The other day, I was asked; how to go about cleaning large medical items on site at hospitals. Since, I am the Wash Guy, many folks will shoot me an email when they need advice on how to clean something. With regards to this question:



How Should Our Service Company Go About Cleaning Medical Tables, Wheelchairs and Equipment On site?



My answer is as follows. First, you cannot allow the water to leave the truck, obviously, but with a reclaim tank, you can take the waste wash water to a POTW or discharge it (with a permit) to the sanitary sewer system. An electric unit running from a quiet generator would be low-noise, and as long as the exhaust leaves the truck, you could work in their fine. Actually, if you are cleaning medical equipment, the definition of the waste is most likely “bio-waste” and so you need to be sure on that point.

The drying process can be accomplished a number of ways, but with a foggy atmosphere inside the truck, the items will be full of dew and so the drying will need to be done in an entry way of the facility or in a trailer unit that you tow. You will need a portable space heaters that you put there “after you arrive” and not before because trailers bounce around and could cause the space heaters to explode due to the fuel in their tanks. Unless you set up a real industrial type system, that is what I recommend.

Pressure washer hot water units use 4.0 to 6.5 GPM at 2,000 to 3500 generally depending on the pump and power, you want to be on the low end of both. The actual steam units use little water, and do clean but it might take a lot longer. The money is in the time, not in the job. Remember that, be efficient or forget the whole thing.

Baffles are needed in the water storage tanks to prevent the water movement from causing your vehicle to crash, the load moves significantly, you will be surprised just how much.

Some shopping cart companies clean the carts outside, some on mats outside, we use to clean them in little “Toys R Us” poly plastic swimming pools “stacked in threes” for strength to collect the water. There are some that clean them with trailers on an assembly line like a miniature car wash.

Cleaning medical equipment inside a of Box Truck, a similar operation to “Shred It” where they take the papers and shred them, doing the service inside the truck itself. This concept is totally feasible. You will need to use steam and have good ventilation, because steam will fog up the work area inside the enclosure.

The reclaim system is a tricky one, because you really do not want to use all the same water over and over again. Instead, you want “Steam” and hot water pressure washer rinse with solution to kill all bacteria and germs. You will need to take the biohazard waste-water to somewhere to put it into a boiler, it might not be wise to have the boiler inside the truck you are working inside of? Two trucks?

The water source you speak of can be done by putting a 500 – 1000 gallon tank in the truck up front, but realize that is 8,000 Lbs if you go with 1,000 gallon tank. The people who do on-site shopping cart cleaning do it this way, same with the graffiti removal companies. Large giant water tank and hot water pressure washer. But I recommend that you go with pure steam, like an industrial jewelry cleaner?

The tanks come in various configurations, you could use an upright tank, if you have steel encasing to prevent it from moving too much and you need baffles with anything over 350 gallons, even on a large truck. Equipment needed to do this work. I recommend:

Buy a Hydrotech Steam Cleaner Industrial Steam Machine 1000 gallon tank 1,000 gallon reclaim 500 gallon boiler RO water cleaning system

By: Lance Winslow

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It seems like there are ads for professional beauty treatments done by plastic surgeons, dermatologists, and by nurses or estheticians at med spas and day spas. Is it safe to undergo cosmetic treatments at a med spa or day spa? Is it cheaper to get cosmetic treatments done at a day or med spa rather than undergo treatment with a trained physician? Here is a guide to help you decide when it is best to see a qualified doctor for treatments, and which treatments are best when you go to the spa.

Plastic Surgeons

Plastic surgeons have received specialized training in aesthetic surgery techniques. If you are planning to undergo a surgical procedure, it should be performed by a board-certified plastic surgeon at an accredited institution. Some surgeons focus their practices exclusively on facial plastic surgery procedures such as face lift and rhinoplasty. Other surgeons focus on body procedures such as breast augmentation and tummy tuck surgery.

Some surgeons have expanded their practices to include non-invasive services such as Botox injections, laser skin resurfacing, and chemical peels. If you feel comfortable with your surgeon, and he or she has experience with non-surgical treatments, it is appropriate to undergo these treatments with a plastic surgeon rather than a dermatologist.

Dermatologists

Dermatologists focus their practices on skin care and can diagnose and treat a range of skin conditions. From acne and rosacea to wrinkles and stretch marks, the dermatology industry continues to develop new treatments that safely and effectively treat skin problems. Dermal fillers such as Restylane and Juvederm can be used to fill in lines, while laser light treatments combat acne. Because dermatologists are educated and trained in problems and diseases of the skin, they are qualified to perform medical-grade skin care treatments.

Med Spas and Day Spas

Medical spas are typically run by a plastic surgeon or dermatologist, but often have nurse practitioners on staff that also perform some of the non-invasive procedures on patients. The nurse’s often perform medical-grade chemical peels and laser treatments on med spa patients, while the physicians inject dermal fillers and perform surgical procedures. Med spas often offer monthly specials or deals for new patients; however, patients must make sure that a qualified medical professional is performing treatment.

It is important to realize that treatments performed at day spas may be cheaper, but they are not considered medical-grade treatments and are not as effective as treatments that are performed under the guidance of a physician.

By: Chris M Morris

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Plastic Surgery can be a frightening experience. On television, you see so many disaster stories that might make you not want to go under the knife. Every surgery contains a certain amount of risk.

The majority of horror stories that you see on television are rare because most of these surgery are not performed by board certified plastic surgeons. Instead, they are usually performed in either in third world countries (where their qualification and hygiene standards are considerably lower than richer countries) or unqualified surgeons.

The types of major complications that you have to be aware of are:

Blood Loss (or Hemorrhaging)

It is normal to bleed during surgery. Any opening of the skin can cause excessive bleeding if your surgeon is not careful. If you have previous history of excessive bleeding or how low hemoglobin levels (amount of blood per unit), please inform your surgeon before you operate.

Brain damage:

Brain damage can occur if either there is an excessive blood loss and therefore no nutrients to the brain or if the oxygen levels decreases to a very low level.

Blood Clot:

Whenever there is an injury to a body area, the immune system will react and try to fix and prevent that area from spreading. It does this by blocking or clotting the area. Sometimes, if the clot builds up, it can dislodge from its area and may get ‘stuck’ in different part of your circulation system. If the clot gets stuck in your brain – this can kill you or give you a major stroke.

Infections

Infections are common after surgery. Infections can be easily controlled if adequate infection control is implemented using penicillin or anti-biotic.

Airway Obstruction

If general anesthesia is performed, a tube is inserted through your throat and into your lungs. This may cause irritation of the linings of your throat and you may have difficulty in breathing as a result. Muscle spasm can occur in your vocal cords and can cause you to aspirate (vomit).

Malignant Hypothermia

In rare cases, the combination of your heart rate, blood pressure and body temperature unexpectantly rise up to extraordinary levels. If these levels are not reduced immediately, death can occur.

Decrease Blood Pressure

A decrease in blood pressure is expected during surgery. The loss of blood due to the surgery and general anesthetic medicine all contribute to your blood pressure. However, a sudden drop in your blood pressure may cause a heart attack.

In Summary, all these complication can be reduced if you follow your surgeon’s advice. For example, always eat a healthy diet, stop smoking and always exercise.

By: Tu Tran

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