FINAL REPORT INDUSTRIAL TRAINING SESSION DECEMBER 2020 (NAZATUL IZZAH_08DEU18F1010)

INDUSTRIAL TRAINING REPORT
SESSION DECEMBER 2020

NAZATUL IZZAH BINTI ZAMRI
08DEU18F1010

INDUSTRIAL TRAINING REPORT
BY

NAZATUL IZZAH BINTI ZAMRI
08DEU18F1010

KPJ JOHOR SPECIALIST HOSPITAL

THIS REPORT BOOK IS SUBMITTED TO
ELECTRICAL ENGINEERING DEPARTMENT
AS FULFILLING PART OF THE CONDITIONS

AWARD
DIPLOMA IN ELECTRICAL ENGINEERING (MEDICAL)

POLITEKNIK SULTAN SALAHUDDIN ABDUL AZIZ SHAH
DECEMBER 2020

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AKNOWLEDGEMENTS

Bismillahirahmanirahim, Assalamualaikum W.B.T Alhamdulillah, Praise be to Allah,
Lord of the worlds. Blessings and Peace be upon the Prophet Muhammad S.A.W, his
entire family, and his companions. Thanks be to God because with blessings and
diligence, I was finally able to complete this report as eligible for the award of the
Diploma in Electronic Engineering (Medical). I would like to express my gratitude &
respect to head of Electrical Engineering Biomedical Engineering Maintenance
Services (BEMS) KPJ Johor Specialist Hospital, En. Mohamad Firzi Mukhri Bin Ali
for giving me the opportunity to conduct Industrial Training for 20 weeks here. In
every phase of the internship, his supervision and guidance shaped this report to be
completed perfectly.

In addition, I also do not forget the technician staff of KPJ Johor (Biomedical Services)
who always teach and manage matters and take care of me while undergoing Industrial
Training in this organization. Among the biomedical engineers who have done a lot
for me are En. Khairulaiman bin Nordin, Ms. Saidatul Aina Binti Mohamad Yunus
and Ms. Noor Athirah binti Mohamad Fudzi. During the period of my internship work,
I have received generous help from many quarters, which I like to put on record here
with deep gratitude and great pleasure. Without his kind direction and proper guidance,
this study would have been a little successful. In every phase of the project, his
supervision and guidance shaped this report to be completed perfectly.
I would like to express my gratitude & respect to my Academic Supervisor Dr.
Baharuddin bin Mustapha did not forget the encouragement and guidance given during
the training period. I am grateful to Zamri bin Mohammed Jaib (my father), Nadzarine
Binti Abdul Aziz (my mother), Sulaiman bin Mohd Noor (my stepfather) and my
family members and my friends to constant guidance, support, and valuable
suggestions during this internship.

Thank you.

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TABLE CONTENT

TITLE PAGES

Title i
Declaration ii
Pengesahan Tamat Latihan Industri Pelajar iii
Acknowledgments iv
Table Content v
List Of Tables vi
List Of Figures vii

CHAPTER 1: INTRODUCTION 1
1.1 Introduction Industry Training 2
1.2 Objective of Industry Training 3
1.3 Importance of Industry Training

CHAPTER 2: BACKGROUND OF INDUSTRIAL TRAINING PLACE 4
2.1 Introduction 4
5
2.1.1 Profile Company 6
2.1.2 Vision, Mission, Core Values 7
2.1.3 Patient’s Right & Responsibility 8
2.1.4 KPJ Johor Emblem 8-9
2.1.5 Brand Signature 10
2.1.6 Location 11
2.2 Organization Chart 11
2.3 Organization Information 12
2.3.1 Biomedical Organization Structure 12
2.4 Department Function 13
2.4.1 Head of Services 14
2.4.2 Unit Manager
2.4.3 Medical Officer

CHAPTER 3: SUMMARY OF IDUSTRIAL TRAINING ACTIVITIES 15
3.1 Introduction 16-24
3.2 Summary of Industrial Training Activities

CHAPTER 4: TECHNICAL SYSTEM 25
4.1 Introduction 25
4.2 Planned Preventive Maintenance (PPM) 26-28
26
4.2.1 Specifications Tools for PPM and EST Test 26
4.2.1.1 ESA 620 FLUKE 27
4.2.1.2 ESA 615 FLUKE 27
4.2.1.3 Rigel 2888+ Electrical Safety Analyzer 28
4.2.1.4 ProSim 4 Vital Sign and ECG Simulator 28
4.2.1.5 ProSim 8 Vital Sign and ECG Simulator 29
4.2.1.6 ProSim SPOTLiGHT SPO2 Pulse Oximeter Analyzer 29
29
4.3 Unplanned Maintenance
4.4 Emergency Breakdown

4.4.1 Breakdown Tools Kit

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TITLE PAGES

4.5 Beyond Economic Repair (BER) 29
4.6 Testing and Commissioning (T&C) 30
4.7 Operation of Vital Sign 4 Monitor 30
30
4.7.1 Introduction 31-32
4.7.2 Label of Function 33
4.7.3 Procedure of Vital Sign 4 34
4.7.4 Common Problem of Vital Sign 4 35-36
4.7.5 Planned Preventive Maintenance (PPM) Vital Sign 37
4.7.6 Breakdown Vital Sign 4
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CHAPTER 5: RECOMMENDATIONS AND IMPROVEMENTS 39
5.1 Findings
5.2 Recommendations 40

CHAPTER 6: CONCLUSION 41
6.1 Conclusion
42
REFERENCES 43
44
APPENDIX 1: PPM RESULT OF GASTROSCOPY 45
APPENDIX 2: T&C DOCUMENTS 46
APPENDIX 3: MAINTENANCE REQUEST FORM 47
APPENDIX 4: WORK PASS APPLICATION FORM 48
APPENDIX 5: REQUISITION FORM FOR SERVICE/REPAIR
APPENDIX 6: WORKPLACE MANAGEMENT SYSTEM
APPENDIX 7: ACTIVITIES

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LIST OF TABLES

TABLE PAGES

Organization chart 10
Biomedical organization structure 11
Head of Services 12
Unit Manager 13
Medical Officer 14
Label of function of SureSign VS4 Monitor 31-32

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LIST OF FIGURES

FIGURE PAGES

2.1.1 KPJ Johor Specialist Hospital Building 5
2.1.4 Logo KPJ Johor 8
2.1.6.1 KPJ Johor Specialist Hospital Main Entrance 9
2.1.6.2 KPJ Johor Maps 10
3.1 KPJ Johor Outpatients Building 16
3.1.1 Cot side rail patient’s bed LKL 17
3.2.1 T&C warmer unit machine, ATOM 18
3.3.1 PPM of humidifier Ventilator AVEA using Rigel analyzer 18
3.4.1 ECG waveform not stable and ECG simulator to calibration 19
3.5.1 PPM of Laser Therapy machine 19
3.5.2 PPM of Shockwave therapy machine 20
3.7.1 Oxygen sensor of GA machine 20
3.9.1 PPM of Tympanometer 21
3.10.1 Change the side connecter of warner unit 21
3.12.1 Fuse changing of VSU monitor 22
3.14.1 EPOC machine 23
3.15.1 Voltage Stabilizer problem 23
3.16.1 Site visit of Linac replacement 24
4.2.1.1 ESA 620 FLUKE 26
4.2.1.2 ESA 615 FLUKE 26
4.2.1.3 Rigel 288+ Electrical Safety Analyzer 27
4.2.1.4 ProSim 4 Vital Sign and ECG Simulator 27
4.2.1.5 ProSim 8 Vital Sign and ECG Simulator 28
4.2.1.6 ProSim SPOTLight Spo2 Pulse Oximeter 28
4.4.1 Breakdown tools 29
4.7.1 SureSign VS 4 monitor 30
4.7.3 Basic Operations of SureSign VS4 monitor 33

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CHAPTER 1
INTRODUCTION

1.1 INTRODUCTION OF INDUSTRY TRAINING

The industrial training compulsory for every student Diploma in Electronic
Engineering (Medical) as a condition for the award of the diploma. This exercise is
also intended to provide exposure and experience to the students about the real
situation in the Electronic Engineering (Medical) field of and as an early preparation
for students before entering the working world. For the December 2020 session, the
training runs for 20 weeks, starting from 5 Mac 2021 until 20 July 2021.

I have sought and found a place to undergo industrial training in the Biomedical
Services Department (BEMS). In this position, I was placed in the Department of
Biomedical Services (BEMS). During this training, I was given the opportunity to
follow the learning involved technical assistance related. I get learned and explore
about the Plan Preventive Maintenance (PPM) and Performance test for biomedical
instruments. I had learned how the cycle of Biomedical Engineering life cycle.

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1.2 OBJECTIVE OF INDUSTRY TRAINING

Industry training is a major component of the extra-curricular learning in
polytechnics. The students are required to pass before the Industrial Training is
recommended for award of a diploma at any school. The students will be placed in
government departments or private companies for 20 weeks to expose them to a
real work environment and different from the atmosphere at the school. Often
students will be faced with many challenges and problems that have not been
confronted. The main purpose of this training was to expose students to the real
working environment when the students out of the polytechnic later.

Students also could use all the knowledge and theories related to courses taken
while at the polytechnic course of industrial training and provide opportunities for
students to use the fruit of a creative mind for the good of the firm and indirectly
for their own benefit as well. Thus, there has been this experience, maybe can help
students to study in the following semester and a real working environment.
Students also can be exposed to ways to communicate well, expanding
relationships between partners of the workplace and the people around, foster
teamwork and good relations with industrial workers where this at once can cause
a sense responsible to a trust (work) and balance as well as from all aspects.

In addition, following the Industrial Training, students can improve their own
weaknesses to improve and think more rationally in the handle which had been
given by the employer. During industrial training, students can assess their ability
to work from employers. The students themselves can infuse the spirit of
productivity to the challenges and obstacles that lie ahead. Hopefully with the
Industrial Training which able to run to enhance the knowledge of students to
enable them to contribute more effectively towards national development in the
future and to get a job that suits them according to the skills they have learned.

In conclusion, the objective of the training period is to:
a) To expose students to the real working environment.
b) Lets students see the connection between theoretical learning with practical
work.
c) Adopt and comply with safety regulations in the industry.
d) Establish and strengthen confidence in the performance of duties.
e) Instill teamwork and good relationships with other employees.
f) Ability to assess themselves to prepare for the working world after graduation.
g) Raise awareness and increase student interest in the subject selected.
h) Uplifting honest, trustworthy, dedicated, and responsible for the tasks assign

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1.3 THE IMPORTANCE OF INDUSTRY TRAINING.

Industrial Training must be lived by all students in public higher education
institutions or Private as a prerequisite for qualifying students receive a Certificate
Diploma or Degree in majors taken. It is not so qualified, but it is to create
awareness about the situation in the working environment. With the Industrial
Training many useful and valuable experience gained as supply before set foot in
the sphere of employment. It also can build confidence with the experience and
knowledge available. So quite easy and convenient to carry out the work which
will be given later.

Industry training is important because such training can expose students to the real
working environment. It also can add and expand technical knowledge and skills
of the student, if the student has previously acquired knowledge is limited, but
when students attend this training, students can find out more about things, and
when something will work. In addition, students can learn about the latest
technology or skills in Training Industry.

In addition, this exercise also introduces the students themselves in terms of ability,
willingness, and attitude to the employer. This exercise can highlight the ability of
students to work hard and to work with dedication and show a positive attitude to
the employer.

This exercise is also important as it can get rid of inferiority complex while a
student at the Polytechnic, but when students are in training it is likely he will meet
with officials of high rank or attend meetings and provide jobs to foreign workers.
Throughout this exercise, students can handle a problem with wise through
experience that has been through this before. The value of respect for those around
him will arise within the student if the student’s Industrial Training heartfelt and
sincere. It is hoped that these properties will be sustained in the future.

The conclusion that can be defined on the importance of industrial training are:
a) To build and strengthen the students to be more confident to face any task and
tribulations faced in the workplace.
b) Planting teamwork and good relations between workers and employees of an
organization.
c) To expose students to the real working environment.
d) To make students do not face any difficulty or clumsy when start working soon.
e) Adopt and comply with safety regulations in the industry.
f) Linking theory to practice and so on.
g) Build confidence.
h) Honesty and responsibility in performing tasks.
i) Provide an official report on completion of training

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CHAPTER 2

BACKGROUND OF INDUSTRY TRAINING PLACE

2.1 INTRODUCTION
2.1.1 PROFILE COMPANY

Figure 2.1.1 KPJ Johor Specialist Hospital Building

Johor Specialist Hospital Sdn. Bhd. better known as KPJ Johor Specialist Hospital
(KPJ Johor) opened its door to the public in May 1981. KPJ Johor is the first private
hospital in Johor under the KPJ Healthcare Berhad (KPJ) Group of Hospitals, the
largest network of private healthcare providers in Malaysia.
KPJ Johor functions as a one-stop diagnostic and therapeutic care centre. KPJ Johor is
backed by a comprehensive range of Specialists and Sub-specialists together with a
24-hours Accident & Emergency Services and a bed capacity of 268 beds.
With 40 years of experience to date, KPJ Johor excels in multiple self-developed and
collaborative Centre of Excellences in Radiotherapy & Oncology Centre, Cardiac
Centre, IVF Centre (Monash IVF KPJ).KPJ Johor’s clinical side is also backed by
state-of-the-art technologies & systems, various supporting services, and continuously
improved environment and facilities to provide holistic healthcare services.

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2.1.2 VISION, MISSION, CORE VALUES

Vision
The Preferred Healthcare Provider
Our fundamental purpose is the delivery of exceptional health treatment, care, and
diagnosis to all our patients. We are dedicated to being the preferred provider of care,
with innovative use of technology, experienced doctors and well-trained staff who
collaborate to offer the best diagnosis and treatment plans.

Mission
Delivering Quality Healthcare Services
Our mission is to improve the health of the people and the communities we serve. Led
by skilled and caring medical staff, we are consistently focused on clinical excellence
and innovative technology for superior patient outcomes.

Core Values
• Safety
• Courtesy
• Integrity
• Professionalism
• Continuous improvement

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2.1.3 THE PATIENTS’S RIGHT AND RESPONSIBILITY

Patient's Rights
1. Right to acceptable health care and to be treated with respect and dignity within
surrounding of reasonable privacy
2. Right to choose of care, choice of consultant and right to second opinion
3. Right to adequate information regarding care, informed consent and participation in
decision making affecting the patient's care.
4. Right to appropriate grievance redress mechanism.
5. Right to a health and safe environment.

Patient's Responsibility
1. Shall cooperate, participate, and comply with their medical care.
2. Shall keep appointments and follow up treatment.
3. Shall provide accurate and complete information including use of traditional
medicine and shall accept all the responsibility of the patient's own informed decision
4. Has a responsibility to follow the rules and regulations of the hospitals.
5. Shall so conduct himself/herself so as not to interfere with the wellbeing of other
patients or providers of healthcare of facilities.
6. Has a responsibility to settle all financial cost and expenses incurred and due or
upon demand.

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2.1.4 KPJ JOHOR EMBLEM

Figure 2.1.4 Logo KPJ Johor
Kumpulan Perubatan Johor
From its inception to the end of 2009, KPJ Healthcare Group (KPJ stands for
Kumpulan Perubatan Johor), which mainly involved in private hospital care business,
was expanding very fast within Malaysia. By then, the KPJ Group was the largest
healthcare service provider listed on the Bursa Malaysia.
Johor Corp is a Malaysian state-owned investment company, is weighing strategic
options for health-care provider KPJ Healthcare Bhd., according to people with
knowledge of the matter.
The investment arm of the Johor state government is seeking ideas from potential
advisers, said the people. Options could include bringing in an investor with
experience in the sector or a merger with another hospital operator, said the people,
who asked not to be identified as the process is private.
Johor Corp. has indicated that it would want to maintain its controlling stake in any
deal for the Kuala Lumpur-listed firm, said one of the people. It owns 38.7% of KPJ,
according to data compiled by Bloomberg.

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2.1.5 BRAND SIGNATURE
KPJ Group made its mark in healthcare-related industries, primarily KPJ Senior
Living Care services and Healthcare Education. These thriving sub-sectors hold
tremendous potential for the future, in line with the increasing consumer demand.

Our hospitals continue to be recognised by accreditation bodies such as the Malaysian
Society for Quality in Health (MSQH) and the Joint Commission International (XI).
KPJ hospitals have been certified by Integrated Management System (IMS) that
integrates and emphazies on the Quality Management System (MS ISO 9001:2015);
Environment (MS ISO 14001:2015); Occupational Safety and Health (OHSAS
18001:1999) Systems as well as other ISO and SIRIM certifications.

KPJ has always kept the communities interest close to heart, and we reach out to the
under privileged through various channels. The Community Service is the provision
of care through our network of Clinic Wakaf An-Nur (KWAN) charity clinics. There
are 18 KWAN clinics and 1 Hospital Waqaf An-Nur (HWAN) in Malaysia today, as
well as five mobile clinics in Kuala Lumpur, Johor, Selangor, and Kelantan.

Our efforts have enabled more than one million patients since the inception of the first
clinic in Johor in 1998.

2.1.6 LOCATION
KPJ Johor Specialist Hospital

Figure 2.1.6.1 KPJ Johor Specialist Hospital Main Entrance
Johor Specialist Hospital opened its doors to the public in May 1981, as the first private
hospital in Johor. Located on a 5-acre site off Jalan Abdul Samad Johor Bahru, Johor
Bahru.

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Figure 2.1.6.2 KPJ Johor Maps
Johor Specialist Hospital ,39B, Jalan Abdul Samad, Kolam Ayer, 80100 Johor

Bahru, Johor.
Tel: 607-2253000 Fax: 607-2253063

Email: [email protected]

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2.2 ORGANIZATIONAL CHART
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2.3 ORGANIZATIIONAL INFORMATION
2.3.1 Biomedical Organization Structure

MOHAMAD FIRZI MUKHRI BIN ALI
BIOMEDICAL ENGINEER

SAIDATUL AINA BINTI KHAIRUL AIMAN BIN NOOR ATIRAH BINTI
MOHD YUNUS NORDIN MOHD FUDZI

(BIOMED TECHNICIAN) (BIOMED TECHNICIAN) (BIOMED TECHNICIAN)

BIOOMEDICAL

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2.4 DEPARTMENT FUNCTION
2.4.1 HEAD OF SERVICES

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2.4.2 UNIT MANAGER
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2.4.3 MEDICAL OFFICERS
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CHAPTER 3
SUMMARY OF INDUSTRIAL TRAINING ACTIVITIES

3.1 INTRODUCTION
Run for 20 weeks training period in Biomedical Services has some exposed me to the
real working world. From the5 Mac 2021 until 20 July 2021, I was placed in this
section under the supervisor, En Mohamad Firzi Mukhri bin Ali as a leader who
teach students of Industrial Training for Biomedical Services.
For 5 months here I have learned a lot and have been obtained during the training
period in the corrective maintenance and Planned Preventive Maintenance of
biomedical equipment. In summary and comprehensive it can I explain my job over
this weekly Training Industry.

Figure 3.1 KPJ Johor outpatient building

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3.2 SUMMARY OF INDUSTRIAL TRAINING ACTIVITIES

WEEK 1 (5 MARCH 2021 – 13 MARCH 2021)
Meet Pn Aisyah at Talent Management to report attendance as practical student at
KPJ Specialist Hospital Pn Aisyah had explained about the few rules and
guidelines as the practical student at the KPJ JOHOR. I had attend to the
maintenance department and in charge by Ms Athirah and Ms Aina who is the
biomed staff at the KPJ JOHOR. Ms Athirah had bring us to visit the all ward and
treatment room at the KPJ JOHOR building. After that, I meet with En .
Muhammad Firzi Mukhriz Bin Ali to get the sign and confirmation letter as
pratical student at biomed department from Politeknik Sultan Abdul Aziz Shah.
En Firzi as the Biomed Engineer had give the explanation about the Biomedical
Trainee Manual to me. I had follow Ms Athirah to do corrective maintenance for
the bedside guide rail at the ward. The cot side rail are broken and need to change
with the new cot side rail.

Figure 3.1.1 cot side rail patient’s bed LKL

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WEEK 2 ( 15 MARCH 2021 – 19 MARCH 2021)
I had attend the T&C of warmer machine ( ATOM) at HDU,vendor had set up the
warmer unit and do the EST test (IEC 60601-1). After that, vendor do the
performance test to check the warmer unit function and teach user and biomed
enginner how to use their warmer unit model of ATOM. I also have update the
calibration date and seriel number of equipment had do calibration in BEMS
folder. I also had learned how to do a condemn letter to dispose the medical
equipment at the KPJ Johor Specialist Hospital.

Figure 3.2.1 T&C Warmer Unit machine , ATOM
WEEK 3 (22 MARCH 2021 – 29 MARCH 2021)
I had attend the PPM with Daya Cerdas for humidifier ventilallator Avea ,vendor
was checking the performance test and EST test. The humidifier have be check by
using the Rigel analyzer while during the EST test. The humidifier are checking by
using IEC62353, CLASS I. The humidifier are used to increase the heat and water
vapour content of inspired gas.

Figure 3.3.1 PPM of humidifier Ventillator Avea using Rigel analyzer

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WEEK 4 (30 MARCH 2021 – 3 APRIL 2021)
I had attend the breakdown of Paramount patient’s bed at HDU. The bed can’t be
control by using the remote control. The control are suspect faulty and need to be
cahnge with the new control box. Other than that, I had attend the breakdown of
electrosurgical machine at OT room. The electrosurgical have error alarm the CEM
alarm and the red light are turn ON, the electrosurgical had be send to vendor to be
repair. I had do EST test and performance test with biomed techinician for ECG
machine MAC2000 because user are complaint that ECG waveform are not stable
during get the patient ECG result. We had use the ECG simulator to checking the
leakage current and all the function of ECG leads. The ECG machine had calibrated
to the low frequency to get the stable waveform.

Figure 3.4.1 ECG waveform not stable and the ECG simulator to calibrated the
waveform.

WEEK 5 ( 5 APRIL 2021 – 10 APRIL 2021)
I had attend the PPM of shockwave machine and laser machine at physioterapy with
vendor. Vendor had do the EST test for IEC62353, CLASS I for laser machine and
CLASS II for shockwave machine. All the parts are be checked based on the checklist
and the all function are be test using the analyzer.

Figure 3.5.1 PPM of Laser Therapy Machine
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All the probe and laser probe have be test and checked , the applied parts are in good
condition same like the machine and the all test input and output value.

Figure 3.5.2 PPM of shockwave therapy machine.
WEEK 6 ( 12 APRIL 2021 – 17 APRIL 2021)
Corective maintenance of syringe pump B. Braun, the plug adapter are faulty and the
syringe stand holder screw are loose. We had change the new adapter and wait part of
the stand from the supplier. I had change the weightscale battery . Morerver, I had do
the payment certificate for PPM with my supervisor for medical equipment at KPJ
Johor. I need to make sure the all price of PPM, the jobsheet and the service report are
complete before hand in to the finance department.

WEEK 7 ( 19 APRIL 2021 – 24 APRIL 2021)
I had attend one of the breakdown of GA machine at cathlab with biomed technician,
we had change the oxygen sensor of GA machine cause of the eroor of low oxygen are
be appear at the GA screen display.

Figure 3.7.1 Oxygen sensor of GA machine.
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WEEK 8 (26 APRIL 2021 – 29 APRIL 2021)

Updated the details of maintenance record of biomedical equipment at Asset
Management System. The functions of system are used to collect and keep the all data
of asset and this system also can help user to find the details of equipment with more
easy.
I had took the medical check up on date 27hb April 2021 and 30hb April 2021 because
od feeling unwell.

WEEK 9 ( 3 MAY 2021 -8 MAY 2021)
Troubleshoot patient’s bed paramount , the control panel are problem cause the
function can’t be use properly. Vendor have checked the control panel by swap the
control panel with the others unit. Its showed that the control box are problem and
needs to troubleshoot. Beside that, we had attend the PPM of tympanometer at
audiologi. Vendor had do EST test to the tympanometer and had do the performance
test to the tympanometer.

Figure 3.9.1 PPM of Tympanometer

WEEK 10 ( 10 MAY 2021 – 11 MAY 2021)
Checking the Opthalmascope , change the bulb and the battery. Corrective
maintenance of panel screen display of Camera Atherex System. Change the warmer
unit side connecter bed broken at nursery. This breakdown is my first case attempt by
myself and I had learned and follow the all prosedure like biomed techinician are
showed to me.

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Figure 3.10.1 change the side connecter of warmer unit.

WEEK 11 ( 17 MAY 2021 – 22 MAY 2021)
I had do the technical slide of Asset Meeting Ultilization Comitee May 2021. I had list
the specifications technical features for each equipment are user reccomended to buy
as a new asset for this year. For instance, perfusion online data system, weighing scale
bed (ICU), patient monitor (ICU), Urodynamic Machine, Stress Test System, and High
Nasal Flow machine.

WEEK 12 ( 24 MAY 2021 – 26 MAY 2021 )
Change the fuse of vital sign 4 at the dialysis centre. The VS4 fuse are blow cause the
battery can’t be charge and the power chord already spoilt. We had change the new
power chord of VS4.

Figure 3.12.1 Fuse changing of VS4 monitor.

I had took swab test on 27hb May 2021 because feeling unwell, so this is one of action
during pandemic Covid-19 to avoid from spread the virus to others comitee at the KPJ
Johor Specialist Hospital. I had also do the quarantin for 2 days and get the result on
Friday, 28hb May 2021.

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WEEK 13 ( 31 MAY 2021 – 5 JUNE 2021)
I had change the cot side rail with biomed technician Ms Aina, the LKL cot side rail
are broken maybe cause of the long-life span, so we had change it to the new to avoid
the patient from falling down during laying on the bed. Other than that, the defibrillator
at physio are low battery. We had changed it with the new battery. ICU monitor are be
replaced. CR machine at level 7 are troubleshoot by swap the monitor and mouse, the
netwrok card insdie are loose cause of high shock moving during the transfer of CR
machine from level 2 to level 7.

WEEK 14 (7 JUNE 2021 – 12 JUNE 2021)
EPOC machine are updated, have 2 units of EPOC machine at CICU needs to be
update. Both machine are in good condition. EPOC machine are use for enable
comprehensive blood analysis testing at the patient’s side on a single room.

Figure 3.14.1 EPOC machine.
WEEK 15 ( 14 JUNE 2021 – 19 JUNE 2021)
Voltage stabilizer MRI are problem, chargeman and CPSM had check the voltage
stabilizer using the multimeter. The value of voltage input and output are not stable
and needs to calibrate. Keratometer at clinic Dr Asri are do PPM by Topcon. IDS had
PPM the vital sign at the WBC and PPM ot liht minor at OT room.

Figure 3.15.1 voltage stabilizer problem
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WEEK 16 ( 21 JUNE 2021 -26 JUNE 2021)
Biomed technician had the training system online for ABMA anti bribery management
system online. The paramaount bed at 722A had panel problem, the leg side can’t be
control. Suspect the motor had problem and needs to troubleshoot. En Firzi and En
Salleh had do the site visit for the Linac replacement. Its for the MRI chiller
replacement soon at KPJ Johor.

Figure 3.16.1 site visit for Linac replacement

WEEK 17 ( 28 JUNE 2021 - 3 JULY 2021)
Fridge medication at treatment room are high temperature, Mr Aiman had checking
the temperature value of medication fridge and wait for vendor Bayna to troubleshoot
it. On 28hb EEG machine have land at KPJ Johor for T&C , assist by Ms Aina and Ms
Juwa.

Figure 3.17.1 EEG machine

WEEK 18 ( 5 JULY 2021 – 10 JULY 2021)
KPJ staff have ABMS training for the ISO 37001: 2016 standard requires an
organization to conduct internal audits to determine the effectives of its ABMS.
Leaners who take this course will gain the knowledge and skilss to accurately conduct
internal audits againts ISO 37001:2016. They will increase their understandingof
proccessed based audits and risks based things.

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WEEK 19 ( 12 JULY 2021 – 17 JULY 2021)
I had updated all my jurnal report and jurnal refleksi for 20 weeks during internship at
KPJ Johor based on group breakdown updated. Other than that, I also had prepared
slide for my final presentation. All breakdown and PPM had handling by KPJ biomed
staff during this Movement Control Order (MCO). During this MCO i have work from
home and do a lots of research from medical equipment website for gain my
knowlegde.
WEEK 20 ( 19 JULY 2021 – 20 JULY 2021)
Updated my log book and report of industrial training. I had settel up the invoice during
the lockdown during May to June. We had celebrated the last day at KPJ with the staff
at KPJ Johor.
Public holiday on date 19hb July -20hb July 2021.

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CHAPTER 4

TECHNICAL REPORT

4.1 INTRODUCTION

Due of Internship: 5 March 2021 until 20 July 2021

Technical reports lead to tasks or work that has been performed during training
industry. Each assigned task must follow processes and procedures that have been set
it carried out in stages. I ensure all organizational management can runs smoothly
without causing any problems. Inside this chapter, students are asked to report all
activities performed that involves a work process that has been performed for 20 weeks
at the company. Everything work involving these activities and processes shall done
so that students can know and learn how to handle the work well. In this Chapter, I
will explain more way of working while undergoing Industrial Training at KPJ Johor
Specialist Hospital for 20 weeks. This chapter also explains how Maintenance works
30 prevention and repair of damage with more detailed. Furthermore, in this chapter I
will give a description of each relevant meaning by means of work, equipment used,
type hospital equipment and so on.

4.2 PLANED PREVENTIVE MAINTENANCE (PPM)
“Planned Preventive Maintenance ('PPM') or more usual just simple Planned
Maintenance (PM) or Scheduled Maintenance is any variety of scheduled
maintenance to an object or item of equipment. Specifically, Planned Maintenance is
a scheduled service visit carried out by a competent and suitable agent, to ensure that
an item of equipment is operating correctly and to therefore avoid any unscheduled
breakdown and downtime.”

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4.2.1 SPECIFICATIONS / TOOLS ARE USED FOR EST TEST AND
PERFORMANCE TEST DURING THE PLANED PREVENTIVE MAINTENANCE
(PPM)

4.2.1.1 ESA 620 FLUKE

Figure 4.2.1.1 ESA 620 FLUKE
The ESA620 Electrical Safety Analyzer represents quality excellence in manual
preventive maintenance for the biomedical technician and clinical engineer that
perform tests on medical equipment. With selections of three test loads, protective
earth test currents, and two insulation test voltages this versatile product can be used
worldwide to test to their standard of choice. Equipped with ten ECG posts, the
ESA620 simulates of ECG and performance waveforms so both electrical safety and
basic tests on patient monitors can be performed with a single connection. his full-
featured electrical safety analyzer comes standard with test leads for 2-wire
protective earth measurements, and with optional leads offers the timesaving 4-wire
technique. Additionally, the 25-A-device receptacle allows for testing of those
devices that need it, so the technician is not limited to only test 15-A equipment.

4.2.1.2 ESA 615 FLUKE

Figure 4.2.1.2 ESA 615 FLUKE
The ESA615 Electrical Safety Analyzer brings fast and simple automated testing in
the form of a portable analyzer to healthcare technology professionals that perform
electrical safety testing on medical equipment both in the field and in facilities.
Whether it is simple testing or comprehensive analysis, the ESA615 can do it all. The
ESA615 is an all-in-one solution with a safety analyzer and ECG simulator in a single
electrical safety test instrument.

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4.2.1.3 Rigel 288+ Electrical Safety Analyzer

Figure 4.2.1.3 Rigel 288 Electrical Safety Analyzer
The Rigel 288+ electrical safety analyzer offers an accurate and fast solution for
meeting international and local safety standards are using standard AA batteries,
tests can be carried out for insulation, earth/ground bond testing, and touch or
point-to-point leakage current testing.
Benefits EST to IEC/EN62353, AAMI/IEC/EN 60601-1 & more, built-in
electronic data storage, flexible user-definable test routines, battery-powered
leakage, insulation & earth/ground bond tests, 50/100/250/500V DC insulation
testing, automatic secondary verification ensures the correct result first time,
small & compact with direct printing via bluetooth connectivity, available in a
wide range of power configurations, compatible with Med-eBase for simple asset
management.

4.2.1.4 ProSim 4 Vital Sign and ECG Simulator

Figure 4.2.1.4 ProSim Vital Sign and ECG Simulator
Designed to get you in and out of most locations in 60 seconds, this quick-check
device tests 12-lead ECG, respiration, IBP, NIBP with an easy touchscreen menu
designed for troubleshooting fast. It is 90 % smaller and lighter than single-
function patient simulators, provides one-tap testing for most patient monitor
checks, and runs all day on a single battery charge.

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4.2.1.5 ProSim 8 Vital Signs and ECG Patient Simulator

Figure 4.2.1.5 ProSim 8 Vital Signs and ECG Patient Simulator
Designed to make comprehensive patient monitor testing fast and easy, ProSim 8
vital signs simulator offers total patient monitor quality and safety testing from
non-invasive blood pressure (NIBP) static pressure linearity and dynamic pressure
repeatability tests, EC13 and ACLS ECG waveforms, to complete Nellcor and
Nonin SpO2 low perfusion and Masimo Rainbow SET. Featuring specialized stay-
connected ECG posts to ensure secure lead connections, ProSim 8 is the preferred
tester for patient monitor quality assurance and safety professionals.

4.2.1.6 ProSimSPOTLightSpO2PulseOximeterAnalyzer

Figure 4.2.1.6 ProSimSPOTLightSpO2PulseOximeterAnalyzer

SPOTLight is lightweight and flexible with three custom pre-sets specially designed
to make it the fastest and easiest-to-use pulse oximeter analysis device on the market
today for SpO2 functional testing. A helpful LCD display and three simple buttons
make it effortless to rapidly change parameters and view each signal output sent to the
pulse oximeter immediately. An interchangeable, long-life battery ensures
uninterrupted all-day operation without need to connect to a power supply. SPOTLight
sets up in seconds to send Peripheral capillary oxygen saturation (SpO2), heart rate,
perfusion, transmission, artifact noise, and eight different manufactures custom R-
curves to a pulse oximeter or patient monitor.

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4.3 UNPLANNED PREVENTIVE MAINTENANCE

Unplanned maintenance is maintenance that is totally unexpected. There is no plan in
place to complete it. There are two situations which is corrective maintenance and
emergency breakdown. It can be by user or conditions of the medical equipment. For
example, in this situation I had troubleshoot many types of medical equipment to
corrective maintenance the breakdown such as repair the cot side rail of patient’s bed,
replace the fuse of vital sign, replace the battery of defibrillator and vital sign machine,
and troubleshoot the control box of patient’s bed.

4.4 EMERGENCY BREAKDOWN

Emergency breakdowns are the situation when the equipment is urgent to be repaired
to maintain the quality of patient treatment at the hospital. It is usually at operation
treatment equipment and ICU ward equipment. It is because the department must be
standby their equipment for cases.

4.4.1 Breakdowns Tools

Figure 4.4.1 Proskit Electronic Tools Kit

4.5 BEYOND ECONOMIC REPAIR (BER)

Beyond Economic Repair means the medical equipment are not economical to repair.
The medical equipment will be disposed. BEMS staff will write a condemn letter to
user to dispose the equipment with this reason such as age of equipment is more than
10 years, the manufacture stops to production of that equipment, manufacture stop
supports for spare part and beyond economic repair (BER). The condemn letter must
be send to finance. Get the CEO and HOS signature.

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4.6 TESTING AND COMMISSIONING (T&C)
Testing and Commissioning (T&C) are the parts of installation equipment in the
hospital. The new equipment needs to be testing by the vendor follow the IEC standard
and briefing by vendor how to use their equipment. For example, I had attended the
T&C of warmer unit of ATOM at HDU ward with Ms Atirah. The vendor had come
and set up the warmer unit and had do the EST (IEC 60601-1) to the warmer unit. The
vendor has done performance test to check the warmer unit function.

4.7 OPERATIONS OF SureSigns VS4 MONITOR
4.7.1 Introduction
The SureSigns VS4 is a vital sign monitor that measure blood pressure, pulse
rate, oxygen saturation (SpO2) and temperature.

Figure 4.7.1 Suresign VS4 monitor

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4.7.2 Vital Sign 4 monitor label function.
31

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4.7.3 Basic operations of Vital Sign 4.
Setting up the monitor
Philips recommends that a battery is always installed in the monitor.
Connect the power cord to the power connector on the monitor’s rear panel
and to an AC power source. Ensure that AC outlet is properly grounded and
supplies the specified voltage and frequency (100-240VAC, 50-60 Hz). Press
the ON/standby button.

1) Turn ON the VS4 using AC charge or battery power.
2) Press ON the standby button
3) Press the NIBP button to get the NIBP measurements.
4) Press the NBP interval key to get the NIBP interval menu.
5) Press the main screen button to back to main display.
6) All the setting will be save after changing and Exit the menu.
7) Press the print button to get the result of measurement.
8) Use the analog to control the main screen.
9) For choose another function, just select according the screen display.
10) Repeat step 4-6 to get another measurement value.

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4.7.4 Common problem of Vital Sign 4.

Changing the system date and time.

We need to touch the date and time panel in the lower right corner of the screen
display. Touch the value you want to change, a keypad appears. Enter the value
in the keypad and touch OK. After that, touch the apply button to save the
changes and the menu.

Adjusting the alarm volume.

Open the alarm menu and touch the alarm tone volume options. A keypad will
appear. Enter the value in the numeric keypad and touch OK. Press the main
screen key button to close the menu.

Silencing alarm.

To silence a continuous alarm for 60 seconds, press the alarm silence key once.
For silence a continuous alarm, press alarm silence key once. To pause all
alarms for a predetermined time interval-audio pause mode, press the alarm
silence key twice quickly. Silence all alarms indefinitely-audio off mode, press
alarm silence key for two second.

Enabling print on alarm.

Open the alarm menu and touch the print on alarm check box to select the
desired setting. Press the main screen key on the front panel to close the menu.

Changing the SpO2 response mode.

Open the SpO2 menu and touch the SpO2 response menu item to select one of
the following options which is slow, normal, or fast. Press the main screen key
to close the menu.

Enabling automatic NBP printouts.

Open the blood pressure menu and touch the auto print NBP check box to select
the enable and disable auto print setting. Press the main screen key on the front
panel to close the menu.

Adjusting the pulse rate volume.

Open the pulse rate menu and touch the pulse rate tone volume meu item.
Touch a number to increase or decrease the volume. Press the main screen key
on the front panel to close the menu.

Loading the recorder paper.

Press the paper eject button on the left side of the recorder door to open the
door. Remove the empty paper core. Place the new roll in the holder so that the
end comes over the top of the roll and side the paper through the slot in the
door. Pull the loose edge to remove any slack and close the recorder door. Press
the print key to verify that the paper is loaded correctly.

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4.7.5 Planned Preventive Maintenance (PPM) Vital Sign 4.

Keep the monitor, cables, and accessories free of dust and dirt. After cleaning
and disinfecting, check the equipment carefully. Do not use the equipment if
see any damage.

Safety precautions:
• Always dilute cleaning agents according to the manufacturer’s
instructions or use the lowest possible concentration.
• Do not allow liquid enter the case.
• Do not immerse any part of equipment in liquid.
• Do not use alcohol on the patient cables.

Cleaning and Disinfection the monitor:
• Lock the display monitor to avoid any unintended action.
• Do not immerse, autoclave, steam sterilize, or ultrasonically clean the
monitor.
• Do not clean electrical contacts or connectors with bleach.
• Use a soft cloth to clean the display window to prevent scratching.
• Clean the monitor using the soft cloth with mild soap and water.
• To disinfecting the monitor dampen a soft cloth with any disinfection
solutions like isopropyl alcohol, hydrogen peroxide or sodium
hypochlorite.

Cleaning And Disinfection the Probe Well.

• Disconnect the probe and remove it from the well.
• Remove the well from the monitor.
• Dampen a soft cloth with mild soap and warm water and wipe the

inner and outer surface.
• Thoroughly dry all of the surface before replacing the well in the

monitor.

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The parameter of NBP module.

Parameter Specification
Systolic
Diastolic 30mmHg - 270mmHg (4.0kPa-36.0kPa)
MAP 10mmHg – 245mmHg (1.3kPa-32.7kPa)
Pulse Rate range
20mmHg-255mmHg (2.7kPa-34.0kPa)
Blood pressure 30bpm – 300 bpm
accuracy
Pulse rate accuracy Accuracy: ± 2% from 70% -100%

Initial Cuff Inflation Maximum standard deviation L 8mmHg

Temperature Maximum mean error: ± bpm
specifications
• 40bpm - 100 bpm: ±5bpm

• 101bpm - 200bpm: ± 5% of reading
• 201bpm – 300bpm: ± 10% of reading

Adult: 160mmHg (21.3kPa)

Pediatric: 140mmHg (18.7kPa)

Neonatal: 100mmHg (13.3kPa)
Monitored mode measurement: 26.7℃ - 43.3℃
Predictive mode measurement: 34.4℃ - 40.6℃
Accuracy: ± 0.1℃

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4.7.6 Breakdown Vital Sign 4.
Screen display faulty cannot be switch ON.
Open the screw cover of monitor display using the screw driver and change
the new LCD display. Ms atirah had teach me how to open the LCD display
using the proskit kit tools.

Vital sign fuse blow.
Open the fuse casing using the test pen, and replace the new fuse into right
place. Turn on the monitor and try to calibrate the date and time.

BP cuff error pressure.
The BP cuff cable have a leakge, so need to change with the new cable cuff.
The pressure of cuff are low cause of the cable leakage.

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CHAPTER 5

FINDINGS AND RECOMMENDATIONS

5.1 FINDINGS

Alhamdulillah, Praise to Allah for giving me this opportunity to gain
knowledge and experience as a biomed technician at KPJ Johor Specialist Hospital. A
hospital is a battlefield for the medical worker to save someone’s life. Same likes
engineer staff worker, them also one of the importance for help medical staff doing
work smoothly to save someone’s life. Biomed staff of KPJ Johor are very friendly
and generous for sharing a lot of knowledge to me. I feel very lucky to have the
opportunity to get to know them.

Moral values and good attitude are really applied by the trainers. As a trainee
I was educated for do my duties with honesty and trust because this value will give the
quality work of one’s work and one’s trust in us. Other than that, I had learned that we
must have the confident while doing work. It is because as a biomed technician will
meet and communicate with staff at hospital and vendor. So that, the communication
skills are very importance in work.

Furthermore, I can apply the knowledge I learned theoretically or practically
in KPJ Johor Specialist Hospital. I also improve my skills and understanding in the
biomedical engineering to another level because during my internship I had learned
how to troubleshoot a lot of medical equipment under biomed technician guiding and
I have also been exposed to various medical equipment. I had exposed and knowing
the various of imaging medical equipment such as MRI, CT-Scan, x-ray mobile,
lithotherapy equipment, physiotherapy equipment, ICU and A&E department
equipment. I can use all this experience as my preparation for the real work in the
future.

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5.2 COMMENTS AND RECOMMENDATIONS

On this occasion I want to give a little review and suggestion to all who get involved
during my internship. This comment and recommendations are also for Polytechnic
student who get involved in this internship. I hope my recommendations will be
considered and can help student Polytechnic and KPJ Johor also in the future.

During my internship, I took quite a long time to get to work at KPJ Johor
Specialist Hospital. I recommend to KPJ Johor to providing hostel for student during
their internship. The existence of a hostel can make it easier for student going for
internship. Other than that, I hope KPJ Johor will improve their safety issue in
workshop for make sure all worker wearing their safety boots to avoid injury while
performing work.

In addition to this, Polytechnic its necessary to emphasize to the student to do
initial preparation before going to industrial training. For example, student must be
prepared to bring their own test pen and another simple tools for repair medical
equipment. Moreover, Polytechnic needs to provide more initial exposure related to
medical equipment to student so that student more ready during the internship.

I also suggest to Polytechnic to emphasize students to choose the right
organization so that their achieve objective of internship. Other than that, I suggest to
student for choose their internship place as close as they can with house for avoid the
costing during internship.

Lastly, student needs to maintain ethics as practical student while undergoing
the internship to maintain the image of the Polytechnic. Student also needs to be polite
and honest during the internship. Student also need to apply curiosity throughout
internship to gain knowledge during the internship. Student also need to practice being
more friendly and not shy for asking if get any questions so that it is easy to acquire
knowledge. As a student we also do not have to give up if faced with the difficulties
and always believe that there is various way of solutions to overcome all problems.

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CHAPTER 6

CONCLUSION

6.1 CONCLUSION

After undergoing 20 weeks of industrial training at KPJ Johor Specialist Hospital there
are a lot of new knowledge that can be learned and I get to understand altogether on how this
firm plays an important role in industrial field, especially in Quantity Surveying. Exposure
that has been given to me by KPJ Johor staff about the working and technical aspect is a very
meaningful knowledge to me to prepare myself before stepping into the real work environment
on the upcoming days.

I hope with the implication of the Industrial Training, there will be no more anomalous
feelings when the students started working after they have finished their course later. The staff
at KPJ Johor are very helpful and friendly. They gave me a lot of exposure on the terms of
reference and procedures related to the process of my work. Other than that, the exposure
visiting the other KPJ Johor, meeting atmosphere and so on also give a useful knowledge to
me. Exposure that was given to me at this firm can provide the picture on a real-life situation,
the task and responsibility that would be carried by some people on the field.

Lastly, student involvement in industrial training like this can prove and further
strengthen student's identity in undergoing training in technical field, at the same time making
Polytechnic as practical platform of education. Apart from that, the format report that needs to
be done by students after undergoing industrial training also can train each of the student in
preparing technical report that is complete, compact and in a right order that can be made as
an important knowledge when they face a real situation later. This is fit with the Polytechnic
objective that is to produce a workforce that are high in quality and partially professional in
this country.

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REFERENCES
i)Buku Jurnal Refleksi Pelajar
ii) http://www.frankshospitalworkshop.com/
iii)https://www.altramedical.com/phillips-suresign-vs4-vital-signs-monitor/
iii)https://www.kpjjohor.com

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