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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