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IV Management Checklist
IV Management Checklist
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Created by Qualaris Staff
Inpatient Nursing
Learn more about managing Nursing data with Qualaris
Table of Contents
Audit Form
Audit Form
IV Management Checklist
Description
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Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
IV Management Checklist Checklist
Mark all as...
Appropriately placed catheters?
Yes
No
Site assessed daily?
Yes
No
Appropriate duration?
Yes
No
Infiltration not present?
Yes
No
N/A
Aseptic technique - line manipulation?
Yes
No
N/A
Minimal line connections?
Yes
No
N/A
Appropriate lumen for additives?
Yes
No
N/A
Appropriate connection devices?
Yes
No
N/A
Appropriate caps?
Yes
No
N/A
Tubing labeled correctly?
Yes
No
N/A
No loops or kinks?
Yes
No
N/A
Correct tubing?
Yes
No
N/A
Line flushed?
Yes
No
N/A
Appropriate dressing?
Yes
No
N/A
Dressing secure?
Yes
No
N/A
Dressing intact, dry & clean?
Yes
No
N/A
Dressing dated/gauged?
Yes
No
N/A
Phlebitis, site infection absent?
Yes
No
N/A
Pyrexia absent?
Yes
No
N/A
Bacteraemia absent?
Yes
No
N/A
