1. HOW BEST CAN WE MANAGE MEDICAL EQUIPMENT By Khalif D.Mohamud BMET-GCRH
4TH BIENNIAL EAST AFRICA REGIONAL HEALTHCARE ENGINEERING CONFERENCE & EXHIBITION THEME:MEDICAL EQUIPMENT –A PROACTIVE APPROACH
HOW BEST CAN WE MANAGE MEDICAL EQUIPMENT By
Khalif D.Mohamud
BMET-GCRH

2. PREAMBLE
Increasing dependence of medical professionals on equipment, both for diagnosis and treatment, demands their availability at all times through a comprehensive and responsive engineering support

3. OVERVIEW Procurement Utilization Equipment audit/Inspection
Maintenance & repairs
Condemnation &disposal
Training for newly acquired equipments

4. PROCUREMENT Critical to quality, cost, efficiency, safety of services.
Planning + Procedure = Procurement

5. Planning Requirements Planning/Needs Assessment Use co-efficient
Budgeting & Resource Allocation
Equipment specifications

6. Procedure Requisition / Specification / Evaluation
Provisioning (various tender methods)
Delivery /Inspection and Installation
Commissioning / Acceptance
Service contract
Training (users & maintainers)

7. UTILIZATION Equipment Utilization, is it ADEQUATE? TO FULL CAPACITY?
What is the cost-effectiveness of continuing to operate & maintain
equipment that is not regularly used?
Factors affecting utilization of equipment
Training of staff
Preventive maintenance and after-sale service
Back up power supply(UPS) systems
Hospital based libraries to facilitate equipment sharing = Improved Utilization Levels

8. EQUIPMENT AUDIT
Is the periodic evaluation of the quality of performance of medical equipment to ensure better Utilization.
Audit = Stem Equipment Wastage = Improve Utilization

9. MAINTENANCE
This is any action or combination of actions carried out to retain an item in or restore it to, an acceptable condition.
ROLE OF BMET
Set up inventory of equipment , spares, and tools.
Organize a PPM system.
Supervise maintenance contract.
Set replacement policy.
Oversee the stock control for spares and consumables.
Initiate safety procedures.
Supervise capabilities for fault finding and modification.
Provide feedback to manufacturers.

10. CONDEMNATION & DISPOSAL
Obsolete, beyond economic repair = Condemnation & Disposal
Condemnation
The reasons for condemning equipment will usually be:
Beyond economical repair - Where equipment comes in and the cost of repairing it is considered too high after looking at the current value (taking depreciation into account), and the age of the equipment.
Technically obsolete - Parts and service support are no longer available.
Clinically obsolete - The clinician using the device (or manufacturer) recommend replacement for clinical reasons.  (Diagnostic ultrasound imaging usually becomes clinically obsolete after 5 years due to the rapid improvements in imaging technology, but can still be used and supported by the supplier.)
Equipment that has been damaged by contamination.

11. Disposal
Once the equipment has been condemned it should be quarantined or thrown away.
To quarantine the equipment means removing it from clinical use and putting it somewhere it cannot be used which is allocated as an area for scrapped equipment.
There may be an alternative use for this equipment:
Research project
Training
Sold on to vetinary practice, etc.

12. TRAINING
Continue professional development by participating in education and training on medical equipment and systems.
Training by the supplier of the equipment dealing with its operation,
Training outside the hospital in a recognized institution/manufacturer dealing with maintenance/repairs of the particular supplied equipment