Basic knowledge of medical mobile cart-cleaning and disinfection Dec 20, 2021

Mobile cart maintenance should include daily cleaning, disinfection and sterilization processes. In all health systems, I see their computer carts in varying degrees. Some are clearly clean, while others are covered with tape or stickers, but they are dirty. We believe that healthcare mobile carts should look clean and actually clean to prevent the spread of diseases. In addition, clean healthcare mobile carts look better to patients, their families, their friends, and hospital staff. NBRIDGE provides detailed cleaning and disinfection services of mobile carts for the majority of users. This service should be performed at least twice a year. A client hopes to complete it on his medical vehicle fleet every quarter.


Here are some things I have compiled about cleaning and disinfection of trolleys:


Cleaning, disinfection and sterilization: point of care equipment


All point-of-care equipment, including computer on wheel (COW) or workstation on wheels (WOW) and wall-mounted handrails, are essential for patient care. Because they are usually designed for high usage rates, they can also spread pathogens if any of the steps involved in reprocessing (cleaning, disinfection, or sterilization) are inadequate or malfunction. Since most pathogens are present in organic matter, such as visible soil, cleaning is the most important in the first step of reprocessing. If the soil is not removed at this time, infection may be spread because the subsequent disinfection or sterilization effect will be affected.


Every hospital or medical institution should develop an infection control policy and include immediate care equipment.


Cleaning, disinfection and sterilization


1. Cleaning: This process usually involves cleaning agents or enzymatic pre-soaking to remove foreign matter (such as dirt or microorganisms) from objects. Cleaning is the most important step in the reprocessing of instruments and equipment. Cleaning includes removing all foreign matter (dirt and organic matter) from the object being reprocessed. The two key components of cleaning are the friction to remove foreign matter and the liquid to remove or flush contaminants. This is especially true for manual cleaning of COW or WOW, which can remove most organisms on the surface. Cleaning is usually done through the use of water or detergent and mechanical action. Detergents are essential to dissolve protein and oil remaining on the equipment after use. Detergents can reduce surface tension and remove dirt or oil from equipment.

2. Disinfection: Any chemical or physical process that can eliminate pathogens that are considered safe for disposal and use. Disinfectant is a chemical agent that can kill most pathogens, but not bacterial spores. Chemical disinfection should only be used when heat treatment is impractical or may cause equipment damage. There are many types of chemical disinfectants with different antibacterial activities. Most of them do not necessarily kill all microorganisms or spores present on inanimate objects, but reduce the number of microorganisms to a level that is harmless to health.

3. Sterilization: Use a reagent that can destroy all microbial life forms on any surface. Sterilization methods remove or destroy all forms of microbial life, including bacterial spores, through physical or chemical processes. Sterilization is mainly accomplished by pressurized steam, dry heat and chemical sterilants. (Due to their size and the electronic components in COW or WOW, sterilization is not a viable option).


Device infection risk


The risk of device infection can be divided into three categories. COW and WOW belong to the low-risk category. These non-critical items are items that come in contact with normal and intact skin or with inanimate environments (such as walls, floors, ceilings, furniture, sinks, etc.). It is enough to wash with detergent and dry. Before each shift, it is better for the staff to wipe it with alcohol disinfection wipes or wipe it with hospital-grade disinfection spray once. These processes are essential for every COW and WOW and should be included in your infection control policy.


We know that the budget is tight. We want to help you expand your point-of-care equipment costs. Working with NBRIDGE will save you time and money, and enable you to better focus on patient care.


NBRIDGE is a leading point-of-care mobile cart and infection control equipment distributor with a complete service center. We are bridging the gap between healthcare providers. We know points of care and infection prevention. With more than ten years of comprehensive experience in these necessary tools. NBRIDGE has developed a variety of methods to reduce the cost of ownership and increase your return on investment. Contact us now to get a quote about mobile shopping cart services.

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