Audit 1

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 2

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 3

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 4

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 5

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 6

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 7

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 8

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 9

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 10

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 11

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 12

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 13

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 14

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 15

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 16

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 17

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 18

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 19

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 20

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 21

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 22

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 23

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 24

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 25

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 26

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 27

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 28

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 29

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 30

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 31

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 32

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 33

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 34

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 35

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 36

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 37

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 38

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 39

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Audit 40

Do another audit on this floor?

Room number

Is peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a second peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

Is a third peripheral IV present?

Is the insertion site visible?

Is there Coban or Coflex used to secure the PIV site?

Is there Coban or tape wrapped circumferentially around the limb?

Is the dressing intact?

Are fluids running at time of audit?

When was the IV last assessed?

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.