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1 your heart makes you care your head tells you how your hands say you do total care is taking care Purell and Provon hand hygiene products for long-term care.

2 a touch means so much because your residents rely on you so much One touch carries so much care. You move, adjust, dress, feed, clean, exercise. One touch conveys so much care. You comfort, calm, soothe, reassure, cheer, encourage. You owe it to them that your touch brings only care, not germs and risk of infections. low compliance: Proper hand hygiene compliance is less than 50%. 1 high importance: Hand hygiene is the most crucial measure to prevent transmission of healthcare-acquired infection. most harmful: These infections are a major cause of morbidity and mortality in healthcare facilities. Source: 1 Center for Disease Control and Prevention. (2002). Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002: 51(No. RR-16): p 22.

3 Infection rates can be reduced with the daily use of PURELL In-depth study proves that PURELL can decrease infection rates PROBLEM: Healthcare-acquired infections are a major problem in healthcare facilities. 1 Infections result in an estimated 150,000 to 200,000 hospital admissions per year at a cost of $673 million to $2 billion annually 6 When a nursing home resident is hospitalized with a primary diagnosis of infection, the death rate can reach as high as 40% 7 extended durations of care substantial morbidity SOLUTION: PURELL Instant Hand Sanitizer can help reduce this risk. 34-month study in a 275-bed, 265-employee extended care facility 7 proven high immediate antimicrobial efficacy ease of use removed common compliance barriers (time required for soap-and-water handwashing; skin irritation/dryness from frequent washings; poor access to sinks) 30.4% 7 decrease in infection rates with PURELL Group A significant overall reduction in infection rates for the hand sanitizer units as compared to controls. FOR more IN-DEPTH STUDIES Visit LTC.GOJO.com/studies PURELL reduced urinary tract infection rates by 18.2% 7 Infection Rate (per 1000 patient days) Control Units 18.2% reduction Hand Sanitizer Units PURELL reduced respiratory tract infection rates by 21.9% 7 Infection Rate (per 1000 patient days) Control Units 21.9% reduction Hand Sanitizer Units Source: 6 CDC. Public health focus: surveillance, prevention and control of nosocomial infections. MMWR 1992;41:783-7 Source: 7 E.J. Fendler, Y. Ali, B.S. Hammond, et al.; The impact of alcohol hand sanitizer use on infection rates in an extended care facility; American Journal of Infection Control; June 2002

4 a complete hand hygiene program of co PURELL and PROVON make the perfect pair for total care. To improve outcomes and increase compliance, you need Total Care. Get optimum performance for survey success with PURELL and PROVON products. Caregivers do care. But caregivers do not always take the proper care to prevent infections. It is estimated that an average of 1.6 to 3.8 infections per resident occur annually in Nursing Homes 2 PURELL Instant Hand Sanitizer and PROVON Skin Care are the perfect pair improve outcomes and increase compliance regarding proper hand hygiene practice. C.A.R.E. Solutions Director of Nursing Hand Hygiene Toolkit Complete hand hygiene compliance resource. 1 Compliance is not an inconvenience. protecting resident health is too important your facility s reputation is at stake VISIT: LTC.GOJO.com/CARE to order today. 2 F-Tags provide standards Proper hand hygiene is not optional. healthcare-acquired infections carry risk good hand hygiene has preventive power F-Tags provide standards; compliance measures positive performance the PURELL and PROVON brand programs help improve compliance success LEARN how with the C.A.R.E. toolkit CDC Says: Category II Provide education to personnel 2,3,6,7 Department of Health & Human Services, Center for Medicare and Medicaid Services (2009). CMS Interpretive Guidelines for LTC facilities - Infection Control. Retrieved Jan 5, 2010 from transmittals/downloads/r54soma.pdf FACT: F-TAGS are a fact of life in your industry. Now, compliance is always close at hand. F-TAG 441 The facility must establish and maintain an Infection Control Program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of disease and infection. 3 total care is taking care

5 WASH with PROVON CDC Says: Category IA Wash hands with soap and water when hands are dirty, contaminated or soiled. PROVON Foam Handwash with Advanced Moisturizers Ultra mild foam soap formula combines rich, luxurious lather with advanced skin moisturizers. PROVON Foaming Handwash with Moisturizers High quality luxurious foaming hand soap formulated with moisturizers and conditioners. sanitize WITH PURELL CDC Says: Category IA Routinely decontaminate hands with an alcohol-based instant hand sanitizer when hands are not visibly soiled and before having direct contact with residents. PURELL Instant Hand Sanitizer Skin Nourishing Foam A non-aerosol foam sanitizer that contains seven moisturizers, clinically proven to improve skin condition in 14 days. 4,5 PURELL Instant Hand Sanitizer Foam Thick foam clings to your hand, which helps minimize floor and wall staining. PURELL Instant Hand Sanitizer Gel formula that combines the broad spectrum efficacy of PURELL with highperformance moisturizing. PROVON Medicated Foam Handwash with Advanced Moisturizers and Triclosan Exceptionally mild formula delivers effective germ kill of a broad range of microorganisms. moisturize WITH PROVON cdc Says: Category IA Use hand lotions or creams to help minimize the occurrence of skin irritation. PROVON Moisturizing Hand & Body Lotion Deep-conditioning moisturizer specifically formulated for use as part of your routine hand hygiene regimen to help maintain healthy skin or soothe dry, irritated skin. Does not adversely affect the integrity of latex gloves or the efficacy of CHG. Source: 4 Clinical field evaluation #1, (February 11, 2008 to March 21, 2008), GOJO Industries, Inc. Study ID F Clinical evaluation #2, (October 9, 2007 to October 11, 2007), RCTS Study ID 2301

6 take greater care with the program built on total care This proven system will meet your high standards and help you with successful compliance. Help give your residents the safe, healthy home they deserve. PURELL and PROVON hand hygiene products deliver a complete, complementary system that s proven to help you comply with CDC standards and make it easy to do so. Product Order No. Size Case Pack Fits Dispenser wash with PROVON PROVON Foam Handwash with Advanced Moisturizers TFX 1200 ml Refill PROVON Foaming Handwash with Moisturizers FMX ml Refill FMX ml Refill ml Counter Top Pump Bottle 4 PROVON Medicated Foam Handwash with Advanced Moisturizers and Triclosan TFX 1200 ml Refill PROVON Foaming Medicated Handwash with Triclosan FMX ml Refill FMX ml Refill ml Counter Top Pump Bottle 4 PROVON Enriched Lotion Cleanser NXT 2000 ml Refill sanitize with PURELL NXT 1000 ml Refill FREE! ORDER TODAY! Learn better hand hygiene habits and how to achieve better compliance with this special educational package. Order your C.A.R.E. Solutions Director of Nursing Hand Hygiene Toolkit today. LTC.GOJO.com/CARE PURELL Instant Hand Sanitizer Skin Nourishing Foam TFX 1200 ml Refill FMX ml Refill ml Counter Top Pump Bottle ml Personal Pump Bottle 24 PURELL Instant Hand Sanitizer Foam TFX 1200 ml Refill FMX ml Refill ml Counter Top Pump Bottle ml Personal Pump Bottle 24 PURELL Instant Hand Sanitizer with TFX 1200 ml Refill DERMAGLYCERIN SYSTEM NXT 1000 ml Refill fl oz Pump Bottle fl oz Personal Pump Bottle C 0.5 fl oz Bottle 500 PURELL Sanitizing Hand Wipes M 4000 ct. Packed Shipper M 1000 ct. Packed Shipper ct. Box 10 - PURELL Alcohol Formulation Sanitizing Wipes Count Canister Count Canister moisturize with PROVON PROVON Moisturizing Hand and Body Lotion NXT 1000 ml Refill fl oz Pump Bottle fl oz Squeeze Bottle 24 General Source: Center for Disease Control and Prevention. (2002). Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002: 51(No. RR-16): p For your residents, for your facility, and for you, experience Total Care. Contact your local GOJO distributor today. For additional information: Visit LTC.GOJO.com/CARE Call: GOJO Industries, Inc. GOJO Industries - Europe, Ltd.* GOJO France SARL* GOJO América Latina, Ltda.* GOJO Japan, Inc.* One GOJO Plaza, Suite 500 Units 5 & 6 90 rue de Paris av. Nossa Sra. do Bom Sucesso, 3344 Takasago Building P.O. Box 991 Stratus Park Lille Condomínio Industrial Turn Key 3rd Floor Akron, OH Brinklow france Módulo , Uchikanda Tel: Milton Keynes Tél: +33 (0) Pindamonhangaba - SP - Brasil Chiyoda-ku, Tokyo Toll-free: MK10 0DE UK fax: +33 (0) CEP: Japan Fax: FAX-GOJO Tel: +44 (0) International.GOJO.com Tel/Fax: Tel: fax: +44 (0) International.GOJO.com fax: International.GOJO.com International.GOJO.com healthcare.gojo.com/ltc GOJO Industries Inc. All rights reserved. *An affiliate of GOJO Industries, Inc. PURELL and DERMAGLYCERIN SYSTEM are trademarks of Johnson & Johnson and are used under license #5519 HCE-LIT-HHBROC (01/10)

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