Wednesday, December 10, 2008

FTE calculations for budgeting purposes

Do any of the Hospital’s in Maine use gross square footage of their facilities to benchmark their FTE (full-time employee) calculations for budgeting purposes? York Hospital has historically utilized adjusted patient days for all FTE budgetary staffing calculations (clinical and non-clinical) which is not very effective for Environmental Services staff (Engineering, Maintenance, Housekeeping, Biomed and Security), particularly given the growth of our facility in recent years. If any facility managers are using an alternate means to benchmark or assess appropriate staffing levels, I’d be interested in talking with them about their organization’s methodology.

Monday, December 1, 2008

Work Management Software

What do you use for work management software and would you recommend it?

Friday, August 29, 2008

Generator Redundancy

Re: Generator Survey

I am trying to ascertain the range of generator coverage you all have? Until we added a new ED, we have been fortunate enough to be able to:

Power 100% of the hospital with generator power (fairly nusual I suspect?)

We have 2 - 750KVA generators, 1- can carry the load with a medium A/C load, therefore we essentially have redundancy, should one of them fail for any reason. With a heavy A/C load, we'd have to shed 1 or more transfer switches depending on the load.

When we added 36,000 sf for the new ED and education/admin addition, the wisdom of the engineers was to put this addition on a new, single, separate 550KVA generator, w/o a transfer switch back to our 2 original generators, therefore, should it fail, the ED has only Life Safety (lighting only), (we fed life safety back to to the original generators, just in case of

Here's my issue: I suspect we are all over the board on generator coverage ability, as well as redundancy? Therefore I need to know if my belt and suspenders concern is shared among you in your own shops. This new ED generator has failed to start 2x in test since February, therefore, I want to install a transfer switch to be able to power the ED, should the new ED generator fail (+/- $75,000 job). Can you answer the following questions, while identifying your hopsital for me?

1. What %, or level of coverage can your generator/s provide?

2. Do you have more than 1 generator?

3. If you have more than 1, can it pick up the load should the primary fail (how much redundancy capacity)?

4. Hospital Name:

Other comments are appreciated.!

Thursday, July 31, 2008

Petroleum based lubricants on patients using oxygen

Here’s a little piece of information I requested from Greg Day in response to a question I got from my Respiratory Department. The question was,” What reg do I show nursing to get them to stop using ?”. I just thought someone else might be able to use this someday.

Tuesday, July 22, 2008

Extension-cords and receptacles in surgical suites

As I read the NEC, extension cord sets: "..shall be permitted during the period of construction, remodeling, maintenance, repair, or demolition..." "...not to exceed 90 days for holiday decorative lighting and similar purpose." " during emergencies and for tests, experiments and for developmental work." and "... shall not be used as a substitiute for the fixed wiring of a structure.." (NEC 70-590.3 & 400.8). There also needs to be a "..written assured equipmpent grounding conductor program continuously ensure that equipment grounding conductors for all cord sets....are installed and maintained.." (NEC 70-590.6)

So given all that (and any other requirement I may not have stated), just what is acceptable and SOP for the needs in the surgical suites? These suites are large with receptacles on the walls plus an overhead reel at the head end of the table for anesthesia. Seve

Wednesday, July 16, 2008

Alcohol hand gel in OR?

Do you have/allow alcohol hand gel in your operating room?

Thursday, July 3, 2008

Ambulance Transported Equipment - Need bio-med check?

When a piece of patient care equipment is used in an ambulance transport of the patient, does the equipment used on the patient have to be checked out by the bio-med before being put back into service? The equipment left our site, went to a different hospital and then transported back to our hospital. My understanding is once it leaves us we have to have it checked out before returning it to service.

Tuesday, July 1, 2008

Asbestos Floor Tile Removal

Can anyone enlighten me on the Maine DEP’s minimum abatement requirements for the removal of asbestos floor tile? The Hospital has some small offices in which we’re replacing carpeting, under which there are old asbestos tiles. We typically have had an abatement contractor remove all of the asbestos tile from these types of projects in the past; however, if most of the tiles are sound, and a just a few are loose or damaged, does the state allow removal of those tiles without going through the notification process and using a licensed abatement contractor to conduct the removal?