Biomedical Equip Planning

BIOMEDICAL EQUIPMENT PLANNING.

BIOMEDICAL EQUIPMENT PLANNING.

It refers to the process of thinking about and organising the layout and structural
framework of the building to fit its designated purpose, properly dimensioning and
exactly placing supply and disposal piping plus data communication cables, and
making sure that the entire range of installed medical equipment and instruments
meet currently binding standards of health and hygiene. It is essentially the process
of turning health-care delivery requirements into future procurement requirements.

During the planning process, it involves quite a number of activities such as;
 Getting information from persons who install and maintain the biomedical
equipment, so as to properly plan for the room where the biomedical
equipment will be installed.
 Identifying biomedical equipment to buy
 Getting to know the cost involved when buying specific biomedical equipment
for a health facility.
 Look at inventory of previous records.
 Make research in history involved during the installation and functioning of
biomedical equipment. These include the failures and successes in the past
during the different installation processes.
Equipment procurement.
Procurement is the process of purchasing items. Equipment procurement is a

process based on the outcome of the medical equipment planning process whereby
needed medical equipment types are identified, quantities complied and locations are
marked. The procurement process includes the following;
 Prepare technical specification.
 Prepare tender documents.
 Solicit bids from vendor/suppliers.
 Evaluate bids.
 Award of contract.
 Compile delivery, installation and commissioning program
Medical equipment technology assessment.
This refers to the objective evaluation of medical technology regarding its safety and
performance, its (future) impact on clinical and non-clinical patient outcomes as well
as its interactive effects on economical, organizational, social, juridical and ethical
aspects of healthcare. Medical technologies are assessed both in absolute terms and
in comparison to other (combinations of) medical technologies, procedures, and
treatments.
During any kind of biomedical equipment technology assessment, a number of

things need to be considered such as;
 How the different biomedical equipment work. This helps the governing body
such as WHO (World Health Organization) to clearly ensure that all biomedical
equipment are safe to be used to perform diagnosis, therapeutic and
monitoring of patients within the health facility.
 What the different biomedical equipment are made of. This helps ensure that
biomedical equipment are made of stable materials that are safe to be
handled.
 Under which conditions they work.
 Intended purpose of the different biomedical equipment.
 Both the positive and negative effects of the use of biomedical equipment on
the patient and user.
 Impact of the biomedical equipment within the medical field.
 Pricing of the biomedical equipment. Biomedical technologies need to be
affordable to health facilities and WHO ensures that they are.
 Policy on implementation of medical equipment.
How to effectively manage biomedical equipment in a regional hospital.
This is a fundamental part of managing, maintaining, and/or designing medical

devices used or proposed for use in various healthcare settings from the home, the
field, the doctor's office, and the hospital.
Management of biomedical equipment includes the business processes used in

interaction and oversight of the medical equipment involved in the diagnosis,
treatment, and monitoring of patients, and the following can be done to ensure that
the equipment is effectively managed in hospitals.
 Equipment Control & Asset Management

 Equipment Inventories
 Work Order Management
 Data Quality Management
 Equipment Maintenance Management
 Equipment Maintenance
 Personnel Management
 Quality Assurance
 Patient Safety
 Risk Management
 Hospital Safety Programs
 Radiation Safety
 Medical Gas Systems
 In-Service Education & Training
 Accident Investigation
 Analysis of Failures, Root-Causes, and Human Factors
 Careers in Facilities Management
Equipment Control & Asset Management.
Every medical facility should have policies and processes on equipment control &
asset management. Equipment control and asset management involves the
management of medical devices within a facility and may be supported by automated
information systems. Equipment control begins with the receipt of a newly acquired
equipment item and continues through the item's entire life-cycle. Newly acquired
devices should be inspected by in-house or contracted Biomedical Equipment
Technicians (BMETs), who will receive an established equipment control/asset
number from the facilities Equipment/Property Manager. This control number is used
to track and record maintenance actions in their database. Once an equipment
control number is established, the device is safety inspected and readied for delivery
to clinical and treatment areas in the facility.
Work Order Management.
Work order management involves systematic, measurable, and traceable methods to

all initial inspections, preventive maintenance, and calibrations, or repairs by
generating scheduled and unscheduled work orders. Work order management may
be paper-based or computer-based and includes the maintenance of active (open or
uncompleted) and completed work orders which provide a comprehensive
maintenance history of all medical equipment devices used in the diagnosis,
treatment, and management of patients. A comprehensive work order management
system can also be used as a resource and workload management tool by managers
responsible for personnel time, total number of hour ’s technician spent working on
equipment, maximum repair payment for one time repair, or total payment allowed to
spend repairing equipment versus replacement. Work orders must be tracked
regularly and all discrepancies must be corrected. Managers are responsible to
identify equipment location
Data Quality Management.
Accurate, comprehensive data is needed in any automated medical equipment

management system. Data quality initiatives can help to insure the accuracy of
clinical/biomedical engineering data. The data needed to establish basic, accurate,
maintainable automated records for medical equipment management includes:
nomenclature, manufacturer, nameplate model, serial number, acquisition cost,
condition code, and maintenance assessment. Other useful data could include:
warranty, location, other contractor agencies, scheduled maintenance due dates, and
intervals. These fields are vital to ensure appropriate maintenance is performed,
equipment is accounted for, and devices are safe for use in patient care.
 Nomenclature: It defines what the device is, how, and the type of maintenance
is to be performed. Common nomenclature systems are taken directly from the
Emergency Care Research Institute (ECRI) Universal Medical Device
Nomenclature System.
 Nameplate model: The model number is typically located on the front/behind
of the equipment or on the cover of the service manual and is provided by the
OEM. E.g. Medtronic PhysioControl’s Lifepak 10 Defibrillator can actually be
anyone of the following correct model numbers listed: 10-41, 10-43, 10 -47,
10-51, and 10-57.
 Serial number: This is usually found on the data plate as well, is a serialized
number (could contain alpha characters) provided by the manufacturer. This
number is crucial to device alerts and recalls.
 Acquisition cost: The total purchase price for an individual item or system. This
cost should include installation, shipping, and other associated costs. These
numbers are crucial for budgeting, maintenance expenditures, and
depreciation reporting.
 Condition code: This code is mainly used when an item is turned in and should
be changed when there are major changes to the device that could affect
whether or not an item should be salvaged, destroyed, or used by another
Medical Treatment Facility.
 Maintenance assessment: This assessment must be validated every time a
BMET performs any kind of maintenance on a device.
Several other management tools, such as equipment replacement planning and

budgeting, depreciation calculations, and at the local level literature, repair parts, and
supplies are directly related to one or more of these fundamental basics. Data Quality
must be tracked monthly and all discrepancies must be corrected.
Personnel Management.
This area is crucial to the daily work activities. Biomedical managers must be able to
correctly assign staff for the right job. Having a team leader/veteran is important for
mentoring staff that might not have as much experience. The monthly timesheet
provides a method to record the time each person was available for work during the
month. The timesheet provides a gross breakout of how the time was spent, and
provides a basis for productivity analysis reports. It also provides the monthly man-
hour accounting data.
Quality Assurance.
Quality Assurance is a way of identifying an item of supply or equipment as being

defective. A good quality control/engineering program improves quality of work and
lessens the risk of staff/patient injuries/death.
Patient Safety.
Safety of our patients/staff is paramount to the success of our organizations mission.

Patient safety is among the most important goals of every healthcare provider, and
participation in a variety of committees and processes concerned with patient safety
provides a way for biomedical managers and clinical engineering departments to gain
visibility and positively affect their workplace.
Risk management.
This program helps the medical treatment facility avoid the likelihood of equipment-
related risks, minimize liability of mishaps and incidents, and stay compliant with
regulatory reporting requirements. The best practice is to use a rating system for
every equipment type. For example, a risk-rating system might rate defibrillators as
considered high risk, general-purpose infusion pumps as medium risk, electronic
thermometers as low risk as no significant risk. This system could be set up using
Microsoft Excel or Access program for a manager's or technician's quick reference.
In addition, user error, equipment abuse, no problem/fault found occurrences must

be tracked to assist risk management personnel in determining whether additional
clinical staff training must be performed.
Hospital Safety Programs.
The Joint Commission stipulates seven management plans for hospital accreditation.
One of the seven is safety. Safety includes a range of hazards including mishaps,
injuries on the job, and patient care hazards. The most common safety mishaps are
"needle-sticks" (staff accidentally stick themselves with a needle) or patient injury
during care. As a manager, ensure all staff and patients are safe within the facility.
Note: it’s everyone’s responsibility!
There are several meetings that medical equipment managers are required to attend
as the organizations technical representative. The following are:
 Patient Safety
 Environment of Care
 Space Utilization Committee
 Equipment Review Board
 Infection Control (optional)

Biomedical Equip Planning

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What are the main activities involved in biomedical equipment planning?

What are the main activities involved in biomedical equipment planning?

What factors are considered during biomedical equipment technology assessment?

What factors are considered during biomedical equipment technology assessment?

BIOMEDICAL EQUIPMENT PLANNING.

BIOMEDICAL EQUIPMENT PLANNING.

Procurement is the process of purchasing items. Equipment procurement is a

Medical equipment technology assessment.

During any kind of biomedical equipment technology assessment, a number of

How to effectively manage biomedical equipment in a regional hospital.

This is a fundamental part of managing, maintaining, and/or designing medical

Management of biomedical equipment includes the business processes used in

 Equipment Control & Asset Management

Equipment Control & Asset Management.

Work order management involves systematic, measurable, and traceable methods to

Data Quality Management.

Accurate, comprehensive data is needed in any automated medical equipment

Several other management tools, such as equipment replacement planning and

Quality Assurance is a way of identifying an item of supply or equipment as being

Safety of our patients/staff is paramount to the success of our organizations mission.

In addition, user error, equipment abuse, no problem/fault found occurrences must

Hospital Safety Programs.

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