Dear students i am just trying to explain the equipment and supply of material in hospital easy way. Its really helpful for studding and those who are studding to hospital supply.

1. equipment and supply of material
MR. VIKRANT KULTHE.
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2. INTRODUCTION
 Hospital supplies and equipment’s are dealt under materiel
management. Supplies are those items that are used up or
consumed; hence the term consumable is used for supplies.
 The equipment should be store in a safe place, and should be placed
where it is required more. Constant changing of the equipment place
create confusion among the staff. A very important way of managing
supplied and equipment is by establishing central supply of
equipment in every individual hospital
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3. BACKGROUND OF THE STUDY
 Quality nursing care is demanded everywhere.
 It is the right of every patient. Therefore, providing good nursing needs good
functioning equipment and supplies.
 If the equipment is of inferior quality, lacking good functioning capacity, then it
complicates the life of the patients in the hospital.
 Therefore, the head in-charge should be given the responsibility to indent or
write requisition for needed equipment along with their rational towards the
nursing care.
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4. MEANING
EQUIPMENT:
The term “equipment” means all items necessary for the
functioning of all services of the hospital including accounting and
records, maintenance of building, laundry, nursing unit etc. Both
movable and fixed equipment’s are required for the hospital.
SUPPLY:
Supplies are those items that are used up or consumed; hence the
term consumable is used for supplies.
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5. EQUIPMENT PLANNING:
 A good equipment planning includes careful attention to fixed and
movable equipment that will be needed in operations.
 The lack of planning will result;
- Wastage of millions of rupees,
- Reduced operational efficiency,
- Lower standard of patient care.
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6. Whom responsibility?
1. It is the responsibility of hospital consultant.
2. The architect is responsible for the built-in equipment’s.
When and which stage equipment planning is done?
 Equipment planning is done early in design dev. Stage.
 This planning involve;
1. A series of meeting of
-Medical staff
-HODs &
-Other staffs
to discuss the needed equipment’s.
2. Preparing room by room equipment list.
3. Review of this list
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7. NATURE OF EQUIPPING THE HOSPITALS:
 There are innumerable expandable items
 It is an extensive and exhaustive work .
 There is no performed procuring system in the new hospital
 The problem is computed by installing equipment apart from purchasing item.
 The important consideration are –
-Timing of delivery
-Warehousing
-Unpacking
-Assembling
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8. TYPES OF EQUIPMENT’S
Build- in
equipment’s
Depreciable
equipment’s (Non-
expandable)
Non- depreciable
equipment’s
(Expandable)
Non- depreciable
equipment’s
(Expandable)
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9. TIMING OF PURCHASE, ORDER AND DELIVERY:
Are exceedingly important
 Delivery instruction should be keyed to the building completion schedule.
 Hospital administrator may ask a central general store space and adjoining room form
temporary storage of equipment’s from contractor 6 month before opening & 3 months
before completion schedule.
 These spaces can be used for work center for equipping operation.
 Time schedule and performance agreements will be helpful in their concern.
 If there is delay in construction, the supplier should be helpful in their concern.
 The storage places should be protected from weather, theft damage but should not
obstruct the construction.
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10. EQUIPMENT MANAGEMENT
 Equipment management include all the related policies and
procedure govern activities from the selection and acquisition
through to the incoming inspection, acceptance, maintenance and
eventual retirement and disposal of medical equipment.
 The purpose of equipment management is to ensure that
equipment used in the patient care is operational, safe and
properly configured to meet the mission of the medical treatment
facility.
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11. ASPECT OF MEDICAL & NURSINGEQUIPMENT
MANAGEMENT
Planning phase
Procurement
Incoming
Inspection
Inventory and
documentation
Commissioning
and acceptance
Monitoring of
use and
performance
Maintenance
Decommissioning
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12. PLANNINGAPHASE:-
The following condition that should be met to help
the decision process in planning phase:
 Demonstrated clinical need;
 Available qualified users;
 Approved and reassured sources of recurrent operating
budget;
 Confirmed maintenance services and support;
 Adequate environmental support.
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13. B. PROCUREMENT PHASE:
 Standardize on models or manufactures of equipment’s.
 Specify the conditions and special requirement in the purchase order to specify the
supplier withhold payment if specified condition are not met.
C. INCOMING INSPECTION:
 Incoming equipment should be carefully checked for possible damage;
compliance with specification and delivery of accessories, in the purchase order;
spare parts and operating and service manuals
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14. D. INVENTORY AND DOCCUMENTATION:
 It provides information to support different aspect of medical equipment, management.
 Inventory entries should include accessories, spare parts and operating and service manuals.
 Make copies of manual for distribution to the users, while the original if the manual should be kept at the
technical document library for safekeeping.
E. COMMISSIONING & ACCEPTANCE:
Commissioning can be carried out by hospital technical staff if they are familiar that item of equipment.
If commissioning by the suppliers is needed, the process should be monitored by hospital technical staff so that
any technical matters can be noted and recorded.
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15. E. MONITORING OF USE AND PERFORMANCE:
A link should be maintained between user and supplier and observe any supplier’s technical services.
F. MAINTENANCE:
Proper maintenance of the equipment is essential to obtain sustained benefits and to preserve capital
investment. Equipment must be maintained in working order and periodically calibrated for effectiveness and
accuracy. Proper maintenance has direct impact on the quality care.
G. DE-COMMISSIONING:
 Repair existing old equipment.
 Dismantle old unit if required
 Decommissioned equipment must be deleted to keep the inventory current.
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16. PURCHASES AND SUPPLIES AND EQUIPMENT:
The purchases of supplies and equipment’s in a hospital is
carried out through;
 General Store
 Dietary department
 Pharmacy department.
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17. SELECTION OF ARTICLES:
 While buying articles it has to meet the standards.
 Indian standard institution is the national agency set up to bring
standardization of articles in India.
 The articles that meet the criteria specified by the Indian standard
institution will be marked by ISI marking.
 The articles brought should provide safety to the patient and
personnel.
 Faulty instrument and equipment’s cause not only inconvenience in
the patient care, but also it may cause loss of the life.
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18. PURCHASINGARTICLES:
 The material use for any equipment should be durable, non-corroding, non-toxic
and safe for use.
 should have standards shapes and dimensions to fit in to various situation.
 Reparability and spare part availability of the articles.
 Interchangeability of the articles.
 All surgical instruments used in a hospital sterilisable and they should stand the
tests foe leakage, hydraulic pressure test for bursting etc.
 Should have accuracy in measurements.
 Should have ease of operation.
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19. THE CENTERAL SUPPLY SERVICE
Most hospital have the central department where equipment’s and supply’s are
stored and from which they are distributed to the units
Linen supply: methods of handling supply include;
 Departmentalised system:
Here the supply of the linen for each department of the hospital is marked for
that department. The head of the department is responsible for making a linen
standard for his own department.
 Centralised supply:
Under the centralised system, linen is issued on exchange basic, that is clean
linen is exchange for soiled linen.
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20. FACTOR TO BE CONSIDERED:
 Type of service provided by the Hospital
 Age of the patients
 Sex
 The degree and type of illness
 Cost of the items
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21. GENERAL UTILITY SERVICES IN THE HOSPITAL:
 Water supply
 Electrical supply and installation
 Disposal of waste liquid and solid
 Refrigeration, air controlling, ventilation and environmental control:
 Transport
 Supply of medical gases, compressed air, hot water, vacuum suction and
gas plants:
 Laundry
 Communication
 Repairs workshop
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22. ESSENTIAL EQUIPMENTFOR A 50 BEDDED DISTRICT
HOSPITAL (WHO):
Scope of services:
 Essential clinical services.
 Operational clinical services.
 Essential clinical support.
 Optional clinical support.
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23. Essential medical equipment’s:
Diagnostic imaging equipment’s.
Laboratory equipment’s.
Refrigerator.
Instillation and purification apparatus.
Electrical medical equipment’s:
Portable electrocardiogram
Defibrillator
Portable anesthetic unit
Respirator
Dental chair unit
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24.  Other equipment’s:
Autoclave
Small sterilizer
Cold chain and other preventive equipment’s
Ambulance
 Small, inexpensive equipment’s and instruments:
Equipment’s and instruments such as BP apparatus,
oxygen manifolds, stethoscope, diagnostic seat sand
spotlights.
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25. WORKING DEPARTMENT RELATED TO EQUIPMENT AND
SUPPLY
Purchase and store department:
 The hospital has separate store and purchase section under material
management.
 The purchase department is directly supervised by purchase officer and
store by store officer.
 The storekeeper and other staff function under the store section.
 The purchase section is responsible for compilation of all demand.
 The store department is responsible for initiation and compilation and
demand, receipt of goods, testing and quality control, record keeping in
stock ledgers, issue of equipment’s, bill verification, maintaining supply.
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26. EQUIPMENT MAINTENANCE AND REPAIR
DEPARTMENT:
 Each hospital has separate department/ workshop for
maintaining and repairing equipment.
 A biomedical engineer is usually appointed to a supervise this
important activity.
 A history sheet of all high-tech equipment are maintain in each
department.
 The sister in-charge of the unit is responsible for the getting
the equipment and maintenance.
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27. ROLE OF NURSE MANAGER IN MAINTING
EQUIPMENT AND SUPPLY
INPUT:
The main objective of the input component is to ensure adequate supply of
equipment and supply of nursing and supplies of a nursing unit. The nurse
manager needs to:
 Take active part in estimating the demand of equipment supplies.
 Be aware of hospital policy for requirement, indenting, stock etc.
 Nursing norms for equipment and supply as per nursing council.
 Develop nursing policy as per requirement.
 Communicate higher authority about the gap between demand and supply.
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28. PROCESS:
Objective:-
To maximize the proper utilization of available equipment and supply by the staff and proper
maintenance of equipment and supplies.
 Maintain current inventory of functional/ in working order equipment and supplies.
 Send requisition monthly, daily as per the policy development.
 Have inventory control, maintain buffer stock for emergency.
 Do proper distribution for evening night shift.
 Conduct supervisory round.
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29.  Assign and delegate the work to junior staff.
 Check daily and periodically the functioning of the
emergency and general equipment and life-saving
equipment.
 Communicate all team member about the “out of stock”
and non-functioning of the equipment.
 Maintain record and report of equipment and supply.
 Regularly maintain the equipment and supply.
 Check all the work has been done.
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30. OUTPUT:
Objective: - To render quality patient care
 All he staff should be aware of policy: hospital, ward
related to equipment and supplies.
 There should be adequate supply of equipment and other
supply of equipment and other supplies without any
interruption.
 Equipment should be in working order.
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