What are your facilities using for skin antisepsis in patients that are allergic to iodine/betadine (and can't use IPA because of court related issues)?
All chlorhexidine gluconate products for skin antisepsis at a venipuncture site available in the US have 70% isopropyl alcohol in them. The only aqueous CHG are products such as Hibiclens, a 4% solution in a pour bottle, not a swabstick at all, only labeled indication is for handwashing.
Hibiclens was one of my suggestions, knowing it was off label. The ED won't use any disinfectant with IPA in it for venipuncture lab sampling for ETOH levels. They know it's a different form of alcohol, but they say it's still an issue in court.
Mari Cordes, BS RN
Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
We would use 2% Chlorhexidine swabsticks, alcohol free.
Daphne Broadhurst
Desjardins Pharmacy
Ottawa, Canada
Daphne Broadhurst
Desjardins Pharmacy
Ottawa, Canada
thanks, Daphne - that was my suggestion. I appreciate your feedback.
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
All chlorhexidine gluconate products for skin antisepsis at a venipuncture site available in the US have 70% isopropyl alcohol in them. The only aqueous CHG are products such as Hibiclens, a 4% solution in a pour bottle, not a swabstick at all, only labeled indication is for handwashing.
Lynn Hadaway, M.Ed., RN, BC, CRNI
www.hadawayassociates.com
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
Hibiclens was one of my suggestions, knowing it was off label. The ED won't use any disinfectant with IPA in it for venipuncture lab sampling for ETOH levels. They know it's a different form of alcohol, but they say it's still an issue in court.
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center