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* 1. How many infusion pumps are you responsible for? 

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* 2. How many tech hours/year are devoted to pump and module scheduled maintenance? Please estimate if the exact number is not known and indicate that it is an estimate.

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* 3. How frequently are pumps PM'd?

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* 4. How many failures/year are detected during pump scheduled maintenance? Please estimate if the exact number is not known and indicate that it is an estimate. If you don't have this data enter "unknown"

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* 5. For Pumps: Are you employing an Alternate Equipment Management (AEM) program or following manufacturer directions for scheduled maintenance or doing something else?

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* 6. Optional: For pumps: estimate the total number of annual repairs (total number of repairs required in a year, including repairs required as a result of scheduled maintenance). If the data is not available enter "unknown".

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* 7. It will help to know what pump manufacturers and models are included in the above data so that we can encourage them sending PCD messages.

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* 8. Please add comments, suggestions, questions

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* 9. How many fixed and mobile physiologic monitors are you responsible for? Please estimate if necessary (and indicate it is an estimate). 

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* 10. How many tech hours/year are devoted to fixed and mobile physiologic monitor scheduled maintenance? If you have these separately please indicate each. Please estimate if the exact number is not known and indicate that it is an estimate.

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* 11. How frequently are monitors PM'd? If different for fixed and mobile please explain in comment field.

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* 12. How many failures/year are detected during monitor scheduled maintenance? Please estimate if the exact number is not known and indicate that it is an estimate. If you don't have this data enter "unknown".

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* 13. For Monitors: Are you employing an Alternate Equipment Management (AEM) program or following manufacturer directions for scheduled maintenance or doing something else?

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* 14. Optional: For monitors: estimate the number of repairs required annually (total number of repairs required in a year, including repairs required as a result of scheduled maintenance).  If the data is not available enter "unknown".

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* 15. It will help to know which  monitor manufacturers are included in the above data so that we can encourage them sending PCD messages.

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* 16. What data would you most like to receive from devices to help you manage them and manage your responsibilities? You may choose from the list provided in the email or suggest some we didn't list. Thank you

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* 17. Please provide your contact information

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* 18. For the scope of your answer and not for the larger organization if you are not responding for that: Are you responding as a local, regional, or national operation?

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* 19. How many beds are in the hospitals you are responsible for serving?

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* 20. How many hospitals and related organizations are you responsible for serving? Please indicate hospitals and others (e.g., skilled nursing) separately. Thank  you.

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* 21. Optional: What company's CMMS are you using? This is to provide a sense of where the data comes from. 

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* 22. Thank you for participating in this effort!

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