PROJECT MANAGEMENT
Construction/supervision of work During this stage (and usually towards the end of the works, which should not be the case), the bidding on and purchasing of equipment takes place. It is essential to plan and co-ordinate this stage of the process with work deadlines and the set- up of the hospital. Any change at this stage consumes many resources (both money and time) and it is necessary to advise the client accordingly. The tools required during this stage
are as follows:
Timeline This is a fundamental planning tool, which co-ordinates official schedules and planned works; operating tests on facilities; authentication and/or inspections; purchase, supply and assembly of equipment; hospital opening plan. The first step is the incorporation of
work timelines for each of the areas into a single schedule, which is known to all and serves as a roadmap. This must include the following information: l tasks to be performed: scheduled start date - duration and completion; managers
l what is required to perform them: provisional construction deliveries; elevators; forklifts; number of people
l the relationships between tasks and any restrictions, eg incomplete receipt of work, approval by the supplier of pre-installation conditions.
Planned access routes By this stage, the weight, size and packaging of the equipment and in how many pieces it will arrive will already be known, but how will it enter the building? When selecting a route, it is important to consider:
Previous works in an operating room.
l prioritising security against intruders l providing access control l routes that allow the movement of equipment in safe conditions (overload control) do not affect the work that is being carried out and do not cause damage to features already installed
l minimising the number of routes and ensuring that they are free from interference and are marked as ‘transit’ to allow internal and external personnel to identify them
l identifying temporary warehouses on site where there is sufficient storage space and conditions are safe.
Making a building plan that includes internal routes facilitates the task of transferring the equipment from the
reception point to the installation point, but the temporary signposting of routes is also essential. If external access routes are on public roads, the type and model of signposting and traffic control must be agreed with the local authorities.
Review of work requirements At this point, it is advisable to know the specific requirements of the equipment, but this is only possible if they are already assigned or purchased and may not be viable during the initial phases of work. For more complex equipment (such as MRI, CT scan, accelerator), manufacturers have their own installation control procedures, which include detailed drawings, checklist verification and so on. These procedures must be co-ordinated
Example of a timeline used in a hospital in Chile in 2016. 64 IFHE DIGEST 2019
Source: Archive Unique SCP
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