to ICU to gain knowledge
about doing PPM. PPM is a routine maintenance for registered biomedical equipment.




DATE : 4/4/2013
OBJECTIVE : strengthen the knowledge of doing PPM
ACTIVITY : this morning I go to Operation Theater (OT) for doing PPM on a ventilator.
Ventilator is a machine to support in breathing.

MODEL :VELLA
BRAND :VIASIS











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DATE : 5/4/2013
OBJECTIVE : Trouble shooting Learning
ACTIVITY : today I go to ward 7 to learn to check a defibrillator. We use a special tester to
test the equipment called defibrillator analyser.





DEFIBRILLATOR DEFIB ANALYSER











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WEEK 2









33
DATE : 8/4/2013
OBJECTIVE : Doing troubleshooting
ACTIVITY : Today , Encik Iskandar told me to divide the PPM work order according to stuff
department . Then I go to the OT to respond for the request of GA machine . The problem is at
the ventilator . The ventilator shout down by it self . We troubleshoot the problem. Power cord is
change with a new one . Problem solves and the work order is sign and stamp by medical
assistance .








DATE : 9/4/2013
OBJECTIVE : troubleshooting
ACTIVITY : Today I go again to OT. It is the GA machine again. It is the same problem as
yesterday but it is not the power cord. I troubleshoot the problem and the problem is at the
microcontroller board. It have to be replace with new one. The cost is RM 13000.
Error log







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DATE : 10/4/2013
OBJECTIVE : PPM
ACTIVITY : Todays activity is doing PPM on a microscope. Doing it is simple. We just have
to clean the lense. Test it and replace the PPM sticker.


DATE : 11/4/2013
OBJECTIVE : PPM
ACTIVITY : Todays PPM is on a transport ventilator. It is a mechanical type. PPM is to check
the function, the gauge, and the adjust knob is working properly or not. The machine work
properly and it can be use. Replace the PPM sticker and the work is done.
















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DATE : 12/4/2013
OBJECTIVE : Checking, troublshooting
ACTIVITY : Today Encik Iskandar is not around, so I follow other practical student to the
ward to check a patient monitor machine. The problem is, the sp02 probe is not working. We
troubleshoot the machine and found out that the sp02 socket is damage. It need replacement.










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WEEK 3



37

DATE : 15/4/2013 to 16/4/2013
OBJECTIVE : office work; asset verification
ACTIVITY : I go to Hospital Segamat for asset verification on the order from Puan Suriyani.
Activity there is to check the machine tag number one by one in the hospital to verify all the
biomedical equipment.

DATE : 17/4/2013
OBJECTIVE : troubleshooting/respond
ACTIVITY : there is a request from eye clinic about a Hess Chart. It is a chart to test the
corrective eye muscle. One of the bulb is not light. The cover is opened and check the bulb one
by one. The broken bulb is found and has been replace with new bulb. The chart work properly.





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DATE : 18/4/2013
OBJECTIVE : PPM
ACTIVITY : Todays PPM is slit lamp. Slit lamp is an equipment to check the patient eye ball.
The light source can penetrate in to the eye ball. PPM done by cleaning the lens and correct the
slit alignment. PPM done as pre checklist.

DATE : 19/4/2013
OBJECTIVE : troubleshooting
ACTIVITY : there is a request on a tympanometer. This equipment is used to measure the
patient inner ear pressure. The princip is simple. The air is pump to the ear and ear will reverse
the air. The machine will measure the reverse air. The problem is, it does not get correct reading.
The machine need calibration.


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WEEK 4










40
DATE : 22/4/2013
OBJECTIVE : change part
ACTIVITY : Blood gas
Today activity is troubleshooting is blood gas machine. This is a laboratory machine. It is use to
analyse the presence and percentage of certain chemical properties in blood. This time the Ca2+
probe need replacement because it is broken. We change the probe and calibrate the machine.
Machine tested ok and ready to use
.





Ca2+ probe
Blood gas machine
DATE : 23/4/2013
OBJECTIVE : PPM
ACTIVITY : todays PPM is on a training manikin. Training manikin is an equipment that use
by trainee doctors for learning an emergency situation. There are many type of manikin. The
manikin for PPM today is respiratory type. It is use to train the doctor how to do CPR. PPM done
by testing the functionality and clean the outerior and interior of the manikin.






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DATE :24/4/2013
OBJECTIVE : troubleshooting
ACTIVITY : there is a request from user that is the oven in the pathology department is
overheating. The oven is use to fasten the time to dry test tube and other laboratory equipment. It
is overheating due to the damage regulator. We replace the regulator with new one. The oven is
test and it is functioning. It can be use
.





DATE : 25/4/2013
OBJECTIVE : servicing and cleaning
ACTIVITY : my task today is to service a nebulizer. This machine is use to turn water to
vapor.












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DATE : 26/4/2013
OBJECTIVE : change part
ACTIVITY : my task today is to replace a set of worn carbon brush from a motor. It is a DC
12V motor. User said it is not functioning. Encik Rashid troubleshoot the motor and finds the
carbon brush is worn of. He thought me to replace it. The motor is put back together and the
motor spin normally. It can be use again.







______________________________________________________________________________
DATE : 27/4/2013
OBJECTIVE : troubleshooting
ACTIVITY : today I follow Encik Rashid to hospital segamat to respond on a heamodialysis
unit there. He troubleshoot the problem and finds that the temperature sensor is broken. It is
replace with new one. Machine is calibrate and tested. Machine runs normally.









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WEEK 5











44

DATE : 29/4/2013
OBJECTIVE : troubleshooting/respond
ACTIVITY : today Encik Iskandar and I go to the SCN to respond from the user request saying
that a ventilator is not charging. He told me to troubleshoot the problem. The problem is the
battery. It need replacement but the battery is imported and we have no stock. Encik Iskandar
wrote a MRIN to order the battery.







______________________________________________________________________________
DATE : 30/4/2013
OBJECTIVE : PPM
ACTIVITY : todays PPM is in the scope room. The equipment is a diathermy machine. This
machine is use by surgeon to stop the bleeding. PPM done by testing the functionality and
servicing.


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DATE : 2/5/2013
OBJECTIVE : troubleshooting
ACTIVITY : Encik Rashid take me to the Hemodialysis Unit to troubleshoot the RO machine.
He said there is a bacteria in the system. To get rid of it, he dilute an acid and the machine suck it
and circulate it in the system. Then he set the machine to rinse about 30 minutes. The machine
tested ok.







_____________________________________________________________________________
DATE : 3/5/2013
OBJECTIVE : office work; asset verification
ACTIVITY : Asset verification is a process of verifying all the asset or biomedical equipment
that is registered to be maintaned by Advance Pact sdn bhd. Today Puan Suriyani asked me to go
with her to Hospital tangkak to do it.








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WEEK 6










47
DATE : 7/5/2013
OBJECTIVE : installing part / testing/ observing
ACTIVITY : the battery for the ventilator from the SCN the other day has arrived from
Sweden. Then Encik Iskandar and I install the new battery and test the functionality. So it
function. Then we let it run for 24 hours to observe it.


DATE : 8/5/2013
OBJECTIVE : troubleshooting/observation
ACTIVITY : there is a request saying a ventilator air leak at ICU. Encik Iskandar and I go to
the ICU to troubleshoot is. It comes out that the O-ring/gasket has worn off. He replace it and run
the machine for observation. The machine run normally.









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DATE : 9/5/2013
OBJECTIVE : PPM
ACTIVITY : todays PPM is scope. Use to look into human intestine, stomach and trachea.PPM
done by testing it functionality and clean the camera lens.












DATE : 10,11,12,13/5/2013
OBJECTIVE : office work; asset verification
ACTIVITY : in this period of time, I was told to go to Hospital Melaka to do asset verification








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WEEK 7











50
DATE : 14/5/2013
OBJECTIVE : troubleshooting
ACTIVITY : syringe pump.
Use to deliver a specific amount of medicine/drug to patient at certain time set by nurse or
doctors. The problem with this equipment is it does not push the syringe. I troubleshoot and find
the drive belt is worn off and need replacement.








DATE : 15/5/2013
OBJECTIVE : troubleshooting/installing new part
ACTIVITY : blood gas machine.
The machine cannot function so technician, Encik Azlan told me that we have no choice but to
replace the whole machine with new part. The casing remain the same but all the inner part have
been replace with new one. The machine tested ok and normally function.







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DATE : 16/5/2013
OBJECTIVE : electrical safety test learning (EST)
ACTIVITY : EST is a test done to machine to test that there is a current leakage or not.

EST equipment







DATE : 17/5/2013
OBJECTIVE : changing RO membrane
ACTIVITY : I with Encik Rashid go to the hemodialysis unit today to replace old RO water
system membrane with new one. Changing membrane is done once every 5 years. Membrane use
as the last stage filter. It is capable of filtering almost all the organism in the water.



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WEEK 8











53
DATE : 20/5/2013
OBJECTIVE : troubleshooting/servicing
ACTIVITY : Encik Irfan asked me to take a look at a suction machine. He said it has no
suction. I troubleshoot the machine and found out the piston is dirty and jammed. So I service the
machine, put it back together and test it. Test ok and the suction power is strong.








DATE : 21/5/2013
OBJECTIVE : troubleshooting
ACTIVITY : Nivo nebulizer is an electronic nebulizer use to turn water/ liquid form medicine
to vapor. The problem is on the connector. It did not contact with the probe. I repair the wire and
test on the machine. Machine tested ok.










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DATE : 22/5/2013
OBJECTIVE : changing RO filter valve head
ACTIVITY : the equipment is placed on top of the RO filter as cap and control valve.









DATE : 23/5/2013
OBJECTIVE : PPM
ACTIVITY : keratometer.
Use by optimetris to se the katarac in patient eyes. PPM done by testing it functionality, lamp,
hidrolics, and servicing (cleaning).










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DATE : 24/5/2013
OBJECTIVE : part replacement
ACTIVITY : NIBP patient monitor.
This units connector from hose to cuff is broken. It is replaced and tested. Test ok and the
machine function normally.






















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SUGGESTION

Suggestion that I can think of is;
From the management aspect ;
a) Tagging of the machine must synchronize with the data in the system.
b) Avoid double tagging.
c) Make sure the machine is in the department (do not misplace)
d) Sister or head nurse of every department must know their asset in their
department.
e) PPM, RWM and COMPLAIN must be updated as soon as possible in the
system

From the operation aspect ;
a) Technical crew must respond from a request immediately .
b) Bring along all the document needed.
c) Bring along a complete set of tool.


From the QC aspect ;
a) Technical crew must do all the test require for the machine.
b) Make sure the equipment repaired is safe to use.
c) Check thoroughly the equipment.
d) Clean the equipment after every repair.






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Suggestion to the PPD for the suite of this course

I suggest that PPD could lengthen the duration of this subject because;
It introduce the real working environment to student and to equip them with technical
experience.
It widen scope of knowledge in student to enhance their technical skills in achieving a
high quality work standard.
It train student considering their safety while working and following all the safety rules
and regulation applied to the nature of the job.
It create sense of responsibility in student forward assignment or job given, confident
with their action, efficient and honest.
It help student creating more constructive ideas that can be linked between theoretical
and practical in order to produce innovative and knowledgeable student.















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CONCLUSION


After undergo industrial training in Advance Pact for 10 weeks, I get to know and
understand how this company play the important rule to the hospital management and manner of
the hospital. Knowledge that been given from all the companys staff is very useful for me and
make me ready to face the real working situation.

I was expose to the job spec and procedure related to maintenance, servicing and
troubleshooting. This exposure will give me more advantage and very useful experience when I
work. I also learn how to work systematically and finishing work in order. I also have done
almost all the work, procedure and job scope of this company.

Lastly, student that involvement in this training will get to prove and strengthen their
ability and interest in technical. The log book and final report scheme is very systematic and
compact. It is very useful for student to record all the activity and work done.