Equipping hospital

EQUIPPING THE HOSPITAL

EQUIPMENT PLANNING

• Development of method to assure that equipment provide adequate medical care of the patient.

UTILISATION SURVEY• Study to find out the equipment are utilized

optimally.

• Equipment planning is done in two situations—at the time of establishing a new hospital and in an existing hospital setup.

• Equipment planning for a new project starts prior to the project.

• The selection of equipment is based on the scale of the hospital and its demands.

• The need for medical equipment varies with specialties and topography

WHOSE RESPONSIBILITY

• It is the responsibility of Hospital Administrator to determine all the items of equipments necessary, & then write their specification, recommended bids (tender) & purchase according to hospitals policy.

• It is adequate in quantity and of a quality that assures durability and performance

• The Architect is responsible for the Built in equipments.

MEDICAL EQUIPMENT PLANNER ROLE

DURING THE DESIGN STAGE:• To determine quantities, sizes of essential and

complementary equipment.• To determine electromechanical requirements for

medical equipment.• To provide technical specification of equipment.

DURING CONSTRUCTION STAGE:

• Review of shop drawing and on-site coordination requirement.

• Site survey and inspection • Coordinate delivery schedule with contractors.• Physical inspection, testing, installation

supervision• Coordinate training of end users by suppliers.

TYPES OF EQUIPMENTS

(a) Built- in Equipments(b) Depreciable equipments (c)Non-depreciable equipments

BUILT IN EQUIPMENTS

• It’s the Architect’s Responsibility• Included in construction contracts• List includes: Cabinets & counters in Pharmacy Laboratory

Other parts of hospitals Fixed kitchen Equipments. Sterilizers,

Boilers Dumb waiters Elevators Incinerators. Air Conditioning/Deep freezers Surgical lighting etc

DEPRECIABLE EQUIPMENTS

• The Equipments that have a life of 5yrs or more are k/a DEPRECIABLE equipments

• These large items of furniture and Equipments have a reasonable fixed location in the hospital building but are capable of being moved.

EXAMPLES OF DEPRECIABLE EQUIPMENTS

• Surgical Apparatuses• Diagnostic & Therapeutic Equipment• Lab & pharmacy Equipment • Office Equipment : Typewriter, Intercoms ; Computers/Electronic

exchanges• Refrigerator• Physiotherapy equipments• Suction machines• Diagnostic and Therapeutic Equipments . Like X-Ray machine ,

Cutlery, ECG machine• Incubators

NON-DEPRECIABLE EQUIPMENTS

• These Equipments have life span less than 5 yrs

• low cost equipments.• Examples are Kitchen utensils Surgical instruments CathetersLinen, sheets, Blankets Lamps, dust bins etc.

Drivers for equipment planning

The Need

• Be it a new project or an existing one, need drives the purchase of medical equipment.

• The need is known from the medical practitioners, the end users of the equipment. Depending on the patient flow, the demand for the equipment increases, which in turn creates a necessity for the equipment.

The Technology

• The second main driver in the purchase of equipment is the technology. In recent years, the healthcare industry is witnessing rapid growth, especially in research and development.

• Newer equipment is regularly introduced in the market with additional features and better technology.

• "Sometimes, the same equipment can be upgraded to the new technology by adding

additional software,

The Service

• The next important aspect is the service rendered by manufacturers and vendors, both within the warranty period and afterwards.

• If the hospital is in a town or rural area, the proximity to the service centre should be

considered.

The Price

• The equipment with best price is ultimately bought. "Best price doesn't mean the lowest price

• We analyze the price based on various factors like software and hardware package, technical specifications, after sales support, warranty and so on

• cost alone cannot be seen as critical for purchase. The quality of the product should meet our standards,

Training

• To keep oneself abreast of the latest technology is very important.

• To have excellent equipment but no skilled manpower to utilize it is as good as not procuring at all. "When it comes to training, we expect the vendor or manufacturer to assist technicians

EQUIPMENT PLANNING FOR Dental Department

1. Study the architecture and do NOMENCLATURE- clockwise or anticlockwise

2. Transfer the numbering to title sheet – INDEXING3. List the number of equipment according to

architect plan 4. Categorize the equipment5. Pricing6. Total the cost for each legend room

NOMENCLATURE

EXPLANATION

ASSIGNING EQUIPMENT

CATEGORISE PRICINGTOTAL COST OF LEGEND ROOM

TOTAL COST OF DEPARTMENT

GFD1 RECEPTION 1. Chairs2. Table3. cabnets

GFD2 TOILET1 1. Washbasin2. Toilet seats3. Toilet paper

GFD3 OPERATING AREA1

1. Dental chair2. Dental Stool3. Table 4. Chair5. Air

conditioner

GFD4 OPERATING AREA 2

NOMENCLATURE

EXPLANATION

ASSIGNING EQUIPMENT

CATEGORISE PRICINGTOTAL COST OF LEGEND ROOM

TOTAL COST OF DEPARTMENT

GFD5 OPERATING AREA 3

GFD6 STERLISATION ROOM

1. Autoclave2. Cabnets

GFD7 TOILET2

GFD8 BREAK ROOM OR CANTEEN

1. Table2. Chairs

NOMENCLATURE

EXPLANATION

ASSIGNING EQUIPMENT

CATEGORISE PRICINGTOTAL COST OF LEGEND ROOM

TOTAL COST OF DEPARTMENT

GFD9 MECHANICAL ROOM

1. Lathe2. Almira

GFD10 STORAGE ROOM 1

1. Cabnets

GFD11 LAB 1. Hot water gyser

2. Autoclave

GFD12 STORAGE ROOM

NOMENCLATURE

EXPLANATION

ASSIGNING EQUIPMENT

CATEGORISE PRICINGTOTAL COST OF LEGEND ROOM

TOTAL COST OF DEPARTMENT

GFD13 DR ROOM 1. Table2. Chair3. Cabnets4. cupboards

GFD14 TOILET 3

GFD15 OPERATING AREA 4

GFD16 OPERATING AREA 5

NOMENCLATURE

EXPLANATION

ASSIGNING EQUIPMENT

CATEGORISE PRICINGTOTAL COST OF LEGEND ROOM

TOTAL COST OF DEPARTMENT

GFD17 XRAY ROOM 1. X-ray machine2. OPG

GFD18 OPERATING AREA 6

GFD19 OFFICE 1. Cupboards2. Table3. Chair

Guidelines Required

• USFDA is one governing body that prescribes guidelines on equipment manufacturing. These guidelines are widely accepted in most countries including India.

• Other widely accepted certifications are ISO (International Organization for Standards), IEC (International Electro technical Committee) and CE certification from European Union. "These certifications are for the quality of the equipment.

• Presented by:Arshpreet Kaur