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UK EBME Model
  September 2012
  TBS GB
  a TBS Group Company
Presentation Overview


• Introduction

• NHSLA Criterion Training

• NHSLA Criterion Maintenance

• CQC Outcome 11




                        2
NHSLA Criterion 2.7


• Standard 2: Competent & Capable Workforce
• Criterion 7: Medical Devices Training
• User training of permanent staff
   – Identifying authorised staff
   – Determining training required & frequency of updates
   – Ensuring training needs are met
• Levels:
   – Level 1: Documentation
   – Level 2: Implementation
   – Level 3: Monitoring




                                 3
2. Revision & Update of Policy

• Policy Aim: Lifecycle Management
• Policy/ies:
  – Medical device maintenance policy
  – Medical device training policy
• Two options:
  – If a policy already exists, review & make recommendations
  – If a policy does not exist, we use our own policy template




                                  4
4. Implementation of Training Records


• Training records for individual staff:
   – Staff details: Name, location, role
   – Medical device details: Medical devices within the area
   – Devices on which they have had/are due/need training


• Options for implementation:
   –   Hard-copy forms held by Equipment Controllers
   –   Off-shelf IT products (e-learning)
   –   Additional module within biomedical database
   –   Bespoke TBS GB system specific to customer requirements




                                  5
6. Implementation of Training & Centralised Records

• Planning
    – Interim project support
    – Other organisation in-house trainers/practice development staff
    – Equipment Controllers/Ward Managers
• Advertising
    – Staff Communications
    – Intranet
    – Posters in wards & departments
• Delivery
    – Original Equipment Manufacturers
    – Organisation in-house trainers
    – Consultant trainers
• …
                                  6
9. Attendance at Committee Meetings


•   Active member of relevant committees
•   Present results of training audits & reports
•   Highlight key issues
•   Receive feedback from other staff




                            7
NHSLA Criterion 3.6


• Criterion 6: Maintenance of Medical Devices &
  Equipment
• Planned Maintenance & Repair
• Levels:
   – Level 1: Documentation
   – Level 2: Implementation
   – Level 3: Monitoring




                               8
Steps to Compliance

                                   1. Review of Systems



    NHSLA Level 1                                                             CQC
                               2. Revision & Update of Policy              Outcome

                                                                                11


    NHSLA Level 2
                    3. Review & Implementation of Maintenance Provisions



    NHSLA Level 3
                        4. Implementation of Regular Audits & Reports




                            5. Attendance at Committee Meetings



    NHSLA & CQC
                              6. Preparation of Evidence Folder


                                          9
4. Implementation of Audits & Reports


• Regular organisation wide audit for all device types
• Introduction of ward audit
   – Monitor compliance with policy
   – Review effectiveness of device maintenance
• Against key performance indicators:
   – Medical devices are commissioned and added to an inventory
     before being put into use
   – All staff are aware of the single-use symbol and that devices should
     only be used once on a patient and then discarded
   – Medical devices are on planned maintenance schedules and are in
     date for service
   – Medical devices are labelled appropriately when faults are identified
     and the relevant department notified


                                   10
CQC


• Care Quality Commission (CQC)
• Essential Standards of Quality and Safety,
  Regulation 16, Outcome 11
• Focused on the impact of the whole medical
  device lifecycle management on the patient
• Provider Compliance Assessment
• Evidence Gathering
• Attendance at assessments or audits



                         11
• Review external
  regulatory requirements
• Review internal business
  needs
• Create policy
• Implement




                              12

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26 3-3-sandham

  • 1. UK EBME Model September 2012 TBS GB a TBS Group Company
  • 2. Presentation Overview • Introduction • NHSLA Criterion Training • NHSLA Criterion Maintenance • CQC Outcome 11 2
  • 3. NHSLA Criterion 2.7 • Standard 2: Competent & Capable Workforce • Criterion 7: Medical Devices Training • User training of permanent staff – Identifying authorised staff – Determining training required & frequency of updates – Ensuring training needs are met • Levels: – Level 1: Documentation – Level 2: Implementation – Level 3: Monitoring 3
  • 4. 2. Revision & Update of Policy • Policy Aim: Lifecycle Management • Policy/ies: – Medical device maintenance policy – Medical device training policy • Two options: – If a policy already exists, review & make recommendations – If a policy does not exist, we use our own policy template 4
  • 5. 4. Implementation of Training Records • Training records for individual staff: – Staff details: Name, location, role – Medical device details: Medical devices within the area – Devices on which they have had/are due/need training • Options for implementation: – Hard-copy forms held by Equipment Controllers – Off-shelf IT products (e-learning) – Additional module within biomedical database – Bespoke TBS GB system specific to customer requirements 5
  • 6. 6. Implementation of Training & Centralised Records • Planning – Interim project support – Other organisation in-house trainers/practice development staff – Equipment Controllers/Ward Managers • Advertising – Staff Communications – Intranet – Posters in wards & departments • Delivery – Original Equipment Manufacturers – Organisation in-house trainers – Consultant trainers • … 6
  • 7. 9. Attendance at Committee Meetings • Active member of relevant committees • Present results of training audits & reports • Highlight key issues • Receive feedback from other staff 7
  • 8. NHSLA Criterion 3.6 • Criterion 6: Maintenance of Medical Devices & Equipment • Planned Maintenance & Repair • Levels: – Level 1: Documentation – Level 2: Implementation – Level 3: Monitoring 8
  • 9. Steps to Compliance 1. Review of Systems NHSLA Level 1 CQC 2. Revision & Update of Policy Outcome 11 NHSLA Level 2 3. Review & Implementation of Maintenance Provisions NHSLA Level 3 4. Implementation of Regular Audits & Reports 5. Attendance at Committee Meetings NHSLA & CQC 6. Preparation of Evidence Folder 9
  • 10. 4. Implementation of Audits & Reports • Regular organisation wide audit for all device types • Introduction of ward audit – Monitor compliance with policy – Review effectiveness of device maintenance • Against key performance indicators: – Medical devices are commissioned and added to an inventory before being put into use – All staff are aware of the single-use symbol and that devices should only be used once on a patient and then discarded – Medical devices are on planned maintenance schedules and are in date for service – Medical devices are labelled appropriately when faults are identified and the relevant department notified  10
  • 11. CQC • Care Quality Commission (CQC) • Essential Standards of Quality and Safety, Regulation 16, Outcome 11 • Focused on the impact of the whole medical device lifecycle management on the patient • Provider Compliance Assessment • Evidence Gathering • Attendance at assessments or audits  11
  • 12. • Review external regulatory requirements • Review internal business needs • Create policy • Implement  12