Skin Cleansers and Moisturizers

• All tubes and bottles are single-patient-use, label with the client's name and the date when opened.

Skin Cleanser - Rinse Gentle Rain

• Intended to cleanse skin and hair.
• Use in the shower/bath, ensures complete removal.
• Not for bedside bathing, do not dilute.
• Apply onto moist cloth/skin, wash, rinse, and pat dry.
• For hair cleansing, lather and rinse well
• Contains fragrance.

Skin Cleanser - No Rinse Remedy Foam Cleanser

• Cleanses skin/ hair.
• Use for bedside bathing.
• Apply 1-3 pumps from palm onto cloth/skin, wash, and pat dry, do not rinse.
• For hair, work cleanser into strands and towel dry, do not rinse.

Moisturizer Remedy Nourishing Cream

• Designed to maintain skin health.
• Helps prevent skin tears; may skin tears up to 50%.
• Use for dry skin treatment
• Do not use for IAD prevention.
  • Apply a thin layer to clean skin.
• For feet, avoid between toes and wear socks/shoes to prevent falls.
• To maintain skin health, apply daily after shower/bath while skin is still moist.
• To prevent skin tears, apply twice per day.
• To treat dry skin, apply twice per day.

Protectant Silicone 24% Remedy Hydraguard Cream

• Intended for preventing and treating Mild-Moderate IAD.
• Treats cracked skin.
• Acts as a barrier around wounds.
• Apply a thin layer to the area
  • If for wound/tube/drain, allow drying for 1-2 min before dressing, do not use with silicone dressings.
• Avoid between toes and wear socks/shoes to prevent falls.
• For IAD, use after every incontinence episode.
• To treat dry skin, apply twice per day.
• For Peri-wound/tube/drain MASD, apply as ordered.

Protectant Zinc 30% Secura Extra Protective Cream (EPC)

• For Moderate-Severe IAD.
• Prevents IAD in severe diarrhea from C. difficile or gastro-intestinal issues.
• Apply cream onto palm
  • Apply in one direction - cream will "follow your hand", do not rub.
  • Apply a thick layer (5mm) to ensure the skin is not visible.
  • Repeat until the affected area is covered.
• To cleanse during an incontinence episode:
  • Use No-Rinse Foam Cleanser on a cloth to clean soiled cream, reapply cream as needed, do not remove all EPC with every incontinence episode.
• To treat Moderate-Severe IAD and prevent IAD apply after every episode.
• To remove all EPC for skin assessment Q3days/prn
  • Apply No-Rinse Foam cleanser directly onto the EPC.
  • Let sit for 2-3 minutes then wipe with a cloth.
  • Repeat until all cream is removed.

Advanced Moisturizer Urea 10% AHA 4% Atrac-Tain Cream

• Treats extremely dry skin.
• Good for lower legs/feet/clients with diabetes or kidney failure.
• AHA removes flakey skin allowing Urea moisturizer to absorb.
• Not a basic skin moisturizer unless specifically ordered.
• Ensure care plan in place, developed by NSWOC/RN/RPN as per PISheet.
  • Cleanse with cleanser to remove loose skin, pat dry but leave slightly damp, spread cream and rub in gently.
• Caution, do not apply between toes
  • May sting if applied to broken skin.
• Test on small area first.
• Apply twice per day, stop when dead skin thins, switch to basic moisturizer.

Skin Fold Gauze - PHMB AMD/PHMB Gauze

• Intended to prevent & provides intertrigo relief
• Use for moisture in skin folds/finger/toe web spaces/hands with contractures.
• Cleanse with cleanser and pat dry.
• Cut to ensure full coverage to the base of the fold.
• Weave toe/finger gauze; do not completely wrap digit or cut off circulation.
• Caution, do not use with creams, powders, sprays, polysporin, petrolatum-based products or antifungals like Clotrimazole.
• Change daily or when soiled/moist.

Skin Fold Textile/Cloth - Silver InterDry Ag Sheet

• Silver is used to treat intertrigo & moisture in skin folds, finger/toe webs spaces and hands with contractures where the client risks local infection or has infection symptoms.
• Cut lengthwise or width-wise
• For Day 1
  • Cleanse and pat dry, lay sheet into the fold, smooth down, ensure 5cm is outside the skin fold.
  • Write date on exposed sheet.
• For Days 2, 3, 4, 5
  • Cleanse daily, reposition sheet.
• Caution, do not use with creams, powders, sprays, polysporin, petrolatum-based products or antifungals like Clotrimazole.
• Assess daily, change sheet on Day 5 or earlier if soiled, some discolouration is expected.

Hydrophilic Wound Dressing Triad

• A wound treatment plan must be in place.
• Triad is a moisture dressing that adheres to weeping areas and it dries providing cover.
• Nurses must provide the initial application. Caution, not a barrier cream.
  • Apply 3mm thick layer so skin is not visible.
  • Allow dressing to dry for 15-20 mins.
  • Cover dressing if patient unable to be off of wound during drying.
• Triad will just wipe off if it's not allowed to dry or is not protected.
• Change as per care plan. To remove, apply cleanser and wait 2 - 3 minutes and wipe with cloth.