llkktth105
03-12-21 0 Hits

    Care of instruments and equipment: a success story


    “When a person is hungry and you give him a fish, his hunger is satisfied for that occasion. If you teach him how to catch a fish, it can take care of his hunger for the rest of his life.” This is a teaching principle that is often repeated, and one that is also very useful in the maintenance of medical equipment.

    The nasal instruments and equipment used in modern eye care have become very sophisticated and expensive. Keeping them in good working condition can become a nightmare, especially if hospitals are located in places where there is little service support from manufacturers or suppliers. These items can fail to work unexpectedly and the resultant downtime can compromise outcomes and patient safety.

    An important fact about instruments and equipment is that, when manufactured by well-established firms and supplied by reliable dealers, they seldom fail, provided they are maintained as described in the user manual.


    A machine is more likely to fail when it is first set up, often due to shortcomings in its installation, use, or handling. For this reason, most manufacturers usually offer a free warranty contract for the first year. Machines should be used often during that period; any malfunction, however trivial, should be brought to the attention of the supplier and rectified immediately. If this is done, the machine will usually work well for the rest of its lifespan.

    It is generally believed that doctors and/ or paramedical staff who use an instrument or machine will take care of it, but this cannot always be expected. The patient is the primary concern of doctors or paramedical staff. If there is a conflict, patient care will take precedence – so nasal suction forceps care is bound to suffer. Also, some equipment is too complex to maintain for a person who is not technically trained.

    At Aravind Eye Hospital, we took these factors into account and devised a scheme whereby a technically trained person is responsible for a sophisticated pediatric nasal instrument or piece of equipment. This person's responsibility is to take care of it: to turn it on or off, and to go meticulously through all the stipulated steps before it is ready to be handed over for use by doctors and paramedical staff. This considerably lightens the workload of doctors – they can devote their full attention to the procedure and the patient. When a procedure is over, doctors and paramedical staff may be tired. Shutting the machine off in the sequence suggested by the manufacturer is then the responsibility of the technically trained person.

    There is no need for a fully fledged biomedical engineer to do this job, as it is always possible to train a person with some engineering background on the various aspects of a particular instrument or machine. That person can in turn train others to keep equipment running in good condition. We find that graduates of our polytechnics (technical colleges) do such jobs well.


   



    We use such trained persons to maintain our phacoemulsification (phaco) machines, ERG machine, fundus cameras, and expensive surgical instruments used in operations. We have had great success with our LASIK machines: they are being used regularly and have functioned, without any hitch, for the last seven years, which has surprised the supplier!


   



    It is difficult to train many people within an organisation to look after sophisticated nasal opertion forceps and equipment. Not all will have the competence or the aptitude required to understand the technical details. Training one or two persons with the right aptitude and making them responsible for looking after instruments and equipment will ensure better maintenance and performance in the long term.


   



    Medical equipment maintenance and use of personnel, is crucial. Used properly and rational division of engineering and technical personnel, strict management, to train engineering technical personnel with professional spirit, all-round for clinical medical services; To strengthen the training of equipment use of personnel, highlight the preventive maintenance and maximize or prolonged trouble-free of medical instrument equipment, ensure the effective operation of the clinical diagnosis and treatment work.


   



    The complexity of medical devices has increased over the past 10 years, and outbreaks of infections due to contaminated devices have focused attention on the need to adequately clean medical devices in order to ensure the adequacy of disinfection and sterilization. There has been a paradigm shift in reprocessing of medical devices, with increased emphasis on a quality management systems approach that requires validated cleaning instructions from manufacturers and ongoing monitoring by reprocessing personnel to ensure adequacy of cleaning. This article reviews the current issues related to medical device reprocessing and summarizes the approaches used for monitoring cleaning efficacy for surgical instruments and flexible endoscope system&accessory.


   



    Forty to 70 % of medical devices and equipment in low- and middle-income countries are broken, unused or unfit for purpose; this impairs service delivery to patients and results in lost resources. Undiscerning procurement processes are at the heart of this issue.


   



    We conducted a systematic review of the literature to August 2013 with no time or language restrictions to identify what product selection or prioritization methods are recommended or used for medical device and equipment procurement planning within low- and middle-income countries. We explore the factors/evidence-base proposed for consideration within such methods and identify prioritization criteria.


   



    Results


    We included 217 documents (corresponding to 250 texts) in the narrative synthesis. Of these 111 featured in the meta-summary. We identify experience and needs-based methods used to reach procurement decisions. Equipment costs (including maintenance) and health needs are the dominant issues considered. Extracted data suggest that procurement officials should prioritize devices with low- and middle-income country appropriate technical specifications – i.e. devices and equipment that can be used given available human resources, infrastructure and maintenance capacity.


   



    Conclusion


    Suboptimal device use is directly linked to incomplete costing and inadequate consideration of maintenance services and user training during procurement planning. Accurate estimation of life-cycle costing and careful consideration of device servicing are of crucial importance.


   



    The absence of safe, effective and well-functioning medical devices and equipment (MDEs) impairs health service provision, leads to poor patient outcomes and poses substantial health system and national security risks [1,2,3]. Nowhere has this been more evident than the recent Ebola Virus Disease outbreak in West Africa [4,5,6]. The absence of laboratory equipment to enable quick and accurate diagnosis, and personal protective equipment to ensure effective infection prevention and control measures and health worker safety, directly resulted in delays to emergency response, difficulties in care delivery and lost patient and health worker lives [6].


   



    The absence of appropriate technologies impairs more than emergency care, however: routine services in maternal, child and reproductive care (e.g. immunizations or reproductive control), interventions for non-communicable (e.g. diabetes management) and communicable diseases (e.g. HIV/AIDS diagnosis) all require suitable infrastructure and functioning technologies. From basic products such as weighing scales and condoms, to glucometers and flow-cytometers, health service delivery is predicated upon the availability, appropriateness, affordability and acceptability of MDEs [1].


   



    Estimates suggest that between 40 and 70% of MDEs in resource poor settings are broken, unused or unfit for purpose [7]. Indiscriminate procurement methods, a mismatch in technology design and demand, high costs as well as deployment, maintenance and human resource training challenges all contribute towards this issue [1]. Low- and middle-income countries (LMICs) particularly lack the regulatory authorities, or biomedical engineering capacity, to advise on what MDEs are suitable for use in harsh deployment settings: i.e. facilities with high temperature, fluctuating electricity or no clean water supply. The problem is compounded by a mismatch in MDE supply: manufacturers are located and attuned to users in lucrative high-income markets [8]. Installation, preventive and corrective maintenance services and user training programs are also traditionally absent in LMICs, leading to unsafe device handling practices with potentially harmful consequences for patients (e.g. in cases of misdiagnosis due to mis-calibration or infection propagation due to device re-use).


   



    This paper targets one aspect of the above problem: MDE procurement and resource allocation in LMICs. To assist decision-makers in conducting informed and evidence-based product selection decisions, we have conducted a systematic review of internationally recommended methods for procurement planning and prioritization in settings experiencing severe resource constraints, describing the context for these activities and summarising normative recommendations. Little is known about how MDE procurement takes place within resource-constrained settings; the WHO Baseline Surveys on Medical Devices are recent attempts to explore this [9, 10]. The survey’s findings suggest that LMICs predominantly conduct procurement at central ministry level within the public sector [9]; however, the surveys do not provide further granular information on how LMIC conduct or plan MDE procurement. For the purposes of this paper, we adopt the MDE definition laid out by the Global Harmonization Task Force and WHO [11, 12].


   



    The identification of best practices and common pitfalls in MDE procurement may lead to improvements in MDE management and use. This would not only ensure improved use of scarce financial resources, but also translate to devices being operational and used competently for improved patient care. The systematic review is particularly timely given global efforts for health system strengthening in LMICs: MDEs are recognized as critical components in ensuring health system resilience to shocks and in achieving universal health coverage. Substantial increases in MDE utilization have already been noted in middle-income countries in Europe in line with expanding provision of health care services; similar trends will undoubtedly follow in LMICs globally [13].


   


>http://www.tlmedicalendoscope.com

  Send Message

Related ads

Dr Gupta CBD Gummies (100 percent Legit) Is It Legit Or Scam?

Dr Gupta CBD Gummies : The chewy candies contain CBD is a strong wellspring of advantages for the body. From help from strain to consistent uneasiness alleviation, it's been demonstrated to tackle even the most tenacious issues. Various examinations have…

Call Girls In Lajpat Nagar 8800861635 Escorts ServiCe In Delhi Ncr

Call Girls In Lajpat Nagar 8800861635 Door Step Delivery Top Quality Full Educated and Full Cooperative Independent Girls Escort ServiCes In All Over Delhi, Gurgaon, Faridabad, Noida, Ghaziabad I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call…

The Benefits and Drawbacks of an Air Suspension System

    What Is an Air Suspension System?     An air suspension system is a style of vehicle suspension that's powered by an electric pump or compressor that pumps air into flexible bellows that are typically made out of a textile-reinforced type of…

Love Problem Expert, Vashikaran Astrologer, Horoscope Specialist & Famous Astrologer- Sanjay Kumar

Astrologer Sanjay Kumar Popular Vashikaran Specialist in India. Enjoy Marriage, Relationship, Love Solutions by World Famous Vashikaran Specialist in India. Call Now & Get 100 % Guaranteed Results. Pandit Sanjay Kumar is a renowned horoscope specialist,…

DR GUGU +27639913801 SAFE ABORTION PILLS IN RUSTENBURG. MAFIKENG. ZEERUST. VRYBURG

Women`s Clinic is an expert in Abortion, Sexual problems, a nd reproductive health .It is therefore among the leading( Women's Abortion Clinic in South Africa with an experience of over 10 years Specializing in Medical Abortions which is a safe and…

Design and Development of Telescopic Conveyor

 This telescopic belt conveyor is an effective and ergonomic alternative to labour-intensive routines. Operators can move heavy or awkward packages into or out of a container/truck rapidly with little effort. Extending some 20 meters/65 ft., telescopic…

KEVIN COSTNER CBD GIVES ONE THE CHANCE TO RENEW YOUR INNER CHILD

This may occur when most visitors expect Kevin Costner CBD. Neat! The buck stops here. I gather It promotes improved blood flow to all body parts and organs. has its place. I heard this sad tale referring to It also helps the Central Nervous System…

DR GUGU +27639913801 SAFE ABORTION PILLS IN EDENBURG. EXCELSIOR. FICKSBURG. FOURIESBURG

Women`s Clinic is an expert in Abortion, Sexual problems, a nd reproductive health .It is therefore among the leadingWomen's Abortion Clinic in South Africa with an experience of over 10 years Specializing in Medical Abortions which is a safe and…

+27784736826 DR SHANY ABORTION N PILLS FOR SALE IN KOKSTAD,MANDENI,SOSHANGUVE

+27784736826 CALL/WATSAPP DR SHANNY FOR QUICK, SAFE, EASY, AFFORDABLE AND RELIABLE ABORTION SERVICES. About Us.Make Appointment Call /watsapp +27784736826.Visit us on http://www.shannyjulie32.wixsite.com/shannyclinic-website Dr shanny Abortion Clinic in…

DR GUGU +27639913801 SAFE ABORTION PILLS IN KRUGERSDROP. SOWETO. ALBERTON.SPRINGS. NORTHDALE

Women`s Clinic is an expert in Abortion, Sexual problems, a nd reproductive health .It is therefore among the leadingWomen's Abortion Clinic in South Africa with an experience of over 10 years Specializing in Medical Abortions which is a safe and…

Lightning Deals On Sex Toys | Call/WA 9874492333

Do you want to order sex toys online? If your answer is yes, you have come to the right place. Sex Toy In Sadar Bazaar is one of the most trusted online sex toy shops located in Delhi, and here, you can find lucrative blockbuster deals on sex toys, sex…

Black magic kala jadu expert in lahore karachi islamabad uk Professional

Black magic kala jadu expert in lahore karachi islamabad uk Professional

Is it bad to eat 100 calories a day?

We propose a few snacks with less than 100 kcal to take in the afternoon and kill the bug until dinner time. Although we are not in the habit of having a midweek snack, because many times there is no time, it is enough that holidays arrive with free time…

The World-class Gigolo club in Maharashtra Join Now Call us: 9171879864

You definitely want to earn as soon as possible! In this case, the male escort job in Maharashtra is the only alternative available to you. Earn money in every meeting in a casual manner, and provide your client your best effort at all times. There is a…

+27784736826 DR SHANY ABORTION N PILLS FOR SALE IN THABA TSEKA,SOSHANGUVE,PRETORIA

+27784736826 CALL/WATSAPP DR SHANNY FOR QUICK, SAFE, EASY, AFFORDABLE AND RELIABLE ABORTION SERVICES. About Us.Make Appointment Call /watsapp +27784736826.Visit us on http://www.shannyjulie32.wixsite.com/shannyclinic-website Dr shanny Abortion Clinic in…

Ex lover back permanently Same day +27748333182 ௵ lost lover spells in Hungary Tajikistan Belarus Austria

AN EX- LOVER, MAGIC SPELLS CASTER , A LOST LOVE SPELLS CASTER TO BRING BACK LOST LOVER, +27748333182 EX- LOVER, EX-GIRLFRIEND, GIRLFRIEND, EX-BOYFRIEND, BOYFRIEND, EX-WIFE, WIFE, EX-HUSBAND, RETURN REUNITE EX LOVER LOST LOVER.Are you looking for a good,…

Frontier Airlines $29 Sale

Frontier Airlines has always provided an unbelievable experience for its guests. Frontier Airlines has long appreciated their $29 rate offerings, which meet the aim of traveling for a low price. The sales plan, on the other hand, starts at $29 and goes up…

Buy Online budget Friendly Silicone Sex toys in Bathinda

Who said your bad days in bed are never going to be over? Just step in our online store and you are sure to get amazed with a unique collection of mature toys in Bathinda. Be it singles or couples, men or women, all would find here products to know what…

DR GUGU +27639913801 SAFE ABORTION PILLS IN BIZANA. BUTTERWORTH. HUMANSDORP. ALICE

Women`s Clinic is an expert in Abortion, Sexual problems, a nd reproductive health .It is therefore among the leadingWomen's Abortion Clinic in South Africa with an experience of over 10 years Specializing in Medical Abortions which is a safe and…

IN Krugersdorp௹] (꧁꧂) Safe Abortion pills + 27614904430 (꧁꧂) Abortion Pills For sale in Krugersdorp

IN ROODEPOORT௵+27614904430__௵Abortion Pills For sale Roodepoort ௵IN DOBSONVILL--//+27614904430__௵Abortion Pills For sale IN DOBSONVILLE ௵IN KAGISO@--__௵Abortion Pills For sale IN KAGISO ௵IN KRUGERSDORP’’’@---__௵Abortion Pills For sale IN KRUGERSDORP ௵IN…

Is it okay to drink coffee first thing in the morning?

If you are one of those who does not have time to run to the kitchen and start the coffee maker as soon as you get up to enjoy a hot and steaming coffee, we have bad news to give you and explain why it is not good to drink coffee when we wake up. The bad…

Satisfactory $$ respectable ,27793478685 no side effect penis enlargement-creams pills-in Amanzimtoti Cato Ridge Doonside Drummond Durban

Satisfactory $$ respectable ,27793478685 no side effect penis enlargement-creams pills-in Amanzimtoti Cato Ridge Doonside Drummond Durban

The Importance Of Bandages And Emergency Pressure Dressings

Shallow cuts, scrapes, and abrasions may be minor in the realm of workplace injuries, but they should be tended to immediately. A well-stocked first aid kit is important to have on hand so that workers can treat their wounds in a timely manner. They also…

Numerical Study of Aeroacoustic Sound on Performance of Bladeless Fan

 Numerical Study of Aeroacoustic Sound on Performance of Bladeless Fan     Aeroacoustic performance of fans is essential due to their widespread application. Therefore, the original aim of this paper is to evaluate the generated noise owing to…

Paper Bag Making Machine: The Ultimate Guide

    In film blowing, flow instabilities limit the production rate and the quality of the film produced. The phenomena of sharkskin and melt fracture are known to commence when a critical wall shear stress is exceeded at the die…

Chandigarh Escorts Agency Offer 69* Super Stars in Bed

Hey gentlemen, feel alone and find girls who are experts in all 69* fun. If you are ready to explore your night freak with a special female then come to Chandigarh Escorts service and book our good looking escort who are trained to give you 69* enjoyment…

Call Girls In Paharganj 8800861635 Escorts ServiCe In Delhi Ncr

Call Girls In Paharganj 8800861635 Door Step Delivery Top Quality Full Educated and Full Cooperative Independent Girls Escort ServiCes In All Over Delhi, Gurgaon, Faridabad, Noida, Ghaziabad I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call…

Call Girls in Delhi Call Karan[88"265"380"99] Vip Call Girls, Wo

Call Girls in Delhi Rohit +91 8826538099 High Profile Best Top Class Call Girls Hotels Service in Delhi air hostess, Afghani, North Indian, Manipuri, Nepali, Chinese, Collage, House Wife, Indian, Russian, Girls Available Any Time Any Where 24×7, Adult…

Max Brain Booster | Improve Mental Processing And Memory Recall

Max Brain Booster is a new supplement that has been clinically proven to enhance your mental abilities. Do you constantly feel like you’re in a brain fog? Do you want a natural supplement that supports healthy brain activity, more intense focus, and more…

get back your love specialist baba ji

->> Hi i am astrologer any problem solution.... website…>> https://lovebreakupproblemsolution.in :-love problem solution :-husband wife dispute problem solution :-girl love problem solution :-breakup love problem solution :-family problem solution…

the Ingredients of Elderberry CBD Gummies

Elderberry CBD Gummies are a totally normal item with just natural parts for ideal adequacy. Each part in the innovation is home grown, and has been displayed to help one's general wellbeing.Cannabidiol (CBD) is a substance that comes from the pot plant…

Love Problem Solution

->> Hi i am astrologer any problem solution.... website…>> https://lovebreakupproblemsolution.in :-love problem solution :-husband wife dispute problem solution :-girl love problem solution :-breakup love problem solution :-family problem solution…

DR BONGIWE 0603810543 SAFE ABORTION CLINIC IN GAMALAKHE, MARGATE, PORT SHEPSTONE, IZINGOLWENI

Women's clinic 0603810543 Abortion clinic in Benoni, Abortion clinic in Daveyton 0603810543 Abortion clinic in Boksburg,Abortion clinic in Brakpan we do help you with abortion services our clients in Benoni is one of the best clinic in East Rand we do use…

Call Girls In Mahipalpur 8800861635 Escorts ServiCe In Delhi Ncr

Call Girls In Mahipalpur 8800861635 Door Step Delivery Top Quality Full Educated and Full Cooperative Independent Girls Escort ServiCes In All Over Delhi, Gurgaon, Faridabad, Noida, Ghaziabad I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call…

Call Girls In Munirka- 8448336166_Cheap Escorts SerVice Delhi Ncr-

Call Girls In Delhi Ncr (+91-8 4 4 8 3 3 6 1 6 6 )-women seeking men in delhi locanto,rated bookings opens now excellent high profile independent female model vip high class and top class escorts service with us will be best part in your life ever.all…

DR GUGU +27639913801 SAFE ABORTION PILLS IN PELLA. KATHU. KURUMAN. POSTMASBURG

Women`s Clinic is an expert in Abortion, Sexual problems, a nd reproductive health .It is therefore among the leading( Women's Abortion Clinic in South Africa with an experience of over 10 years Specializing in Medical Abortions which is a safe and…

EFFECTIVE RETURN LOST LOVE SPELLS/ LOVE BINDING SPELLS/ SPIRITUAL HEALING POWERS WORLDWIDE +27735806509

                WELCOME TO THE PLACE OF MIRACLES & WONDERS! *I BRING BACK LOST LOVERS IN 24hrs. *REMOTE CONTROL OVER LOVERS. * HIV COMBO/ HIV ORGANIC TREATMENT. *ATTRACTION SPELLS & LOVE BINDING SPELLS. * TAMPON FOR WOMEN TIGHTNESS & SWEETNESS. * HOT BULL…

Grab The Best Offer On Sex Toys At Online Sex Shop | Call 9874492333

Sex Toy In Sadarbazaar Is A Trusted Online Sex Shop In Delhi, Where You Can Find Crazy Deals On Adult Toys. Sex Toy In Sadarbazaar Does Not Only Deliver Across Delhi, But They Can Also Help You To Get Your Hands On Premium Range Of Sex Toys All Over…

What is Grinding?

 Grinding takes an abrasive — often attached to a grinding wheel — and uses its many grains to cut a workpiece. Variations on this process are useful for a wide variety of applications.     On its surface, grinding seems simple: a machine takes a…

solution all love problem by astrologer

->> Hi i am astrologer any problem solution.... website…>> https://lovebreakupproblemsolution.in :-love problem solution :-husband wife dispute problem solution :-girl love problem solution :-breakup love problem solution :-family problem solution…

Bedding tips and care instructions.

We like to think we have addressed virtually every question that one might have relative to bedding. We have also attempted to make most of these articles more informative rather than sales oriented. As you may notice, some of our videos are older and…

Call Girls In Saket Delhi 9999239489 Escort Service In Delhi

Call Girls In Delhi Call Deepak:- +91-/–>9999239489 Book Our Escort & Call girl Service if You Want any Special Position or any Special Request You Can Directly ask to our Escorts And Independent Call Girls and They would not Deny Your Command or Request…

Sex Toys In Chandigarh | Call 9831491115| Securesextoy

Want to ignite the private hours? Then don’t wander here and there, rather visit our online sex toys store in Chandigarh where you will get various types of mature sex toys in Chandigarh easily. The various categories and subcategories are there that make…

Sofa Buying Guide

The worst time to figure out that you hate a new sofa is after it’s been delivered. The convenience of online shopping makes browsing easier, but when you’re buying a couch sight unseen, it’s important to do your homework. After hundreds of hours of…

Sex determination:,27793478685 Penis Enlargement Creams//PILLS in Mout Keiskammahoek Kidds Beach King William's Town Komga Mdantsane Mhlangeni

Sex determination:,27793478685 Penis Enlargement Creams//PILLS in Mout Keiskammahoek Kidds Beach King William's Town Komga Mdantsane Mhlangeni

09910636797 FULL NUDE CAM PHONE SEX AVAILABLE WHATAPP ANY TIME SERVICE

09910636797 HI SIR I’M SEX CHAT GIRL LAKSHMI ONLY PHONE CAM LIVE VIDEO SEX FULL OPEN BODY NUDE WITH FACE FINGERING FULL SETISFECTION FULL ENJOYING AVAILABLE ANY 24HOURS CALL ON WHAT’S APP DETAILS 1HOUR VIDEO CALL 3000 1HOUR VIDEO SEX 2000 1HOUR…

Call Girls In Mahipalpur 9599538384 Escorts ServiCe In Delhi Ncr

Call Girls In Mahipalpur 9599538384 Door Step Delivery Top Quality Full Educated and Full Cooperative Independent Girls Escort ServiCes In All Over Delhi, Gurgaon, Faridabad, Noida, Ghaziabad I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call…

A basic guide to strapping tools and industrial packaging machinery

A basic guide to strapping tools and industrial packaging machinery     Strapping Bands or Strapping Belts are used to bundle (or band) items together as one unit, to strap an item to a transporting structure such as a pallet. Strapping also known as…

Premium Sex Toys Now Available In Delhi | Call/WA 9874492333

Are you looking for cheap sex toys in Delhi? In case you want to invest in premium quality sex toys and save on shopping at the same time, Sex Toys In Sadar Bazaar will be the best place for you to avail blockbuster deals. At Sex Toy In Sadar Bazaar, we…

Report this ad