Managing Medical Devices Mike Denison, ICRC

Outline Of Presentation Current situation in Gaza What is possible now What is ICRC doing What is possible for the future

Current Situation Dependence on donors Borders closed Political divisions WB & Gaza Newly appointed staff in hospitals Tired infrastructure Services (electricity, water, waste) weak

Borders Closed Supply chain interrupted External training access denied Inability to compare

New Staff BME Clinical History (inventory, equipment) Systems (purchasing, PM) Clinical Training needs

Tired Infrastructure Aging buildings Changed service provision increased number different services new clinical procedures

Detailed Hospital Assessments ICRC focuses on emergency surgery 8 Gaza MoH hospitals assessed ER, OT and ICU departments inspected Missing and broken equipment identified

ER ESSENTIAL EQUIPMENT STANDARD GAZA RESUS = RESUSCITATION ER ESSENTIAL EQUIPMENT   < 10 BEDS 11-20 BEDS 1 AUTOCLAVE 2 BASIC SUTURE INSTRUMENTS NR BEDS 3 BP SPYGMO MANUAL 4 DEFIBRILLATOR 5 ECG 6 GLUCOMETER 7 LARYNGO-SCOPE PER RESUS BED PLUS 1 8 OTO & OPTAHLMO-SCOPE 9 OXYGEN PORTABLE PER RESUS BED x 2 10 OXYGEN WALL

What Is Possible Now ? Stocktake Rationalize inventory Build systems Innovate

Stocktake Create inventory Match inventory with clinical requirements Medical equipment Spare parts Suppliers Match inventory with clinical requirements

Rationalize Inventory Dispose items which will not work Redistribute any surplus Maximize uniformity where possible

Build Systems Inventory management Routine servicing program Breakdown repair system Purchase of spare parts Method for prioritization of jobs Planning new equip requirements

Innovate No spare parts Research Scavenge Substitute Make Internet Library

ICRC And Medical Equipment Audit status in ER, OT & ICU Purchase spare parts and equipment to meet needs Renovate infrastructure Coordinate medical goods into Gaza Report to MoH and to other donors

Other ICRC Health Programs Supply drugs and disposables Monitor patients' access outside Gaza Strengthening EMS (MoH & PRCS) Teaching about "protection of medical mission"

What Is Possible For The Future The same 4 tasks are all that are needed Stocktake Rationalize Innovate Research