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Audit

Central line bundle

Does the patient have a central line?

Were maximum barrier precautions used when central line was placed?

Should the central line remain in place?

Is the central line dressing clean/dry/intact?

Ventilator bundle

Is the HOB at or above 30 Degrees?

Is the patient receiving PUD prophylaxis?

Is the patient receiving DVT Prophylaxis?

Has the patient received oral care ever 4 hours?

Did the patient receive oral rinse with CHG and toothbrushing every 12 hours?

DId the patient undergo a spontaneous breathing trial?

If spontaneous breathing trial completed, did the patient pass?

If extubation criterion met, was the patient extubated?

Completion
Full Name and Signature of Attending Nurse

ICU Safety Rounds Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 16

The Intensive Care Unit (ICU) can be prone to having medical errors due to patient’s condition which requires thorough checking. Nurses must conduct safety rounds in ICU to ensure that critical care patients are given the proper attention to prevent anything going wrong. Use this checklist to electronically report any concerns surrounding patient care for immediate action. Use iAuditor to share your reports with authorized staff real time.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

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Audit

Central line bundle

Does the patient have a central line?

Were maximum barrier precautions used when central line was placed?

Should the central line remain in place?

Is the central line dressing clean/dry/intact?

Ventilator bundle

Is the HOB at or above 30 Degrees?

Is the patient receiving PUD prophylaxis?

Is the patient receiving DVT Prophylaxis?

Has the patient received oral care ever 4 hours?

Did the patient receive oral rinse with CHG and toothbrushing every 12 hours?

DId the patient undergo a spontaneous breathing trial?

If spontaneous breathing trial completed, did the patient pass?

If extubation criterion met, was the patient extubated?

Completion
Full Name and Signature of Attending Nurse