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Sarah Jones
Sarah Jones's picture
SAGE 2% CHG Bath clothes

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 

lynncrni
 I think we are taking this

 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

Sarah Jones
Sarah Jones's picture
SAGE cloths

Any particular articles I can pull for references?

 

Sarah

Sarah Jones
Manager APN/Infusion Services/ ET
Oncology CNS

lynncrni
 You can access PubMed for

 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

Robbin George
We do a pre procedure scrub

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

Gina Ward
  Are the baths with the CHG

 

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

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