AMERIGEL BARRIER LOTION PRODUCT INFORMATION MSDS APPLICATION PROTOCOLS 07/01/13

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AMERIGEL BARRIER LOTION PRODUCT INFORMATION MSDS APPLICATION PROTOCOLS 07/01/13

AMERIGEL BARRIER LOTION SUPERIOR SKIN PROTECTION Moisturizes, lubricates and soothes irritated, dry skin Excellent skin protection from irritation due to moisture or incontinence Physician recommended for use with adult briefs May be used on irritated skin and is only pennies per use FOUR PRODUCTS IN ONE ANTIMICROBIAL SKIN LUBRICANT SKIN MOISTURIZER SKIN PROTECTANT For use as a protective moisture barrier for skin conditions resulting from incontinence, periostomal sites, pressure and friction areas, wound drain sites, and skin folds exposed to excessive moisture. Also indicated for minor cases of itching, cuts scrapes, rough, dry skin. Moisturizes and soothes and helps return skin to its normal healthy state. Can be used with other Amerigel products for additional protection for at-risk skin. Physician approved and recommended. TRY OUR OTHER PRODUCTS AmeriGel Hydrogel Saturated Gauze Dressing AmeriGel Wound Dressing Amerigel Care Lotion Amerigel Wound Wash 1300 S. Highland Avenue Clearwater, FL 33756 1-800-448-9599 Visit our Website: www.amerxhc.com

PROTOCOL FOR USING AMERIGEL BARRIER LOTION Pressure and chronic ulcers are one of the most preventable and treatable conditions among elderly residents with restricted mobility. Development of pressure or chronic ulcers can have serious health consequences for elderly patients and can be costly and laborious to manage. Prevention of pressure or chronic ulcer development is widely acknowledged to be 2.5 times less expensive than treatment, since it is easier and takes less time. The following protocol is recommended for the use of AmeriGel Barrier Lotion on patients who are incontinent. 1. 2. 3. 4. 5. 6. Inspect the skin of the at-risk patient at least once a day. Pay particular attention to bony prominences such as the sacrum, trochanter and coccyx. Cleanse skin at a frequency consistent with individual need or patient preference, but particularly after urination and defecation. Avoid hot water and use a mild cleansing agent to minimize irritation and dryness of the skin. Gently blot skin dry to avoid force and friction applied to the skin. Apply Amerigel Barrier Lotion liberally to area at risk. Allow treated area to dry for two to three minutes. Please remember that areas treated are very fragile, so Amerigel Barrier Lotion is to be applied gently, without massaging areas over bony prominences, which are at risk to additional damage from handling. Since Amerigel Barrier Lotion is formulated as a moisture barrier to protect skin from contact with urine, feces and moisture from wound drainage, there is no additional requirement for other moisture barrier treatment. Use due care to prevent wound contamination. Use caution when positioning, transferring and turning patient to avoid friction and shear forces that may cause skin injury.

MATERIAL SAFETY DATA SHEET I. PRODUCT IDENTIFICATION PRODUCT: AMERIGEL BARRIER LOTION II. COMPOSITION/INGREDIENTS COMPONENTS: Butylene Glycol Citric Acid Cyclomethicone Cyclomethicone/ Dimethicone Copolyol Dimethicone Glycerin Lemon Oil Methylparaben Oak Extract (OAKIN ) Propylparaben Sodium Citrate Stearyl Dimethicone Water III. PHYSICAL AND CHEMICAL CHARACTERISTICS PHYSICAL FORM: Lotion MELTING POINT: N/A SOLUBILITY IN WATER: Insoluble APPEARANCE & ODOR: White lotion with faint citrus odor SPECIFIC GRAVITY: 0.985-0.990 at 25 C PH: 7.2-8.0 VOLATILITY: Negligible IV. PHYSICAL HAZARDS STABILITY: Very Stable CONDITIONS TO AVOID: Elevated temperatures over 140 F MATERIALS TO AVOID: Avoid mixing with strong acids or bases HAZARDOUS THERMAL DECOMPOSITION PRODUCTS: Carbon dioxide and carbon monoxide HAZARDOUS POLYMERIZATION CONDITIONS: Does not occur V. HEALTH HAZARD DATA LD50: SKIN IRRITATION: EYE IRRITATION: N/A Negligible Possible irritant

VI. FIRST-AID MEASURES EYES: INGESTION: INHALATION: Flush with water. If redness or pain persists over 24 hours, consult a physician. Wash mouth with water. Contact a physician. Product is not volatile. VII. FIRE FIGHTING MEASURES FIRE EXTINGUISHING MEDIA: FIRE FIGHTING PROCEDURE: Dry chemical, carbon dioxide, water or regular foam Do not scatter with high pressure water spray. Wear self-contained breathing apparatus and protective clothing to prevent contact with skin. VIII. EXPOSURE CONTROL/PERSONAL PROTECTION VENTILATION: PROTECTIVE EQUIPMENT: Normal fresh air None IX. SPECIAL PRECAUTIONS AND SPILL/LEAK PROCEDURES STORAGE RECOMMENDATIONS: SPILL/LEAK PROCEDURES: WASTE DISPOSAL METHODS: Avoid direct sunlight. Store away from incompatible materials. Observe all federal, state and local regulations when storing. Dispose of material when expiration date has been reached. Sweep or shovel into closable container for disposal. Landfill disposal is suggested, but local and federal regulations must be followed. X. OTHER INFORMATION ISSUE DATE: March 2003 AMERX HEALTH CARE CORPORATION 1300 S. Highland Avenue Clearwater, FL 33756 Phone: 800-448-9599 www.amerxhc.com The statements contained herein are believed to be true and are offered only for informational purposes. They are intended to be followed only by persons having related technical skills and at their own discretion and risk. Since conditions and manner of use are outside our control, we make no warranties, expressed or implied, and assume no liability in connection with any use of this information.