CE033-Corrective Actions Found On PM - Clinical Engineering ...

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