CBAHI

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  • 12/14/09
  • CBAHI

    1. 1. CBAHI FMS ANAS A ALZAID Consultant Engineer BSEE,MBA
    2. 2. How Safe are Hospitals?
    3. 3. (Chang, JCI) Dangerous (>1/1000) Risky Safe (<1/100K) Healthcare Mountain climbing Bungee jumping Driving Chemical industry Charter flights Regular air transport European railways Nuclear power Contacts / 1 death Deaths / year 1 100,000 1000 100 10 10,000
    4. 4. A fire started in a patient room, so what everybody did? <ul><li>Ali ran away! </li></ul><ul><li>Saad called the switchboard! </li></ul><ul><li>Sami is trying to put the fire off with his Ghuttra! </li></ul><ul><li>Alex called 997 ! </li></ul><ul><li>Huda is trying to evacuate patients ! </li></ul><ul><li>Hassan turned the ward O2 off, patient in room 212 died ! </li></ul>Everybody Acted differently!!!
    5. 5. So, what we can do? <ul><li>Standards </li></ul>Training Unified Coherent Teamwork Develop Plans, Program, P&P
    6. 6. FMS Facility Management & Safety <ul><li>Building Safety </li></ul><ul><li>Security </li></ul><ul><li>Hazardous Materials & Waste Disposal </li></ul><ul><li>Emergencies </li></ul><ul><li>Fire Safety </li></ul><ul><li>Medical Equipment </li></ul><ul><li>Utility Systems </li></ul>
    7. 8. PPPP POLICIES & PROCEDURES, PLANS, PROGRAMS <ul><li>Policies & Procedures </li></ul><ul><li>Lost & Found, Patient belonging, Child Abduction </li></ul><ul><li>Calling Police and reportable cases, Bombs, No Smoking </li></ul><ul><li>Medical Equipment, Contractors, Cellphone, Extension Cables,.. </li></ul><ul><li>Plans </li></ul><ul><li>Major Disasters, Internal & External, Evacuation </li></ul><ul><li>Equipment Replacement, Waste Management </li></ul><ul><li>Programs </li></ul><ul><ul><ul><li>Safety Program, Hazmat Program, Training Program, PPM Program </li></ul></ul></ul>
    8. 10. Engineering <ul><li>ENGINEERING STANDARDS </li></ul><ul><li>PPM VS CM </li></ul><ul><li>REDUNDANCY </li></ul><ul><li>QUALIFICATIONS </li></ul><ul><li>CONTRACTORS </li></ul><ul><li>COMMON SENSE </li></ul>
    9. 11. Engineering Standards Europe & US <ul><li>A/C (ASHRAE) </li></ul><ul><li>Electrical (NEC) </li></ul><ul><li>Fire (NFPA) </li></ul><ul><li>Elevators (EN81) </li></ul><ul><li>Structure (NBC) </li></ul>Residence, Commercial, Healthcare, and Factories.
    10. 13. Engineering Standards Europe & US <ul><li>A/C (ASHRAE) </li></ul><ul><li>Electrical (NEC) </li></ul><ul><li>Fire (NFPA) </li></ul><ul><li>Elevators (EN81) </li></ul><ul><li>Structure (NBC) </li></ul>Residence, Commercial, Healthcare, and Factories.
    11. 14. Engineering Standards Saudi <ul><li>No Engineering Standards!!! </li></ul>
    12. 15. Engineering Standards Saudi <ul><li>CBAHI Engineering technical committee </li></ul>Good News
    13. 16. PPM VS CM <ul><li>PPM: Planned Preventive Maintenance </li></ul><ul><li>CM : Corrective Maintenance </li></ul>
    14. 17. PPM Vs CM
    15. 18. Redundancy <ul><li>Power (Generators, Ring) </li></ul><ul><li>Medical Gases (Manifold) </li></ul><ul><li>Water (Storage) </li></ul><ul><li>Fire System </li></ul>All Life Critical Engineering Systems should have backup
    16. 20. QUALIFICATION <ul><li>Saudi Engineering Council </li></ul><ul><li>Consultant/Professional/Associate/Engineer </li></ul><ul><li>Mechanical/Electrical/Civil </li></ul><ul><li>O&M </li></ul>
    17. 21. Contractors <ul><li>Contractors  Profitability </li></ul><ul><li>YOU  Patient wellbeing </li></ul><ul><li>Objectives Diverges </li></ul><ul><li>Supervision, Supervision, Supervision </li></ul>
    18. 22. Common Sense
    19. 24. Safety <ul><li>Safety Committee </li></ul><ul><li>Fire Prevention </li></ul><ul><li>Medical Equipment </li></ul><ul><li>Hazmat </li></ul>
    20. 25. SAFETY COMMITTEE <ul><li>Set the Hospital Strategy on how to make it safe </li></ul><ul><li>Monitors and Analyze OVRs </li></ul><ul><li>Environmental Rounds </li></ul><ul><li>Minimum: 10 meetings per year </li></ul><ul><li>Members: </li></ul><ul><li>heads of: safety, security, housekeeping, ER, Biomedical, maintenance. </li></ul><ul><li>Representative from: lab, infection control, Nursing, TQM and Radiation Safety Officer </li></ul>
    21. 26. Safety <ul><li>Safety Committee </li></ul><ul><li>Fire Prevention </li></ul><ul><li>Medical Equipment </li></ul><ul><li>Hazmat </li></ul>
    22. 27. FIRE PREVENTION <ul><li>Fire Zonings </li></ul><ul><li>Fire Systems (Alarm, Sprinkler, FMS) </li></ul><ul><li>Drills and Training </li></ul><ul><li>Fire Rated Doors, Staircases & Egress routes </li></ul><ul><li>Storage </li></ul>
    23. 29. FIRE PREVENTION <ul><li>Fire Zonings </li></ul><ul><li>Fire Systems (Alarm, Sprinkler, FMS) </li></ul><ul><li>Drills and Training (RACE/PASS) </li></ul><ul><li>Fire Rated Doors, Staircases & Egress routes </li></ul><ul><li>Storage </li></ul>
    24. 30. Drills and Training <ul><li>Evacuation Drills </li></ul><ul><li>RACE: </li></ul><ul><li>Rescue, Alarm, Contain Fire, Extinguish/Evacuate </li></ul><ul><li>PASS: Pull the pin, Aim, Squeeze, Sweep </li></ul>
    25. 31. FIRE PREVENTION <ul><li>Fire Zonings </li></ul><ul><li>Fire Systems (Alarm, Sprinkler, FMS) </li></ul><ul><li>Drills and Training </li></ul><ul><li>Fire Rated Doors, Staircases & Egress routes </li></ul><ul><li>Storage </li></ul>
    26. 32. Exit Doors, Egress routes, Storage
    27. 33. Safety <ul><li>Safety Committee </li></ul><ul><li>Fire Prevention </li></ul><ul><li>Medical Equipment </li></ul><ul><li>Hazmat </li></ul>
    28. 34. MEDICAL EQUPMENT <ul><li>Policy </li></ul><ul><li>Pre Issue check </li></ul><ul><li>Tagging and Labeling </li></ul><ul><li>Repairs </li></ul><ul><li>Rejection </li></ul>
    29. 36. Safety <ul><li>Safety Committee </li></ul><ul><li>Fire Prevention </li></ul><ul><li>Medical Equipment </li></ul><ul><li>Hazmat </li></ul>
    30. 37. Hazardous Materials (HAZMAT) <ul><li>Any substances or agents , if released or misused, can pose a threat to the environment, life or health. </li></ul>
    31. 38. Hazardous Materials (HAZMAT) <ul><li>MSDS </li></ul><ul><li>Tags, Signs, and Labels </li></ul><ul><li>HAZMAT Cycle </li></ul><ul><li>HAZMAT Classification </li></ul>
    32. 39. <ul><li>Physical Properties: </li></ul><ul><li>Body surface normally covered with film of powder and paint </li></ul><ul><li>Boils at absolutely nothing – freezes for no apparent reason </li></ul><ul><li>Found in various grades ranging from virgin material to common ore </li></ul><ul><li>Chemical Properties: </li></ul><ul><li>Reacts well to gold, platinum and all precious stones </li></ul><ul><li>Explodes spontaneously without reason or warning </li></ul><ul><li>The most powerful money reducing agent known to man </li></ul><ul><li>Common Use: </li></ul><ul><li>Highly ornamental, especially in sports cars </li></ul><ul><li>Can greatly aid relaxation </li></ul><ul><li>Can be very effective cleaning agent </li></ul><ul><li>Hazards: </li></ul><ul><li>Turns green when placed alongside a superior specimen </li></ul><ul><li>Possession of more than one is possible but specimens must never make eye contact </li></ul>Accepted as 55kg, but known to vary from 45kg to 225kg Atomic Mass: Adam Discoverer: Symbol: Woman Element:
    33. 41. Hazardous Materials (HAZMAT) <ul><li>MSDS </li></ul><ul><li>Tags, Signs, and Labels </li></ul><ul><li>HAZMAT Cycle </li></ul><ul><li>HAZMAT Classification </li></ul>
    34. 43. Hazardous Materials (HAZMAT) <ul><li>MSDS </li></ul><ul><li>Tags, Signs, and Labels </li></ul><ul><li>HAZMAT Cycle </li></ul><ul><li>HAZMAT Classification </li></ul>
    35. 44. HAZARDOUS MATERIALS CLASSES <ul><li>Explosives </li></ul><ul><li>Gases </li></ul><ul><li>Flammable and combustible liquids </li></ul><ul><li>Flammable solids </li></ul><ul><li>Oxidizers and organic peroxides </li></ul><ul><li>Poisons and biohazards </li></ul><ul><li>Radioactive Materials </li></ul><ul><li>Corrosive Materials </li></ul><ul><li>Miscellaneous </li></ul>
    36. 45. EXPLOSIVES (class 1) <ul><li>Dynamite </li></ul><ul><li>Ammunition </li></ul><ul><li>Fireworks </li></ul><ul><li>Ammonium nitrate & fuel oil </li></ul>
    37. 46. GASES (class 2) <ul><li>Flammable gases - propane, methane and hydrogen </li></ul><ul><li>Nonflammable gases - neon, helium and carbon dioxide </li></ul><ul><li>Poison gases - cyanide, chlorine, phosgene, Sarin </li></ul>
    38. 47. FLAMMABLE & COMBUSTIBLE LIQUIDS (class 3) <ul><li>Flammable liquids - gasoline and alcohol </li></ul><ul><li>Combustible Liquids - pine oil, fuel oil and plastic solvents. </li></ul>
    39. 48. FLAMMABLE SOLIDS (class 4) <ul><li>Matches or Sulfur </li></ul><ul><li>Potassium </li></ul><ul><li>Sodium </li></ul><ul><li>Aluminum </li></ul><ul><li>Magnesium </li></ul><ul><li>Barium </li></ul>
    40. 49. OXIDIZERS & ORGANIC PEROXIDES (class 5) <ul><li>Oxidizers </li></ul><ul><ul><li>Gases; oxygen or chlorine </li></ul></ul><ul><ul><li>Liquids; bromide, hydrogen peroxide and nitric acid </li></ul></ul><ul><ul><li>Solids; iodine, nitrates and peroxides. </li></ul></ul><ul><li>Organic Peroxides </li></ul><ul><ul><li>Acetyl peroxide </li></ul></ul><ul><ul><li>Benzoyl peroxide </li></ul></ul>
    41. 50. POISONS & BIOHAZARDS (class 6) <ul><li>Poisons - Arsenic Solvents </li></ul><ul><li>Mercury </li></ul><ul><li>Biohazards </li></ul><ul><ul><li>Bacteria </li></ul></ul><ul><ul><li>Viruses </li></ul></ul><ul><ul><li>Toxins </li></ul></ul>
    42. 51. RADIOACTIVE MATERIALS (class 7) <ul><li>Nuclear Medicine </li></ul><ul><li>Nuclear Reactor </li></ul><ul><li>Commercial/Research Facilities </li></ul><ul><li>Industrial X-Ray Materials </li></ul>
    43. 52. CORROSIVE MATERIALS (class 8) <ul><li>Sulfuric Acid </li></ul><ul><li>Hydrochloric Acid </li></ul><ul><li>Nitric Acid </li></ul><ul><li>Sodium Hydroxide </li></ul><ul><li>Chlorine, Fluorine </li></ul><ul><li>Boiler treatment caustics </li></ul>
    44. 53. MISCELLANEOUS (class 9) <ul><li>Anesthetics </li></ul><ul><li>Asbestos </li></ul><ul><li>Scavenging Gases </li></ul><ul><li>Batteries </li></ul>
    45. 55. Security <ul><li>Roles: PPPP </li></ul><ul><li>Duties: Rounds, PR, Mr Strong </li></ul><ul><li>Reporting: OVR, Police, Violations </li></ul><ul><li>Control: MD, Fire </li></ul><ul><li>Training: Codes, Roles, Fire, HAZMAT </li></ul>
    46. 56. Thank You

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