Medical equipment maintenance mode is divided into two kinds of prior and after the event:
Prior maintenance refers to the medical equipment in the normal working condition, maintenance personnel in accordance with the plan of regular cleaning and disinfection of the appearance of the medical equipment, the circuit board cleanup, the mechanical activities of the maintenance and adjustment of the mechanical part of the maintenance and adjustment, replacement of wearable parts, etc. This is the preventive maintenance of medical equipment. This is the preventive maintenance of medical equipment. Preventive maintenance is a cycle of equipment to carry out a series of scientific maintenance work to ensure that the equipment is safe in the best working condition, reduce the number of failures, reduce the maintenance workload, and play a precautionary effect, but also extend the service life of the equipment, reduce maintenance costs.
After the equipment failure, the maintenance behavior of the maintenance personnel is called "maintenance after the fact", also known as "passive maintenance". All along, our hospital for the maintenance of medical equipment and maintenance still stays in the traditional, one-sided equipment failure after the passive maintenance, the lack of attention to observe the daily operation of the equipment, the lack of pre-initiative, a full understanding of the performance of the equipment, the lack of preventive maintenance of awareness and methods. If you do a good job of preventive maintenance and maintenance of equipment, you can reduce the maintenance process to reduce the consumption of manpower and material resources to improve the operational efficiency of the equipment is to ensure the integrity of medical equipment to improve the opening rate of the important measures.
One, standardized management and planning
Medical equipment maintenance is a very important part of equipment management, so that the equipment is in a state of integrity, normal operation, flexible operation, for medical equipment is very important, so the medical equipment should be developed for the corresponding operating procedures and maintenance system. Medical equipment maintenance and maintenance, should adhere to the prevention-oriented, pay attention to the maintenance of the corresponding system, protocols, plans and procedures for the development and implementation, and combined with scientific, standardized methods of operation, to achieve the maintenance of medical equipment, institutionalization, routinization, standardization.
1. Establishment of a standardized management system.
Medical equipment maintenance and management work should also have a "law", that is, there should be a set of practical rules and regulations, so we have to prepare practical maintenance procedures to establish a medical equipment maintenance system, medical equipment inspection system, quality control system of medical equipment, all levels of job responsibility, Emergency response plan and so on. Preparation, including the type of maintenance equipment, equipment maintenance cycle, maintenance of the project, the specific operation methods, attention to matters related to the program. This will enable the maintenance work to follow the rules, there are laws to follow.
2. Develop the appropriate PM program. Everything should have a plan, PM is no exception. Develop a detailed, orderly maintenance and maintenance program, and according to these plans for routine and regular maintenance of medical equipment and maintenance, the contents of the plan include: the electrical safety level of equipment, PM cycle, the specific time schedule, should be maintained equipment, equipment should be maintained, such as maintenance personnel.
Two, the classification of medical equipment maintenance
Some equipment failure is due to operator carelessness or not strictly according to operating procedures caused by the use of equipment, light will affect the normal operation of the work of this room, heavy will lead to the scrapping of the instrument, resulting in greater economic losses. Therefore, it is very important to improve the staff's understanding of the normal maintenance of instruments and equipment. Maintenance of medical equipment can be divided into routine maintenance and regular maintenance of two categories:
1. Routine maintenance
Meticulous routine maintenance is essential to ensure the normal operation of instruments and equipment. Daily maintenance requires the active cooperation of clinical staff, should mainly do: keep the instrument surface clean, before use should check the voltage, power supply or voltage regulator is normal, in the process of use, pay attention to observe the function of the instrument, whether the performance is normal and fill in the use of records in a timely manner, instrumentation failures, in addition to making the necessary records, we must notify the maintenance personnel in a timely manner, shall not be dismantled privately.
2. Regular maintenance
In order to ensure the normal use of instruments and equipment, should be based on the performance requirements of the instrument and equipment, and maintenance personnel together with the instrument and equipment for regular dust and cleaning, and performance testing, timely inspection and replacement of wearing parts, check the equipment's stable voltage condition and grounding is good. Detailed preventive maintenance content should include:
Appearance Inspection: Appearance Inspection: Appearance Inspection first check the instrument buttons, switches, connectors and sockets are loose and misplaced, the contact of the plug and socket there is no oxidation, rust or poor contact, there is no aging of the power cord, the heat dissipation and exhaust ventilation is normal, all kinds of grounding and piping connection is good.
Cleaning and maintenance: it is to clean the surface of the instrument and the internal electrical parts, mechanical parts, including cleaning the filter and the relevant pipeline, clean the relevant plug and socket of the instrument to prevent poor contact, and lubricate the necessary mechanical parts.
Replacement of wearing parts: the service life has been reached and the decline in performance, the components that do not meet the requirements or the instruction manuals require regular replacement of accessories to be replaced in a timely manner, to prevent possible expansion of the failure or failure of the entire machine. Insufficient charging of the battery to urge the relevant personnel to charge regularly, to rule out the obvious and potential equipment failures.
Functionality check: Check whether the lights and indicators are normal, through the adjustment and setting of the various switches and buttons, access to the function settings, to check whether the basic functions of the equipment is normal. Through the simulation test, check whether the alarm function of the equipment is normal.
Performance test calibration: test the DC power supply regulator value, the circuit to test the point of voltage value or waveform and according to the requirements of the manual for the necessary calibration and adjustment to ensure that the instrument's various technical indicators to meet the standards, to ensure that the instrument in the quality of medical diagnosis and treatment.
Safety check:
(1) Electrical safety check: check all kinds of leads, plugs, connectors, etc., whether there is no damage, whether the grounding wire is secure, grounding resistance and leakage current is within the allowable limits.
(2) Mechanical Inspection: Check whether the frame is firm, whether the mechanical operation is normal, whether the connecting parts are loose, fall off or rupture phenomenon.
3 good maintenance and maintenance records
Set up the corresponding medical equipment maintenance records, and seriously do a good job of equipment maintenance, maintenance records, including maintenance time, maintenance brief, replacement of parts. By checking the record can understand the use of the department on the maintenance of the satisfaction of the service situation. According to the content of the maintenance record table, analyze the equipment is due to host failure or auxiliary equipment failure, tracking equipment failure and maintenance, dynamic grasp and analyze the causes of equipment failure, understand the replacement of spare parts. Through the maintenance of equipment, nip some of the faults in the bud, to ensure the safety of instruments and equipment, stable operation, and extend the service life. After each completion of preventive maintenance, the maintenance engineer to write a preventive maintenance report. The contents of the report include: preventive maintenance of the equipment name, equipment number, implementation time, re-maintenance time, preventive maintenance of the content, effect and so on.