Maintenance in Hospital Sultanah Nora Ismail

INTRODUCTION Nora Ismail Hospital  is a government-

funded multi-specialty hospital located in Batu Pahat, Johor, Malaysia.

Hospital Batu Pahat was built in the Sixth Malaysia Plan in 1991 and initiated the concept of hospital nucleus.

Transfer service to the hospital was made on 12 November 1994.

From this date, Hospital Batu Pahat has been operating in the scope of patient care services, emergency and outpatient treatment with capacity of 314 beds

THE HOSPITAL MAINTENANCE DEPARTMENT IS RESPONSIBLE FOR THE FOLLOWING:

Operation and maintenance of lighting, plumbing, electrical distribution, air conditioning / heating systems, and finishes of all Hospital buildings

Preventive Maintenance program Dispatching Office for maintenance calls

PLANNED AND PREVENTIVE MAINTENANCE

1. Fabric maintenance

•Maintenance manager decide which of the various components or elements of the building, such as walls, floors, roofs, windows and doors, inspected in detail for assessing their condition. •The maintenance management know the cost implications of the various alternatives and the minimum acceptable condition of the element.

2. Improvement and modification

•To maintain a property to a standard appropriate for its intended use or to bring it into line with current standard and thereby maximize its asset value

3. Day‐to‐day repairs

•mostly small jobs in nature carried out in response to specific requests from the users of the buildings, with an urgency associated with a short time scale of the requested response. •The work ranges from emergency caused by serious electrical or plumbing problems in terms of potential cost and safety to building users, such as replacing a defective light bulb. •Important as the users of buildings often judge the efficiency of the maintenance department by the service they receive when they make requests

FORECASTING MAINTENANCE DEMAND A demand forecast leads to the specification of

what maintenance should be carried out at what time during the technical system in the organization concerned.

Forecasting the demand is based on the study of the failure behaviour, the distribution of delay‐time, the distribution of the equipment to be maintained or the failure rate.

DAY‐TO‐DAY DEMAND FOR MAINTENANCE The majority of maintenance jobs can be

considered to be single trade repairs such as plumbing or joinery in the building group and electrical and mechanical in the engineering group.

Can be reduced by implementing the appropriate and effective maintenance action such as a block of replacement of light bulbs or introducing a periodic inspection.

Detected by the building user during working hours of the week and reported to the maintenance department either by post or telephone calls.

Upon received, the maintenance department categorizes jobs as emergency, urgent and non‐urgent jobs.

Emergency jobs reported during working hours are deal with as soon as possible.

Emergency jobs reported during the night‐time, weekends, holidays or otherwise outside working hours are deal with by a duty maintenance operative

All non‐emergency jobs are deal with in a notional “first in first out” priority.

Although defects may or may not be noted at a constant rate during a 24‐hour period, the reporting of defects to the maintenance department is at a constant rate during the working hours.

CONDITION BASED MAINTENANCE

• Condition-based maintenance is maintenance when need arises. This maintenance is performed after one or more indicators show that equipment is going to fail or that equipment performance is deteriorating

• For Hospital Sultanah Norah Ismail the Hospital must make sure the equipment is can be used in every time and also can be used when emergency. The Hospital try to maintain the correct equipment at the right time is based on using real-time data to prioritize and optimize maintenance resources.

• Ideally condition-based maintenance will allow the maintenance personnel to do only the right things, minimizing spare parts cost, system downtime and time spent on maintenance.

Advantages of condition base maintenance.CBM has some advantages over planned maintenance:• Improved system reliability• Decreased maintenance costs• Decreased number of maintenance

operations causes a reduction of human error influences

Disadvantages of condition base maintenance.• High installation costs, for minor equipment

items often more than the value of the equipment

• Unpredictable maintenance periods cause costs to be divided unequally

• Increased number of parts that need maintenance and checking.

RUNNING MAINTENANCE

Running maintenance which includes those maintenance activities that are carried out while the machine equipment is running.

ensure that building stock is maintained to an appropriate standard such as patient beds

make a checking on the maintenance in ward MAKE SURE the machine and equipment that

hospital indeed always running in good condition.

CORRECTIVE MAINTENANCE

Defined as: Maintenance work which involves the repair or replacement of components which have failed or break down.

The equipment at the Hospital Sultanah Nora Ismail must be inspected to identify the problems and must take an action to remove the future similar failure after the corrective maintenance is done.

The corrective maintenance also is done based on the complaints from the staff or the patients at the hospital.

The corrective maintenance in Hospital Sultanah Nora Ismail, such as the plumbing system. For example the medical gas system and piping for air such as nitrous oxide and oxygen which must be available in emergency and operating areas as well as in patients ward.

Advantage of corrective maintenance:1) Less staff because the management do not have to

hire many staff to fix the problem only need less staff since less work is being done.

2) Skill and care is required when determining which assets should be allowed to run to failure.

Disadvantage of corrective maintenance:1. Cost- increase long term cost due to unplanned

equipment downtime2. The risk is greater from the perspective of cost because

the process to fix the equipment may fail and need more money to repair the broken equipment and also in term of time because some of the equipment need to repair quickly and if still fail it take long time to fix it.

REALIBILITY MAINTENANCE

PARKING LOT-flexible use-special parking for EMERGENCY CASES-large spaceThe maintenance are such as:-Striping and painting-Asphalt repair-Asphalt crack sealing-Concrete repair and replacement

ELEVATOR

-Have special requirement-multi-beam door sensorSecure the passenger’s safety by reopening the doors before touching human being-auto tuning – precise levelling and optimum open-close speed enhance the safety and reliability- Door detachment

preventing system -Special structure in the upper and lower sides of the door protects passengers from falling by preventing door's detachment

FIRE ALARM- Regularly check and testing- Install smoke alarms more in

bedrooms but do not install in kitchens, laundries and bathrooms.

- It is very important when: smoke alarms will sound a regular warning ‘beep’ if the battery needs replacing Smoke alarms should never be painted.The date the smoke alarm was manufactured will be displayed. Smoke alarms have a maximum service life of ten (10) years and need to be replaced.Contact the manufacturer or supplier with any queries regarding smoke alarm.

1.Leaking of hazardous or harmful substances

2.The system breakdown 3.Sudden shutdown or damage

of the machine

EMERGENCE MAINTENANCE

CONCLUSIONTHE MAINTENANCE CLASSIFICATION : • PLANNED & PREVENTIVE MAINTENANCE• CONDITION-BASED MAINTENANCE• RUNNING MAINTENANCE• CORRECTIVE MAINTENANCE• RELIABILITY CENTRED MAINTENANCE• EMERGENCY MAINTENANCE FOUR THINGS HOSPITALS NEED TO CONSIDER IN DEVELOPING AN EFFECTIVE MAINTENANCE STRATEGY :• OPERATING ENVIRONMENT • OPERATING RISKS• TRADITIONAL MAINTENANCE OPTIONS • BUILDING PERFORMANCE