2nd Year M.Sc. Nursing, Nursing management and administration

1. VED ANALYSIS
PLANNING EQUIPMENTS AND
SUPPLIES FOR NURSING CARE
BY HIMANI S. VARIYA

2. VED analysis is an inventory management
technique that classifies inventory based on
its functional importance. It categorizes
stock under three heads based on its
importance and necessity for an
organization for production or any of its
other activities.
INTRODUCTION

3. VED analysis stands for Vital,
Essential, and Desirable

4. VITAL
• Highly
important.
• Items without
which
treatment
comes to
standstill: i.e.
non-
availability
can not be
tolerated.
ESSENTIAL
• Moderately
important.
• Items whose
non
availability
can be
tolerated for
2-3 days,
because
similar or
alternative
items are
available.
DESIRABLE
• Less
important.
• Items whose
non
availability
can be
tolerated for a
long period.

5. In a manufacturing organization, there are number of items which
are very vital or critical in production.
Their availability must be ensured at all times for smooth
production, so need to be strictly controlled.
Essential items follow vital items in their hierarchy of importance.
Desirable items are least importance in terms of functional
considerations, which are loosely controlled at the lower level.
PURPOSE

6. MATRIX OF ABC/
VED ANALYSIS
Cat I Cat II Cat III
V E D
A AV AE AD
B BV BE BD
C CV CE CD

7. V E D
A Defibrillator
1
X-ray machine
2
Air- curtains
3
B Ventilator
4
Electric cautery
5
Ultrasonic wash machine
6
C Oxygen regulator
7
Patient trolley
8
Electronic BP machine
9
EXAMPLE

8. ADVANTAGES
It is useful for monitoring and control of stores and spares
inventory by classifying them into three categories .
Determine the criticality of an item and its effect on production and
other services.
It is specially used for classification of spare items/ parts.
It is useful in controlling and maintaining the stock of various
types.

9. PLANNING EQUIPMENTS AND SUPPLIES FOR
NURSING CARE
A large variety and number of materials are used in hospitals. An average
hospital needs more than three thousand items of instruments and
equipments, this shows the type of stores used for patients care in hospital
and there for its management and maintenance itself is very important.
Material management is an important aspect of resource management.
When we talk about resources it covers personnel, materials, money, time,
and environment. Proper management of material are very crucial to ail the
organization and we the nurses play a vital role in controlling, maintaining
and inspecting the material from time to time for efficient and effective
patient care.

10. Equipment management includes all the related policies and procedures
govern activities from the selection and acquisition through the incoming
inspection, acceptance, and eventual retirement and disposal of medical
equipment.
The purpose of equipment management is to ensure that equipment used in
patient care is operational, safe and properly configured to meet the mission
of medical treatment facility.
EQUIPMENT MANAGEMENT

11. PLANNING
PROCRUMENT
INCOMING
INSPECTION INVENTORYAND
DOCUMENTATION
COMMISSIONING &
ACCEPTANCE
MONITORING USE
& PERFORMANCE
MAINTENANCE
DE-COMMISSIONING
ASPECTS OF MEDICAL AND
NURSING EQUIPMENT
MANAGEMENT

12. The following
conditions should be
met to help the
decision process in
planning phase:
PLANNING
PHASE
Demonstrated
clinical needs.
Available qualified
users.
Approved and
reassured source of
recurrent operating
budget.
Confirmed
maintenance services
and support.
Adequate environment
support.

13. PROCRUMENT
PHASE
Standardize on models
of manufacturers of
equipments
Specify the conditions and special
requirement in the purchase
order to specify the supplier
withhold payment if specified
conditions are not met.

14. INCOMING
INSPECTION
It should be carefully
checked for possible
damages; compliance with
specifications in the
purchase order; and
delivery of accessories,
spare parts and operating
and service manuals.

15. EQUIPMENT INVENTORY AND
DOCUMENTATION SYSTEM
Inventory entries should include
accessories, spare parts and operating
and service manuals.
Make copies of manuals for distribution
to users.

16. COMMISSIONING AND
ACCEPTANCE
It can be carried out by
hospital technical staff if
they are familier with that
item of equipment.

17. MONITORING OF USE
AND PERFORMANCE
A link should be
maintained
between user and
supplier and
observe any
supplier’s technical
services.

18. MAINTENANCE
Equipment must
be maintained in
working order
and periodically
calibrated for
effectiveness and
accuracy.

19. Repair
existing old
equipment.
Dismantle
old units if
required.
De-commissioned
equipment must be
deleted to keep the
inventory current
DE-COMMISSIONING

20. PURCHASE OF SUPPLIES AND
EQUIPMENT
DIETARY
DEPARTMENT
PHARMACY
DEPARTMENT
GENERAL
STORE

21. SUPPLIES
AND
EQUIPMENT
SELECT
PURCHASE
CENTRAL
SUPPLY
SERVICE
LINEN
SUPPLY

22. GENERAL UTILITY
SERVICES IN THE
HOSPITAL

23. Electric supply and installations

24. Water supply

25. Disposal of waste –liquids
and solids

26. Refrigeration, air conditioning,
ventilation and environment control.

27. Transport

28. Supply of medical gases , compressed air, hot
water, vacuum suction and gas plants

29. LAUNDRY

30. Fire hazard

31. Communication

32. Repairs workshop

33. HOSPITAL MATERIAL MEDICAL SIDE HOSPITAL MATERIAL
MANAGEMENT SIDE
 Perfusion material
 Surgical disposables
 Instruments
 Drugs, medicine, oxygen, linen
 Biomedical equipment
 Disinfecting items
 Computers, telephone and fax
 Food and beverage materials
 Anesthetic equipment
 Electro medical equipment
 Glass ware, dental machines
 Surgical dressing utensils
 Artificial limbs,bandages, cots for
patient, furniture
 Engineering items and many others
 Computer, fax, telephone, stationery
items
 Public address items overhead
projector
 Audiovisual systems
MATERIALS USED IN HOSPITAL

34. ESSENTIAL EQUIPMENTS FOR A 50
BEDDED DISTRICT HOSPITAL
(WHO)

35. SCOPE OF SERVICES
Essential clinical
services- medicine,
surgery, pediatrics,
OBG, and acute
psychiatry( when
necessary)
Optional clinical
services – Oral
surgery, orthopedic
surgery,
otolaryngology,
neurology and
psychiatry
Optional clinical support
services- pathology and
rehabilitation including
physiotherapy.
Essential clinical
support- anesthesia,
radiology and clinical
laboratory

36. Essential medical equipment
Diagnostic
imaging
equipment
Laboratory
equipment
Refrigerator
Instillation
and
purification
apparatus

37. Electrical
medical
equipment

38. Other
equipment

39. Small, inexpensive
equipment and
instruments