Audit

Unit :

Enter Room Number/MRN:

Patient

Room Number: MRN:

Intravenous Line

Does pt have any intravenous line

Type of line

Dressing intact

Dressing dated?

IV lines dated?

IV lines label with fluid name?

Curos cap in place?

Dressing intact?

Dressing dated?

Is dressing < /= one week old

IV lines dated?

IV lines label with fluid name?

Curos cap in place?

Is Biopatch in place?

Foley

Does pt have foley?

Proper bag placement (not on floor).

Is bag below bladder?

Stat Lock device in place?

Insertion date noted on bag

Other issues identified on rounds

List topic

Staff member notified:

Comments

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.