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121. Nursing Practice Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
     March 01, 2022 - Engagement and Collaboration CHG Bath Documentation Nasal Product Documentation Patient/Family Sustainment … Nursing documentation of CHG bath is accurate and timely: Process to identify patients with devices … Documentation of CHG bath is occurring Patient arrival before 9 p.m.: CHG bath expected before 9 … p.m.* CHG bath documentation occurs once per calendar day Provide staff educational huddles for central … unit leadership and project/QI champion Physician concerns are escalated to physician leadership CHG

122. Nursing Practice Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
     March 01, 2022 - CHG = chlorhexidine gluconate; QI = quality improvement. … Engagement and Collaboration CHG Bath Documentation Nasal Product Documentation Patient/Family … Nursing documentation of CHG bath is accurate and timely: • Process to identify patients with … devices • Documentation of CHG bath is occurring • Patient arrival before 9 p.m.: CHG bath … expected before 9 p.m.* • CHG bath documentation occurs once per calendar day • Provide staff

123. 065-Ssi-Prevention-Periop-Roadmap-Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/065-ssi-prevention-periop-roadmap-checklist.docx
     April 01, 2025 - CHG Bathing Program – 5 days prior to surgery Yes No N/A If not all 5 days, how many days did … ________________________ When did the patient last apply CHG? … CHG Bathing—Night before and morning of surgery* Night before? Yes No N/A Morning of? … Yes No N/A When did the patient last apply CHG? … (Only If the patient was not bathed with CHG the morning of surgery.)

124. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
     September 01, 2013 - Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use … of chlorhexidine (CHG) include mild side effects of skin irritation, rash, and/or redness (unlikely) … It is important to keep the CHG out of eyes and ears. … For example, this may occur if CHG enters the ear canal and the patient has a perforated (punctured) … If CHG enters the patient’s eyes or ears, it is important to rinse promptly and thoroughly with water

125. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
     September 01, 2013 - Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use … of chlorhexidine (CHG) include mild side effects of skin irritation, rash, and/or redness (unlikely) … It is important to keep the CHG out of eyes and ears. … For example, this may occur if CHG enters the ear canal and the patient has a perforated (punctured) … If CHG enters the patient’s eyes or ears, it is important to rinse promptly and thoroughly with water

126. 055-Guide-Nursing-Practice (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
     October 01, 2024 - Engagement & Collaboration Determine Which Patients Need Treatment CHG Bath Documentation Nasal Product … · when patient receives a new qualifying medical device while on the unit Nursing documentation of CHG … bath is accurate and timely: · Process in place to identify patients with devices. · Documentation of CHG … bath is occurring. · Patient arrival before 9 PM: CHG bath expected before 9 PM.* · CHG bath documentation … CHG = chlorhexidine gluconate; QI = quality improvement.

127. Instructional Handouts for Staff and Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/abate/handouts.html
     May 01, 2022 - Staff Handouts: 2% Chlorhexidine Gluconate (CHG) Cloth Bathing (PDF, 288 KB; Word , 205 KB) CHG … Showering  (PDF, 268 KB; Word , 168 KB) Basin Bed Bathing With CHG Liquid (diluted to 2%)  (PDF, … Word , 165 KB) Dos and Don’ts Factsheet  (PDF, 231 KB; Word , 191 KB) Patient Handouts: CHG … Bathing  (PDF, 273 KB; Word , 200 KB) CHG Showering Poster  (PDF, 217 KB; Word , 175 KB) CHG Bathing

128. Frequently Asked Questions and Talking Points | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/abate/faq.html
     March 01, 2022 - liminate (ABATE) Infection Trial 1 used a decolonization regimen involving chlorhexidine gluconate (CHG … FAQs (Staff): CHG for Bathing (PDF, 290 KB;  Word , 284.5 KB) FAQs (Staff): Nasal Mupirocin for MRSA-Positive … (Staff): Wound Cleaning  (PDF, 214.5 KB;  Word , 277.2 KB) FAQs (Staff): Safety and Side Effects: CHG … and Mupirocin  (PDF, 261 KB;  Word , 284 KB) FAQs (Staff): Safety and Side Effects: CHG and Iodophor …  (PDF, 236 KB;  Word , 285 KB) Talking Points (Patients) on CHG Bathing  (PDF, 224.5 KB;  Word , 279

129. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape2.html
     September 01, 2013 - Give CHG baths every day for entire ICU stay. … Only use CHG-compatible lotions. Restart entire protocol for readmitted ICU patients. … Do NOT rinse or wipe off CHG. Let air dry. … Do NOT flush CHG cloths (discard in trash, not toilet or commode). … Do NOT include patients who are allergic to mupirocin and/or CHG.

130. Toolkit for Decolonization of Non-ICU Patients With Devices_Toolkit Overview and Recommended Prelaunch Activities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
     March 01, 2022 - CHG is currently cleared by the U.S. … with 2% no-rinse impregnated CHG cloths for bed bathing or 4% liquid rinse-off CHG for showering for … Alternative Products CHG Liquid for Bed Bathing  4% CHG liquid (4 oz bottles) diluted once with … CHG bathing cloths or CHG liquid soap replace soap and water. … All shampoos contain ingredients that will inactivate CHG. o In the shower, we recommend CHG be used

131. 045-Ss-Tips-Patient-Ed (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/045-ss-tips-patient-ed.docx
     April 01, 2025 - Ask the patient to “teach it back” to you and explain the chlorhexidine gluconate (CHG) decolonization … Can you list the steps for CHG from beginning to end? You can use the handout. … Ask patients to “show me” and demonstrate with their body and hands. · Example: “You will be using CHG … Can you show me the order in which you should apply CHG in the shower?” … Can you tell me when and how often you’re going take your CHG showers? · Clarify and check again.

132. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape2.html
     September 01, 2013 - Give CHG baths every day for entire ICU stay. … Only use CHG-compatible lotions. Restart entire protocol for readmitted ICU patients. … Do NOT rinse or wipe off CHG. Let air dry. … Do NOT flush CHG cloths (discard in trash, not toilet or commode). … Do NOT include patients who are allergic to mupirocin and/or CHG.

133. Use of Preoperative Chlorhexidine Antisepsis | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/preoperative-chlorhexidine.html
     April 01, 2025 - content of this presentation, viewers will be able to— Review the purpose and process of preoperative CHG … bathing​ Review using CHG as part of preoperative decolonization​ Recognize the importance of teaching … patients how and when to bathe themselves with CHG​ Explain the correct technique for patients to use … when using CHG bathing Documents:  Use of Preoperative Chlorhexidine Antisepsis – Slides (PPTX, 12 … Decolonization Protocols Access sample unit and nursing protocols for bathing with CHG and conducting

134. 054-Dec-Guide-Pre-Launch-Activities (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
     October 01, 2024 - CHG decolonization is initiated via an order set (see example below) that activates the standardized … nursing protocol for CHG bathing and a nasal decolonization order set. … Order Set Name Device Decolonization Protocol Details · Daily CHG bed bath with 2% no-rinse CHG cloths … If you are using CHG cloths, consider making arrangements for warming the cloths. … Review all skin products currently being used in the unit for compatibility with CHG.

135. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
     October 01, 2024 - Staphylococcus aureus (MRSA) prevention Review the evidence behind use of chlorhexidine gluconate (CHG … Safety Program for MRSA Prevention | ICU & Non-ICU The Evidence Behind Decolonization 9 Uses for CHG … cloths, and non-medicated cloths Results: CHG cloths had significantly reduced concentrations of VRE … Sample Protocols Sample unit and nursing protocols for CHG and nasal decolonization. … Mupirocin-CHG is superior to iodophor-CHG for S. aureus and MRSA outcomes Iodophor still may be preferred

136. FAQs (Staff): Targeted Decolonization (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.docx
     March 01, 2022 - units at your hospital will be decolonizing adult patients with medical devices using chlorhexidine (CHG … Review the nursing protocols for detailed directions on how to bathe patients with CHG and how to apply … Nasal decolonization and the daily CHG bath or shower can be applied while the patient is physically … Your enthusiasm is a major factor in a patient’s acceptance of CHG and mupirocin (or iodophor). … Patient information sheets in this toolkit describe the use of CHG.

137. Scientific Rationale (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
     March 01, 2022 - CHG has been used in healthcare for over 60 years and is FDA cleared for cleansing the skin and wounds … bathing, CHG mouthwash, and mupirocin repeated twice a month for 6 months versus education alone … CHG and similar compounds reduce bacteria on the skin to prevent infection. … CHG has been safely used for bathing, showering, and dental hygiene for over 60 years. … CHG is currently cleared by the U.S.

138. Staff Huddle Documents | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/abate/staff-huddle.html
     March 01, 2022 - Huddle documents focus on the importance of cleaning devices and wounds with chlorhexidine gluconate (CHG … How To Address CHG Bath or Shower Refusals (PDF, 182 KB; Word , 91.2 KB) Device Cleaning With CHG … (PDF, 174 KB; Word , 93 KB) Wound Cleaning With CHG (PDF, 172.3 KB; Word , 95.7 KB)   Importance

139. Addressing Questions Asked by Staff: Targeted Decolonization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.pdf
     March 01, 2022 - units at your hospital will be decolonizing adult patients with medical devices using chlorhexidine (CHG … Review the nursing protocols for detailed directions on how to bathe patients with CHG and how to apply … Nasal decolonization and the daily CHG bath or shower can be applied while the patient is physically … Your enthusiasm is a major factor in a patient’s acceptance of CHG and mupirocin (or iodophor). … Patient information sheets in this toolkit describe the use of CHG.

140. Adherence and Skills Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/abate/skills.html
     March 01, 2022 - PATIENT Self-Showering Skills Assessment: Showering With Chlorhexidine Gluconate (CHG) (PDF, 238 KB; … Word , 174.6 KB) PATIENT Self-Bathing Skills Assessment: Bed Bath With 2% CHG Cloth  (PDF, 233.5 … KB; Word , 175.4 KB) STAFF Skills Assessment: CHG Cloth Observation Checklist  (PDF, 216 KB; Word … , 178.2 KB) STAFF Skills Assessment: CHG Basin Bath Observation Checklist  (PDF, 192 KB; Word , 177