CDC 4A251A-1 STQ

What is the purchase limit when placing Government Purchase Card (GPC) orders?

$2,500.00.

What items must be included in the Equipment Data File?

(1) Acceptance inspection work orders with all associated base line data. (2) Unscheduled work orders. (3) Any work order associated with a modification, recall, or complaint. (4) Scheduled PM work orders that contain significant data (such as electrical safety results, observed operator neglect, repair actions, etc.). (5) Calibration work orders.

Name at least eight items to consider when determining what items should be kept on the repair parts inventory.

(1) Criticality of equipment. (2) Cost of downtime. (3) Number of units on hand. (4) Consumption rate. (5) Pipeline time. (6) Cost of the repair part. (7) Minimum order amount (MOA). (8) Shelf-life. (9) Age of the equipment. (10) Use of DBPAs and GPC purchases. (11) Aeromedical evacuation (AE) certification.

What specific documentation does Joint Commission evaluate?

(1) Equipment inventory. (2) Initial Inspections. (3) Inspection and maintenance of life support equipment. (4) Inspection and maintenance of non-life support equipment. (5) Testing of all sterilizers. (6) Testing of water used for renal dialysis.

List the items that must have a separate equipment data file (EDF) established.

(1) Equipment owned by the medical facility that requires maintenance. (2) Rental equipment (if it will be used more than six months). (3) Equipment on loan to the medical facility (if it will be used more than six months). (4) Equipment provided as part of a reagent or supply contract (if it will be used more than six months). (5) Each customer account which requires maintenance of non-indexed/non-ECN items.

Complete the chart below, briefly describe some items to consider for each area of equipment installation. ITEM CONSIDERATION 1. Facility modification 2. Equipment specifications 3. Communication Requirements 4. Equipment changes 5. Duty section 6. Installer

(1) How long will modifications take? Careful planning is required to ensure that the site is ready when the equipment arrives. (2) Do you have exact specifications for the equipment? Contact the equipment manufacturer for exact requirements. (3) What are the communication requirements? Telephone/modem line? Does it need a network connection? (4) Will the model and manufacturer of the new equipment be exactly what was ordered on the AF Form 601? Close contact with MEMO ensures that you have the latest information on the equipment that you will receive. Don't begin any advanced building modifications until the actual item is ordered and the exact requirements are known. (5) What effect will the installation have on the duty section? Always consider the effect an equipment installation will have on the MTF department receiving the new item. (6) Who will install the equipment? AFMLO and your MERC are the best sources of information on which type of installation is appropriate

What information must be maintained in the EDF for an index-numbered/ECN item?

(1) Initial/acceptance inspection work order with pertinent baseline information. (2) Acceptance reports; warranty/guarantee data. (3) Copy of purchase contract. (4) All modifications, complaints, or recall information and related work orders. (5) Scheduled preventive maintenance work orders which contain significant data including electrical safety results. (6) Calibration work orders. (7) Service reports from depot or contract maintenance. (8) All unscheduled work orders.

List at least five things your shop should do to ensure efficient support from your supporting MERC.

(1) Keep the MERC informed of any new equipment purchased that needs additional MERC support; (2) inform the MTF Commander, administrator, and MLFC of an upcoming MERC visit; (3) inform departments that have equipment requiring MERC calibration of an upcoming visit as soon as possible to minimize disruption of patient care; (4) print work orders or have the AF Forms 509 available before the team's arrival; (5) complete PMs on equipment to be calibrated by MERC before the team's arrival; (6) have WRM equipment that is scheduled for calibration set up and operational before the team's arrival; (7) ensure battery operated equipment is fully charged; (8) locate equipment that requires calibration/certification before the team's arrival; (9) assist MERC personnel during their visits.

List at least five items that should be included in operator training.

(1) Proper operation and effective application. (2) Features unique to the particular manufacturer or model. (3) Safety precautions for operators and patients. (4) User PM, cleanliness, and operational verification procedures. (5) Recognition and correction of common operational problems. (6) Recognition of defective equipment and potential hazards. (7) Proper reporting procedures for maintenance requests.

List at least three actions you should take for equipment that is being turned-in and not reused at your facility

(1) Review related repair parts inventory items and turn-in unnecessary parts as excess. (2) Cannibalize or disassemble unserviceable equipment to retain useable parts. (3) Load useable parts on the repair parts inventory. (4) Remove the EDF and send with the equipment if the item is serviceable and acquired by another military unit or discard if the item is salvaged. (5) Review the need for retention of maintenance literature.

List at least three responsibilities of the Medical Equipment Management Office (MEMO).

(1) Standardize the management of in-use equipment at medical facilities. (2) Ensure validated equipment authorizations are consistent with the various missions of medical units. (3) Keep medical managers at all levels informed through comprehensive and accurate reporting. (4) Promote economy, supply discipline, and effective management of equipment in support of the overall medical mission. (5) Ensure that medical equipment assets meet accepted standards for safety and technology.

What entries will be included for each work order on a manual work order register?

(1) Work order number. (2) Equipment/item description. (3) Using activity. (4) Index number. (5) Status. (6) Date completed.

Match the DMLSS output product in column A with the appropriate description(s) in column B. Each item in column A may have more than one answer and each item in column B may be used once, more than once, or not at all. Column A _____ (1) Consolidated customer maintenance report. _____ (2) Customer maintenance report. _____ (3) Customer scheduled services listing. _____ (4) Medical expense and performance (MEPRS) report. _____ (5) Productivity report/technician. _____ (6) Work order management summary. _____ (7) Workload report. Column B a. Should be retained for 1 month. b. Should be retained for 12 months. c. Provides information on cost data for scheduled and unscheduled services. d. A list of equipment that is due for scheduled services within a customer's area. e. Shows the number and status of open unscheduled work orders. f. A standard report. g. Combines information from individual customer maintenance reports. h. Has four available report formats. i. Shows the period of time a work order has been opened. j. A standard inquiry. k. Shows the number of work-hours expended.

(1) b, f, g. (2) a, c, f. (3) a, d, f. (4) k. (5) b, f. (6) b, f, h, i. (7) a, e, f, j.

Match the DMLSS commodity class in column A with the appropriate description in column B. Each description in column B will be used only once. Column A _____ (1) Investment equipment _____ (2) Expense equipment _____ (3) Durable equipment Column B a. Item costs less than $2500, but requires extensive maintenance. b. Item costs more than $250,000. c. Item costs between $2500 and $249,999.

(1) b. (2) c. (3) a.

Match each description in column B with the corresponding repair part detail window tab in column A. Each item in column B will be used only once. Column A ____ (1) Parts info tab. ____ (2) Pipeline consumption tab. ____ (3) Equipment info tab. ____ (4) Notes tab. Column B a. Used to add or delete an equipment association to a repair part. b. Used to view repair parts details and add or edit the record as required. c. Used to enter unique information about a part or any issue association with the part. d. Used to research consumption data for past 24 months on a selected item.

(1) b. (2) d. (3) a. (4) c.

Match the WRM definitions in column A with their corresponding terms in column B. The terms in column B may be used once, or more than once. Column A ____ (1) Describes how your medical unit will be utilized in the event of a contingency. ____ (2) Categorizes each type of organization into a class or kind of unit having common distinguishing characteristics. ____ (3) Often referred to as the "commander's concept." ____ (4) Short paragraph that specifies what a UTC can do. ____ (5) Used as a statement of force capability that equates to specific manpower and logistics support requirements. ____ (6) A 5-character alphanumeric code controlled by the Joint Chiefs of Staff. Column B a. Unit Type Code (UTC) b. Mission Capability Statement (MISCAP) c. Concept of Operations (CONOPS)

(1) c. (2) a. (3) c. (4) b. (5) a. (6) a.

Match the parts of the DMLSS classification and nomenclature system listed in column A with the corresponding descriptions in column b. The items in column b may be used once or not at all. Column A _____ (1) Equipment nomenclature. _____ (2) Device class. _____ (3) Manufacturer. _____ (4) Manufacturer/common model. Column B a. The common name most BMETs call a particular item. b. Determines accountability, funding, and procurement of an item. c. Based on ECRI's Universal Medical Device Code number and Universal Medical Device Nomenclature System. d. Group of devices that perform similar functions. e. Based on ECRI's Universal Medical Device Code. f. Includes the name and contact information of the company that manufactured an item.

(1) c. (2) d. (3) f. (4) a.

Match the DMLSS Equipment Detail Record (EDR) tabs in column A with their corresponding descriptions in column B. The descriptions in column B may be used once or not at all. Column A _____ (1) Main. _____ (2) Location and Inventory. _____ (3) Maintenance Data. _____ (4) Components. _____ (5) Notes. Column B a. Identifies who is responsible for providing maintenance for an item. b. Allows users to add, edit, or delete notes for a specific equipment item. c. Displays general information about an item. d. Displays information for equipment related software. e. Identifies the location of the selected equipment. f. Is only enabled when you select an equipment item with components.

(1) c. (2) e. (3) a. (4) f. (5) b.

Give three reasons why obtaining information from a coworker may not be as effective as looking up the information in an instruction or publication.

(1) coworker's information may not be the most current data, a new instruction or publication may have changed the procedure; (2) a coworker may not offer alternative methods for a task or procedure that are available in the instruction or publication; (3) use of coworker's information does not afford you the opportunity to learn how to use the instruction or publication; (4) your coworker may not always be available to answer your questions.

List at least four factors that are considered in a work priority system.

(1) criticality of equipment; (2) operational versus nonoperational equipment; (3) work stoppage; (4) mission of unit and duty section; (5) scheduled maintenance; (6) age of work order.

Match the federal condition code in column A with the appropriate meaning in column B. The meanings in column B may be used once, more than once, or not at all. Column A ____(1) A. ____(2) B. ____(3) E. ____(4) H. ____(5) S. Column B a. Unserviceable (condemned). b. Serviceable (issuable with qualification). c. Unserviceable (reparable). d. Serviceable (issuable without qualification). e. Unserviceable (Scrap).

(1) d. (2) b. (3) c. (4) a. (5) e.

List at least five items that are normally addressed concerning standards of conduct.

(1) duty hours (2) chain of command (3) time off and leave procedures (4) unique shop requirements or procedures. (5) proper use and care of tools and equipment (6) uniform requirements and guidance for proper wear.

List at least five characteristics of a good metric.

(1) it is meaningful to your shop and to the customer; (2) it is simple and easy to understand; (3) it is clearly defined; (4) it is timely; (5) it shows a trend; (6) it drives appropriate action.

List at least six responsibilities you have as a BMET.

(1) support the objectives stated in the text; (2) maintain medical equipment to the standards defined or specified by AFI 41-201; (3) ensure that you accurately record equipment historical data; (4) ensure that you process and register equipment warranty and guarantee data in a timely manner; (5) ensure that contract personnel are performing maintenance services according to contract agreements; (6) offer initial and follow-up maintenance training to equipment operators and document the training; (7) make sure that equipment operators perform appropriate user maintenance.

List at least three Expeditionary Medical Support (EMEDS) teams.

(1) the two-person preventive medicine/aerospace medicine (PAM) team; (2) ground critical-care teams (GCCT); (3) the five-person mobile field surgical team (MFST); (4) the PAM, GCCT, and MFST can be teamed together to make up the 10-person Small Portable Expeditionary Aeromedical Rapid-Response (SPEARR) team; (5) the AFTH, either EMEDS-Basic, AFTH+10, or AFTH +25.

List at least three responsibilities of a supply account custodian.

1) Accounting for all equipment assigned to the account. (2) Completing equipment actions for purchase, transfer, and excess items. (3) Submitting and maintaining a budget for equipment and supplies. (4) Ordering and signing for supplies on the account. (5) Maintaining records of all account transactions. (6) Reviewing information relating to account actions

List at least six items you should perform during an initial/acceptance inspection.

1) determine if the correct item was delivered without damage and includes all accessories, operates in accordance with specifications, and complies with applicable safety and performance standards; 2) perform an initial PM inspection and calibration/certification as required; 3) document identification data, initial leakage current, and performance and calibration parameter measurements; 4) review the contract and literature for warranty provisions; 5) affix the index number/ECN; 6) Mark the equipment according to AFI 41-209, Chapter 7; 7) load equipment information into DMLSS; 8) establish an EDF; 9) remove and file one copy of the operator's manual and all maintenance manuals; 10) determine repair parts inventory requirements.

List at least three reasons that you would recommend equipment replacement to an equipment user.

1) when historical maintenance records indicate that the cost to repair would exceed the maximum repair allowance; 2) when the failure rate is excessive; 3) when the equipment is considered nonsupportable due to nonavailability of repair parts or service; 4) any condition which technically or economically justifies replacement.

How long must Staff Assistance Visit (SAV) reports be kept on file?

2 years.

What would the DMLSS work order number be for the fifteenth work order opened on 27 August 2009?

200908270015.

How long should unscheduled work orders be kept on file for non-index number/non-ECN items?

60 days.

how many Medical Treatment Facilities are there worldwide?

74

What is the difference between an MTF instruction and an operating instruction?

A MTF instruction directs the activities of the entire medical facility, and an operating instruction (OI) is used in the BMET activity to show how to accomplish actual tasks or describe internal procedures or policies.

Who has the overall responsibility for the implementation and management of an organizational maintenance program at each medical facility?

A clinical engineering officer, senior BMET, or civilian equivalent.

Explain both a consumable and a durable supply item and give an example of each.

A consumable supply item is expendable, loses its identity after use, cannot be reused, or cannot last for 1 year: electrical tape. A durable item is expendable, is not consumed in use, has a life expectancy of more than 1 year, but does not qualify as equipment: shop tools.

What information is required on an equipment justification, which accompanies an equipment request?

A description of where the item will be used and what function it will accomplish; what the current and projected workload is; who is or will be qualified to use the equipment; how the item will be maintained; what the savings benefits are.

Who normally performs a central procurement?

A major command or functional headquarters.

Who oversees a maintenance contract? What are the responsibilities?

A quality assurance evaluator (QAE) (usually assigned to the local BMET). The QAE is responsible for monitoring the contractor's performance and ensuring that the contractor meets the terms of the contract. The QAE must also ensure that the equipment users understand their roles in relation to the contract. The QAE is also responsible for maintaining documentation of any actions relating to the contract. This includes detailed documentation on contractor performance, especially when problems occur with contractor performance.

What is normally required when receiving supplies from medical logistics?

A signature.

List the six possible federal condition codes available for an equipment turn-in?

A, B, E, F, H, S.

What form is used for manual documentation of work requests and actions taken?

AF Form 1763, Medical Maintenance Work Order.

To whom does the Clinical Engineering Branch provide guidance, policy, and consultative services?

AF Surgeon General, the AF medical logistics community, and the AF Biomedical Equipment Repair (4A2) personnel.

What instruction provides policy and guidance for all aspects of biomedical equipment maintenance support and facility management support?

AFI 41-201 Managing Clinical Engineering Programs.

What guidance contains the requirement for all BMETs to be issued a pair of electrical safety boots with reinforced toe at government expense?

AFI 41-209, Medical Logistics Support.

What should you use to determine the need for safety equipment?

AFOSH standards and local safety office guidance.

Briefly describe the contents of AFI 41-203, Electrical Safety in Medical Treatment Facilities.

All areas of electrical safety in medical treatment facilities including classification of equipment and patient care areas, testing standards and procedures, and electrical safety education.

Briefly describe the purpose of a self-inspection?

Allows BMET supervisors to assess their operations without influences from outside the organization and is used to identify and initiate solutions to problems before a staff assistance visit or a HSI.

List the three equipment families that the MERC will always perform quality assurance testing on.

Anesthesia equipment, defibrillators, and ventilators.

When are issue listings produced in DMLSS?

As-required.

List at least five DMLSS modules you may deal with as a BMET.

Assemblage Management (AM), Customer Area Inventory Management (CAIM), Equipment Management (EM), Facilities Management (FM), Maintenance Activity/Equipment Maintenance (MA), and System Services (SS).

with which offices or departments does the Air Force Medical Services coordinate?

Assistant Secretary of Defense for Health Affairs, the major air command surgeons, the Departments of the Army, Navy, and other government agencies

How often must all repair parts assets be inventoried? What is the cutoff date?

At least once per year. 30 April—can be done on a cyclical basis.

What form is used to perform a technical evaluation of an equipment request? Where is it found?

Attachment 25, found in AFI 41-209, Medical Logistics Support, or within the EM module of DMLSS.

What tool allows you to network with other BMETs throughout the Air Force?

BMET Forum.

How can you ensure that MTF resources are not wasted on unnecessary items for your shop?

Be sure that you can justify what you are ordering. Don't abuse the system and order something because it would be "cool" to have, but order only what you really need to carry out the mission.

Why is it important to have local operating instructions for your shop's WRM program?

Because every base has a slightly different WRM mission and also to standardize the operation of every deployment and provide an easy transition for new BMETs to learn local procedures.

Who is responsible for administering the warranty/guarantee program for all medical equipment in the MTF?

Biomedical maintenance.

Name at least ten ways available in DMLSS to search for a work order.

By (1) ECN; (2) work order number or range of work order numbers; (3) completion dates or range of completion dates; (4) device class name; (5) equipment nomenclature; (6) equipment manufacturer; (7) organization name; (8) customer name; (9) technician name; (10) service type; (11) work order category; (12) work order priority; (13) work order status text; (14) team name; (15) contractor name; (16) Other Government Agency.

How is a quality control check accomplished for a manual work order register?

By comparing open work orders listed in the work order register to the active AF Forms 1763.

How does the Clinical Engineering Branch assist facility management?

By providing technical support for facility managers, communication with other agencies for facility issues, liaison with AF for manning, resources, civil engineering, and logistics

How do you demonstrate the qualities of professionalism and integrity in your BMET duties?

By taking the professional knowledge and combining it with high moral values to create a standard of uncompromising excellence and ensuring the equipment you repaired is accurate, safe, and ready to use, and the information to your MLFC was correct and unbiased.

What is the master training document for our career field?

Career Field Education & Training Plan, CFETP 4A2X1.

When canceling a work order, what do you do if the reason you are canceling the work order does not appear in the Cancelled Reason list?

Click Add and type the reason in the Add Cancelled Reason window.

What is the main area of the Air Force Medical Logistics website that you will be visiting as a BMET?

Clinical Engineering Branch's webpage.

Who develops the parts inventories for WRM assemblages?

Clinical Engineering Branch.

Where is the Clinical Engineering branch located

Co-located with the Medical Logistics Division at Ft Detrick, MD.

What should you always do before requesting an item from the TRIMEDS listing?

Contact MER personnel from the losing unit to ensure the serviceability of the item.

List all of the possible sources that you should consider each time you need information about your job.

Coworkers, supervisors, your supporting MERC, Clinical Engineering Branch, and appropriate instructions and publications.

List the three DD Forms used to identify an equipment item for turn-in along with their common names.

DD Form 1574, Serviceable Tag-Materiel; yellow tag. DD Form 1577, Unserviceable (Condemned) Tag- Materiel; red tag. DD Form 1577-2 Unserviceable (Reparable) Tag-Materiel; green tag.

What questions should you ask yourself after you complete a task on a piece of medical equipment to ensure you did it right?

Did I do this job the very best I could? Did I follow all applicable guidance? Would I want this piece of equipment used on me? Did I leave everything the way I found it? Is there anything I could have done better?

If you are tasked to repair a Patient Movement Item (PMI) that does not belong to your unit, how should you document the work done?

Document the work done on an AF Form 1763, Medical Maintenance Work Order and forward it to the owning activity. You should also document your work in DMLSS as an unscheduled work order with no index number/ECN.

What commercial organization publishes preventive maintenance procedural guidance for medical equipment?

ECRI.

Describe the requirements for technical reference files at each MER activity.

Each MER activity must maintain an organized technical literature file. The file should contain two copies of maintenance manuals and one copy of operating instructions for each device that requires maintenance. The filing method and sequence is determined locally but must be traceable to the HMR. A local OI is required to indicate the local method of filing for technical literature.

What is your responsibility concerning historical maintenance records?

Ensure historical maintenance records contain accurate information.

Briefly describe the actions you should take when your facility receives new equipment that is leased, loaned, or cosigned.

Ensure that MEMO has the item on their list of equipment of this type. Conduct an initial operational and safety inspection to ensure the item complies with appropriate safety and performance standards before it is used in a patient care environment. If the item will be used more than six-months, have MEMO load the device in DMLSS for maintenance tracking and management purposes.

Explain what AAAHC inspects specifically about the BMET shop.

Equipment is properly maintained and tested. That's it!

What are the three materiel classifications?

Equipment, supplies, and parts.

Name at least two ways to find federally stocked items.

FEDLOG or the Universal Data Repository (UDR) Medical Catalog.

What are the two types of WRM?

Facility expansion and transportable facilities.

If a Director of Clinical Engineering is assigned, what functions does he or she over see?

Facility management and medical equipment maintenance.

Who should verify that all needed utilities and structural requirements are available for a new equipment item?

Facility management.

When are you most likely to use the Defense Logistics Agency?

For supplies or other items used in the daily mission.

List the indicators that show a need for operator training.

Frequent requests for repair service where operator error is determined to be a contributing factor, frequent unscheduled calls with no defects found, inadequate user maintenance.

Briefly list the steps you perform to print a Historical Maintenance Report (HMR) in DMLSS

Go to Equipment Search and enter Criteria. Select one or more records and click the Print icon on the vertical tool bar (VTB). Select HMR from the print modal window. If you are already in the EDR, you can produce an HMR by: clicking the Print icon on the VTB and select HMR from the print modal window.

Who maintains overall control over the facility management program?

HQ AF Medical Support Agency, Health Facilities Division (AFMSA/SGSF)

Which 3-letter office does the Medical Logistics Division fall under?

Healthcare Operations (SG3)

List the two teams that make up the Clinical Engineering Branch

Healthcare Technology Management (HTM) Team and the Picture Archiving and Communications System

Which team does the Biomedical Maintenance Program fall under?

Healthcare Technology Management Team

With which team will you have the most contact

Healthcare Technology Management Team

What personal qualities should you exhibit in your dealings with MTF staff members to gain their cooperation and respect?

Honesty, courtesy, helpfulness, and knowledge.

What is the difference between a supply item and a part?

If an item is designated for a specific piece of equipment, or several pieces of equipment, it is a part.

Why would you need to cancel a work order?

If it was created by mistake, or there are duplicate work orders open on the same equipment.

When would an item not appear on the monthly DMLSS backorder report?

If items were ordered directly from the CAIM, they were received during the month, or if a problem occurred and the order was deleted or cancelled.

Where can you find a complete list of MERC responsibilities?

In AFI 41-201.

Where must a copy of the initial/acceptance inspection be kept?

In the EDF for the equipment.

Who maintains all WRM equipment at Active Duty, Guard, and Reserve bases CONUS and in Korea?

In-garrison maintenance (IGM) contract.

When you are working in the work order management portion of the MA module, what do you use the parts screen for?

It allows you to record parts required to complete a work order or to record parts used on a work order.

Explain a Decentralized Blanket Purchase Agreement (DBPA).

It is a prearranged contract with a specific company for the purchase of parts and/or services.

What is the purpose of the work sheet option when printing work orders?

It is intended for use with scheduled work orders and is designed to allow a BMET to complete multiple work orders on a single sheet and save paper by eliminating the need to print individual work orders.

Describe minimum order amount.

It is the smallest amount (dollar value) you may purchase from a company before they fill the order.

Briefly describe the purpose of the inbox found in the MA module of DMLSS

It provides important information about actions requiring follow-up and also provides the ability to immediately view and resolve issues, thus preventing the possibility of problems developing or expanding. When the Equipment Maintenance application is launched, the inbox appears if there are any pending actions for a maintenance activity or individual.

What is the main difference between Joint Commission and AAAHC inspections?

Joint Commission accredits MTFs with inpatient services while AAAHC accredits ambulatory outpatient clinics only.

What are the two modules in DMLSS that handle repair parts?

MA and CAIM.

What are the Maximum Expenditure Limit (MEL) and Maximum Repair Limit Cumulative (MRLC) values (with exception)?

MEL must not exceed 65 percent of the acquisition cost and MRLC must not exceed 125 percent of the acquisition cost. Exception: Dental/surgical hand pieces, X-ray tubes, fiber optic equipment, and other items that can be rebuilt to essentially a new item are exempt from the Maximum Repair Limit Cumulative (MRLC). The one-time limit for these exempted items is 75 percent of the current replacement cost of the item regardless of its age.

What is the most widely used source of supply information you will use?

Manufacturer's literature.

In the MTF chain of command, what flight do you fall under

Medical Logistics Flight

How can you tell if an inbox pending action requires action on the part of you or your shop?

Messages will not have a delete button nearby and you must take action as dictated by the particular message.

Which 3-letter office does the Clinical Engineering branch fall under?

Modernization (SGR)

How can you access most official publications?

Most official publications are available on-line at the Air Force e-Publishing website

What temptation should you avoid concerning patient information?

Never snoop, pry, or gossip about patient information.

What should you do if you are working in the pediatric clinic and you notice a patient's medical record lying open on the counter, unattended?

Notify someone in charge of the area so that the records can be secured

Where can you find the MEL and MRLC?

On the HMR and on the Main tab of the DMLSS Work Order Detail screen.

Briefly describe the process for creating an unscheduled work order in DMLSS.

On the MA Navigate menu, point to Work Orders. Click New Work Order. Type in the ECN. Use the default in the required fields from the dropdown lists. Type the work order information in each required field. Click Save.

Briefly describe the process for updating a work order.

On the MA horizontal toolbar, click Work Order. Perform a search for the work order. Proceed to the Work Order Detail window and select the appropriate Work by tab. Select an action from the dropdown list under Service Action and Service Item. Click Save.

How often should you visit the Air Force Medical Logistics website?

Once a week.

What are the three functions of the repair parts application in DMLSS?

Open Part, Part Requirement List, and Part Issues.

What are the two types of support provided by a MERC?

Organizational maintenance support and intermediate maintenance support.

What information does the parts screen provide for non-cataloged parts?

Part description, provided by, part quantity used, part cost, and part cost extended.

Why is it important for you to be courteous to patients and present a good appearance when working in the facility?

Patients are constantly forming opinions and making judgments about your medical facility and its services.

What are performance standards? What is their purpose?

Performance standards are used as an evaluation tool to gauge how your shop is doing in completing its mission, and are basically goals for your shop to meet or exceed in a given time period. They should help your shop meet mission requirements and improve customer support.

What should prevent the need for most expensive repair parts to be stocked in the repair parts inventory?

Proper PM inspections.

What should you do if you note problems with an equipment item during the initial/acceptance inspection?

Report them to MEMO who will, in turn, initiate a Report of Discrepancy.

Explain the difference between a DMLSS report and a standard inquiry

Reports are produced automatically for local MTF management or higher headquarters reporting. Standard inquiries are produced using real-time data "as requested" and show the most up to date information.

What is the most common type of equipment request you will see?

Requests from the various sections within your MTF.

Briefly describe risk-based management.

Risk-based management evaluates and prioritizes the types of equipment to be included in the scheduled maintenance inventory. The purpose is to minimize recurring scheduled maintenance on equipment that does not pose a safety or reliability risk.

Whom does the AF Surgeon General advise?

Secretary of the Air Force Chief of Staff, and the Assistant Secretary of Defense for Health Affairs

Describe the method you would use to reach the repair part detail for a selected repair part.

Select the Open Part function, which opens the search window. Search for the part either by parts criteria or by equipment criteria. When the results are displayed, select the part and click the Detail button.

What should the biomedical equipment maintenance program use to determine the adequacy, quality, and effectiveness of maintenance support and the degree of compliance with HQ United States Air Force, MAJCOM, and local maintenance directives?

Self-inspections and customer evaluations.

How often should the DMLSS Equipment Replacement Report be reviewed for equipment replacement?

Semiannually.

Briefly describe the actions you should take if you have questions with a contractor performing an equipment installation.

Start by politely asking questions. If you feel you are not receiving satisfactory answers, contact your supervisor or MEMO for assistance.

What types of items constitute unique equipment requests?

Stationary medical x-ray systems and major items costing more than $1,000,000.

What publication contains the latest information for BMETs on regulatory guidance, equipment hazard notices, equipment complaints, and information on equipment modifications, excess parts, and new repair parts stocked by the Defense Logistics Agency? Where can you find it?

The Air Force Medical Logistics Letter (AFMLL). The Air Force Medical Logistics website.

Who performs organizational level maintenance?

The BMET activities in each MTF.

How does your shop receive authorization for tools and equipment?

The BMET shop receives authorization for peacetime tools and test equipment from the Medical Logistics Flight Commander.

What happens to the EDF for equipment that is coded for reuse and sent to another unit through the medical logistics redistribution system?

The EDF should be sent with the equipment to the new owner.

What does the Equipment Review and Authorization Activity (ERAA) Board do?

The ERAA Board recommends approval or disapproval of each requested equipment item. They also prioritize approved equipment.

What are the three options for viewing equipment historical data in DMLSS?

The Historical Maintenance Report (HMR), the Equipment Detail Record (EDR), and the Equipment Record Service History.

In DMLSS, what modules are used to manage repair parts inventory assets?

The MA and CAIM modules.

List the personnel who receive a copy of a MERC trip report.

The MTF Commander of the supported facility, and an electronic copy with attachments is sent to the applicable MAJCOM functional manager and to Clinical Engineering Branch. Radiology reports are sent to the regional medical physicist. If the visit was to an ANG or AFRC facility, a copy of the report is sent to the appropriate headquarters.

Where does an equipment request go after the ERAA board?

The MTF Commander.

Who must review requests for major items of medical equipment? Why?

The TRICARE Lead Agent and the HQ USAF/SG. To eliminate duplication of expensive equipment systems, which could be shared to benefit more than one MTF in a given locale.

If you do not have access to the Internet, what are two alternate sources of information useful for locating equipment companies or parts information?

The Thomas Register and Health Devices Source Book.

Who is ultimately responsible for WRM equipment maintenance?

The assigned 4A2 personnel at that base.

What checklists can you use to ensure your shop is performing satisfactorily?

The biomedical equipment maintenance management checklist located on the AFMLO website; the HSI checklist; the Joint Commission requirements for medical equipment maintenance located in the Environment of Care section of the Joint Commission comprehensive accreditation manuals.

What is the need for having a BMET on-call for after hours emergencies based on?

The equipment and mission of each medical facility.

Name the two parts of a national stock number(NSN)

The federal stock class (FSC), which is the first four numbers, and the national item identification number (NIIN), which is the last nine numbers.

What determines the approval authority for an equipment purchase?

The item's cost.

When a clinical engineer is not assigned, to whom does the Medical Logistics Flight Commander look for advice on equipment maintenance, electrical safety, and related areas?

The local BMET.

Where should you look to find accurate parts information for an equipment item?

The manufacturer's parts manual (or parts breakdown).

What is the most important benefit of PCO?

The patient has more personalized medical care (medical provider has more time with the patient).

Who is responsible for preparing the AF Form 601 for equipment turn-in?

The property custodian.

Who is the primary person responsible for equipment accountability?

The property equipment custodian.

Briefly describe the review process an equipment request goes through after it is turned into MEMO.

The request goes to MER, facility management, Safety, Medical Information Systems, the MLFC, and the ERAA board.

briefly describe a clinical evaluation

The request is reviewed to make sure that the equipment being requested meets the requirements.

Who is responsible for filling out the AF Form 601, Equipment Action Request?

The requesting property custodian.

What is the key to any contract maintenance agreement?

The statement of work.

How are supply accounts identified?

They are identified with a number called an expense center or customer ID.

What is the difference between ethics and standards of conduct?

They are similar, but standards of conduct tend to be more directive.

What do the Equipment Management personnel do during the gain process in DMLSS?

They associate the equipment record/s to an equipment custodian.

Briefly describe a medical equipment management plan.

This is the Joint Commission requirement that you are responsible for that outlines how your MTF manages the entire medical equipment process from cradle to grave.

To which AFRC and ANG medical units should each BMET facility provide support?

Those that are located at or near the BMET activity

What is the "Environment of Care"?

Three basic areas; buildings, equipment, and staffing (or the people).

What is the objective of the Health Services Inspection (HSI)?

To assess the ability of Air Force medical units to fulfill their peacetime and wartime missions.

In a manual work order documentation system, why is a work order register (log) used?

To assign work order numbers and to manage the unscheduled work load.

What is the only situation where you would use the Maintenance Record Commodity Class?

To create equipment records which will be used for tracking periodic maintenance requirements against unique tasks, such as Section Electrical Safety Sweeps or something similar. NEVER for equipment items.

What is the objective of the biomedical equipment maintenance support program?

To ensure medical equipment is serviceable, safe, and properly configured to meet the wartime and peacetime missions of the medical service.

Why should a BMET serve on the ERAA board?

To ensure that technical considerations are integrated into the authorization/procurement process.

What is your primary role in the process of establishing a locally negotiated contract for equipment maintenance?

To identify the actual work requirements of the contract.

Briefly describe the objective of the medical WRM program.

To identify, acquire, preposition, and maintain the materiel needed to support the forces and missions specified in applicable operations plans.

What does the Medical Equipment Management Office (MEMO) use DMLSS equipment records for?

To maintain custodial, and fiscal accountability of all assets in the MTF.

Why should you use the Defense Logistics Agency whenever possible?

To save government money and to meet mission needs.

What type of support does the PACS Deployment Team provide?

Total PACS lifecycle support

What do you receive when you physically turn excess items over to Medical logistics personnel?

Turn-in document.

What should a work control and priority system ensure?

Uninterrupted service to supported activities.

What are the four levels of maintenance?

User, organizational, intermediate, and depot.

When does the BMET shop take on a level of accountability for an equipment item and how is that accountability documented?

When an item is brought into the shop for maintenance and accounted for on an AFTO Form 350.

When would scheduled maintenance for an item be suspended?

When the item is in long-term storage (non-WRM equipment), on mobilization status, or primary parts of the system are out for repair and unit is not functional.

Where can you find the inspection frequency for each type of equipment?

Within DMLSS or the Clinical Engineering Branch webpage under the Maintenance tab.

What information should be included on the BMET shop portion of an AFTO Form 350?

Work order number, equipment index number/ECN, account code, quantity, equipment stock number, equipment serial number, description of work required.

Do you need to take your personal tool kit on deployments? Why or why not?

Yes, UTCs do not include a tool kit (in other words, if you don't take yours, you won't have a tool kit!)

If you order a repair part, who is responsible for monitoring the order status?

You are.

What is the purpose of a technical evaluation?

You review the proposed equipment system for compliance with accepted safety and performance standards to ensure the equipment requested is safe, reliable, and maintainable.

If you need a part for an equipment item, where should you check for the part before ordering it?

Your shop's repair parts inventory.

Whom should you contact if you are having problems communicating with a member of the MTF staff?

Your supervisor.

Using the information you know about performance standards, think of another performance standard, besides those already discussed in the text, that could be measured in your shop.

anything that is a measurable goal to meet or exceed in a given time period. For example, having all initial/acceptance inspections completed within one-week of receiving new equipment.

What is your shop responsible for, concerning user level maintenance?

ensuring that proper user maintenance is being performed on the equipment in your facility.

Briefly describe what you are and are not responsible for concerning the maintenance of ambulance equipment.

maintenance of the medical equipment within an ambulance, which includes stretchers, suction machines, oxygen systems, etc. You are not responsible for the systems that are an integral part of the vehicle, such as the DC power system, which powers some of the medical equipment.

Who are the members of a Primary Care Optimization (PCO) team?

one provider, one staff nurse, one medical technician, one administrative specialist.

Briefly describe the "Reach Back" concept.

the method you will use to acquire repair parts, maintenance and equipment during contingency operations. Because your unit must travel light when deploying, you will not have all the supplies and parts you need to maintain your equipment in every situation. When you need a part or other item not on hand, you will handle it in a manner very similar to ordering parts or equipment at your home station.

Define pipeline time.

the time from when you order the repair part until it is received.

When is contract maintenance normally required?

when your shop doesn't have the resources or skills to perform the job and/or it is not economically feasible to develop an in-house capability.