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Robert Malkin’sTchSuvyDpgWdHLBMEAmUHospital:Date:7WearefromDukeUniversitywhichpartnerswithEngineeringWorldHealth(EWH)andtheGEFoundation.EWHisanonprofitthatworksonimprovinghealtharoundtheworldthroughbiomedicalengineering.WehavetrainingcoursesinRwanda,Honduras,Nigeria,Ghana,andCambodia.Wewillbeconductinganassessmentatyourhospitaloverthefollowingtwodays.Duringthistime,wewillspendthemajorityofourtimewithyouandyourbiomedicaldepartment.First,wewouldliketoaskyouquestionsaboutyourroleasbiomedicaltechnician.Thissurveywilltakeapproximately45minutes,isthatokaywithyou?-I1.Whatisyourname?2.Whatisyouremailaddress?3.Whatisyourphonenumber?4.Howmanyyearshaveyouworkedatthishospital?5.Whatisyourjobtitle?6.DidyouattendtheEWHprogram?7.HaveyouhadanypreviousBMETTraining?Ifyes,askthetechniciantodescribetheirprevioustrainings.8.Whatlanguagesdoyouspeak?9.DoyouspeakEnglish?Ifyes,pleasegivethetechniciantheEnglishtestandrecordappropriately.0.Didyougraduatefromhighschool?.DidyougraduatefromTechnicalSchool?Whatwasyourmajor?.DidyougraduatefromUniversity?Whatwasyourmajor?3.Didyouattendanyotherformsofeducation?Ifyes,pleaseaskthetechniciantodescribethatformofeducation.1.Name:2.EmailAddress:3.PhoneNumber:4.Years:5.Title:6.EWH:Y/N7.BMETTraining:Y/NDescription:8.Languages:9.English:Y/NTestScore:10.HighSchool:Y/N11.TechnicalSchool:Y/NMajor:12.University:Y/NMajor:13.Other:Y/NDescription:4.Whenyouarerepairingmedicalequipmentandyouneedareplacementpart,howdoyougetthereplacementparts?5.Wheredoyougetthesparepartsyouneed?.Doyouhaveanypaperwork?MayIseeacopy?MayItakeapicture?7.Whodoyouhavetorequestthepartfrom?8.Whenwasthelasttimeyourequestedasparepart?9.Howlongdidittakeyoutoreceiveit?.Doyoufeelyouareabletogetthepartsyouneed?.Whatarethebarrierstogettingthepartsyouneed?.Doyouhavearoomorcabinetofsparepartsatthehospital?MayIseeacopy?MayItakeapicture?3.Whatpartofthebudgetdoesmoneyforsparepartscomefrom?14.How:15.Where:16.Partsacquisitionpaperwork?Y/N17.Whorequest:18.Lastrequest:19.Waittime:20.Abletogetparts:Y/N21.Barrierstoparts:22.Partsstorage:Y/N23.Partsbudget:24.͍(continueuntildirectortodrawhierarchy)25.Doyouprovideanyreportstothehospitaladministration?MayIseeacopy?MayItakeapictureofthereports?Tech25.Reportstoadministration?Y/N




Robert Malkin’sTchSuvyDpgWdHLBMEAmUHospital:Date:8f26.Whatpercentageofyourtimedoyouspendworkingonfacilitiesissues(electricity,water,airconditioning)?27.Whatpercentageofyourtimedoyouspendworkingonmedicalequipment?28.Ofthetimeyouworkonmedicalequipment,whatpercentageisonrepairs?29.Ofthetimeyouworkonmedicalequipment,whatpercentageisonpreventativemaintenance?30.Ofthetimeyouworkonmedicalequipment,whatpercentageisonmanagementactions(paperwork,worktickets,reports)?31.Whataretheotherresponsibilitiesyouhaveatthehospital?32.Whatpercentageofyourtimedoyouspendontheseotherresponsibilities?33.Arethereanytypesofequipmentyouarenotallowedtoworkon?34.Arethereanydepartmentsthatyouarenotallowedtoworkin?35.Arethereanytypesofequipmentyouchoosenottoworkon?EffortPercentageTech126.Facilities:27.Equipment:28.Repairs:29.Maintenance:30.Paperwork:31.OtherResp:32.%OtherResp:33.Allowed:34.Departments:35.Choose:Tech2/36.DoestheMinistryofHealthprovideservicecontractsforanymedicalequipment?37.Doesthehospitalnegotiateforservicecontractsforanymedicalequipment?38.Doesyourhospitalusefeeforserviceonetimeproviders?I39.Areparts,accessories,&consumablesincludedinthecontract?40.Whatarethenamesoftheservicecontractors?Whatequipmentdotheyworkon?41.Whonegotiatesandsignsthecontract?(listtitle,department)42.Whatisthebudgetforfeeforservice?43.Howmanytimesinthelastyearhaveyoucontactafeeforservicetechnician?44.Hasthenumberoftimesthehospitalcontactedafeeforservicetechnicianincreased,decreased,orstayedthesameoverthepastfouryears?Why?36.UseMOHSC?Y/Nͬ<ǁ37.UseHospitalSC?Y/N38.Feeforservice?Y/N39.Parts:Y/N40.NamesTypes41.Who:42.Budget:43.Lastyear:44.Changed:Increase/StaySame/DecreaseWhy:Whichofthefollowingtoolsdoyouhave?-1611162126313641____27121722273237____42____38131823283338____4349141924293439____510152025303540____Maywetakeseeyourworkshopandyourtools?Maywetakeapictureofyourshop?Shopcondition:Howoftenareyouabletogettheseitemsfortherepairsyouneed:




Robert Malkin’sTchSuvyDpgWdHLBMEAmUHospital:Date:91______4______7_______10_______13_______16_______19_______22_______2______5______8_______11_______14_______17_______20_______23_______3______6______9_______12_______15_______18_______21_______24_______Iw45.Howoftendoyoumeetwiththedirector?46.Whattopicsdoyoutypicallydiscuss?45.Interactions:46.Topics:q47.Inthelast12months,whodidyoucontactwhenyouneededassistancewitharepair?͗ǁyoucontacted?(Othertechnicians,regionalrepairunit,foreignsupport,outsiderepairagency,servicecontractors)Time:Howmanytimesdidyoucontactthispersoninthepast12months?Mode:Howdidyoucontactthisperson?(Phonecall,email,facetoface,facebook)In/Out:Wasthepersonlocatedinsideoroutsideofthecountry?Name#timesModeIn/Out1.2.3.4.5.6.7.8.&48.Whopurchasesmedicalequipmentatthehospital?Areyouinvolvedwhenapieceofequipmentispurchased?49.Isincomingequipmentrecorded?MayIseeacopy?MayItakeapictureofthisrecord?50.Whoacceptsincomingequipment?(titleanddepartment)Areyouinvolved?51.Whoinstallsincomingequipment?(titleanddepartment)Areyouinvolved?52.Whotrainsusersonhowtousetheequipment?(titleanddepartment)Areyouinvolved?53.Wheredoyoukeepthemedicalequipmentmanuals?54.Howmanydoyouhave?MayIseethemanuals?MayItakeaphotoofthemanuals?48.Purchasedby:Techinvolved:Y/N49.Recorded?Y/N50.Receivedby:Techinvolved:Y/N51.Installedby:_Techinvolved:Y/N52.Usertrainingby:Techinvolved:Y/N53.Manualsplaced:54.NumberofManuals:–F55.Whenapieceofequipmentisbroken,whichpersonletsyouknowthatitisbroken?56.Howdoesthispersonletyouknow?57.Doyouhaveanypaperworkfortherequest?MayIseeacopy?MayItakeapictureofthepaperwork?58.(If2+tech)Afteryouknowapieceofequipmentneedsrepair,howdoyoudecidewhorepairsit?59.Doyourecordtherepairsyoumake?MayIseeacopy?MayItakeapictureoftherepairs?55.Who:56.How:57.RequestPaperwork:Y/N58.Delegationifmorethanonetech:WhoeveravailableHeadTechBySpecialty59.RepairPaperwork:Y/N




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