How To Do A Good Job Of Tracking Management Of Medical Equipment?

1. Create a complete device file

The medical equipment file records all the documents of equipment from planning, application, purchase, use and scrapping. A complete equipment file can accurately identify and evaluate the operating status of the equipment, and also provide a good basis for maintenance and troubleshooting. The details are as follows:

(1) Written materials in the early stage of equipment purchase: including the application report of the use department, the analysis and demonstration report of medical needs, social and economic benefits, the source of funds, the discussion and approval opinions of equipment management, the supplier's product introduction, the quotation, etc.

(2) Negotiation records with suppliers: including product performance, price, after-sales service, contact address, delivery date and location, payment method, etc.

(3) The written materials after the equipment is in place: including the order contract, all the random technical data (instructions, factory certificate, circuit diagram, host and accessories list; imported equipment should also be accompanied by commodity inspection certificate and national approval license and data translation, etc. ), equipment installation, debugging accuracy, performance and other acceptance reports.

(4) Text materials after the equipment is put into use: including the registration account, card, operating procedures, three-level maintenance, use records, maintenance records, performance dynamic records; monthly complete records, scrapped and scrapped equipment should have scrapped scrapping application and engineering technology Personnel appraisal opinions and audit opinions of the higher authorities.

2. Strengthen the implementation of the responsibility system for the special management of medical equipment

The length of the service life of a piece of equipment, the quality of stable performance, the level of work efficiency and test accuracy, not only depend on the quality of the equipment itself, but also largely depend on the maintenance during use. The same equipment, if the maintenance work is in place, the correct operation can reduce wear and tear, reduce the failure rate, and prolong the service life. On the contrary, it will accelerate the aging of components, cause frequent failures, prematurely lose the original work performance or reduce the accuracy of diagnosis and treatment tests. Spend. Therefore, establishing a responsibility system for equipment use is a guarantee for improving equipment efficiency. Specifically, the following three points should be achieved:

2.1 Dedicated personnel to manage, dedicated personnel to use

Each department is required to be equipped with a responsible part-time equipment and instrument administrator, and is required to be familiar with equipment performance, operation methods, and maintenance procedures for correct operation and maintenance, and to keep records of use and maintenance. Contact personnel for repairs, or take emergency measures to shut down power and water to prevent accidents.

2.2 Dedicated storage

The working environment of medical instruments and equipment is more demanding than other equipment, because the working environment directly affects the accuracy of diagnosis and treatment tests, such as automatic biochemical analyzers, which have specific requirements for voltage, temperature and humidity. When the ambient temperature is below 16 ℃ , The enzyme reaction is slow, and the biochemical value test will fluctuate, which will affect the judgment of clinical conditions. The instruments and equipment in the medical field not only have strict requirements on the environment such as temperature, humidity, dust, vibration, corrosion, electromagnetic interference, etc. for high-precision instruments and equipment, but also general instruments and equipment should choose an appropriate environment, and according to the conditions of use of the instruments and equipment Install the necessary moisture-proof, anti-corrosion, dust-proof, shock-proof, anti-electromagnetic interference, warm-keeping, cooling and other devices, one is responsible for the health of the equipment, and the other is to allow patients to have a comfortable environment for diagnosis and treatment. In addition, medical equipment that is harmful to the surrounding environment must be protected and isolated according to regulations (such as CT, magnetic resonance, X-ray machine, radiotherapy equipment, iodine tester, etc.) so that the working environment does not cause harm to the crowd when the equipment performance is met. Better service for disease prevention and treatment.

2.3 Regular training

Regular training should be carried out for medical equipment with multiple uses and resource sharing, so that operators can fully understand the structure, principle, performance of the equipment, and operate correctly (such as the application of ventilators, the application of multi-functional anesthesia machines, etc.), and medical staff must be trained. Regular guidance, especially for new medical staff, should focus on training to avoid the negative impact of improper operation on the diagnosis and treatment work and the damage to the equipment, reduce the failure rate and increase the utilization rate.

3 Prevention is the main thing to keep the equipment in good condition

In addition to the correct and reasonable use of medical equipment and the management of the use of medical equipment, the establishment of a necessary maintenance system is the key to keeping the equipment in good condition. The following should be done:

3.1 Equipment three-level maintenance

(1) Routine maintenance: also known as routine maintenance, maintenance work performed by part-time administrators or users of instruments and equipment. Its main content is to monitor the environmental sanitation of instruments and equipment, tighten loose screws and parts, and power supply voltage, etc., and deal with problems in a timely manner. Most of the maintenance scope is outside the instruments and equipment.

(2) First-level maintenance: The part-time administrator or user shall cooperate with the maintenance engineering and technical personnel to inspect and test various technical indicators of the instrument and equipment according to the plan, mainly for internal maintenance and inspection for abnormal conditions (such as sound , temperature, measured data, standard value deviation, indicator lights, etc.) and fill in the maintenance record sheet.

(3) Secondary maintenance: It is a preventive maintenance mainly involving engineering and technical personnel and the participation of equipment users. It mainly checks the main part or main components of the equipment, adjusts the accuracy, replaces the vulnerable parts if necessary, and Carry out wear testing and identification to provide the basis for the preparation of repair plans.

3.2 Planned repair of medical equipment

Planned and regular maintenance of the equipment in use is the key to extending the natural life of the equipment and improving the integrity rate. Specifically, the following three aspects should be done:

(1) Standard repair method: Make a specific plan in advance for the repair time, category and content of the equipment, and implement it strictly according to the plan, and make a record at the same time.

(2) Regular repair method: Combined with three-level maintenance, according to the actual situation of the equipment, refer to the relevant repair cycle, formulate the repair workload and planned date, make preparations before repair, and shorten the repair time.

(3) Inspection of measuring instruments: The accuracy and reliability of medical measuring instruments and equipment are the top priorities related to the quality of medical care. Regular inspection and calibration of medical measuring instruments is to keep the accuracy of the measuring values (units) of the instruments unbiased, which is a good way for medical treatment. The work provides an important guarantee for accurate data. This work is related to the implementation of the "Measurement Law". Therefore, it is necessary to complete and establish a complete calibration and registration file under the guidance of the measurement supervision department.