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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-device-cleaning.pdf
March 01, 2022 - Staff Huddle Reminder: Device Cleaning With CHG
Decolonization of
Non-ICU Patients With Devices … Section 13-2 – Staff Huddle Reminder:
Device Cleaning With CHG
Because of the results of a large … clinical trial, we provide daily chlorhexidine gluconate
(CHG) bathing/showering for non-ICU adult … Staff: Use clean CHG cloths to clean patients’ devices during bed baths and after
showering. … Because of the results of a large clinical trial, we provide daily chlorhexidine gluconate
(CHG
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/130-dec-patient-daily-bathing-chg-handout.docx
October 01, 2024 - patients with a daily no-rinse bath using a special skin cleanser called chlorhexidine gluconate, or CHG … Why Is a CHG Bath Administered Daily? … CHG has been shown to keep bacteria off the skin for up to 24 hours if applied correctly. … CHG actually works better than standard soap and water for removing bacteria from the skin. … Once it dries, CHG will keep working to kill germs for 24 hours.
Is It Okay To Use CHG on My Wound?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/046-ss-faqs-staff-decolonization-chg-nasal.docx
April 01, 2025 - their whole body with CHG.
· Allow time for the CHG to dry.
· Don’t use any other soaps, shampoos, or … CHG Bathing in the Pre-Op Area
Which patients should receive a CHG bath? … a CHG bath in the pre-op area. … Is CHG safe to use on the perineum? … Does CHG weaken bandage adhesive?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/050-sample-script-patient-ed-chg-cloths.docx
April 01, 2025 - This cleanser is called “chlorhexidine” or “CHG.” … How To Use CHG Cloths
Key points to convey:
· Conduct your CHG bath every day for 5 days before surgery … · Don’t rinse off the CHG! … Be careful not to get CHG in your eyes or ear canals. … Don’t use it after the CHG; it will stop the CHG from working.
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/051-sample-script-patient-ed-chg-shower.docx
April 01, 2025 - How To Use CHG in the Shower
Key points to convey:
· Shower with CHG every day for 5 days before surgery … .
· Avoid getting CHG in your eyes and ears!
· Let CHG sit on skin for at least 2 minutes. … .
· Rinse off the CHG thoroughly. … Be careful not to get CHG in your eyes or ears. … Don’t use it after the CHG—it will stop the CHG from working.
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/062-calendar-chg-shower-mupirocin-5-days.docx
April 01, 2025 - 5-Day CHG Shower & Mupirocin Surgery Prep Calendar
Chlorhexidine gluconate (CHG) shower
· Use the CHG … once a night, in the shower.
· Use the CHG once more the morning of your procedure.
· Turn water off … applying.
· Leave the soap on your skin for 2 minutes.
· Don’t use any skin products after using the CHG
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - Protocol Overview
· Pre-op CHG bathing prior to surgery
· Do not apply CHG to patients with known CHG … Then, clean skin with CHG bathing cloths.
c. … to confirm CHG compatibility).
7. … Dispose of CHG cloths in the trash. … The risk associated with having CHG in the ear canal is that if a patient has a perforated eardrum, CHG
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-liquid-mupirocin.docx
March 01, 2022 - How To Bathe or Shower With CHG
Use 2% no-rinse CHG cloths for baths or 4% liquid rinse-off CHG for showers … Add to basin to make 2% CHG liquid. … Showering: provide patient with 4 oz 4% CHG bottle, and mesh sponge. … Avoid getting CHG into eyes or ear canals.
Do not use other soaps. They can inactivate CHG. … After CHG is used, apply CHG-compatible barrier product as needed.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-iodophor.docx
March 01, 2022 - How To Bathe or Shower With CHG
Use 2% no-rinse CHG cloths for baths or 4% liquid rinse-off CHG for … Cloth Bath: Obtain CHG bathing pack from warmer (6 cloths total). … Showering: Provide patient with 4 oz 4% CHG bottle, and mesh sponge. … Avoid getting CHG into eyes or ear canals.
Do not use other soaps. They can inactivate CHG. … After CHG is used, apply CHG-compatible barrier product as needed.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-mupirocin.docx
March 01, 2022 - How To Bathe or Shower With CHG
Use 2% no-rinse CHG cloths for baths or 4% liquid rinse-off CHG for … Cloth Bath: Obtain CHG bathing pack from warmer (six cloths total). … Showering: Provide patient with 4 oz 4% CHG bottle, and mesh sponge. … Avoid getting CHG into eyes or ear canals.
Do not use other soaps. They can inactivate CHG. … After CHG is used, apply CHG-compatible barrier product as needed.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-liquid-iodophor.docx
March 01, 2022 - How To Bathe or Shower With CHG
Use 2% no-rinse CHG cloths for baths or 4% liquid rinse-off CHG for showers … Add to basin to make 2% CHG liquid. … Showering: provide patient with 4 oz 4% CHG bottle, and mesh sponge. … Avoid getting CHG into eyes or ear canals.
Do not use other soaps. They can inactivate CHG. … After CHG is used, apply CHG-compatible barrier product as needed.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-refusals.docx
March 01, 2022 - How To Address CHG Bath or Shower Refusals
Decolonization of
Non-ICU Patients With Devices
Section … bath/shower will protect them from infection during their hospital stay
· Chlorhexidine gluconate (CHG … ) is more protective than soap and water
· CHG is used on millions of patients in hospitals across the … bath/shower will protect them from infection during their hospital stay
· Chlorhexidine gluconate (CHG … ) is more protective than soap and water
· CHG is used on millions of patients in hospitals across the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/staff-assessment-chg-cloth.docx
March 01, 2022 - STAFF Skills Assessment: CHG Cloth Observation Checklist
Observer: _________________________ Unit … CHG to air-dry/did not wipe off CHG
|_| Y |_| N Disposed of used cloths in trash/did not flush
Query … Are you comfortable applying CHG to superficial wounds, including surgical wounds? … Are you comfortable applying CHG to lines, tubes, drains, and non-gauze dressings? … Do you ever wipe off the CHG after bathing a patient?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
March 01, 2022 - Nursing Protocol:
Basin Bed Bathing With 2% Liquid Chlorhexidine
(CHG) and Showering With 4% CHG Liquid … cloth, or a new CHG cloth. … to confirm CHG compatibility) … Do not use cotton cloths – cotton binds CHG and does not
release CHG well onto the skin. … • Do not use regular soap with CHG. Many soaps inactivate CHG.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.docx
March 01, 2022 - Protocol:
Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap … Before each CHG bath: Clean all incontinence or gross soilage using CHG-compatible baby wipes or cloths … cloth, or a new CHG cloth. … Do not use cotton cloths – cotton binds CHG and does not release CHG well onto the skin. … Many soaps inactivate CHG.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-answer-basin-bathing.pdf
March 01, 2022 - Protocol Post-Training Test: Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG … 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. … )
and Showering With 4% CHG Liquid Soap
ANSWER KEY
1.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
March 01, 2022 - With CHG
• After applying a CHG wipe to a designated body section, use a clean section of the CHG … cloth, or a new CHG cloth. … to confirm CHG compatibility) … • Allow CHG to air dry naturally – do not wipe off.
• CHG cloths have moisturizers. … • Do not use regular soap with CHG. Many soaps inactivate CHG.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pdf
March 01, 2022 - CHG disposable cloths
Shower with 4% rinse-off CHG liquid soap with mesh sponge
CHG is the bathing … CHG onto
body. … Options for CHG Bed Bath or Shower
CHG for Bath or Shower
CHG Talking Points
Patient Informational … Handouts
CHG Cloth Bathing
CHG Bathing Cloth Warming Instructions
Extra CHG Bathing Cloths
CHG Bed … Bathing Cleanup
Long-Term Use of CHG
CHG Bathing: Critical Points To Remember
CHG Showering Instructions
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
March 01, 2022 - 2% CHG cloths (bed baths)
No rinse, air dry
4% liquid CHG
Rinse-off for showering
CHG Cloth … CHG works at room temperature.
Place CHG packs in warmer based on number of baths needed. … CHG
is safe on devices. … Soap can inactivate CHG. … CHG cloths or liquid CHG for showering can be used on all superficial wounds.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/staff-assessment-chg-basin-bath.docx
March 01, 2022 - from working
|_| Y |_| N Correctly diluted CHG for basin bath (one 4 oz. bottle of 4% CHG plus 4 oz … CHG to air-dry/did not wipe off CHG
|_| Y |_| N Disposed of used wipes in trash/did not flush
Query … How much water did you add to the 4 oz. bottle of CHG? … Are you comfortable applying CHG to lines, tubes, drains, and nongauze dressings? … Do you ever wipe off the CHG after bathing a patient?