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81. 048-Key-Evidence-Decolonization (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/048-key-evidence-decolonization.docx
    October 01, 2024 - Bioburden of Vancomycin-Resistant Enterococci Purpose: To evaluate impact of daily chlorhexidine gluconate (CHG … · First phase: 5 months bathing with soap and water · Second phase: 5 months bathing with 2 percent CHG … phase: 5 months bathing with non-medicated cloths · Results: Compared with soap and water, bathing with CHG … study did not assess methicillin-resistant Staphylococcus aureus (MRSA), it was early evidence that CHG … on skin CHG daily bathing was effective at reducing rates of CLABSI and blood culture contamination

82. Addressing Questions Asked by Staff: Safety and Side Effects of Chlorhexidine and Iodophor (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.pdf
    March 01, 2022 - Most people have no side effects when using iodophor or CHG. … Are CHG and Iodophor commonly used? … CHG has been used for cleansing and bathing of millions of patients. … Local CHG side effects are estimated to occur in 1–3 percent of patients. … How safe are CHG and Iodophor?

83. Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdf
    April 01, 2022 - • Ensure that all products used on the skin are compatible with CHG. … • Consider renaming CHG bathing to “CHG treatment” or “infection prevention bath” to raise the significance … o Including discussion of CHG bathing in daily huddle o Periodically assessing CHG bath procedure … and efficacy of using CHG to clean the perineal area. … One of the areas of concern is adherence to daily CHG bathing.

84. Appendix F. Chlorhexidine Bathing Skills Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apf.html
    September 01, 2013 - Y          N         Allows to air dry/does not wipe off CHG. … Do you reapply CHG after an episode of incontinence?  … Are you comfortable applying CHG to superficial wounds? … Are you comfortable applying CHG to closed surgical wounds? … Do you ever wipe off the CHG after bathing?

85. Tools & Resources for Decolonization: Staff Training Materials | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-training-materials.html
    November 01, 2024 - a training PowerPoint on chlorhexidine gluconate (CHG) decolonization protocols. … Topic Timepoint Instructions for CHG Bed Bath Using Impregnated Cloths 2:38 – 4:26 Instructions for CHG … Bed Bath Using Diluted CHG Liquid 4:27 – 5:38 Instructions for Patient Self-Showering with CHG 9:00 … How to Self-Shower with CHG 7:38 – 8:59 Scenario: Talking to a Patient about Nasal Mupirocin 10:24 – … 11:54 Video: ABATE Toolkit: Cleaning Central and Midline Catheters With CHG YouTube embedded video:

86. 009-Ss-Evidence-Decolonization-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/009-ss-evidence-decolonization-fg.docx
    April 01, 2025 - Slide 16 CHG Bathing as Part of MRSA Decolonization SAY: This next section will discuss CHG bathing … Slide 17 Chlorhexidine Gluconate (CHG) SAY: Chlorhexidine gluconate, or CHG, is an antiseptic. … most commonly used for CHG bathing. … Slide 20 How Preoperative CHG Bathing Has Been Studied SAY: CHG has been used and studied in two key … Slide 21 CHG Bathing as Part of Decolonization SAY: Bode et al conducted a study that supports CHG

87. 064-Dec-Staff-Decolonization-Dos-Donts (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/064-dec-staff-decolonization-dos-donts.docx
    October 01, 2024 - · DO give CHG baths to all patients every day, for entirety of unit stay. … . · DO only use CHG-compatible lotions and skin products. … DON’T · DO NOT get CHG into eyes or ear canals. · DO NOT rinse or wipe off CHG. Let air dry. … · DO NOT use CHG on deep or large wounds. · DO NOT flush CHG cloths (discard in trash, not toilet or … · DO NOT save open CHG packs for later use. · DO NOT use CHG or nasal decolonization if patient is

88. Dos and Don’ts Factsheet (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/dos-donts-factsheet.docx
    March 01, 2022 - – Decolonization of Non-ICU Patients With Devices Dos and Don’ts DO · Use chlorhexidine gluconate (CHG … instead of regular soap for all bathing/showering needs for entire hospital stay · Use 2% leave-on CHG … cloths for daily bed bathing or 4% rinse-off CHG liquid for daily showers · Massage CHG onto skin for … events to treating physician and unit nursing director DON’T · Do NOT get CHG into eyes or ear canals … · Do NOT wipe off CHG after applying it with CHG cloths—let skin air dry · Do NOT forget to clean the

89. Decolonization Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/decolonization-resources.html
    April 01, 2025 - Skin antisepsis with chlorhexidine (CHG) reduces the number of bacteria on the skin and protects patients … Multiple methods for CHG skin antisepsis and nasal decolonization are addressed. … Patient Instructions: Cleaning With CHG Cloths (DOCX, 519 KB) Patient Instructions: Showering With CHG … Cloth Surgery Prep Calendar (DOCX, 504 KB) 5-Day CHG Shower Surgery Prep Calendar (DOCX, 517 KB) 5 … -Day CHG Cloths and Mupirocin Surgery Prep Calendar (DOCX, 615 KB) 5-Day CHG Shower and Mupirocin Surgery

90. Staff Training Videos | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/abate/training/videos.html
    March 01, 2022 - techniques for cleaning central and midline catheters and lumbar drains with chlorhexidine gluconate (CHG … ABATE Toolkit: Overview * This video discusses the importance of CHG cleaning during a bed bath or … catheters, including how to clean the device with CHG. … [4 minutes, 20 seconds] ABATE Toolkit: Cleaning Lumbar Drains With CHG * This video demonstrates … proper techniques of daily CHG bathing of patients with lumbar drains.

91. Staff Training Documents and Video Links | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/abate/training/index.html
    March 01, 2022 - Just in Time Training (for training temporary coverage staff): CHG Cloth and Mupirocin (PDF, 261 … KB; Word , 181.8 KB) CHG Liquid and Mupirocin (PDF, 262.6 KB; Word , 179.8 KB)  CHG Cloth and … ) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap (PDF, 868.8 KB; PPT , 4.7 MB) Basin Bed … Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (PDF, 836.2 KB; PPT , 4.7 … Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (PDF, 256.3 KB; Word , 275.8

92. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
    April 01, 2025 - Prevention | Surgical Services Decolonization Implementation MRSA and SSI Prevention Phases: Nasal and CHG … of surgery Nasal decolonization combined with CHG bathing decreases the bacterial burden of S. aureus … cloths and fill mupirocin prescription at local pharmacy CHG: Instructions for use of CHG cloth given … CUSP team switched from CHG cloths to CHG liquid soap, which was stocked and available over-the-counter … : Instructions for CHG shower before and day of surgery given to patient Patient to obtain CHG liquid

93. Computer-Based Training Post-Training Tests and Answer Keys: Basin Bed Bathing With 2% Chlorhexidine (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-answer-basin-bathing.docx
    March 01, 2022 - Two parts water and one part 4% CHG B. Equal parts water and 4% CHG C. … One part water and two parts 4% CHG 4. … CHG should be used on all of the following EXCEPT (select one answer): A. … Which dressings should be cleaned with CHG (select one answer)? A. Gauze dressings B. … ) and Showering With 4% CHG Liquid Soap ANSWER KEY 1.

94. Dos and Donts (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/dos-donts-factsheet.pdf
    March 01, 2022 - Decolonization of Non-ICU Patients With Devices Dos and Don’ts DO • Use chlorhexidine gluconate (CHG … instead of regular soap for all bathing/showering needs for entire hospital stay • Use 2% leave-on CHG … cloths for daily bed bathing or 4% rinse-off CHG liquid for daily showers • Massage CHG onto skin … events to treating physician and unit nursing director DON’T • Do NOT get CHG into eyes or ear … canals • Do NOT wipe off CHG after applying it with CHG cloths—let skin air dry • Do NOT forget to

95. Tools & Resources for Decolonization: Protocols | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-protocols.html
    October 01, 2024 - Multiple methods for CHG decolonization and nasal decolonization are addressed. … Nursing Decolonization Protocol: Basin Bed Bathing With 4% CHG Liquid (Diluted to 2%) (DOCX, 863 KB … )) Details procedures for performing skin decolonization at bedside with CHG liquid solution diluted … Nursing Decolonization Protocol: Showering With 4% CHG Liquid (DOCX, 615 KB) Details procedures for … patients to perform their own CHG decolonization in the shower. 

96. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape3.html
    September 01, 2013 - Certain soaps and lotions can inactive CHG. … Bathe with CHG using firm massage to remove bacteria. … Then bathe with CHG clothes, air dry. Use as many CHG cloths as needed. … Apply CHG compatible barrier. Repeat throughout the day, as needed. … Lines and Tubes: CHG is safe on lines, tubes, and devices.

97. Addressing Questions Asked by Staff: Safety and Side Effects of Chlorhexidine and Mupirocin (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.pdf
    March 01, 2022 - Most people have no side effects when using mupirocin or CHG. … Are CHG and mupirocin commonly used? … CHG has been used for cleansing and bathing of millions of patients. … How safe are CHG and mupirocin? … How safe are CHG and mupirocin?

98. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape3.html
    September 01, 2013 - Certain soaps and lotions can inactive CHG. … Bathe with CHG using firm massage to remove bacteria. … Then bathe with CHG clothes, air dry. Use as many CHG cloths as needed. … Apply CHG compatible barrier. Repeat throughout the day, as needed. … Lines and Tubes: CHG is safe on lines, tubes, and devices.

99. Appendix D. Universal ICU Decolonization Nursing Protocol | Agency for Healthcare Research and Quality
    www.ahrq.gov/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.

100. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/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?