This report documents the knowledge and experience I have gained through my training program at Prince Saud bin Jalawy Hospital (PSJH) for eight weeks.
It will contain three main chapters as follows:
Chapter 01: Introduction to the Training Organization
This chapter will be an introduction to a training organization and will include information such as mission, vision, and values.
Chapter 02: Technical Experience
The second chapter will focus on the experience, which I went through during my internship program, touching on topics such as device names, its function, the type of troubleshoot.
Chapter 03: Conclusion
This final chapter will be a summary of my internship.
It is my pleasure to thanks our university (King Faisal University), for giving us as students a wonderful opportunity in providing a training program as part to complete our bachelor degree. This helped us to increase our knowledge about biomedical engineering field in real life.
As a result, I would like to thank our dean Dr. Tawfiq Al-Mughanam and Dr.Nahed Solouma for their superior jobs.
It is my pleasure to thank of Dr. Mohammed Al-Yaari and Eng. Nazik Elsayed for their contribution to finding the training entity.
it is my pleasure to thanks Eng. Mohammed Al-Makki, ahead of a biomedical department at PSJH, all other engineers, and technicians without exception who share their knowledge and helped me as a trainee in the answering all of my inquiries.
1. INTRODUCTION TO TRAINING ENTITY
Prince Saud bin Jalawy Hospital building in Al-Ahsa is part of the new health projects in the governorate which will contribute to the development and growth of health services in the governorate. These developments will be reflected in the positive results of performance indicators for health services.
Achieve the highest level of excellence and quality in the provision of health services for all members of society.
Deliver and provide a safe health service with the highest quality for the people of Al-Ahsa province, and provide appropriate conditions to meet the largest possible of their health needs.
1. Patient safety
For achieving this value there, a huge section at the hospital called central sterilization unit used to sterilizing every equipment after every patient to prevent any type of infection spread at the hospital.
2. Safety and preventing mistakes.
3. Being efficient in our services.
4. Job respect and improvement.
5. High adherence to Islamic and social values.
2. TRAINING EXPERIENCE
As an intern, my primary goal is to get more information about a medical equipment and working environment at the hospital. On the first day, the engineers told us that the devices at the hospital are divided into under warranty and out of warranty depended on its class. The under warranty devices which is class A&B are under the vendor responsibility and supervised by a BME department. The out of warranty devices which is a class C is directly under BME department responsibilities.
However, the most important part of our job is Planned Preventive Maintenance involves maintenance performed to extend the life of the equipment and prevent its failure. PPM is usually scheduled at specific intervals and includes specific maintenance activities such as lubrication, calibration, cleaning (e.g. filters) or replacing parts that are expected to wear (e.g. bearings) or which have a finite life (e.g. tubing). The procedures and intervals are usually established by the manufacturer. In special cases, the user may change the frequency to accommodate local environmental conditions. Planned Preventive maintenance will be a statutory requirement for most of the medical equipment. It will enhance the efficiency, effectiveness, and reliability of medical equipment.
Our training was in many departments at the hospital, so in this report, I will summarize my information about each of them:
2.1INTENSIVE CARE UNIT (ICU)
ICU is protected department at the hospital have two section one is regular that used to keep patients with a critical situation like Stroke, coma and second section called isolation section used to keep patient with infection.
The most important instrumentation at ICU:
2.1.1 Ventilator (Class A)
It is one of life support devices that help an Unconscious patient to breathe and helps patients with lunges problems to breathe by them own.
There is two type depended on the situation:
1- Fixed ventilator
This type of ventilator includes a breath delivery unit (BDU) that controls ventilation, a graphic user interface (GUI) that monitors and displays ventilator and monitored data, and Backup power source (CPS) that include battery that work for 4 hours after charging and compressor that worked in case of emergency if you don’t have air source from wall (see Figure1.1.1).
Figure 126.96.36.199 fixed ventilator components 1
2- Portable ventilator
It has this same components and mission of fixed ventilator but it has a special advantage which is its size small can take to anywhere it used during transferring ICU patient to the radiology department.
Figure188.8.131.52 potable ventilator
The possible troubleshoots at ventilator:
1- Graphic User Interface (GUI): Break at a screen or at buttons.
2- Breath Delivery Unit (BDU): Oxygen sensor, leakage, block out at a patient circuit.
3- Backup Power Source (BBPS): Expiring of battery life, compressor.
PPM of ventilator
Checking of the ventilator setting by two steps
1-Extended Self-Test (EST)
This test used to check all part and units of ventilator like a battery, compressor, buttons,…….etc.
The biomedical engineer does it.
2-Short Self-Test (SST)
This test used to check the patient circuit if its work to deliver the oxygen to the patient or not.
Both users and engineers can do it.
PPM of ventilator it happens every 6 months.
2.1.2 Continues Renal Replacement Therapy (CRRT) (Class B)
It is a device designed to support the recovery of critically ill patients with acute kidney injury at ICU by using slowly process to prevent injury and pain.
The PRISMAFLEX control unit is designed to deliver continuous renal replacement therapy (CRRT) for a 24-hour period for:
1-Metabolic control 2- Fluid removal
3-Acid/base control 4- Electrolyte balance