Table 3 Process audit form

CHG cloth used for neck, shoulders, and chest

Applied CHG over central line(s) dressing(s)

Cleaned the closest 6′′ of line(s) with CHG cloth

6.1.1.1.1. CHG cloth used for both arms, hands, and armpits

Applied CHG over PICC/line(s) dressing(s)

Cleaned the closest 6′′ of PICC/PIV lines with CHG cloth

6.1.1.1.2. CHG cloths used for abdomen, groin, and perineum

Clean around indwelling Foley catheter

and down 6′′ of the tubing

6.1.1.1.3. CHG cloths used for right leg and foot

6.1.1.1.4. CHG cloths used for left leg and foot

6.1.1.1.5. CHG cloths used for back of neck, back, and buttocks