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We use both but the use of CHG Hibi is more prominent; our hospital decided that the cost of a CLABSI is a bigger concern so in that sense the cost related to products was not a concern, whatever the patient/family prefers. Our SIR is less than 1. To be honest our charting is not the best overall, but we like the kids to get into the bath shower for three more reasons other than CLABSI: skin (and bottoms), muscles and respiratory. We do a lot of HSCTs per year with long stays so we feel that is just as important; feedback from patients and parents is more positive
Mary Lynn Rae, MSN, RN, CPHON
Clinical Educator Hem/Onc/SCT & VAT
Ann & Robert H. Lurie Children’s Hospital of Chicago
225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991
At Lurie, do you also use the proprietary wipes?
What are the cost considerations between Sage CHG wipes and the Hibi system?
Since the shift in product and increased compliance, have you noticed improved outcomes/patient satisfaction scores?
Currently, we almost exclusively use Sage CHG wipes. We’ve used Hibiclens in special considerations where the child was a teenager who blatantly refused to use the wipes anymore unless we made an alteration to the plan. They were able to shower. As a hospital, we’ve had concerns that using a different product would potentially be used less thoroughly, and improperly in those who are not wholly capable themselves.
I would agree with Molnlycke’s assessment that just using wipes isn’t an ideal bath, though we are attempting to split the difference between workflow of staff and usability for families/children; the ease of use of single wipes, and the abilities of families to assist with them if staff become inundated, can admittedly take precedent.
—————————— Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON Clinical Nurse Specialist – Riley Cancer Center Riley Hospital for Children at IU Health Indianapolis, IN ——————————