Nursing Homes worker using R&R Lotion skin care

Nursing Homes & Senior Living

Hand care for senior living staff

Hand hygiene before and after every resident, gloves on and off all shift, and short staffing that means no one gets a break. CNAs and nurses in long-term care wash their hands raw. We make gentle, alcohol-free hand care that keeps staff working, with no flammable alcohol on the floor.

R&R LOTIONUSA

What a care shift does to your hands

Long-term care is hard on caregivers’ hands

The CDC stresses clean hands in long-term care. Keeping up with it is where the damage starts. Here’s what helps.

Problem 01

Wash after wash

Frequent washing and sanitizing strip the skin’s oils. By the end of a double, hands are dry, cracked and painful, and cracked skin is harder to keep clean.

Contact dermatitis →
Problem 02

Alcohol on a memory care floor

Alcohol sanitizer is flammable and can be swallowed. Alcohol-free BZK sanitizer can’t be misused for intoxication and keeps storage simple.

Alcohol-free sanitizer in controlled settings →
Problem 03

Sanitizer that’s gone in seconds

Alcohol evaporates in seconds and dries hands as it goes. I.C. sanitizers use BZK instead of alcohol.

BZK vs. alcohol →

The care kit

Sanitize, protect and repair through every shift

One routine for the whole floor: alcohol-free sanitizer at every room, a glove-compatible lotion and a repair cream for the end of the shift.

All sanitizers →
IC Hand Sanitizing Cream
SanitizeIC Hand Sanitizing CreamKills 99.99% of germs, in a cream. Alcohol-free, fragrance-free, dermatologist tested.From $7.35 ★★★★★ (6) 4.4 on Amazon · 1,305 ratingsAdd to cart · $9.998oz. · other sizes
IC Alcohol Free Foaming Hand Sanitizer
SanitizeIC Alcohol Free Foaming Hand SanitizerAlcohol-free BZK foam. Kills 99.99% of germs in as little as 15 seconds. Non-flammable, fragrance free.From $7.49 4.0 on Amazon · 22 ratingsAdd to cart · $8.0950ml Foaming Pump · other sizes
IC Lotion Fragrance Free (Cleanroom)
ProtectIC Lotion Fragrance Free (Cleanroom)Pre-gloving lotion with no silicones, lanolin, glycerin or mineral oils. CHG and latex compatible.From $8.99 ★★★★★ (6) 4.3 on Amazon · 29 ratingsAdd to cart · $8.998oz. · other sizes
IC Advanced Repair Hand Cream
RepairIC Advanced Repair Hand CreamDimethicone skin protectant that helps prevent and temporarily protects chafed, chapped or cracked skin.From $13.95Out of stock · $20.508oz Bottle · other sizes

Also for the crew: I.C. Antibacterial Hand Cleaner · I.C. Workstation Cleaner · I.C. Itch & Pain Relief · I.C. Sunscreen Lip Balm · I.C. Industrial Sunscreen SPF 36

Nursing Homes worker using R&R Lotion skin care

For directors of nursing & infection prevention

Build it into your hand-hygiene program

We’ve been APIC members for more than 20 years. Assisted living, skilled nursing, hospice and memory care all use the same short list. Tell us about your facility and we’ll help with the rest: samples for the floor, dispensers for every hall and a lunch-and-learn on hand care.

R&R LOTIONUSA
15 secKill time, I.C. Alcohol-Free Foaming Hand Sanitizer
99.99%Of germs killed, I.C. Hand Sanitizing Cream
0 of 50Subjects reacted in dermatologist patch testing, I.C. Hand Sanitizing Cream
20+ yrsAPIC member, working with infection-prevention teams

On the floor

Made for every shift

Nursing Homes worker using R&R Lotion skin care (Between residents)
Between residents
Nursing Homes worker using R&R Lotion skin care (Skilled nursing)
Skilled nursing
Nursing Homes worker using R&R Lotion skin care (Resident room door)
Resident room door
Nurse in scrubs working lotion into her hands at the nurses' station
Gloving off
Nursing Homes worker using R&R Lotion skin care (Shift huddle)
Shift huddle

Field Notes

What a care shift does to your hands

Five short animated chapters: the work, the exposure, what happens in the skin, why we built the product, and how to use it on the job.

Education, not medical advice. If your skin cracks, bleeds or won’t settle down, talk to your employee health nurse or a clinician.

CaptionThe loop a CNA runs at every door: sanitize, glove, give care, gloves off and wash, then on to the next resident.

01 · The rounds

Every door, every resident

Long-term care runs on hand hygiene. You sanitize at the door, glove for care, wash when the gloves come off, and do it all again at the next room. On a short-staffed double, that loop doesn’t stop.

Every step protects a resident. Together, over a full shift, they’re hard on the hands doing them.

On the job, contact dermatitis shows up on the hands in about 80% of cases.Occupational contact dermatitis, as reported on the R&R Lotion blog (2023)

CaptionThe outer layer is skin cells (bricks) held together by natural oils and lipids (the yellow mortar). Each wash and each sanitize takes some of that mortar with it.

02 · The barrier

Your barrier is a brick wall

  • Skin cells
  • Oils and lipids
  • Water

The outermost layer of skin, the stratum corneum, is made of dead skin cells held together by natural oils and lipids. Picture bricks and mortar. The mortar holds moisture in and keeps irritants out.

Frequent washing and sanitizing strip those oils. By the end of a double the mortar has worn thin, which is how hands end up dry, cracked and painful.

CaptionWith the mortar gone, moisture escapes, irritants work their way in, and the skin underneath reddens and cracks.

03 · What develops

Irritant contact dermatitis

  • Water escaping
  • Irritants

Keep exposing skin to water, soap, sanitizer and the inside of a glove and the barrier breaks down. That’s irritant contact dermatitis. It starts as redness, itching and dryness and can progress to cracking and blistering.

Cracked skin is harder to keep clean, and it’s a way in for germs. In a building full of older residents, that matters for you and for the people you care for.

There’s a second type, allergic contact dermatitis, where skin becomes sensitized to something it touches. If your hands won’t heal, get them looked at.

CaptionA light lotion layer goes on first and helps seal moisture in. The glove goes on over it.

04 · Why we built it

Built for the care floor

A care floor needs a sanitizer staff will keep using and a lotion that works under gloves. Alcohol rubs are flammable and dry hands out, and most lotions brought from home use mineral oils that can break down latex. So we built alcohol-free sanitizers and a water-based lotion.

I.C. Hand Sanitizing Cream

Alcohol-free. Benzalkonium chloride 0.13% kills 99.99% of germs, and dimethicone 1.5% with shea and sunflower butters keeps hands moisturized while you sanitize. Fragrance free.

See the cream →

I.C. Alcohol-Free Foaming Hand Sanitizer

Benzalkonium chloride foam that kills 99.99% of germs in as little as 15 seconds. Non-flammable, fragrance free and quick drying, with no sticky residue.

See the foam →

I.C. Lotion, Fragrance Free

Purified DI water base. No silicones, lanolin, glycerin, mineral oils, fragrance or dye. Use it before nitrile, latex or vinyl gloves. Lab-tested with CHG with no interference. Dries with no oily residue.

See the lotion →

I.C. Advanced Repair Hand Cream

A dimethicone skin protectant that helps prevent and temporarily protects chafed, chapped or cracked skin.

See the hand cream →

The lotion, the sanitizing cream and the hand cream are dermatologist tested: 50-subject patch tests with zero reactions.ALS / BioScreen, FDA-registered lab, Study 22-522A (2022)

Alcohol-free also means no flammable alcohol rubs to store on the floor. See NFPA rules on alcohol hand sanitizer storage.

CaptionFour moments on shift: start of shift, at every resident’s door, after every wash, and before you head home.

05 · On shift

When to put it on

  1. 1
    Start of shiftI.C. Lotion, Fragrance Free, before you glove.
  2. 2
    At every doorI.C. Hand Sanitizing Cream or Foaming Hand Sanitizer going in and coming out. Apply liberally and rub your hands together until it’s absorbed and dry.
  3. 3
    After every washLotion after each hand-hygiene session, then glove back up.
  4. 4
    End of shiftAfter your last wash, I.C. Advanced Repair Hand Cream on chapped or cracked hands before you head home.

Follow your facility’s hand-hygiene and infection-prevention policy, and use the sanitizers as directed on their labels.

Sources
  1. R&R Lotion, I.C. Hand Lotion (Cleanroom) and I.C. Sanitizing Cream Technical Data Sheets, 08/01/2022; I.C. Foaming Hand Sanitizer and I.C. Advanced Repair Hand Cream product data.
  2. ALS / BioScreen, Human Repeat Insult Patch Test, Study 22-522A, November 2, 2022.
  3. BioScreen Testing Services, CHG compatibility test, Pre-Glove Fragrance-Free Cleanroom Lotion, 2008.
  4. Protecting your skin with barrier creams (2023).
  5. Understanding occupational dermatitis and I.C. hand lotions (2023).
  6. Hand hygiene in medical facilities (OSHA 29 CFR 1910.1030) (2022).
  7. Alcohol-free hand sanitizer in controlled settings (2025).
  8. NFPA rules on alcohol hand sanitizer storage (2025).

Join the crew

A community of the trades

Pick your work. We’ll send what’s useful for your job: plain-English guides, seasonal reminders and invites to short webinars for crews and safety managers.

Coming soon

Be the nurse who tells her floor

We’re building an ambassador program for the people crews already listen to.

  • Your own code to share with your crew
  • A seat at our webinars, with early product news
  • Samples for the trailer, the unit or the shop

Join the crew and you’ll be the first to hear when it opens.

Field notes for your trade

Articles and webinar invites matched to the work you do. A few emails a month.

Questions care teams ask

Hand care for nursing home staff: FAQ

Why alcohol-free sanitizer in a nursing home?
Alcohol-free BZK sanitizer is non-flammable, moisturizing, and can’t be ingested for intoxication, which matters on memory care and behavioral units. It also avoids NFPA limits on storing flammable alcohol rubs.
How fast does the foaming sanitizer work?
I.C. Foaming Hand Sanitizer kills 99.99% of common germs in as little as 15 seconds.
Will the lotions interfere with CHG or gloves?
No. I.C. Lotions don’t interfere with chlorhexidine (CHG) and are water-based and pre-glove compatible, so they won’t degrade latex gloves.
Is there a hypoallergenic option?
Yes. I.C. Advanced Repair Hand Cream and I.C. Hand Sanitizing Cream were dermatologist tested in a 50-subject patch test (HRIPT) with no reactions, and are hypoallergenic.
Can our facility get samples or a lunch and learn?
Yes. Request free samples for your floor or book a lunch and learn, and we’ll bring product and talk hand care with your team.

Skin care that cares about the worker and about the work

Try it on your floor first.

Free samples for directors of nursing and infection-prevention teams. Buy through your distributor or on GSA.