Mobile Carts in Healthcare – A Brief History and Beyond

November 6, 2019

Mobile Carts in Healthcare – A Brief History and Beyond

The beginnings of Computer on Wheels (COWs) or Workstation on Wheels (WOWs)

Electronic Medical Records (EMR)and Electronic Health Records (HER) were the driving force for the development of Mobile Carts. With EMR and EHR in Healthcare, computer devices were needed to help Caregivers capture and share the Patient Data, Patient Images and access Patient Charts through the Wireless Network. This was to be done securely and efficiently in an effort to implement a big step in Patient Privacy.  Mobile Carts with a UPS and Battery were the early types.  They were effective but the Run Time was adequate at best and they were kind of clunky.  Enhancements came only as Up and Down Adjustments and Adjustable Keyboard Trays.  The Sealed Lead Acid (SLA) Batteries overall life was around 12 months and Run Time would be reduced greatly toward the end of their life.  What used to run for 6 to 8 hours now only lasts 3 or 4 hours.  This became a burden on Biomed and the IT Departments supporting them.  The question came up many times:  Who is going to support the Mobile Carts…Biomed because of the Battery Power or IT because it housed a Computer, Monitor, Keyboard and Mouse.  Turns out, IT drew the straw on that one.

What we have now1800 Dual Monitor 2

As the Mobile Carts were used more and more, they became widely accepted. Ideas for efficiencies by using Mobile Carts focused on their intended use in each area of Healthcare. Every area of Healthcare is different and require different tools and accessories. Soon, they were being used for Specific Tasks – Charting, Admissions, Medication Delivery, Radiology, Phlebotomy and Respiratory.  Through the use of specific Accessories, they became effective tools for the Caregivers saving them time and footsteps.  Caregiver Safety came in the form of Ergonomics like: Adjustable keyboard trays – up/down and side to side movements and Adjustable monitor mounts – tilt and swivel to face patient or hide screen from prying eyes.

Technology kept driving on in the Power Systems and Battery Technology too. The old SLA Batteries were replaced by NiMH (Nickel Metal Hydride) and Lithium Batteries.  Lithium Batteries came in the form of Fixed Batteries solutions, like before, and then Hot Swap Batteries emerged as an alternative.  All of these delivered much longer run times, shorter charging and overall longer life…up to 7 years!

Mobile Cart development produced lighter carts using aircraft quality aluminum, plastics, polymers and cast materials. The new materials contained Infection Prevention features, as well – Microban was infused into the paints, plastics and polymers of each Mobile Cart.  They now had easy to clean surfaces for wipe downs to kill bacteria and pathogens.

The Mobile Carts today are Easier to Use and Maintain than before. Batteries and Power Systems last longer and require less maintenance.  The Mobile Carts are well built and will last up to 10 years, depending on the Manufacturer.  We currently support and maintain Carts built 13 years ago for a few clients.  They just keep rolling and rolling with regular Preventative Maintenance.

Where is Point of Care with Mobile Carts going?non-p Laptop Cart #2 HLC7P

We are currently seeing a couple trends in Point of Care with Mobile Carts or the ability to electronically enter and capture patient data.

We are seeing the need for more Carts in Hospitals, Health Systems, Clinics, Surgery Centers. Physician Practices, Rehabilitation Facilities, Long Term Care, Senior Care, Dental Care and other Health Related Facilities.

We are receiving more and more requests for simple Non-Powered Carts. Caregivers and physicians are using these are their “Home Spot” that becomes their vehicle to carry their Laptop or Tablet, Charts or other things to each patient.  (this simple approach reduces Cross Contamination in Infection Prevention…but that is another conversation)

Carts have been lightened and will become lighter. Monitors and computers have become lighter.  Battery Run Times have increased greatly and will last 5+ years, depending on the Lithium Battery Technology.

Cart Management has moved forward with a couple forms of Cart Inventory Software that have a dynamic Dashboard to show Cart location, Battery Health and User Log In History. Monitoring of a Mobile Cart fleet is now at your fingertips

What will we see in the future for Point of Care Mobile Carts?RX Cart powered #1 headerimage(1)

Charging Mobile Carts through Proximity Chargers in the Hallways or Alcoves?

How about Carts that won’t need charging at all?

Lighter Carts are always high on the Want List. How about Super lightweight carts?

I have seen small RX Carts (like a R2-D2) that deliver Meds Carts to Caregivers from the Pharmacy on request. How about Mobile Carts that follow the Caregiver under its own power – No more pushing.  This takes Medication Delivery to a whole new level.

How about Mobile Carts that notify IT or the User that an Update, Service or Repair is needed? IBM has had that Service for decades in their support model.  An IBM Technician would show up to perform a Service or Repair because the IBM Mainframe directly opened a ticket and contacted him.

ASR are here to help every step of the way. We can help you off-load Cart duties, help supply New or Refurbished Mobile Carts, Wall Arms, JCAHO Prep, Repairs, Refresh, Upgrades, Accessories, Batteries and Tech Support.  We are a brick and mortar facility with a Tech Center, Parts Department and Warehouse just for Point of Care.

Every Mobile Cart Configuration is possible – we will help Retro-fit your existing Mobile Carts or provide additional Carts. Think of ASR for:

  • Documentation Carts
  • Charting Carts
  • RX Carts for Medication delivery
  • Respiratory Carts
  • Phlebotomy Carts
  • Admissions Carts
  • Radiology Carts
  • Tablet Carts
  • Laptop Carts
  • TeleHealth Carts
  • Any Cart for any requirement

ASR is a leading Point-of-Care Mobile Cart Dealer and Service Center.

Send us a request for a Catalog

is bridging the gap for Healthcare providers. We know Point of Care and Infection Prevention. With over 40 years combined experience these necessary tools, ASR has developed many ways to reduce Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Cart services.

Visit our website at: asrhealthcare.com.

Contact 770.623.0071 or sales@asrhealthcare.com

FLO or Metro Batteries / Chargers for 1750, 1760, 1770, 1800 and 2700 Carts.

August 21, 2019

ASR is your BEST source for replacement batteries for your COWs and WOWs. We have replacement chargers too!

Give new life to Flo and Metro Mobile Workstations by replacing dead/dying NiMH batteries with new ones, like found in the MPE-7800. We provide this service with Great Pricing, a 16 month Warranty and a Quick Turnaround. Our clients love our service!

We have new batteries for the Flo mobile workstations, mobile carts, laptop carts, medication workstations, vitals workstations and critical care workstations.

Contact ASR for pricing. Our tech center will repopulate a charger, test it and send it fully charged. We service most Healthcare line of mobile carts, critical care carts and medication workstations.

 

 

is bridging the gap for Healthcare providers. We are a Point of Care company that knows all knows FLO Mobile Carts and Computer on Wheels Carts. With over 40 years combined experience with them, we have developed many ways to reduce your Cost of Ownership and increase your Return on Investment.  Allow us to show you how.

To save even more $$$, ask us about our Refurbished Mobile Carts.

See our website at: asrhealthcare.com.

Contact 770.623.0071 or sales@asrhealthcare.com

Cart Maintenance Basics including Cleaning & Disinfection – COWs, WOWs, Med Carts, RX Carts

July 30, 2019

 

Cart maintenance should include routine cleaning and disinfection processes. In all Health Systems, I see Carts in many degrees of condition. Some are visibly clean while others are covered with tape, stickers and just plain dirty. I believe that a Cart should look clean and actually be clean to prevent the spread of disease. Also, a Cart that is clean looks better to patients, their family, their friends and hospital staff. ASR offers detailed cleaning and disinfecting services for COWs and WOWs. This service should be performed a minimum of twice each year. One client wants this done quarterly on his fleet of Medical Carts.

Here is a bit I have put together to share about Cleaning and Disinfection of Carts:

Cleaning, Disinfection, and Sterilization: Point of Care Equipment

All Point of Care equipment including Computer on Wheels (COWs) or Workstation on Wheels (WOWs) and Wall Arms are essential to the care of patients. Because they typically are designed for high use, they also can transmit pathogens if any of the steps involved in reprocessing (Cleaning, Disinfection, or Sterilization) are inadequate or experience failures. Because the majority of pathogens are present in organic matter, e.g. visible soil, the first step in reprocessing, Cleaning is the most important. Any failure to remove soil at this point creates the potential for transmission of infection as the efficacy of subsequent disinfection or sterilization will be compromised.

Every hospital or healthcare facility should have an Infection Control Policy in place and include Point of Care equipment. An Infection Control Policy should be built around:

Cleaning Disinfection Sterilization

Cleaning: This process usually involves detergent or enzymatic pre-soak that removes foreign material (e.g. dirt or microorganisms) from an object. Cleaning is the most essential step in reprocessing instruments and equipment. Cleaning involves the removal of all foreign material (dirt and organic matter) from the object being reprocessed. Two key components of cleaning are friction to remove foreign matter and fluids to remove or rinse away contamination. This is especially true for manual cleaning of COWs or WOWs, which removes most organisms from a surface. Cleaning is normally accomplished by the use of water or detergents and mechanical actions. Detergent is essential to dissolve proteins and oil that can reside on equipment after use. Detergents lower surface tension and lift dirt or oil away from the device. Studies have shown that thorough cleaning alone can provide a 10,000 fold reduction in contaminants.

Disinfection: Any process, chemical or physical, that destroys pathogens that deems an item is safe to handle for its use. A disinfectant is a chemical agent that destroys most pathogens but may not kill bacterial spores. Chemical disinfection should only be used if heat treatment is impractical or if it may cause damage to the equipment. There is a broad spectrum of chemical disinfectants that have different antimicrobial activities. Most of them do not necessarily kill all microorganisms or spores that are present on an inanimate object but instead reduce the number of microorganisms to a level that is not harmful to health.

Sterilization: Uses an agent that destroys all viable forms of microbial life on any surface. Sterilization methods remove or destroy all forms of microbial life including bacterial spores by either physical or chemical processes. Sterilization is accomplished principally by steam under pressure, by dry heat, and by chemical sterilants. (Because of their size and the electronic components in COWs or WOWs, Sterilization is not a viable option).

 

Risks of Infection from Equipment

The risks of infection from equipment may be classified into three categories. COWs and WOWs fall into the Low Risk category. These are noncritical items are items that come into contact with normal and intact skin or with the inanimate environment (e.g. walls, floors, ceilings, furniture, sinks, etc.). Cleaning with a detergent and drying is more than adequate. A simple wipe down with an alcohol based disinfectant wipe or once over with a Hospital Grade Disinfectant Spray by the staff before each shift is even better. These processes are essential for every COW and WOW and should be included in your Infection Control Policy.

We understand that budgets are tight.  We will help you stretch your Point of Care device dollar through our VALUE. Partnering with ASR will save you time, money and allow you to better focus on Patient Care.

ASR is a leading Point-of-Care Mobile Cart Dealer and Service Center.

 

Send us a request for a Catalog

is bridging the gap for Healthcare providers. We know Point of Care and Infection Prevention. With over 40 years combined experience these necessary tools, ASR has developed many ways to reduce Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Cart services.

Visit our website at: asrhealthcare.com.

Contact 770.623.0071 or sales@asrhealthcare.com

New ASR Website for Point-of-Care and Infection Prevention

July 1, 2019

ASR Healthcare is proud to have launched our new website featuring many Point-of-Care Carts and Infection Prevention devices.  Check it out for many new updates and products.

 

 

 is bridging the gap for Healthcare providers. We are leading Point of Care company for Healthcare. ASR knows Mobile Carts and have developed many ways to reduce your Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Carts, Laptop Carts, Med Carts, Medication Carts and RX Carts.

Save big $$$ with our Refurbished Mobile Carts.

Think of us for Infection Control devices too!

See our new website at: asrhealthcare.com.

Contact  770.623.0071 or sales@asrhealthcare.com

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Infection Prevention Trifecta for Total Room Disinfection

March 18, 2019

ASR Healthcare has put together an Infection Prevention Trifecta… 1 -2 – 3 to completely Disinfect Rooms in any Facility.

  • HaloFogger

 

  • Easy to use – no Certifications needed
  • 6 Log Kill – 99.9999% effective (for bacteria, pathogens, viruses and spores) and EPA Certified
  • Fog covers entire room:  Under bed, behind pictures, behind curtains, bathroom, everywhere!

See more about the HaloFogger here: http://www.asrhealthcare.com/infection-control-2/room-disinfection-system-coming-soon/

  • ESS – ElectroStatic Sprayer with Penetrexx Solution from MediDefense with residual kill for 30+ days

 

  • Use in High Traffic Areas: Waiting Rooms, Hallways, Elevators, Cafeteria
  • Safe to spray with people around
  • Long lasting residual

 

 

See this Solution here:  http://www.asrhealthcare.com/ess-electrostatic-sprayer-with-penetrexx/

 

  • AUVS – UV Box for all Handhelds, Scopes and Devices that can fit inside – Prevents Cross Contamination

 

  • Easy to use and only takes 55 seconds
  • Use at Nurses Stations, Front Desks, Waiting Area, other specific locations
  • Disinfect many devices at once.

 

Learn more about the AUVS here:   http://www.asrhealthcare.com/uv-box-from-auvs/

Contact us today for a Infection Prevention Consultation.

 is bridging the gap for Healthcare providers. We are leading Point of Care company for Healthcare. We know Mobile Carts and have developed many ways to reduce your Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Carts, Laptop Carts, Med Carts, Medication Carts and RX Carts.

See our website at: asrhealthcare.com.

Contact  770.623.0071 or sales@asrhealthcare.com

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Stretch Point-of-Care Budgets with Refurbished Mobile Carts

July 6, 2018

20170822_085246

Do you need to replace some older Carts or augment your fleet quickly and with a proven Mobile Cart? 

This is a great budget minded alternative for putting more Mobile Carts on the floor. We have plenty in stock and can ship in 5 days!.  Save big $$$ with our Refurbished Mobile Carts.

Our FLO 1760s are completely refurbished  by our In House Techs looking and operating like newThese are under $2600 each for Cart with new Batteries and Front Basket. 

ASR provides a 1 Year Warranty on each cart.  

Each FLO 1760R from ASR will include:                                               

  • New 24” Iiyama LED Monitor with 3 Year Warranty                                 
  • New Seal Shield Keyboard with Microban and Lifetime Warranty                                
  • New Seal Shield Mouse with Microban and Lifetime Warranty                               
  • New 12’ Medical Grade Power Cord                                                

 

Just add your Computer and Barcode Scanner!

 Free Integration: ASR will install your Technology into the cart at No Charge. 

Simply send your Computer, Thin Client or Laptop to us while we are refurbishing and building your custom FLO 1760R Mobile Cart.

Provide your tethered Scanner or Wireless Scanner Base and we will install that too!  We have Cabinets with Drawers to go on these too.

RM RX Cart

Note: We have refurbished Rubbermaid RX Carts too.

 

 

 

Ask ASR to show you the best Mobile Carts for every area they can be used. We are Point of Care experts. You can rely on our team to help you with anything in Point of Care.

 

See our Mobile Carts in the 20th Century Fox series, “The Resident”

Contact us today for a FREE Mobile Cart Consultation.

 is bridging the gap for Healthcare providers. We are leading Point of Care company for Healthcare. We know Mobile Carts and have developed many ways to reduce your Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Carts, Laptop Carts, Med Carts, Medication Carts and RX Carts. 

See our website at: asrhealthcare.com.

Contact  770.623.0071 or sales@asrhealthcare.com

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Mobile Cart Best Practices

March 5, 2018

We wanted to share a Best Practices for Mobile Carts post based on our client feedback and observations with these essential tools.

Metro_Room AccessPoint_Composite

 

Inpect at the Start of the Shift

 

Charged up
Computer up
Scanner working
Badge Reader working and Log In
Check Connectivity
Wipe all surfaces down (sani-wipe) worksurface, handles, keyboard,

keyboard tray, mouse, mouse pad area, barcode scanner

Wipe down Monitor Exterior (Note: Never wipe monitor screen with

Sani Wipe or Alcohol Wipes…use water on Microfiber cloth)

Check your Supplies

 

Common Supplies – Fill what is needed, excess supplies add more weight   

making your Cart harder to push

Special Supplies – Add what is needed
Instruments  – Add what is needed for the shift

 Doctor with Dual Screen Access

During the Shift

 

Plug in to top off battery when cart is not in use – even for 5 minutes extends 

run time

Wipe down the cart after leaving each room
Keep cart out of main traffic areas in hallways
Watch where you are going with cart – adjust monitor to provide clear view 

of your intended direction

Be Careful with cart going over thresholds into carpeted area or returning

to hard surface flooring

Be very careful when entering and exiting elevators – some do not always

align correctly with the floor

Turn off display or go to main screen when leaving Cart for long period

of time

Face and engage patient / Family when Charting to increase Patient

Experience

Rendered NGPOC

Issues

 

Try to resolve – sometimes a simple reboot works, plug the Cart in
Ask a co-worker for quick help
Report immediately to IT (open a Ticket)
Connectivity or Signal Drops – report to IT

 

AccessPoint Battery Replacement

Ask ASR to show you the best Mobile Carts for every area the can be used. We are Point of Care experts. You can rely on our team to help you with anything in Point of Care.

Contact us today for a FREE Mobile Cart Consultation.

 is bridging the gap for Healthcare providers. We are leading Point of Care company for Healthcare. We know Mobile Carts and have developed many ways to reduce your Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Carts, Laptop Carts, Med Carts, Medication Carts and RX Carts. 

See our website at: asrhealthcare.com.

Contact  770.623.0071 or sales@asrhealthcare.com

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NEW!! UV Box to Disinfect All Devices in Healthcare

July 11, 2017

Decontaminate Medical & Non-Medical Hand Held Devices

AUVS’ KR615 Countertop UV Disinfection Device puts “the solution at the source of the problem” and is available around the clock to decontaminate medical and non-medical hand held devices. These devices are a proven sources of cross-contamination that place patients, family members and staff at risk. This greatly raises the bar for Infection Prevention or Infection Control.

KR615 Value:

    • Impact Incidence of Hospital Acquired Infections (HAI)
    • Help Insulate Hospitals from Lost Revenue Reimbursements.
    • Fills Gaps in Hospitals’ Current Infection Prevention Protocols
    • Decontaminates staff personal items before they go home.
    • Provides an Environmentally-Friendly Alternative, no waste.

 

pics

  • Cell phones and iPads

  • Stethoscopes

  • Blood Pressure cuffs

  • Nurse Calls and Pillow Speakers

  • Call Cords

  • TV Remote Controls

  • Pillow Speakers

  • EKG wires

  • Laryngoscope handles

  • Blood glucose meters

  • Electric thermometers

  • Oximeter sensors

  • Vacuum regulators

  • Ultrasound Transducers

Done in 55 Seconds                    Bulbs last 16,000 Hours                  One Year Warranty

  • Lights last 16,000 lab hours (over 20 years if you use it 40 times per day)
  • Size 20” wide x 10” deep x 9 ¾” tall weighs 9 lbs.
  • 55 second decontamination cycle.
  • Equivalent to 1 million wipes.
  • Installation desk mount or patient room rail mount system.
  • 110 Volt, AC current, normal power.
  • UL listed, bio-testing at FDA consulting lab. 

 

Contact us today for a FREE  Consultation and Pricing.

 is bridging the gap for Healthcare providers. We are leading Point of Care company for Healthcare. We know Mobile Carts and have developed many ways to reduce your Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Carts, Laptop Carts, Med Carts, Medication Carts and RX Carts.

See our website at: asrhealthcare.com.

Contact  770.623.0071 or sales@asrhealthcare.com

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Mobile Carts & Meaningful Use

December 27, 2016

accesspoint-rxmd-barcode-scanningMobile Carts and Meaningful Use go hand in hand to help improve Patient Outcomes. Meaningful Use is the defined by the CDC as follows:

Meaningful Use is defined by the use of certified EHR technology in a meaningful manner (for example electronic prescribing); ensuring that the certified EHR technology is connected in a manner that provides for the electronic exchange of health information to improve the quality of care; and that in using certified EHR technology the provider must submit to the Secretary of Health & Human Services (HHS) information on quality of care and other measures.

https://www.cdc.gov/ehrmeaningfuluse/introduction.html  

Mobile Carts are the necessary tools to capture and share patient data in any Clinic, Practice or Health System to improve Patient Outcomes. They are designed to house or carry the devices that reside on the secure network to deliver patient charts, enter data and order procedures or meds.accesspoint-rx-md-brochure_002-5

Again, from the CDC website, we see the 5 Pillars of Health Outcomes Policy Priorities. These are:

  1. Improving quality, safety, efficiency, and reducing health disparities
  2. Engage patients and families in their health
  3. Improve care coordination
  4. Improve population and public health
  5. Ensure adequate privacy and security protection for personal health information

rm-rxf9drawer3As we go into 2017, more criteria are measured to achieve Stage 3 of Meaningful Use. Incentives are there for those who comply but conversely, negative adjustments to reimbursements will apply to those who do not.

In gearing up for Stage 3, we will see many Mobile Carts being sold, configured and delivered all over the USA. Each of these will have a specific task for the caregivers in their area.  Often thought of as something bought from a catalog, we know they are not and each Mobile Cart should be configured to give you the most efficiency.  One size does not fit all. 

 

Ask ASR to show you the best Mobile Carts for every area the can be used. We are Point of Care experts. You can rely on our team to help you with anything in Point of Care.

Contact us today for a FREE Mobile Cart Consultation.

 is bridging the gap for Healthcare providers. We are leading Point of Care company for Healthcare. We know Mobile Carts and have developed many ways to reduce your Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Carts, Laptop Carts, Med Carts, Medication Carts and RX Carts. 

See our website at: asrhealthcare.com.

Contact  770.623.0071 or sales@asrhealthcare.com

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Point of Care – What to Use?

February 5, 2016

Point of Care Devices are used everywhere within Healthcare. Admissions, Radiology, PACU, ED, OR are just a few areas using these tools. Primarily designed to accurately capture and share patient data, our Point of Care devices also have Microban for Infection Control, Ergonomic features for the Caregiver and are easy to use.Metro- 57027

Every Health System, Hospital, Clinic or Private Practice can gain efficiencies that EMR offers. The clinical staff and IT work together to define ways of increasing performance within their processes.  ASR Healthcare assists in these evaluations every day.  Often, we hear:

What Point of Care device(s) are being used today to capture and share Patient Data?

A -Mobile Carts

B -Laptop and Tablet Carts

C- Wall Arms

D- Wall Cabinets

E- Tablets and Phones

F- All of the Above

Answer: F- All of the Above

Mobile2-WithDualMonitors

We help all Health Systems in selecting the right Point of Care devices to maximize the benefits for EMR or EHR. ASR Healthcare is a national leader in Point of Care devices and solutions.  Our solutions factor in:

  • Patient SafetyMetroMount Articulating Arm 1
  • Patient Satisfaction
  • Caregiver Safety
  • Ease of Use
  • Easy to Clean
  • Easy to Support

We work closely with IT, the nursing staff, Infection Control and Safety Departments to design the ultimate solution for every area of the Health System.

 

Contact us today for a FREE Mobile Cart Customization Consultation.

 is bridging the gap for Healthcare providers. We are an IT company that knows Healthcare IT and knows Mobile Carts. With over 40 years combined experience with them, ASR has developed many ways to reduce Cost of Ownership and increase your Return on Investment.  Contact us today for a quote on Mobile Carts, Laptop Carts, Med Carts and RX Carts.  Our Carts feature the best in Power, Ergonomics and Infection Control.

See our website at: asrhealthcare.com.

Contact  770.623.0071 or sales@asrhealthcare.com

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