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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apd.html
September 01, 2013 - Determine if any CHG exclusion criteria exist.
CHG allergy. … Chlorhexidine (CHG) 2% Bathing Cloths
A CHG bathing wall poster ( Appendix E ) is available to print … CHG removes bacteria from the skin during bathing. … Then clean skin with CHG cloths. Use CHG-compatible barrier products if needed. … CHG cloths have moisturizers.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/044-ss-preop-dos-donts.docx
April 01, 2025 - · Pay special attention to skin folds such as in the neck, joints, and any other areas.
· Use CHG to … CHG … · Do NOT save open CHG packs for later use.
· Do NOT rinse or wipe off CHG. Let air dry. … · Do NOT flush CHG cloths (discard in trash, not toilet or commode). … .
· Do NOT use CHG or nasal decolonization agent if patient is allergic to the product.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
October 01, 2024 - Most people have no side effects when using CHG, mupirocin, or iodophor. … Safety and Side Effects
Is chlorhexidine gluconate (CHG) commonly used? … CHG has been used for cleansing and bathing of millions of patients. … What are the side effects of CHG? … It is important to keep the CHG out of eyes and ears.
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape.html
September 01, 2013 - CHG bathing cloths should replace routine daily bathing. … Is it true that CHG cloths can stain sheets? … How firmly should I apply CHG cloths to a wound? … Will CHG be absorbed if I put it on a wound? … Does CHG weaken bandage adhesive?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - Safety and Side Effects
Is chlorhexidine gluconate (CHG) commonly used? … CHG has been used for cleansing and bathing of millions of patients. … What are the side effects of CHG? … Local CHG side effects are estimated to occur in 1–3 percent of patients. … It is important to keep the CHG out of eyes and ear canals.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/patient-assessment-chg-showering.docx
March 01, 2022 - This survey will help us understand how well you were able to apply CHG in the shower. … Were you told that CHG kills germs better than regular soap and water?
|_| Y |_| N
3. … Were you told that CHG is safe to use as a shampoo and on the face?
|_| Y |_| N
4. … Did you avoid getting CHG soap in your eyes and ear canals?
|_| Y |_| N
8. … Did you or an assistant clean your wounds with a CHG cloth after showering?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/036-ss-nursing-practice-guide.docx
April 01, 2025 - Engagement and Collaboration
Patient/Family
CHG Bathing
Documentation
Nasal Product Documentation … charge nurse and surgeon; conversation does not end with initial refusal
Nursing documentation of CHG … bathing is accurate and timely:
· Document CHG bathing education (e.g., patient handout provided and … · Document followup with patient to ensure they understand pre-op CHG bathing instructions
· Document … CHG product provided to or used by patient
· Document CHG bathing in pre-op if patient did not bathe
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/patient-assessment-chg-showering.pdf
March 01, 2022 - This survey will help us understand how well you
were able to apply CHG in the shower. … Were you told that CHG kills germs better than regular soap and water?
Y N
3. … Were you told that CHG is safe to use as a shampoo and on the face?
Y N
4. … Did you avoid getting CHG soap in your eyes and ear canals?
Y N
8. … Did you or an assistant clean your wounds with a CHG cloth after showering?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/074-dec-patient-instructions-cloth.docx
October 01, 2024 - Patient Instructions for Bed Bath With CHG Cloths
Protect yourself during your stay. … Use chlorhexidine gluconate (CHG) every day to reduce the risk of infection.How To Wash With CHG
Important … : Do not get CHG in your eyes or ears … · Rub the CHG firmly on your skin to get a deep clean.
· Apply the CHG, following the body diagram … on the right.
· Leave the CHG on your skin to dry.
· Do not rinse it off!
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/160-dec-universal-unit-protocol.docx
October 01, 2024 - Remember, there are two parts to decolonization: CHG bathing and nasal decolonization. … CHG Bathing
a. Every patient will be bathed with CHG daily. … Upon admission, each incoming patient will be bathed with CHG within __ hours. … Nursing Decolonization Protocol: Basin Bed Bathing With 4% Chlorhexidine Gluconate (CHG) Liquid (Diluted … Nursing Decolonization Protocol: Showering With 4% Chlorhexidine Gluconate (CHG) Liquid Soap
2.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/158-dec-targeted-unit-protocol.docx
October 01, 2024 - Remember, there are two parts to decolonization: CHG bathing and nasal decolonization. … CHG Bathing
a. … Every patient who meets this unit’s criteria for decolonization will be bathed with CHG daily. … Upon admission, each identified patient will be bathed with CHG within ___ hours. … Nursing Decolonization Protocol: Showering With 4% Chlorhexidine Gluconate (CHG) Liquid Soap
2.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - Slide 8
Chlorhexidine Gluconate (CHG)
SAY:
Chlorhexidine gluconate, or CHG, is an antiseptic. … Prepackaged CHG-impregnated cloths are also available. … Prior to 1990, CHG was used for hand antisepsis, dental hygiene, and oral care. … The trial also found that CHG was well-tolerated by the pediatric population. … or bed baths with 2 percent CHG cloths.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - Jones had not used CHG on the morning of the procedure and so was given a CHG wash in the pre-op area … Instructions for CHG Cloth Bathing. … for CHG Showering, a variation of the same document, for teams that supply patients with liquid CHG … Info Sheet: Nasal Iodophor
· Patient Calendar: CHG Cloths & Mupirocin
· Patient Calendar: CHG Shower … & Mupirocin
· Patient Calendar: CHG Cloths Only
· Patient Calendar: CHG Shower Only
Slide 28
Key
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/100-skin-prep-prior-incision-one-pager.docx
April 01, 2025 - Of the four key strategies—nasal decolonization, preoperative chlorhexidine gluconate (CHG) skin antisepsis … or PI: Rapid, persistent, and cumulative antisepsis1,2,3
CHG With Alcohol Versus PI With Alcohol for … most effective antiseptic to combine with alcohol remains unclear, with evidence supporting either CHG … with alcohol or PI with alcohol.
· Studies that favor CHG with alcohol over PI with alcohol:3
· Tuuli … RCT of patients undergoing elective colorectal procedures had a trend toward reduction in SSIs with CHG
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www.ahrq.gov/hai/tools/abate/nursing-protocols.html
May 01, 2022 - With Devices includes the trial-based 1 protocols for decolonization with 2% chlorhexidine gluconate (CHG … CHG Protocols (pick one):
Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) … No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap (Protocol from the ABATE Infection Trial … 1 ) (PDF, 415 KB; Word , 373 KB)
Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid CHG … and Showering With 4% CHG Liquid Soap (Alternative Protocol) (PDF, 374 KB; Word , 316 KB)
Nasal
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www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Determine if any CHG exclusion criteria exist.
a. CHG allergy.
3. … CHG Bathing Process – Key Points
Firmly massage skin with CHG cloth. … Using CHG, gently massage.
CHG cloths have built-in moisturizers. … with CHG. … Y N Allows to air dry/does not wipe off CHG.
Y N CHG bathing documented.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/030-review-ssi-prevention.pptx
April 01, 2025 - Open your packet of CHG cloths. You will need six cloths. … Download Patient Instructions for Bathing With CHG Cloths. … Download Patient Instructions for Showering With CHG Liquid. … Patient Instructions for Bathing With CHG Cloths
Patient Instructions for Showering With CHG Liquid
Patient … Calendar: CHG Shower & Mupirocin
Calendar: CHG Cloths Only
Calendar: CHG Shower Only
| 28
AHRQ Safety
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonize-patients.html
October 01, 2024 - Review the evidence behind use of chlorhexidine gluconate (CHG) for skin decolonization. … Review procedures for CHG and nasal decolonization. … Identify barriers to implementation of CHG and nasal decolonization. … of CHG Bathing and Nasal Decolonization – Facilitator Guide (DOCX, 4.2 MB) One Pager: Key Evidence … One Pager: Top 10 Pearls for Successful CHG and Nasal Decolonization One-Pager (DOCX, 580 KB) Designed
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/patient-assessment-chg-bed-bath.pdf
March 01, 2022 - This survey will help us understand how well you were
able to apply CHG to the skin. … Were you provided a handout with instructions on how to apply the CHG bathing cloths? … Were you told that the CHG bathing cloths kill germs better than regular soap and water? … Did you or an assistant clean any lines, tubes, drains, and dressings with the CHG cloths? … Did you or a bathing assistant clean your wounds with CHG cloths?
Y N N/A
10.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
April 01, 2025 - How is the CHG treatment provided to patients? … drugstore
Patients do not apply CHG themselves; CHG treatment is performed in pre-op area only
… Are patients provided instructions for how to apply CHG? … CHG bathing the morning of the surgical procedure for all patients
CHG bathing in the preoperative … : Off
CHG bathing the night before the surgical procedure for all patients: Off
CHG bathing the morning