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Patient Care Equipment Management
Chapter 18
Learning Objectives: Discuss the responsibilities of Central Service Technicians for
managing patient care equipment
Identify the purposes of commonly-used patient care equipment.
Identify handling requirements and concerns for common patient care equipment:
Cleaning equipment Managing inoperative equipment Preparing equipment for use Storing equipment Tracking equipment
Describe the differences and explain advantages and disadvantages of purchase, lease, rent, and loan options for patient care equipment
Review other basic patient care equipment concerns: maintenance and repair and outsourcing
Patient Care Equipment
Portable (mobile) equipment that is used to assist in the care and treatment of patients. For example, suction units, heat therapy units, IV infusion pumps, etc.
Must Be: Readily available when needed. Safe Functional Free from Soil Must be managed effectively
Dangers of Ineffective Equipment Management:
Improperly cleaned equipment poses an infection control threat
Improperly assembled equipment may delay treatment
Inaccurately tracked equipment can delay treatment and/or cost the facility money if it has to rent additional equipment to replace “lost” equipment
Biomedical Engineering Department
The hospital department responsible for performing safety inspections and function tests on medical equipment
Commonly abbreviated as “Biomed Department”
Equipment Responsibilities
Central Service Dispense Track Retrieve Clean/Decontaminate Reassemble Store
Biomedical Department: Perform Safety
Inspections Perform Function
Tests Make Repairs
Preventive Maintenance
Periodic inspections scheduled according to equipment manufacturers’ recommendations
Biomed maintains detailed records on routine checks, repairs, and other important information regarding each piece of equipment
Equipment is inspected and dated with Preventive Maintenance (PM) stickers
Central Service Technicians should not dispense equipment when the PM sticker indicates it is due for an inspection
Biomed Repairs
Central Service Technicians should also route equipment to the Biomed Department when it is visibly damaged or when it has been reported as defective
Basic Types of Patient Care Equipment
Pages 364-366 in the Text provide information about common types of patient care equipment handled by Central Service Technicians.
Handling Soiled (Used) Patient Care Equipment
All Patient Care Equipment that has been dispensed must be considered contaminated and cleaned, even if it does not have visible soil
Cleaning Patient Care Equipment
Follow Manufacturer’s Instructions
Pay close attention to Detail
During the cleaning process perform a visual inspection. Look for:
Cracked or Frayed Cords Broken Components Damaged or missing
electrical prongs Etc.
Managing InoperativePatient Care Equipment
Identify and Tag Damaged or Nonfunctioning Equipment and Route it to the Biomed Department
Do Not return to service until the unit has been checked
Preparing Patient Care Equipment for Use
Equipment should be stored “ready for use”
Add disposable accessories, check or replace batteries, etc.
Storing Patient Care Equipment
Clean, assembled equipment should be stored in a clean, secure, designated location
Some equipment has special storage requirements, such as connection to an electrical outlet to ensure that batteries are fully charged when the item is dispensed
Tracking Patient Care Equipment
Equipment can be tracked Manually or with a Computerized program
Tracking Systems are discussed in detail in Chapter 19 (pages 371-376)
Tracking Systems Should Provide Information, such as:
Current location of the equipment
Patient charging information (if applicable)
Information about usage and trends
Usage
Procuring New and Additional Equipment
Meeting Patient Needs
The Need for New and Additional Equipment
New Technologies
Increased Need (patient volume)
Equipment Purchase
Determine the need for specific equipment
Identify the type (model, style, and brand)
Budget for its purchase
Incorporate into the system
The facility owns the equipment
Equipment Lease
Determine the need for the equipment
Contract with the manufacturer or leasing company to lease (use) the equipment for a specified period of time
At the end of the lease period, the facility has the option to return the equipment and obtain newer technology or purchase it
Equipment Rental vs. Leasing
Equipment rental is usually done on a short term basis, leasing is for a
longer term
Equipment Rental
Facility identifies immediate need for equipment (usually because of high demand or special needs of a specific patient)
The facility contracts for a short term rental from an equipment rental company
Manufacturer’s Loan
Manufacturer agrees to provide equipment to a healthcare facility at no charge
That is usually dependent on a commitment from the facility to purchase equipment components such as tubing, pads, sleeves, etc.
Central Service’s Role in Managing Patient Care Equipment:
Provide Safe, Clean, and Complete equipment
Maintain the availability of equipment by coordinating workflow
Equipment Repair and Maintenance
Keeping equipment safe, functional, and ready for use
Preventive Maintenance (PM)
Service provided to equipment to maintain it in proper operating condition by providing planned inspection, and by detecting and correcting failures before they occur
Repair Procedures used to
return equipment to proper operating condition after it has become inoperative
Outsourcing The transfer of
control of a hospital equipment management system to an external entity
Maintenance Insurance
Allows a hospital to retain control of its own equipment
Hospital contracts with an external insurance group to insure the costs of maintaining equipment
Proper Equipment Management
Ensures the availability of safe and functional equipment
Supports quality patient care