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Joined: Mar 2012
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Hi to all,

I'm working alone as Bio-medical Equipment Technician in 120 bed Capacity hospital and next year were going to expand up to 200 capacity. We have 450-500 working equipment for now, half of them are maintain by outsource. If we have our bio-medical test tools, How many technician i need to work with me?

Delfin

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Hi Delfin, welcome to the forum.

One of the things that tends to define the workloads is not just how many beds but also how many theatres there are. Can you tell us that info?

There is also the question of how experienced people are but that's a bit more difficult to define.

Thanks, Dave

Last edited by DaveC in Oz; 20/06/13 10:04 AM.

Thoughts and information provided on this forum are mine and mine alone and do not necessarily reflect the policy of NSW Health. They may also be complete bollocks!!
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Hero
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Also the type of hospital.
One I worked in only had a couple of hundred beds but as it was a specialist cardiac centre with a large ITU the was a lot of complex equipment. So just going by numbers is not a simple process as Dave has said.
If you are coping now and the number of beds is going up by two thirds you need two thirds more staff.
Robert


My spelling is not bad. I am typing this on a Medigenic keyboard and I blame that for all my typos.
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Welcome to the forum, Delfin. smile

Are you planning to take on the full commitment (that is, cancelling any outsourcing)? If so, you will need four techs if you hope to do a decent job (with properly conducted PM, and all the rest).

Back in my planning maintenance days I developed various methods of establishing (guessing) how many techs are likely to be needed in various scenarios.

Once (as in your case) the hospital is already up and running it should be easier to quantify the man-hours required "simply" by working out how many hours it takes to PM each item of equipment ... and then adding in some more man-hours for the other (many and various) tasks that biomeds get involved in.

But, rather that waffle on about this and that method - trust me, the "result" will be more or less the same ... that is, a total of four biomeds of average capability (able to act independently, without supervision ... etc.) - one Senior Technician and three Technicians.

By the way:- how have you been managing so far ... are you able to operate a PM programme (for instance), or are you just "fire fighting" (responding to calls from user staff, equipment breakdowns etc.)?

I suspect I'm right in assuming that the stuff you currently have outsourced is the more "difficult" kit. So how do you propose to gain the necessary expertise needed before you are able to take on that burden (if that's what you are planning to do)?

I wonder if what we're really looking at here is a (another) case of senior management hoping to make substantial savings, without realising the full extent of the true costs involved in reforming their tech support strategies? think

Anyway ... Good Luck. And feel free to come back with more information (as long as you don't mind the candid - but hopefully realistic - responses you are likely to receive)! whistle

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It's all down to man-hours. A single tech, regardless of capability, can only sustain so many hours of work per day (week, month, year).

It takes time to PM each piece of kit, be it a nebulizer compressor, or a CT scanner.

It also takes time to repair kit, order parts, attend meetings ... and all the rest (including travelling, if required). smile

When planning, for every item of equipment on your inventory (not number of beds, operating theatres ... or anything else) you have to ask the question:- how many hours is it going to take me to support* this piece of kit (eg, per year)?

Then you work out how many hours your techs are actually available for work each year. When you do the summing calculation you will find that you really need twenty blokes! LOL

Time is all we have (any of us). And there is never enough of it. frown

* Even if it's only managing service contracts (monitoring contractors) ... it still takes time.

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Well said my dear friend, Geoff.

Man-hours is the way to determine the estimate number of headcount for your institution.

Also the type of work scope like PM,CM, Commissioning, Specifications, etc. Your main scope should form towards PM and CM for your entire equipment listing with minimum involvement in specifications and commissioning depending on how actively the hospital is embarking on a replacement programme or new services.

Take for example a Defibrillator which needed 4 PM a year and each full PM takes about 2 hrs. You have a base quantity of 10 units. Then the total number of hours needed for defibrillator would be:

4x2x10 = 80 hours

A certain percentage (for the entire equipment list) would have to be factored for corrective maintenance (CM). Breakdown or equipment failure are hard to predict especially when they are new. You need to add this figure to the total PM hours to make up the total man-hour required.

You will arrive at say "Z" hours

"Z" hours divided by the number of hours per annum needed for 1 headcount say "X" hours

Total headcount needed = Z/X.

Cheers!


Last edited by Roger; 20/06/13 2:23 PM.

Make the impossible POSSIBLE. I know we all can and it is the wisdom to distinguish one from the other.

My blog: http://biomedicalengineeringconsultancy.blogspot.sg/

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Which brings us to the next lesson (aimed not only at our new friend in Western Visayas, but everyone else who aspires to progress beyond the mere "fire fighting" model of tech support):-

The absolute need to maintain good records. smile

At the very least:- records of work carried out (job reports).

Then, you can quickly, and with some accuracy, estimate how much time is spent on CM (and, hopefully, PM as well) simply by analyzing the previous years (ten years, whatever) job reports.

You don't even have to use a computer. A simple ruled log-book, if properly drawn up and diligently maintained for all work carried out, will suffice.

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I'd guess that a 200 bed hospital may have 4~5 theatres and, with the right training, two technicians should easily cover all repairs and PPM's. If there are 1000 pieces of equipment that's only approximately 2.5 units each per day.

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Quote:
two technicians should easily cover all repairs and PPM's.


Absolutely, two should be quite sufficient unless it was a highly specialised hospital (cardiac for example). If it is a general med/surg, two would be comfortable I would have thought.

......and, if I ever found one of my staff taking 2 hours to PM a defib they would be looking at, at least, a serious telling off for being very slow or if they persisted, a new employer.


Thoughts and information provided on this forum are mine and mine alone and do not necessarily reflect the policy of NSW Health. They may also be complete bollocks!!
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Are we talking about 9-5, 5 days a week with a rotating on-call system? I would go for 4 technicians to cover holidays and if required sick leave.


If you think hiring professionals is expensive, try hiring amateurs!
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