Standards News & Updates

Patient Equipment Inspections

Written by QUAD A | Aug 14, 2024 9:50:46 PM

This newsletter applies to all QUAD A programs. 

In the rapidly evolving world of healthcare, the integration of advanced patient care equipment into daily medical practices has become a cornerstone for delivering high-quality patient care. This equipment, ranging from simple devices such as blood pressure monitors, otoscopes, hydrocollators, and patient examination tables to more complex machinery like lasers, plays a crucial role in diagnosing, monitoring, and treating patients. However, the sophisticated nature of this equipment necessitates a vigilant approach to ensuring its safety and functionality. The critical task of inspecting and maintaining these devices falls upon biomedical technicians (Biomed) - a role that cannot be overstated in its importance to patient safety and the delivery of quality care, treatment, or services.  

First, it is paramount that all patient care equipment is checked by a Biomed technician before being used on a patient, whether the equipment is used, refurbished, or brand new, and directly from the manufacturer. This pre-use inspection serves several key purposes. First, it verifies that the equipment is operating as intended by the manufacturer, safeguarding against malfunctions that could compromise patient safety. This step also involves ensuring that the equipment meets all the relevant regulatory and safety standards, providing an additional layer of protection for both patients and healthcare providers.  

Moreover, these initial checks serve as a baseline assessment for future maintenance and inspection activities. By thoroughly documenting the equipment's condition and performance metrics from the onset, Biomed technicians can more effectively monitor any changes or degradation over time, enabling proactive interventions before issues escalate into critical failures.  

The importance of these activities extends beyond just the initial setup. The dynamic nature of healthcare environments, combined with the continuous wear and tear on equipment, necessitates an ongoing commitment to equipment safety. Thus, the recommendation for annual checks by biomed technicians is not merely a suggestion but a critical protocol ensuring patient care equipment's longevity and reliability. Please see the applicable QUAD A standards listed below.

Annual inspections carried out by Biomed technicians encapsulate a comprehensive evaluation of the equipment's physical condition, functionality, and safety features. These checks involve rigorous testing procedures to identify any potential issues, from software glitches to hardware wear, that could impede the device's operation or compromise patient safety. In addition to detecting problems, these annual assessments also provide an opportunity for preventive maintenance, such as replacing worn parts or updating software, thus preventing future malfunctions.  

Furthermore, these regular inspections comply with legal and regulatory requirements, aligning facilities to remain in good standing with accrediting bodies and legal regulations. Non-compliance not only exposes patients to unnecessary risks but can also result in survey deficiencies or legal actions against the facility in the event of an adverse outcome related to the patient care equipment. When these initial and annual inspections are completed, the equipment needs to be tagged with an inspection sticker that indicates when the equipment was checked, or the facility must have a list of all equipment and documentation as to when it was checked. Upon survey, the surveyor will request this documentation. 

The proactive approach to equipment maintenance and safety embodied in the initial and annual check protocols significantly diminishes the risk of equipment-related incidents, thereby safeguarding patient well-being and reinforcing trust in healthcare institutions. Through these initial and annual biomed checks, the staff can also become more familiar with proper operation procedures, maintenance schedules, and troubleshooting techniques to use the equipment safely and effectively, further enhancing patient care quality. 

In conclusion, meticulous inspection and maintenance of patient care equipment through initial and annual biomed inspections are indispensable to delivering safe care, treatment, or services. These practices not only prevent equipment malfunctions and align facility compliance with regulatory standards but also contribute to the overall quality of patient care and keep patients first, always. 

Applicable QUAD A Standards by Program: 

Ambulatory Surgical Center, International Surgery, International Dentistry, Office-based Procedure, Office-based Surgery, Oral Maxillofacial Surgery, and Pediatric Dentistry 

4-E-1 - A biomedical technician annually inspects all equipment (including electrical outlets, breaker/fuse boxes, and emergency light and power supplies) and reports in writing that the equipment is safe and operating according to the manufacturer’s specifications. Stickers may be placed on individual equipment; however, written records must be maintained. All equipment is on a maintenance schedule with records kept for a minimum of at least three (3) years. 

RHC 

14-C-3 - The clinic has a preventive maintenance program to ensure that all essential mechanical, electric and patient-care equipment is maintained in safe operating condition. 

OPT 

15-K-11 - The organization establishes a written preventive-maintenance program to ensure that the equipment is operative, and is properly calibrated.

Since 1980, QUAD A (a non-profit, physician-founded and led global accreditation organization) has worked with thousands of healthcare facilities to standardize and improve the quality of healthcare they provide – believing that patient safety should always come first.