Biomedical Engineering Policy and Procedure Manual
Biomedical Engineering Policy and Procedure Manual
About this Manual
Biomedical Engineering Policy and Procedure Manual is a manual containing many of our policy and procedure templates for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.Want access to all our manuals? Click here
SECTION I - OPERATIONS
1001 - Scope of Services1002 - Department Rules and Regulations1003 - Departmental Work Request System1004 - Request for Service Form1005 - Daily Log1006 - Contract Service1007 - Supervising and Monitoring Contract Services Checklist1008 - Contracted Staff Compliance Checklist1009 - Outside Contractors Working in the Facility1010 - Outside Vendor Assistance1011 - Evaluation of Outside Services Form
SECTION II - HUMAN RESOURCES
2001 - Position Description/Performance Evaluation - Chief Biomedical Engineer2002 - Performance Evaluation - Population-Specific/Age-Related Competency - Chief Biomedical Engineer2003 - Annual Competency Skills Assessment - Chief Biomedical Engineer2004 - Position Description/Performance Evaluation - Biomedical Engineering Technician2005 - Performance Evaluation - Population-Specific/Age-Related Competency - Biomedical Engineering Technician2006 - Annual Competency Skills Assessment - Biomedical Engineering Technician2007 - Orientation2008 - Medical Equipment Management - Orientation and Education Program2009 - Training for New Employees2010 - Sample Training Outline - General Hospital Knowledge2011 - Departmental Orientation2012 - Biomedical Engineering Department New Employee Orientation Checklist2013 - Inservice Training Attendance Form2014 - On-The-Job (Workers' Compensation) Injured Employee Processing2015 - Preplacement Physicals and Annual Health Screening2016 - Medical Clearance Policy2017 - Physician's Certification of Illness Form - Sample2018 - Emergency Call Schedule Form
SECTION III - IMPROVING ORGANIZATION PERFORMANCE
3001 - Biomedical Engineering Performance Improvement Plan3002 - Biomedical Engineering PI Monitoring and Evaluation Plan3003 - Biomedical Engineering PI Trending Sheet3004 - Biomedical Engineering PI Outcome Evaluation3005 - Biomedical Engineering PI Volume Measures/Statistics3006 - Sample Flowchart 3007 - Sample Histogram3008 - Sample Line Graph3009 - Sentinel Event3010 - Customer Satisfaction Survey Form3011 - Program Performance Effectiveness Checklist - Evaluation of Biomedical Engineering
SECTION IV - SAFETY
4001 - Safety Policy4002 - Biomedical Engineering Department Safety Survey Checklist - Hospitalwide Work Area4003 - Biomedical Engineering Department Safety Survey Checklist - Shop Area4004 - Equipment Safety4005 - Lockout/Tagout Procedures4006 - Lockout/Tagout Training4007 - Electrical Safety4008 - Sample Training Outline - Safe Use of Electrical Equipment4009 - Compressed Gas and Oxygen Use4010 - Sample Training Outline - Handling, Storage and Transport of Compressed Gas Cylinders4011 - Radiation Safety4012 - Emergency Numbers List
SECTION V - FIRE SAFETY
SECTION VI - HAZARDOUS MATERIALS
6001 - Hazardous Materials and Waste - Biomedical Engineering/Engineering Department6002 - Hazardous Materials - Handling and Storage6003 - Hazardous Materials and Waste - Training6004 - Chemical Safety, The MSDS6005 - Incompatible Chemicals - In Storage and Reactions6006 - Chemical Training Record6007 - Hazard Communication Employee Training Record6008 - Hazardous Materials and Waste - Departmental Reporting Form6009 - Handling of Radioactive Emergencies
SECTION VII - MEDICAL EQUIPMENT MANAGEMENT
7001 - Medical Equipment Management Plan7002 - Biomedical Equipment Management7003 - Selection and Acquisition of Equipment7004 - Medical Equipment Management Inventory7005 - Inventory and Inspection of New Equipment7006 - Medical Equipment Management Inventory Form7007 - Additions to Medical Equipment Management Inventory Form7008 - Deletions from Medical Equipment Management Inventory Form7009 - Incoming Equipment Checklist7010 - Application for Equipment Acceptance Form7011 - New Medical Equipment Testing Log7012 - Equipment Loan/Rental Policy7013 - Rental Patient Care Equipment - Inspection and Testing7014 - Definitions of Medical Equipment Maintenance Strategies7015 - Equipment Management Code System7016 - Safe Medical Devices7017 - Medical Device Recall Policy7018 - Emergency Procedures for Medical Equipment Failure/Disruption7019 - Steps for Establishing a Clinical Alarms Effectiveness Program Guideline7020 - Medical Equipment Management - Device Alarm Inventory Form7021 - Use of Clinical Alarms on Medical Equipment7022 - Infusion Pumps - Equipment Inspection, Care and Maintenance7023 - Preventive Maintenance - Ventilator7024 - Patient-Ventilator Maintenance/Monitoring - Recommended Parameter7025 - Reusable Medical Devices7026 - Electromagnetic Interference (EMI)7027 - Sterilizer Performance Testing7028 - Water Quality Testing for Renal Dialysis Equipment7029 - Equipment Safety - Reporting Malfunction7030 - Electrical Safety - Equipment Condition7031 - Personal Electrical Equipment7032 - Permit for Using Electrical Appliances7033 - Electrical Extension Cords7034 - Request for Electrical Extension Cord7035 - Condition of Electrical Receptacles7036 - Electrical Safety - Preventing Overload7037 - Equipment Safety - Operator's Responsibility7038 - Equipment Safety - Maintenance Operator7039 - Medical Equipment User/Maintainer Training Program7040 - Medical Equipment Management - Orientation/Education7041 - Employee Medical Equipment Training and Competency Form7042 - Medical Equipment User/Maintainer Training Log7043 - Medical Equipment User/Error or Failures Log7044 - Medical Equipment Failure/User Error Follow-up Report Form7045 - Quarterly Report to Safety/Environment of Care Committee - Medical Equipment Management Incidence Form7046 - Medical Equipment Management Problem Resolution Log7047 - Annual Effectiveness Report - Medical Equipment Management Program7048 - Annual Evaluation of the Effectiveness of the Medical Equipment Management Plan/Program
SECTION VIII - MAINTENANCE
8001 - Preventive Maintenance8002 - Biomedical Equipment Maintenance Action Report Form8003 - Explanation of Maintenance Strategies8004 - Equipment Safety - Biomedical Equipment8005 - Equipment Filter Log System8006 - Equipment Filter Log - Weekly8007 - Equipment Filter Log - Monthly8008 - Equipment Filter Log - Quarterly
Preventive Maintenance: Cardiology
Preventive Maintenance: Clinical Laboratory
8041 - PM Automated Chemistry System8042 - PM Automated Hematology Analyzer8043 - PM Biological Refrigerator8044 - PM Blood Bank Refrigerator8045 - Refrigerator/Freezer Temperature Chart8046 - Room Temperature Chart8047 - PM Blood Cell Counter8048 - PM Blood Gas Analyzer8049 - PM BUN Analyzer8050 - PM Calcium Analyzer8051 - PM Carbon Dioxide Analyzer8052 - PM Carbon Monoxide Analyzer8053 - PM Cell Washer8054 - PM Centrifuge8055 - Centrifuge Maintenance Log8056 - PM Chloride/CO2 Analyzer8057 - PM Chloridometer8058 - PM Clinical Lab Freezer8059 - PM Clinical Laboratory Incubator8060 - PM Clinical Laboratory Optical Microscope8061 - PM Coagulation Analyzer8062 - PM Constant Temperature Water Bath8063 - PM CO Oximeter8064 - PM Cystic Fibrosis Analyzer8065 - PM Dialyzer8066 - PM Electrolyte Analyzer8067 - PM Electrophoresis Equipment8068 - PM Fibrometer8069 - Fibrometer Maintenance Log8070 - PM Flame Photometer8071 - PM Freezing Bath8072 - PM Fume Hood8073 - PM Glucose Analyzer8074 - PM Mass Spectrometer8075 - PM Nitrogen Analyzer8076 - PM Oxygen Analyzer/Monitor8077 - PM Paraffin Dispenser8078 - PM pH Meter8079 - PM Refractometer8080 - PM Scintillation Counter8081 - PM Slide Stainer8082 - PM Spectrophotometer8083 - PM Spirometer8084 - PM Tissue Stainer8085 - PM Urine Analyzer8086 - General Instrument Preventive Maintenance Log8087 - Volumetric Device Preventive Maintenance Log
Preventive Maintenance: Imaging/Radiology
8101 - PM Automatic Film Changer8102 - PM Contrast Media Injector8103 - PM Film Processor8104 - Processor Preventive Maintenance Work Sheet8105 - PM Fluoroscopic Imaging Room8106 - Fluoroscopic Preventive Maintenance Evaluation Form8107 - PM Gamma Camera8108 - PM Imaging Room8109 - PM Mammographic System8110 - Mammographic Preventive Maintenance Survey Form8111 - Evaluation Form for Mammographic Equipment8112 - Mammography PM Test Summary Form8113 - PM Portable X-Ray Machine8114 - PM Radiation Monitor8115 - PM Radiographic View Box8116 - PM Test Equipment For Imaging/Radiology8117 - Beam Quality (HVL) Measurement Form8118 - Preventive Maintenance Involving HVL Form8119 - Collimation Evaluation Form8120 - Film Artifact Evaluation Form8121 - Film Image Evaluation Form8122 - Film/Screen Contact Log8123 - kVp Accuracy/Reproducibility Form8124 - Focal Spot Size Measurement Form8125 - Processor Preventive Maintenance Graph8126 - Screen Speed/Uniformity Evaluation Form8127 - Survey Log - Radiographic Preventive Maintenance8128 - System Performance Automatic Exposure Control (AEC) Form
Preventive Maintenance: Labor and Delivery, Nursery
Preventive Maintenance: Nuclear Medicine
Preventive Maintenance: Physical Therapy
Preventive Maintenance: Respiratory Therapy
Preventive Maintenance: Surgery
8221 - PM Anesthesia Unit8222 - PM Apnea Monitor8223 - PM Arthroscope8224 - PM Aspirator8225 - PM Blood Warmer8226 - PM Ceiling Mounted Surgical Light8227 - PM Cell Separator/Cell Washer8228 - PM Cryosurgical Unit8229 - PM Electrosurgical Unit Analyzer8230 - PM Electrosurgical Unit8231 - PM Endoscopic Camera8232 - PM Fiberoptic Light Source8233 - PM Floor Standing Surgical Light8234 - PM Gastro-Urology Colonoscope8235 - PM Head Light8236 - PM Heart/Lung Bypass Machine8237 - PM Intracranial Pressure Monitoring Device8238 - PM Irrigation Pump8239 - PM Irrigation Solution Warmer8240 - PM Laminar Airflow Unit8241 - PM Light Source8242 - PM Line Isolation Monitor8243 - PM Operating Room Table8244 - PM Ophthalmic Surgical Laser8245 - PM Surgical Laparoscope8246 - PM Surgical Laser8247 - PM Surgical Lavage8248 - PM Surgical Light8249 - PM Surgical Microscope8250 - PM Surgical Video System8251 - PM Ultraviolet Light
Preventive Maintenance: Hospitalwide
8301 - PM Acoustic Testing Chamber8302 - PM Air Compressor8303 - PM Ambulatory Infusion Pump8304 - PM Anti-Embolism Compression Unit8305 - PM Audiometer8306 - PM Bedside Monitoring Devices8307 - PM Bilirubinometer8308 - PM Breast Pump (Powered)8309 - PM Bulk Steam Sterilizer8310 - PM Carbon Dioxide Blood Gas Monitor8311 - PM Carbon Dioxide Monitor8312 - PM Cataract Extraction Unit8313 - PM Chair Scale8314 - PM Chart Recorder8315 - PM Defibrillator8316 - PM Densitometer8317 - PM Doppler8318 - PM Dry Heat Sterilizer8319 - PM Electric Beds8320 - Preventive Maintenance Procedure For Electric Beds Form8321 - PM Electric Patient Lift8322 - PM Electroencephalograph (EEG)8323 - PM Electromyograph (EMG)8324 - PM Electronic Thermometer8325 - PM Esophagoscope (Flexible/Rigid)8326 - PM Ethylene Oxide Analyzer8327 - PM Ethylene Oxide Sterilizer8328 - PM Evoked Response Stimulator8329 - PM Examination Table8330 - PM External Cardiac Pacemaker8331 - PM External Neuromuscular Stimulator8332 - PM Feeding Pumps8333 - PM Flexible Bronchoscope8334 - PM Flotation Bed8335 - PM Gomco Suction8336 - PM Hemodialysis Blood Pump8337 - PM Hemodialysis Machine8338 - PM Hydraulic Bed8339 - PM Hydrocollator8340 - PM Hypo/Hyperthermia Machines and Water Heating Pumps8341 - PM Ice Dispenser8342 - PM Infant Scale8343 - PM Infusion Controller8344 - PM Invasive Blood Pressure Monitor8345 - PM Laryngoscope8346 - PM Infusion Pump8347 - PM Manual Rotation Bed8348 - PM Microscope8349 - PM Microtome Knife Sharpener8350 - PM Nitrous Oxide System8351 - PM Nitrous Oxide Trace Gas Leak Test8352 - Nitrous Oxide Trace Gas Test Form8353 - PM Noninvasive Blood Pressure Monitor8354 - PM Obstetrical Table8355 - PM Ophthalmoscope8356 - PM Oscilloscope8357 - PM Otoscope8358 - PM Oxygen Mixer8359 - PM Oxygen Monitor8360 - PM PCA Infuser8361 - PM Pediatric Bed8362 - PM Pediatric Oxygen Tent8363 - PM Peripheral Nerve Stimulator8364 - PM Peritoneal Dialysis Unit8365 - PM Perfusion Pump8366 - PM Physiological Chart System8367 - PM Physiological Monitor8368 - PM Pulse Oximeter8369 - PM Scale8370 - PM Slit Lamps8371 - PM Spinal Fluid Manometer8372 - PM Table Top Steam Sterilizer8373 - PM Telemetry Unit8374 - PM Television8375 - PM Temperature Monitor With Probe8376 - PM Thermotic Drainage Pump8377 - PM Ultrasonic Blood Flow Detector8378 - PM Ultrasonic Cleaner8379 - PM Volumetric Infusion Pump8380 - PM Wall Suction8381 - PM Wheelchair - Electric