Annual Report 2020

Department of Clinical Engineering and Medical Technology

Keiko Irie, Hidetomo Fukumoto, Ryuichi Narita, Terumichi Akiike, Tetsuro Isobe, Satoshi Hatakeyama, Kenjiro Saito, Masanori Kurashige, Shinpei Hiromatsu, Hidekazu Kurasawa, Tsubasa Hiratsuka

Introduction

 Our main tasks are as follows:

• Maintain and inspect approximately 5,000 items of medical equipment in the hospital.
• Assist with the medical equipment operation during surgery.
• Respond to medical equipment malfunctions.
• Plan the replacement of medical equipment.

The Team and What We Do

• 157 cases: Train hospital staff on the safe use of medical equipment.
• Staff are rotated every week to change the responsibilities of 6 departments (operating room, ICU, central equipment control room, outpatient, endoscopy center, and wards).
• We are on duty at the hospital to ensure the safe use of medical equipment for those on call from April 2017.

 Clinical support for each department is as follows:

1) Operating room

- 198 cases: prepared for da Vinci system.

- 59 cases: operated neuromonitoring during surgery (SEP, MEP, etc.).

- 9 cases: assisted with radiofrequency ablation therapy.

- 1,801 cases: daily or periodic inspection of endoscopes, shadowless lights, operating tables, electric scalpels, anesthesia equipment, etc.

- 325 cases: responded to medical equipment malfunctions.

- Arranged the equipment to be used for the scheduled surgery.

2) ICU

- 1,204 cases: daily or periodic inspection of ventilators, blood purification equipment, external pacemakers, etc.

- 49 cases: responded to medical equipment malfunctions.

- Worked as Respiratory Support Team (RST).

3) Central equipment management room

 Infusion pumps, syringe pumps, etc.

- 32210 cases: responded to loans, 32084 cases: responded to returns.

- 25241 cases: daily inspection and cleaning.

- 154 cases: regular inspection.

- 1146 cases: responded to medical equipment malfunctions.

4) Ward/outpatient

- Managed the medical equipment installed in each department, such as biometric monitors, defibrillators, AEDs, and electronic blood pressure monitors.

- 3335 cases: daily or periodic inspection.

- 102 cases: responded to medical equipment malfunctions.

 Clinical support was as follows:

- 96 cases: peripheral blood stem cell collection

- 3 cases: bone marrow processing

- 3cases: lymphocyte collection

- Shared information with the doctor in the weekly conference.

5) Endoscope center

- 260 cases: periodic inspection of the endoscope tower.

- 90 cases: responded to medical equipment malfunctions.

Research activities

• Established a meeting and training system with online tools in the department and improved our work efficiency.
• Distributed training videos online to the entire hospital so that staff of multiple professions could view them.

Education

• Prepared an education plan for new employees.
• Created checklists in each department (including operating rooms, ICUs, central equipment control rooms and wards) and evaluated the results with scores.
• Focused on trainer training and tested for our job verification.

Future Prospects

• We will collaborate with other departments as a specialist in medical equipment for cancer care and will perform appropriate medical equipment management.
• To ensure that medical equipment is used safely, we will plan and actively implement training for our staff who use medical equipment.