Hospital maintenance plan

The goal is to effectively and efficiently support the life cycle of the facility by eliminating unplanned shutdowns and realizing life-cycle cost savings.

This effort should be considered in the planning and design phases, and is typically carried out in the construction phase. However, fast track programs can be 'front-end loaded' to meet immediate goals; i. The efforts of experienced technical writers, editors, engineering technicians, trainers, 3D modelers, illustrators, and software specialists can ensure that an Owner receives comprehensive, site-specific as-builtuser-oriented documentation of the highest quality. Those selected to perform the work should have the following capabilities:.

It's important to the overall facility management program that facilities personnel be properly instructed and motivated. Training should be ongoing to keep pace with technology and equipment changes in the facility. These can be defined through a Maintenance Plan MP. PM includes adjusting, lubricating, cleaning, painting, and replacing minor components. The purpose of a Maintenance Plan MP is to describe the best means to maximize equipment operational availability, while minimizing equipment downtime.

Once developed, the MP will typically identify PM task descriptions and schedules, troubleshooting, corrective maintenance repair task descriptions, and spare parts identification, stockage quantityand any unique storage requirements. This information will be incorporated in the manual, both as tabular data and text.

Preventive maintenance PM data includes equipment tag information, procedures, replacement parts, special tools, lubrication requirements, service providers, warranty information, etc. Construction-Operations Building information exchange COBie —If specified based on the draft guide specificationCOBie facilitates the capture of real-time as-built asset information by using the collection of contractor submittals.

Stretching out the process avoids the tsunami of information at handover. It is important to analyze and evaluate a facility from the system level, then develop procedures to attain the most efficient systems integration, based on as-built information and the Maintenance Program philosophy.

They typically include the following:. The elements of narrative text pdf, html, xml, etc. One caution relative to linking to internet sources is that of security. The Owner's information technology IT department should be consulted in these instances.

Screens can be printed on demand.

Facilities Operations & Maintenance - An Overview

This in itself may require the performance of a task and skills analysis to ensure that any given facility is staffed appropriately. COBie is a method of capturing information typically required during construction and provided to Owners, typically the same information that is required at project handover. When system-level manuals are specified, contractors who may not have the capability internally will typically outsource subcontract the effort.

Custom-developed documentation should meet or exceed the Owner's existing or other accepted commercial standards and practices for both format and content. However, many organizations have developed their own standards which vary from organization to organization.

For example the U. All rights reserved.A maintenance program generated through the consideration of characteristics and failures of medical equipment is an important component of technology management. However, older technology devices and newer high-tech devices cannot be efficiently managed using the same strategies because of their different characteristics.

This study aimed to generate a maintenance program comprising two different strategies to increase the efficiency of device management: preventive maintenance for older technology devices and predictive maintenance for newer high-tech devices. For preventive maintenance development, older technology devices were subjected to performance verification and safety testing PVST.

These strategies were evaluated in terms of device reliability. This study recommends the use of two different maintenance strategies for old and new devices at hospitals in developing countries. Thus, older technology devices that applied only corrective maintenance will be included in maintenance like high-tech devices. Medical technology includes all medical equipment used by health organizations for diagnosis, therapy, monitoring, rehabilitation, and care.

Therefore, medical technology management plays a key role in health care. Effective medical device management is required to ensure high-quality patient care [ 12 ]. Efficient and accurate equipment provides a high degree of patient safety.

Accomplished medical device management will greatly assist in the reduction of adverse incidents and medical device-related accidents. For medical technology management, hospitals must have activities for maintaining, inspecting, and testing all medical equipment in the inventory. These alternative program strategies must be based on valid standards of practice.

Constructing an Effective Maintenance Plan

A maintenance program, generated by considering the characteristics and failures of medical equipment, is important with regard to usability and efficiency. However, it is inefficient to use the same strategies for the management of older technology devices and newer high-tech devices because of their different characteristics. These devices are tested against their specifications presented by their manufacturers. For this reason, daily checks, including visual controls and specific device tests, are described in the user guide and carried out by users.

Generally, in developing countries, such as Turkey, older technology equipment mainly receives corrective maintenance. For example, a device is repaired when damaged or nondurable parts are replaced. In other words, maintenance is not specific to each device. Yearly maintenance contracts with manufacturers are only set for high-tech devices.

Maintenance Planning and Scheduling Template

This study investigated whether older technology devices could be included in maintenance strategies similar to those used for high-tech devices. The quality of older technology medical devices can be ensured through periodical performance verification and safety testing PVST in accordance with international standards.

PVST uses a standard measurement system with known accuracy to measure the accuracy of medical equipment [ 5 — 7 ]. PVST which includes qualitative and quantitative tests is performed by qualified biomedical personnel. During PVST, if a device is identified as not compatible with international standards, the hidden failures are determined and recorded by the biomedical staff.With some exceptions, an AEM program allows a healthcare facility to "adjust its maintenance, inspection, and testing frequency and activities for facility and medical equipment from what is recommended by the manufacturer, based on a risk-based assessment by qualified personnel" CMS For many types of equipment, healthcare facilities find that the manufacturer-recommended maintenance activities are more onerous than is warranted, based on their own history of using and maintaining the device.

On the other hand, for certain devices, a facility may determine that maintenance steps that exceed or otherwise differ from those recommended by the manufacturer are warranted to protect patients. In circumstances such as these, an AEM program allows the healthcare facility to deviate from strict adherence to manufacturer-recommended maintenance activities. For such deviations to be acceptable, certain conditions must be met.

A key advantage of AEM programs, when the above conditions can be met, is that they reduce the inspection and preventive maintenance burden for certain devices. This allows clinical engineering departments to direct their time and resources toward other activities that have a greater impact on patient safety.

hospital maintenance plan

The Joint Commission cautions, however, that the "strategies of an AEM program must not reduce the safety of equipment and must be based on accepted standards of practice" Joint Commission ECRI Institute. Complying without crying: how the new CMS requirements impact your equipment maintenance processes [webinar]. Joint Commission. Revised equipment maintenance standards for critical access hospitals. Jt Comm Perspect Nov;34 11 You may be trying to access this site from a secured browser on the server.

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hospital maintenance plan

SAVE Print. Full Text. Hospitals electing to adjust facility or medical equipment maintenance must develop policies and procedures and maintain documentation supporting their AEM program. Clinical Specialty. Information Type Guidance. Phase of Diffusion.To use this website, please enable Javascript. A facility maintenance checklist, also called a preventative maintenance checklist, is an invaluable security tool to keep a building safe by periodical planning, checkups, and maintenance activities.

It is the job of facility management teams to upkeep various aspects of building maintenance that get weathered by environmental conditions, worn out by frequent use or just expire because of technical capabilities of the materials included. Irregular adhering to a facility maintenance checklist can cause mild issues in shorter periods and severe, even life-threatening security problems down the line. A mild issue can include failure of parts of the IT infrastructure that can prevent people from doing their daily work.

Since there are tasks that need to be completed on a more and on a less frequent basis, it is recommended for a building to create a daily facility maintenance checklist and a monthly facility maintenance checklist. Larger annual or ad hoc checkups are practiced when a key business asset needs to be replaced. Failure to create preventative maintenance checklists and not taking care of the risks on time can save you time and a smaller amount of money short-term, but create havoc in the long-term, provided a serious incident occurs.

The facility maintenance checklist can include the following aspects of a facility that require attention:. Exterior walls and masonry work wears out as time goes by and should be checked at least monthly, if not more often in detail, and daily for any visible cracks or demolished areas.

Building arches, eaves and canopies should be inspected carefully as they tend to ruin more often. Routine roofing and soffit check-ups must be conducted along with the rest of the inspection of the building exterior.

Depending on the materials from which they are built from, doors and windows have various durability and should not be replaced often. But small parts, such as hinges, locks, and handles can break faster and thus prevent proper door functioning.

Periodical check-ups of the lighting system must be part of the facility management checklist, and the power supply must be inspected on daily basis. Plumbing defects are not so easy to notice until they occur, but if you own a checklist template with equipment replacement guidelines, for instance, when to replace valve, you can avoid major issues.

Irrigation system maintenance is sometimes done as part of plumbing activities, but it can also include additional checkups done by specialists. Depending on where you are located, fire extinguishers must be serviced at least once a year, while door and crawl spaces should be inspected more often. If you have a sprinkler system installed, it should also undergo preventative maintenance together with the rest of the equipment. Specific elements of the access control system can be integrated with other aspects of facility, thus causing confusion about when and how each of them needs to be inspected.

For instance, fire alarms can activate sprinklers while disabling some access doors. Video cameras can operate in several modes for monitoring, as well as for safety purposes. The WiFI network can be combined. Below is a sample preventative maintenance checklist. We use cookies to enhance your experience and measure audiences. Read more Decline. Access Control. Get Quote. Sample Building Maintenance Checklist Below is a sample preventative maintenance checklist.

Check roofing files, contracts, and warranties. Clear debris from roof drains. Inspect the perimeter to check old and new damage to metal and copings. Check roof connections to the wall and roof flashing for tears and wrinkles. Check splits in the stripping plies, if the roof is made out of bitumen. For metal roofs, protect against corrosion.

hospital maintenance plan

Weed, trim and irrigate a green roof. Conduct a moisture survey to find leaks. Inspect solar panels in the areas around penetrations. Install protection of the roof membrane. HVAC - inspect at least twice a year.Creating a maintenance plan is generally not difficult to do. But creating a comprehensive maintenance program that is effective poses some interesting challenges.

It would be difficult to appreciate the subtleties of what makes a maintenance plan effective without understanding how the plan forms part of the total maintenance environment.

This article explains what makes the difference between an ordinary maintenance plan and a good, effective maintenance program. Maintenance practitioners across industry use many maintenance terms to mean different things. So to level the playing field, it is necessary to explain the way in which a few of these terms have been utilized throughout this document to ensure common understanding by all who read it. Maintenance policy — Highest-level document, typically applies to the entire site.

Maintenance strategy — Next level down, typically reviewed and updated every 1 to 2 years. Maintenance program — Applies to an equipment system or work center, describes the total package of all maintenance requirements to care for that system. Maintenance checklist — List of maintenance tasks preventive or predictive typically derived through some form of analysis, generated automatically as work orders at a predetermined frequency.

Figure 1 below describes the flow of maintenance information and how the various aspects fit together. Figure 1 — Maintenance Information Loop. The large square block indicates the steps that take place within the computerized maintenance management system, or CMMS. It is good practice to conduct some form of analysis to identify the appropriate maintenance tasks to care for your equipment.

RCM2 is probably the most celebrated methodology, but there are many variations. The analysis will result in a list of tasks that need to be sorted and grouped into sensible chunks, which each form the content of a checklist.

Sometimes it may be necessary to do some smoothing and streamlining of these groups of tasks in an iterative manner. The most obvious next step is to schedule the work orders generated by the system into a plan of work for the workshop teams.

Less common, however, is to use this checklist data to create a long-range plan of forecasted maintenance work. This maintenance plan serves two purposes:.

The schedule of planned jobs is issued to the workshop and the work is completed. Feedback from these work orders, together with details of any equipment failures, is captured in the CMMS for historical reporting purposes.

A logical response to this shop floor feedback is that the content of the checklists should be refined to improve the quality of the preventive maintenanceespecially to prevent the recurrence of failures. A common mistake however, is to jump straight from the work order feedback and immediately change the words on the checklists.

When this happens, the integrity of the preventive maintenance programme is immediately compromised because the revised words on the checklist have no defendable scientific basis. This should be avoided wherever possible. The far better approach to avoid this guessing game is to route all the checklist amendments through the same analysis as was used originally to create the initial checklists. This means that the integrity of the maintenance program is sustained over the long term.

Implicit in this approach, however, is the need to have a robust system in which the content of the analysis can be captured and updated easily. Finally, all the information that gets captured into the CMMS must be put to good use otherwise it is a waste of time. This is the value of management reports that can be created from maintenance information.

Without describing the complete RCM analytical process, it is instructive at this stage to point out a few details that are important to the content of such an analysis because of the way they can impact the overall maintenance plan. Table 1 — Information captured in the RCM-style analysis. In addition to that, there is value in constructing a hierarchy of the equipment system showing assemblies, subassemblies and individual components. This helps to keep track of which section of the system is being considered at any time, and the list of components also helps to identify the spare parts requirements for the system.

Of vital importance is the clear identification of the root cause of each failure, as this will affect the selection of a suitable maintenance task. To illustrate this point, consider for example, a seized gearbox.We publish one well-researched article each month that gives you a unique insight into the maintenance world. Not so coincidentally, that is the focus of this article. After that, we will show you an example of a preventive maintenance plan and discuss how to best present your idea to the upper management to get a green light and proceed with the implementation.

It teaches you how to plan the whole transition, implement a preventive maintenance strategy, set up best practices, train your team, and how CMMS enables and supports this transition.

Corrective Maintenance vs Preventive Maintenance Corrective maintenance is a maintenance task performed to identify, isolate, and rectify a fault so that the failed equipment, machine, or system can be restored to an operational condition within the tolerances or limits established for in-service operations. Simplified, corrective maintenance focuses on diagnosing and fixing broken assets. Preventive maintenance or preventative maintenance is work that is performed regularly on a scheduled basis in order to minimize the chance that a certain piece of equipment will fail and cause costly unscheduled downtime.

Preventative maintenance is hence performed while the equipment is still in working condition. To help you accomplish this goal we have put together a simple step-by-step guide on how to convince your manager and make the switch to preventive maintenance. Additionally, this will give you and your team some breathing room to adjust and transition into a proactive maintenance mindset and workflow.

Is regular maintenance required for this piece of equipment? Are the repair and replacement costs high? Here is a list of different sources you can use to gather necessary info: 1 Look at the Original Equipment Manufacturer OEM recommendations Equipment manufacturers have a plethora of statistical data from in-house testing and field tests done by customers.

The manuals they provide often contain schedules for necessary maintenance, the usage of critical spare parts, and basic maintenance work instructions. Look at what kind of failures did the asset you put on your PM plan experienced in the past and how often. From that, you can roughly extrapolate what kind of preventive work you can schedule and how often to prevent some of those failures in the future.

Here is an example of the maintenance log and how it looks inside Limble: 3 Talk with your maintenance technicians and machine operators As a maintenance manager, some insights you can only get by talking to the people that are turning the wrench and that are in the contact with the machines daily. While he was able to get the machine running, some components are currently experiencing additional wear and tear.

Because of that, you need to schedule regular inspections of those components until those spare parts arrive and the problem is resolved. Here is another resource for Frequency of Preventive Maintenance Inspections. Step 3: Create The Initial Preventive Maintenance Plan If everything went according to plan, you now have the list of all the needed preventive maintenance tasks and a general idea of how often you need to perform each of those tasks on a particular asset.

All that is left is to enter the data into your maintenance planning tool hopefully a CMMSassign your tasks to the correct people, and add a priority and due date to ensure the whole team is on the same page. If you want to see an actual example of a preventive maintenance plan, we have one just a few scrolls below. The good news is that this challenge is easily solved, especially if you are using a modern CMMS like Limble.

The rest is quite simple. Maybe it could still operate without failures with less preventive work spent on it. Asset experiences regular failures despite regular check-ups and other preventive measures? It is possible to schedule even more preventive work on it after you investigate what those breakdowns were and what caused them.

Lastly, you have to be aware that your initial PM schedule will never be perfect — and that is perfectly fine.

10+ Maintenance Strategy Plan Examples – PDF

If that is indeed the case, then it is time to repeat these steps and expand your preventive maintenance program to the rest of your assets that will benefit from it.

Hi Romulo! We do indeed. You can check out our mobile cmms here.A career in hospital maintenance engineering will take some post-secondary training; how much education is required varies greatly and depends in part on your own aspirations. Higher education will often help you move up the ranks. Do your first career exploration activities early if you can. Look for job exploration fairs and job shadowing opportunities.

While there are opportunities in many levels of hospital maintenance engineering, some are reserved for those with degrees. Having good written and oral communication skills will enhance your career. The Certified Maintenance Professional credential, offered through the International Maintenance Institute, has a section on professional writing.

Composition skills are not necessarily required for lower level positions, but they can be an asset. Enroll in a training program in maintenance engineering.

Your municipality may have an apprenticeship program. There are multiple tracks in hospital maintenance engineering. You can become a stationary engineer and take responsibility for the heating and cooling systems of a building. You can also become an industrial or electrical engineer. Higher level programs may be termed industrial management; these might include a couple of years of industrial engineering and a couple years of management. Consider becoming a member of the International Maintenance Institute or other professional organization.

You have various resources to help you find a job. The International Maintenance Institute allows you to post a resume online. Personality Traits: What traits do hospital maintenance engineers need besides mechanical aptitude? Employers ask for time management, efficiency, and initiative. Hospital Maintenance Engineer Career Plan A career in hospital maintenance engineering will take some post-secondary training; how much education is required varies greatly and depends in part on your own aspirations.


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