Healthcare Technology Management

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1 An overview of Healthcare Technology Management or Biomedical Equipment Technology D. J. McMahon rev cewood

2 Key Points HTM Overview: What do we do? Maintain Repair Install Educate Users Interface with IT Support Purchasing Major Divisions of HTM: General Clinical Equipment: monitoring devices, diagnostic equipment, therapeutic devices, & assistive devices. Imaging Equipment: X-ray, CT scanners, fluoroscopes, ultrasound, MRI, etc. Clinical Laboratory Equipment: centrifuges, cell counters, microscopes, etc. Continuing Education: Equipment-specific training through manufacturer service schools. Current topics and reviews through society meetings, journals, & webinars. Specific training in imaging technology or clinical lab equipment. Negative Aspects of HTM: Consequences of Error potential for patient injury or death potential for delayed or cancelled treatment potential for equipment damage or loss Environmental Hazards: infectious disease, chemicals, X-rays, etc. On-call Duty, Evening & Weekend Hours Prerequisite Skills: Certification : Social Skills, Communication Skills, Technical Skills are essential CBET: Certified Biomedical Equipment Technician CRES: Certified Radiological Equipment Specialist CLES: Certified Laboratory Equipment Specialist

3 Functions of HTM Techs: > Maintain > Repair > Install > Educate Users > Interface with IT > Support Purchasing

4 What kind of equipment? Monitors for - ECG - blood pressure - O2 saturation - etc Defibrillators Heart-Lung pumps Ventilators Electrosurgical Units X-ray Units CT Scanners Ultrasound MRI Units Clinical Lab Devices - Centrifuges - Microscopes - Blood Analyzers - etc Medical Lasers Dialysis Machines

5 Major Divisions of HTM: > General Clinical Equipment - monitoring devices, diagnostic equipment, therapeutic devices, & assistive devices. > Imaging Equipment - X-ray, CT scanners, fluoroscopes, ultrasound, MRI, etc. > Clinical Laboratory Equipment - centrifuges, cell counters, microscopes, etc.

6 Where do they work?

7 Where are they trained? In the U.S., large majority train at 2-year colleges: - ~ 45 schools currently in the U.S. - most offer an AAS degree Dept. of Defense: combined Armed Forces BMET school - located at Fort Sam Houston near San Antonio, TX

8 Compensation: Medical Equipment Technicians are paid somewhat more than electronics technicians. Compensation depends on many variables: - experience - factory training credentials - region of the country - type of employer

9 Continuing Education: - Equipment-specific training through manufacturer service schools. - Current topics and reviews through society meetings, journals, & webinars. - Specific training in imaging technology or clinical lab equipment.

10 Negative Aspects of HTM: - Consequences of Error - potential for patient injury or death - potential for delayed or cancelled treatment - potential for equipment damage or loss - Environmental Hazards - infectious disease, chemicals, X-rays, etc. - On-call Duty, Evening & Weekend Hours

11 Prerequisite Skills: Social Skills are essential: Equipment techs deal with a wide variety of medical personnel who differ in education, ethnicity, and language skills. Communication Skills are essential: Must have good writing and speaking competencies. Technical Skills are essential: Must have skills with tools and ability to learn proper technique.

12 HTM Course at North Seattle: - Chemistry - Physics - Basic Anatomy & Physiology - Medical Terminology - Electronics (DC & AC, Analog, Digital, etc) - Medical Equipment Technology - Information Technology - Externship

13 HTM Skills Exercises at North Seattle: Use recent medical devices and test equipment Emphasis on - Shop Skills: practice with hand tools, soldering, disassembly - Performance Verification: Preventive Maintenance of devices, electrical safety checks - Troubleshooting: finding and repairing defects Skills exercises are ~ 25% of the student s grade

14 HTM Externship: - Student is placed in the Clinical Engineering Dept of a local hospital, or medical device manufacturer. - Must get at least 220 hours of work experience. - Must write logs of his/her experience each week. - Required for graduation.

15 Online References for the HTM Student: - AAMI: The Association for the Advancement of Medical Instrumentation. (Washington DC) x7 Magazine: - TechNation Magazine: 1technation.com/

16 Certification : CBET: Certified Biomedical Equipment Technician CRES: Certified Radiological Equipment Specialist CLES: Certified Laboratory Equipment Specialist > Administered thru AAMI > Comprehensive exam + work experience > Renewal every 3 years > Valuable in hiring and promotion

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