SUPPLEMENTARY FIGURES Figure S1: CVC insertion observation form Patient identifier: Patient birth date: ____/____/________ Gender: M F Insertion OR: Date of insertion: ____/____/________ Yes / No Emergency procedure * □ □ Femoral insertion site □ □ → if yes: the femoral insertion site is justified □ □ 1. Work organization All material prepared for use * □ □ Trash bin in place □ □ Operator never leaves the patient zone * □ □ 2. Patient preparation Hand hygiene before patient contact □ □ Patient’s hair is covered by a cap □ □ 3. Skin antisepsis All medical devices for skin antisepsis are sterile □ □ Use of alcohol-chlorhexidine for skin antisepsis □ □ Use sterile gloves for skin antisepsis □ □ Skin antisepsis follows a correct technique * □ □ Skin antisepsis performed before applying maximal sterile barrier precautions □ □ 4. Maximal sterile barrier precautions Capa □ □ Maska □ □ Hand hygiene before glovinga □ □ Sterile gownb □ □ Sterile glovesb □ □ Large sterile drape □ □ Sequence respected * □ □ Catheter fixation and dressing * Catheter correctly fixed □ □ Insertion site disinfection □ □ Insertion site fully covered by the dressing □ □ Follow-up*: daily evaluation whether the catheter could be removed □ □ (not applicable: n.a.) n.a.: □ a Worn / done by all assisting with the procedure b Worn by the operator and, if disinfecting the patient’s skin, by the assistant too. Unless the assistant disinfects the patient’s skin the operator changes into new sterile gloves before inserting the catheter. * See definitions on reverse side
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