Hospital equipment management problems and solutions

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With the rapid development of surgical technology, various instruments and equipment in operating rooms are increasing year by year. To improve the success rate of surgery, it is an important task to maintain various instruments. Due to the lack of professional equipment and technical personnel in the operating rooms of primary hospitals, insufficient attention is paid to daily maintenance work, causing problems in the use of equipment and affecting the operation of the operation. So how can we reduce unnecessary troubles during surgery and avoid safety hazards caused by equipment failure?

First of all, we should understand the problems in hospital equipment management:

1. Imperfect management system

There are many instruments and equipment in the operating room, and the operating room in the grassroots hospital lacks management awareness. There is no maintenance system for the equipment, no special person to manage it, and the daily maintenance is not in place.

2. Insufficient professional training

After the equipment enters the operating room, most of them are professionally trained by the manufacturer’s technicians during the initial installation and use. Due to the short learning time, the explanation and training cannot be detailed, and the precautions are not explained one by one, so that the operating room staff is not firmly grasped . In daily work, the department has not strengthened the key learning and training of all instruments and equipment, and cannot solve minor problems by itself, which affects the normal use of surgery.

3. Failure to do regular maintenance

There are no professional technicians in the operating room of the primary hospital, and the equipment department is responsible for general maintenance. However, there is a shortage of professional instrument technicians in the equipment department. Instrument equipment can only be repaired when there is a problem, and its maintenance work cannot be done regularly, which will have a certain impact on the service life of the instrument.

4. Don’t pay attention to daily maintenance

The operating room staff lack the management of the equipment and the basic maintenance of the equipment. The equipment often falls off or even lost due to loose screws, which affects the integrity of the equipment and the connection of the components. The equipment cannot be reset for a long time. The overall structure is damaged, shortening its service life. The equipment is not frequently oiled and maintained, which reduces the sensitivity of the equipment’s joints and causes rust. The wheel axle of the equipment is moved during use, and it is easy to be entangled with some sutures and other foreign objects. If it is not disposed of in time, the wheel brake may be poor, and finally the wheel axle cannot rotate and affect the use. The rotating rod screw of the shadowless lamp is not often reinforced, which will make its fixation poor, and the position of the light cannot be maintained during the operation, which brings inconvenience to the smooth operation of the operation. The power cord of the instrument plug is slightly damaged. If it is not repaired in time, it will cause the danger of short circuit.

5. Technical guidance is difficult to coordinate

Due to traffic and environmental impacts, the equipment purchased by primary hospitals lacks after-sales technical guidance. They cannot be on-site guidance during daily use. If problems arise, they cannot be solved in time. Most of them are guided by telephone. Some equipment failures need to be sent back to the manufacturer, thus affecting Normal use of surgery.

  Countermeasures to solve the problems in hospital equipment management:

1. Standardize equipment management

Develop a complete instrument and equipment management system and operation process. When purchasing new instruments, please ask the manufacturer’s engineers or equipment technicians to demonstrate and explain the basic structure, working principle, technical performance, operation methods and attention during use and maintenance of the new instrument. Matters, etc., and make on-site notes. Develop a system for normal use, disinfection, and maintenance of the instrument, mold it into a card, and fix it on the instrument for easy checking and maintenance. Conscientiously organize the study of the equipment instruction manual, train the general practitioners in combination with the actual situation, learn possible failures and handling methods, and be familiar with the key knowledge so that they can be adapted to the needs of the operation and ensure the normal operation of the operation.

2. Regularly organize study and training

Strengthen the learning and training of the operating room nurses on the knowledge of the instrument. Due to the large number of instruments and equipment, it is impossible for everyone to master it in a short time. We adopt the method of personnel management and training. Each person appoints an instrument, conducts specific learning and training on the instrument he manages, and carefully masters all the functions of the instrument, maintenance methods, and easy failures and handling, etc. Will use the experience to use words to express, as a learning material, and be responsible for training other staff in the department. After a period of learning and training, nursing staff exchanged each other and exchanged management instruments, gradually reaching the level of operating room nursing staff mastering the performance and maintenance of each equipment, improving the nursing staff’s ability to use equipment correctly and troubleshooting instrument failures, and reduce the use of instruments. Work hazards caused by improper operation.

3. Strengthen technical guidance

Strengthen collaboration with equipment technicians, coordinate with relevant hospital departments and manufacturers to establish a good cooperative relationship, and strengthen technical guidance on the use and maintenance of equipment. In the process of use, communicate and contact with engineers to understand the problems that may occur or may occur during operation, and master the methods that can be handled by themselves. Frequent maintenance of the equipment. The engineers regularly conduct on-site demonstrations and guidance to improve the precise use of the equipment. , To avoid the loss of the instrument due to unskilled operation.

4. Regular daily maintenance by dedicated personnel

Formulate daily maintenance measures for instruments and equipment, maintain by designated personnel, formulate maintenance methods that are conducive to work needs, clean before operation every day before use, and check whether they are in standby state and the normality of each switch to ensure normal operation. . Thoroughly clean the equipment in the operating room once a week, clean up foreign objects on the axle wheels, including sutures, etc., check whether the knobs, components, and power plugs of all equipment are normal, and whether the accessory panels are damaged. , If an abnormality is found, contact the equipment technician in time, deal with it in time, and improve it in time. Tighten the screws on the instruments every month, including the shadowless lamp, the operating table, oiling and rust removal at each shaft joint, and re-examine all the instruments and equipment in the operating room, and perform all the maintenance measures in accordance with the maintenance measures required on each equipment manual. For maintenance work, each instrument should be run and tested once in accordance with the operating procedure, check for abnormalities, and make a record for future reference. Regularly investigate whether there are any abnormalities in the use of the equipment in the department, discover possible safety hazards in time, and carry out maintenance.

5. Information management

useBaoli Hospital Equipment Management System(http://www.yiliaoshebei.com.cn) Carry out information management. Hospital equipment management system is an information management system that integrates the entire process management functions of hospital equipment, materials, consumables application, purchase, storage, repair, maintenance, depreciation, fixed asset management, benefit analysis, etc., which can quickly realize each link The whole process is digitized, and some interfaces are clear and concise, easy to learn and use, which is convenient for hospital staff to master and use.

  The main function

Basic information management (including product information, supplier information, personnel information, department information, etc.), purchase management, sales (wholesale) management, warehouse management, GSP management, financial management, account query analysis, system management. At the same time, it provides full batch number, validity period control, early warning, registration certificate number, origin and other management. The cost of goods is calculated according to the batch number by the individual pricing method, and the goods are shipped according to the batch number. The flow of varieties can be tracked by batch, and the validity of the varieties can be determined according to any Check the expiration date and expiration date in the time period, and provide early warning of the expiration date. For B1 and B2 (implanted in the body) medical devices, a quality tracking card can be established. The system can record which implanted device was implanted by which doctor in which hospital. Which patient is admitted is conducive to quality tracking and adverse event monitoring. For C1, C2 (contact lens and hearing aid fitting) medical devices, it provides fitting management, through consultations, inspections, foreign parties, debugging evaluations, re-examinations, etc. A series of processes are used for all-round record management to ensure product traceability. Financial management is used to achieve accounting, transaction and financial statement management, and accounting statements are used to achieve multiple purchase accounts, sales accounts, and inventory accounts. Angular data query.

 Summarize:

The renewal and increase of hospital equipment, the advanced technical performance, and the higher and higher requirements for equipment repair and maintenance; urgent repair time and increased workload. In order to meet the needs of the development of modern hospitals, the maintenance, maintenance, and maintenance of medical equipment Maintenance and management work must be correctly understood and treated. How to give full play to the functions of medical equipment and ensure the normal operation of various equipment and equipment is an important topic in the development of hospitals; it is also an important factor for the survival of the hospital; the quality and utilization rate of the equipment directly affects the hospital’s performance Development and economic and social benefits. Therefore, the management of hospital medical equipment must be standardized, institutionalized, scientific and modern.

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