Enturia

Skin Prep Checklist

Use of care bundles helps improve patient outcomes

A care bundle is a structured way of improving the processes of care — a straightforward set of practices that when performed collectively, can significantly improve patient outcomes for surgeries and catheter-related procedures.

Including ChloraPrep in care bundles helps reduce skin microorganisms^1,2

Using ChloraPrep, a 2% chlorhexidine gluconate and 70% isopropyl alcohol formulation, as part of a care bundle helps reduce the skin microorganisms that can cause bloodstream infections (BSIs) and surgical site infections (SSIs).

Care bundle for central-line insertion

Using a care bundle for central-line insertion helps reduce the incidences of CRBSIs.¹

• Education
• Hand hygiene
• Maximal barrier precautions upon insertion
• 2% chlorhexidine skin antisepsis
• Optimal catheter site selection, with subclavian vein as the preferred site for non-tunneled catheters
• Daily review of line necessity with prompt removal of unnecessary lines
• Use of coated catheters

(See O’Grady NP, Alexander M, Delinger EP, et al. Guidelines for the prevention of intravascular catheter-related infections. )

Care bundle for post central-line insertion

Follow these CDC guidelines to prevent catheter-related infections after a central line has been inserted.¹

• Disinfect clean skin with an antiseptic during dressing changes
• Change dressings at least weekly for adult and adolescent patients
• Do not use topical antibiotic ointment or creams on insertion sites (except when using dialysis catheters)
• Do not submerge the catheter under water; showers are permitted if the catheter and connected device are protected with an impermeable cover
• Replace peripheral venous catheters at least every 72 to 96 hours in adults to prevent phlebitis and infiltration
• When adherence to aseptic technique can’t be ensured, replace catheters as soon as possible and after no longer than 48 hours
• Replace short-term central venous catheters (CVCs) if purulence is observed at insertion site, which indicates infection
• Replace CVCs if patient is hemodynamically unstable and CRBSI is suspected
• Do not use guidewire techniques to replace catheters if CRBSI is suspected

Care bundle for surgical site preparation

Following these steps for best practice can help reduce the incidences of surgical site infections.²

• Glucose control
• Preoperative CHG shower
• Appropriate hair removal
• Hand hygiene
• Skin antisepsis
• Antimicrobial prophylaxis
• Normothermia