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1. NICU Family Information Packet, Appendix B, Ostomy Care (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
   April 02, 2025 - ■ Moldable barrier or caulking strips can be used to fill in skin creases or scars. … ■ Use only alcohol-free skin sealant, a plasticizing agent applied to the skin to create a barrier … – Apply skin barrier powder to “weepy” areas prior to pouching. … – Protect peristomal skin from effluent with an occlusive barrier ointment. … ■ Fungal infections: can occur in the warm, moist environment beneath the barrier and erode skin

2. Implementation-Guide-Appendix-N (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-n.docx
   April 02, 2025 - Skin Care in the Incontinent Patient An indwelling urinary catheter is not the answer for urinary incontinence … · Good skin care technique will prevent skin breakdown. · Use perineal cleansing products as needed … · Avoid use of agents containing alcohol as they are too drying to the skin. … · Use moisture barrier cream and/or a barrier wipe. · Turn patient every 2 hours. … · Minimize contact of urine to skin. · Use only one quilted cloth pad for incontinence.

3. Appendix N. Skin Care in the Incontinent Patient | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-n.html
   October 01, 2015 - Skin Care in the Incontinent Patient Appendix O. CAUTI Event Report Template Appendix P. … Good skin care technique will prevent skin breakdown. … Avoid use of agents containing alcohol as they are too drying to the skin. … Use moisture barrier cream and/or a barrier wipe.  Turn patient every 2 hours. … Minimize contact of urine to skin. Use only one quilted cloth pad for incontinence.

4. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape4.html
   September 01, 2013 - Skin may feel sticky for a few minutes. … Apply CHG-compatible barrier product over affected area, as needed. … During the day: If additional barrier protection is needed during day, it is okay to use another … CHG-compatible barrier product. … additional bathing is required throughout the day, clean with CHG cloths, then reapply CHG-compatible barrier

5. Appendix E. Training and Educational Materials (continued) | Agency for Healthcare Research and Quality
   www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape4.html
   September 01, 2013 - Skin may feel sticky for a few minutes. … Apply CHG-compatible barrier product over affected area, as needed. … During the day: If additional barrier protection is needed during day, it is okay to use another … CHG-compatible barrier product. … additional bathing is required throughout the day, clean with CHG cloths, then reapply CHG-compatible barrier

6. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
   December 01, 2013 - Moldable barrier or caulking strips can be used to fill in skin creases or scars. … Use only alcohol-free skin sealant, a plasticizing agent applied to the skin to create a barrier. … Apply skin barrier powder to "weepy" areas prior to pouching. … Protect peristomal skin from effluent with an occlusive barrier ointment. … Fungal infections: can occur in the warm, moist environment beneath the barrier and erode skin.

7. Patients With Devices: Prevent Infections During the Hospital Stay Shower With Chlorhexidine (CHG) (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-showering.pdf
   March 01, 2022 - Apply as shown below: • Clean all skin. … • If barrier protection is needed, apply CHG and then apply barrier protection. … Clean All Skin Areas Pay special attention to: • Neck (front and back) • All skin folds • Skin … Massage CHG onto all skin areas. 7. … Leave soapy lather on skin for 2 minutes before rinsing. 8.

8. CHG Showering (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-showering.docx
   March 01, 2022 - Apply as shown below: · Clean all skin. … wounds, rashes, and burns. · Encourage showering every day. · Use only CHG-compatible lotions. · If barrier … protection is needed, apply CHG and then apply barrier protection. · Patients who self-bathe need direction … Clean All Skin Areas Pay special attention to: Neck (front and back) All skin folds Skin around all devices … Massage CHG onto all skin areas. 7. Leave soapy lather on skin for 2 minutes before rinsing. 8.

9. Computer-Based Training Modules: Basin Bed Bathing with CHG
   www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pptx
   March 01, 2022 - Use barrier products compatible with CHG.* Remove urine/stool with usual incontinence wipes/cloths … Apply CHG-compatible barrier protection, if needed. … If additional barrier protection is needed during day, OK to use additional CHG compatible barrier protection … required throughout the day, follow the same CHG bed basin bathing protocol, then reapply CHG compatible barrier … Long-term use of CHG does not cause deterioration of skin or other problematic skin conditions.

10. Nursing Protocol Training_Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
    March 01, 2022 - Use barrier products compatible with CHG.*  Remove urine/stool with usual incontinence wipes/cloths …  Apply CHG-compatible barrier protection, if needed. …  If additional barrier protection is needed during day, OK to use additional CHG compatible barrier … required throughout the day, follow the same CHG bed basin bathing protocol, then reapply CHG compatible barrier …  Long-term use of CHG does not cause deterioration of skin or other problematic skin conditions.

11. Computer-Based Training Modules: Bed Bathing With CHG
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
    March 01, 2022 - Use barrier products compatible with CHG.* Remove urine/stool with usual incontinence wipes/cloths … Apply CHG-compatible barrier protection, if needed. … If additional barrier protection is needed during day, OK to use additional CHG compatible barrier protection … additional bathing is required throughout the day, clean with CHG cloths, then reapply CHG-compatible barrier … Long-term use of CHG does not cause deterioration of skin or other problematic skin conditions.

12. Nursing Protocol Training_Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pdf
    March 01, 2022 -  Ensure careful cleansing of skin around devices to remove bacteria  After cleaning skin, clean … Use barrier products compatible with CHG.*  Remove urine/stool with usual incontinence wipes/cloths …  Apply CHG-compatible barrier protection, if needed. …  If additional barrier protection is needed during day, OK to use additional CHG compatible barrier … additional bathing is required throughout the day, clean with CHG cloths, then reapply CHG-compatible barrier

13. Appendix 3. Guidelines to Prevent Central Line-Associated Blood Stream Infections | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/clabsi-tools/appendix-3.html
    March 01, 2018 - Maximal Barrier Precautions Decrease CLABSI Infections Slide 23. … Use chlorhexidine for skin preparation. … Use full-barrier precautions during central venous catheter insertion. … Maximal Barrier Precautions Decrease CLABSI Infections Author Design Catheter Type OR … Perform thorough skin preparation. Use barrier protection.   Slide 35.

14. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
    May 20, 2016 - line insertion while the femoral site should be avoided except in an emergency.2,4,6-7 Maximal Barrier … • Apply maximal barrier precautions. • Use chlorhexidine skin prep unless contraindicated. …  Chlorhexidine for skin prep.  Central venous catheter insertion kit. … Recommended Practice: Maximal Barrier Precautions and Skin Preparation • Prep skin: o Prepare skin … with chlorhexidine skin antiseptic by first breaking the central core.

15. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
    October 01, 2014 - Skin Turgor To assess skin turgor, take your fingers and "pinch" the skin near the clavicle or the … Use moisture barrier ointments (protective skin barriers). Moisturize dry unbroken skin. … Consider low air loss bed Moist Use moisture barrier ointments (protective barriers). … Consider low air loss bed Occasionally Moist Use moisture barrier ointments (protective skin … Keeps skin clean and reapplies protective skin barrier Applies products (lotion, cream, skin sealant

16. 056-Nursing-Protocol-Bathing-Cloths (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
    October 01, 2024 - Skin may feel sticky for a few minutes. … Ensure that CHG is applied to skin by firm massage to ensure the binding of CHG to skin proteins. … bacteria from skin. … Then, clean skin with CHG bathing cloths. … · If needed, use CHG-compatible barrier protection products for barrier protection (contact product

17. 057-Nursing-Protocol-Bathing-Liquid (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
    October 01, 2024 - Let air dry. · If moisturizer or other skin products are needed, use only CHG-compatible products. … Ensure that CHG is applied to skin by firm massage to ensure the binding of CHG to skin proteins. … bacteria from skin. … Then, clean skin with CHG. … · If needed, use CHG-compatible barrier protection products for barrier protection (contact product

18. Appendix 2. Central Line-Associated Bloodstream Infections Fact Sheet | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/clabsi-tools/appendix-2.html
    March 01, 2018 - Use chlorhexidine for skin preparation. … Use full-barrier precautions during central venous catheter (CVC) insertion. … Use chlorhexidine for skin preparation Bottom line: Disinfect clean skin with an appropriate antiseptic … Since that time, there has been growing evidence that chlorhexidine-containing skin preparation is superior … Use full-barrier precautions during CVC insertion Bottom line: Maintain aseptic technique for the

19. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
    May 17, 2016 - Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 2 Tool D.4x Maximal Barrier … • Apply maximal barrier precautions. • Use chlorhexidine skin prep unless contraindicated. … central line cart, at a minimum, should include all of the following9,10:  Supplies for maximal barrier … Recommended Practice: Maximal Barrier Precautions and Skin Preparation • Prepare skin: o Prepare … skin with chlorhexidine skin antiseptic, if not contraindicated, by first breaking the central core.

20. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4k_nqi03-bsi-bestpractices.pdf
    May 17, 2016 - Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 2 Tool D.4k Maximal Barrier … • Apply maximal barrier precautions. Use chlorhexidine skin prep unless contraindicated. … Recommended Practice: Maximal Barrier Precautions and Skin Preparation • Prepare skin: ○ Prepare … skin with chlorhexidine skin antiseptic, if not contraindicated, by first breaking the central core. … antiseptic • Maximal barrier precautions • Central line catheters Communication • Education on