Professional Documents
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Certificate of Delivery of Charge
Certificate of Delivery of Charge
Certificate of Delivery of Charge
SURNAMES:
NAMES:
ORGAN/ORGANIC UNIT:
AREA :
POST :
OCCUPATIONAL GROUP:
WORKING CONDITION:
POSITION/SERVICE PERIOD:
REMUNERATION LEVEL(*) :
(*)Only applicable to personnel under the scope of D. Leg. No. 276 and its regulations
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REPORT
SURNAMES
:
NAMES:
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(Signature) (Signature)
____________________________ ___________________________
DATA FROM
OFFICIAL/TRUSTED
N EMPLOYEE/SENIOR UNIT WORKING NO V°B°
DATE POST DATE
o. MANAGER/SERVANT ORGANIC CONDITION OWE (X) DIRECTOR
SIGNATUR
NAME
E
FORMAT N° 02
REGISTRATION OF NON-DEBT FOR DELIVERY OF VIATITICAL/COMMISSIONS
(CONFORMITY BY THE EXECUTIVE ACCOUNTING OFFICE OR WHOEVER TAKES ITS TIME)
DATA FROM
OFFICIAL/TRUSTED EMPLOYEE/SENIOR UNIT WORKING NO OWE V°B°
No. DATE POST DATE
MANAGER/SERVANT ORGANIC CONDITION (X) DIRECTOR
NAME SIGNATURE
FORMAT N° 03
REGISTRATION OF NON-DEBT FOR RENDERING FUNDS FOR CASH PAYMENTS
(CONFORMITY BY THE EXECUTIVE ACCOUNTING OFFICE OR WHOEVER TAKES ITS TIME)
DATA FROM
OFFICIAL/TRUSTED EMPLOYEE/SENIOR UNIT WORKING NO V°B°
No. DATE POST DATE
MANAGER/SERVANT ORGANIC CONDITION OWE (X) DIRECTOR
NAME SIGNATURE
REPORT TEC.N°-109 -2017- AEB-USGM-OA-HHUT-DRS.T/GOB.REG.TACNA.
DATE :
I am hereby addressing you, in relation to the matter in compliance with the reference
document, regarding delivery-reception of charge from the Biomedical Equipment Area. I
detail the following below:
1. The Biomedical Equipment Area was created on August 28, 2009, with the Head of the
General Services and Maintenance Unit being Mr. Guillermo Aguilar Aduvire, due to
the increase in medium and high complexity equipment, through the SHOCK program.
OF INVESTMENTS, for which it was necessary to provide technical support in
maintenance of biomedical equipment and have suitable technical personnel, since
then it started with 04 electronic technicians, 01 appointed personnel, 01 CAS server,
01 IST practitioner and 01 University practitioner Private of Tacna.
2. The Hipolito Unanue Hospital in Tacna currently has a number of 574 biomedical
pieces of equipment in good, regular and paralyzed operational status. Which are
distributed in the different Services and departments of our hospital; Surgery,
Medicine, Pediatrics, Neonatology, Emergency, ICU, Obstetrics Gynecology, Surgical
Center, Serciquem, Clinical Laboratory and Pathology, Diagnostic Imaging, Tomography
Service and Outpatient Clinics. (Cardiology Service, Urology Service,
Otorhinolaryngology Service, Service of Ophthalmology) and Dept. of Physical
Medicine and Rehabilitation.
3. HUMAN RESOURCES
The Biomedical Equipment Area has a reduced Electronics staff, 01 appointed and 02
CAS, limited in sustainable technical support for preventive and corrective
maintenance activity for hospital equipment.
5. LIMITATIONS
The personnel working in the Biomedical Equipment Area is insufficient to fully cover the
demand for services and departments in technical support, and they are also limited in their
functions due to the lack of a greater number of qualified human resources, tools, and
supplies. , high turnover materials and spare parts, as well as permanent specialized training
for the innovation of modern equipment in our hospital.
These limitations and lack of personnel in the Biomedical Equipment Area have resulted in
non-compliance with the execution of the preventive maintenance plan scheduled for 2016
and 2017. Likewise, deterioration and breakdowns in biomedical equipment have increased
prematurely. The same will cause considerable expenses to the Hospital in hiring third-party
services to perform corrective maintenance and purchase high-cost spare parts. As is the case
with Volumetric ventilators in the ICU Service and in the Neonatology Service, the UPS, plasma
conservator and other equipment, these drawbacks influence the quality of care service for
hospital patients.
Consequently, the General Services Unit Headquarters must manage the strengthening of the
Biomedical Equipment Ares with the hiring of 04 Biomedical Electronic Technicians, in order to
provide guaranteed technical support, consequently reducing premature deterioration and
paralysis of biomedical equipment in Critical Services. , the same as would minimize high
corrective maintenance costs by third-party services, to prolong the useful life of medical
equipment it is necessary to apply the scheduled preventive maintenance plan . Avoid
SUSALUD Observations and SANCTIONS.
In 2016, the Hospital has not received a budget for the multi-annual maintenance plan for
health facilities, despite having had full maintenance of biomedical equipment approved by
the digiem (general directorate of infrastructure, equipment and maintenance). financed by
the MEF/ DGIEM as is the case in 2015. Consequently, last year no scheduled preventive
maintenance was carried out according to the preventive maintenance plan, this year no
scheduled preventive or corrective maintenance was carried out due to lack of resources in the
usgm and the area of biomedical equipment, it is a lack of insufficient budget and technical
staff, in 2016 no budget was managed for the regional government of Tacna to finance the
preventive and corrective maintenance plan (multi-year maintenance plan-2016), approved by
the DGIEM). For this year, pertinent procedures are expected before the corresponding
authorities, the budget for the execution of the 2017 preventive and corrective maintenance
plan, since the biomedical equipment no longer has accessory benefits under warranty, so the
biomedical equipment of the project of modernization pass to the operation and maintenance
coverage by the Hipolito Unanue Hospital of Tacna
It should be noted that the biomedical equipment suppliers of the “ Modernization of medical
equipment of the Tacna region Hospital ” project will end with accessory services under
warranty (March-2017 and others April-2017). Starting in the second half of this current year,
the hospital will assume the cost of OPERATION AND MAINTENANCE of the biomedical
equipment, preserving investments of 22,000,000.00 (twenty two million soles), so the current
state of operation should not be lost sight of. and operation of hospital equipment, in the
different services and departments of our hospital.
The biomedical equipment area, currently equipped with modern measurement and
calibration instruments suitable for the scheduled preventive maintenance plan, thanks to the
management carried out by the leadership, with the support of the regional government of
Tacna through the biomedical equipment improvement project. of the HHUT-GRT. It was
implemented with measuring instruments and simulators. These measurement equipment
allow us to calibrate parameters in biomedical equipment. However, it should be noted that
there are no tools, materials, accessories, electronic spare parts , basic for the procedure of
maintenance activities scheduled by the Biomedical Equipment Area, to meet the objectives
and goals. It would be necessary to complement it with 04 multitester for electronic electrical
work.
The Biomedical Equipment Area currently has reduced tools, materials and work supplies, due
to wear and tear from the daily use of screwdrivers and multiple pliers. For the predictive,
preventive and corrective maintenance activity of high-tech biomedical equipment, it is
therefore necessary to implement provisions of tools, materials and supplies.
A. STRENGTH
Biomedical Area organized and reflected in the USGM and HHUT organizational chart,
currently has 02 qualified biomedical technicians 01 in charge of the Area, who provide
scheduled maintenance technical support to the hospital's biomedical equipment in an
efficient and safe manner. As well as measuring equipment and instruments, for calibration
of parameters in some equipment through electronic simulators and standardized
standards.
B. OPPORTUNITIES
The Biomedical Area of the Hospital has the great opportunity to grow as a specialized
Technical Area or clinical engineering of biomedical equipment, due to the growth of
biomedical equipment in the different services and departments of our hospital, through
the “Improvement of equipment in the Hipolito Unanue Hospital in Tacna”, Financed by the
Regional Government of Tacna and the Multiannual Equipment Plan for 2018.
The staff of the Hospital's Biomedical Equipment Area has the great opportunity to receive
specialized training in the conservation, maintenance and repair of biomedical equipment,
during the equipment and modernization process at the Hipolito Unanue Hospital in Tacna.
For the approval of our institution, therefore the patients and the Tacna community.
C. WEAKNESSES
The Biomedical Equipment Area with reference to sustainability of specialized technical
support is limited to comply with the activity plan and preventive maintenance program, it
does not satisfy 100% of the demand for preventive and corrective maintenance services
requested by the different services and departments. , it is only 30% fulfilled. Due to the
following shortcomings and deficiencies that must be corrected by the powers, Executive
Management, Administration, OPE, USGM and Logistics:
EARRINGS
13.-ACCESSORY FEATURES:
1. Company AHSECO PERU SA. Pending approval for accessory benefits and letter of
guarantee for all biomedical equipment installed in the different departments and
services of our hospital.
2. Company ROCA SAC. Pending compliance for accessory benefits and letter of
guarantee for some biomedical equipment installed in the different services and
departments of our hospital.
3. METAX company. Pending compliance with the guarantee letter for some biomedical
equipment installed in the different services and departments of our hospital.
1. .
2. .
3. .
4. .
5. .
6. .
7. .
The technical specifications and terms of references of the biomedical equipment for
replacement in 2017 were reached to the competent offices for its execution and
procedure, programmed for the different services and departments, the bidding
process for the acquisition by the Logistics Unit is pending.
16.-CONLUSIONS
a) The various factors that limit the operational and resolution capacity of the
BIOMEDICAL EQUIPMENT AREA are clearly reflected by the lack of human resources
and financial resources to sustain the guaranteed technical support in the
maintenance activity.
b) The 2019 preventive maintenance plan remains to be implemented for the medical
equipment in the different Services of the Hipolito Unanue Hospital in Tacna.
c) Repair and maintenance costs would be lower if the Biomedical Equipment Area of the
Hospital had a greater number of suitable human resources that allow preventive and
corrective maintenance to be carried out in a guaranteed, safe and reliable manner,
since major failures are reduced in this way.
d) The Biomedical Equipment Area does not have a manual of technical procedures,
instructions that would allow us to improve planning, programming, execution,
supervision and control of activities inherent to preventive maintenance.
17.-SUGGESTIONS
a) Implement cost center and budgets for maintenance of biomedical equipment in order
to provide sustainability in technical support.
b) Implement a systematized maintenance plan for 2017 and 2018, which will allow us to
have a budget to plan, schedule, execute, evaluate and control the preventive and
corrective maintenance process, with sustained technical support.
d) Implement with tools, supplies, accessories and spare parts for the Biomedical
Equipment Area, in order to comply with the preventive and corrective maintenance
plan for the institution's equipment.
1. Minutes of delivery and receipt of equipment for the GRT Project. (483) 2011,
2012, 2013.
2. Record of delivery and receipt of equipment for replacement 2013, 2014, 2015
and 2016.
3. Maintenance work orders (OTMs) from companies that have provided accessory
services. 2012, 2013, 2014, 2015, 2016 and 2017.
4. Maintenance work orders (OTMs) of the Eq. Area personnel. Biomedics who have
performed maintenance, 2013, 2014, 2015, 2016 and 2017.
5. Technical manuals of the equipment for the MEBHHUT Project and Biomedical
Equipment for replacement installed in our Hospital.
6. Reports, orders issued and received 2010, 2011, 2012, 2013, 2014, 2015, 2016 and
2017.
EXHIBIT:
Sincerely
DC. /archive
Heritage
EQ area. Biom.
MQB/.
LIST OF DELIVERY-RECEPTION RECORDS OF BIOMEDICAL EQUIPMENT HHUT.
ITEMS DOCUMENT COMPANIES QTY TOTAL MINUTES OBSERVATIONS
1 FOLDER 01 AHSECO PERU SA 25 25 UNITS OF MINUTES COMPLETE
2 FOLDER 01 A AHSECO PERU SA 13 13 UNITS OF MINUTES COMPLETE
3 FOLDER 01 AHSECO PERU SA 16 16 UNITS OF MINUTES COMPLETE
4 FOLDER 02 PHYMED SAC 10 COMPLETE
5 FOLDER 02 EQUIPARMEDIC 2 COMPLETE
6 FOLDER 02 NOVA MEDICAL 2 COMPLETE
7 FOLDER 02 SMART TECHNOLOGY 1 COMPLETE
8 FOLDER 02 BAIRES 1 18 UNITS OF MINUTES COMPLETE
9 FOLDER 02 BIOMED 1 COMPLETE
10 FOLDER 02 EQUIPMED AMERICA 5 COMPLETE
OTHERS (TENSIO
11 FOLDER 02 1 COMPLETE
STETHOSCOPE)
12 FOLDER 03 VISION SA 6 COMPLETE
13 FOLDER 03 PERUVIAN DIAGNOSIS 4 COMPLETE
14 FOLDER 03 ANALYTICAL SYSTEMS 1 COMPLETE
15 FOLDER 03 SCIENTIFIC CORPORATION 4 25 UNITS OF MINUTES COMPLETE
16 FOLDER 03 MEDICAL UNIVERSE 4 COMPLETE
17 FOLDER 03 INTRAMEDIC 4 COMPLETE
18 FOLDER 03 MEDELCO 2 COMPLETE
19 FOLDER 04 NOVA MEDICAL 2 COMPLETE
20 FOLDER 04 JAIME ROJAS SA 7 30 UNITS OF MINUTES COMPLETE
21 FOLDER 04 ROCA SAC 21 COMPLETE
EQUIPMEDIC, BAIRES, NOVA
22 FOLDER 05 MEDICAL, EQUIPARA 6 06 UNITS OF MINUTES COMPLETE
MEDICAL
23 FOLDER 06 TRANSMEDICAL 1 COMPLETE
24 FOLDER 06 TECNASA 11 16 UNITS OF MINUTES COMPLETE
25 FOLDER 06 BRAUN 4 COMPLETE
26 FOLDER 07 CARDIOPULMONARY 25 25 UNITS OF MINUTES COMPLETE
27 FOLDER 08 TUMIMED 1 COMPLETE
28 FOLDER 08 KESSEL 10 14 UNITS OF MINUTES COMPLETE
29 FOLDER 08 BEARD JAR 3 COMPLETE
30 FOLDER 14 METAX 10 COMPLETE
31 FOLDER 14 BASCAT AND CIA 1 COMPLETE
32 FOLDER 14 KBM 1 COMPLETE
33 FOLDER 14 TRANSMEDICAL 1 16 UNITS OF MINUTES COMPLETE
34 FOLDER 14 TUMIMED 1 COMPLETE
35 FOLDER 14 KESEEL 1 COMPLETE
36 FOLDER 14 EQUIPMED AMERICA 1 COMPLETE
37 FOLDER 09 TRANSMEDICAL 6 18 UNITS OF MINUTES- COMPLETE
38 FOLDER 09 SAYMAR 2 2011 EB-HHUT PROJECT COMPLETE
39 FOLDER 09 COVIDIAN 3 COMPLETE
40 FOLDER 09 CEPCO 3 COMPLETE
41 FOLDER 09 TUMI PERU 3 COMPLETE
42 FOLDER 09 BIOMEDICAL EQUIPMENT 1 COMPLETE
43 FOLDER 09 A TECHNOLOGICAL GROUP 1 1 UNIT OF MINUTES COMPLETE
19 FOLDER 10 TUMI PERU 2 COMPLETE
20 FOLDER 10 ALBUJAR MEDICAL 3 COMPLETE
7 UNITS OF MINUTES
21 FOLDER 10 VENTYMON 1 COMPLETE
22 FOLDER 10 TECNOMEDIS 1 COMPLETE
24 FOLDER 11 COMINDENS 2 COMPLETE
25 FOLDER 11 TUMI PERU 4 COMPLETE
26 FOLDER 11 SMART TECHNOLOGY 3 COMPLETE
15 UNITS OF MINUTES
27 FOLDER 11 MEDIC IMPORT 2 COMPLETE
28 FOLDER 11 CLINIC MEDIC 2 COMPLETE
29 FOLDER 11 TRANSMEDICAL 2 COMPLETE
31 FOLDER 12 SMART TECHNOLOGY 1 COMPLETE
32 FOLDER 12 ALBUJAR MEDICAL 4 COMPLETE
RELATIONSHIP OF FOLDER WITH OTM FOR ACCESSORY BENEFITS OF BIOMEDICAL EQUIPMENT 2013-2017 HHUT
ITEMS DOCUMENT COMPANIES OTMS BY ACCESSORY LENDERS OBSERVATIONS
YEARS
1 FOLDER 01 AHSECO PERU SA OTMS 2013, 2014, 2015, 2016
AND 2017
2 FOLDER 01 A AHSECO PERU SA OTMS 2013, 2014, 2015, 2016
3 FOLDER 02 CARDIOPULMONARY OTMS 2013, 2014, 2015, 2016
4 FOLDER 02 A CARDIOPULMONARY OTMS 2013, 2014, 2015, 2016
5 FOLDER 03 ROCA SAC, PERUVIAN OTMS 2013, 2014, 2015, 2016
DIAGNOSTICS, SCIENTIFIC AND 2017
CORPORATION, JAIME ROJAS,
TARRILLO BARBA, VISION
6 FOLDER 04 TARRILLO BARBA, BRAUN OTMS 2013, 2014, 2015, 2016
MEDICAL, AND 2017
CARDIOPULMONARY,
ANALYTICAL SYSTEMS, NOVA
MEDICAL, TECNASA,
PLATINIUM AND AHSECO
PERU
7 FOLDER 05 ROCA SAC, PERUVIAN OTMS 2014, 2015, 2016 AND
DIAGNOSIS, METAX AND 2017
JAIME ROJAS.
8 FOLDER 06 MASTER MEDIC, TARRILLO OTMS 2015, 2016 AND 2017
BARBA, CARDIOPULMONARY,
PHYMED, INTELLIGENT
TECHNOLOGY,
TECNASA, BRAUN,
ANALYTICAL SYSTEMS
9 FOLDER 07 TECNASA, PLATIUM, PHYMED OTMS 2015, 2016 AND 2017
10 FOLDER 08 SCIENTIFIC CORPORATION, OTMS 2015, 2016 AND 2017
JAIME ROJAS, VISION AND
METAX
11 FOLDER 09 ROCA SAC OTMS 2014, 2015 AND 2016
12 FOLDER 10 METAX DDM, UNIVERSO OTMS 2014, 2015 AND 2016
MEDICA AND KBM
13 FOLDER 11 BIOMEDICAL EQUIPMENT OTMS GENERATED BY AREA
AREA PERSONNEL
TOTAL 13 FOLDERS WITH OTM
1 FOLDER 01 REPORTS ISSUED 2015
2 FOLDER 02 REPORTS ISSUED 2016
3 FOLDER 03 REPORTS ISSUED 2017
4 FOLDER 04 TDR EQ. BIOM. BY REPOSITION SEVERAL 2014, 2015, 2016, 2017
5 FOLDER 05 MANTTO PLAN EXECUTED SEVERAL 2015
6 FOLDER 06 REPORTS ISSUED SEVERAL 201, 020, 122, 013
7 FOLDER 07 REPORTS ISSUED, OFFICES SEVERAL 2013 and 2014
8 FOLDER 06 PREVENTIVE MANTLE PLAN SEVERAL 2016 and 2017
9 FOLDER 07 MAINTENANCE PROGRAM SEVERAL 2015, 2016, 2017
10 FOLDER 08 REPORTS ISSUED AND OTHERS SEVERAL 2016 A
11 FOLDER 09 LIST OF BIO PROY EQUIPMENT
12 FOLDER 10 NON-PENDING MEMOS
13 FOLDER 11 OTMS EXECUTED AEB 2017