Final Repot LI

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1 INTRODUCTION 2

2 TRAINING SCOPE 19

3 TRAINING CONTENT 27

4 WEEK 1 28

5 WEEK 2 32

6 WEEK 3 36

7 WEEK 4 39

8 WEEK 5 43

9 WEEK 6 46

10 WEEK7 49

11 WEEK8 52

12 SUGGESTION 56

13 CONCLUSION 58

TABLE OF CONTENT

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ACKNOWLEDGEMENT

Allhamdulillah for the successful completion of this Industrial Training .The genuine

appreciation must be given to Advance Pact Sdn Bhd at Hospital Pakar Sultanah Fatimah, Muar

Johor (HPSF) for their willingness and full cooperation in giving the opportunity for me to

undergo the industrial training in their company.

Firstly, I would like to express gratitude the my industrial supervisor, Encik Md iskandar

bin Sidek, Biomedical Engineering team and all Advance Pact staff for their valuable guidance,

assistance and mutual aid during my industrial training here. Also my appreciation goes to all

HPSF staff as well as users for their cooperation during accomplish my industrial training.

The Industrial Training has given me a bunch of experience especially the required

knowledge and proficiency presented to become a professional engineer. I have also understood

the manner required to be able to work with anyone in any condition to fulfill the objective at the

workplace. This invaluable experience can only be gained through an Industrial Training.

Also, I would like to deliver a very special thanks and appreciation to Universiti Tun

Hussein Onn Malaysia for the attention and support throughout the entire period especially to my

lecturer, Encik Mohd Kamal in Jaafar for supervising me in the industrial training visit, the

collaboration and information given during the Industrial Training.

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Last but not least, I would like to give my appreciation to my parent, family and friends

because always be at my side and support me from behind. Also for those who are involve

directly or indirectly, thanks a lot everyone.

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ABSTRACT

In the industrial training that has been undergo from 1 April 2013 to 7 June 2013 at

Advance Pact Sdn. Bhd, Hospital Pakar Sultanah Fatimah Muar, Johor, hands-on method is

emphasized by the mean of obtaining knowledge in biomedical electronics field, which leads to

preparation for the real working life. The overall training program is very effective since students

actively involved in safe working manners including faultfinding, troubleshooting and servicing

of biomedical equipments from various types and features. The learning process and working

experiences in biomedical engineering field are both obtained as the purpose of the industrial

training, to give opportunity to students to get exposed in the real working situation as

preparation for their working life soon.

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INTRODUCTION

The Introducing of Industrial Training

The purpose of the Industrial Training is to provide exposure for the students on practical

engineering fields. Through this exposure, students will have better understanding of engineering

practice in general and sense of frequent and possible problems. This training is part of the

learning process. So, the exposure that uplifts the knowledge and experience of a student needs

to be properly documented in the form of a report. Through this report, the experience gain can

be delivered to their peers. A properly prepared report can facilitate the presentation of the

practical experience in an orderly, precise and interesting manner.

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The Objective of Industrial Training

To introduce the real working environment to student and to equip them with technical

experience in order to facing problem and challenges in the chosen carrier.

To examine the ability of student in practicing their knowledge with the real working

situation and in directly giving the clear description of the chosen carrier.

To widen scope of knowledge in student to enhance their technical skills in achieving a

high quality work standard.

To train student considering their safety while working and following all the safety rules

and regulation applied to the nature of the job.

To instill teamwork spirit as well as to develop good working environment between the

colleague and employer especially in term of communication and mutual respect.

To create sense of responsibility in student forward assignment or job given, confident

with their action, efficient and honest.

To help student creating more constructive ideas that can be linked between theoretical

and practical in order to produce innovative and knowledgeable student.

To create awareness on the importance of education and to increase student’s interest in

academic.

To prepare on official report after graduation.

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Company Background

Sultanah Fatimah Specialist Hospital

Sultanah Fatimah Specialist Hospital was established around 1900 in Jalan Petri,

Muar and are also known as' Government Dispensary. The hospital has moved its location to

Jalan Salleh 1918 when the Muar undergone the town planning. Since 1920’s, the hospital which

previously known as Muar Hospital has gone through rapid development.

The naming conversion and the declaration of the Hospital name to the Sultanah Fatimah

Specialist Hospital were completed by His Highness the Sultanah Johor on October 13, 2003.

This hospital serves the third ranked hospital in Johor after Sultanah Aminah Hospital

and Sultan Ismail Hospital. It also serves as a reference hospital for the northern zone of Johor

inclusive Batu Pahat, Tangkak and Segamat.

Location of Sultanah Fatimah Specialist Hospital

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At the end of year 1996, Malaysia Government had decided to privatize the entire

engineering department in all hospitals nationwide. The Ministry of Health (MOH) was in

control of this project and had come to a decision of assigning Radicare (M) Sdn. Bhd., Faber

Medi Serve Sdn. Bhd (FMS) and Pantai Medivest Sdn. Bhd to handle their perspective regions

based on the agreement made with MOH.

The main objective of this project is to improve the quality of the support service

available in hospitals. The performance of the support services will be evaluated by the MOH

annually.

The companies and their perspective regions are as follows:

No Consortium Region

1. Radicare (M) Sdn. Bhd. Kuala Lumpur, Selangor, Pahang, Kelantan and

Terengganu

2. Faber Medi Serve Sdn. Bhd Perak, Kedah, Perlis, Pulau Pinang, Sabah and

Sarawak

3. Pantai Medivest Sdn. Bhd. Johor, Negeri Sembilan and Melacca

Companies and Perspective Regions

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Advance Pact Sdn. Bhd

Advance Pact’s Logo

Company Details

• Company Name: Advance Pact Sdn Bhd

• Incorporated: 1997

• Scope of Business: Healthcare Consultancy and Services

• Registered Office & Head Office: 2-3A, Perdana The Place,

Jalan PJU 8/5G,

Bandar Damansara Perdana,

47820 Petaling Jaya,

Selangor Darul Ehsan,

Malaysia.

• Telephone number: 03-77268632

• Facsimile number: 03-77258636

• Management Team - Corporate Office:

Managing Director: Shamsulbahrin Ludin

Executive Director: Mohd Hidzir Khamis

Medical Director: Prof. Dato’ Dr. Aminuddin Ahmad

Senior Manager, Finance: Aman Shah Ayub

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Head, Corporate Services: Zamri Mohamad

Head, Quality and Resource Management: Siti Ainol Khabtiah Mohd Jamil

Head, Administrations: Norzatusi Abdul Rahman

APSB Muar technical team;

Abd Rashid Bin Ali

Md Iskandar Bin Sidek

Halim Bin Johari

Azlan Zulfadli Januri

Hanif

Irfan

Ismail

Raimi

Malik

Advance Pact Sdn Bhd (APSB) is a Malaysian company that provides a comprehensive

state of the art biomedical engineering services for the healthcare industry in Malaysia, Asia

Pacific, East Asia and the Middle East. APSB was incorporated in 1997 and has progressively

developed a niche in the provision of biomedical engineering services locally and abroad. APSB

services have been designed to conform to ISO 9001 Quality Management System Standards,

ISO 13485 Quality Management Standards for Medical Devices and OHSAS 18001

Occupational Health and Safety Assessment Series.

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Company’s Vision

Advance Pact Sdn Bhd strives to be leading global healthcare consultancy and Services

Company.

Company’s Mission

Customer Satisfaction

Professional Competency

Technology Driven

Best International Standards

Cost Efficiency

Value Human Capital

Corporate Value

Commitment

Communication

Appreciation

Competency

Urgency

Integrity

Respect

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Services

i) State of the Art Services

APSB provides the full spectrum of biomedical engineering services from

medical equipment planning, procurement management, supervision of installation,

testing and commissioning, maintenance management, warranty management, risk

management and medical technology assessment. APSB services also include supply of

medical equipment spare parts and consumables.

ii) Medical Equipment Planning

APSB medical equipment planning services provide in depth assessment on the

need for medical equipment at various clinical and non clinical functional areas in the

healthcare facility. The planning includes identification on utility interface, structural,

radiation protection, safety and special environmental requirements.

iii) Procurement Management

The procurement management services include preparation of tender

specification, issue of tender, evaluation of tender, recommendation and award of tender

to the successful tenderers.

iv) Supervision of Installation, Testing and Commissioning

The supervision of installation ensures adequate site preparation, verification and

authorization of all related engineering drawings and design prior to physical installation

of equipment.

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The testing and commissioning services include all safety and performance test

requirement to ensure that the equipment has been correctly installed and the test

parameters conform to defined regulatory requirements.

v) Maintenance Management

The maintenance management services include planned preventive and corrective

maintenances.

The planned preventive maintenance services are carried out on a scheduled basis

for all equipment. The schedule is generated through the biomedical maintenance

management system and opens a work order which must be closed upon completion of

the works. A comprehensive preventive maintenance report will be generated by the

system.

The corrective maintenance services are carried out following detection of failures

through the normal course of routine inspection or work request by the client. A

comprehensive corrective maintenance report will be generated by the biomedical

maintenance management system.

• Biomedical equipment inventory system

• Work request

• Work order summary

• Work order summary in progress

• Work order summary completed

• Work order summary outstanding

• Maintenance labour

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• Maintenance spare parts cost

• Maintenance availability and cost assessment

The system facilitates optimum selection of equipment, inventory of equipment,

traceability on preventive maintenance activities, analysis on maintenance and spare parts

costs and evaluation for decommissioning and disposal of equipment.

vi) Warranty Management

The warranty management services manage and supervise all warranty contracts of

newly installed biomedical equipment. The services monitor the implementation of all

contractual requirements and planned preventive maintenances during the warranty

period. In the event of any breakdown, the services coordinate request for corrective

maintenance, supervise the repair and consolidate all maintenance information for

presentation to the customer.

vii) Risk Management

APSB biomedical equipment risk management services evaluate the probability of

equipment failure using the probabilistic risk assessment technique. The predictive

assessment will identify the critical route for failure and plan for the appropriate

mitigation. These will include preparedness for spare parts requirement and planned

preventive maintenance.

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viii) Medical Technology Assessment

The medical technology assessment services provide the technical and financial

evaluation on the suitability and need for procuring and installing prospective medical

equipment or system. The feasibility assessment will identify the optimum needs between

applications of technology, cost effectiveness as well as health, safety and environmental

requirements.

ix) Supply of Spare Parts and Consumables

APSB supplies a wide range of spare parts and consumables for various types of

medical equipment. The range includes spare parts and consumables among others for

anesthetic equipment and related accessories, endoscopy, cardiac, dental, haemodialysis,

surgery, laboratory, lung function, neurology, obstetric and neonatal, operating tables,

operating theatres, patient monitoring, sterilization, physiotherapy and rehabilitation

equipment.

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Quality Policies

i. To deliver effective and efficient biomedical engineering maintenance services to our

customers.

ii. To develop professional technical resources.

iii. To continually improve biomedical engineering maintenance services meeting the

national and international regulatory requirements.

iv. To incorporate new standards and technology in achieving quality objectives and

target.

Occupational Health and Safety Policies

i. To sustain health and safety commitment from management & staff.

ii. To provide employee with healthy and safe working environment.

iii. To comply with OHS and other legal requirements.

iv. To continually improve OHS management system effectiveness.

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Biomedical Engineering Maintenance Services

Biomedical engineering maintenance services were included:

a) Equipment condition appraisal

b) Testing & Commissioning of new equipments

c) Online asset maintenance and registration

d) Warranty management

e) Planned Preventive Maintenance

f) Corrective maintenance

g) Statutory requirement

h) User training

1.3 MANAGEMENT

Biomedical Engineering Maintenance Services is one of the disciplines contributing to

effective and economical health care. Medical professionals depend heavily on their precision

instruments and equipment. Therefore, there is no room for errors.

As specialists, we will always ensure the management of medical device technology is

carried out by a comprehensive program of planned and scheduled maintenance. This includes

adherence to recognized safety, quality, cost and efficiency standards and statutory requirements.

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Services offered are as follows:

Equipment condition appraisal

Testing & Commissioning of new equipments

On-line asset maintenance and registration

Warranty management

Planned Preventive Maintenance

Corrective maintenance

Statutory requirement

User training

Technical support specialists

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TRAINING

SCOPE

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Planned Preventive Maintenance (PPM)

PPM is a periodic maintenance on biomedical equipment to minimize the risk of failure

and to ensure continuous proper operation. This action includes cleaning, lubricating, calibrating,

and replacement of certain part, e.g. Batteries.

The Technical Support team will periodically review the equipment inventory or asset list

and identify equipments that require PPM to be carried out and list them in the PPM Equipment

List. The review may be based on the original equipment manufacturers recommendation of

PPM or recommendation based on international bodies or institutions like ECRI.

The Technical Support team will prepare the PPM requisites as in the Maintenance

Instruction Sheet extracted from service manuals or ECRI for each equipment identified for PPM

which amongst others include a list of work instructions which illustrates the scope of work to

the maintenance personnel such as inspection or degree of wear and tear, adjustment or

calibration of controls, replenishing of spares and consumable.

The Technical Support team will prepare an annual calendar planner for the PPM, which

is referred to as the ‘PPM Calendar’. This planner will indicate the projected implementation of

the PPM frequency and the planner will be distributed to each and every ward and unit in the

hospital. The head nurse or ‘Sister’ will sign a consent form stating the receiver of the planner.

The date of PPM implementation shall be discussed between the Technical Support and

Users till a mutual agreement is achieved by considering the availability or access of the

equipment at that projected time.

The Technical Support will prepare a work order for the PPM job. If the work is to be

carried out by sub-contractors, the Technical Support will supervise the job performed and

complete the work order form. Upon completion of the PPM job, a PPM/EST/Performance

sticker will be pasted on the equipment. An example of it is as below:

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Planned Preventive Maintenance Sticker

Any PPM that needs to be rescheduled needs to be approved by the customer (user) and a

new agreed date will be recorded in the PPM Notice under the Reschedule column. Lastly, the

Technical Support will need to ensure that the customer acknowledges the acceptance of the

serviced equipment, verifies that the service was completed and all information related was

recorded in the work order form.

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Breakdown Maintenance

Breakdown Maintenance is the action performed to restore an item to a specified

condition when it fails. Technical Support will respond, evaluate and classify each breakdown

maintenance work request.

For In-House work orders, allocation of resources or labour and requisition of spare parts

and tools will be made. The corresponding and necessary spare parts can be obtained from the

store.

As for materials and services not included in the centrally procured list, the Technical

Support will purchase those materials or services by using the Material Requisition Issue Note

(MRIN).

The Technical Support is responsible to ensure the execution of the work order to be

carried our In-House or Contract-Out by approved sub-contractors or service agents. In Contract-

Out, the Technical Support will need to ensure that the work done is within specifications. The

Technical Support upon completion of work will complete the work order.

The Technical Support is responsible in ensuring a valid calibration upon the test

equipment before tests are carried out. If the equipment is removed from the specified site, the

Technical Support will need to notify the user upon completion of the maintenance, arrange

delivery of the item back to the user and lastly operate or test run the equipment in the presence

of the user.

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Beyond Economic Repair (BER)

Beyond Economic Repair is the process upon equipment that cannot longer be used or

should be deleted from the record. The criteria for an equipment to be announced Beyond

Economic Repair is:

Cannot longer be used

Not economical for repairing

The economical use was over (~10 years in Malaysia)

The equipment is outdated

The Technical Support will make an assessment of the equipment based on the criteria

stated above and will fill up a BER Recommendation Form for approval by the Service Centre

Head and BER 1 Form for Application For Beyond Economical Repair Certificate.

The user may request for the equipment to be removed to the condemned storage area. A

work order form is needed for this removal. The Technical Support will make assessment of the

request for removal and the user will verify the removal of the item.

Once the approval is obtained, the asset records will be updated. No maintenance will be

carried out on BER certified items.

Figure 1.4: Beyond Economic Repair Sticker

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Testing and Commissioning (T & C)

Testing and Commissioning is the procedure for accepting equipment newly received or

installed in hospitals or institutions under the Biomedical Engineering Maintenance Services.

The Technical Support will open a manual work order for the acceptance for the

equipment. He/she will witness and verify the acceptance testing, demonstration and

commissioning of the delivered equipment carried out by the equipment supplier.

The Technical Support also verifies the delivery of the equipment and all accessories,

service manuals, spare parts list and warranty agreement and other documentation as per supply

contract. Inventories of the equipment will be done in the computer system by assigning a unique

number to the equipment and identifying the equipment with a label.

The Technical Support will inform the user if there were any irregularity in the supply

and will follow up with the supplier so that any shortfall in supply as mentioned in the supply

contract will be rectified.

Upon completion of the Testing and Commissioning, the Technical Support will perform

IEC 601 if required and will attach the results together with the manual work order. A safety test

sticker (PPM/EST/Performance Sticker) will be placed on the machine.

Testing and Commissioning Sticker

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It is the responsibility of the Technical Support to witness the testing which is up to the

Manufacturer’s Specification and Customer Requirements as per Service Manual.

The test equipment has to be ensured a valid calibration before tests are carried out. If the

test equipment has no valid certificates, the Technical Support will arrange for the equipment to

be calibrated and if necessary for the testing to be completed using certified equipments.

Upon successful completion of the test, the Technical Support will record all the

information in the Equipment Acceptance Register, where a copy of it will be issued to the user

certifying the equipment for clinical service.

The Technical Support ensures that the user of the equipment understands the operation

of the equipment and the user maintenance that is needed to be carried out by them by either

arranging or in-service training by the equipment supplier or by direst training of the users.

Either form of user training carried out will be documented.

Finally, the Technical Support will close the work order after obtaining the verification

by the user. The new equipment will be updated in the PPM schedule for periodic maintenance.

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User Training

User Training is brought up generally for understanding the operation of an equipment,

daily user maintenance and also safety and precaution of the equipment. User training is selected

based on the quantity of majority daily usage, high frequency, and demand or request by the end

users.

The training is conducted not only for the end users, but for Advance Pact¡¦s staffs as

well. This could be useful for new recruited staffs in giving them a perception on what the

biomedical equipment is and practice the maintenance.

In general, trainings can be divided into two. Firstly, the manufacturer carries out the

training indirectly during the commissioning. Secondly, Advance Pact¡¦s specialist or trained

staffs will carry out in-house training. These formal trainings are normally held in Pantai

Medivest Meeting Room at Hospital Melaka. The training session is normally half an hour and

will be followed by a Q & A session.

User trainings can also be conducted informally, for example, when the technical staffs

are on the end users request duty and technical advice. Sometimes, if the technical staffs sense an

inappropriate operating way by the end users, they will give a short and brief training in order to

enhance their skills in operating and maintaining the equipment properly.

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TRAINING

CONTENT

BY WEEK

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WEEK 1

29

DATE : 1/4/2013

OBJECTIVE : Reporting in

ACTIVITY : I go to Hospital Sultanah Aminah in Johor Bahru to report in my presence for

first day of training. The manager there gave me speech and tell me what to do for training in

Advance Pact Sdn Bhd. Then I go to Hospital Pakar Sultanah Fatimah in Muar for my site

report.

DATE : 2/4/2013

OBJECTIVE : knowing staff and working site

ACTIVITY : I was introduced to my industrial supervisor, Encik Md Iskandar Bin Sidek. Then

he take me around the Hospital to let me know all the department and building. Then he briefly

tell me about the job scope as a biomedical engineering worker.

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DATE : 3/4/2013

OBJECTIVE : learning PPM

ACTIVITY : Follow staf doing PPM. I follow Encik Abdullah to ICU to gain knowledge

about doing PPM. PPM is a routine maintenance for registered biomedical equipment.

DATE : 4/4/2013

OBJECTIVE : strengthen the knowledge of doing PPM

ACTIVITY : this morning I go to Operation Theater (OT) for doing PPM on a ventilator.

Ventilator is a machine to support in breathing.

MODEL :VELLA

BRAND :VIASIS

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DATE : 5/4/2013

OBJECTIVE : Trouble shooting Learning

ACTIVITY : today I go to ward 7 to learn to check a defibrillator. We use a special tester to

test the equipment called defibrillator analyser.

DEFIBRILLATOR DEFIB ANALYSER

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WEEK 2

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DATE : 8/4/2013

OBJECTIVE : Doing troubleshooting

ACTIVITY : Today , Encik Iskandar told me to divide the PPM work order according to stuff

department . Then I go to the OT to respond for the request of GA machine . The problem is at

the ventilator . The ventilator shout down by it self . We troubleshoot the problem. Power cord is

change with a new one . Problem solves and the work order is sign and stamp by medical

assistance .

DATE : 9/4/2013

OBJECTIVE : troubleshooting

ACTIVITY : Today I go again to OT. It is the GA machine again. It is the same problem as

yesterday but it is not the power cord. I troubleshoot the problem and the problem is at the

microcontroller board. It have to be replace with new one. The cost is RM 13000.

Error log

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DATE : 10/4/2013

OBJECTIVE : PPM

ACTIVITY : Todays activity is doing PPM on a microscope. Doing it is simple. We just have

to clean the lense. Test it and replace the PPM sticker.

DATE : 11/4/2013

OBJECTIVE : PPM

ACTIVITY : Todays PPM is on a transport ventilator. It is a mechanical type. PPM is to check

the function, the gauge, and the adjust knob is working properly or not. The machine work

properly and it can be use. Replace the PPM sticker and the work is done.

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DATE : 12/4/2013

OBJECTIVE : Checking, troublshooting

ACTIVITY : Today Encik Iskandar is not around, so I follow other practical student to the

ward to check a patient monitor machine. The problem is, the sp02 probe is not working. We

troubleshoot the machine and found out that the sp02 socket is damage. It need replacement.

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WEEK 3

37

DATE : 15/4/2013 to 16/4/2013

OBJECTIVE : office work; asset verification

ACTIVITY : I go to Hospital Segamat for asset verification on the order from Puan Suriyani.

Activity there is to check the machine tag number one by one in the hospital to verify all the

biomedical equipment.

DATE : 17/4/2013

OBJECTIVE : troubleshooting/respond

ACTIVITY : there is a request from eye clinic about a Hess Chart. It is a chart to test the

corrective eye muscle. One of the bulb is not light. The cover is opened and check the bulb one

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by one. The broken bulb is found and has been replace with new bulb. The chart work properly.

DATE : 18/4/2013

OBJECTIVE : PPM

ACTIVITY : Todays PPM is slit lamp. Slit lamp is an equipment to check the patient eye ball.

The light source can penetrate in to the eye ball. PPM done by cleaning the lens and correct the

slit alignment. PPM done as pre checklist.

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DATE : 19/4/2013


ACTIVITY : there is a request on a tympanometer. This equipment is used to measure the

patient inner ear pressure. The princip is simple. The air is pump to the ear and ear will reverse

the air. The machine will measure the reverse air. The problem is, it does not get correct reading.

The machine need calibration.

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WEEK 4

DATE : 22/4/2013

OBJECTIVE : change part

ACTIVITY : Blood gas

Today activity is troubleshooting is blood gas machine. This is a laboratory machine. It is use to

analyse the presence and percentage of certain chemical properties in blood. This time the Ca2+

probe need replacement because it is broken. We change the probe and calibrate the machine.

Machine tested ok and ready to use

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.

Ca2+ probe

Blood gas machine

DATE : 23/4/2013

OBJECTIVE : PPM

ACTIVITY : todays PPM is on a training manikin. Training manikin is an equipment that use

by trainee doctors for learning an emergency situation. There are many type of manikin. The

manikin for PPM today is respiratory type. It is use to train the doctor how to do CPR. PPM done

by testing the functionality and clean the outerior and interior of the manikin.

DATE :24/4/2013


ACTIVITY : there is a request from user that is the oven in the pathology department is

overheating. The oven is use to fasten the time to dry test tube and other laboratory equipment. It

is overheating due to the damage regulator. We replace the regulator with new one. The oven is

test and it is functioning. It can be use

.

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DATE : 25/4/2013

OBJECTIVE : servicing and cleaning

ACTIVITY : my task today is to service a nebulizer. This machine is use to turn water to

vapor.

DATE : 26/4/2013

OBJECTIVE : change part

ACTIVITY : my task today is to replace a set of worn carbon brush from a motor. It is a DC

12V motor. User said it is not functioning. Encik Rashid troubleshoot the motor and finds the

carbon brush is worn of. He thought me to replace

it. The motor is put back together and the motor

spin normally. It can be use again.

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______________________________________________________________________________

DATE : 27/4/2013


ACTIVITY : today I follow Encik Rashid to hospital segamat to respond on a heamodialysis

unit there. He troubleshoot the problem and finds that the temperature sensor is broken. It is

replace with new one. Machine is calibrate and tested. Machine runs normally.

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WEEK 5

DATE : 29/4/2013

OBJECTIVE : troubleshooting/respond

ACTIVITY : today Encik Iskandar and I go to the SCN to respond from the user request saying

that a ventilator is not charging. He told me to troubleshoot the problem. The problem is the

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battery. It need replacement but the battery is imported and we have no stock. Encik Iskandar

wrote a MRIN to order the battery.

-

______________________________________________________________________________

DATE : 30/4/2013

OBJECTIVE : PPM

ACTIVITY : todays PPM is in the scope room. The equipment is a diathermy machine. This

machine is use by surgeon to stop the bleeding. PPM done by testing the functionality and

servicing.

DATE : 2/5/2013


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ACTIVITY : Encik Rashid take me to the Hemodialysis Unit to troubleshoot the RO machine.

He said there is a bacteria in the system. To get rid of it, he dilute an acid and the machine suck it

and circulate it in the system. Then he set the machine to rinse about 30 minutes. The machine

tested ok.

_____________________________________________________________________________

DATE : 3/5/2013


ACTIVITY : Asset verification is a process of verifying all the asset or biomedical equipment

that is registered to be maintaned by Advance Pact sdn bhd. Today Puan Suriyani asked me to go

with her to Hospital tangkak to do it.

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WEEK 6

DATE : 7/5/2013

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OBJECTIVE : installing part / testing/ observing

ACTIVITY : the battery for the ventilator from the SCN the other day has arrived from

Sweden. Then Encik Iskandar and I install the new battery and test the functionality. So it

function. Then we let it run for 24 hours to observe it.

DATE : 8/5/2013

OBJECTIVE : troubleshooting/observation

ACTIVITY : there is a request saying a ventilator air leak at ICU. Encik Iskandar and I go to

the ICU to troubleshoot is. It comes out that the O-ring/gasket has worn off. He replace it and run

the machine for observation. The machine run normally.

DATE : 9/5/2013

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OBJECTIVE : PPM

ACTIVITY : todays PPM is scope. Use to look into human intestine, stomach and trachea.PPM

done by testing it functionality and clean the camera lens.

DATE : 10,11,12,13/5/2013


ACTIVITY : in this period of time, I was told to go to Hospital Melaka to do asset verification

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WEEK 7

51

DATE : 14/5/2013


ACTIVITY : syringe pump.

Use to deliver a specific amount of medicine/drug to patient at certain time set by nurse or

doctors. The problem with this equipment is it does not push the syringe. I troubleshoot and find

the drive belt is worn off and need replacement.

DATE : 15/5/2013

OBJECTIVE : troubleshooting/installing new part

ACTIVITY : blood gas machine.

The machine cannot function so technician, Encik Azlan told me that we have no choice but to

replace the whole machine with new part. The casing remain the same but all the inner part have

been replace with new one. The machine tested ok and normally function.

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DATE : 16/5/2013

OBJECTIVE : electrical safety test learning (EST)

ACTIVITY : EST is a test done to machine to test that there is a current leakage or not.

EST equipment

DATE : 17/5/2013

OBJECTIVE : changing RO membrane

ACTIVITY : I with Encik Rashid go to the hemodialysis unit today to replace old RO water

system membrane with new one. Changing membrane is done once every 5 years. Membrane use

as the last stage filter. It is capable of filtering almost all the organism in the water.

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WEEK 8

DATE : 20/5/2013

OBJECTIVE : troubleshooting/servicing

ACTIVITY : Encik Irfan asked me to take a look at a suction machine. He said it has no

suction. I troubleshoot the machine and found out the piston is dirty and jammed. So I service the

machine, put it back together and test it. Test ok and the suction power is strong.

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DATE : 21/5/2013


ACTIVITY : Nivo nebulizer is an electronic nebulizer use to turn water/ liquid form medicine

to vapor. The problem is on the connector. It did not contact with the probe. I repair the wire and

test on the machine. Machine tested ok.

DATE : 22/5/2013

OBJECTIVE : changing RO filter valve

head

ACTIVITY : the equipment is placed on

top of the RO filter as cap and control valve.

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DATE : 23/5/2013

OBJECTIVE : PPM

ACTIVITY : keratometer.

Use by optimetris to se the katarac in patient eyes. PPM done by testing it functionality, lamp,

hidrolics, and servicing (cleaning).

DATE : 24/5/2013

OBJECTIVE : part replacement

ACTIVITY : NIBP patient monitor.

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This unit’s connector from hose to cuff is broken. It is replaced and tested. Test ok and the

machine function normally.

SUGGESTION

Suggestion that I can think of is;

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From the management aspect ;

a) Tagging of the machine must synchronize with the data in the system.

b) Avoid double tagging.

c) Make sure the machine is in the department (do not misplace)

d) Sister or head nurse of every department must know their asset in their

department.

e) PPM, RWM and COMPLAIN must be updated as soon as possible in the

system

From the operation aspect ;

a) Technical crew must respond from a request immediately .

b) Bring along all the document needed.

c) Bring along a complete set of tool.

From the QC aspect ;

a) Technical crew must do all the test require for the machine.

b) Make sure the equipment repaired is safe to use.

c) Check thoroughly the equipment.

d) Clean the equipment after every repair.

Suggestion to the PPD for the suite of this course

I suggest that PPD could lengthen the duration of this subject because;

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It introduce the real working environment to student and to equip them with technical

experience.

It widen scope of knowledge in student to enhance their technical skills in achieving a

high quality work standard.

It train student considering their safety while working and following all the safety rules

and regulation applied to the nature of the job.

It create sense of responsibility in student forward assignment or job given, confident

with their action, efficient and honest.

It help student creating more constructive ideas that can be linked between theoretical

and practical in order to produce innovative and knowledgeable student.

CONCLUSION

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After undergo industrial training in Advance Pact for 10 weeks, I get to know and

understand how this company play the important rule to the hospital management and manner of

the hospital. Knowledge that been given from all the company’s staff is very useful for me and

make me ready to face the real working situation.

I was expose to the job spec and procedure related to maintenance, servicing and

troubleshooting. This exposure will give me more advantage and very useful experience when I

work. I also learn how to work systematically and finishing work in order. I also have done

almost all the work, procedure and job scope of this company.

Lastly, student that involvement in this training will get to prove and strengthen their

ability and interest in technical. The log book and final report scheme is very systematic and

compact. It is very useful for student to record all the activity and work done.

Final Repot LI

Documents

Transcript of Final Repot LI