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Anaesthetic machines, service in house or contract #72446 10/11/17 9:01 AM
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Jim Johnson Offline OP
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Hello

It's my first post so hello to all.........

As per title, I'd like your thoughts and opinions please. With cost cutting being the order of the day, we're debating whether it would be better to bring the servicing of our anaesthetic machines back in house or leave them on a service contract. If we update the machines in the near future, we will standardise on one make, so we'll have a fleet of about 50 machines across the Trust. These are our thoughts so far......

Pro's
Cost cutting
In house expertise for 24 hours cover
PM when we need them done not when the company wants to come in

Con's
Liability if anything goes wrong
Will we have enough work to keep the engineers busy and their knowledge fresh?

Your thoughts please
Thanks

Jim

Re: Anaesthetic machines, service in house or contract [Re: Jim Johnson] #72447 10/11/17 2:42 PM
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kit Offline
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Hi Jim, as you say there is pros and cons to both and I work in a department that has tried both. I'm not sure what is more cost effective but the benefits of in house is that you have a specialist on site during the working day and this is very good for the theatre staff and the EBME dept. I don't think the 24 hr cover is important as out of hours the staff should always have access to another machine. The techs would be considered as specialists in anaesthetic equipment and although there may not be enough work on anaesthetics to cover the techs time I'm sure they could cover other kit in the hospital to a lesser level. As for liability I would say that if you have a competent tech/engineer then the risk would be minimised, and also dont forget that some external techs are maybe not the best either.The one concern I would have is if you spend the time and money training one or two techs to be specialists in anaesthetics equipment they could easily leave as and when suits them taking all that valuable experience with them which could cause a problem. What would you do then, train other techs to come in or fall back on external companies?

Re: Anaesthetic machines, service in house or contract [Re: Jim Johnson] #72448 10/11/17 5:48 PM
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Geoff Hannis Offline
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Welcome to the forum, Jim. smile

I have always taken the view that as much kit as possible should be cared for in-house (at first line at the very least).

So ... pull them all back in-house.

I would have thought that fifty machines should be enough to keep a couple of techs busy - especially if they take care of all the other "medical gases" stuff as well.

As for liability - get a decent insurance policy in place for your department.

And (regarding Kit's point about the possibilty of techs moving on) - get as many techs (that is, all of them) trained up on anaesthetics kit (just like we did back in the army over forty years ago)! Get one or two "specialists" trained up, on the condition that they train up the other guys over time.

That should work for other kit as well, by the way (x-ray, ultrasound, lab, dialysis etc., etc.). In short, everyone on the team should be able to respond at first line.


If you don't inspect ... don't expect.
Re: Anaesthetic machines, service in house or contract [Re: Jim Johnson] #72459 14/11/17 5:13 PM
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BIFF_1980 Offline
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What machines do you have?

I have been doing anaesthetic machines in-house for 12 years so far smile You can managed the workload of servicing and breakdowns around your own staff. It can get demoralising if everything is put on contract...

Also i would say they are the most interesting thing to work on...

Re: Anaesthetic machines, service in house or contract [Re: Jim Johnson] #72460 14/11/17 10:05 PM
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Kevin Finn Offline
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Do you have any problems with staff not wanting to specialise in Anaesthesia by doing in house? Just asking as I find the world of A&V is outside normal working times to keep on top of PPM and repair.

Re: Anaesthetic machines, service in house or contract [Re: Kevin Finn] #72461 14/11/17 10:15 PM
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Geoff Hannis Offline
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On the other hand some folk (me included) like working "out of hours" - nice and quiet, able to "gain access" and crack on with the real work. smile

And ... as I may have mentioned a few times before ... biomed services should be a 24-hour operation anyway. In other words, three shifts (with a reduced staff during the night).


If you don't inspect ... don't expect.
Re: Anaesthetic machines, service in house or contract [Re: Jim Johnson] #72462 15/11/17 3:10 PM
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Jim Johnson Offline OP
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Thanks for all your replies, they're very helpful. We do have a team that is enthusiastic to learn and specialise and prepared to do the work. But we also understand that we need the full support of all those concerned.

Re: Anaesthetic machines, service in house or contract [Re: Jim Johnson] #72468 17/11/17 12:55 PM
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DAS Offline
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If you're replacing machines make it part of tender process for manufacturer training - especially if purchasing a large number.


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Re: Anaesthetic machines, service in house or contract [Re: Jim Johnson] #72474 19/11/17 9:18 PM
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DaveC in Oz Offline
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We moved to in-house PM of our anaesthetic machines (GE Aisys) this year.
I think in general it has been a good move and certainly ups the skill and confidence levels of those involved however, as a workshop manager I am taken aback by the amount of resource it has taken to do this. It has meant a substantial rearrangement of other PV/PM schedules to clear most other work from the month when the anaesthetics "major" services are due.
Make sure you have the resource available before making the move to in-house!

Dave


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!!
Re: Anaesthetic machines, service in house or contract [Re: DaveC in Oz] #72476 20/11/17 12:49 PM
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Geoff Hannis Offline
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How about staggering the anaesthesia PMs across the calendar (year) rather than trying to squeeze them into a manic month? think

PS: how often are the "major" services due ... six-monthly?


If you don't inspect ... don't expect.
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