Our hospital to do this work, the development of the "instrumentation" three-tier maintenance "system", in which the first level of maintenance (routine maintenance) by the instrumentation department to implement, including external dust removal, cleaning, fastening of easy to loosen the parts, regular replacement of consumables, and often check the instrumentation of the main parts and accessories, such as normal, observe and record the process of use of the instrumentation, and the use of the instrument. normal, observe and record the operation of the instrument and equipment in the process of use.
Note:
1, instrumentation should be used whether or not at least daily inspection and routine maintenance, maintenance and inspection of the contents of the reference "Instrumentation Instruction Manual".
2, instrumentation must be checked before use to ensure that the normal can be used, and make a record. After the use of cleaning, disinfection, maintenance and other content reference to the "instrument and equipment instruction manual.
3, normal or has been maintained to play "?" , abnormal conditions hit "?" , Remarks column indicate the abnormal specifics.
The equipment section issued us a "medical equipment use registration and maintenance record book", an instrument a book, large to the doctor occasionally used day surgery instruments, small to the daily work of the frequency of use of infusion pumps and other instruments, should be used daily to do a good job after the record.
However, each department has as few as seven or eight instruments of various sizes, and as many as dozens. In my department, for example, there are 18 large and small instruments. These 18 record books, every day as long as the use of record. According to the actual situation of the clinical use of medical personnel, there are problems as follows:
1, these record books by who use who record it, but infusion pumps may be used by each nurse, by who to record? If you don't take responsibility for it, there will always be someone who won't be able to record it.
2. If a person is required to keep a uniform record, it would be troublesome to ask each other if they don't know which one is used today and which one is not.
3, like this record, can only be recorded in the off-duty or work breaks in a hurry, it is impossible to use a record of a bar.
Various reasons, resulting in the implementation of the really inconvenient, not only a waste of nurses' time, but also can not play a real effect.
In order to do a good job of instrument management, the process should not only be convenient for nurses to operate and use, but also convenient for nurses to record, but also to ensure that the instrument is always in a state of readiness, in the operation of the process of failure to notify the maintenance of the first time and to let each nurse know in a timely manner. Our department after active discussion, to make the following improvements:
1, first of all, we put the A4 paper size record book reduced by half, bound into a book, hanging in each instrument next to. When in use, who uses who records. This is not only convenient for nurses to record, but also allows each nurse to view the use of the instrument maintenance records, if there is any doubt timely reminder of the supervision.
2, if there is a failure in the use of the process, the person must be timely with a "red pen" in the record book to indicate the specifics of the failure, and in the instrument hung on the "fault" logo, and will be the failure of the instrument picture sent to the medical and nursing group, so that we can promptly The person in charge or the shift-in-charge notifies the relevant departments. At the same time, the person in charge or the main shift to notify the relevant departments to repair, until the repair is normal.
3, strict handover, especially for the use of the instrument, the nurse to check the operation and record, if in doubt to determine the timely put forward.
4, every Thursday by the person in charge of the inspection and maintenance of a timely feedback on the existence of problems to the department of WeChat group and put forward improvement measures.
5, the head nurse randomly check once a week, the existence of problems in the department WeChat group feedback, morning meeting or section will re-emphasize the feedback.