responsibilities of the biomedical engineer of th… · biomedical engineering branches as a...
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Responsibilities of the Biomedical Engineer
Dr. Salah Al-Khallagi28 May 2008
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Responsibilities of the Biomedical Engineer
Topics
• Role & responsibilities of biomedical Engineer
• Convergence between biomedical engineering and Information technology
• Changes in healthcare environment
• The future of biomedical engineering
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Change of title to
Responsibilities of the Clinical Engineering
Responsibilities of the Biomedical Engineer
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Introduction
Biomedical technology and instrumentation have always been used in healthcare environment. As the time is advancing the technology is growing rapidly and the number of new and sophisticated medical equipment and systems in recent years is very enormous.
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Introduction
Engineers involve the fundamental aspects of device and system analysis, design, and practical application all of which lie at the heart of processes that are:
Fundamental To Engineering Practice
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Biomedical Engineering (BME)
What is Biomedical Engineering?
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Biomedical Engineering (BME)
Sometimes referred to as Bioengineering —
It combines the design and problem solving skills of engineering with the medical and biological science to help improve patient health care and the quality of life of healthy individuals
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Biomedical Engineering Branches
What are these Branches?
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Biomedical Engineering Branches
As a relatively new discipline, much of the work in biomedical engineering consists of research and development, covering an array
of fields such as but not limited to:• Bioinformatics,
• Medical imaging,
• Tissue engineering,
• Physiological signal processing,
• Biomechanics,
• Biomaterials, etc…………
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Biomedical Engineering Branches
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Activities of Biomedical Engineers
What do Biomedical engineers do?
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Activities of Biomedical Engineers
Some of biomedical engineers activities:
Development of new diagnostic instrument Computer modeling of the human heart function Writing software for analysis of clinical data Analysis of medical device hazards for safety Development of new diagnostic imaging systems Design of telemetry systems Design of biomedical sensors Modeling of physiologic systems of the human body, etc……………….
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Change of title to
Responsibilities of the Clinical Engineering
Responsibilities of the Biomedical Engineer
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Clinical Engineering
What is Clinical Engineering?
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Clinical Engineering
Clinical engineering is a branch of
Biomedical Engineering for professionals responsible for the management of medical equipment in a hospital.
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Medical Technology Program Mission
Our Goal: To support delivery of healthcare
What we do: Provide safe & Effective Medical Technology
How we do it: In a cooperative effort with other members of the healthcare professionals
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Management Of Technology
Management of technology will continue to be
a necessary element of successful health care systems from both a financial and quality-of-care perspective.
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Organizational Chart of Clinical Engineering
Reporting Mechanism
for Clinical Engineering
within healthcare organization
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Organizational Chart of Medical Division
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Clinical Engineer
Who is Clinical Engineer?
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Clinical Engineer
Clinical Engineer
is
Biomedical Engineer
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Clinical Engineer
By definition:
Clinical Engineer is a professional who
supports and advances patient care by applying engineering and managerial skills to healthcare technology.
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Activities of Biomedical Engineers
What do Clinical engineers do?
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Clinical Engineer
The following list of activities of typical clinical
engineers:
• Engage in clinical applications engineering
• Repair sophisticated medical instruments or systems
• Establish performance benchmarks for all equipment
• Inspect all incoming equipment
• Supervise biomedical equipment technologists (BMETs)
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Clinical Engineer
• Organize medical equipment inventory control
• Manage medical equipment calibration and repair
• Coordinate use of outside technical services
• Collaborate with Information Technology (IT) professionals
• Provide input to the design of clinical facilities where medical technology is used
and more ………….
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Clinical Engineer
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Clinical Engineer and IT
Clinical Engineering is Converging with Information Technology
CE IT
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Clinical Engineer and IT
Collaborate with Information Technology (IT)
professionals to achieve an improved technical quality for the health care facility.
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Clinical Engineer and IT
Today, clinical equipment and information
systems are converging to create an Environment of Information that extends outward from the patient, carrying signals, statistics, and identifiers to all corners of the hospital and beyond.
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Clinical Engineer and IT
Examples of
• Medical Imaging
• Data Security and Protection for Medical Images
• PACS and Medical Imaging Informatics for Filmless Hospitals
• Integrated Multimedia Patient Record Systems
• Computer-Aided Diagnosis (e.g. Cancer)
• Medical Robotics and Computer-Integrated Interventional Medicine
• Telemedicine
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Clinical Engineer and IT
Vent
Vital
Signs
Monitor
Infusion
Pumps
Pulse
Ox
Dialysis
Machin
e
PoC Integration (X73)
Device
Data
Manage
r
Enterprise Integration
(HL7, DICOM, X12,…X73)
HIS
PACS
CIS
Pharmac
y
LAB
Gateway
Example of integration
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Clinical Engineer and Facilities Design
Clinical Engineering contribute in Facilities Design
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Clinical Engineer and Facilities Design
Provide input to the design of new or
renovated healthcare facilities where medical technology is used,
Such as:
Operating Rooms, Imaging Facilities, and Radiology Treatment Centers, etc…
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Clinical Engineer and Facilities Design
Operating Room Layout1020 3 Cabinet, Equipment, Wall Mounted
3110 3 Stand, Dual Basin
3165 1 Table, Instrument
3025 1 Stand, w/Foot Platforms
2150 1 Cart, Crash
3175 1 Table Utility, Small
1115 1 Illuminator, 4 panel
2000 1 Anesthesia Machine
3105 1 Stool, Anesthesia
3140 1 Stand, IV
3150 1 Stand Mayo
2035 1 Cart, Anesthesia
3125 1 Stool Examination
3080 2 Hamper, Triangle Shaped
3185 2 Transfer Board, Patient
3135 1 Consult Drawing or SME(s), this item.
1315 1 Medical Gas Boom
3135 2 Consult Drawing or SME(s), this item.
3090 2 Consult Drawing or SME(s), this item.
3095 1 Kick Bucket, Single
2125 1 Table, Surgical, Major
1316 1 Boom, Medical Gases
1140 1 Light, Surgical, Dual
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Clinical Engineer and Facilities Design
Clinical engineers have a long history of
working with clinicians and facilities engineers, and they are skilled in weighing the concerns of the various parties in the planning process and in communicating the needs of one group to the others.
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Clinical Engineer and Facilities Design
Why is it necessary to involve clinical engineers in
the process of designing health-care facilities?
Experienced clinical engineers usually are familiar not only with the specific medical devices, but also with the environment in which they are used.
Clinical engineers can make significant contributions to the proper (optimal) design of patient-care facilities. Their participation in this area is, therefore, to be encouraged.
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Clinical Engineer and Facilities Design
Study case:
Biological Safety Cabinet (Oncology Pharmacy) Room Requirement.
Air flow in the room(Ventilation)
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Clinical Engineer and Facilities Design
Study case:
Sleep Disorder Laboratory Room Requirements.
Electromagnetic Interference(EMI) and soundproof of the room.
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Clinical Engineer and Environment
Clinical Engineering play a part in Healthcare Environment
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Clinical Engineer and Environment
Clinical engineering play a role in the
healthcare facility environment to achieve an improved technical quality and safety of the healthcare facility, patient and others.
For example, if an operator is not using a device properly, we need to identify the problem and teach him or her the correct procedure.
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Clinical Engineer and Environment
Health care facilities use a number of
mercury-containing products. Some examples
include:
Thermometers
Batteries
Blood pressure monitoring devices (sphygmomanometers)
Mirrored instruments
Fluorescent light bulbs, etc…..
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Clinical Engineer and Environment
Clinical Engineer helps healthcare facility to prevent mercury
How?
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Clinical Engineer and Environment
Hazardous Chemicals used in healthcare
facility such as laboratory and pharmacy
Example:Biological Safety Cabinet (BSC)
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Clinical Engineer and Environment
Clinical Engineer helps healthcare facility selecting the right cabinet for the right
procedure
How?
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Clinical Engineer and Future
Evidence of biomedical engineering can be found everywhere in modern medicine.
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Clinical Engineer and Future
Hospitals are full of devices, instruments and
machines that have been designed and produced by
engineers working in collaboration with doctors,
nurses, biochemists, physicists, microbiologists and
technicians.
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Clinical Engineer and Future
Present research indicates that the field will continue
expanding and growing at high rates with numerous
amazing contributions to public and individual health.
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Clinical Engineer and Future
Evolution of Healthcare – Past & today
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Clinical Engineer and Future
The Future OR
smart-room• Combine technologies • Build on patient centricity• OR combo concept• Surgery + X-Ray + US• Integrated OR Cockpit
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Clinical Engineer and Future
The future holds new possibilities of providing
telemedicine and e-health services, new ways of
home self-care, sophisticated new sensors, and new
ways of heath care for older persons.
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Clinical Engineer and Future
The future will continue
.
.
Clinical Engineer continue to contribute
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References
• American College of Clinical Engineering, Clinical Engineering and Information Technology, http://accenet.org/downloads/reference/Clinical_Engineering_and_ Information_Technology.pdf
• Bronzino, Joseph D, (2000). The Biomedical Engineering Handbook - Second Edition. CRC Press.
• Bronzino, Joseph D, (1992), Management of Medical Technology: a primer for clinical engineers, Butterworth-Heinemann
• David Hoglund, (November/December 2007), Wireless Technology Infrastructure: A Business Strategy, Biomedical Instrumentation & Technology, Volume 41, Issue 6 pp. 457–460
• John Enderle, Susan Blanchard & Joseph Bronzino, (2000), Introduction to Biomedical Engineering, Academic Press.
• Jonathan Hill, (September-October 2007), Improving the Environment of Care, Biomedical Instrumentation & Technology, Volume 41, Issue 5 pp. 373–374
• Joseph Dyro, (2004), Clinical Engineering Handbook, Elsevier Academic Press,.• Robyn Reed, (September-October 2005), How to Build Your Role in Healthcare Construction
Projects, Biomedical Instrumentation & Technology, Volume 39, Issue 5 pp. 347–352 • Russell W. Bessette, (2003), New York State Office of Science Technology & Academic Research
(NYSTAR), The Future of Biomedical Engineering and the Empire State, http://www.nystar.state.ny.us/sp/03/031101sp.htm
• Steven J. Yelton, PE,, (July/August 2003), Designing a Biomedical Engineering Technology Program for the Future, Biomedical Instrumentation & Technology, Volume 37, Issue 4 pp. 297–299
• The National Academy of Engineering (NAE), (2008), Future Challenges In Biomedical Engineering, http://www.nae.edu/NAE/NAECAETS.nsf/weblinks/NAEW-5CAJK5?OpenDocument#Biomed.
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