BIOMEDICAL ENGG DEPARTMENT

Engineering Department
GENERAL MAINTENANCE Civil: Building and Roads HVAC, Morgue and Cold Storages Electrical Panels, wirings, fittings UPS Incinerator Medical Gases - Manifold Plumbing including Water Treatment Plant Boiler and Sewage Treatment Plant Fire Fighting Interior Decoration Vehicles [Ambulance/General] Lifts [Patient/Passenger] Laundry, Kitchen & Housekeeping Equipment BIOMEDICAL ENGINEERING

Biomedical Equipment Computer H/W&S/W Nurse-call system Public Address System

Definition
Biomedical engineering is a discipline that integrates engineering principles and the study of the life sciences and medicine. Difference between clinical engineer and biomedical engineer.

Organization
Clinical or biomedical engineer with a degree in clinical engineering technology, electronic technology or electromechanical technology Technicians Medical equipment repairman.

ADMINISTRATION

COMMITTEE FOR ELETRICAL SAFETY

PROGRAMME HEAD (BIOMEDICAL ENGG.)

SENIOR BIOMEDICAL ELECTRONIC TECHNICIAN (REPAIR)

BIOMEDICAL ELECTRONIC TECHNICIAN (PREVENTIVE MAINTENANCE)

BIOMEDICAL ELECTRONIC TECHNICIAN (OPERATION)

BIOMEDICAL ELECTRONIC TECHNICIAN (RESEARCH)

CLERK-TYPIST

Philosophy
To reduce device downtime using trained staff with the correct backup to ensure medical devices are maintained in a safe & reliable condition

Objective

To maintain the medical equipment in optimal conditions of functionality as well as the hospital facilities Improving the performance level of the personnel and helping in health services quality. To maintain necessary inventory control of all spare parts.

To maintain proper library and file control for all service operator manual for each piece of medical equipment.

Policies and Procedures

Written policies and procedures should be formulated. All maintenance requests should be approved and signed by HOD Maintenance request form should be duplicate and should give details regarding the name and title of the person making the request, location, date, requested action, etc.

Policies and Procedures..

Not to undertake maintenance job without specific work order signed by maintenance chief or his assistant Procedure for emergency repair clear definition of what constitutes emergency Effective system to sanction and control overtime Comprehensive preventive maintenance program for the hospital.

Space layout
Size of hospital Extent of sophistication Size and training of personnel and extent of contract service

Space layout

The lab should be air-conditioned. Adequate power supply for several equipment Hot and cold water Compressed air , Vacuum pump for cleansing equipment. Certain instruments require moisture free cleaning which is done by using nitrogen Illumination level 200feet candles

Space layout

Small hospital One biomedical technician 150 sq.ft Large lay out Desk with mounted cabinets or bookcases- , for manuals and records, Lockable cabinet, for storage of test instruments, spare parts and smaller instruments awaiting repair. Large instruments awaiting repair are stored at the end of the room on one side. Other side workbenches(12 ft) with storage drawers underneath for tools and more spare parts. Large laboratory type sink at one end.

Function

The Biomedical Engineering (BME) department is, responsible to support the delivery of healthcare by insuring the availability of safe and effective medical technology in a cooperative effort with other members of the healthcare team within the trust.

Function
Technology management

Inventory/asset management Strategic planning Quality & safety Regulatory and standards compliance Vendor management Training & education

Technical services
Installation & integration Upgrades Testing, inspection and preventive maintenance Repair

Function(Contd..)
Mechanical Engineering

Design and builds devices Manufacturing Equipment maintenance services Quality assurance

EQUIPMENT MANAGEMENT PLAN

Selection and acquisition of equipment Evaluation of equipment Preventive /Corrective/Breakdown/Routine maintenance Incident investigations Data collection/management Orientation and continuing education

Medical safety testers

High-performance instruments designed to ensure the effective operation of a variety of patient diagnostic equipment. Basic Radiographic Specialized Test Equipment

Safety testers

Resistance range:0-5 ohms, 10mA Leakage range: 0-5000uA Patient lead Isolation or mains on applied part-1mA@110V Leakage current 0-500uA Flow meter Gas Analyser Pressure Gauge Safety Analyser

REGULATORY ISSUES
Clinical devices and technologies are generally governed by The Bureau of Indian Standards (BIS) NFPA 99 JCAHO

JCAHO requirements.
Definition of medical equipment Regulatory requirements for equipment users &Maintainers Requirements for equipment selection and acquisition Establishment of risk criteria Types of acceptable medical equipment maintenance programs Regulatory requirements for medical equipment and device failure identification, investigation, management and reporting Educational requirements for staff related use and maintenance What staff must do in emergency instances related to medical equipment

PERFORMANCE IMPROVEMENT INDICATORS

Operator Errors Inventorying Incoming Equipment

Computerized Maintenance Management System (CMMS)

Work orders Preventive maintenance

Asset management
Inventory control

Safety

A M Contract

Importance of piece of equipment to functioning of hospital and patient care. Direct cost of failure of the equipment

Indirect cost of failure and nonavailability of an essential piece of equipment.

Priorities and Guidelines

Emergency Life is threatened or endangered Within 4 working hours Normal repair in the patient areas Within 8 working hours Normal repair in the support areas Routine Minor tasks, some delay is of little consequence Long term Requested and registered but not yet scheduled.

Guidelines for selection and maintenance of equipment

Avoid buying equipment that is expensive to repair and maintain and one that is not reliable. Involve technical personnel in the purchase of equipment, Appoint qualified and experienced maintenance personnel. Provide necessary tools and test instruments to the maintenance personnel to work with.

Check if contract service for maintenance of certain key equipment works out cheaper. If it does, do not invest on costly tools and test instruments. Train maintenance personnel and operators of equipment and encourage them to update their knowledge Establish policies and procedures and ensure adequate records for all work and the materials used. Establish internal control measures for accounting, purchase, stores and issue.