BY : Ms. JYOTI

PLANNING EQUIPMENT AND SUPPLIES FOR NURSING CARE

UNIT AND HOSPITAL

THE MEANING OF TERM EQUIPMENT AND SUPPLIES :

The term “equipment” means all items necessary for functioning of all services of the hospital including accounting and records maintenance of buildings laundry nursing unit its extra both movable and fixed equipments are required for the hospital.

Equipment Management

EFFICIENT MATERIAL MANAGEMENT

EFFICIENT MATERIAL MANAGEMENT

AIM OF MATERIAL MANAGEMENT IS TO GET MATERIAL :

Principles Of Material Management

Four Basic Needs Of Material Management As Follows :

Purpose of material management Gain Economy In PurchasingSatisfied Demand During period of

replenishment.Carry Reserve Talk To Avoid Stock OutStabilize Fluctuations In Consumption Provide A Reasonable Level Of Client

ServicesIncrease Efficacy Of Healthcare Systems Development And Skill Of Healthcare And Provide Materials In Required

Quantity As And When Needed .

Process Of Material Management And Supply Is:

The Essential Requirements Of Material Management Are As Follows :

Right Materials Right QualityRight Quantity Right TimeRight Price Right Supplier Right Uses Right Cost

Acquisition Of Required Items Can Be Done : At Departmental On Selection Level That Is

Decentralized At Hospital Level Centralized PurchaseBy A Group Of Hospitals Having Same Management Control That Is

Example Maybe Municipal GovernmentHospital Having Common Governing Body

Example Chain Of Corporate HospitalsMaking Joint Common Purchase Examples

Three Or Four Hospital Situated In Same City

Decentralized Purchase

The Purchase Are Carried Out At The Apartment .

Centralized Purchases :

Group Purchasing :

Requirement Of More Than One Hospital Club Together For Making Purchases Post Come Down For A Group Of Hospital Is It Advisable To Obtain Individual Requirement Of The Hospital Club Them Together And Then Process The purchase .

Advantages :

Disadvantages :Selection Of Substandard Items

Maybe Inadvertently Done Unfair Practices In Purchasing

By The Person Enjoying Absolute Power Cannot Be Ruled Out .

Types Of Material: The Various Types Of Material Used In Hospital Directly Or Indirectly Related To Various Activities That Are Undertaken In The Hospital To Achieve Its Objectives.

Materials And For The Facilities :

DRUGS AND MEDICINES

SUPPLIES EQUIPMENTS AND INSTRUMENTS

FACILITY

DRUGS AND MEDICINES

Supplies Equipments And Instruments And Facilities Drugs And Medicines These Are Used For Prevention And Treatment Of Various Types Of Ailments Including Anaesthetic Agent vaccine And Drugs Required For The Specific Purposes Antibiotics And Other Drugs

SUPPLIESCotton Bandage Dressing Materials Syringes, Needles Trays, BottlesLinens and Utensils That Are Related Directly

Or Indirectly To The Treatment . Linen Like Draw Sheet Bed Cover Mattresses

Pillows Mass Effect Of A Comprehensive List Of Supplies Of Hospital Requirements Has To Be Prepared And Will Need Updating And Modification From Time To Time Depending Upon The Time Of Expertise Personal Levels Of Technology Available In The Hospital

EQUIPMENTS AND INSTRUMENTS

FACILITYIs Normally These Are Non Movable

Materials A Fixed Assets Used For A Long Term Compare Two Equipment That Have A Limited Lifespan These Include Buildings Toilets Lifts Water Tanks And Pumps Wells Kitchens And Cooking Facilities And Telephones And Public Address Systems

Differences In Types And Quantity Of Equipment :

Cont…Some Articles Like Mattresses Lockers Need To Be

Equal To The Number Of Beds Where As Others Should Be In Adequate Proportion Such As Bedpans To The Number Of Beds Sweatpants Maybe One For 3 Or 4 Patients Surgical Units May Require Many Times Not Required By The Medical Unit .

The Children's Ward Required Furniture Different From The Word Of 4 Adult Elderly Patients And Unconscious Patients Will Require Siderails .

CONT….Perishable articles Will Have To Be Kept In A Greater Number Than Those That Are Non Perishable Those Articles Which Can Be Used Only Once Such As Dressing and Folyes Catheter With Need To Be Stocked In Large Quantities

Replacement :

The Frequency Of Ordering New Supply Is Very Important Some Supplies Need To Be Invented Daily Some Weekly Or Others May Be Monthly Or Yearly Also Some Items Last For Many Years And Required To Be Replaced After A Long Periods.

Regularised Method For Ordering The Equipment And Supplies

Broken Perished Or No Longer In Use Or Maybe Condemned

The Use System Followed In Almost All Hospitals Is Getting Every Payable Articles Content Or Sold Before Issuing New Ones Broken Or Useless Articles Are Presented Before The Person Or A Committee For Condemning And Getting New Ones Issued.

Aspects Of Medical And Nursing Assessment Management:

Procurement Phase:

Standardized On Models On Manufacturers Of Equipment

Specify The Condition And Special Requirement In The Purchase Order To Specify The Supplier With Hold Payment Specified Conditions Are Not Met

Incoming Inspection

Incoming Equipment Should Be Careful It Checked For Possible Damage Compliance With Specifications In The Purchase Order And Delivery Of Accessories Spare Parts And Operating And Service Manuals

Equipment Inventory And Documentation System

Inventory Entries Should Include Accessories Spare Parts And Operating And Service Manuals

Make Copies Of The Manuals For Distribution To The Users While The Originals Of The Manual Should Be Kept At The Technical Document Library For Safe Keeping

Commissioning And Acceptance:

commissioning can be carried out by Hospital technical staff if they are familiar with the item of equipment is commissioning by suppliers is needed the process should be monitored by Hospital technical staff so that any technical matters can be noted and recorded .

Monitoring Of Use And Performance:

A link should be maintained between user and supplier and observe any supplier supplier Technical Services .

Maintenance

Proper maintenance of equipment is essential to obtain sustained benefit and to preserve capital investment equipment must be maintained in working order and period periodically calibrated for effectiveness and accuracy proper maintenance has a direct impact on the quality of care.

Decommissioning

Repair Existing Old Equipment

Dismantle All Units Is Required

Decommissioned Equipment Must Be Deleted To Keep The inventory current

Working Of Departments Related To Equipment And Supplies :

Purchase And Store Department

The hospital has a separate store and purchase section under Material Management that also take care of equipments, the Purchase section is directly supervise by purchase officer and stores by the store officer the store keeper and the other stuff function under section the Purchase section is responsible for compilation of all demands finalisation of specification floating of tender enquiry placement of supply order monitoring of liabilities.

Purchase And Store Department

Record Keeping a sector where is the store department is responsible for initiation and compilation and demand receptors goods testing and quality control Record Keeping in stock ledger pleasures issue of equipments bill verification and maintaining supply

Equipment Maintenance And Repair Department:Each Hospital has separate

Department of workshop for maintaining and repairing equipment a Biomedical engineer resume appointed to supervise the important activity a history sheet of all the Hi Tech equipments are maintained in each department the sister in charge of the unit is responsible for the getting the equipments repaired and also for the maintenance .

Process Of Stock Verification And Condemnation Of Equipments And Articles

An annual physical stock verification:

Annual physical stock verification of all words tools departments unit is done by the deputy officers within Hospital the ground balance is checked with the balance in stock ledgers and entries are checked and initiated major losses and heavy surplus and noted and informed to the head of Institution . 

Condemnation Of Equipments And Articles :

A condemnation board is constituted to condemn the non consumable items and certify after proper scrutiny of records physical inspection unserviceable records its exams each Water Department maintains proper records of all the items condemned and do proper and trees in there ledger book. The condemned articles are stayed and disposed off as per the policy of hospitals.

DIAGRAM SHOWING SYSTEM APPROACH:

Input :

The main objective of the input component is to ensure adequate supply of equipment and supplies of nursing unit the nurse manager need to :

Take active part in estimating the demand of equipment and supplies

Be aware of hospital policy for requirement indenting stock etc.

Nursing homes for equipment and supply as per Nursing Council.

Input

Process

output

EFFECT OF SUPPLIES AND EQUIPMENT MANAGEMENT PRACTICES ON ORGANIZATIONAL PERFORMANCE IN PUBLIC HEALTH INSTITUTIONS IN KENYA,2014,MANAGEMENT RESEARCH ARTICLE , PUBLIC HEALTH INSTITUTIONS IN KENYA

ABSTRACT : The purpose of this study was to investigate the effect of supplies and equipment management practices on organizational performance in public health institutions in Kenya. The specific objectives were to establish: the effect of supplies and equipment shrinkage, supplies and equipment investment, supplies and equipment turnover, and supplies and equipment records accuracy on organizational performance of Kenyatta National hospital: A descriptive case study design was used. Statistical analysis was carried out using SPSS. The study revealed that supplies and equipment investment and supplies and equipment records accuracy have a positive influence on organizational performance while supplies and equipment shrinkage have a negative effect on organizational performance of Kenyatta National hospital thus this study recommends that the hospital should ensure that losses resulting to supplies and equipment shrinkage related to medicines are reduced. This can be done by ensuring that supplies and equipment records are accurately kept. The hospital need to manage its supplies and equipment investment by ensuring that the right amount of stock is kept at all times

Martin Beaulieu , (2012) "Hybrid stockless:International Journal of Operations & Production Management,

 Abstract:The American healthcare sector has experimented with different types of integrated supply chain management systems for medical supplies. In the 1980s, US distributors were offering customers the so‐ called stockless replenishment method, whereby the distributor picks and packs products according to the particular needs of each patient care unit and in most cases, delivers them directly.

By the late 1990s, stockless agreements had run out of steam,As distributors sought to optimize the balance between their efforts expended in hospital replenishment and the hospitals’ inventory savings. However, it also reveals the importance of the manufacturer’s role with respect to packing formats, and demonstrates that the rearrangement of storage areas can generate substantial savings, opening the way to means for improving the healthcare sector supply chain.

Research Paper Management A Study on Supplies and equipment Management at Amara Raja Electronics Ltd, Tirupati Dr.B.RAMBABU Associate Professors, Department of MBA, Sreenivasa Institute of Technology and Management Studies

ABSTRACT : In any organization the supplies and equipment of materials plays vital role in working capital management. A small saving in the supplies and equipment will reflect a vital margin in profit of the organization. Supplies and equipment control means the availability of right materials of right quantities coordinated with lead time. Each and every component of supplies and equipment is important and managing the inventories to keep in an optimum level is a must. Being an auto ancillary industry IPPL is facing a stiff competition in the market. Since supplies and equipment is the major part of their cost of production there is a need for supplies and equipment control by way of reducing cost and optimum utilization of materials. Though the company is having certain policies regarding this, still it requires through study of their policy and systems to some extent to understand the supplies and equipment management. .The import components are contributing nearly 25% of the total production cost. The present order quantity is very high with some items which cause the problem of over stocking. This leads to additional carrying cost Holding of stock is very high level Due to confidentiality of the data and year ending constraint IPPL ltd.

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