Biomedical Engineering Policy and Procedure Manual

MCN Healthcare’s Biomedical Engineering Policy and Procedure Manual has over 340 comprehensive policies, procedures and forms in an easy-to-customize Word format that meet The Joint Commission, NIAHO and CIHQ's standards. Policies and procedures include a Medical Equipment Management Plan, Alternative Equipment Maintenance Program, job descriptions, competencies and much more!

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ChangesTable of Contents - TJC Standards and CMS RegulationsTable of Contents - NIAHO Standards and CMS RegulationsTable of Contents - CIHQ Standards and CMS RegulationsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 05 - MEDICAL EQUIPMENT MANAGEMENT
5001 - Medical Equipment Management Plan5002 - Biomedical Equipment Management - Biomedical Engineering5003 - Medical Equipment User/Maintainer Training Program5004 - Medical Equipment Management - Orientation/Education5005 - Employee Medical Equipment Training and Competency Form5006 - Medical Equipment User/Maintainer Training Log5007 - Medical Equipment User/Error or Failures Log5008 - Medical Equipment Failure/User Error Follow-up Report Form5009 - Quarterly Report to Safety/Environment of Care Committee - Medical Equipment Management Incidence Form5010 - Medical Equipment Management Problem Resolution Log5011 - Annual Effectiveness Report - Medical Equipment Management Program5012 - Evaluation of the Effectiveness of the Medical Equipment Management Plan/Program (Every 12 Months)5013 - Selection and Acquisition of Equipment5014 - Medical Equipment Management Inventory5015 - Inventory and Inspection of New Equipment5016 - Medical Equipment Management Inventory Form5017 - Additions to Medical Equipment Management Inventory Form5018 - Deletions from Medical Equipment Management Inventory Form5019 - Incoming Equipment Checklist5020 - Application for Equipment Acceptance Form5021 - New Medical Equipment Testing Log5022 - Definitions of Medical Equipment Maintenance Strategies5023 - Equipment Management Code System5024 - NPSG.06.01.01 Implementation Timeline5025 - Steps for Establishing a Clinical Alarms Effectiveness Program5026 - Medical Equipment Management - Device Alarm Inventory Form5027 - Clinical Alarms Survey Form - Sample5028 - Clinical Alarms - Maintenance and Use of5029 - Infusion Pumps - Equipment Inspection, Care and Maintenance5030 - Ventilator - Preventive Maintenance5031 - Ventilator Maintenance/Monitoring - Recommended Parameters5032 - Equipment Safety - Reporting Malfunction5033 - Emergency Procedures for Medical Equipment Failure/Disruption5034 - Equipment Loan/Rental Policy5035 - Rental Patient Care Equipment - Inspection and Testing5036 - Sterilizer Performance Testing5037 - Water Quality Testing for Renal Dialysis Equipment5038 - Reusable Medical Devices5039 - Safe Medical Devices5040 - Medical Device Recall Notification5041 - Electrical Safety5042 - Sample Training Outline - Safe Use of Electrical Equipment - Staff and Patients5043 - Electrical Extension Cords5044 - Request for Electrical Extension Cord5045 - Electrical Receptacles - Condition of5046 - Equipment Condition and Safety5047 - Personal Electrical Equipment5048 - Permit for Using Electrical Appliances5049 - Electrical Safety - Preventing Overload5050 - Equipment Safety - Operator's Responsibility5051 - Equipment Safety - Maintenance Operator5052 - PHI and Patient Equipment5053 - Physical Safeguards - Device and Media Controls - Disposal5054 - Wireless Technology in Medical Devices
SECTION 06 - MAINTENANCE
6001 - Alternative Equipment Maintenance Program6002 - Biomedical Equipment Maintenance Action Report Form6003 - Equipment Safety - Biomedical Equipment6004 - Equipment Filter Log System6005 - Equipment Filter Log - Weekly6006 - Equipment Filter Log - Monthly6007 - Equipment Filter Log - Quarterly
Preventive Maintenance - Clinical Laboratory
6201 - Automated Chemistry System - Preventive Maintenance6202 - Automated Hematology Analyzer - Preventive Maintenance6203 - Biological Refrigerator - Preventive Maintenance6204 - Blood Bank Refrigerator - Preventive Maintenance6205 - Refrigerator/Freezer Temperature Chart6206 - Blood Cell Counter - Preventive Maintenance6207 - Blood Gas Analyzer - Preventive Maintenance6208 - BUN Analyzer - Preventive Maintenance6209 - Calcium Analyzer - Preventive Maintenance6210 - Carbon Dioxide Analyzer - Preventive Maintenance6211 - Carbon Monoxide Analyzer - Preventive Maintenance6212 - Cell Washer - Preventive Maintenance6213 - Centrifuge - Preventive Maintenance6214 - Room/Heat Block/Incubator Temperature Chart6215 - Centrifuge Maintenance Log6216 - Chloride/CO2 Analyzer - Preventive Maintenance6217 - Chloridometer - Preventive Maintenance6218 - Clinical Lab Freezer - Preventive Maintenance6219 - Clinical Laboratory Incubator - Preventive Maintenance6220 - Clinical Laboratory Optical Microscope - Preventive Maintenance6221 - Coagulation Analyzer - Preventive Maintenance6222 - Constant Temperature Water Bath - Preventive Maintenance6223 - CO Oximeter - Preventive Maintenance6224 - Cystic Fibrosis Analyzer - Preventive Maintenance6225 - Dialyzer - Preventive Maintenance6226 - Electrolyte Analyzer - Preventive Maintenance6227 - Electrophoresis Equipment - Preventive Maintenance6228 - Fibrometer - Preventive Maintenance6229 - Fibrometer Maintenance Log6230 - Flame Photometer - Preventive Maintenance6231 - Freezing Bath - Preventive Maintenance6232 - Fume Hood - Preventive Maintenance6233 - Glucose Analyzer - Preventive Maintenance6234 - Mass Spectrometer - Preventive Maintenance6235 - Nitrogen Analyzer - Preventive Maintenance6236 - Oxygen Analyzer/Monitor - Preventive Maintenance6237 - Paraffin Dispenser - Preventive Maintenance6238 - pH Meter - Preventive Maintenance6239 - Refractometer - Preventive Maintenance6240 - Scintillation Counter - Preventive Maintenance6241 - Slide Stainer - Preventive Maintenance6242 - Spectrophotometer - Preventive Maintenance6243 - Spirometer - Preventive Maintenance6244 - Tissue Stainer - Preventive Maintenance6245 - Urine Analyzer - Preventive Maintenance6246 - General Instrument Preventive Maintenance Log6247 - Volumetric Device Preventive Maintenance Log
Preventive Maintenance - Surgery
6801 - Anesthesia Unit - Preventive Maintenance6802 - Apnea Monitor - Preventive Maintenance6803 - Arthroscope - Preventive Maintenance6804 - Aspirator - Preventive Maintenance6805 - Blood Warmer - Preventive Maintenance6806 - Cataract Extraction Unit - Preventive Maintenance6807 - Ceiling Mounted Surgical Light - Preventive Maintenance6808 - Cell Separator/Cell Washer - Preventive Maintenance6809 - Cryosurgical Unit - Preventive Maintenance6810 - Electrosurgical Unit Analyzer - Preventive Maintenance6811 - Electrosurgical Unit - Preventive Maintenance6812 - Endoscopic Camera - Preventive Maintenance6813 - Fiberoptic Light Source - Preventive Maintenance6814 - Floor Standing Surgical Light - Preventive Maintenance6815 - Gastro-Urology Colonoscope - Preventive Maintenance6816 - Head Light - Preventive Maintenance6817 - Heart/Lung Bypass Machine - Preventive Maintenance6818 - Intracranial Pressure Monitoring Device - Preventive Maintenance6819 - Irrigation Pump - Preventive Maintenance6820 - Irrigation Solution Warmer - Preventive Maintenance6821 - Laminar Airflow Unit - Preventive Maintenance6822 - Light Source - Preventive Maintenance6823 - Line Isolation Monitor - Preventive Maintenance6824 - Operating Room Table - Preventive Maintenance6825 - Ophthalmic Surgical Laser - Preventive Maintenance6826 - Surgical Laparoscope - Preventive Maintenance6827 - Surgical Laser - Preventive Maintenance6828 - Surgical Lavage - Preventive Maintenance6829 - Surgical Light - Preventive Maintenance6830 - Surgical Microscope - Preventive Maintenance6831 - Surgical Video System - Preventive Maintenance6832 - Ultraviolet Light - Preventive Maintenance
Preventive Maintenance - Hospitalwide
6901 - Acoustic Testing Chamber - Preventive Maintenance6902 - Air Compressor - Preventive Maintenance6903 - Ambulatory Infusion Pump - Preventive Maintenance6904 - Anti-Embolism Compression Unit - Preventive Maintenance6905 - Audiometer - Preventive Maintenance6906 - Bedside Monitoring Devices - Preventive Maintenance6907 - Bilirubinometer - Preventive Maintenance6908 - Breast Pump (Powered) - Preventive Maintenance6909 - Bulk Steam Sterilizer - Preventive Maintenance6910 - Carbon Dioxide Blood Gas Monitor - Preventive Maintenance6911 - Carbon Dioxide Monitor - Preventive Maintenance6912 - Chair Scale - Preventive Maintenance6913 - Chart Recorder - Preventive Maintenance6914 - Defibrillator - Preventive Maintenance6915 - Densitometer - Preventive Maintenance6916 - Doppler - Preventive Maintenance6917 - Dry Heat Sterilizer - Preventive Maintenance6918 - Electric Beds - Preventive Maintenance6919 - Electric Beds - Preventive Maintenance Procedure Form6920 - Electric Patient Lift - Preventive Maintenance6921 - Electroencephalograph (EEG) - Preventive Maintenance6922 - Electromyograph (EMG) - Preventive Maintenance6923 - Electronic Thermometer - Preventive Maintenance6924 - Esophagoscope (Flexible/Rigid) - Preventive Maintenance6925 - Ethylene Oxide Analyzer - Preventive Maintenance6926 - Ethylene Oxide Sterilizer - Preventive Maintenance6927 - Evoked Response Stimulator - Preventive Maintenance6928 - Examination Table - Preventive Maintenance6929 - External Cardiac Pacemaker - Preventive Maintenance6930 - External Neuromuscular Stimulator - Preventive Maintenance6931 - Feeding Pumps - Preventive Maintenance6932 - Flexible Bronchoscope - Preventive Maintenance6933 - Flotation Bed - Preventive Maintenance6934 - Gomco Suction - Preventive Maintenance6935 - Hemodialysis Blood Pump - Preventive Maintenance6936 - Hemodialysis Machine - Preventive Maintenance6937 - Hydraulic Bed - Preventive Maintenance6938 - Hydrocollator - Preventive Maintenance6939 - Hypo/Hyperthermia Machines and Water Heating Pumps - Preventive Maintenance6940 - Ice Dispenser - Preventive Maintenance6941 - Infant Scale - Preventive Maintenance6942 - Infusion Controller - Preventive Maintenance6943 - Invasive Blood Pressure Monitor - Preventive Maintenance6944 - Laryngoscope - Preventive Maintenance6945 - Infusion Pump - Preventive Maintenance6946 - Manual Rotation Bed - Preventive Maintenance6947 - Microscope - Preventive Maintenance6948 - Microtome Knife Sharpener - Preventive Maintenance6949 - Nitrous Oxide System - Preventive Maintenance6950 - Nitrous Oxide Trace Gas Leak Test - Preventive Maintenance6951 - Nitrous Oxide Trace Gas Test Form6952 - Noninvasive Blood Pressure Monitor - Preventive Maintenance6953 - Obstetrical Table - Preventive Maintenance6954 - Ophthalmoscope - Preventive Maintenance6955 - Oscilloscope - Preventive Maintenance6956 - Otoscope - Preventive Maintenance6957 - Oxygen Mixer - Preventive Maintenance6958 - Oxygen Monitor - Preventive Maintenance6959 - PCA Infuser - Preventive Maintenance6960 - Pediatric Bed - Preventive Maintenance6961 - Pediatric Oxygen Tent - Preventive Maintenance6962 - Peripheral Nerve Stimulator - Preventive Maintenance6963 - Peritoneal Dialysis Unit - Preventive Maintenance6964 - Perfusion Pump - Preventive Maintenance6965 - Physiological Chart System - Preventive Maintenance6966 - Physiological Monitor - Preventive Maintenance6967 - Pulse Oximeter - Preventive Maintenance6968 - Scale - Preventive Maintenance6969 - Slit Lamps - Preventive Maintenance6970 - Spinal Fluid Manometer - Preventive Maintenance6971 - Table Top Steam Sterilizer - Preventive Maintenance6972 - Telemetry Unit - Preventive Maintenance6973 - Television - Preventive Maintenance6974 - Temperature Monitor With Probe - Preventive Maintenance6975 - Thermotic Drainage Pump - Preventive Maintenance6976 - Ultrasonic Blood Flow Detector - Preventive Maintenance6977 - Ultrasonic Cleaner - Preventive Maintenance6978 - Volumetric Infusion Pump - Preventive Maintenance6979 - Wall Suction - Preventive Maintenance6980 - Wheelchair - Electric - Preventive Maintenance