PROFESSIONAL PROFILE
introduction of a graduate degree in hospital technology. Additional training for skilled tradesmen and technicians has only recently been introduced. Third parties have no clear idea of the
required performance, function or activities required by this role. The profession is certainly one of the more difficult to frame, including complex activities, tasks that are not understood by the public and with no common job title. It cannot be reduced to a single profession in the traditional sense because it encompasses a range of different professions. There is no common understanding among the general public of the activities that are related to hospital technology. The profession lacks a regulated education and there is currently no fixed job description. In order to develop a new job description – an institutional definition – these factors must be taken into account.
Responsibilities and competence The responsibilities of the role include to recognise and prioritise the necessary tasks using the available resources and adhering to management decisions in that: l all costs are accurate, timely and work is carried out economically
l given cost and investment budgets are adhered to
l hospital management performance indicators are determined
l the maintenance of property and buildings as well as medical technologies satisfy all legal requirements
l the economical operation of the general building facilities and medical technical facilities is guaranteed
l there is high availability of building services and medical technology
l a high proportion of skilled employees and high levels of motivation are achieved
l preventive measures in assigned areas are observed in line with statutory regulations
l good governance techniques are applied to the engineering and technical systems and the superior authority is informed in the event of extraordinary events, taking into account risk management at all times.
The duty of the clinical engineering and technical manager is to inform and advise the hospital management team to enable it to plan replacement and assign the required funds in time. The post holder has to maintain a good working relationship with other technical areas of the hospital so that information flows smoothly and there is good co-operation to minimise impact on patient care and services.
IFHE DIGEST 2018
Duties and powers The role of the clinical engineering and technical manager is to observe the decisions of senior management and to: l ensure the smooth operation of hospital technology and patient services
l preserve the substance of the building l create and co-ordinate a maintenance plan
l prepare, complete and maintain control, engineering, architect and service contracts
l ensure compliance with legal requirements and the quality of ongoing construction and maintenance activities
l co-ordinate external and internal service providers
l commission and monitor construction, renovation and maintenance work on hospital buildings, co-ordinating construction, repair and maintenance activities with other departments
l prepare analysis reports and statistics on hospital management, secure facilities and building documentation, and build up and maintain a maintenance control system
l prepare and maintain a building and area management plan, including the strategic and operational management of the technical department (eg personnel and budget management and other resources)
l organise an energy management strategy
l co-operate with the responsible persons for special functions (eg fire protection, occupational safety, waste, environment, radiation protection, quality).
The person in this role is also responsible for: l targets and annual programmes in subordinated entities and repair and maintenance priorities
l the procurement and allocation of maintenance and repair contracts to external service providers that fall within budget
l a decrease in partial performance and the completion of all construction projects
l personnel measures under the rules of procedure (eg setup and deployment of staff, skills training, staff development)
l the release of incoming invoices for material goods and services
l business trips and errands, possibly in the form of a general scheme
l carrying out or arranging service maintenance and assigning repairs to buildings, services, medical technical equipment and vehicles that are within budget
l providing details of safety checks and inspections for the most vulnerable machinery, equipment and workplaces (eg as part of the implementation of the operational safety regulation) by the relevant institutions
l an annual safety programme and additional priorities for regular safety training; responsibility for the subordinate fields and their leaders
l risk management – assessment, planning and assurance; targets and annual programme for subordinated entities
l assigning repair and maintenance priorities.
The person in this role should also advise those in authority on the following: l financial provision for major repairs or the need for investment in maintenance, facilities and medical technology
l establishing the salaries of technical staff, making adjustments based on technical application and fundamental basics and liaising with human resources
l creating opportunities and incentives to measure and evaluate performance.
They should inform those in authority on the following: l unscheduled and therefore unbudgeted for maintenance and replacement equipment and services
l the overall condition of the building, services and medical technology
l expected changes in allocated budgets; anticipated risk to buildings and facilities and medical technology facilities.
Special powers The clinical engineering and technical manager should be a member of various committees (eg hygiene, health and safety at work, waste, environment, IT, capital planning). The person in this role has access to all confidential documents needed to carry out their duties (depending on each hospital). Ideally, this individual should be an integrated member of the organisation’s extended management board, but what skills are needed to be a first class professional, operating at management level? Opinions vary between experts and training managers, but they include: l a basic knowledge of technology and natural sciences
l English in theory and practice l facility management l structural engineering, including: a basic knowledge of the relevant laws, a sound knowledge of building materials, building physics principles, and a basic understanding of the use of space, master planning concepts and business organisation planning
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