CE033-Corrective Actions Found On PM - Clinical Engineering ...
CE033-Corrective Actions Found On PM - Clinical Engineering ...
CE033-Corrective Actions Found On PM - Clinical Engineering ...
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POLICY:<br />
POLICY AND PROCEDURE MANUAL<br />
DUKE UNIVERSITY HEALTH SYSTEM<br />
<strong>Clinical</strong> <strong>Engineering</strong> Policy CE-33<br />
<strong>Corrective</strong> <strong>Actions</strong> <strong>Found</strong> <strong>On</strong> <strong>PM</strong><br />
The <strong>Clinical</strong> <strong>Engineering</strong> department performs preventive maintenance procedures on a timely basis as<br />
part of the Hospital’s Equipment Management Plan. <strong>Corrective</strong> actions arising during preventive<br />
maintenance procedures will be documented appropriately.<br />
PURPOSE:<br />
To ensure corrective actions are performed and documented appropriately when found during preventive<br />
maintenance procedures.<br />
PROCEDURE:<br />
1) NO PROBLEM FOUND DURING PREVENTIVE MAINTENANCE OF A MEDICAL DEVICE:<br />
a) The technician will perform the preventive maintenance procedure.<br />
b) The technician will complete the preventive maintenance work order system.<br />
c) The technician will affix an updated maintenance sticker on the device. Note: if the <strong>PM</strong> work<br />
request is completed in a month beyond the scheduled month, the technician will date the sticker<br />
to correspond with the month the work request was completed.<br />
d) The technician will return the device to service.<br />
2) PROBLEM FOUND DURING PREVENTIVE MAINTENANCE OF A MEDICAL DEVICE:<br />
a) If a problem is determined to be minor, the preventive maintenance procedure can be completed<br />
and the device cannot be returned to service, the technician should follow the following steps:<br />
(Example: a power cord has a cut in the covering.)<br />
i) The technician should perform the preventive maintenance procedure.<br />
ii) The technician should complete the <strong>PM</strong> in the work order system.<br />
iii) The technician should affix an updated sticker on the device. Note: if the <strong>PM</strong> work request is<br />
completed in a month beyond the scheduled month, the technician will date the sticker to<br />
correspond with the month the work request was completed. The Due Date should reflect the<br />
next due date based upon the last due month and the appropriate interval for the device.<br />
iv) The technician should open a corrective in the work order system with the appropriate<br />
problem code (<strong>Found</strong> on <strong>PM</strong>) and use an appropriate code to complete the corrective work<br />
request.<br />
b) If a problem is determined to be minor, the preventive maintenance procedure can be completed<br />
and the device can be returned to service, the technician should follow these steps: (Example: a<br />
hose bracket for an anesthesia machine is broken or a cosmetic label has fallen off.)<br />
i) The technician should perform the preventive maintenance procedure as per manufacturer’s<br />
recommendations.<br />
ii) The technician should complete the <strong>PM</strong> in the work order system.<br />
iii) The technician should affix an updated maintenance sticker on the device Note: if the <strong>PM</strong><br />
work request is completed in a month beyond the scheduled month, the technician will date<br />
the sticker to correspond with the month the work request was completed. The Due Date<br />
should reflect the next due date based upon the last due month and the appropriate interval<br />
for the device. For example: a November scheduled <strong>PM</strong> work request completed in December<br />
should have a done date of December documented on the sticker.<br />
Page 1
POLICY AND PROCEDURE MANUAL<br />
DUKE UNIVERSITY HEALTH SYSTEM<br />
<strong>Clinical</strong> <strong>Engineering</strong> Policy CE-33<br />
<strong>Corrective</strong> <strong>Actions</strong> <strong>Found</strong> <strong>On</strong> <strong>PM</strong><br />
iv) The technician should return the unit to service.<br />
v) The technician should open a corrective work order with an A10 problem code (<strong>Found</strong> on<br />
<strong>PM</strong>) for eventual follow-up action when the device is available, take appropriate actions to<br />
complete the request and use an appropriate B code to complete the corrective request.<br />
c) If a problem is determined to be more than minor and the preventive maintenance procedure can<br />
not be completed, the technician should complete the following steps: (Example: the flow control<br />
module on a mechanical ventilator is damaged)<br />
i) The technician should open a corrective work order with an A10 problem code (<strong>Found</strong> on<br />
<strong>PM</strong>) and reference the preventive work request number in the PROBLEM DESCRIPTION<br />
FIELD.<br />
ii) The technician should complete the preventive maintenance work order with a B40 code and<br />
must reference the corrective work order number.<br />
iii) Upon completion of the corrective action, the technician must resume the preventive<br />
maintenance procedure, document in the repair description field that a preventive<br />
maintenance procedure was completed and then complete the corrective work request with an<br />
appropriate B code.<br />
iv) The technician should affix an updated maintenance sticker on the device with the<br />
appropriate <strong>PM</strong> box marked. (Please note: the done date will be the date the <strong>PM</strong> work<br />
request documentation is completed in the work order system. For example, a <strong>PM</strong> work<br />
request was completed in October and the CM work request was opened with the A10<br />
problem code and carried over into November. The <strong>PM</strong> sticker should reflect the October<br />
date coinciding with the <strong>PM</strong> work order. The Due Date should reflect the next due date based<br />
upon the last due month and the appropriate interval for the device. The technician will<br />
complete the CM work order with the appropriate repair code and document the date the CM<br />
work was done.<br />
v) The technician should return the device to service.<br />
Reviewed: November 2001, January 2004, January 2007, January 2010, February 2013<br />
Revised: November 1999, January 2007<br />
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