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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/133-clabsi-prevention-central-line-insertion.docx
October 01, 2024 - inserting, replacing, accessing, repairing, or dressing an intravascular catheter
Chlorhexidine (CHG) Skin … Povidone-iodine preparations should only be considered if use of CHG is contraindicated.17
Maximal Sterile Barrier
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Monitors progress or changes in medical/skin condition. … Nurse aides:
Examine skin during each position change or skin cleaning. … Report task completion and skin issues to the nurse. … Patient and family are notified if skin or risk changes. … A "skin cart" incorporates all necessary supplies in one place.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
April 01, 2013 - They weren’t using a full barrier precaution. … drape over a three-quarter barrier drape was important. … The reason is that we all know patients have skin flora all over them. … It’s touching the patient’s skin. It’s touching their gown. It could be touching side of the bed. … cell, the front and back of the skin cell so it’s the friction of going back and forth.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Patients
This is an indication when there is concern that urinary incontinence is leading to worsening skin … integrity in areas where there is skin breakdown.
28
Hospice/Comfort Care/Palliative Care
Patient … Provide solutions to barriers
Encourage the use of facilitators to make the process easier
Examples:
Skin
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - A CVC should be inserted under full barrier precautions and aseptically. … This is an indication when there is concern that urinary incontinence is leading to worsening skin integrity … in areas of skin breakdown.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Patients who are identified as at risk may generate an automatic order for support surfaces and skin … Patient acuity and specific individual circumstances will require customization of the skin and pressure … Skin must be observed on admission, before and after surgery, and on admission to the recovery room. … Skin failure: a retrospective review of patients with hospital-acquired pressure ulcers. … assessment have been identified
Approaches to document and report results of skin assessment have
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - Two positive blood cultures should be required for skin commensals to be considered an infection. … In addition, attention to skin coverage in applying CHG is critical. … Even usual bacteria on the skin can become harmful during hospitalization. … barrier products will inactivate chlorhexidine and negate the antiseptic effect) with ones that are … Compatibility should be discussed with the manufacturers of all skin products used in the ICU.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - Skin may feel sticky for a few minutes. … DO massage CHG firmly onto skin.
DO pay special attention to neck, joints, and skin folds. … CHG should be applied closest to the skin, to bind skin proteins and kill germs. … Apply CHG-compatible barrier protection, if needed. … Relationship between chlorhexidine gluconate skin concentration and microbial density on the skin of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
January 01, 2004 - Skin Turgor
To assess skin turgor, take your fingers and “pinch” the skin near the clavicle or the … Then let the skin go.
If the skin quickly returns to place, this is a normal skin turgor finding … clean and reapplies protective skin barrier
Applies products (lotion, cream, skin sealant, etc.) … Barrier cream applied if moisture issues identified
h. … Barrier cream applied if moisture issues identified
i.
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - Two positive blood cultures should be required for skin commensals to be considered an infection. … In addition, attention to skin coverage in applying CHG is critical. … Even usual bacteria on the skin can become harmful during hospitalization. … barrier products will inactivate chlorhexidine and negate the antiseptic effect) with ones that are … Compatibility should be discussed with the manufacturers of all skin products used in the ICU.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - On the other hand, if there is no other team—for example, the Skin Committee has too many responsibilities … Some teams have even posted "on the john" or "potty briefs" flyers in staff bathrooms detailing a skin … For example, does the electronic medical record now have a section on skin care assessment and treatment … Ensure that orientation for new clinical staff is modified to include a focus on skin care. … moisture and related skin changes.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - Solution: Provide a calendar to help unit managers schedule skin champions’ attendance at Skin Care … Skin Care Team meetings, trainings, and prevalence studies. … Solution: Develop a skin care navigator within the EHR. … It also provides a second opinion on each patient’s skin integrity. … Show photos of pressure injury prevention staff (such as wound care nurses, skin champions, and Skin
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Solution: Provide a calendar to help unit managers schedule skin champions’ attendance at Skin Care Team … Description: Due to schedule conflicts, the hospital’s skin champions were unable to participate in Skin … Solution: Develop a skin care navigator within the EHR. … It also provides a second opinion on each patient’s skin integrity. … Show photos of pressure injury prevention staff (such as wound care nurses, skin champions, and Skin
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - Action Plan
3A: Pressure Ulcer Prevention Pathway for Acute Care
3B: Elements of a Comprehensive Skin … and Training
5A: Unit Log
5B: Preventing Pressure Ulcers Data Tool
5C: Assessing Comprehensive Skin … Information technology: Is information about skin assessment and pressure ulcer prevention interventions … pressure ulcer prevention, analyze patient care processes to identify where there are risks to patient skin … measures, and skin care.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - suggested below, you may want to look ahead to section 5 for additional tools for assessing current skin … How is information about patient skin condition and risks documented and shared? … What metrics, if any, are currently used to assess organizational performance with respect to skin care … Advs Skin Wound Care 2003;16(1):26-30. … Adv Skin Wound Care 2007;20(1):34-38.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-p.html
October 01, 2015 - Skin Care in the Incontinent Patient
Appendix O. CAUTI Event Report Template
Appendix P.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Patients
This is an indication when there is concern that urinary incontinence is leading to worsening skin … integrity in areas where there is skin breakdown. … solutions to barriers
Encourage the use of facilitators to make the process easier
Examples:
Skin
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
October 01, 2024 - compromise.11,12
Skin conditions increase risk of pathogen colonization and transmission. … Prevention | ICU & Non-ICU
Hand Hygiene Promotion
8
Considerations for Healthy Hands2,5,7
Intact skin … gloves are damaged or integrity is suspect
After contact with blood, another body fluid, non-intact skin … A survey of occupational skin disease in UK health care workers. … Micro-organisms isolated from skin under wedding rings worn by hospital staff.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - blood culture stewardship is to reduce the number of false-positive blood cultures contaminated with skin … Probable blood culture contamination is determined by identification of one or more skin commensals found … Slide 14
Skin Antisepsis
SAY:
Thorough skin antisepsis must be performed prior to drawing blood cultures … The main source of blood culture contaminants is the commensal bacteria that colonize the patients’ skin … Skin antiseptics containing alcohol are recommended over povidone-iodine preparations for this purpose
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - "Skin tips" newsletter.
Annual skin fairs and wound conferences. … key steps in that process include:
Review medical record audit data for pressure ulcer risk and skin