Audit

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?

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?

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?

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?

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?

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?

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?

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?

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?

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?

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.