Course Access
Matt,
You are correct, though I would recommend 2% over 0.5% unless
allergy/sensitivity (as stated)
Most manufacturers are now only producing 2%CHG & IPA swabs/sticks.
I havent yet seen any mini ampules like the 0.5% CHG & IPA in 25ml.
🙂
T..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
Service
Conjoint Lecturer, University of NSW
Dept of Critical Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
________________________________
Behalf Of Richards, Matthew
Tim
just a point of reference
The CDC 2011 guidelines recommendation for skin prep prior to the
insertion of a CVC is “>0.5% CHG with alcohol….if there is a
contraindication to CHG, tincture of iodine, an iodophor, or 70% alcohol
can be used as an alternative”. The reality is 2% CHG in 70% alcohol is
most commonly available and used.
The recommended CDC guidleiens for peripheral skin prep is with an
antiseptic “70% alcohol….or alcoholic CHG gluconate solution”
regards
Matthew Richards
Clinical Nurse Consultant
Infection Prevention and Surveillance Service
Melbourne Health
T: 9342 8325 F: 9342 8484
http://info2.mh.org.au/IPSS/NewWEB/default.htm
________________________________
Behalf Of Tim Spencer
cleaning protocol
Hi Jayne,
Currently, the CDC Guidelines, along with NICE (UK), SHEA (USA), INS
(USA) and AVA (USA), ESPEN (Europe) and IVNNZ (New Zealand) all
recommend 2% CHG with 70% IPA.
It’s is pretty much the worldwide standard for skin antisepsis prior to
inserion of a IV device (peripheral or central), as well as
hub/cap/valve decontamination on any IV device.
Never heard of it being injected into the patient! I would be interested
to see your ID physicians supportive evidence to show any accidental
injection of CHG & IPA into the patient and any detriments it may have.
The evidence speaks correctly. I would base your policy from
“evidence-based research and practices’, not speculation from various
individuals.
There is plenty of supportive literature.
Regards,
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
Service
Conjoint Lecturer, University of NSW
Dept of Critical Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
________________________________
Behalf Of Jayne OConnor
Dear All,
We are currently revising our CVC policy and just wondering what
everyone used for cleaning the ports? All evidence points to 2%
Chlorhexidine in 70% alcohol, but we have had conflicting advice from
our ID physicians due to safety issues of injecting chlorhexidine into
lines?
Look forward to responses.
Kind Regards
Jayne
Jayne O’Connor RN, BSc.in Infection Control
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.
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