Template

CLABSI Prevention Device Audit Checklist

by Margarita Silva, from the Community

Standardize central line care and documentation with this CLABSI prevention device audit. Verify dressing status and labeling, securement devices, Curos caps, and IV tubing dates with correct change intervals for continuous sets every 96 hours and intermittent sets every 24 hours. Confirm proper CHG dressings or discs and daily CHG baths. Ensure orders, daily line justification, documented dressing and tubing changes, and CLABSI education to reduce infection risk.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

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UCLA SMH CLABSI PREVENTION CHECKLIST

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by Mary Horkay, from the Community

60+

Get

Template

Device Audit - CAUTI Prevention

This device audit template helps healthcare teams prevent catheter associated urinary tract infection by standardizing checks across insertion, daily maintenance, and timely removal. Assess aseptic technique, securement, closed drainage integrity, unobstructed urine flow, bag positioning, and fullness limits. Verify documentation for orders, indications, daily justification, CHG bathing, peri catheter care, and patient education. Use it to monitor staff compliance, capture observations at the bedside, and support infection control programs in hospitals, clinics, and long term care settings.

by Margarita Silva, from the Community

Get

Template

Infection Prevention and Control Rounding Audit

This Infection Prevention and Control rounding audit helps hospital teams evaluate compliance with core IPC practices. It covers PPE use, isolation protocols and signage, staff and visitor compliance, and hand hygiene observation and coaching. The checklist supports prevention bundles for CLABSI, CAUTI, ventilator care, and surgical site infection, plus environmental cleaning, nutrition and human milk room checks, soiled utility processes, ATP testing, and staff knowledge checks to maintain safe, clean care settings.

by Erika Bouverie, from the Community

20+

Get

Template

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This clinical audit checklist supports safe management of invasive devices including PIVCs, CVLs and PICCs. It covers bedside review (date of insertion, IV connections, blue line labels, occlusive dressing integrity, securement and patient education), documentation review (insertion site, gauge, inserter details, shift inspections, day tracking and phlebitis grading), and CVL/PICC specifics such as Tegaderm 3000 application, dressing changes, line security, lumen status, ANTT compliance, batch numbers, and line-change records. Includes prompts for patient/family information.

by Amy McGavin, from the Community

10+

Get

CLABSI Prevention Device Audit Checklist

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