Universal ICU Decolonization: An Enhanced Protocol

Appendix F. Chlorhexidine Bathing Skills Assessment

Please record your observations when monitoring a patient being bathed with CHG.

Observed CHG Bathing Practices

Please circle your answer:

Y          N         Cleanses entire neck area well including skin folds and around lines.

Y          N         Massages skin firmly with CHG cloth to ensure adequate cleansing.

Y          N         States rationale for not using soap below jaw line at any time.

Y          N         Uses all six cloths and more if needed.

Y          N         Cleans armpit and back of knee well.

Y          N         Cleans in between toes and fingers.

Y          N         Cleans between all folds in perineal and gluteal area.

Y          N         Wipes occlusive and semi-permeable dressing with CHG cloth.

Y          N         Cleans tubing, lines, and drains closest to body (after emptying drains).

Y          N         Bathing is completed with no skin below jaw line missed.

Y      N   N/A   Uses CHG on superficial wounds, rash, and stage 1 & 2 decubitus ulcers.

Y      N   N/A   Uses on closed surgical wounds.

Y          N         Allows to air dry/does not wipe off CHG.

Y          N         CHG bathing documented.

 

Queries to Bathing Assistant/Nurse

1. Do you ever use soap in conjunction with a CHG bathing cloth?  If so, when?

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2. Do you reapply CHG after an episode of incontinence? 

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3. If a patient needs freshening up/second bath, do you use CHG cloths or a different product?

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4. Are you comfortable applying CHG to superficial wounds?

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5. Are you comfortable applying CHG to stage 1 & 2 decubitus ulcers?

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6. Are you comfortable applying CHG to closed surgical wounds?

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7. Do you ever wipe off the CHG after bathing?

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Current as of September 2013
Internet Citation: Universal ICU Decolonization: An Enhanced Protocol: Appendix F. Chlorhexidine Bathing Skills Assessment. September 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/hospital/universal_icu_decolonization/universal-icu-apf.html