MEDICAL EQUIPMENT MANAGEMENT PROGRAM

PURPOSE: To promote safety of the work environment and quality care by establishing a management program.

POLICY: An equipment management program will be established to provide for equipment inventory and maintenance, user instruction, and initial and continuing training, as well as operational safety.

GUIDELINES:

  1. A complete and current inventory will be kept of all equipment used in the care of patients, as well as of other fixed and portable electrically powered equipment.
  2. The inventory list will be reviewed annually, in conjunction with equipment calibration, to assure that any additions or deletions are made.
  3. Each piece of equipment will have written instructions from the manufacturer, and/or owner’s manual kept on file, and equipment will be tested prior to initial use.
  4. All new clinical personnel will be oriented to procedures regarding use of equipment used in the care of patients.
  5. Procedures for appropriate use of new equipment, or changes in present procedures, will be introduced to personnel through in-service training.
  6. Calibration and Preventive Maintenance of equipment will be scheduled by the Coordinator of the Safety/Infection Control/Quality Improvement Committee, and performed on an annual basis. (See Equipment Log in the SICQI Coordinator’s Office.) Problems with equipment requiring servicing will be reported immediately to the SICQI Committee Coordinator or to the Director.
  7. In addition, equipment will be cleaned and maintained per individualized direction (see attached for cleaning and maintenance instructions).

MEDICAL EQUIPMENT INVENTORY AND MAINTENANCE

1. AUDIOMETER

a) Clean : exterior after each use
b) Calibrate: annually

2. BLOOD PRESSURE CUFFS

a) Clean: exterior as needed
b) Inspect : as needed (cuff, tubing, and inflation bulb)
c) Calibrate: as needed

3. URGENT CARE BOX

a) Clean: exterior as needed
b) Replace: medications and supplies after each use
d) Monthly: complete inventory of contents of cart; inspect for missing and expired medications and supplies
e) Weekly: check Inventory List (found on the Urgent Care Box in the upper lid) and documentation of cart for required contents

4. EXAM TABLES

a) Clean: exterior as needed; after each use, spray with disinfectant, and replace table paper
b) Inspect Annually: wiring, and function of appendages (i.e. stirrups)

5. IV POLE

a) Clean: weekly (along with Urgent Care Box inventory) and as needed with disinfectant spray or wipe with alcohol sponge

6. AMBU BAG

a) Inspect: weekly, and document on list on Urgent Care Box

7. NEBULIZER

a) Clean: exterior after each use

8. OTOSCOPES/OPHTHALMOSCOPES

a) Clean: as needed
b) Recharge: weekly and as needed

9. OXYGEN TANK

a) Clean: exterior as needed
b) Refill: when less than half full (notify Nurse, who will contact Gila Regional Medical Center DME or Hometown Oxygen)
c) Replace: mask and tubing after each use
d) Weekly: check amount of oxygen in operating tank, and document in Book attached to tank

10. REFRIGERATOR UNITS AND INTERNAL THERMOMETERS

a) Clean: as needed
b) Record: temperature weekly on sheets located on front of refrigerators in lab and pharmacy
c) Defrost: monthly, and wash with mild soap and water

11. RESUSCITATION MASKS

a) Replace: after each use

12. THERMOMETERS

a) Weekly: wipe plastic case, carrying cord (if applicable), and coiled cord (if applicable) with alcohol sponge
b) Calibrate: annually

13. WHEELCHAIRS

a) Disinfect: as needed with disinfectant spray, or wipe with alcohol
b) Inspect Monthly: condition of wheels and upholstery

14. WOODS LAMP

a) Clean: exterior as needed
b) Replace Bulb: as needed
c) Inspect Annually: wiring and plug

15. MICROSCOPE

a) Clean: exterior as needed
b) Calibrate: annually

NOTE: It is the responsibility of all clinic personnel to report malfunctioning equipment to the SICQI Coordinator. The malfunctioning piece of equipment will be turned off and unplugged as well as tagged as being inoperable to prevent other staff members from using. Documentation will be kept regarding problem, resolution and evaluation of equipment following servicing.

The SICQI Coordinator or the designated representative will perform inspection, and arrange for maintenance of equipment. The Coordinator maintains the cleanliness of equipment. Providers must notify the Coordinator of any burned out bulbs, missing or worn out parts, as well as any malfunction or problems with equipment.

RECALIBRATION POLICY

  1. All laboratory and diagnostic medical equipment will be tested and recalibrate annually.
  2. The Coordinator of the SICQI, or designee, is responsible for the maintenance of records, and for arranging for annual testing and re-calibration.
  3. The itemization of the equipment to be checked is located in the Nurse’s Office at SHS.
  4. Documentation of preventive maintenance, maintenance, and function checks on medical equipment will also be maintained in the Nurse’s Office.
  5. The current company doing this work is:

R.P. Kincheloe Company
11220 Rojas, Suite B9
El Paso, TX 79935
(915) 595-1661
Contact person: David Pierce or John F. Spaulding

and

Microscope Specialists
PO Box 1151
Parowan, UT 84761
1-800-362-7621
Contact person: Bob Cague