Is anyone using the Sage 2% CHG bath cloths, and utilziing a bathing protocol for their ICU patients for prevention of CLASBI? My hospital system is reviewing this as an option, but there is controversy as this is an off label use.
Sarah Jones
Oncology CNS
I think we are taking this off-label use thing toooooo far! There are several very good studies supporting this bathing practice as a means to reduce CLABSI. So the science is what we should be using for practice decisions and not be hamstrung by the limitations of product labels especially for something like this. Or at least this is my opinion! Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Any particular articles I can pull for references?
Sarah
Sarah Jones
Manager APN/Infusion Services/ ET
Oncology CNS
You can access PubMed for free to do a literature search. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
We do a pre procedure scrub of the entire arm with the Sage Cloth prior to all PICC insertions/Wrap the arm in a sterile drape/Set up our field and then scrub again with Chloraprep immediately prior to insertion
This practice was recommended by Dr. Marcia Ryder many years ago at an AVA conference
We have never had an insertion related CLABSI
Robbin George RN VA-BC Vascular Access Resource Department Alexandria Hospital Virginia
Robbin George RN VA-BC
Are the baths with the CHG clothes used routinely? like daily or how often? I thought I was reading where this process was only indicated if your current use of the insertion bundles as well as care and maintenace bundles wasnt efffective and you still had a high rate or any infections? This process then would be an effort to reduce infection during the care and maintenance phase of the lines stay.
With the below mentioned pre scrub; do you then place the arm with the sterile towel on top of the drape and tourniquet you will then be placing under the arm? then open up sterile drape and do scrub with chlorhexidine, let dry and then do tourniquet, then barrier off with sterile drapes?
The current kit set up doesnt make the underlying drape and tourniquet or chlorascrub sterile ( apply chlorascrub not touching the pad ). The prep is done and then sterile drapes applied that barrier off any of the tourniquet as well as the underlying drape. It sounds like the pre scrub is an extra measure to reduce skin growth right? Certainly sounds worthy to try. I will have to look up and see if I can find an article on this. This process would only help during insertion phase infections not care and maintenance correct?
Thanks again, Gina Ward R.N.
Gina Ward R.N., VA-BC