PROPOSAL FOR

HIGH VALUE REPAIRS AND SERVICING

OF
HOSPITAL EQUIPMENT AND MACHINES IN UGANDA
The Permanent Secretary
Ministry of Health
Kampala, Uganda

Dear Madame Twine

We are writing to introduce ourselves as Mujunga Engineers and Contractors Ltd. We

specialize in maintenance and repairs of high value hospital machines and equipment.
We know the equipment repairs business and we understand that you depend on a
wide variety of hospital equipment for running hospitals; therefore you need a reliable
team that is conversant with equipment and machines repairs and operations for
maximum benefits.

You realize that you need to partner with others to keep hospital services effectively
running therefore you critically focus at quality facilities offerings to your customers.
Thank you for reaching out to us to inquire about our services.

We’re here to support Ministry of health to succeed and we believe you’ll be pleased by
all the services we can offer. All our team members and the scope of services we deliver
have been adequately outlined and will meet and perhaps exceed all of your
expectations and requirements. We will call you in a few days to schedule a meeting
and agree on our voluntary service offerings.

Thank you for your consideration and for putting your trust in Mujunga Engineers and
Contractors Ltd.

Sincerely,

INTRODUCTION

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Effective maintenance management of medical equipment is one of the major issues for
quality of care, for providing cost-effective health services and for saving scarce
resources. Today’s modern hospital is highly dependent on various types of medical
equipment to assist in the diagnosis, monitoring and treatment of patients. It is
impractical to provide health services without them. Medical equipment deals with
patient care including ranging from small and simple devices to complex and big
devices. This ranking is found in different types of hospitals and primary care settings.

Our expertise, helps us to consider maintenance as any equipment action which helps
hospitals to provide an adequate level of service in order to protect or promote the
performance of their equipment to operate regularly and efficiently. This requires
effective management because maintenance management is a fundamental aspect of
hospital management. Based on the Journal of Medical Sciences, about one-third of the
costs of setting up and equipping a hospital is allocated for purchasing medical
equipment. Therefore, these equipment and machines must be maintained in good
working condition and higher safety level to prevent occurrence of injuries in patients
as well as in users.

This maintenance reduces dispatch costs, patient dissatisfaction, increases timely

patient treatment, but also lessens mortality and risks during patients care. It is an
integral part of the life cycle of the device. Usually, much more money is spent on
maintaining equipment over than on its procurement. Good maintenance management
involves having a well planned and implemented program so that hospitals can
minimize breakdowns or failures of the medical device. This is particularly critical in
Uganda because providing good healthcare services saves government scarce resources
and alternatives. The equipment maintenance management of the hospital not only
makes them easily accessible when needed but also increases their reliability and
reduces their failure rate.

Despite the importance of maintenance, there is often the challenge of a lacking clear
maintenance system. Guidelines are not properly performed in many Uganda hospitals.

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There is lack of information about the assessment and evaluation of medical equipment
decisions, so that over the past 30 years, many technical service providers have
provided Government hospitals with services that do not commensurate with the
incurred expenditure to help improve hospital productivity. These service providers
have given Government raw deals because they did not live to their promise. A new
trend has evolved, where more and more technicians have migrated from the
professions’ ethical practices and a significant number deliver shoddy work so that they
can be called again to do maintenance of hospital equipment.

Not much has changed to guarantee higher quality repairs and service provisioning to
prolong equipment and machine service reliability and contain machine care.
Government hospitals can’t rely on such service providers who are not sustainable to
make service deliverable effective. We are particularly touched about Uganda’s
resource envelope which is majorly donor financed but has dwindled overtime because
of donor’s fatigue; and poor service delivery from government technical team which
display high indifference in attending to the equipment and machines repair functions.

Safer Technical Services has explored this maintenance subject and is looking to
streamline maintenance operations and eliminate wasteful functions by volunteering to
provide repairs and servicing of Hospital Machine and Equipment in all Government
Hospitals. We have a full understanding of the nature, scope and needs of Uganda’s
Public Hospitals and this presentation of our innovative offering, should convince
Ministry of health that our products or services represents the best option to handle
Ministry of Health needs. This should help Government contain high expenditure, and
improve service delivery from the repaired hospital equipment. We present our
proposed approach to the service offering to achieve higher productivity, identify
benefits associated with these higher efficiencies, and achieve higher value benefits
visa-vis manageable expenditures.

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PROBLEM STATEMENT

Effective Hospital Machine and Equipment repairs in Uganda’s hospitals are a big
challenge, Inspite of the presence of Governmental technical teams mandated to repairs
and maintain these machines. These technical equipments cost Government a lot of
money and without mincing words, some of the machines’ fall out of use even before
their useful life because they are not serviced or repaired in time. Ministry of Health
Technical Staff like in many Government departments are more preoccupied with
individual survival often waiting for salaries and seem to have abandoned their repair
responsibilities. Lack of effective monitoring by directors exacerbates the problem.

During induction training a significant number of hospital administrators of the

hospitals we visited, expressed grave disappointment about the short falls in service
delivery occasioned by machine and equipment breakdowns that take too long be
repaired and serviced. Our key observations are that hospital machines and equipment
are left to rot into states of disrepair at the expense of poor patient attention from lack of
effective service deliverables. It is these shortcomings which are the trigger to our
innovative initiatives of voluntary service offering to all hospitals in Uganda, because
our desire is to provide the greatest value of repairs and servicing of these Laboratory
Machines and Equipment to Ministry of Health.

OBJECTIVES OF OUR VOLUNTARY SERVICE OFFERINGS

a. To increase the useful life time of hospital machines and equipment and support
the patients’ welfare, while educating Ministry of health about the full nature of
the equipment repair challenge using our ability to see “the forest from the
trees.”
b. To demonstrate to Ministry of Health Safer teams’ competence in delivering
better what hospitals need, than what hospital technicians provide through

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 improved teamwork, leadership, and problem-solving skills and increase our
future chances of securing employment. 
c. To decrease the cost of hospital equipment repairs and provide justification for
our service offerings to Ministry of health which may not seem unclear to
Ministry of health policy makers.

d. To make significant contribution to the hospitals efficient service delivery and

positively impact peoples’ health.

e. To remain inspired in contributing to the United Nations Sustainable

Development Goals, and become engaged and immersed in communities.

OUR PROPOSED MAINTENANCE PLAN INITIATIVES

i. To establish patient, employee, practitioner, and visitor protection and safety

during medical equipment use.
ii. To maintain all medical equipment used within the facility to specific
standards and allow safe operation and immediate readiness.
iii. To assess and uphold medical equipment performance to necessary
standards.
iv. To encourage safe and effective use of medical equipment by staff and
practitioners within the health facility. 
v. To meet all necessary requirements of accreditation from all established
regulatory agencies like the Joint Commission on Health.

ACCESS TO SAFE EQUIPMENT

Our proposition is to focus at protecting patients’ lives using the critical and life-saving
access to medical technology from adequate buffer inventory and replacement

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equipment (for life saving equipment like ventilators, defibrillators & baby incubators,
etc.). We further propose to the client, to provide a list of critical equipment in cases
where repair within a justified time period is not possible due to geographical
limitations or other reasons. We propose to map and generate a medical equipment
inventory in each health facility for which repair services will cover using software and
analyze and report the status of medical equipment at each station. The generated
database will form our centres of reference.

SPECIFICATIONS OF THE MAPPING & OPERATIONS REPORTING

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a) Asset identification number to all the equipment barcode with details of the
equipment pasted on them (as per the GS1 standards with clear visibility of critical
information related to the equipment.

b) Accompanying equipment management documents- invoices,

warranties/guarantees or safety reports- and make available the information
electronically to anyone in management, user and the maintenance staff.

c) Transfer of inventory data provisions to other information systems as and when

required by the customer electronically in a predefined format.

d) Real time data/ information provision though a node in office linked to office server
with field staff using mobile (tab) applications.

e) A record of equipment maintenance activities on who did what we did, the exact
equipment and where on a real time basis. This information shall be made available via
dashboards to the authorities for monitoring purpose on a daily basis. We commit to
schedule preventive maintenance and calibrations and tasks to each equipment using
the software and track the execution on a real time basis so that the history of
equipment (for every unique equipment ID) is captured and stored. This shall be

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generated any time Ministry of health or the hospital wants t for review. We shall also
provide periodical maintenance & calibration schedules to the Ministry of Health
periodically. In addition, we shall also record, execute & report all corrective
maintenance activity on a real time basis as and where it is required.

f) Provision for generating equipment status report of every equipment at a pre-defined

periodicity & format and delivery electronically from real time data captures at the
hospital sites. In the event of planned training activity of users, we shall report these
based on pre- decided and execution plan.

G) OUR SERVICE OFFERING

We shall submit a list of consumables, along with approximate cost of each item. All
these consumables/disposables/spares which are replaced by end user in day to day
patient diagnostics or therapeutic activities shall be borne by the Ministry of Health.
Examples include reagents/control solution / ECG Papers/ Disposable ECG
Electrodes/ Ultra sound Gels / Patient Circuits for Ventilators etc. This also applies to
all required consumables/disposables/ spares for smooth operations of the equipment
and replaced by us. Examples include X-Ray tubes/ CT Tubes/Helium for the
maintenance of Bio-medical Equipment- replacement in MRI/ Flow Sensors etc in the
Ventilator/All light sources like Xenon/Halogen/LED/ All kind of fuses/wires/cables
etc

(iii) For the case of Medical Equipment still under warranty, the Supplier shall be
responsible for its maintenance and upkeep during the warranty period and beyond till
the engagement with government institution is valid.

(iv) For that medical equipment under any form of AMC/CMC/Spares agreement or
under warranty, the client shall not renew the equipment specific maintenance
contracts

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(v) Repair or service of any equipment under any kind of AMC/CMC/warranty shall
not be our responsibility. We shall take authorization for doing maintenance of such
equipment from existing AMC/CMC contract holder(s) or get it done on behalf of state
Health department. We however propose to audit the documentation of the equipment
Supplier and the quality of information provided any time without any prior
information.

(viii) We shall identify and respond to requests seeking maintenance of all Biomedical
Equipment available in the district/sub district/state up to the level of Primary Health
Center (PHC) through the Maintenance Process Tracking Identification Number (MPT-
IDs) which will follow GS1 standards as recommended by Department of Health and
ICT of the Government of Uganda.

(ix) USE ENGINEERING KNOWLEDGE

The technical teams shall use their engineering knowledge to work with researchers in
developing new medical devices, artificial organs and soft ware. In addition we shall
also write reports, procedures, publish research findings and make presentations.

(ix) For purposes of clarity, operationalization shall be regarded as:

(a) Setting up of maintenance workshop and control room for maintenance of medical
equipment to track the history of all maintenance activities conducted on all biomedical
equipment.
(b) Setting up Customer Centralized call centre of adequate capacity to accept user calls.
(c) Appointment and recruitment of trained engineering human resource.
(d) Providing Equipment Management Information System with a mobile application
for real time tracking and a dash board to authorities to monitor on a regular basis. We

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shall give a demo to Ministry of Health before finalization of the order to prove the
required capabilities for our selection or appointment.
(e) To provide categorization of all equipment, clearly identifying critical equipment
along with their clinical functions.
(f) Comprehensive maintenance of Biomedical Equipment in all public healthcare
facilities Uganda, up to the level of PHCs.
(g) To furnish the format of equipment identification code system like barcodes and
post details like serial no, manufacturer, model no, location etc on the equipment.

Ministry of Health shall have the right to increase the number of equipment beyond the
present number from the date of execution of the offer letter. In the event of any such
increase in the number and density of equipment/ by the Ministry of Health, we shall
operate and maintain the additional equipment/ till the remaining term/duration of
the Agreement in the given year. Equipment added shall be included in the subsequent
years, as part of the existing scope of work and upon the same terms and condition.

(X) EXISTING RESOURCES-VEHICLES

All our trained Biomedical/Clinical engineering human resource will be equipped with
the required resources to reach out to sites as well as vehicles to carry tools and
equipment to and from the site. We shall ensure that no equipment is transferred across
health facilities to meet requirements at random as this could disturb patient care and
planning.

(XI) OPERATIONALIZE COMPREHENSIVE SERVICES

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We shall at all times ensure that Biomedical equipment maintenance comply with
applicable laws and regulations especially those pertaining to radiation, safety, security,
environment, general public and national laws and the requirements of competent/or
contracting Authority whose jurisdiction applies in the area where the services are
being provided. We shall establish a well-equipped service network and adequately
staffed Centralized Call Centre (CCC) that is accessible through “Centralized number”
(the “Centralized Call Centre Number). The CCC shall be set up as per the phases,
timelines and milestones and the terms and conditions thereof.

(xii) We propose to provide three nodal officers at every facility to whom we shall make
a confirmation call after acceptance of a breakdown call from any user in the facility.
This will ensure timely attendance of call for repairing/ action on the same.
Resolved/fixed faults shall be followed with a Calls closure via telephonic guidance or
by email to any of the three nodal officers identified or facility on a case to case basis.

(xiii) We anticipate Ministry of Health to avail existing Bio-medical equipment at all

Healthcare facilities after their effective date of acquisition. After setting up of the CCC,
we shall maintain all the Biomedical equipment as per the authority letter of service
offering to make them operational and linked to the 24X7 Centralized Call Centre as per
the terms of the offering document and ensure to keep them operational and linked to
the “24X7Centralized Call Centre number.

(xiv) OPERATIONALIZATION shall include and mean to include

(a) Setting up of maintenance workshop and control room for maintenance of medical
equipment and provisioning of maintenance services. Annual third party audit by a
third party NABL accredited laboratory shall be carried out for calibration processes of
the Supplier which will look into issues such as calibration of calibrating tools.
(b) Appointing and recruiting of trained and skilled Manpower
(c) Providing Equipment Management Information System, and

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(d) Maintaining biomedical equipment in all public healthcare facilities up to the level
of Primary health center (3).

(xiv) SAFETY AND OCCUPATIONAL HEALTH OF OUR STAFF

Safety and occupational health of our staff involved with performance of the various
duties towards the fulfillment of this arrangement shall be our responsibility.
(xv) We shall provide the name of the Biomedical Engineers for the purposes and any
other purpose to Ministry of Health and shall notify Ministry of Health of any change in
the team within 30days. All of our human resource technical staff have an adequate mix
of technical and professional skills to ensure that they meet all requirements of the
project Comprehensive Maintenance of Bio-medical Equipment in Uganda customer
expectations and quality maintenance.

(xvi) PROCUREMENT OF ALL THE NECESSARY tools, spare parts, manpower,

vehicles and other services required for the satisfactory completion of the voluntary
offerings for onsite machine and equipment repair shall be our responsibility.
(xvii) Ministry of health shall have the right to increase the number of equipment
beyond the present number from the date of execution of the agreement. In the event of
any such increase in the number of Equipment, we shall operate and maintain the
additional equipment till the remaining term/duration of the Agreement, as part of the
existing scope of work and upon the same terms and condition as specified in the offer
letter.
We shall arrange fair Costing for adequate human resources, trained manpower and
other related supporting infrastructure to maintain the additional equipment. We shall
maintain existing equipment, using mutatis mutandis in respect of procurement of
human resources, supporting infrastructure, etc. for the maintenance of the additional
equipment. We shall maintain repairs for any new added equipment, during a contract
year. This responsibility towards that equipment shall commence immediately upon
installation and commissioning of equipment. The extra charges towards the additional

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added equipment will be incorporated only from the subsequent contract year of the
maintenance contract agreement.

(xviii) We shall specify color codes and uniform for all our employees visiting the sites
for maintenance. Uniform includes identification badge, clothing, protection gear,
boots, cap and any other item required for safe delivery of the devices.

(xvix) BIOMEDICAL EQUIPMENT CONDEMNATION

(a) The existing condemnation committee or in the event of none, Ministry of Health
shall appoint one at the district/ state level from time to time for identification of
equipment suitable for condemnation of the equipment
(b) We shall provide a condemnation recommendation and submit it to Ministry of
Health once every year preferably before the renewal of the contract for the subsequent
year.
(c) We shall not under any circumstances purchase of spare part or components of any
equipment resulting out of condemnation.
(d) For condemnation of Radiological devices, AERB guidelines should be followed.

(xx) USER TRAINING:

(a) We shall provide training during installation and commissioning, of the respective
equipment to related Government staff. Our representative shall be available during all
installation, commissioning and associated trainings.
(b) The scope shall also include periodic training of users to generate better functioning
equipment and lesser break-downs. As a result, we shall arrange for periodic trainings
of all electrical/Electronics/Radiological and other highly complex technologies at a
pre-specified periodicity not exceeding three times a year irrespective of the equipment
being within/outside the warranty period.

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(xxi) REPAIR TIMES FOR DYSFUNCTIONAL EQUIPMENT

All dysfunctional equipment shall be attended to without delay notwithstanding

volume of back log. All equipment found beyond repair shall be listed and the list shall
be provided to the Hospital Administrator with reasons or explanations. Government
will validate the state of disrepair through cross verification, and take final decision.

THE PROPOSED MAINTAINENCE APPROACH

Because projects have varied needs for upkeep time, we propose a predictive and
preventive maintenance strategy. Preventive maintenance shall be for old technology
devices and predictive maintenance for new high-tech devices. The first strategy takes
into account the results of performance verification and safety testing. The second
strategy considers the manufacturer recommendations.

Although preventive and predictive maintenance strategies differ in many ways, our
maintenance program will comprise both strategies to yield positive results of leading
to a significant reduction in equipment failures and a significant increase in corrective
maintenance. The usage of different maintenance strategies for older devices and newer
high-tech technology devices to develop maintenance strategies is important in terms of
its consequences.

The older technology devices that apply only corrective maintenance is included in the
maintenance strategies like newer high-tech devices. Including both old and new
technology devices to the maintenance system provides a wider range of maintenance
that covers all medical devices in hospitals with many old technology devices.
Performance verification and safety testing earn importance in developing maintenance
strategies for devices without manufacturer recommendations.

THE IMPLEMENTATION STRATEGY

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Safer Technical Teams shall conduct an audit of the inventory of all medical equipment
under service contracts. The teams shall provide a 24x7, work schedule to achieve 365
days’ minimum uptime of 95% for all medical equipment in District Hospitals, 90% for
Clinical Health Centres, (CHCs) and 80% for PHCs. However, because of the criticality
of equipment and hours for which a health facility functions at various levels in
Uganda’s public health systems, the teams shall minimize reaction times by being
proactive in anticipating potential breakdowns at any time of each day. The teams
commit to responsibly manage repairs delay by ensuring that at no point of time in a
single breakdown, shall the breakdown remain un attended to in more than 4 days from
the date and time of registration of fault. This predictive maintenance will be for new
medical equipment and machines while preventive maintenance will cover older
technology devices.

PREDICTIVE MAINTENANCE FOR NEWER HIGH-TECH DEVICES

Safer Technical teams shall develop a predictive maintenance programme for newer
high-tech devices by applying maintenance time schedules created by the
manufacturers’ recommendations. The teams will conduct a predictive maintenance of
the high tech devices through contract with the manufacturer’s technical service and
cooperation of the hospital’s biomedical department in attendance. Delivery
maintenance reports shall be provided after each session to the biomedical staff of the
manufacturer’s technical service department.

Using MoU with the manufacturers, the teams shall train client technical teams’ in the
performance of daily checks and report failures identified during daily checks. They
will collect regular feedback from all device users. Training will be aimed at ensuring
that the smallest failures are reported. In addition, failures occurring during work hours
will be reported to the manufacturer’s technical service by the hospital’s biomedical
personnel.

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PREVENTIVE MAINTENANCE FOR OLDER TECHNOLOGY DEVICES

Our proposed preventive maintenance program for older technology devices shall be
based on an analysis of the PVST results of the equipment. We propose to perform the
following PVST steps in sequence (i)determine the PVST intervals, (ii) apply the PVST,
(iii) interpret the PVST results using acceptance criteria stipulated in international
standards. We propose to use the EMN technique, introduced by Fennigkoh and Smith,
and classify equipment using three parameters: function, risk, and maintenance
requirements.

IMPLEMENTATION PLAN

CONDUCT AN EQUIPMENT INVENTORY 

We propose to gather all necessary details, such as serial numbers, equipment location
details, and specific maintenance information, to input into our equipment/asset
management database as our organization’s approach to maintaining an inventory. By
collecting and routinely updating these details, we shall efficiently schedule every
required maintenance and testing sessions to properly adhere to your previously-
mentioned objectives.

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We propose to identify all high-risk medical equipment, such as ventilators,
defibrillators, and oxygen concentrators, within our inventory, to better reach medical
equipment safety standards. The malfunction and failure of these life-sustaining pieces
of equipment can cause severe injury or death, it’s imperative we use a ranking system
to highlight these machines’ importance within our inventory. By acknowledging all
high-risk equipment within our facilities, we shall better prioritize maintenance and
safety testing to effectively uphold a strong safety standard. 

THE MAINTENANCE PLAN STRATEGY

Once all details have been collected to form a database in the medical equipment asset
management software, the team shall use that information to establish an equipment
maintenance plan. This step will help keep all equipment up to code and prepared for
immediate use. Based on the equipment manufacturer’s recommendations and
accreditation requirements, we shall develop a maintenance schedule for each piece of
equipment. 

While addressing each equipment piece, all details regarding the required equipment
testing shall be included. Routine assessments, such as electrical safety testing, shall
help us identify those underlying concerns or performance issues we’ll need to make
note of in our maintenance management system. 

We shall record all information regarding both maintenance and testing procedures
within our maintenance plan, especially regarding high-risk equipment. These details
shall include problem descriptions, performed repairs, maintenance actions, technician
details, department location, and completion dates. We shall acknowledge access
information for the maintenance management system being used to organize these
details as well. 

INCIDENT RESPONSE PROCEDURE

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Safer Technical teams shall document all details regarding the equipment failure, in the
event a piece of medical equipment is attributed to an incident of injury, illness, or
death. Our medical equipment management plan, shall list all necessary contact
information regarding the Medical Equipment Coordinator and Director of Risk
Management to allow for proper reporting. If neither role is readily accessible, we shall
include contact information for the appropriate department within each facility.

We shall update our data base in our equipment asset management software with any
new information, such as the time and date of the equipment failure. These details shall
be used when technicians are dispatched for repair. We shall streamline our work order
process to swiftly address any upcoming maintenance tasks. Likewise, if the equipment
undergoes testing, all details of the results shall be noted within the software, from
where a decision shall be made to determine if the equipment is safe for any further
use. 

EQUIPMENT RECALL PROCEDURE

As with equipment incidents, we shall establish procedures in the event of an

equipment recall. In our medical equipment management plan, we shall layout any
required steps which the equipment Coordinators is to follow when notified of an
equipment recall. Distribution of any equipment recall notices shall also be sent to any
responsible staff members, such as the Director of Risk Management or similar
personnel.

Any circulation of new or updated medical equipment recall notices shall be tracked
and updated within the software. Similarly, if any actions are taken to address the
recall, we shall keep in mind the need to always update the equipment asset
management database of any repairs, replacements, or testing to effectively monitor the
system performance.

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Notice of these recalls shall be inputted into the equipment asset management software
as well. The proper personnel shall then refer to the software to locate and collect any
recalled equipment, and prevent any further use.

WHY AN EFFECTIVE MEDICAL EQUIPMENT MANAGEMENT PLAN 

Maintenance has a proven track record of extending the longevity of medical devices of
every shape and size. Just like a car or personal computer, adhering to regular updates
and routine maintenance can ensure that a piece of medical equipment runs smoothly
for longer. The importance of a medical equipment management plan doesn’t just stop
at the requirements needed for accreditation by medical regulatory agencies. From
equipment asset management databases to equipment recall procedures, these plans are
essential to the safety of patients, staff, practitioners, and visitors located within the
targeted healthcare organization. 

With the help of medical equipment service software, these essential parts of a strong
medical equipment management plan can be easily implemented, so you can be
confident in your practice’s ability to keep your business, and everyone in it, safe.

MEDICAL DEVICE MAINTENANCE FREQUENCY

The frequency of maintenance does differ between devices and the frequency of use. A
defibrillator for example, can have much more frequent use than an otoscope, and
therefore, may require more frequent maintenance check-ups. There is no one-size-fits-
all solution for maintenance plans as tailoring a program shall be specific to each
medical facility to yield the best results.

MEDICAL DEVICE MAINTENANCE & INVENTORY

We propose to take stock of each hospital inventory, and load the full list into our
tracking program. We shall then establish maintenance schedules for each piece of

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equipment. This will cover either the single piece of equipment or the entire inventory
for the preventative maintenance to be done.

On conclusion of inventory recording, we shall schedule preventative maintenance

annually, bi-annually, or according to any other timeframe appropriate for each device
or facility in question. Preventive maintenance will both extend the lifetime of each
piece of medical equipment and reduce downtime. It will also ensure that devices run
smoothly. While device failure is not always apparent — if things are not running
correctly, there can be issues with operation, data collection, diagnoses, and more. We
commit to keep up with scheduled maintenance to help ensure that each facility is
running at maximum efficiency.

ANTICIPATED BENEFITS

As volunteers, we shall meet new people, learn new skills, gain experience and improve
self-worth. Meeting new people will help improve social skills and increase our
individual social network. We shall make new friends with fellow volunteers and
patients and help individuals get through tough times and contribute to a greater sense
of confidence. The learnt skills will help us with everyday tasks, but also enable us gain
relevant experience and boost their resumes. It is this lifetime experience that will help
us in building our career as explained below: -

Making new connections and friends will enable us secure mentors, and build
connections with community members, hospital employees, patients, and visitors, but
also benefit us physically and emotionally from the service we propose to perform. This
may help combat future depression, decrease chronic pain, lessen the symptoms of
heart disease but also help to renew creativity and increase our greater functional
ability later in life while participating in hospitals education program about health.

As we come into contact with doctors, nurses, and many other health professionals, we
hope to learn about possible careers in health care. Some of us who have particular
interest in radiology will interact with new graduate internships. Volunteering in a

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hospital will also allow us to learn useful job skills, such as transporting patients, selling
items in the hospital gift shop or even perform clerical work.

There may be tangible benefits as well including some financial ones such as a health
club, business discounts, joining credit union; free use of exercise equipment, an annual
health assessment, vaccinations and also discounts at the gift shop. Besides, we hope to
receive orientation and training; periodic in-service training or workshops and have a
good reference for employment and/or education programs.

We will secure the opportunity of showing the world that we care enough to work
without getting paid. Even if it’s just the Child Life section, working with the patients
and putting a smile on someone’s face is a window into what we plan to do for the rest
of our life because it will make our days very exciting. We shall stay detached from the
patient, but still be able to feel enough to not make it seem too much for the patient or
the family members of that patient. As a result, we shall become selfless and better
people.

THE TECHNICAL TEAM

CONCLUSION

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We pledge to offer effective maintenance management of medical devices and increase
the efficiency and productivity of health technology resources, which is especially
important when resources are limited. This should allow patients to access medical
equipment that can provide an accurate diagnosis, effective treatment, or appropriate
rehabilitation. Several factors will affect the management of medical equipment
maintenance, and we shall follow each of them to improve the performance of devices
and provide medical services to patients.

Therefore, in designing our assessment checklist, we pledge to concentrate on a specific

framework for the maintenance management process to include all maintenance
activities. This proposed medical equipment maintenance assessment checklists will
allow for the timely identification of deficiencies and gaps in the medical equipment
maintenance management process so that the necessary steps can be taken. It will help
our managers and engineers to assess the maintenance status and provide solutions and
interventions for the decision makers and policymakers to improve our service offering.

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