Reply To: CHG Wipes vs. Hibiclens

  • Leanne Adamson

    Member
    July 27, 2020 at 12:40 pm

    ​Kelly –
    We are also using Theraworx, and love it!

    We started using it in September of 2019, so not quite a year yet.

    We have seen a decrease in our Non-MBI CLABSI rate from 0.69inf/1000 line days to about 0.3inf/1000 line days, where we have maintained for the last year (averaging 3 Non MBI infections/year over the last year with an average of 8-10,000 line days/year) We continue to see a few MBI’s especially in our AML and BMT population. We are really liking the product though.

    Of note, we never used CHG outside of the ICUs at our hospital.
    Too early to tell if we are seeing a stat. significant decrease, need more time, but we definitely see the benefits over soap/water.

    -Leanne

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    Leanne Adamson
    Clinical Nurse Specialist
    Children’s Hospital Colorado
    Denver, CO
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    Original Message:
    Sent: 07-26-2020 03:44 PM
    From: Kelly Horn
    Subject: CHG Wipes vs. Hibiclens

    We started using Theraworx a little over a year ago. We have been very successful in having 0 CLABSIs for a little over 480 days.  They smell fresh, don’t leave a sticky barrier, and we have much better compliance with these over the CHG-especially with our teens.  There are other advantages to these as well such as can use on face and perineum and foley care. We are also a part of SPS.  Sounds like I’m a salesperson for Theraworks lol!  I’m definitely not, but they have been a very nice change from using the CHG wipes, and we have found them to be just as effective.

     

    Kelly Horn MSN, RN, CPON

    Nursing Professional Development Specialist

    Clinical Nurse Supervisor
    4W/5W Medical Surgical Unit

    McLane Children’s Medical Center

    Baylor Scott & White Health
    1901 SW HK Dodgen Loop | Temple, TX 76502

    254-935-4416 Office | 254-718-7722 Cell

     


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    Original Message:
    Sent: 7/26/2020 12:07:00 PM
    From: Ashley Varnes
    Subject: RE: CHG Wipes vs. Hibiclens

    Our SPS CLABSI team leader has told us that the wipes are preferred to hibiclenes and the “sticky” feeling left over from the CHG wipes is actually a barrier that is keeping the anti-infective properties on the skin longer than the hibiclens which is washed off in the shower.  I haven’t had a moment to research this – has anyone heard this? Thoughts?

     

     

    Ashley Varnes, MSN, RN, CPHON, CPN, BMTCN

    Clinical Practice Nurse Expert II

    Cancer and Blood Disorders Unit

    Medical University of South Carolina

    Shawn Jenkins Children’s Hospital 

    843-985-1686

    varnesa@musc.edu

     

    signature_1887981002

     

    Original Message:
    Sent: 7/26/2020 11:33:00 AM
    From: Mary Lynn Rae
    Subject: RE: CHG Wipes vs. Hibiclens

    -Do you also offer CHG wipes? Yes
    -What has the feedback been if you switched from wipes to Hibiclens from patients? From staff? Patients/staff prefer the Hibilcens (we only use the wipes as a last resort if bath is refused)
    -What challenges do you have with Hibiclens? None
    -What are some successes related to Hibiclens? Patients/parents/staff like Hibi so much better as it does not leave the sticky film on the skin
    -Do you only let kids shower with Hibiclens or do you have a process for using washcloths? We use the wash cloths if there needs to be a bed bath

    Mary Lynn
    Mary Lynn Rae, MSN, RN, CPHON
    NPD Practitioner/Clinical Educator:  Hem/Onc/SCT (LC17/LC18)
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    225 E. Chicago Avenue
    Chicago, Illinois  60611
    Phone:  312-227-4224
    Pager:  312-227-4000, ask for pager 74224
    email:  mlrae@luriechildrens.org

    Original Message:
    Sent: 7/24/2020 10:36:00 AM
    From: Chris Donaghey
    Subject: CHG Wipes vs. Hibiclens

    Team,

    This topic has come up before, but I wanted to address some specific questions.

    If your facility uses Hibiclens:

    -Do you also offer CHG wipes?
    -What has the feedback been if you switched from wipes to Hibiclens from patients? From staff?
    -What challenges do you have with Hibiclens?
    -What are some successes related to Hibiclens?
    -Do you only let kids shower with Hibiclens or do you have a process for using washcloths?

    Any and all feedback on the product would be valuable as we consider it.

    Thanks!

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    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Cancer and Blood Diseases Department
    Riley Hospital for Children at IU Health
    Indianapolis, IN
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