HOSA BMET Training AAMI 101

HTM

Healthcare Technology Management

What does HTM do?

Field responsible for managing the selection, maintenance, and safe and effective use of medical technology and systems in hospitals

Jobs under HTM

BMETs

Clinical Engineers

Supervisors/Managers/Specialists

MEMP

Medical Equipment Maintenance Plan

BMET

Biomedical Equipment Technician

What do BMETs do?

Repair, calibrate, and maintain all types of clinical equipment

What does a BMET 3/BMET Specialist work with?

Radiology/Lab Equipment

Anesthesia

Ventilators

Dialysis

MEMP contains:

Asset management (purchase, rented or loaned?)

How it's tracked/maintained

Proper training

How to address recalls, hazard alerts, incidents

Dress Code

Business casual or scrubs

Work shifts

OR - 6 am - 2 pm

2nd or 3rd shift

On call

ISO

Independent Service Organization

OEM

Original Equipment Manufacturer

Medical Equipment Repairers or employed by...

Hospital or Healthcare organization

ISO - Independent Service Organization

OEM - Original Equipment Manufacturer

Military

What is the primary role of a BMET?

Repairing and Maintaing Equipment

T/F: It is a requirement for BMETs to continue training throughout their career?

True

Critical Equipment

life support (more strict)

Non-Critical Equipment

non-life support (less strict)

Class I Devices

low-risk (bandages, handheld surgical, non-electric wheelchairs)

Class II Devices

intermediate-risk (CT or infusion pumps)

Class III Devices

high-risk (pacemakers and deep brain stimulators)

Two types of Recalls

Correction: addresses problem in place where it's used/sold

Removal: addresses problem by removing

When do we recall a device?

When it's:

Defective

Risk to Health

Both

Recall Class I

could cause serious injury/death

Recall Class II

could cause serious injury/temporary illness

Recall Class III

unlikely to cause injury or illness, but violates FDA law

Safe Medical Device Act (SMDA) of 1990

Requires medical device users to reports to the Secretary of Health and Human Services if there's a probability that a device will cause/contribute to death, illness, or injury

Types of Inspections

Visual

Safety

Operational

Functional

Visual Inspection

using vision, hearing, touch, and/or smell

Safety Inspection

common to ensure it's properly grounded and won't cause a shock hazard

Operational Inspection

"out of the box" examination to ensure device isn't externally damaged and has all accessories

Functional Inspection

done once electrical safety check and operational are completed - functions are tested

PM

Planned Preventative Maintenance

What is PM?

scheduled maintenance activities that occur at defined frequency

AEM

Alternative Equipment Maintenance

What is AEM?

any procedure that deviates from the manufacturer's recommendations for process or frequency - AEM plan

Things that cannot be included in AEM implementation?

Any imaging device(x-ray, mri, etc.)

Lasers

State or federal regulated

New devices to the industry

CM

Corrective Maintenance (repair)

What is involved in decommissioning/removal of a device?

Removing Patient Health Information (PHI)

Destroy hard drives

Change status in inventory

What service documents would you need to perform an OEM PM?

Service manual

MDS2

Manufacturer Disclosure Statement for Medical Device Security

CMMS

Computerized Maintenance Management System

Function of CMMS

inventory documentation and work order documentation (scheduled and non-scheduled)

What is CMMS?

Software solution designed to facilitate the daily operations of an HTM department

Work Order

Unique equipment ID number

Manufacturer

Model number

Serial number

Acquisition info

Equipment type (category)

Location in hospital

Device owner

Equipment status

Warranty info

Work orders within CMMS

Auto-generated

Manually entered

Auto-generated work order

for PM

Manually entered work order

work requeest by employee or BMMET completing the ad hoc work

FSM

Factory Service Manuals

What is FSM?

manuals provided by manufacturers that cover the servicing, maintenance, and repair of their products

Basic Computer Skills

word processing, managing computer files, and creating presentations

Advanced Computer Skills

managing databases and running calculations in spreadsheets

Computer skills needed:

Operating Systems (Windows+MacOS)

Office Suites (Microsoft Office, G Suite)

Presentation Software (Powerpoint, Keynote)

Spreadsheets (Excel, Google Spreadsheets)

Communication and Collaboration (Slack, Skype)

What is the most important?

Communication

OSHA

Occupational Safety and Health Administration

What does OSHA do?

Helps ensure the safety of employees by enforcing strict standards for healthy and safe working conditions

What does OSHA provide?

Standards in Health Communication Standards (HCS)

"right-to-know"

right of employees to know the products and equipment that they are using

SDS

Safety Data Sheets

CDC

Centers for Disease Control and Prevention

NFPA

National Fire Protection Association

PSO

Patient Safety Organizations

What are some PSOs?

The Joint Commission

Emergency Care Research Institute (ECRI)

Association