Medical
Equipment
Technical
Skills
CONT ENT S
01
Equipment
Domains
&
Device
Knowledge
02
Preventive
Maintenance
&
Repair
03
Calibration
,
Testing
&
Measurement
04
Electrical
Safety
Testing
05
Imaging
Systems
Competencies
06
Electronics
&
Hardware
Skills
07
Software
,
Connectivity
&
Cybersecurity
08
Regulatory
,
Standards
&
Compliance
09
Documentation
,
CMMS
&
Asset
Management
10
Specialty
&
Advanced
Skills
11
Tools
&
Test
Equipment
Matrix
12
Proficiency
Scale
&
Self
-
Assessment
01
Equipment
Domains
&
Device
Knowledge
Technical
familiarity
with
the
categories
of
equipment
found
in
acute
care
,
ambulatory
,
laboratory
,
and
specialty
environments
.
Life
Support
&
Critical
Care
Diagnostic
Imaging
Patient
Monitoring
&
Diagnostics
Mechanical
ventilators
—
volume
,
pressure
,
and
adaptive
modes
Anesthesia
delivery
systems
and
vaporizers
Defibrillators
,
AEDs
,
and
external
pacemakers
Infusion
pumps
,
syringe
pumps
,
and
volumetric
pumps
Patient
-
controlled
analgesia
(
PCA
)
pumps
Cardiopulmonary
bypass
and
ECMO
circuit
components
Intra
-
aortic
balloon
pumps
and
ventricular
assist
devices
Transport
ventilators
and
emergency
suction
units
Pulse
oximeters
and
capnography
modules
Blood
warmers
and
forced
-
air
patient
warming
systems
Radiographic
systems
—
computed
and
digital
radiography
(
CR
/
DR
)
Mobile
and
fixed
C
-
arm
fluoroscopy
units
Computed
tomography
(
CT
)
gantries
,
tubes
,
and
detectors
Magnetic
resonance
imaging
(
MRI
) —
magnets
,
gradients
,
RF
coils
Ultrasound
transducers
,
probes
,
and
beamformers
Mammography
systems
and
compression
assemblies
Angiography
and
cath
-
lab
imaging
chains
Nuclear
medicine
gamma
cameras
and
PET
/
CT
detectors
DEXA
bone
densitometry
systems
Image
acquisition
workstations
and
PACS
interfaces
Multiparameter
bedside
monitors
and
parameter
modules
Central
station
monitoring
and
telemetry
networks
Fetal
monitors
and
maternal
-
fetal
monitoring
systems
ECG
machines
,
stress
systems
,
and
Holter
recorders
EEG
,
EMG
,
and
nerve
conduction
systems
1 / 8
Surgical
&
Procedural
Equipment
Laboratory
&
In
-
Vitro
Diagnostics
Dialysis
,
Sterilization
&
Specialty
Systems
02
Preventive
Maintenance
&
Repair
Invasive
blood
pressure
(
IBP
)
transducers
and
cables
Non
-
invasive
blood
pressure
(
NIBP
)
cuff
and
hose
assemblies
Capnometers
,
gas
analyzers
,
and
anesthetic
gas
monitors
Ambulatory
and
home
-
use
monitoring
devices
Electrosurgical
units
(
ESU
) —
monopolar
and
bipolar
modes
Electrosurgical
analyzers
and
return
electrode
monitoring
Laparoscopic
towers
,
insufflators
,
and
light
sources
Surgical
lights
,
booms
,
and
ceiling
-
mounted
service
pendants
Operating
room
integration
and
video
routing
systems
Surgical
microscopes
and
ophthalmic
surgical
systems
Medical
lasers
and
laser
delivery
accessories
Pneumatic
tourniquets
and
sequential
compression
devices
Cryosurgical
units
and
radiofrequency
ablation
generators
Robotic
and
computer
-
assisted
surgical
platforms
Clinical
chemistry
and
immunoassay
analyzers
Hematology
analyzers
and
slide
stainers
Coagulation
and
blood
gas
analyzers
Microscopes
and
digital
pathology
scanners
Centrifuges
,
incubators
,
and
thermocyclers
Spectrophotometers
and
plate
readers
Pipettes
,
dispensers
,
and
volumetric
calibration
Laboratory
information
system
(
LIS
)
connectivity
Hemodialysis
machines
and
dialysate
delivery
systems
Reverse
osmosis
water
treatment
and
distribution
loops
Continuous
renal
replacement
therapy
(
CRRT
)
platforms
Peritoneal
dialysis
cyclers
Steam
sterilizers
(
autoclaves
)
and
vacuum
systems
Ethylene
oxide
and
hydrogen
peroxide
plasma
sterilizers
Washer
-
disinfectors
and
instrument
reprocessing
lines
Dental
chairs
,
handpieces
,
and
dental
sterilization
equipment
Ophthalmic
slit
lamps
,
fundus
cameras
,
OCT
,
and
phoropters
Rehabilitation
,
mobility
,
and
physical
therapy
devices
PM
scheduling
based
on
manufacturer
intervals
and
risk
PM
inspection
checklist
execution
and
sign
-
off
Functional
and
performance
verification
after
service
Battery
testing
,
conditioning
,
and
replacement
Filter
,
seal
,
and
tubing
replacement
Lubrication
,
belt
tension
,
and
mechanical
alignment
Compressor
and
vacuum
pump
maintenance
Calibration
adjustment
and
verification
records
Firmware
and
software
version
control
Fault
isolation
to
subsystem
and
component
level
2 / 8
03
Calibration
,
Testing
&
Measurement
04
Electrical
Safety
Testing
Board
-
level
repair
and
surface
-
mount
soldering
Connector
,
wiring
harness
,
and
cable
repair
Sensor
,
transducer
,
and
load
-
cell
replacement
Leak
testing
and
pressure
/
flow
verification
Pneumatic
and
fluidic
circuit
troubleshooting
Service
manual
and
schematic
interpretation
Technical
service
bulletin
and
field
correction
order
execution
Failure
analysis
,
root
cause
analysis
(
RCA
),
and
FMEA
Uptime
,
MTBF
,
and
MTTR
tracking
Spare
parts
inventory
and
obsolescence
planning
Vendor
,
OEM
,
and
ISO
service
coordination
Equipment
installation
,
acceptance
testing
,
and
commissioning
Decommissioning
,
sanitization
,
and
disposal
documentation
Electrical
safety
analyzer
operation
and
interpretation
Defibrillator
energy
and
synchronizer
verification
ECG
and
arrhythmia
simulator
testing
NIBP
simulator
and
pressure
leak
testing
SpO
2
simulator
testing
across
saturation
curves
Patient
simulator
use
for
multi
-
parameter
verification
Infusion
pump
flow
rate
and
occlusion
pressure
testing
Ventilator
flow
,
volume
,
and
pressure
analyzer
testing
Gas
analyzer
calibration
and
oxygen
cell
verification
Temperature
measurement
and
calibration
baths
Ultrasound
power
meter
and
acoustic
output
testing
Radiation
dosimetry
and
ion
chamber
measurement
Light
meter
and
photometric
verification
Torque
wrench
verification
and
mechanical
calibration
Oscilloscope
,
signal
generator
,
and
spectrum
analyzer
use
True
-
RMS
digital
multimeter
and
current
clamp
measurement
Measurement
traceability
,
uncertainty
,
and
calibration
intervals
As
-
found
and
as
-
left
documentation
practice
IEC
60601-1
electrical
safety
testing
methodology
IEC
62353
in
-
service
and
repeat
testing
Earth
continuity
and
protective
conductor
resistance
Earth
leakage
current
measurement
Enclosure
(
touch
)
leakage
current
measurement
Patient
leakage
current
measurement
—
Type
B
,
BF
,
CF
Patient
auxiliary
current
measurement
Applied
part
isolation
and
dielectric
strength
testing
Mains
insulation
and
patient
circuit
insulation
resistance
Classification
awareness
—
Class
I
,
Class
II
,
internally
powered
Defibrillation
-
proof
applied
part
verification
3 / 8
05
Imaging
Systems
Competencies
MODALIT Y
CORE
T ECHNICAL
COMPET ENCIES
T YPICAL
VERIFICAT ION
Radiography
(
DR
/
CR
)
Generator
calibration
,
kVp
/
mAs
accuracy
,
detector
panel
service
,
grid
alignment
,
collimator
light
field
alignment
kVp
meter
,
mAs
meter
,
alignment
test
tools
Fluoroscopy
/
C
-
arm
Image
intensifier
service
,
automatic
brightness
control
,
dose
-
rate
checks
,
table
and
gantry
mechanics
Dose
meter
,
phantom
imaging
,
resolution
test
Computed
Tomography
Tube
and
detector
service
,
slip
-
ring
maintenance
,
gantry
cooling
,
air
calibration
,
image
quality
trending
CTDI
phantom
,
water
phantom
,
uniformity
testing
MRI
Magnet
cryogen
monitoring
,
gradient
coil
service
,
RF
and
receive
coil
testing
,
quench
pipe
inspection
,
RF
shielding
integrity
Phantom
SNR
testing
,
field
homogeneity
checks
Ultrasound
Probe
inspection
and
lens
integrity
,
transducer
element
testing
,
system
gain
and
dynamic
range
verification
Probe
phantom
,
acoustic
power
meter
Mammography
Compression
force
verification
,
AEC
function
,
grid
and
filter
service
,
stereotactic
accessory
checks
Compression
force
gauge
,
phantom
imaging
Nuclear
Medicine
Photomultiplier
tube
and
crystal
service
,
energy
peak
calibration
,
collimator
handling
,
uniformity
correction
Uniformity
phantom
,
dose
calibrator
Radiation
Therapy
Linear
accelerator
mechanical
and
output
QA
,
multileaf
collimator
service
,
treatment
planning
system
support
Ion
chamber
,
water
phantom
,
daily
QA
device
06
Electronics
&
Hardware
Skills
Equipment
inspection
for
cord
,
plug
,
and
strain
relief
integrity
Test
record
generation
and
pass
/
fail
documentation
Analog
and
digital
circuit
analysis
Reading
electrical
schematics
and
block
diagrams
Reading
pneumatic
and
fluidic
circuit
diagrams
Power
supply
diagnosis
and
DC
rail
verification
Motor
,
driver
,
and
servo
control
troubleshooting
Sensor
signal
conditioning
and
transducer
interfacing
Microcontroller
and
embedded
system
basics
Surface
-
mount
and
through
-
hole
component
rework
Wiring
harness
fabrication
and
connector
crimping
Isolation
,
grounding
,
and
shielding
practice
Electromagnetic
compatibility
basics
and
interference
sources
Battery
chemistry
,
charging
circuits
,
and
safety
handling
Mechanical
assembly
,
fastening
,
and
torque
specification
Pneumatic
valve
,
regulator
,
and
compressor
service
4 / 8
07
Software
,
Connectivity
&
Cybersecurity
Optical
alignment
and
lens
or
sensor
cleaning
Water
filtration
,
plumbing
,
and
fluid
handling
systems
HL
7
v
2
message
flow
and
interface
troubleshooting
FHIR
resource
exchange
fundamentals
DICOM
configuration
and
modality
worklist
setup
IHE
integration
profile
awareness
Network
configuration
—
IP
addressing
,
VLANs
,
switching
Wireless
network
configuration
for
medical
devices
Device
integration
engines
and
gateway
platforms
Electronic
medical
record
(
EMR
)
device
connectivity
PACS
and
image
routing
configuration
Windows
embedded
and
Linux
device
operating
systems
Service
software
,
diagnostic
utilities
,
and
license
management
Firmware
and
patch
management
across
device
fleets
Medical
device
cybersecurity
risk
assessment
Secure
remote
access
,
VPN
,
and
vendor
support
tunnels
Network
segmentation
and
device
hardening
practice
Data
backup
,
restore
,
and
configuration
preservation
5 / 8
08
Regulatory
,
Standards
&
Compliance
STANDARD
/
FRAMEWORK
APPLIED
T ECHNICAL
KNOWLEDGE
IEC
60601-1 (
Series
)
General
requirements
for
basic
safety
and
essential
performance
;
collateral
and
particular
standards
for
specific
device
types
IEC
60601-1-2
Electromagnetic
compatibility
—
emissions
,
immunity
,
and
coexistence
testing
IEC
62353
Recurrent
test
and
test
after
repair
of
medical
electrical
equipment
NFPA
99 / 99
B
Health
care
facilities
code
,
medical
gas
systems
,
and
equipment
maintenance
requirements
AAMI
EQ
56 /
EQ
89
Recommended
practices
for
medical
equipment
management
programs
and
maintenance
ISO
13485
Quality
management
system
requirements
for
medical
device
servicing
and
traceability
ISO
14971
Risk
management
applied
to
device
operation
,
maintenance
,
and
incident
review
21
CFR
Part
820 / 803 / 806
Quality
system
regulation
,
medical
device
reporting
,
and
corrections
and
removals
EU
MDR
2017/745
Post
-
market
surveillance
,
vigilance
,
and
technical
documentation
obligations
Joint
Commission
Standards
Environment
of
care
requirements
,
equipment
inventory
,
and
maintenance
documentation
ANSI
/
AAMI
ST
79
Steam
sterilization
and
sterility
assurance
in
health
care
facilities
Radiation
Safety
Regulations
State
and
federal
requirements
for
radiographic
equipment
registration
and
testing
09
Documentation
,
CMMS
&
Asset
Management
Computerized
maintenance
management
system
(
CMMS
)
operation
Work
order
creation
,
tracking
,
and
closure
Preventive
maintenance
completion
records
and
audit
trails
Asset
tagging
,
inventory
,
and
equipment
database
maintenance
Equipment
lifecycle
and
capital
replacement
planning
Service
contract
review
and
vendor
performance
tracking
In
-
house
versus
OEM
versus
ISO
service
decision
analysis
Downtime
tracking
and
availability
reporting
Adverse
event
and
incident
investigation
documentation
Service
report
writing
and
executive
summary
preparation
Standard
operating
procedure
(
SOP
)
authoring
Technical
training
material
and
staff
competency
documentation
Spare
parts
cataloging
and
critical
spares
strategy
Budget
forecasting
for
parts
,
labor
,
and
contracts
6 / 8
10
Specialty
&
Advanced
Skills
11
Tools
&
Test
Equipment
Matrix
T OOL
CAT EGORY
REPRESENTAT IVE
INST RUMENT S
&
APPLICAT IONS
Electrical
safety
analyzers
Leakage
current
,
earth
continuity
,
insulation
resistance
,
applied
part
testing
to
IEC
60601-1
and
IEC
62353
Patient
simulators
ECG
,
arrhythmia
,
NIBP
,
SpO
2
,
temperature
,
and
invasive
pressure
simulation
for
monitor
verification
Defibrillator
analyzers
Energy
delivery
,
charge
time
,
synchronizer
delay
,
and
pacing
output
verification
Infusion
device
analyzers
Flow
rate
accuracy
,
occlusion
alarm
pressure
,
and
bolus
volume
verification
Ventilator
analyzers
Flow
,
volume
,
pressure
,
tidal
volume
,
and
oxygen
concentration
measurement
Gas
and
flow
analyzers
Oxygen
cell
verification
,
anesthetic
agent
identification
,
and
medical
gas
purity
checks
Electronic
bench
instruments
Oscilloscope
,
function
generator
,
spectrum
analyzer
,
DC
power
supply
,
true
-
RMS
multimeter
,
current
clamp
Temperature
and
humidity
instruments
Reference
thermometers
,
calibration
baths
,
data
loggers
,
cold
chain
and
incubator
verification
Imaging
QA
tools
kVp
and
mAs
meters
,
dose
meters
,
phantoms
,
ultrasound
power
meters
,
probe
test
devices
Mechanical
and
hand
tools
Torque
drivers
,
precision
screwdrivers
,
soldering
and
rework
stations
,
crimpers
,
pressure
gauges
Software
and
diagnostic
utilities
OEM
service
software
,
firmware
loaders
,
network
analyzers
,
packet
capture
tools
,
CMMS
platforms
Radiation
safety
and
radiographic
equipment
registration
Laser
safety
officer
responsibilities
and
laser
classification
MRI
safety
screening
and
zone
management
Medical
gas
system
verification
and
outlet
testing
Cath
lab
and
interventional
suite
technical
support
Sterile
processing
department
equipment
support
Linear
accelerator
and
radiotherapy
QA
programs
Hyperbaric
chamber
system
maintenance
Clinical
engineering
informatics
and
device
data
integration
Regulatory
survey
preparation
and
readiness
auditing
New
device
evaluation
,
selection
,
and
trial
coordination
Technology
assessment
and
hazard
alert
response
Telehealth
and
remote
monitoring
device
deployment
Cross
-
site
standardization
and
equipment
fleet
management
7 / 8
12
Proficiency
Scale
&
Self
-
Assessment
Use
the
scale
below
to
rate
each
skill
area
listed
in
this
document
.
A
score
of
3
or
higher
across
all
core
domains
is
typical
for
an
independent
service
technician
.
LEVEL
RAT ING
EXPECT ED
DEMONST RAT ION
1
Awareness
Understands
terminology
and
purpose
;
requires
supervision
to
perform
the
task
2
Assisted
Performs
routine
tasks
with
reference
material
and
periodic
verification
by
a
senior
technician
3
Independent
Completes
the
task
unsupervised
,
documents
results
correctly
,
and
resolves
common
faults
4
Advanced
Diagnoses
complex
faults
,
validates
performance
against
standards
,
and
trains
other
staff
5
Expert
Owns
the
equipment
category
,
defines
service
procedures
,
and
leads
investigations
or
audits
8 / 8