HEALTHCARE TECHNOLOGY MANAGEMENT-KWENENG EAST AND WEST DHMT SCOTTISH LIVINGSTONE HOSPITAL -BOTSWANA MANPOWER • 1 Biomedical Engineer-new graduate • 1 Biomedical Engineer-Cuban Volunteer • 2 Technicians-Electrical & Electronics • 1 Technician on the job trained (long service) • 1 Technical Assistant –on the job trained (long service) • Various Diploma graduates on National internship, temp, National service, students on attachment AREA OF COVERAGE • 2 Regions i.e Kweneng East and Kweneng West -Kweneng East: Scottish 350beds, Thamaga 36beds(45km away) more than 50 various clinics of different levels e.g with marternity wing, healthposts etc -Kweneng West: Letlhakane clinic 20beds and more than 77 clinics up to 200km away. WORK SCOPE • Scottish and 1 24-hr clinic undergoing External accreditation assessment in Aug ‘15 • Scottish is centre of excellence for Cardiac Surgery (Open Heart) and Opthalmology Services • 90% of Equipment serviced in-house e.g. Hospital beds, patient trolleys, stretchers, baby incubators, vital signs monitors, sterilisers etc • 10% outsourced [lab equipment, Anaesthetic vents, ICU Vents, Radiology equipment excluding Ultrasound machines] • PPM in Thamaga and the 24hr clinic • Procurement of Spares and accessories for both Regions • User training, bi-annual equipment audit CHALLENGES IN THE SYSTEM • Frequent change of management at MoH HQ [more than 20 in 6yrs] • Collapse of good systems which were put in place, e.g CMMS now using manual system • Lack of consultation in procurement of medical equipment at HQ • Lack of consultation or dissemination of information ONSITE CHALLENGES • Water quality (extremely hard) • Frequent power cuts (load shedding and faults) • Shortage of manpower-continuous training and re-training of temporary staff leading to more workload • High turnover and transfer of staff (users)-Training and retraining • Non availability of spares locally AREAS OF INTEREST FOR BENCHMARKING • Tools management in the workshop • Disposal of used instruments • Disposal of non recyclable Batteries, recyclable fluorescent light tubing • Disposing “off “ of mercury from the phased out mercury BP machines and thermometers. • MEDICAL EQUIPMENT AND DEVICES REGULATION ACHIEVEMENTS • The Best Healthcare Technology Department in the country with score of 75% by External Accreditation Body (COHSASA) THANK YOU • FOR LISTENING!
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