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3M™ Tegaderm™ CHG Chlorhexidine Gluconate IV Securement Dressing


Tegaderm CHG Dressings - Peace of Mind Matters
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Independent Individual facility experiences and their outcomes
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Product Features & Benefits Clinical Evidence Education

Product Assortment

Product Image Catalog Number Product Size Gel Pad Size Suggested Devices Same Size/ Shape as other Tegaderm™ SKU HCPCS Code
1657
3 1/2 in x 4 1/2 in
8,5 cm x 11,5 cm
1 1/2 in x 1 3/8 in
3 cm x 4 cm
All CVCs, Arterial, Dialysis, Midline, Other percutaneous devices 1655 A6257

1658
4 in x 4 3/4 in
10 cm x 12 cm
1 1/2 in x 1 3/8 in
3 cm x 4 cm
Universal, Other percutaneous devices 1616 A6257

1659 Tegaderm CHG 1659
4 in x 6 1/8 in
10 cm x 15,5 cm
1 1/2 in x 2 4/5 in
3 cm x 7 cm
All CVCs, PICC 1650 A6258

1660
2 3/4 in x 3 3/8 in
7 cm x 8,5 cm
4/5 in x 4/5 in
2 cm x 2 cm
All CVCs, Arterial, Midline, Other percutaneous devices —— A6257

Overview

Tegaderm CHG Dressings advance current I.V. site protection by integrating the antimicrobial power of CHG with the transparency, reliability and simplicity of a Tegaderm™ brand dressing. This integrated, one-step CHG and transparent dressing helps to improve compliance to facility protocol. The intuitive design is clinician-friendly and the ease-of-application minimizes opportunity for error. The Tegaderm CHG antimicrobial wound dressing cannot be applied incorrectly or forgotten.

Tegaderm CHG Features & Benefits Overview

CHG Gel Padhable Tegaderm™ Transparent Film

  • Waterproof, sterile barrier to organisms, including those most commonly associated with CRBSIs
  • Allows continuous site observation
  • Semi-permeable, highly breathable for moisture evaporation and improved securement
  • Conforms to body contours, flexes with patient movement and supports varied insertion practices

CHG Gel Pad

  • Adhesive-free zone over the Tegaderm CHG gel pad for maximum breathability
  • Unique composition of water, polymers and 2% chlorhexidine gluconate
  • Wound dressing CHG is immediately and continuously available, does not require additional moisture
  • The absorbtive CHG gel pad protects even in the presence of blood, saline and exudate

Sterile Securement Tape Strips

  • Provide all-in-one securement system
  • Improve protocol compliance
  • Precut for anchoring hubs, lumens and tubing

Stabilization Border

  • Border strength yields improved securement
  • Reduces edge roll to maintain seal
  • Provides comfort and resists soiling, for longer wear time

Pattern coated adhesive

  • Patterned film adhesive holds strongly, manages moisture and releases gently
  • Stabilization border adhesive forms seal around catheter site
  • Pressure-sensitive adhesive conforms to skin and builds strength over 24 hours

Catheter Securement

  • Deep force-shifting notch enlists entire dressing in securement, reduces edge lift caused by weight of the catheter and tubing and reduces catheter manipulation on application
  • Unique adhesive properties of gel pad help stabilize the catheter, minimizing catheter movement
  • Gel pad conforms around catheter and hub

Suggested Applications

  • Peripheral and midline venous catheters
  • Central venous catheters (including subclavian, jugular, femoral and PICCs)
  • Dialysis catheters
  • Pulmonary artery catheters
  • Arterial catheters
  • Epidural catheters
  • Other percutaneous devices

Transparency Enables Continuous Visual Inspection

Tegaderm CHG Transparency Large

3M™ Tegaderm™ CHG Dressings integrate the powerful antimicrobial effectiveness of CHG with the transparency, simplicity and reliability of a Tegaderm™ brand dressing to support best practices and protocols.

Older technologies, like CHG impregnated sponge disks applied under a transparent film dressing, cover the insertion site, not allowing clinicians' site visibility.

Tegaderm™ CHG Dressings are transparent, allowing continuous site observation, as recommended by both the Centers for Disease Control and Prevention (CDC) and the Infusion Nursing Standards of Practice (2011).

Evaluation of a New CHG Gel Pad Dressing for Catheter Care

Delivers Exceptional Securement

Delivers Exceptional Securement

Exceptional Securement

  • Patterned film adhesive holds strongly, releases gently
  • Unique dressing design with deep notch helps reduce dressing lift caused by the weight of the catheter and tubing
  • Sterile tape strips provide all-in-one securement system
  • Dressing stabilization border yields improved securement
  • Unique adhesive properties of gel pad help stabilize the catheter, minimizing catheter movement

Integrated Product Helps Improve Compliance and Reduces Cost

Integrated 3M™ Tegaderm™ CHG Dessings have process built in, helping improve consistency and compliance to protocol in one single step. The intuitive design takes the guesswork out of application, minimizes the opportunity for error and ensures CHG is applied correctly.

Reduced Training Time

In a survey of infection preventionists released by the Association for Professionals in Infection Control and Epidemiology, Inc. (APIC), when asked to identify the greatest challenges to implementing best practices to prevent CRBSIs,* one of the top two answers was educating staff. Because the CHG gel pad is integrated with the transparent film, nurses do not have to learn or remember any additional steps in the process of applying Tegaderm™ CHG Dressings. The ease-of-application can help reduce training time and increase productivity.

Download the press release

Seven in 10 feel they do not have enough time to train others adequately on how to prevent bloodstream infections.

Reduced Training Expenses

The costs for training and retraining staff can be significant. An inhouse evaluation at Floating Hospital for Children at Tufts Medical Center demonstrated significant cost savings could be realized because Tegaderm™ CHG Dressings are intuitive to apply, easy to use, and require less training.

The Use of Chlorhexidine Gluconate (CHG) on Central Line Insertion Sites: Disc vs. Gel Pad Dressing

100% of nurses reported they were ALWAYS able to place the Tegaderm™ CHG Dressings correctly.

Only 8% of nurses reported they were ALWAYS able to place the BIOPATCH® Disk correctly.

Reduced Inventory Management

You can reduce the number of SKUs your facility has to purchase and stock. Tegaderm™ CHG Dressings integrate CHG protection and transparent dressing into one reliable product, eliminating the need to purchase CHG-impregnated sponge disks in addition to transparent film dressings.

*3M™ Tegaderm™ CHG Dressings have not been studied in a randomized clinical study as to their effectiveness in preventing CRBSIs.

BIOPATCH® is a registered trademark of ETHICON, INC.

The Risks and Costs of Catheter-Related Infections

3M™ Tegaderm™ CHG Dressings are the only transparent IV site dressings integrated with a CHG gel pad proven to reduce skin flora,† a leading cause of costly, non-reimbursed CRBSIs.*

Costs to Patients

  • Increased health complications and decreased ability to work or perform daily activities
  • An estimated 12%-25% of patients who get a CRBSI will die1
  • Financial and emotional stress as a result of the death of a family member

Costs to the Facility

  • $34,508–$56,000—estimated cost per bloodstream infection2,3
  • Remunerative or punitive measures for "Never Events"
  • Diminished reputation of the facility/system and stigma of public reporting of CRBSIs

Costs to Society

  • An estimated 30,000 patient deaths annually attributed to CRBSIs4
  • Healthcare costs associated with treatment will likely exceed $2 billion this year4

In the last three decades, the number of bloodstream infections has nearly tripled in the U.S., with central venous catheters (CVCs) accounting for up to 90% of all catheter-related bloodstream infections (CRBSIs).5 CRBSIs are one of the most costly and deadly infections transmitted in healthcare facilities. CRBSIs can lead to increased costs associated with extended hospital stays, illness and death.

One of the major risk factors contributing to CRBSIs is skin organisms (flora) at the catheter insertion site.6 The CDC recommends the use of products containing CHG as one of the top five performance strategies found to be successful in reducing CRBSIs.4

The Centers for Medicare and Medicaid Services (CMS) considers CRBSIs to be 'Never Events' which are defined as "adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability." Several states have enacted laws requiring the disclosure of Never Events at hospitals and various remunerative or punitive measures for such events. CMS no longer reimburses for hospital-acquired CRBSIs, and other Never Events, and many private insurers are now following suit. Increasing media attention to hospital infections has raised public awareness of CRBSIs.

Learn more about CRBSIs, infection prevention, and 3M Health Care's role in helping to minimize infection:

Infection Prevention in the United States Backgrounder

Catheter-Related Bloodstream Infections in the United States Backgrounder

3M Health Care: Minimizing the Risk of Infection for More than 30 Years

3M™ Tegaderm™ CHG IV Securement Dressing Fact Sheet

1 Maki DG, Mermel LA. Infections due to infusion therapy. Taken from: Bennett JV, Brachman PS, eds. Hospital Infections. Philadelphia, PA: Lippincott-Raven; 1998; 689-724.
2Dimick JB, Pelz RK, Consunji R, Swoboda SM, Hendrix CW, Lipsett PA. Increased resource use associated with catheter-related bloodstream infection in the surgical intensive care unit. Arch Surg. 2001;136:229-34.
3Rello J, Ochagavia A, Sabanes E, et al. Evaluation of outcome of intravenous cather-related infections in critcally ill patients. Am J Respir Crit Care Med. 2000;162:1027-30.
4Centers for Disease Control and Prevention. Guidelines for the Prevention of Intravascular Catheter-related Infections. Healthcare Infection Control Practices Advisory Committee (HICPAC); (Appendix 1). Clin Infect Dis. 2011;52(9):el62.
5Safdar N, Maki DG. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest 2005;128(2):489-95.
6Mermel LA, McCormick RD, Springman SR, & Maki DG (1991). The pathogenesis and epidemiology of catheter-related infection with pulmonary artery Swan-Ganz catheters: A prospective study utilizing molecular sub-typing. American Journal of Medicine. 91;197S-205S.

Clinical Evidence


Reduces Skin Flora

Reduces Skin Flora

Shown to be better than BIOPATCH® at reducing skin flora on healthy adult subjects for up to 10 days
pdfDownload A Novel Integrated Chlorhexidine-impregnated Transparent Dressing for Prevention of Vascular Catheter-related Bloodstream Infection: A Prospective Comparative Study in Healthy Subjects Graph

Broad-spectrum Antimicrobial Activity

Tegaderm™ CHG Dressing serves as a barrier against organisms including those most commonly associated with CRBSIs.*

pdfGrowth Inhibition of Microorganisms Involved in Catheter-Related Infections by an Antimicrobial Transparent IV Dressing Containing Chlorhexidine Gluconate (CHG)

Graph

Effective Against Most Common Pathogens Causing CRBSIs

Unique size, shape and composition bathes insertion site with CHG and provides a greater zone of inhibition.

pdfGrowth Inhibition of Microorganisms Involved in Catheter-Related Infections by an Antimicrobial Transparent IV Dressing Containing Chlorhexidine Gluconate (CHG)

Graph
Graph

Suppresses Regrowth

Proven more effective than BIOPATCH® at preventing regrowth of skin flora on healthy adult subjects at day 7.

pdfDownload A Novel Integrated Chlorhexidine-impregnated Transparent Dressing for Prevention of Vascular Catheter-related Bloodstream Infection: A Prospective Comparative Study in Healthy Subjects

Graph

Tegaderm™ CHG Dressings maintained significantly lower counts than BIOPATCH® or control dressings after 7 days on healthy adult subjects.

pdfSuppression of Regrowth of Normal Skin Flora under Chlorhexidine Gluconate Dressings Applied to CHG-Prepped Skin

Graph

Provides Continuous Protection

The reservoir of CHG within the gel pad was as available and as effective at Day 10 as Day 1.

pdfAntimicrobial Activity of a CHG-Impregnated Gel Pad for IV Site Protection

Graph

See all of the evidence for yourself.

Request your copy of the Tegaderm™ CHG Dressing Clinical Evidence Package

Performs Better

Provides Advanced Securement

Clinicans said Tegaderm™ CHG Dressings made their work easier and faster while at the same time providing quality. They rated Tegaderm™ CHG Dressings significantly better for their ability to mold and conform around the catheter.

pdfMulticenter Prospective Open Label Evaluation of the Clinical Performance of a Chlorhexidine Gluconate Antimicrobial Transparent Dressing

Graph

Rated Better Overall

Tegaderm™ CHG Dressings were rated significantly better compared to BIOPATCH® in:

  • Overall performance
  • Ease of correct application
  • Ability to see the IV site
  • Ease of training another clinician
  • More intuitive to use

pdfA Multicenter Prospective Open Label Evaluation of the Clinical Performance of a Chlorhexidine Gluconate Antimicrobial Transparent Dressing

Graph

IV Nurses Would Switch

IV nurses would recommend switching from BIOPATCH® to Tegaderm™ CHG Dressings:

  • 86% would replace for PICC lines
  • 57% would replace for non-tunneled IJ sites
  • 59% would replace for non-tunneled subclavian sites

pdfA Multicenter Prospective Open Label Evaluation of the Clinical Performance of a Chlorhexidine Gluconate Antimicrobial Transparent Dressing

Graph

See all of the evidence for yourself.

pdfRequest your copy of the Tegaderm™ CHG Dressing Clinical Evidence Package

PDF

Supports Best Practices and Protocols

Transparent Dressings

The CDC and the INS recommend transparent dressings because they allow continuous site observation.

CDC/HICPAC Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011) 1A Guideline: "Transparent dressings reliably secure the device, permit continuous visual inspection of the catheter site...and require less frequent changes than do standard gauze and tape dressings; the use of these dressings saves personnel time."

The Infusion Nursing Standards of Practice (2011)

Standard 51.2: "Catheter site care shall allow for observation and evaluation of the catheter-skin junction and surrounding tissue." Standard 46, Practice Criteria G: "The use of a chlorhexidine-impregnated dressing with short-term CVADS should be considered in patients older than 2 months of age as an additional catheter-related bloodstream infection (CR-BSI) prevention measure." (I) Practice Criteria J: "Gauze, bandages or any dressing material that may obstruct visualization of the catheter-skin junction and/or constrict the extremity should not be used." (V).


CHG-Impregnated Dressings

SHEA Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals (2008)

The SHEA Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals, for the first time, recommends the use of a chlorhexidine-impregnated sponge dressing for the prevention of CRBSIs.


Supports Existing Protocols

Research has shown Tegaderm™ CHG Dressings are easy to use and fit into clinical practice as easily as standard Tegaderm™ brand transparent dressings.

pdfDownload Clinical Performance of a New Transparent Chlorhexidine Gluconate Central Venous Catheter Dressing

The integrated, one-step CHG and transparent dressings help to improve compliance to facility protocol. The intuitive design is clinician-friendly and easy-of-application minimizes opportunity for error. The CHG antimicrobial cannot be applied incorrectly or forgotten.

"Our nursing staff loves Tegaderm™ CHG for its simplicity. You simply can't forget a step in the application process like you can with other dressings that require a separate CHG patch." Pat Catadul, Pediatric Vascular Access Nurse, Boston, MA


See all of the evidence for yourself.

pdfRequest your copy of the Tegaderm™ CHG Dressing Clinical Evidence Package

PDF

Downloads

pdf Download Prospective‚ Randomized‚ Controlled Trial Assessing the Clinical Performance of a Transparent Chlorhexidine Gel Pad Intravascular Catheter Dressing

Authors - Eyberg C‚ 3M Clinical Research, et al.
Published/Presented - Journal of the Association for Vascular Access (JAVA)
Date - Fall‚ 2008


pdf Download Antimicrobial Activity of a CHG-Impregnated Gel Pad for IV Site Protection

Authors - Schwab D‚ 3M Senior Research Microbiologist, et al.
Published/Presented - Infusion Nursing Society (INS)
Date - May‚ 2008


pdf Download Evaluation of a New CHG Gel Pad Dressing for Catheter Care

Authors - Zehrer C, RN, MS, 3M Clinical Research, et al.
Published/Presented - Infusion Nursing Society (INS)
Date - May‚ 2009


pdf Download The Use of Chlorhexidine Gluconate (CHG) on Central Line Insertion Sites: Disc vs. Gel Pad Dressing

Authors - Meninger S, RN, BSN, Floating Hospital for Children at Tufts Medical Center, et al.
Published/Presented - Association for Vascular Access (AVA)
Date - September, 2009

Professional Standards & Guidelines

Education


Application & removal videos | Application & Removal Photos | Professional Resources

Application & Removal Videos

 

Application & Removal Photos


Tegaderm™ CHG Dressings come in multiple shapes and sizes, supporting a variety of catheter sites and insertion practices.
Tegaderm™ CHG Dressings come in multiple shapes and sizes, supporting a variety of catheter sites and insertion practices.
Tegaderm™ CHG Dressings come in multiple shapes and sizes, supporting a variety of catheter sites and insertion practices.
Tegaderm™ CHG Dressings come in multiple shapes and sizes, supporting a variety of catheter sites and insertion practices.


3M™ Tegaderm™ CHG Dressing 1657



3M™ Tegaderm™ CHG Dressing 1657
3M™ Tegaderm™ CHG Dressing 1657 on sutured double lumen non-tunneled CVC in the IJ
3M™ Tegaderm™ CHG Dressing 1657 on arterial catheter
3M™ Tegaderm™ CHG Dressing 1658
3M™ Tegaderm™ CHG Dressing 1658 on sutured triple lumen non-tunneled CVC in the IJ
3M™ Tegaderm™ CHG Dressing 1659
3M™ Tegaderm™ CHG Dressing 1659
3M™ Tegaderm™ CHG Dressing 1659
3M™ Tegaderm™ CHG Dressing 1660
3M™ Tegaderm™ CHG Dressing 1660 on PICC
3M™ Tegaderm™ CHG Dressing 1660 on sutured triple lumen non-tunneled CVC in the subclavian
3M™ Tegaderm™ CHG Dressing 1660 on sutured triple lumen non-tunneled CVC in the IJ

Click a thumbnail for a larger image.


Tegaderm™ CHG Dressings come in multiple shapes and sizes, supporting a variety of catheter sites and insertion practices.

3M™ Tegaderm™ CHG I.V. Securement Dressing Proper Application and Removal for Internal Jugular Catheters

3M™ Tegaderm™ CHG I.V. Securement Dressing Proper Application and Removal for PICC Catheters


Professional Resources


Association for Vascular Access (AVA)

AVA is the leading multidisciplinary vascular access organization comprised of committed professionals. Nurses, pharmacists, physicians, and vascular access industry representatives have all discovered the value of professional excellence, education, and networking opportunities available through AVA membership.

PEDIVAN - A virtual network of pediatric vascular access clinicians, educators, and manufacturers

pdf The Pedivan Guidelines

 


Centers for Disease Control and Prevention (CDC)

For over 60 years, the CDC has been dedicated to protecting health and promoting quality of life through the prevention and control of disease, injury, and disability. They are committed to programs that reduce the health and economic consequences of the leading causes of death and disability, thereby ensuring a long, productive, healthy life for all people.

Centers for Disease Control (CDC)/HICPAC Guidelines for the Prevention of Intravascular Catheter-Related Infections* (2011)


Infusion Nurses Society (INS)

INS is committed to bringing innovative new resources and opportunities to a wide range of healthcare professionals who are involved with the specialty practice of infusion therapy. In this new world of rapid technological advances and dramatic shifts in healthcare delivery, INS is setting the standard for dedicated clinicians who seek to provide excellent infusion care across all practice settings.

Infusion Nursing Standards of Practice (2011)

 

*3M TM Tegaderm TM CHG Dressings have not been studied in a randomized clinical study as to their effectiveness in preventing CRBSIs.

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