Planificación del mantenimiento preventivo y estudio de la distribución en planta de los equipos médicos en imagenología, cirugía, lavandería y rehabilitación del Hospital Universitario Andino de la Universidad Nacional de Chimborazo

Abstract

The preventive maintenance plan was carried out for medical equipment and facilities in the following areas: Emergency, Physiotherapy, Imaging, Laboratory, Laundry, Operating Room and ICU of Andean University Hospital from Universidad Nacional de Chimborazo. As a starting point, the problem was identified, which lies on the lack of standard maintenance documentation and the lack of technical regulations for the biomedical equipment location and hospital facilities for service units. The project included updating stages in the technical documentation, designing log formats for maintenance, planning and scheduling activities, definition of management procedures, and a plant redistribution planning. The technical inventory, technical file formats, work orders, logs, monitoring of activities and manuals were updated. Activities were prioritized by equipment, coding, establishing of frequencies and schedules with regard to the Total Time Background (FFT). The specific procedures for launching and follow-up the work instructions, evaluation of activities and costs calculation were established. In addition, the plant distribution was evaluated regarding infrastructure factors which includes the civil part, the security and plumbing and electric facilities’ conditions. The results show an improvement and documentary technification in preventive maintenance activities according to resources and the detection of improvement actions for the distribution of the equipment in each studied service area and it is suggested to establish an asset management system about useful life of each medical team based on Ecuadorian regulations approved by the Public Ministry of Health, and taking into account WHO criteria.