Thanks for confirmation that this new product is available in a
flat square swab. As I mentioned in another message the data on
chlorhexidine is for skin antisepsis. I am not aware of any
information on chlorhexidine as a disinfectant for inanimate objects
such as needleless connectors. Alcohol alone may be equally effective
but without research, we really do not know. You also must consider
the cost. To do SASH, you would need to use 4 pads. Would that be
cost-prohibitive? Lynn
At 6:17 PM -0800 3/11/06, Laurie Hill wrote:
Hi, I work with Tami (PICC Team and Rad Nurse) and I appreciate all of the responses to our note regarding Chlor. and Phenergan, they've been very helpful. In response to Lynn's note, we were just given a handful of Chlorascrub Swabs, prepackaged in little squares just like alcohol pads, and asked what we thought. So that's why we were excited about whether we should ask the hospital to for-go the cost increase and replace the alcohol swabs with the chlor. swabs regarding PIV/Central Line Care. This is the manufacturer and their website: "PDI, The Healthcare Division of Nice-Pak Products, Inc." www.pdipdi.com .
Laurie Hill RN
PICC TEAM
RADIOLOGY NURSE
Olympic Medical Center,
Port Angeles, WA
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynn Hadaway
Sent: Friday, March 10, 2006 12:37 PM
To: Bartholomew , Jerry A (SPO); Tami Spaeder; [EMAIL PROTECTED]
Subject: RE: Chloroscrub vs. alcohol swabs/phenergan issue
No studies so far and I am not sure how practical it would be to use the current package configurations of chlorhexidine to swab an injection port. I am not aware of any chlorhexidine product that is packaged as a flat swab pad like plain alcohol. Lynn
At 10:48 AM -0800 3/10/06, Bartholomew , Jerry A (SPO) wrote:
I've been wondering the same thing about the Chlorascrub swabs. I'm pretty sure they're more deadly to bacteria, and have all of the advantages of Chlorhexidine, but I have not seen any studies comparing them to alcohol swabs for device disinfection. I think the answer is that we just don't have the data.
Jerry Bartholomew RN BSN CRNI
Vascular Access Specialist
Veterans Affairs Medical Center
Spokane, Washington
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Tami Spaeder
Sent: Thursday, March 09, 2006 10:18 AM
To: [EMAIL PROTECTED]
Subject: Chloroscrub vs. alcohol swabs/phenergan issue
Questions for the group:
2. We have the ability to now use the Chloroscrub Swabs in our hospital. They are, however, more expensive than alcohol swabs. We are trying to decide what to ask our hospital for regarding what we need and what we would use the swabs for. Most of our nurses don't spend the required amount of time swabbing hubs/caps with the alcohol swabs. Is anyone else switching over to these swabs in place of the alcohol swabs? And, if you are, are you using them for all IVs or just for central lines?1.Our local college has clinical for the nursing students at our hospital. At a recent staff meeting one of the instructors said she will not require her students to dilute IV Phenergan unless we make a policy. In looking up Phenergan in two Mosby's we have, we found one states to dilute and the other says it is optional to dilute before giving. Our PICC team knows the affects Phenergan if it infiltrates into the tissues. I look at this as being a normal, common sense 'nursing consideration' for a medication. Many medications have 'nursing considerations', they don't all need a policy to back it up. Any thoughts?
Tami Spaeder, RN, BSN
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
