Table 3.

Process indicators CVC insertion monitoring form

	Process indicator	Satisfied
1	Skin cleaned with alcohol 70% with chlorhexidine 0.2%; or chlorhexidine 0.2% in water in infants with a gestational age < 26 weeks	Yes O No O
2	Air dry of at least 30 seconds after skin preparation prior to guide-wire insertion	Yes O No O
3	New needle used after each attempt to insert a CVC through the intact skin	Yes O No O
4	Sterile drape covering the patient for least 80%	Yes O No O
5	The provider inserting the CVC used maximum sterile barrier e.g. sterile gown, double sterile gloves, mask, and hat	Yes O No O
6	Optimal insertion site was selected or another site was argued for	Yes O No O
7	Echo use during insertion of jugularis and subclavia catheter	Yes O No O
8	Chlorhexidine impregnated sponge used in infants < 40 weeks gestational age	Yes O No O

CVC central venous catheter.