Barry and Tony,
Thanks for the information, I will get a copy of DB9801 as this would seem a
good starting place. I was aware of the 'hire' equipment stipulations in the
EAWR and agree that basic electrical safety testing is a good thing.
The main issue arises when NHS services take things 'inhouse'; I have not
had any proof of the main contractors for EAT being able to demonstrate that
tests to BSEN60601 have been done as part of PPM, maybe others would like to
comment. Its difficult enough to get them to fill in worksheets with
complete details. Furthermore, many contracted out wheelchair
repair/provision services do not conduct PPMs on power chairs and therefore
would not test the mains powered battery charger annually.
Consequently when NHS wishes to take things inhouse it faces the dilemma of
whether to cost in the extra resource required to conduct PPMs and thus
electrical testing. This is particularly relevant in wheelchair services due
to the relatively larger number of users to service. As with many things if
there is no absolute legal requirement to do it then the commissioners often
fail to see the need for extra resources to follow what amounts to best
practice, especially if existing contractors didn't do PPM anyway. A good
example of this is patient hoists, these are required to be tested by law
now every 6 months, but prior to this how many trusts tested their hoists?
So the more clear the requirement to test equipment is the more likely
commissioners are to fund the resources necessary to do it.
If an NHS department is taking a service inhouse and doesn't get the funding
for PPMs on power wheelchairs for example, what does it do. Most people
would answer risk assess and this involves cost effectiveness. For example
if an item of medical equipment requires calibration and functional safety
checks as well as electrical safety testing it would clearly be necessary to
test it, as I would imagine most equipment supported by medical physics
departments is. However, when an item does not require such tests such as
most EAT equipment or power wheelchair battery chargers it may not appear
cost effective.
From a risk management point of view, what is more likely an environmental
control, which are usually battery powered and if plugged in are connected
to double insulated chargers, malfunctions and electrocutes a patient via a
switch which in most cases would have to be faulty as well to deliver a
current (double fault situation); or a battery charger (for any piece of
equipment) have a damaged mains lead that electrocutes the patient. I would
argue the later and thus to ensure more services are able to provide basic
electrical safety a realistic target of requiring basic testing to be done
rather than saying all medical equipment should be tested to BSEN60601. Then
at least the overall standard would be up to a basic and probably more
important level of safety.
The above is not intended to say that I think services should stop testing
to the standards they have chosen but merely to highlight that services
should not take the approach 'we do it so why don't you' we all have
different priorities and funding so need to make different decisions. Hence
my original request for information to start making my own decisions as
nobody at present can tell me that there is definitive legislation on the
subject rather a lot of guidance.
I await the storm of controversy with interest, please feel free to shoot me
down in flames!
Many thanks once again to those who have provided useful info.
Gareth Adkins B. Eng. MSc. PGDip IPEM.
Rehabilitation Engineer
Mobility and Rehabilitation Service
Woodend Hospital
Eday Road
Aberdeen AB15 6LS
> -----Original Message-----
> From: Swann Tony (LHT) [SMTP:[log in to unmask]]
> Sent: 22 October 2002 10:19
> To: [log in to unmask]
> Subject: Re: Electrical safety testing regulations
>
> Dear Garth/Barry et al,
>
> I think you should have a look at the Electricity at Work Regulations.
> These
> regulations also include equipment hire situations which seems pretty
> applicable to the way EAT is typically dished out.
> BS60601 will be relevant as we are essentially dealing with medical
> equipment however BS3456 Household electrical appliances should not be
> over
> looked.
>
> We have a very useful book called 'Guide to Electrical Safety at work'
> published by E.P.A Press writen by a chap called John whitfield. ISBN No.
> 0
> 9517362 8 0. which is in an effective interpretation of the regulations
> and
> their implications. No idea whether this is still in Press. If anyone
> finds
> out I would be grateful if you could let me know as our copy was published
> in 1995.
>
> Tony Swann
> Clinical Scientist
> Elelctronic Assitive Technology Service
> East Lincolnshire PCT
>
>
>
>
> -----Original Message-----
> From: Taylor, Barry [mailto:[log in to unmask]]
> Sent: 22 October 2002 10:02
> To: [log in to unmask]
> Subject: Re: Electrical safety testing regulations
>
>
> Gareth
>
> My understanding (although my memory is dimmed by time!) is that the
> Health
> and Safety at work act applies strictly to equipment in our workplace
> (hospitals).
> Medical equipment testing with a flavour of BSEN 60601is over and above
> the
> requirements of H & S @W act and is done on the basis of an old IPEM
> (/IPSM/IPEMB?...) topic group report (no 47???) which predates ENs and the
> Medical Device Directive and is well overdue for a rewrite.
> DB9801 and its supplement, specifically extend our responsibilities to
> health (& other) equipment in the community.
>
> Barry Taylor, Clinical Scientist
> Bioengineering Department
> Tulley Medical Physics Building, Hull Royal Infirmary
> Anlaby Road, Hull HU3 2JZ
> Tel 01482 675928, fax 01482 675750
>
> > ----------
> > From: Gareth Adkins[SMTP:[log in to unmask]]
> > Reply To: A discussion list for Assistive Technology professionals.
> > Sent: 18 October 2002 11:18
> > To: [log in to unmask]
> > Subject: Electrical safety testing regulations
> >
> > Dear all,
> >
> > I am trying to brush up on my knowledge of electrical safety testing
> > requirements and Health and Safety etc.
> >
> > I know that electrical equipment in the workplace is tested regularly
> > using
> > the appropriate standards under the requirements of the Health and
> Safety
> > at
> > work act etc.
> >
> > I also know that medical electrical safety equipment is tested regularly
> > to
> > EN60601 but I wasn't sure what legislation requires us to do this, is
> the
> > H
> > and S act? Further to this if it is H and S act what regulations cover
> > equipment used in a community setting but still owned by Health Board?
> >
> > Obviously I think routine electrical safety testing is best and accepted
> > practice but I wondered if anyone could shed some light on the
> legislation
> > so I don't have to trawl the internet and HSE for relevant info.
> >
> > Look forward to hearing the replies.
> >
> >
> >
> > Gareth Adkins B. Eng. MSc. PGDip IPEM.
> > Rehabilitation Engineer
> > Mobility and Rehabilitation Service
> > Woodend Hospital
> > Eday Road
> > Aberdeen AB15 6LS
> >
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