With changing protocols and more stringent process demands, it’s not surprising to see this infection prevention tool gaining so much attention from
Surgical Products’ readership.
To get more details on the
development and focus of
the kit, Surgical Products
editors discussed the product with Rosie D. Lyles,
MD, MHA, MSc, Head of Clinical Affairs for
Q: What was the driving force
behind the development of the
A: Many outpatient and acute-care facilities ask patients to bathe
using chlorhexidine gluconate (CHG) prior to surgery, but depending on the facility and the guidelines they follow, skin cleansing protocols can vary greatly. Despite these differences, evidence suggests
that patients benefit from at least two CHG cleanses prior to surgery.
Our goal with creating the Clorox Healthcare™ 4% CHG Skin
Cleansing Kit was to address the barriers to compliant and effective skin cleansing by providing all of the materials needed for two
CHG skin cleanses in one easy-to-use package, complete with
patient instructions. We feel that one of the best ways to support our
customers and their patients as they prepare for surgery is to make
things as straightforward as possible – taking variability and confusion out the equation.
Q: What do you feel will be the most significant benefit
realized by Surgical Products readers?
A: Protocol compliance in any healthcare environment is critical,
and in the case of surgical site infection (SSI) prevention, patient
safety hinges on the effectiveness of these practices. Many SSIs are
caused by patients’ own endogenous flora.
CHG is a fast-acting and persistent antiseptic, so it not only kills
bacteria on the skin but also continues to work for hours after application. By cleansing the skin with CHG, patients enter the operating
room with fewer microbes on their skin. Experts believe this helps to
lower the amount of bacteria that could enter an incision and cause
Q: Which feature will users find the most dynamic?
A: To help address patient compliance issues, patients using the
kit can sign up for a reminder system offered via email, text or voice
message (available in English and Spanish) to help them remember how and when to cleanse prior to their scheduled procedure.
Patients can also view video instructions for correct product
usage online and/or take the waterproof illustrated instruction
card into the shower with them for reference.
Clear instructions outlining proper product usage and
reminder-based systems can help minimize
confusion and help lead to improved
patient compliance with recommended
skin cleansing protocols.
Q: Regardless of what a product’s
capabilities are, they will never be real-
ized if the product isn’t used the right way. What steps
can users take to ensure they are getting the most out
of their investment?
A: Clorox Healthcare recommends the following four specific steps to
address the broader infection prevention recommendation inconsistencies, improve compliance, and ultimately, help ensure patient safety:
• Educate Healthcare Professionals. Through training, make
staff aware of existing guidelines and the science to support them.
Training should focus not only on the recommended practices,
but also on how best to work with patients to encourage at-home
• Give Patients Product. Make the process of getting the correct
product as easy as possible to reduce the likelihood of the patient
forgetting, picking up the wrong product or not picking up
enough products. Providing easy-to-use CHG products that are
offered as a kit may leave even less room for patient error.
• Provide Clear Instruction to Patients. Walk through the pre-operative skin cleansing steps with your patient. With proper
instructions, patients should be able to conduct at-home CHG
cleanses appropriately and without confusion.
• Implement Patient Reminder Systems. The use of automatic
reminder systems, including email, text message, and voicemail,
have been effective in getting patients to adhere to pre-operative
antiseptic cleansing regimens. Providing skin cleansing products
that use these approaches have been proven to increase compliance and combat patient distraction prior to surgery1. On the day
of surgery, confirm with your patient whether or not they completed the preoperative skin cleansing regimen.
1Capgemini Consulting. Patient Adherence: the Next Frontier in Patient Care; Vision
& Reality, 9th Edition. 2011.