Approved IP Products, #844 Addenda I, Approved IP Products List

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1 ANTISEPTICS 2% Chlorhexidine gluconate (CHG) Steris 2% CHG, Hibiclens, generics Not for use on face, meninges, or mucous membranes. 4% Chlorhexidine gluconate (CHG) Hibiclens, Betasept, generics Not for use on face, meninges, or mucous membranes. Povidone-iodine (iodophor that contains at least 7.5% available iodine) Betadine, generics Not for use in the presence of blood as it inactivates the antiseptic properties; must be allowed to dry. 2% CHG/70% isopropyl alcohol Chloraprep Not for use on face, meninges or mucous membranes. Must be allowed to dry. Preferred product for surgical site preparation, intravenous line insertions, and all other invasive procedures unless contraindicated. 2% Tincture of iodine Generics 70% Ethyl or isopropyl alcohol Generics 3% Hydrogen peroxide Generics For wound care only. Wound Cleanser Shur-Clens No antimicrobial activity; use restricted to care of peritoneal dialysis catheter sites and use on mucous membranes in patients with iodine allergies. LOW-LEVEL (SURFACE) DISINFECTANTS Quaternary/isopropyl alcohol PDI Super Sani Cloth For use on hard, nonporous surfaces.

2 surfaces, allowing to air dry for 2 mins. Quaternary ammonium compounds Steris Coverage Spray TB Ready-to-use; no dilution required. For use on hard, nonporous surfaces surface, allowing to remain wet for 10 mins. Spray bottle must not be compromised in any manner (i.e., opened, solution added, or refilled). PDI Sani-cloth AF 3 wipes (alcohol free) For use on approved equipment susceptible to drying from effects of alcohol per manufacturer s recommendations (i.e. mammography and ultrasound equipment). surfaces, allowing to air dry after remaining wet for 3 mins. Cen Kleen IV Use restricted to clean whirlpools in Rehab Services. Contact Time: 10 mins. Accelerated Hydrogen Peroxide Oxivir Five 16 Must be mixed according to the manufacturer s instructions Used by Environmental Services to clean and disinfect hard surfaces: walls, metal surfaces, stainless steel surfaces, plastic surfaces, porcelain surfaces, glazed ceramic tiles, bathrooms,

3 shower stalls, bathtubs, and other nonporous inanimate surfaces. Used by all departments to clean body substance spills. Not intended for instrument reprocessing. surfaces, allowing to remain wet for 5 mins. Oxivir TB Use limited to restricted areas (i.e Peri-Op Services, adult and pediatric, Cath labs, EP Lab, IR) Used by all departments to clean body substance spills. Not intended for instrument reprocessing. surfaces, allowing to remain wet for 1 min. Extend contact to 5 mins for use in rooms of known or suspected TB cases. Phenolic Amphyl Use restricted to Microbiology. Contact Time: 10 mins. Sodium hypochlorites (bleach) Clorox, generics 0.55% or 1:10 solution. Not for primary instrument processing; routine use restricted to labs and Cerner connectivity engines. For use to clean equipment and rooms of patients suspected/ known to have C. difficile or other spore-forming

4 organisms and those receiving dialysis. Contact Time: Leave surfaces wet for 5 mins. PDI Sani-Cloth Bleach wipes 1:10 solution. Not for primary instrument processing; routine use restricted to labs and Cerner connectivity engines. For use to clean equipment and rooms of patients suspected/ known to have C. difficile or other spore-forming organisms and those receiving dialysis. Contact Time: Leave surfaces wet for 4 mins. Dispatch 0.55% sodium hypochlorite; use restricted to Dialysis for the disinfection of connectors and laboratories Contact Time: Leave surfaces wet for 1 min. Activate 5.25% bleach; 10% (9:1) solution Restricted to laboratory and other high risk areas to prevent the degradation of the product. Water cartridge must be replaced after filled 9 times. Contact Time: Leave surfaces wet for 2 mins (4 mins for C. difficile).

5 99% Isopropyl alcohol Generics Use on respiratory care equipment according to the manufacturer s instructions. 70% Isopropyl alcohol Generics Use as a disinfectant restricted to cleaning bells of personal stethoscopes. Contact Time: Allow to air dry. HIGH LEVEL DISINFECTANTS 2% Gluteraldehyde Cidex Use restricted to certain areas. Cold sterilization is not allowed. Special precautions apply 0.55% Ortho-phthaldehyde Cidex OPA Use restricted to certain areas. Cold sterilization is not allowed. Special precautions apply Wet pasteurization Amsco, Olympic Medical Use restricted to certain areas; sleep lab equipment. Peracetic acid Steris Use restricted to certain areas. Cold sterilization limited to justin-time use to maintain sterility. Hydrogen Peroxide RESERT Use restricted to certain areas Cold sterilization not allowed. Sodium hydroxide generics Use restricted to Operative Services and Central Sterile Reprocessing for suspected/ known CJD cases.

6 STERILANTS Steam sterilizers High-vacuum, gravity displacement Use restricted to certain areas. Hydrogen peroxide as a gas plasma Sterrad Use restricted to Central Sterile Reprocessing. DETERGENTS/ENZYMATICS Proteolytic enzyme cleaners Prolystica, ReVital Ox, Valsure, generics Use restricted to certain areas. Instrument pre-soak PreKlenz Spray applied at point of use prior to transport to prevent fluid and debris from drying on instrument prior to decontamination. Laundry detergent with bleach Commercial brands Use restricted to the psychiatry units and the family laundering facility in the Children s Medical Center. HAND HYGIENE PRODUCTS Soap Steris Kindest Kare No antimicrobial activity; use restricted to patient restrooms, public restrooms, and other nonpatient care areas (i.e., offices). 1% Parachlorometaxylenol (PCMX) Steris Acute Kare For use in general patient care areas and for healthcare workers with CHG sensitivity. For use prior to invasive procedures performed at the

7 BD TM (Brush) bedside, upon entry into intensive care units, and other high risk areas (i.e. ORs) when sensitive/allergic to CHG and betadine. 2% Chlorhexidine gluconate (CHG) Steris 2% CHG For use prior to invasive procedures and upon entry into intensive care units and other high risk areas (i.e. ED, dialysis, cath labs, EP lab, BMT, etc.). 4% Chlorhexidine gluconate (CHG) BD TM (Brush) For use prior to invasive procedures performed at the bedside, upon entry into intensive care units, and other high risk areas (i.e. ORs). Hand lotion Medline Remedy TM No substitutes allowed; see hand hygiene policy Alcohol-based hand rub Steris Calstat gel Steris Soft-N-Sure TM foam Use restricted to the Clinical Support Service Team, phlebotomists, and Patient Transport. For use throughout. Alcohol-based hand rub, OR grade 3M Avaguard TM Use is restricted to invasive procedures including those performed in ORs, OR-like areas, and at the bedside. SOLIDIFIER/DISINFECTANT

8 Polysaccharide copolymer with phenolic derivatives [ortho-benzylpapa-chlorophenol (OBCP)] Isolyser LTS Plus Used to convert infectious liquid waste to noninfectious solid waste; sealed receptacles containing disinfected/solidified waste are labeled as treated medical solid waste and disposed of in the general waste. When used on spills >750cc, must be scooped up, bagged, and discarded in general waste and not allowed to enter the municipal sewer system.