Type of Line

Is order in EMR

Indications for use

CHG Bathing done

Does patient have documented allergy to CHG?

Documented Tubing changes every 96 hours

Visualization of Line

SwabCaps in place on all appropriate hubs

Biopatch appropriately placed at insertion site

Dressing clean/dry/intact

Is Line sutured appropriately?

Is all tubing labeled

Do all lumens have blood return, flush appropriately, or have an infusion currently active

Is dressing labeled with initials / date

If secured with securement device, is it used appropriately

Observation of Nurse

Did Nurse wash hands prior to accessing line

Is nurse proactive in getting line taken out when appropriate.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.