1. Managing Medical Devices
Mike Denison, ICRC

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

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

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

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

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

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

8. 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

13. What Is Possible Now ? Stocktake Rationalize inventory Build systems
Innovate

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

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

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

17. Innovate No spare parts Research Scavenge Substitute Make Internet
Library

18. 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

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

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