skin cleansing to reduce bacteria on the skin prior to … · skin cleansing to reduce bacteria on...

Skin cleansing to reduce bacteria on the skin prior to surgery

The 2-in-1 Clorox Healthcare™ 4% CHG Skin Cleansing Kit

The AORN Seal of Recognition has been awarded to Aplicare on January 10, 2014 and does not imply that AORN approves or endorses any product or service mentioned in any presentation, format or content. The AORN Recognition program is separate from the AORN, ANCC Accredited Provider Unit and therefore does not include any CE credit for programs.

Adaptable for most

pre-procedural skin cleansing

protocolsFor more information, contact your Clorox sales representative or call (800) 760-3236. email: [email protected] visit us: www.cloroxhealthcare.com

© 2014 Clorox Professional Products Company,1221 Broadway, Oakland, CA 94612. N

I-252

53

FDA Registered ManufacturerRegistration No. in Connecticut: 1220701Registration No. in West Virginia: 1120159

Useful Tools

17.5”

11.375

”

3.72

75”

7.665”

COVER

PROJECT TITLE PG# / BRAND PROJECT MANAGER / EXT.42806_PPD_HC Aplicare Detox_REbranding 42806 / PPD HC Stephen Jung / x 7511FILE NAME SPEC. / NI# DIMENSIONSNI-25253_PPD_HC_Aplicare_Detox_DFU_Brochure_cover NI-25253 17.5” W x 11.375” H cenveoSTAGE PRINT PROCESS / #COLORS RELEASE DATE / VENDOR

MECHANICAL PREFLIGHT CMYK 07/24/14 cenveo

ROUND 1 2 3 4 5 6 7 8 9 10

DATE 06/05/14 06/17/14 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00

ARTIST Jairo Jairo - - - - - - - -

PROOF SH SH - - - - - - - -

R2V1

NOTES:Dielines do not print

COLORS

PMSXXXX

PMSXXXX

MC Y

K

STOCK ART & PHOTOGRAPHYUSAGERIGHT FILE NAME or DESCRIPTION and SOURCE

PPD_APLC_AllInOneDtxKt_HoldingKIt4_nl2

6435_PPD_APLC_AllInOneDtxKt_Beauty_R1

Each pack includes all of the materials needed to cleanse with CHG prior to procedures: • 4 oz. Bottle of 4% CHG • 3 Disposable Cloths • Plastic Tray • Waterproof Directions for Use Card

Two Single-Use Packs Attached via an Easy-Tear Perforated Seal

1. Anderson, DJ, et. al., “Strategies to prevent SSIs in acute care hospitals,” ICHE 2008; 29 S51-S61.

2. Mangram, A. et al. Guideline for Prevention of Surgical Site Infection, 1999. Infection Control and Hospital Epidemiology Vol. 20. No. 4. pg. 247-278. Centers for Disease Control and Prevention. (CDC). Available at: http://www.cdc.gov/hicpac/pdf/SSIguidelines.pdf

3. Cheadle, William G. Surgical Infections. January 2006, 7(s1): s7-s11. doi:10.1089/sur.2006.7.s1-7.

4. Clorox Healthcare Market Research conducted December, 2012. n=87 Infection Preventionists and Nurses.

5. Capgemini Consulting, Patient Adherence: the Next Frontier in Patient Care; Vision & Reality, 9th Edition.

6. Association of periOperative Registered Nurses (AORN) Recommended Practices for Preoperative Patient Skin Antisepsis (2014). 7. Edmiston, Charles E. Evidence for Using Chlorhexidine Gluconate Preoperative Cleansing to Reduce Risk of Surgical Site Infection. AORN Journal, Vol 92, No. 5, 2010.

8. Haynes, R. Brian, Helping Patients Follow Prescribed Treatment, American Medical Association, 2002.

9. Hibbing, A., A Picture is Worth A Thousand Words, The Reading Teacher; 2003.

10. Shephard, J. et al., (2013). Financial Impact of Surgical Site Infections on Hospitals. JAMA Surg. doi:10.1001/jamasug.2013.2246.

11. Hawn, M. T. et al., (2011). Surgical site infection prevention: Time to move beyond the surgical care improvement program. Annals of Surgery, 254(3), 494-501.

12. Centers for Medicare & Medicaid Services: CMS Final Rule to Improve Quality of Care During Hospital Inpatient Stays. Press Release 8/2/2013. Accessed January 2014 via: http://www.cms.gov/newsroom/mediareleasedatabase/fact-sheets/2013-fact-sheets-items/2013-08-02-3.html

13. The Joint Commission’s Implementation Guide for NPSG.07.05.01 on Surgical Site Infections: The SSI Change Project (2013). Pg. 1-48.

17.5”

11.375

”

3.72

75”

7.665”

INSIDE

The Facts

Surgical Site Infections ......................................................................................................................... 4

Skin Cleansing ...................................................................................................................................... 5

The Problem

Compliance ........................................................................................................................................... 6

The Solution

2-in-1 Clorox HealthcareTM 4% CHG Skin Cleansing Kit .................................................................... 7

Engineered for Compliance ................................................................................................................ 8

Getting Started

The Financial Case for Reducing SSIs ............................................................................................... 10

Directions for Use ............................................................................................................................... 12

Ordering Information ......................................................................................................................... 13

Useful Tools ........................................................................................................................................ 15

Table of Contents

4

The FactsSurgical Site Infections (SSIs)

2%–5% ofinpatient surgery patients develop an SSI. About 3%

of these result in death1

SSIs increase average hospital

stays from7 to 10 days1

Hospitals spend up to

$10 billion per year on costs

associated with managing SSIs1

SSIs Are Common and Costly

SSIs can emerge in superficial incisions, deep tissue or organs2

Risk factors:3 Patient-Related • Age• Weight• Smoking• Comorbid conditions

Surgery-Related• Contaminated surfaces

or instruments• Lack of adherence to skin

prep protocols• Duration of procedure

THE FACTS THE SOLUTIONTHE PROBLEM GETTING STARTED

5

THE FACTS THE SOLUTIONTHE PROBLEM GETTING STARTED

5

• Recent evidence-based scientific and clinical studies support preoperative skin cleansing with Chlorhexidine Gluconate (CHG) as an important component of a strategy to reduce the risk of postoperative surgical site infections (SSIs).2, 6, 7, 13

• CHG is broad spectrum, fast-acting and persistent, making it an effective antimicrobial active ingredient for skin cleansing prior to procedures.

• The mechanical action of scrubbing with CHG helps to cleanse the skin, and rinsing removes debris, while maintaining a layer of CHG on the skin that has persistent antimicrobial effects.7

Leading organizations like AORN and the CDC

recommend patients cleanse with soap or an antiseptic

(such as CHG) prior to surgery as part of an effective strategy to

prevent SSIs 2,6

CHG skin cleansing reduces bacteria on the skin prior to surgery

6

The Problem

FACTORS AFFECTING PATIENT COMPLIANCE:5

Poor Compliance with CHG Skin Cleansing

of nurses in a market research study were only

SOMEWHAT CONFIDENT

that their patients were complying with CHG

cleansing instructions4

• Patient understanding of why prescribed product/ action is important for their health

• Misunderstanding of instructions

• Complexity of treatment

• Treatment tolerability

55%

� Standardized Protocol � Staff Education

� Patient Education � Correct Product Usage

PROBLEM:PATIENTS MISUNDERSTAND INSTRUCTIONS

When using products at home, patients may not have the same level of guidance to ensure proper product usage.

Patients have a lot on their mind prior to surgery and can forget to cleanse as instructed.

PROBLEM:PROTOCOLS INCONSISTENT AND NOT ALWAYS FOLLOWED

Many hospitals have protocols in place for skin cleansing, but they vary across hospitals and even across departments.

Within a hospital, protocols are not always followed consistently.

Success Criteria for Compliance with Skin Cleansing Include:

THE PROBLEM THE SOLUTIONTHE FACTS GETTING STARTED

7

R1 SkM3PG 39445_AFH_Detox DFU Update


Includes all the tools that patients and healthcare professionals need to easily comply with the recommended two CHG cleanses prior to surgery.6

Two single-use packs, attached by a perforated seal, make it easy to take two preoperative showers

Each pack contains:

4 oz. bottle of 4% CHG

Plastic basin to soak the cloths with CHG solution

Waterproof Directions for Use card that can be brought into the shower

Three disposable polyester blend washcloths

The Solution2-in-1 Clorox HealthcareTM 4% CHG Skin Cleansing Kit


TEAR PACKETS AT THE PERFORATED SEAL

USE THE NIGHT BEFORE SURGERY

USE THE MORNING OF SURGERY1 2

R1 SkM1PG 39445_AFH_Detox DFU Icons


R1 SkM1PG 39445_AFH_Detox_DFU_Basin Update



Adaptable for most


protocols

THE SOLUTIONTHE FACTS THE PROBLEM GETTING STARTED

8

Clorox HealthcareTM 4% CHG Skin Cleansing Kit is designed to drive compliance with:

1. Industry guidelines about how many times patients should cleanse prior to procedures 2. Correct product usage to achieve maximum benefit

Engineered for Compliance

Following Industry GuidelinesCompliance Driver No. 1:

Industry Best Practices for Pre-Procedural Skin Cleansing

AORNRECOMMENDATION

“The patient should beinstructed to bathe or shower

before surgery with either soap or a skin antiseptic at least the

night before or day of surgery”6

CDCRECOMMENDATION

“Shower or bathe withan antiseptic agent on atleast the night before the

operative day”2

CDC Study Supporting Recommendation: “In a study of >700 patients who received two preoperative anti-septic showers, chlorhexidine reduced bacterial colony counts ninefold (2.8x102 to 0.3) ...chlorhexidine gluconate-containing products require several applications to attain maximum antimicrobial benefit so repeated showers are usually indicated.”

THE SOLUTIONTHE PROBLEMTHE FACTS GETTING STARTED

• Adaptable for hospitals that recommend more than two cleansings

9

Correct Product UsageCompliance Driver No. 2:

Pleasant Usage Experience • Similar to using liquid soap — something that patients do every day.

• Unlike pre-saturated 2% CHG cloths, our packaging is easy to open — no sterile scissors required.

• Packaging can be used as a basin to soak the cloths with CHG at home or in-facility.

Patient Reminders • Reminder system available for patients to schedule an email, text or voicemail reminding them to cleanse.

• To schedule, visit: www.CloroxHealthcare.com/

SkinCleansing

Clear Instructions • Studies show that clear

instructions play a key role in driving compliance with short-term medications.8

• Packaging and DFUs include visual icons, which studies show are effective for promoting understanding.9

Easy to Use!

THE SOLUTIONTHE FACTS THE PROBLEM GETTING STARTED

10

SSIs Can Reduce Hospital Profits In addition to negative clinical outcomes, SSIs can impact hospital financials. A recent JAMA study performed across 4 hospitals revealed a $2.2 million profit decrease due to SSIs.10 Additional findings include:

Getting StartedThe Financial Case for Reducing SSIs

Patient with SSI Control Patients P-Value

Length of Stay (days) 10.56 5.64 <.001

Total Charges $58,822 $35,827 <.001

30-Day Readmission Rate

51.94% 8.19% <.001

Implementing a CHG Skin Cleansing Program can help hospitals build a comprehensive program for reducing SSIs.2, 6,13

It’s estimated that

of SSIs are preventable11

Manyorganizations, like

AORN & CDC, recommend

Skin Cleansing

40%–60%

Skin Cleansing

The Affordable Care

Act introduces new penalties reducing or

eliminating Medicare & Medicaid reimbursement

for treating certaintypes of surgical site

infections (SSIs)12

GETTING STARTEDTHE PROBLEMTHE FACTS GETTING SOLUTION

11

Convenient: Everything in one place

to cleanse the body twice

• Cloths not provided

• Few instructions included

2% CHG PRE-SATURATED CLOTHS 4% CHG BOTTLES

A Better Value

Cleansing Kit Alternatives

Clorox HealthcareTM 4% CHG Skin Cleansing Kit

vs.

cloths needed to cleanse the body twice12 2

1

bottles needed

kit needed

• Expensive

• Many packs to open

• Sticky residue left on skin

Convenient: Everything in one place

to cleanse the body twice

vs.

needed

GETTING STARTEDTHE FACTS THE PROBLEM GETTING SOLUTION

1212

Multiple Ways to Access Directions for Use

General Directions

5.5" x 8.5" Directions for Use folded card with space for additional instructions from patient’s surgical team

4" x 6" Laminated Directions for Use card included in each pack

Instructional video accessible via home computer or mobile device at www.CloroxHealthcare.com/CHGKit

FRONT BACKINSIDE

Directions for Use

www.CloroxHealthcare.com/SkinCleansing

ENGLISH


SPANISH

4% CHG SKIN CLEANSING KIT

DIRECTIONS FOR USE

Pour CHG solution over the cloths.

Gently massage cloths to distribute solution.

Wet your entire body.

Step back from the water and apply the solution to your entire body below the chin.*

Use one cloth for the legs, one for the arms and one for the torso.

Rinse thoroughly with water.

Pat dry with a clean towel and dress in clean clothes. R1 SkM4

PG 39445_AFH_Detox DFU Update

R1 SkM1PG 39445_AFH_Detox Launch Kit_DFU_Illus

*Before using this product, carefully read all warnings and follow the skin wound and general cleansing directions on the product label.


Avoid eyes, ears, mouth and genital area.

Do not use shampoos, lotions or deodorants after cleansing.

R1 SkM1PG 39445_AFH_Detox Launch Kit_DFU_Icons



to watch video directions for use Visit

PROJECT TITLE PG# / BRAND PROJECT MANAGER / EXT.42806_PPD_HC Aplicare Detox Rebranding 42806 / PPD HC Stephen Jung / x 7511FILE NAME SPEC. / NI# DIMENSIONSNI-25259_PPD_HC_SS_DetoxsmallDFU NI-25259 4" W x 6" H STAGE PRINT PROCESS / #COLORS RELEASE DATE / VENDOR

MECHANICAL PREFLIGHT Offset / 4/0

ROUND 1 2 3 4 5 6 7 8 9 10

DATE 06/05/14 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00

ARTIST Jairo - - - - - - - - -

PROOF SH - - - - - - - - -

R7V1


COLORS

MC Y

K


All images (CCS-Skip)

Your surgical team has

recommended that you

use this product to

lower the amount

of bacteria on your

skin prior to surgery.

Cleansing with 4%

Chlorhexidine

Gluconate (CHG)

reduces bacteria on the skin and continues to work for hours

after application. Many surgical teams recommend cleansing

at least twice prior to your procedure, but please follow the

directions provided by your team.

Before using this product:

• Carefully read the product label warnings and directions for Skin Wound and General Skin Cleansing

• Use your regular soap and shampoo products and thoroughly rinse them off (do not use them after cleansing with CHG)

Directions for Use:

• Open one pack. Remove CHG bottle and waterproof card from the tray• Pour CHG solution over the cloths• Gently massage cloths to distribute solution

Repeat as directed

• Wet your entire body• Step back from the water and apply the solution to your entire body below the chin*• Use one cloth for the legs, one for the arms and one for the torso

• Rinse thoroughly with water• Pat dry with a clean towel and dress in clean clothes


Visit www.AplicareSkinCleansing.com to watch video directions for use.

*Warnings:

Avoid eyes, ears, mouth and genital area

Do not use shampoos, lotions or deodorants after cleansing



R1 SkM1PG 39445_AFH_Detox_DFU_Basin Update R1 SkM4

PG 39445_AFH_Detox DFU Update

Additional Directions from Your Surgical Team:

Please apply CHG to the following area(s):

Front: Back:

Surgical Team Instructions:

Contact Information:


DIRECTIONS FOR USE

Use below the chin only

NI-25255

11"

8.5"

Additional Directions from Your Surgical Team:

Please apply CHG to the following area(s):

Front: Back:

Surgical Team Instructions:

Contact Information:


DIRECTIONS FOR USE

Use below the chin only

NI-23679

The Clorox Healthcare™ 4% CHG Skin

Cleansing Kit is easy for both patients and nurses to use

1.

2. 3.

• Pour CHG solution over the cloths

• Gently massage cloths to distribute solution

1.

2.

3.

• Wet your entire body

• Step back from the water and apply the solution to your entire body below the chin*

• Use one cloth for the legs, one for the arms and one for the torso

• Rinse thoroughly with water

• Pat dry with a clean towel and dress in clean clothes





*Warnings:

Avoid eyes, ears, mouth and genital area

Do not use shampoos, lotions or deodorants after cleansing



1313

Description: Clorox Healthcare™ 4% CHG Skin Cleansing Kit

Reorder #: M5003

Contents: 2 single-use packs, each containing:

Customer Service: TEL : (800) 760-3236 FAX : (203) 630-4876 www.CloroxHealthcare.com/CHGKit

Ordering Information


Durable packaging that can be used as a basin to soak the cloths

Waterproof Directions for Use card that can be brought into the shower

Three disposable polyester blend washcloths






GETTING STARTEDTHE FACTS THE PROBLEM GETTING SOLUTION

14

Other Aplicare Skin AntisepticsHealthcare personnel

handwashing

Surgical hand scrub

Site preparation for injections, IV placement, blood draw

Preparation of patient

skin prior to surgery

General skin and wound cleansing

Emergency antiseptic treatment

of lacerations and burns

Chlorhexidine Gluconate 2% Bottles SHELF LIFE: 24 months

Chlorhexidine Gluconate 4% Bottles SHELF LIFE: 24 months

Povidone-Iodine Scrub 7.5% (0.75% Avail. Iodine) Bottles SHELF LIFE: 24 months / 30* months

Povidone-Iodine Scrub 7.5% (0.75% Avail. Iodine) Swabsticks SHELF LIFE: 24 months

Povidone-Iodine Solution (Paint) 10% (1.0% Avail. Iodine) Bottles SHELF LIFE: 24* months/36 months

Povidone-Iodine Solution (Paint) 10% (1.0% Avail. Iodine) Swabsticks SHELF LIFE: 24 months

Povidone-Iodine Gel 10% (1.0% Available Iodine) Bottle SHELF LIFE: 36 months

Povidone-Iodine Gel 10% (1.0% Avail. Iodine) Swabsticks SHELF LIFE: 24 months

Reorder # S-1101 S-3101

Description10 boxes of 50 Single Swabsticks

10 boxes of 25 Triple Swabsticks

Reorder # 82-269

Description72/4 oz. Flip-Top Bottle

Reorder # S-1138


Reorder # 82-222 82-332 82-255 82-217 82-226 82-219 82-209

Description48/2 oz. Screw Cap Bottle

24/2 oz. Pump Spray Bottle

72/4 oz. Flip-Top Bottle

24/8 oz. Screw Cap Bottle




Reorder # S-1102


FDA-Registered ManufacturerRegistration No. in Connecticut: 1220701

Registration No. in West Virginia: 1120159

Reorder # 82-219


Reorder # 82-286 82-287 82-288 82-289 82-291



12/16 oz. Screw Cap w/Pump

12/32 oz. Screw Cap

4/128 oz. Screw Cap

Reorder # 82-223 82-212 82-247 82-227 82-220 82-211

Description48/2 oz. Screw Cap Bottle







Each pack includes all of the materials needed to cleanse with CHG prior to procedures: • 4 oz. Bottle of 4% CHG • 3 Disposable Cloths • Plastic Tray • Waterproof Directions for Use Card

Two Single-Use Packs Attached via an Easy-Tear Perforated Seal

1. Anderson, DJ, et. al., “Strategies to prevent SSIs in acute care hospitals,” ICHE 2008; 29 S51-S61.

2. Mangram, A. et al. Guideline for Prevention of Surgical Site Infection, 1999. Infection Control and Hospital Epidemiology Vol. 20. No. 4. pg. 247-278. Centers for Disease Control and Prevention. (CDC). Available at: http://www.cdc.gov/hicpac/pdf/SSIguidelines.pdf

3. Cheadle, William G. Surgical Infections. January 2006, 7(s1): s7-s11. doi:10.1089/sur.2006.7.s1-7.

4. Clorox Healthcare Market Research conducted December, 2012. n=87 Infection Preventionists and Nurses.

5. Capgemini Consulting, Patient Adherence: the Next Frontier in Patient Care; Vision & Reality, 9th Edition.

6. Association of periOperative Registered Nurses (AORN) Recommended Practices for Preoperative Patient Skin Antisepsis (2014). 7. Edmiston, Charles E. Evidence for Using Chlorhexidine Gluconate Preoperative Cleansing to Reduce Risk of Surgical Site Infection. AORN Journal, Vol 92, No. 5, 2010.

8. Haynes, R. Brian, Helping Patients Follow Prescribed Treatment, American Medical Association, 2002.

9. Hibbing, A., A Picture is Worth A Thousand Words, The Reading Teacher; 2003.

10. Shephard, J. et al., (2013). Financial Impact of Surgical Site Infections on Hospitals. JAMA Surg. doi:10.1001/jamasug.2013.2246.

11. Hawn, M. T. et al., (2011). Surgical site infection prevention: Time to move beyond the surgical care improvement program. Annals of Surgery, 254(3), 494-501.

12. Centers for Medicare & Medicaid Services: CMS Final Rule to Improve Quality of Care During Hospital Inpatient Stays. Press Release 8/2/2013. Accessed January 2014 via: http://www.cms.gov/newsroom/mediareleasedatabase/fact-sheets/2013-fact-sheets-items/2013-08-02-3.html

13. The Joint Commission’s Implementation Guide for NPSG.07.05.01 on Surgical Site Infections: The SSI Change Project (2013). Pg. 1-48.

17.5”

11.375

”

3.72

75”

7.665”

INSIDE

Skin cleansing to reduce bacteria on the skin prior to surgery

The 2-in-1 Clorox Healthcare™ 4% CHG Skin Cleansing Kit

The AORN Seal of Recognition has been awarded to Aplicare on January 10, 2014 and does not imply that AORN approves or endorses any product or service mentioned in any presentation, format or content. The AORN Recognition program is separate from the AORN, ANCC Accredited Provider Unit and therefore does not include any CE credit for programs.

Adaptable for most


protocolsFor more information, contact your Clorox sales representative or call (800) 760-3236. email: [email protected] visit us: www.cloroxhealthcare.com

© 2014 Clorox Professional Products Company,1221 Broadway, Oakland, CA 94612. N

I-252

53

FDA Registered ManufacturerRegistration No. in Connecticut: 1220701Registration No. in West Virginia: 1120159

Useful Tools

17.5”

11.375

”

3.72

75”

7.665”

COVER

PROJECT TITLE PG# / BRAND PROJECT MANAGER / EXT.42806_PPD_HC Aplicare Detox_REbranding 42806 / PPD HC Stephen Jung / x 7511FILE NAME SPEC. / NI# DIMENSIONSNI-25253_PPD_HC_Aplicare_Detox_DFU_Brochure_cover NI-25253 17.5” W x 11.375” H cenveoSTAGE PRINT PROCESS / #COLORS RELEASE DATE / VENDOR

MECHANICAL PREFLIGHT CMYK 07/24/14 cenveo

ROUND 1 2 3 4 5 6 7 8 9 10

DATE 06/05/14 06/17/14 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00 00/00/00

ARTIST Jairo Jairo - - - - - - - -

PROOF SH SH - - - - - - - -

R2V1


COLORS

PMSXXXX

PMSXXXX

MC Y

K


PPD_APLC_AllInOneDtxKt_HoldingKIt4_nl2

6435_PPD_APLC_AllInOneDtxKt_Beauty_R1

skin cleansing to reduce bacteria on the skin prior to … · skin cleansing to reduce bacteria on...

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