HANDHYGIENE FOR HEALTHCARE PROFESSIONALS

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1 HANDHYGIENE FOR HEALTHCARE PROFESSIONALS

2 HAND HYGIENE YOUR FIRST-LINE DEFENSE The World Health Organization World Alliance for Patient Safety reported that hand hygiene is considered the most important measure to prevent and control health care associated infections. (1) That s why Medline has assembled a comprehensive hand hygiene compliance program to complement specifi c products that make effective hand hygiene possible. Medline's Hand Hygiene Compliance Program includes: Training: Online & Onsite CE credits Individual awards for caregivers Facility self-assessments Financial modeling for administrators Educational tools for patients and their families on the importance of clean hands Placards to promote the hand hygiene message Validation kit for competency training on hand sanitizing technique Along with the compliance program, Medline offers a broad portfolio of products that support evidence-based recommendations. This brochure outlines many of those choices. Your Medline representative can help you fi nd the right approach for you and your facility that addresses your requirements and respects your budget summary of guidelines can be found on the World Health Organization website, MEDLINE S HAND HYGIENE COMPLIANCE PROGRAM: USE YOUR SMARTPHONE: ➊ Download a QR Code reader app ➋ Launch app ➌ Hover the phone over this QR Code

3 STRATEGIES FOR HAND HYGIENE IMPROVEMENT 1. SYSTEM CHANGE. Ensure that the necessary infrastructure is in place to allow health-care workers to practice hand hygiene. Build a network of hand hygiene sites that are as near to the point-of-care as possible. 2. TRAINING & EDUCATION. Implement training programs on the how, when and why of hand hygiene. See that caregivers understand the reason for hand hygiene is improving patient outcomes. 3. EVALUATION & FEEDBACK. Monitor your individual and overall hand hygiene compliance, provide prompt feedback and report trends over time. 4. REMINDERS. Prompt and remind health-care workers about the importance of hand hygiene and about the appropriate indications and procedures for performing it. 5. CLIMATE OF SAFETY. Create an environment that promotes hand hygiene and makes it the social norm while guaranteeing consideration of hand hygiene improvement as a high priority at all levels. From WHO Guide to Implementation, You can fi nd this tool at: Your 5 Moments for Hand Hygiene 1BEFORE TOUCHING A PATIENT 32 RISK AFTER BODY FLUID EXPOSURE BEFORE CLEAN/ASEPTIC PROCEDURE 4AFTER TOUCHING A PATIENT 5AFTER TOUCHING PATIENT SURROUNDINGS Your 5 Moments for Hand Hygiene 'Based on the 'My 5 moments for Hand Hygiene', URL: index.html World Health Organization All rights reserved.'

4 EVIDENCE-BASED RECOMMENDATIONS from Centers for Disease Control and Prevention and World Health Organization SANITIZE If hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands in all other clinical situations. 2 The following two formulations are recommended by the WORLD HEALTH ORGANIZATION for alcohol-based hand rubs: ethanol 80% (v/v) or isopropyl alcohol 75% (v/v). 3 The FDA and CDC have recommended alcohol concentrations between 62 and 95% as far back as More recent research published in The Lancet recommends a minimum concentration of 80% v/v ethanol. 5 Research appears to be trending toward higher alcohol content for greater effi cacy. Ultimately, adherence to recommended hand-hygiene practices should become part of a culture of patient safety, where a set of interdependent quality elements interact to achieve a shared objective. 6 See the Instant Hand Sanitizers section for additional guidance on when alcohol rubs are appropriate. CLEANSE When hands are visibly contaminated or soiled with blood or other body fl uids, wash hands with plain or antimicrobial soap and water. 1 See the Plain Soaps section for additional guidance on when soap and water is appropriate. CARE Irritant contact dermatitis is the primary reason for [hand hygiene] failure. 7 Based on CDC guidelines, hand lotions and creams can increase skin hydration and replace altered or depleted skin lipids that contribute to the barrier function of normal skin. Several controlled trials have demonstrated that regular use (e.g., twice a day) of such products can help prevent and treat irritant contact dermatitis caused by hand-hygiene products. 8 1,2,4,8 Boyce J., Pitet D. Guidelines for Hand Hygiene in Health-Care Settings. Atlanta, GA: Centers for Disease Control and Prevention (CDC), US Dept of Health and Human Services; Report available at Accessed March 10, , 6 World Health Organization. WHO Guidelines on Hand Hygiene in Health Care. Geneva 27, Switzerland: WHO Press, World Health Organization; Report available online at whqlibdoc.who.int/publications/2009/ _eng.pdf. Accessed April 21, Kramer A, Rudolph P, Kampf G, Pittet D. Limited efficacy of alcohol-based hand gels. Lancet. 2002; 359; Visscher, M, Davis, J, Wickett R. Effect of topical treatments on irritant hand dermatitis in health care workers. Skin Sciences Institute, Cincinnati Children s Hospital; Cincinnati 2010.

5 Contents INSTANT HAND SANITIZERS Gels, foams and lotions that work without water. 07 Sterillium Comfort Gel 08 Epi-clenz Gel 09 Epi-clenz Foam 09 Epi-clenz Plus 10 Skintegrity Non-Aerosol Foam 11 Skintegrity Gel Hand Sanitizer 11 Duraview System Hand Sanitizer 12 Competency Validation Kit 13 Skintegrity Alcohol-Free Foam 13 HandClens Alcohol-Free Foam SURGICAL SCRUBS Help prevent infection in the OR. 14 Sterillium Rub Surgical Hand Scrub 15 Dyna-Hex CHG Scrub PLAIN SOAPS Non-antibacterial cleansing that s kind to skin. 16 Skintegrity Foaming Hand Soap 17 Skintegrity Lotion Hand Soap 18 Clean Shape Hand Soap 18 Duraview System Hand Soap ANTIMICROBIAL/ANTIBACTERIAL SOAPS Formulations and packaging to fi t your needs. 19 Skintegrity Foaming Antimicrobial Hand Soap 20 Skintegrity Antibacterial Hand Soap 21 Clean Shape Antibacterial Hand Soap 21 Duraview System Antibacterial Hand Soap LOTIONS Soothe and moisturize vulnerable skin. 22 Skintegrity Lotion 22 Duraview System Lotion 23 Remedy Skin Repair Cream 23 Remedy Nutrashield SHAMPOO & BODY WASH All-over cleaning that's gentle and economical. 24 Skintegrity Foaming All Over Clean for Hair & Skin 24 Duraview System Shampoo/Body Wash 25 Skintegrity All Over Clean for Hair & Skin DISPENSERS & ACCESSORIES Out of the pacakge and onto hands where it belongs. 26 Instant Hand Sanitizers 28 Plain Soaps 28 Antimicrobial/Antibacterial Soaps 30 Surgical Scrubs 31 Lotions 32 Shampoo & Body Wash

6 INSTANT HAND SANITIZERS When to Use Use an alcohol-based hand antiseptic BEFORE: Direct contact with a patient. Donning sterile gloves to insert a central line, urinary catheter, peripheral vascular catheter or other non-surgical invasive device. Moving from a contaminated body site to a clean body site during patient care. Use an alcohol-based hand antiseptic AFTER: Direct contact with patient skin, body fl uids, mucous membranes, non-intact skin and wound dressings. Direct contact with objects in the immediate vicinity of the patient Removing gloves. How to Use 1. Start with clean, dry hands. Wash FIRST if needed. 2. Spread the recommended amount from fi ngertip to wrist. 3. Don t miss fi ngertips, nails, cuticles, fi nger webs and back of hands. 4. Rub thoroughly: between fi ngers, palm-to-back, palm-to-palm and thumb-in-palm for both hands. 5. Monitor yourself, monitor your colleagues and speak up. Be Safe With Alcohol-Based Hand Antiseptic There are distinct dispenser size and installation requirements that your Medline representative can discuss upon request, but here are a few to keep in mind. Alcohol-based antiseptics (sanitizers) should be stored away from high temperatures or fl ames. State and local fi re codes vary and should always take precedence at your facility. However, the National Fire Protection Agency s Life Safety Code (2009) makes these recommendations: Corridors where dispensers are installed must be at least 6 feet wide. capacity should be 1.2 L or less in rooms and corridors and 2.0 L or less in suites of rooms. s must be located at least 4 feet from each other and never near an ignition source. s over carpeted surfaces are allowed only when the area is sprinklered. No more than an aggregate of 10 gallons of sanitizer can be in use in a single smoke compartment. More than 5 gallons stored in a single smoke compartment must comply with NFPA 30 Flammable and Combustible Liquids code MEDLINE PROFESSIONAL HAND HYGIENE

7 INSTANT HAND SANITIZERS F E E L Feels Great Hydrates Skin Elevated Alcohol Kills Germs Evaporates Quickly Less Product Needed 14 % 12 % 10 % 8 % 6 % 4 % 2 % 0 % after 2 weeks Increased skin hydration Increased Skin Hydration Sterillium Comfort Gel increases skin hydration 14% after only two weeks of product usage compared to untreated skin. 1 1 Independent Skin Care Study / Skin Hydration. Data on fi le. Sterillium Comfort Gel Effi cacy. Comfort. Compliance. Effective against a broad range of pathogens within 15 seconds 2 85% ethyl alcohol w/w formulation Only 2.4 ml per application Improves skin hydration 14% after two weeks compared to untreated skin 2 2 data on fi le MSC Sterillium Comfort Gel, 2.4 ml 144/cs Hand Antiseptic, Packet MSC Sterillium Comfort Gel, 50 ml 42/cs Hand Antiseptic, Flip-Top MSC Sterillium Comfort Gel, 100 ml 45/cs Hand Antiseptic, Flip-Top MSC Sterillium Comfort Gel, Hand 475 ml 20/cs Antiseptic, Tabletop Pump Bottle MSC Sterillium Comfort Gel, Hand Antiseptic, Bottle 1,000 ml 8/cs Clear MSC097063BK (16/cs) Auto LXT10AUTO Auto Drip Tray STRLMDRIPLONG (12/cs) Manual LX10PUSH8 (6/ea) LXPUSH Manual Drip Tray STRLMDRIPTRAY (12/cs) Retractable Clip MSC097065CL YOUR FIRST-LINE DEFENSE MEDLINE 7

8 INSTANT HAND SANITIZERS Epi-Clenz Gel 70% v/v ethyl alcohol Gel formula evaporates quickly on hands Aloe and vitamin E condition skin Scent-Free formula or pleasant Breesia Scent Epi-Clenz Gel Hand Sanitizers MSC097034N Epi-Clenz Gel, Hand Sanitizer, Scent-Free, Flip-Top 1.5 oz. 48/cs MSC Epi-Clenz Gel, Hand Sanitizer, Scent-Free, Flip-Top 4 oz. 24/cs MSC Epi-Clenz Gel, Hand Sanitizer, Scent-Free, Pump Bottle 8 oz. 12/cs MSC Epi-Clenz Gel, Hand Sanitizer, Scent-Free, Pump Bottle 16 oz. 12/cs MSC Epi-Clenz Gel, Hand Sanitizer, Scent-Free, Pump Bottle (low-profi le) 16 oz. 12/cs MSC Epi-Clenz Gel, Hand Sanitizer, Scent-Free, Bag 1,000 ml 12/cs MSC Epi-Clenz Gel, Hand Sanitizer, Breesia Scent, Flip-Top 4 oz. 24/cs MSC Epi-Clenz Gel, Hand Sanitizer, Breesia Scent, Pump Bottle 16 oz. 12/cs Retractable Clip for 1.5 oz. MSC097034CL (25/bg) Lanyard for 1.5 oz. MSC097034L (25/bg) (for MSC097032) MSC (12/cs) MSC9950 MSC9951 Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK MEDLINE PROFESSIONAL HAND HYGIENE

9 INSTANT HAND SANITIZERS Epi-Clenz Aerosol Foam Hand Sanitizers Epi-Clenz Foam 62% v/v ethyl alcohol Aloe-enriched Drip-Free nozzle design Scent-Free Level 1 aerosol per International Fire Code guidance, approved for healthcare use MSC Epi-Clenz Foam, Hand Sanitizer, w/belt Clip 1.5 oz. 48/cs MSC Epi-Clenz Foam, Hand Sanitizer 8 oz. 24/cs MSC Epi-Clenz Foam, Hand Sanitizer 16 oz. 12/cs Wall Holder for 8 oz. MSC (24/cs) Wall Hldr w/drip Tray for 16 oz. MSC (12/cs) Epi-Clenz Plus 62% v/v ethyl alcohol Soothing lotion-like feel and appearance Scent-Free Moisturizers including jojoba oil and dimethicone Epi-Clenz Plus Lotion Hand Sanitizers MSC Epi-Clenz Plus Lotion, Hand Sanitizer, Flip-Top 1.5 oz. 48/cs MSC Epi-Clenz Plus Lotion, Hand Sanitizer, Flip-Top 4 oz. 48/cs MSC Epi-Clenz Plus Lotion, Hand Sanitizer, Pump Bottle 16 oz. 12/cs MSC Epi-Clenz Plus Lotion, Hand Sanitizer, Bag 800 ml 12/cs Retractable Clip for 1.5 oz. MSC097034CL (25/bg) Lanyard for 1.5 oz. MSC097034L (25/bg) (for MSC097032) MSC (12/cs) MSC9950 MSC9951 Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK YOUR FIRST-LINE DEFENSE MEDLINE 9

10 INSTANT HAND SANITIZERS Skintegrity Non-Aerosol Foam 62% v/v ethyl alcohol Foam formula disperses quickly on hands Manual or automatic dispenser available 0.75 ml per pump provides more applications per bag MSC68841 MSC68817 Skintegrity Foaming Hand Sanitizer, Pump Bottle 1.7 oz. 24/cs MSC Skintegrity Foaming Hand Sanitizer, Pump Bottle 18 oz. 6/cs MSC68841 Skintegrity Foaming Hand Sanitizer, Bag 1,000 ml 6/cs MSC68841T Starter Kit: Foaming Hand Sanitizer, Bag & (MSC9941GRA) 1,000 ml 1/ea ONLY for use with auto dispensers: MSC68824B Skintegrity Foaming Hand Sanitizer, Bag for Auto 1,000 ml 2/cs ONLY for use with dispenser MSC9970: MSC Skintegrity Foaming Hand Sanitizer, Bag 1,000 ml 6/cs Dove/Gray MSC9941GRA MSC9941BLK Dove/Gray Auto MSC9962GRA Auto MSC9962BLK Manual MSC MEDLINE PROFESSIONAL HAND HYGIENE

11 INSTANT HAND SANITIZERS Skintegrity Gel Hand Sanitizer 62% v/v ethyl alcohol 800 ml size fi ts automatic and manual dispensers MSC Skintegrity Gel Hand Sanitizer 800 ml 12/cs MSC MSC9950 MSC9951 Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK Duraview System Hand Sanitizer 62% v/v ethyl alcohol 2,000 ml size means less changing in high-traffi c areas / KUTDURA KUT6667 Duraview System Hand Sanitizer 2,000 ml 4/cs KUT6667 in KUTDURA dispenser YOUR FIRST-LINE DEFENSE MEDLINE 11

12 INSTANT HAND SANITIZERS Hand Santizer Technique Rub hands palm to palm. Right palm over left hand with interlaced fi ngers and vice versa. Palm to palm with interlaced fi ngers. Backs of fi ngers to opposing palms with fi ngers interlocked. Rotational rubbing of left thumb clasped in right palm and vice versa. Rotational rubbing with clasped fi ngers of right hand in left palm and vice versa. Unprotected or insuffi ciently protected areas of the hands will appear darker in color. Kit includes: 1 validation box, 1 UV light, 2 each of Visirub tracer solution and 2 labels Competency Validation Kit Our Competency Validation kit offers the chance to demonstrate the risks of hand-tohand transmission of microorganisms as well as proper rub technique. This is best used as a training tool and not for patient care. Directions: Add 1 container of Visirub per 500 ml of sanitizer and mix well. HHCP607E Competency Validation Kit N/A 1/ea MSC Visirub 10 ml 6/cs MEDLINE PROFESSIONAL HAND HYGIENE

13 INSTANT HAND SANITIZERS KUT68241MED Skintegrity Alcohol-Free Foam Alcohol-Free Benzethonium Chloride foam Ideal for Alcohol-Free environments (schools, corrections, psych care) Foam formula disperses quickly on hands 0.75 ml per pump provides more applications per bag KUT68241MED Skintegrity Foaming Hand Sanitizer, 1,000 ml 6/cs Alcohol-Free, Bag KUT682MEDPK Starter Kit: Skintegrity Alcohol-Free, Hand Sanitizer, Bag & (MSC9941GRA) 1,000 ml 1/ea Dove/Gray MSC9941GRA MSC9941BLK HandClens Alcohol-Free Hand Sanitizers HandClens Alcohol-Free Foam Non-fl ammable, Benzalkonium Chloride foam Ideal for Alcohol-Free environments (schools, corrections, psych care) Green Apple Scent or Scent-Free & Dye-Free formulas available for 1,800 ml WDW40005 Manual for 1,000 ml WDW10722 Auto for 1,000 ml WDW10702 WDW12017 HandClens Alcohol-Free Hand Sanitizer, Green Apple Scent 1.7 oz. 24/cs WDW12018 HandClens Alcohol-Free Hand Sanitizer, Green Apple Scent 8 oz. 24/cs WDW10741 HandClens Alcohol-Free Hand Sanitizer, Green Apple Scent, Cartridge 1,000 ml 4/cs WDW12023 HandClens Alcohol-Free Hand Sanitizer, Green Apple Scent 1,800 ml 6/cs WDW12092 HandClens Alcohol-Free Hand Sanitizer, Scent- & Dye-Free 8 oz. 24/cs WDW10743 HandClens Alcohol-Free Hand Sanitizer, Scent- & Dye-Free, Cartridge 1,000 ml 4/cs WDW12043 HandClens Alcohol-Free Hand Sanitizer, Scent- & Dye-Free 1,800 ml 6/cs YOUR FIRST-LINE DEFENSE MEDLINE 13

14 SURGICAL SCRUBS Steps for Using Surgical Hand Scrub Prior to fi rst case of the day Remove rings, watches and other jewelry. 2. Use a nail pick (keep nails short, no artifi cial nails) to remove debris. 3. Scrub hands and forearms with either an antimicrobial or plain soap according to manufacturer-recommendation. 4. Apply an alcohol-based surgical scrub. 5. Don sterile gloves. Then continue to repeat steps 4-5 throughout the remainder of the day. MSC in LXT10AUTO dispenser Features a switch that controls the quantity of Sterillium Rub dispensed: one, two, or three measured doses at one time. Sterillium Rub Surgical Hand Scrub 80% w/w ethyl alcohol for rapid and comprehensive kill of transient and resident skin fl ora 1 Waterless surgical scrub Long-lasting persistent effect exceeds FDA requirements 1 Protects skin with emollients, drives compliance Non-sticky, quick-evaporating formula for easy gloving 1 data on fi le MSC MSC Sterillium Rub, Surgical Hand Scrub, 50 ml 50/cs Personal Use Bottle MSC Sterillium Rub, Surgical Hand Scrub 1,000 ml 8/cs FDA Compliant Exceeds FDA Requirements for Surgical Hand Hygiene* Tentative Final Monograph for HealthCare Antiseptic Drug Products (TFM): The FDA s TFM minimum performance criteria for surgical hand antisepsis are a 1-log (90%) reduction after one minute on day one, a 2-log (99%) reduction after 1 minute on day two, and a 3-log (99.9%) reduction after one minute on day fi ve. Moreover, the bacterial counts shall not exceed baseline within six hours on day one. *Tentative fi nal monograph for health care antiseptic drug products; proposed rule. Federal Register 1994, 59(116): Sink Bracket, 66-Degree STRLMSINK66 (4/cs) Sink Bracket, 90-Degree STRLMSINK90 (4/cs) Auto LXT10AUTO Foot Manual LXF10FOOT Auto Disp. Drip Tray STRLMDRIPLONG (12/cs) Nail Cleaners (150 pcs) MSC MEDLINE PROFESSIONAL HAND HYGIENE

15 SURGICAL SCRUBS Dyna-Hex CHG Scrub Chlorhexidine Gluconate (CHG) based, 2% or 4% concentration Water aided Traditional alternative to waterless alcohol-based rubs Also useful for patient perioperative skin prep, wound cleansing, and healthcare personnel handwash Dyna-Hex CHG Scrubs MDS Dyna-Hex 2% CHG Scrub, Bottle 4 oz. 48/cs MDS Dyna-Hex 2% CHG Scrub, Bottle 16 oz. 12/cs MDS Dyna-Hex 2% CHG Scrub, Clear Bottle w/12 Additional Pumps 16 oz. 12/cs MDS Dyna-Hex 2% CHG Scrub, Bottle w/1 Additional Pump 32 oz. 12/cs MDS Dyna-Hex 2% CHG Scrub, Bottle w/12 Additional Pumps 32 oz. 12/cs MDS Dyna-Hex 2% CHG Scrub, Gallon 128 oz. 12/cs MDS Dyna-Hex 4% CHG Scrub, Bottle 4 oz. 48/cs MDS Dyna-Hex 4% CHG Scrub, Bottle 16 oz. 12/cs MDS Dyna-Hex 4% CHG Scrub, Bottle w/12 Additional Pumps 32 oz. 12/cs MDS Dyna-Hex 4% CHG Scrub w/4 Additional Pumps 128 oz. 4/cs Wall-Mounted 16 oz. Hand Pump MDS16WMHP Wall-Mounted 32 oz. Hand Pump MDS32WMHP Wall-Mounted 32 oz. Foot Pump MSC32FPWM Nail Cleaners (150 pcs) MSC9204 YOUR FIRST-LINE DEFENSE MEDLINE 15

16 PLAIN SOAPS When to Wash Wash hands with soap & water If visibly dirty or are contaminated with blood, fl uids, or proteinaceous material. Before eating. After toileting. When C. diffi cile or B. anthracis is suspected or confi rmed. How to Wash 1. Wet hands with warm not hot water. 2. Lather with soap from wrist to fi ngertip, scrubbing at least 15 seconds. 3. Don t miss between fi ngers, under nails, back of hands, and nail beds. 4. Rinse well in running water, low in the sink to prevent splashing. 5. Dry on a clean disposable towel and use it to turn off the faucet and open the door. Skintegrity Foaming Hand Soap Rich-feeling foam for thorough cleansing 0.75 ml per pump provides more applications per bag Available in Dye- & Scent-Free formula or with Added Emollients KUT69041MED KUT69017MED Skintegrity Foaming Hand Soap, Pump Bottle 1.7 oz. 24/cs KUT69041MED* Skintegrity Foaming Hand Soap, Bag 1,000 ml 6/cs KUT69041MEDT Starter Kit: Skintegrity Foaming Hand Soap, 1,000 ml 1/ea Bag & (MSC9941GRA) KUT64341MED Skintegrity Foaming Hand Soap, Dye- & 1,000 ml 6/cs Scent-Free, Bag KUT64141MED Skintegrity Foaming Hand Soap w/added Emollients, Bag 1,000 ml 6/c ONLY for use with auto dispensers: MSC69024MED* Skintegrity Foaming Hand Soap, Bag 1,000 ml 2/cs MSC64124MED Skintegrity Foaming Hand Soap w/added Emollients, Bag ONLY for use with dispenser MSC9970: 1,000 ml 2/cs MSC Skintegrity Foaming Hand Soap, Bag 1,000 ml 6/cs *Green Seal is an independent, non-profi t organization that uses science-based standards and the power of the marketplace to create a more sustainable world. Dove/Gray MSC9941GRA MSC9941BLK Dove/Gray Auto MSC9962GRA Auto MSC9962BLK Manual MSC MEDLINE PROFESSIONAL HAND HYGIENE

17 PLAIN SOAPS Skintegrity Lotion Hand Soaps Skintegrity Lotion Hand Soap ph-balanced formula is gentle on hands Rich feel, clean light scent Aloe vera to condition skin MSC Skintegrity Lotion Hand Soap, Flip-top 4 oz. 24/cs MSC Skintegrity Lotion Hand Soap, Pump Bottle 7.5 oz 12/cs MSC Skintegrity Lotion Hand Soap, Pump Bottle 16 oz. 12/cs MSC Skintegrity Lotion Hand Soap, Bag 800 ml 12/cs MSC Skintegrity Lotion Hand Soap, Bag 1,000 ml 12/cs MSC Skintegrity Lotion Hand Soap Gallon 4/cs MSC9950 MSC9951 Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK YOUR FIRST-LINE DEFENSE MEDLINE 17

18 PLAIN SOAPS Clean Shape Hand Soap Rich foam formulation Aloe vera and vitamin E soothe and nourish Hygenic disposable pump containers KUT950WB KUT69078* Clean Shape Hand Soap, Pump Bottle 950 ml 4/cs KUT69078 *Green Seal is an independent, non-profi t organization that uses science-based standards and the power of the marketplace to create a more sustainable world. / KUTDURA KUT5667 & KUT5668 in KUTDURA dispenser Duraview System Hand Soap Liquid or lotion formulations for general hand cleansing Attractive pearlescent soap cartridges snap in place High-capacity dispenser for less frequent changes KUT5667 Duraview System Hand Soap 2,000 ml 4/cs KUT5668 Duraview System Hand Soap 4,500 ml 2/cs KUT8167 Duraview System Enriched Lotion Hand Soap 2,000 ml 4/cs MEDLINE PROFESSIONAL HAND HYGIENE

19 ANTIMICROBIAL/ANTIBACTERIAL SOAPS Skintegrity Foaming Antimicrobial Hand Soap 0.5% triclosan active antimicrobial ingredient Grapefruit Scent 0.75 ml per pump provides more applications per bag Also available in formula with Added Emollients KUT68941MED KUT68917MED Skintegrity Foaming Antimicrobial Hand Soap, Pump Bottle 1.7 oz. 24/cs KUT68941MED Skintegrity Foaming Antimicrobial Hand Soap, Bag 1,000 ml 6/cs KUT68941MEDT Starter Kit: Foaming Antimicrobial Hand Soap, Bag & (MSC- 1,000 ml 1/ea 9941GRA) KUT64041MED Skintegrity Foaming Antimicrobial Hand Soap w/added Emollients, Bag 1,000 ml 2/cs ONLY for use with auto dispensers: MSC68924MED Skintegrity Foaming Antimicrobial Hand Soap, Bag 1,000 ml 2/cs MSC64024MED Skintegrity Foaming Antimicrobial Hand Soap w/added Emollients, Bag 1,000 ml 2/cs ONLY for use with dispenser MSC9970: MSC Skintegrity Foaming Antimicrobial Hand Soap, Bag 1,000 ml 6/cs Dove/Gray MSC9941GRA MSC9941BLK Dove/Gray Auto MSC9962GRA Auto MSC9962BLK Manual MSC9970 YOUR FIRST-LINE DEFENSE MEDLINE 19

20 ANTIMICROBIAL/ANTIBACTERIAL SOAPS Skintegrity Antibacterial Hand Soaps Skintegrity Antibacterial Hand Soap Rich-lathering, quick-rinsing soap 0.5% triclosan active antibacterial ingredient Widest variety of sizes and packaging types MSC Skintegrity Antibacterial Hand Soap, Flip-top 4 oz. 24/cs MSC Skintegrity Antibacterial Hand Soap, Pump Bottle 7.5 oz. 12/cs MSC Skintegrity Antibacterial Hand Soap, Pump Bottle 16 oz. 12/cs MSC Skintegrity Antibacterial Hand Soap, Bag, Blue 800 ml 12/cs MSC Skintegrity Antibacterial Hand Soap, Bag 800 ml 12/cs MSC Skintegrity Antibacterial Hand Soap, Bag 1,000 ml 12/cs MSC Skintegrity Antibacterial Hand Soap Gallon 4/cs MSC9950 MSC9951 Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK MEDLINE PROFESSIONAL HAND HYGIENE

21 ANTIMICROBIAL/ANTIBACTERIAL SOAPS Clean Shape Antibacterial Hand Soap Liquid or foaming formulations Aloe vera and vitamin E enriched Convenient & hygienic disposable pump Wall mount (optional) or countertop use KUT950WB KUT68978 KUT68978 Clean Shape Antimicrobial Hand Soap, 950 ml 4/cs Pump Bottle KUT65036 Clean Shape Antibacterial Hand Soap, 1,000 ml 8/cs Pump Bottle KUT64078MED Clean Shape Antimicrobial Hand Soap w/added Emollients, Pump Bottle 950 ml 4/cs / KUTDURA KUT5067 in KUTDURA dispenser Duraview System Antibacterial Hand Soap Antibacterial formula provides cleaning and antisepsis* Attractive pearlescent soap cartridges snap in place High-capacity dispenser for less frequent changes *data on fi le KUT5067 Duraview System Antibacterial Hand Soap 2,000 ml 4/cs YOUR FIRST-LINE DEFENSE MEDLINE 21

22 LOTIONS Skintegrity Lotion Skintegrity Lotion Non-greasy and Scent-Free Soothes with colloidal oatmeal, aloe vera and vitamin E Dimethicone and allantonin help retain moisture Non-reactive with CHG and latex* *data on fi le MSC Skintegrity Lotion, Flip-top 2 oz. 36/cs MSC Skintegrity Lotion, Flip-top 4 oz. 36/cs MSC Skintegrity Lotion, Pump Bottle 8 oz. 36/cs MSC Skintegrity Lotion, Bag 800 ml 12/cs MSC Skintegrity Lotion, Bottle 1,000 ml 8/cs MSC9950 MSC9951 Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK KUT950WB Duraview System Lotion High-capacity dispenser for less frequent changes Non-greasy and Scent-Free Soothes with colloidal oatmeal, aloe vera and vitamin E Dimethicone and allantonin help retain moisture Non-reactive with CHG and latex 1 1 data on fi le / KUTDURA KUT in KUTDURA dispenser KUT Duraview System Lotion 2,000 ml 4/cs MEDLINE PROFESSIONAL HAND HYGIENE

23 LOTIONS MSC Remedy Skin Repair Cream Designed for sensitive skin prone to excessive dryness Helps restore and maintain skin s natural moisture balance Breathable barrier to protect skin from damage caused by frequent hand washing Relieves dry skin Won t interfere with CHG antimicrobial properties or latex integrity MSC MSC Remedy Skin Repair Cream, Pump Bottle 32 oz. 12/cs MSC Remedy Skin Repair Cream, Bag 1,000 ml 12/cs MSC Remedy Skin Repair Cream, Cartridge 1,200 ml 8/cs for 32 oz. MSC094420BRKT (12/cs) for 1,200 ml MSC094412WD (12/cs) Dove/Gray REMPUSHGRAY REMPUSHBLAC Auto REMAUTOGRA Auto REMAUTOBLKH Remedy Nutrashield Skin protectant designed for very dry skin Protects against skin moisture loss with non-occlusive 1% Dimethicone Effective incontinence barrier protects skin longer, lasts up to 5 washings CHG- and latex-compatible; safe in oxygen-rich environments Non-allergenic, non-sensitizing, enriched with nutrients and botanic oils MSC MSC Remedy Nutrashield, Bag 1,000 ml 12/cs Dove/Gray REMPUSHGRAY REMPUSHBLAC Auto REMAUTOGRA Auto REMAUTOBLKH YOUR FIRST-LINE DEFENSE MEDLINE 23

24 SHAMPOO & BODY WASH Dove/Gray MSC9941GRA MSC9941BLK KUT68041MED Skintegrity Foaming All Over Clean for Hair & Skin Shampoo/body wash in foaming formula Fresh Aloe Vera Scent Gentle conditioning leaves hair and skin soft 0.75 ml per pump provides more applications per bag KUT68017MED Skintegrity Foaming All Over Clean for Hair 1.7 oz. 24/cs & Skin, Pump Bottle KUT68041MED Skintegrity Foaming All Over Clean for Hair 1,000 ml 6/cs & Skin, Bag KUT68041MEDT Starter Kit: Skintegrity Foaming All Over Clean for Hair & Skin, Bag & (MSC9941GRA) 1,000 ml 1/ea Duraview System Shampoo/Body Wash Pleasantly scented, quick-lathering and easy-rinsing formula High-capacity dispenser for less frequent changes Attractive packaging fi ts any décor / KUTDURA KUT7567 in KUTDURA dispenser KUT7567 Duraview System Shampoo/Body Wash 2,000 ml 4/cs KUT7568 Duraview System Shampoo/Body Wash 4,500 ml 2/cs MEDLINE PROFESSIONAL HAND HYGIENE

25 SHAMPOO & BODY WASH Skintegrity All Over Clean for Hair & Skin Skintegrity All Over Clean for Hair & Skin Shampoo/body wash in liquid formula Economical alternative to multiple soaps Rich lathering formula, ph-balanced for gentleness on skin & hair Refreshing Peach Scent MSC Skintegrity All Over Clean for Hair & Skin, Pump Bottle 7.5 oz. 12/cs MSC Skintegrity All Over Clean for Hair & Skin, Pump Bottle 16 oz. 12/cs MSC Skintegrity All Over Clean for Hair & Skin, Bag 800 ml 12/cs MSC Skintegrity All Over Clean for Hair & Skin, Bag 1,000 ml 12/cs MSC Skintegrity All Over Clean for Hair & Skin Gallon 4/cs MSC9950 MSC9951 YOUR FIRST-LINE DEFENSE MEDLINE 25

26 DISPENSERS & ACCESSORIES INSTANT HAND SANITIZERS MSC9950 / MSC9951 ITEM NO. ITEM DESCRIPTION TYPE SIZE PG MSC Sterillium Comfort Gel, Flip-Top 50 ml 7 X MSC Sterillium Comfort Gel, Flip-Top 100 ml 7 X MSC9941GRA / MSC9941BLK MSC9970 LX10PUSH / LX10PUSH8 WDW10722 MEDAUTO / MEDAUTOBLK MSC9962GRA / MSC9962BLK LXT10AUTO WDW10702 MSC MSC MSC MSC097063BK KUTDURA WDW40005 MSC097034CL MSC097034L NOT REQUIRED MSC Sterillium Comfort Gel, Tabletop Pump Bottle 475 ml 7 X X MSC Sterillium Comfort Gel, Bottle 1,000 ml 7 X $ MSC097034N Epi-Clenz Gel, Scent-Free, Flip-Top 1.5 oz. 8 $ $ X MSC Epi-Clenz Gel, Scent-Free, Flip-Top 4 oz. 8 X MSC Epi-Clenz Gel, Scent-Free, Pump Bottle 8 oz. 8 X MSC Epi-Clenz Gel, Scent-Free, Pump Bottle 16 oz. 8 X X MSC Epi-Clenz Gel, Scent-Free, Pump Bottle (low-profi le) 16 oz. 8 X MSC Epi-Clenz Gel, Scent-Free, Bag 1,000 ml 8 X $ MSC Epi-Clenz Gel, Breesia, Flip-Top 4 oz. 8 X MSC Epi-Clenz Gel, Breesia, Pump Bottle 16 oz. 8 X X MSC Epi-Clenz Foam, w/belt Clip 1.5 oz. 9 X MSC Epi-Clenz Foam 8 oz. 9 X MSC Epi-Clenz Foam 16 oz. 9 X MSC Epi-Clenz Plus, Flip-Top 1.5 oz. 9 $ $ X MSC Epi-Clenz Plus, Flip-Top 4 oz. 9 X MSC Epi-Clenz Plus, Pump Bottle 16 oz. 9 X X MSC Epi-Clenz Plus, Bag 800 ml 9 X $ MSC68817 Skintegrity Foaming, Pump Bottle 1.7 oz. 10 X MSC Skintegrity Foaming, Pump Bottle 18 oz. 10 X MSC68841 Skintegrity Foaming, Bag 1,000 ml 10 X MSC Skintegrity Foaming, Bag 1,000 ml 10 X MSC68824B Skintegrity Foaming, Bag 1,000 ml 10 $ MSC Skintegrity Gel 800 ml 11 X $ KUT6667 Duraview System 2,000 ml 11 X KUT68241MED Skintegrity Foaming, Alcohol-Free, Bag 1,000 ml 13 X WDW12017 HandClens, Alcohol-Free 1.7 oz. 13 X WDW12018 HandClens, Alcohol-Free 8 oz. 13 X WDW10741 HandClens, Alcohol-Free, Cartridge 1,000 ml 13 X $ WDW12023 HandClens, Alcohol-Free 1,800 ml 13 X WDW12092 HandClens Alcohol-Free, Scent- & Dye-Free 8 oz. 13 X WDW10743 HandClens, Alcohol-Free, Scent- & Dye-Free, Cartridge 1,000 ml 13 X $ WDW12043 HandClens Alcohol-Free, Scent- & Dye-Free 1,800 ml 13 X $ = Additional Cost X = No Charge MEDLINE PROFESSIONAL HAND HYGIENE

27 DISPENSERS & ACCESSORIES Manual s MSC9950 MSC9951 Dove/Gray MSC9941GRA MSC9941BLK Manual MSC9970 Manual LX10PUSH8 (6/ea) LXPUSH Manual for 1,000 ml WDW10722 Automatic s Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK Dove/Gray Auto MSC9962GRA Auto MSC9962BLK Auto LXT10AUTO Auto for 1,000 ml WDW10702 Brackets & Accessories (for MSC097032) MSC (12/cs) Wall Holder for 8 oz. MSC (24/cs) Wall Hldr w/drip Tray for 16 oz. MSC (12/cs) Clear MSC097063BK (16/cs) / KUTDURA for 1,800 ml WDW40005 Retractable Clip for 1.5 oz. MSC097034CL (25/bg) Lanyard for 1.5 oz. MSC097034L (25/bg) Retractable Clip MSC097065CL Stand STRLMSTAND dispenser not included. (Both stands can be modifi ed on site to fi t other dispensers.) Auto Disp. Drip Tray STRLMDRIPLONG (12/cs) Manual Disp. Drip Tray STRLMDRIPTRAY (12/cs) MEDAUTOSTND Pre-drilled for Auto s MSCHHSTAND Pre-drilled for Auto s KEY: : Pre-drilled for MEDAUTOSTND. : Pre-drilled for MSCHHSTND. YOUR FIRST-LINE DEFENSE MEDLINE 27

28 DISPENSERS & ACCESSORIES PLAIN SOAPS ANTIMICROBIAL/ANTIBACTERIAL SOAPS ITEM NO. ITEM DESCRIPTION TYPE SIZE PG KUT69017MED Skintegrity Foaming Hand Soap, Pump Bottle 1.7 oz. 16 X KUT69041MED Skintegrity Foaming Hand Soap, Bag 1,000 ml 16 X KUT64341MED Skintegrity Foaming Hand Soap, Dye- & Scent-Free, Bag 1,000 ml 16 X KUT64141MED Skintegrity Foaming Hand Soap w/added Emollients, Bag 1,000 ml 16 X MSC Skintegrity Foaming Hand Soap, Bag 1,000 ml 16 X MSC69024MED Skintegrity Foaming Hand Soap, Bag 1,000 ml 16 $ MSC64124MED Skintegrity Foaming Hand Soap w/added Emollients, Bag 1,000 ml 16 $ MSC Skintegrity Lotion Hand Soap, Flip-top 4 oz. 17 X MSC Skintegrity Lotion Hand Soap, Pump Bottle 7.5 oz. 17 X MSC Skintegrity Lotion Hand Soap, Pump Bottle 16 oz. 17 X MSC Skintegrity Lotion Hand Soap, Bag 800 ml 17 X $ MSC Skintegrity Lotion Hand Soap, Bag 1,000 ml 17 X $ MSC Skintegrity Lotion Hand Soap Gallon 17 X KUT69078 Clean Shape Hand Soap, Pump Bottle 950 ml 18 X X KUT5667 Duraview System Hand Soap 2,000 ml 18 X KUT5668 Duraview System Hand Soap 4,500 ml 18 X KUT8167 Duraview System Enriched Lotion Hand Soap 2,000 ml 18 X KUT68917MED Skintegrity Foaming Antimicrobial Hand Soap, Pump Bottle 1.7 oz. 19 X KUT68941MED Skintegrity Foaming Antimicrobial Hand Soap, Bag 1,000 ml 19 X MSC9950 / MSC9951 MSC9941GRA / MSC9941BLK MSC9970 MEDAUTO / MEDAUTOBLK MSC9962GRA / MSC9962BLK KUTDURA KUT950WB NOT REQUIRED KUT64041MED Skintegrity Foaming Antimicrobial Hand Soap w/added Emollients, Bag 1,000 ml 19 X MSC Skintegrity Foaming Antimicrobial Hand Soap 1,000 ml 19 X MSC68924MED Skintegrity Foaming Antimicrobial Hand Soap, Bag 1,000 ml 19 $ MSC64024MED Skintegrity Foaming Antimicrobial Hand Soap w/added Emollients, Bag 1,000 ml 19 $ MSC Skintegrity Antibacterial Hand Soap, Flip-top 4 oz. 20 X MSC Skintegrity Antibacterial Hand Soap, Pump Bottle 7.5 oz. 20 X MSC Skintegrity Antibacterial Hand Soap, Pump Bottle 16 oz. 20 X MSC Skintegrity Antibacterial Hand Soap, Bag, Blue 800 ml 20 X $ MSC Skintegrity Antibacterial Hand Soap, Bag 800 ml 20 X $ MSC Skintegrity Antibacterial Hand Soap, Bag 1,000 ml 20 X $ MSC Skintegrity Antibacterial Hand Soap Gallon 20 X KUT68978 Clean Shape Antimicrobial Hand Soap, Pump Bottle 950 ml 21 X X KUT65036 Clean Shape Antibacterial Hand Soap, Pump Bottle 1,000 ml 21 X X KUT64078MED Clean Shape Antimicrobial Hand Soap w/added Emollients, Pump Bottle 950 ml 21 X X KUT5067 Duraview System Antibacterial Hand Soap 2,000 ml 21 X $ = Additional Cost X = No Charge MEDLINE PROFESSIONAL HAND HYGIENE

29 DISPENSERS & ACCESSORIES Manual s MSC9950 MSC9951 Dove/Gray MSC9941GRA MSC9941BLK Manual MSC9970 Automatic s Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK Dove/Gray Auto MSC9962GRA Auto MSC9962BLK Brackets & Accessories / KUTDURA KUT950WB YOUR FIRST-LINE DEFENSE MEDLINE 29

30 DISPENSERS & ACCESSORIES SURGICAL SCRUBS ITEM NO. ITEM DESCRIPTION TYPE SIZE PG LXF10FOOT MSC32FPWM LXT10AUTO MDS16WMHP MDS32WMHP NOT REQUIRED MSC Sterillium Rub Surgical Hand Scrub, Personal Use Bottle 50 ml 14 X MSC Sterillium Rub Surgical Hand Scrub 1,000 ml 14 $ $ MDS DYNA-HEX 2% CHG Scrub, Bottle 4 oz. 15 X MDS DYNA-HEX 2% CHG Scrub, Bottle 16 oz. 15 X MDS DYNA-HEX 2% CHG Scrub, Clear Bottle w/12 Additional Pumps 16 oz. 15 X MDS DYNA-HEX 2% CHG Scrub, Bottle w/1 Additional Pump 32 oz. 15 $ X MDS DYNA-HEX 2% CHG Scrub, Bottle w/12 Additional Pumps 32 oz. 15 $ X MDS DYNA-HEX 4% CHG Scrub, Bottle 4 oz. 15 X MDS DYNA-HEX 4% CHG Scrub, Bottle 16 oz. 15 X MDS DYNA-HEX 4% CHG Scrub, Bottle w/12 Additional Pumps 32 oz. 15 $ X MDS DYNA-HEX 4% CHG Scrub, w/4 Additional Pumps 128 oz. 15 X $ = Additional Cost X = No Charge Manual s Automatic s Foot Manual LXF10FOOT Wall-Mounted 32 oz. Foot Pump MSC32FPWM Auto LXT10AUTO Brackets & Accessories Wall-Mounted 16 oz. Hand Pump MDS16WMHP Wall-Mounted 32 oz. Hand Pump MDS32WMHP Nail Cleaners (150 pcs) MSC9204 Auto Disp. Drip Tray STRLMDRIPLONG (12/cs) Stand STRLMSTAND Sink Bracket, 66-Degree STRLMSINK66 (4/cs) Sink Bracket, 90-Degree STRLMSINK90 (4/cs) MEDLINE PROFESSIONAL HAND HYGIENE

31 DISPENSERS & ACCESSORIES LOTIONS ITEM NO. ITEM DESCRIPTION TYPE SIZE PG MSC Skintegrity Lotion, Flip-top 2 oz. 22 X MSC Skintegrity Lotion, Flip-top 4 oz. 22 X MSC Skintegrity Lotion, Pump Bottle 8 oz. 22 X MSC Skintegrity Lotion, Bag 800 ml 22 X $ MSC Skintegrity Lotion, Bottle 1,000 ml 22 X X KUT Duraview System Lotion 2,000 ml 22 X MSC Remedy Skin Repair Cream, Pump Bottle 32 oz. 23 X X MSC Remedy Skin Repair Cream, Bag 1,000 ml 23 X $ MSC Remedy Skin Repair Cream, Cartridge 1,200 ml 23 X MSC Remedy Nutrashield, Bag 1,000 ml 23 X $ MSC9950 / MSC9951 MSC094412WD REMPUSHGRAY / REMPUSHBLAC MEDAUTO / MEDAUTOBLK REMAUTOGRA / REMAUTOBLKH KUT950WB KUTDURA MSC994420BRKT NOT REQUIRED $ = Additional Cost X = No Charge Manual s MSC9950 MSC9951 for 1,200 ml MSC094412WD (12/cs) Dove/Gray REMPUSHGRAY REMPUSHBLAC Automatic s Auto MEDAUTO (also available as MEDAUTOH) Auto MEDAUTOBLK Auto REMAUTOGRA Auto REMAUTOBLKH Brackets & Accessories KUT950WB / KUTDURA for 32 oz. MSC094420BRKT (12/cs) YOUR FIRST-LINE DEFENSE MEDLINE 31

32 DISPENSERS & ACCESSORIES SHAMPOO & BODY WASH ITEM NO. ITEM DESCRIPTION TYPE SIZE PG KUT68017MED Skintegrity Foaming All Over Clean for Hair & Skin, Pump Bottle 1.7 oz. 24 X KUT68041MED Skintegrity Foaming All Over Clean for Hair & Skin, Bag 1,000 ml 24 X KUT7567 Duraview System Shampoo/Body Wash 2,000 ml 24 X KUT7568 Duraview System Shampoo/Body Wash 4,500 ml 24 X MSC Skintegrity All Over Clean for Hair & Skin, Pump Bottle 7.5 oz. 25 X MSC Skintegrity All Over Clean for Hair & Skin, Pump Bottle 16 oz. 25 X MSC Skintegrity All Over Clean for Hair & Skin, Bag 800 ml 25 X MSC Skintegrity All Over Clean for Hair & Skin, Bag 1,000 ml 25 X MSC Skintegrity All Over Clean for Hair & Skin Gallon 25 X MSC9950 / MSC9951 MSC9941GRA / MSC9941BLK KUTDURA NOT REQUIRED $ = Additional Cost X = No Charge Manual s MSC9950 MSC9951 Dove/Gray MSC9941GRA MSC9941BLK Brackets & Accessories / KUTDURA Medline Industries, Inc. One Medline Place Mundelein, IL Medline United States Medline Canada Medline México MEDLINE ( ) info@medline.com canada@medline.com mexico@medline.com We reserve the right to correct any errors that may occur within this brochure. Some products may not be available for sale in Canada or Mexico Medline Industries, Inc. Medline, Epi-Clenz, Remedy Professional Hand Hygiene are registered trademarks of Medline Industries, Inc. Skintegrity is a trademark of Medline Industries, Inc. Sterillium Comfort Gel and Visirub are registered trademarks of BODE Chemie GMBH Limited Liability Company. Handclens is a registered trademark of Pacifi c World Coorporation. DYNA-HEX is a registered trademark of Xttrium Laboratories, Inc. Duraview is a registered trademark of Aluta, Inc MEDLINE PROFESSIONAL HAND HYGIENE MKT / LIT088 / 5M / SG / 13

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