Patient Cleansing NEW LOOK! Basin and tap water elimination and process standardization. Sage Products is now part of Stryker.

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Patient Cleansing Basin and tap water elimination and process standardization NEW LOOK! Sage Products is now part of Stryker.

Basins are linked to HAIs A study analyzing basin sampling results of 1,13 basins from 88 hospitals across North America found that almost 2/3 of the bath basins studied were found to harbor at least 1 pathogen commonly associated with HAIs. 1 n 62% of basins were contaminated n 35% of basins were colonized with VRE n 45% of basins were colonized with gram-negative bacilli n 1% of hospitals in this study had basins that tested positive for bacteria A standardized approach to patient hygiene Multiple products and steps associated with traditional bathing, incontinence care and meatal cleansing often lead to inconsistencies in clinical process. 8 Sage can help standardize your patient hygiene protocol, reduce steps and eliminate basins with three proven interventions: The cost associated with CAUTIs n Length of stay (LOS) is increased and the average cost to treat is between $1,2 and $4,7 2 n The leading cause of secondary hospital-associated bloodstream infections 3 The water system More than 29 studies incriminate the hospital water system as the source of serious waterborne hospital-acquired infections (HAIs). 4 n Reports recommend minimizing exposure to tap water for all patients who are immunocompromised, have fresh surgical wounds, or are at higher risk for infections 4,5 n Pathogens can create potent biofilms in hospital pipes, hot water tanks, sinks and even touchless faucets, contaminating water on contact 6 Bathing & cleaning The most common source of contamination of bath basins is likely patients own bacteria flora. n During bathing, mechanical friction releases skin flora into bath water 7 n The bath basin itself often becomes contaminated with gram-negative bacteria from the environment and can be a source of bacterial exposure during future baths 7 Rinse-free, full-body skin cleansing and moisturizing Dedicated meatal cleansing for the foleycatheterized patient BATHING OR INCONTINENCE CLEANUP DISPOSE OF DIRTY GLOVES HAND HYGIENE/ DON CLEAN GLOVES One-step incontinence cleanup and barrier protection CLEAN TECHNIQUE MEATAL CLEANSING Cross contamination In addition to bathing, basins are often used for: n Incontinence cleanup n Emesis collection n Storage for patient care items This may increase the risk of cross contamination within the healthcare environment. 1 Find out what s in your basins! Our FREE basin sampling program will arm you with the clinical data you need to replace basins. Call 1-8-323-222 or visit banthebasin.com Hygienic alternatives Comfort Bath Cleansing Washcloths, Barrier Cream Cloths and M-Care Meatal Cleansing Cloths eliminate the contamination risk from bath basins and help facilities comply with CDC infection control guidelines. 9 Each product contains USP purified water. 1 REFERENCES: 1. Marchaim D, et al., Hospital bath basins are frequently contaminated with multi-drug resistant human pathogens. American Journal of Infection Control 4 (212) 562-4. 2. Umscheid CA, Mitchell MD, Doshi JA, Estimating the Proportion of Healthcare-Associated Infections That Are Reasonably Preventable and the Related Mortality and Costs, Infect Control Hosp Empidemiol 211;32(2):11-114. 3. APIC Implementation Guide:Guide to Preventing Catheter-Associated Urinary Tract Infections 214. 4. Anaisse EJ, Penzak SR, Dignani C, Arch Intern Med. 8 Jul 22; 162 (13):1483-92. 5. Clark AP, John LD, Clin Nurse Spec. May - June 26; 2(3):119-23 6. Lineweaver, L, et. al., Bugs Be Gone: Identify Potential Sources of HAIs, the Basin, Poster presented at Institute for Healthcare Improvement, Orlando, FL, Dec 27. 7. Johnson D, Lineweaver L, Maze L, Patients bath basins as potential sources of infection: a multicenter sampling study, AJCC, Vol 18, No 1, Jan 29. 8. Institute for Healthcare Improvement (IHI) How-to Guide: Prevent Pressure Ulcers, Cambridge, MA: Institute for Healthcare Improvement; 211. (Available at www.ihi.org) 1 www.sageproducts.com

REFERENCES: 1. GHX Market Intelligence Trend Report (Units) 2nd Quarter, 216 data, Hospital Market 2.Marchaim D, et al., Poster presented at SHEA 21st Annual Scientific Meeting, April 211. 3. Sifuentes, LY, et al., AJIC. 213:1-4. 4. Clark AP, John LD, Clin Nurse Spec. May-Jun 26;2(3):119-23. 5. Johnson D, Lineweaver, Maze L, AJCC. Vol 18, No.1, Jan 29. Discount applies to products only. Excludes tax, shipping & handling. Normal rates apply. REFERENCES: 1. GHX Market Intelligence Trend Report (Units) 2nd Quarter, 216 data, Hospital Market 2. Marchaim D, et al., Poster presented at SHEA 21st Annual Scientific Meeting, April 211. Discount applies to products only. Excludes tax, shipping & handling. Normal rates apply. Removing basins reduces CAUTI risk factors Basins were completely eliminated from two medical/surgical units, and were replaced with Comfort Bath. This reduced CAUTI rates to zero within one month and remained at zero for five months. 1 Hospital-Acquired CAUTI on 2 Medical/Surgical Units 6. 5. 4. 3. 2. 1. Rate/1 Foley Days 4.37 4.37 Pre-Study Period Washout Study Period 4.2 4.2 3.27 3.27 4.77 4.77 3.86 3.86 Rate/1 Foley Days Pre-packaged bath product introduced 3.3 3.3 Linear (Rate/1 Foley Days) 2.16 2.16 This facility found infection rates reduced by 89% after removing basins 1. Sep 8 Oct 8 Nov 8 Dec 8 Jan 9 Feb 9 Mar 9 Apr 9 May 9 Jun 9 Jul 9 Aug 9 Sep 9 Oct 9 Nov 9 Dec 9 Jan 1 Feb 1 Mar 1 Apr 1 Improving patient satisfaction In one study, 7% of healthcare leaders ranked Patient Experience/Satisfaction as their organization s #1 priority. 11 A positive patient experience is critical because: 12 n Related to better health outcomes n Value Based Purchasing has tied Medicare reimbursement to HCAHPS scores A dignified, comforting experience When patients receive a warm, relaxing Comfort Bath, the emotional and physical benefits are immediate. n Bathing experience is comfortable and refreshing n Empowers patient and family to take an active role in the care process When used together as a total patient cleansing system, they enhance patients satisfaction and reinforce, to families and loved ones, a hospital s commitment to quality nursing care. Enhance communication with patients & caregivers Let patients and family members know the benefits of a hygienic, skin-friendly process with our complimentary education cards. Ask your Sage Sales Representative for details. The water and solution is right in the cloth 24I Sage Products LLC 216 Am I getting a real bath? Absolutely and it s better than a soap, water and basin bath Recent studies have demonstrated that multi-use basins may contain harmful bacteria that can cause infection. 2-4 n According to a study, 98% of basins tested at select facilities were contaminated with some form of bacteria 5 A real bath, that s hygienic and skin-friendly Comfort Bath Cleansing Washcloths leave feeling clean and refreshed. n Each washcloth contains mild cleansers, purified water, and skin moisturizers with aloe and vitamin E n A fresh, rinse-free, warm washcloth is used to clean each area of your body separately n Thick, hypoallergenic, ultra-soft washcloths are gentler on your skin than hospital laundered cloths n Complete, easy, and less mess Get the same quality product after you leave the hospital LEARN MORE AND SAVE 1% Visit shopsageproducts.com and enter code: H2H1 at checkout Why do I need skin protection? 249F Sage Products LLC 216 Reduce your risk for painful skin problems Simply cleaning and moisturizing your skin after an incontinence episode may not be enough to prevent many serious skin issues. Exposure to moisture can lead to Incontinence- Associated Dermatitis (IAD) and painful skin breakdown. Soothing Barrier Cream Cloths cover your skin with a clear, protective dimethicone barrier cream to help seal out wetness while treating and protecting irritated skin. An all-in-one solution that feels good Comfort Shield s soft, disposable cloths replace basins and washcloths, which may contain harmful bacteria that can cause infection. 2 n All-in-one cloths are premoistened with cleansers, moisturizers, deodorizers and skin protectant n The solution is hypoallergenic, latex-free, and gentle for even the most sensitive skin n The long-lasting barrier cream reinforces confidence that your skin is receiving the ultimate in prevention Get the same quality product after you leave the hospital LEARN MORE AND SAVE 1% Visit shopsageproducts.com and enter code: H2H1 at checkout 9. Centers for Disease Control and Prevention. Guidelines for environmental infection control in health-care facilities: recommendations of CDC and Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR 23;52 (No. RR-1):5,14. 1. Meets standards set by the United States Pharmacopeia (USP) 1. Stone S, et al., Removal of bath basins to reduce catheter-associated urinary tract infections. Poster presented at APIC 21, New Orleans, LA, July 21. 11. A Report on the Beryl Institute Benchmarking Study: The State of Patient Experience in American Hosptials 213: Postive Trends and Opportunities for the Future. The Beryl Institute. 213. 12. Johnson K, Market Insights: The Link Between Patient Experience and Hosptial Reputation, National Research Corporation, 214. 13. Sage Products LLC, Data on file. 14. Carr D, Benoit R, The role of interventional patient hygiene in improving clinical and economic outcomes, Advances in Skin & Wound Care, Feb 29;22(2):74-78. 8-323-222 2

Prepackaged solutions Hygienic bathing n Rinse-free cleansing and moisturizing with aloe and vitamin E. n Dermatologist-tested formula; proven hypoallergenic, gentle and non-irritating; ph-balanced. n Insulated, resealable packaging. Washcloths stay warm throughout the bath when warmed in our commercial-grade warmer. n Fabric-lined cap is premoistened with a gentle, rinse-free shampoo and conditioner. Effectively removes EEG gel, blood, iodine and more to leave hair clean and fresh. n Eliminates the need to move patients to running water or use rinsettes. n Eliminates mess, cleanup and the need to change wet bed linens. Incontinence care and skin protection n Dimethicone formula helps treat and prevent perineal dermatitis; helps seal out wetness. n Paraben free, hypoallergenic, gentle and non-irritating. n Breathable, transparent dimethicone barrier makes skin assessment easy. Allows the use of other products such as anti-fungals without removing dimethicone barrier. 1 n Delivers an effective barrier every time to maximize compliance to your incontinence care protocol. Meatal cleansing n Safe in contact with Foley catheters. Tested for functional compatibility with common latex and silicone Foley catheters. n Non-antiseptic, ph-balanced solution. Patented solution is non-irritating to the skin. n Ultra-soft cloths. Comfortable for the patient while removing contaminants and debris; deodorizes with Exopheryl Odor Eliminator. n Single-use, non-resealable package. Promotes proper infection control practice. REFERENCES: 1. West, D. (written communication-letter) December 213 3 www.sageproducts.com

The Sage difference Warmth Our exclusive hardware provides convenient storage, delivery and preparation of Comfort Personal Cleansing products. They re designed to meet the continuous demands of busy healthcare facilities. Comfort Bath is the only fully-wrapped, insulated cloth on the market. Washcloths stay warm throughout the bath (up to 3+ minutes). Odor elimination Comfort Bath and M-Care include Exopheryl Odor Eliminator. Instead of masking with fragrance, it entraps odor molecules. Skin inspection The Peri Check TM and Skin Check TM Guides empower staff to observe and communicate potential skin issues to the patient s RN. n Skin Check helped reduce pressure ulcers to zero in one facility. Skin Check also resulted in enhanced communication between non-licensed staff and RNs. 2 Plumbing protection Traptex Plumbing Protection System incorporates flushing prevention devices, education and monitoring to change bad flushing behavior and cut calls for clogged pipes. Validate your success CustomerOne is a unique program offered by Sage to reinforce your decision to bring our products into your facility. It tracks performance and compliance and demonstrates improvement in outcomes. REFERENCES: 1. Sage Products LLC, Data on file. 2. Carr D, Benoit R, The role of interventional patient hygiene in improving clinical and economic outcomes, Advances in Skin & Wound Care, Feb 29;22(2):74-78. 8-323-222 4

Prepackaged bathing product ordering Deodorant Comfort Bath 8 premium heavyweight 44 packages/case Reorder #7942 Comfort Bath 8 premium heavyweight 44 packages/case Reorder #79 Comfort Bath 8 premium heavyweight 44 packages/case Reorder #793 Comfort Bath 5 premium heavyweight 48 packages/case Reorder #7956 Deodorant 8 medium weight 6 packages/case Reorder #7818 Deodorant 5 medium weight 84 packages/case Reorder #7815 8 medium weight 6 packages/case Reorder #78 5 medium weight 84 packages/case Reorder #7855 8 medium weight 6 packages/case Reorder #783 5 medium weight 84 packages/case Reorder #7856 Impreva Bath Impreva Bath Bath Cloths Bath Cloths Bath Cloths 8 standard weight 6 packages/case Reorder #7988 5 standard weight 78 packages/case Reorder #7987 8 standard weight 88 packages/case Reorder #7989 5 standard weight 78 packages/case Reorder #7959 8 standard weight 88 packages/case Reorder #7982 Deodorant Clean-up 3 premium heavyweight 6 x 8.5 1 packages/case Reorder #7943 Baby Comfort Bath 4 premium heavyweight 6 x 8 11 packages/case Reorder #797 Comfort Rinse-free Shampoo Cap 1 cap/package 4 caps/case Reorder #799 M-Care Meatal Cleansing Cloths 2 cloths/package 5.5 x 8 168 packages/case Reorder #7952 5 www.sageproducts.com

Incontinence care product ordering 24-pack heavyweight barrier cream cloths/resealable package 8.5 x 8.5 18 packages /case Reorder #7526 NDC 53462-915-6 8-pack heavyweight barrier cream cloths/peel and reseal package 9 x 8.5 48 packages/case Reorder #795 NDC 53462-915-8 8-pack medium weight barrier cream cloths/peel and reseal package 7.8 x 7.5 48 packages/case Reorder #758 NDC 53462-915-8 3-pack heavyweight barrier cream cloths/easy-tear package 9 x 8.5 9 packages/case Reorder #753 NDC 53462-915-5 3-pack heavyweight barrier cream cloths/easy-tear package medium size cloths 8.5 x 5.5 1 packages/case Reorder #752 NDC 53462-915-51 *Medicare Reimbursement HCPCS Code #A625 Incontinence Clean-up Cloths 8-pack resealable package 3 packages/case Reorder #755 Barrier station with removable adhesive strips for wall-mounting near the bedside 24 stations/case Reorder #7599 Hardware product ordering Cart 28 (shelf L) X 17 (shelf D) X 35 (cart H) 1 cart/case Reorder #7932 12-Count Warmer 16.88 (H) X 14.69 (W) X 15.25 (D) 1 warmer/case Reorder #7937 28-Count Warmer 18.38 (H) X 27.56 (W) X 15.38 (D) 1 warmer/case Reorder #7939 8-323-222 6

Simple Interventions. Extraordinary Outcomes. Our market-leading, clinically proven products solve real problems in the healthcare industry. We develop and manufacture these products to make it easier for you to deliver essential patient care, while helping to prevent infections, skin breakdown and staff injury. Help reduce SSIs by addressing a broad spectrum of microorganisms on your patient s skin prior to surgery with 2% Chlorhexidine Gluconate Cloth Provide comprehensive oral care with Q Care Oral Cleansing and Suctioning Systems Help reduce the risk of heel pressure ulcers by continuously offloading the heel with Prevalon Heel Protector Prevalon AirTAP Patient Repositioning System helps reduce sacral pressure ulcer risk and the risk of staff injury Address sacral pressure ulcer risk for the seated patient and help protect staff from injury with Prevalon Seated Positioning System Help reduce the risk of staff injury with the Prevalon Mobile Air Transfer System Receive more information at: www.shopsageproducts.com/htoh or call 8.323.222 Sage Products 399 Three Oaks Road Cary, Illinois 613 www.sageproducts.com 8.323.222 24611 Sage Products 217