MAINTENANCE PROCEDURES

1. MAINTENANCE PROCEDURES • Without reference, identify principles relating to Maintenance Procedures with at least 70 percent accuracy.

2. MAINTENANCE PROCEDURES • Types of Maintenance • Scheduled maintenance • Unscheduled maintenance • Contract maintenance • Scheduled Maintenance • A scheduled maintenance program • ensures optimum performance, safe operation, minimum downtime, and maximum useful life for each medical equipment • provides regular servicing, verification of performance and safety, and detection and replacement of worn or failing components before a serious problem develops • OTSG establishes minimum scheduled maintenance requirements and frequencies based on • manufacturer's recommended frequencies • established industry norms • area of use • experience • patient risk assessment

3. MAINTENANCE PROCEDURES • BMETs perform scheduled maintenance at established frequencies • Increase frequencies when appropriate • OTSG must give written approval to decrease frequencies • Two categories of scheduled maintenance • Preventive maintenance (PM) • Calibration/certification -- the measurement and adjustment of various device parameters to ensure its accuracy within prescribed standards • Preventive Maintenance (PM) • PM is the systematic care, servicing, and inspection of equipment to • maintain it in a safe and serviceable condition • prevent, detect and correct minor faults before they develop into major defects

4. MAINTENANCE PROCEDURES • PM is the joint responsibility of equipment operators and BMETs • PM action includes, but is not limited to • Cleaning the equipment in areas not normally accessible to the operator, externally and internally • Aligning and tightening all moving components not included in the calibration procedures, such as doors, drawers, panels, shelves, latches, casters, hinges, etc.   • Aligning and tightening all fixed components including chassis, stops, door handles, knobs, motor mounts, etc. • Lubricating the unit, including motors, gears, bearings, casters, and other moving components. Use only non petroleum-based, nonflammable lubricants on equipment that uses oxygen. • Inspecting and servicing batteries and battery compartments

5. MAINTENANCE PROCEDURES • Adjusting electronic and mechanical components as necessary • Servicing all consumable devices such as filters and tubing • Evaluating how well the user is maintaining the equipment • Performing an operational checkout • Performing a general safety inspection and an electrical safety inspection, as applicable • Evaluating equipment condition and ensuring documentation of the accurate condition code • BMETs will perform PM procedures as prescribed by applicable references • manufacturer's literature • ECRI Inspection and Preventive Maintenance System

6. MAINTENANCE PROCEDURES • Calibration/certification • Must be performed periodically on various types of equipment • If the equipment seems complex it probably needs calibration • Use manufacturers literature to determine if equipment needs calibration and how often it should be calibrated • When calibrating equipment you must be aware of what the manufacturer’s tolerance is for a particular measurement • Tolerance means how far away from a set value a measurement can be • When you calibrate equipment you will have to use various pieces of test equipment to simulate or verify different values • This test equipment must also be calibrated periodically • This normally occurs annually and must be done by a company specializing in test equipment calibration. BMETs cannot by law calibrate their own test equipment

7. MAINTENANCE PROCEDURES • Calibration procedures are found in the equipment’s service manual • This manual can also be called the calibration manual, the technical manual, or many other names • The solution to this is to ask technical support for the calibration procedures directly • Calibration is probably the single most important aspect of your job as a patient’s life WILL depend on how well you calibrated a piece of equipment at one time or another.

8. MAINTENANCE PROCEDURES • Unscheduled Maintenance • Unscheduled maintenance is what you must perform when a piece of equipment breaks or is just not working quite right • Ideally if you are performing scheduled maintenance the way you should be there should be relatively little unscheduled maintenance

9. MAINTENANCE PROCEDURES • There are 3 different priorities of unscheduled maintenance • Routine – There is no true hurry to fix this. This category is intended for work requests where the equipment is not threatening to life. • Urgent – This equipment has a need to be fixed quickly. This category is intended for work requests where the equipment is not threatening to life, but is urgently needed for a high priority procedure. • Emergency – This equipment MUST be fixed NOW. This category is intended for work requests where the equipment is directly influencing the continuance or saving of life.

10. MAINTENANCE PROCEDURES • Contract Maintenance • This is where you pay a company to perform the maintenance for you • This should only be used when the following conditions apply: • The BMETs lack the training and/or knowledge to perform the maintenance • The cost of the test equipment and/or training is not justifiable or sustainable • The BMET shop does not have enough manpower to support maintenance of the equipment

11. MAINTENANCE PROCEDURES • Even though something is under a maintenance contract does not mean that you no longer have to work on it • The BMET shop must maintain a copy of the service report for every time the contractor comes in to look at the equipment • The BMETs may also be called on to look at the equipment before the contractor in an emergency situation