PIV Extravasation Audit - duplicate

Client/Site

Prepared by

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?

Do another audit on this floor?

Is peripheral IV present?

Is the insertion site visible?

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

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?