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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
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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 • 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
What Is Possible Now ? • Stocktake • Rationalize inventory • Build systems • Innovate
Stocktake • Create inventory • 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 • Scavenge • Substitute • Make • Research • 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