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Final 33report
Final 33report
Final 33report
INSTITUTE OF TECHNOLOGY
HOSTING COMPANY:
BY
We hereby declare work entitled internship report at Gondar comprehensive specialized hospital
submitted to the UoG biomedical engineering department is a record of our original work done
by us under the guidance of Mr. Abel. B. we also certify that the work described herein is
entirely our work that except paraphrased or quoted work source are appropriately cited in the
reference. We approve that with our names and signature.
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Acknowledgments
First and foremost, we want to express my gratitude to Almighty GOD and his mother, Virgin
Merry, for providing us with the strength to go this far. From the beginning to the end of this
internship report, we would like to express our special thanks to our advisor, Mr. Abel Belay
(Msc) for his tolerance, understanding, and support, as well as his professional and constructive
comments.
We would like to extend our appreciation to the University of Gondar, Institute of Technology,
Biomedical engineering department, for providing such kinds of opportunities for nominated
graduating class students.
Lastly we would also like to express our special thanks to UOGCSH, BME workshop staff
members, coordinators, and other managers of the hospital for helping us in day-to-day activities
during the internship period.
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Abstract/Executive summery
This report summarizes what we did and gained in our four month stay at the hosting company
university of Gondar comprehensive specialized hospital. We joined the company and start
internship activity on June 25/2013E.C and ends august 25/2013E.C (first round) and start
second round in January 28/2014 E.C and end march 6/2014E.C We started our report by explain
the hospital background, and the main product and service in hosting company. This report is a
brief description of our final four months intern ship activities and experience we have gained at
university of Gondar comprehensive specialized hospital (UoGCSH). At the time stayed in intern
we have developed our skill of practical knowledge of installation, corrective maintenance,
preventive maintenance, and calibration of medical equipment in additional to theoretical
knowledge. This leads to easily understand to working principle and properties of medical
equipment. And also we can develop interpersonal communication, work ethics issue, team
work, and to create problem solving idea.
Table of content
Contents
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List of Figure
Figure 1.1 .Gondar collage of medical science. Blackpast.org ....................................................... 2
Figure1.2.workflow block diagram of UOGCSH ........................................................................... 6
Figure 2.1.workflow and structure .................................................................................................. 7
Figure2.2. corrective maintenance of x-ray machine .................................................................... 12
Figure2.3. corrective maintenance and calibration of mechanical ventilator ............................... 13
Figure 2.4 corrective maintenance of autoclave ........................................................................... 14
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List of table
Table2. 1.corrective and preventive maintenance ......................................................................... 11
Table2.2 .Installation machine ...................................................................................................... 15
Table2. 3 .Inventory machines ...................................................................................................... 15
Acronyms/abbreviations
BME-biomedical engineer
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Ababa University in 1992. In 2001 the first new Faculty, the Faculty of Management Sciences
and Economics, was created. The spring of 2003 saw the next phase of development, changing
the name from GCMS to Gondar University College and creating three new faculties. In 2004
the institution was converted into University of Gondar and through subsequent years the
University opened 4 more academic units.
University of Gondar was maintained a steady commitment to quality education, focused
research and relevant community services. Currently the University is made up of the College of
Medicine and Health Sciences, the Faculties of Agriculture; Veterinary Medicine, Business
and Economics, Social Sciences and Humanities and Natural and Computational Sciences, and
the Schools of Law, Technology and Education. We offer 56 undergraduate and 64 postgraduate
programs in our regular, extension, distance and summer programs (including a Public Health
PhD program which is handled in collaboration with Addis Continental Institute of Public Health
[1].
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Family support services, Financial services, Case management or social work services, greater
access to surgical specialists, physical therapy and rehabilitation, genetic counseling and testing,
management, financial services, primary care services, mental illness treatment, infectious
disease clinics, dental services, fistula, and so on..
As mentioned earlier the university gives two main types of programs. Public health and
medicine under both schools many departments have accepted and train students. The School of
Medicine is made up of the following Departments and Units. These are Department of Surgery,
Pediatrics and Child Health, Gynecology and Obstetrics, Ophthalmology, Psychiatry, Internal
Medicine, Anesthesia, Dermatology, Anatomy, Radiology, Pathology, Physiology,
Biochemistry, ENT, Dentistry With more subspecialists being available in the hospital more
departments will soon be added. Basically the biomedical engineering department in the hospital
provides a new device installation and proper maintenance of the malfunctioned equipments.
Since a proper operating technique is necessary to sustain the device, training is given to users
[2].
1.3.1. Mission
1.3.2. Vision
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• Quality: strong commitment to high standard in all aspects of its educational activities,
research, community engagements, and support services, and uses feedback from its
participants and supporters to enhance its programs competency in an efficient way.
• Customer first: We Put the good of customers first and seek to develop responsible
citizens committed to the common good.
• Solidarity and Teamwork: Enhancing unity and forming cohesive teams determines our
future success. Thus, we value solidarity and encourage team work in our process.
• Sustainability: Promotes diversity in its policies and practices to prepare its learners to
live and work successfully in an increasingly diverse society.
• Invention and Innovation: Creativity and innovation as hallmark of our efforts, we are
in a higher education industry where creativity and adaption to its changing environment
and responds to the needs of the community.
• Care for Staff: our success is based on attracting, hiring, developing and training best
employees.
• Ethics: We comply with legal, social and professional ethics and norms which is crucial
for our development; practices of accountability, transparency, fairness, honesty, and
objectivity in dealing with its constituencies.
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constructed a modern building and started working in it to solve the problems that are arising due
to the limitations of place for patient service and to have places for research centers that the
hospital is doing and going to do.(For example, oncology)
CEO
Vice
president
Patient Students
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The work flow of the department depends upon the type of task given in the section is going
hierarchically from the head of the biomedical workshop; biomedical Engineers and technicians
to us (inter students). All Biomedical activities in the department are controlled and
communication with the higher office is done by the head of the biomedical department Mr.,
Hailemariam. The working flow helps staff members to work closely and efficiently and solve
problems. Biomedical engineers and technicians work in the hospital and we have been working
by their instruction
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CEO
Medical
director
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Equipment
name
(Model
NO. DATE serial no.) Problem Action taken Description
Monday Preventive We have started to check and observed externally
1 21/10/2013 Refrigerator maintenance then after visualization tried to check each
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Installed
No. DATE Equipment ward Description
First we check the voltage from the source (the voltage
between each path) the machine were three path
device, then we plug the socket in to the source and
Tuesday
then we anchored the sample holders by rig like
1 22/10/2013 hot air sterilizer Fistula attachment and we register the installation date on it.
Plug the accessories in proper pin and color code.
Wednesday After installation we have checked the functionality of
2 23/10/2013 fetal monitor Neonatal machine by taken 220v power supply.
First we check each components and valves and then
Thursday Autoclave( stem we plug the socket in to the source after this we filled
3 24/10/2013 sterilizer) Main OR water up to its water level indicator and we checked it.
All components were separated and packed
individually. Then by guiding with the manual we
Thursday operational ophthalmology installed it. The process take time since each part
4 1/11/2013 microscope department starting from the lenses were separated
mechanical Separate the packed components and then connected
Friday ventilator and by using different nut and user manuals after that
5 02/11/2013 smart acute bed ICU completely tighten the thump screw.
suction machine We installed the six (6) suction machines, five (5)
trolley, stretcher trolleys, three (3) wheel chairs and one (1) stretcher
Monday trolley and wheel trolley at anew ICU room. Finally checked all
6 05/11/2013 chair ICU machines the functions.
We installed new model steam sterilizer machine
Wednesday Midwifery components. And the people's came from the company
7 (09/06/2014) steam sterilizer ward was given the brief theoretical and practical
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2.4. Procedures and methods we have been using while performing our task
First all medical departments which required the help of biomedical staff members come to the
room and request the desired activities such as installation, corrective maintenance ,preventive
maintenance, disposal and soon. While performing the corrective maintenance, the failed/ non-
working equipment brought to the workshop by porters and nurses or biomedical engineers or
technicians called to the ward where the failed equipment was found. After that, the
engineers/technicians troubleshoot the failed equipment and give corrective actions like
replacing, modifying, and bypassing the failed part. After corrective actions were taken the ward
officer would sign on the corrective maintenance form the sheet provided by the biomedical
workshop.
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2.5. Challenges we have been facing while performing our work tasks and
actions taken to overcome these challenges
In our stay at the Hospital the most challenges we have observed are Lack of spare parts for
failed equipment for this we made a move by replacing the spare parts from disposed of medical
equipment’s, not having service manuals for this test we took a course of action on the web for
service manuals using the serial number provided on equipment and have used the user manual,
Lack of special tools and testing equipment then we have to take a Solution by utilizing
ourselves as a test system to check medical equipment after we repaired for example while we
work on pulse oximetry we accept ourselves as ordinary and if the reading on the equipment
reads normal range, then we confirm the equipment is functional. And the other challenge is the
workshop from some hospital wards like referral area is far so, we suggest the staff head that the
biomedical workshop has to be placed on the center of the hospital environment, and to protect
ourselves from contamination we took actions like wearing personal protective equipment while
goes to the workshop.
Where the placement of work shop is not at center of the hospital, In this case the BME staff
members didn’t reached at a short time and loss much energy to reach most medical wards
specially referral buildings are found very far from BME staff.
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In our starting period of internship, having a practical and theoretical skill, we found out that we
have a long way to improve ourselves to join the real-world medical activity. This period not
only let us know our level and skill but also allowed us to start stepping forward in improving
ourselves in many aspects. We have been reading a book, watching an online tutorial, practicing
to develop our theoretical knowledge, and consulting our associates to overcome difficulties and
upgrade ourselves. In the time it was visible for us that we have improved our skills and
knowledge.
We would like to group the overall benefits of this Internship in different categories as follows;
• In terms of upgrading our theoretical knowledge.
• In terms of improving our practical skills.
• In terms of improving industrial problem-solving capability.
• In terms of improving our team playing skills.
• In terms of our leadership skills.
• In terms of understanding work ethics and related issues proceed.
• In terms of entrepreneurship skills.
During the internship program, the theoretical knowledge was upgraded as we have been
expected, among the ways makes as be full of theoretical was reading and analyzing different
user and service manuals of biomedical and hospital equipment as well as dealing with the
operational principle of different equipment from different sources. This internship helped ours
to visualize what we learned in classes more briefly. We were solving problems and calculations
but it helped us solve the real-world problems faced both with ideas and measurements simply.
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Before the internship practice, our practical knowledge towards our future professional work
tasks was very limited because we were mainly focused on theoretical and few lab-exercises. But
at the end of the internship we could significantly increase our professional and practical skills.
Some of the practical skills that we have gained during our stay were:-
During our internship time we developed a capacity how to solve the problem in the industry, to
solve the problem of the company first thing we must dig out the root case in repeated of day to
day activities then we have to gather information about it then listen to what the employee need,
the basic question, why/when the problem happened, see to different alternatives …by asking
and searching those kinds of questions then we will try to solve by seeing from various aspect or
views by analyzing different approach based on the problem weight. Under this when we get the
obstacles/ problem we need to think and give proper attention &concentrate on the focal point
including optimism, commitment, and strength. Finally, apply final powerful decision.
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terms which I believe helped us share what we have in our minds. This thing helps us to develop
our team playing skills to some extent.
There are several benefits from teamwork, among them are:
During our Hospital stay at UOGCSH, we did some works which were related to our department
leadership and management activities. We were responsible to control and supervise some
activities and we tried to develop our leadership skills by identifying and applying. In this aspect
we have learned the following main skills.
• Accept others idea as appositive input to improve faults and attains good leadership
skill
• The leaders shall tolerate differences and find alternative methods.
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• The leaders should have a proper plan and schedule for different activities. Otherwise,
it is difficult to achieve the project goal.
• Give priority to the community, respect others right and be open minded to any one
enhances good leadership skill.
• How to handle any devices in protective manner /devices that used for maintenance in
work shop and in each ward.
• How to full fill our national and personal responsibilities to the customers especially in
the future
• How to achieve problem solving skill through peaceful communication with others.
• Be responsible for any task, any equipment and any assignment of others.
Finally what we grasp is becoming a leader is wonderful but not easy because it takes a
conscious commitment and consistent effort to develop one's leadership skills. But on the
positive side, anyone who is willing to make the effort can become a good leader.
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• Initiative: we observed the initiative skill of the workers started to apply initiating of new
ideas especially to solve the problems faced during the internship.
• Loyalty: As loyalty is one of the measures of good work ethics workers showed us.
• Avoiding conflicts: when there is a misunderstanding we try to solve it peacefully.
• Respecting others: This is a very important thing to be respected by others
• Work effectiveness and Proper Utilization of Instruments
An entrepreneur is a positive thinker who can see solutions from the surrounding cloud of
problems. Even if entrepreneurship is creating a business that does not exist before, we learned
from management on business. It opened our eyes to utilize opportunities and resources at hand
properly and be creative in our field of study. To be a successful entrepreneur we have to work
closely with other people cooperatively. Even if some tasks are done by a concerning person
most of the time individuals come together to work for the common goal of the company to
increase productivity. We have learned in this time work in team is a better means of creating
entrepreneurship. And we have developed our confidence to create our own business instead of
being government expectancy. Company how to change a simple business idea into a big
company. And also we improved our critical thinking and problem-solving skills. These
experiences are important to develop our entrepreneurship skill and we believe that it .
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4.1. Conclusion
We conclude that the internship program is very important for the under graduated students to
grasp practical knowledge. During our stay in UoGCSH we have got a lot of knowledge in terms
of improving our practical skills but before intern we learned a lot of theoretical knowledge
never familiar to practical knowledge. We have gotten practical work experience and benefits at
Gondar comprehensive specialized Hospital. And also internship practice has played a great role
in equipping, students with the practical knowledge of understanding and implementing field and
office exercises in some benefits which we are:
• Develop a way of troubleshooting different bio-medical and hospital Equipment.
Understand the external working environment and how to create a smooth relationship
with coworkers and other staff members.
• Develop a little skill in the management of medical equipment’s and health care
technology.
• Used to develop my practical, theoretical, and problem-solving skills.
• Understand not all running medical equipment is used. They may have the side effect.
And also Maintaining nonfunctional equipment and Identifying problems and solving Even
though our country is on the verge of development, renaissance and transformation, we think that
we can solve some of the practical related problems to medical equipment ourselves without
bringing support from overseas. The other important thing is the understanding and work
conditions of biomedical engineers must be changed. It shouldn’t only on maintenance and
installation of medical equipment [4].
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4.2. Recommendation
During the last four months of the intern time, we could observe different experiences and
activities in the UOGCSH. However, there are some points to be recommended, because those
activities harm safety, economy, or motivation on the Hospital, workers, and staffs. For the
University of Gondar specialized hospital, to improve their concern through awareness creation
regarding biomedical equipment and the biomedical department found in the hospital. The
hospital must employ additional biomedical engineers and biomedical technicians to control and
manage the whole wards in the hospitals and the hospital should give medical equipment training
for new comer biomedical engineers and technicians to have more experience about the device.
It should improve the waste disposal system of all over the hospital. The other thing is the case
of the workshop. The workshop should be located at the center of the hospital where the
technicians can easily have access to the required component for their task by saving much time
and energy. Bio medicals should have a good relation with different ward leaders and medical
director of UoGCSH. Biomedical staffs should provide the necessary things for intern students
like safety clothes, give a chance of works in each wards to be familiar to over all operation of
the machine for intern students.
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References
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Appendix A
EQUIPMENT INVENTORY MANAGEMENT FORM
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