Central Line Insertion (CLABSI Prevention) Checklist [FREE PDF]
Physicians and ICU nurses use this checklist per CDC CLABSI prevention bundle and Joint Commission National Patient Safety Goals for central line-associated bloodstream infection prevention.
- Industry: Healthcare / Critical Care
- Frequency: Per Procedure
- Estimated Time: 5-10 minutes
- Role: ICU Nurse / Physician
- Total Items: 8
- Compliance: CDC CLABSI Prevention Bundle, Joint Commission NPSG
Insertion Bundle Compliance
Verify all five elements of the central line insertion bundle.
- Was hand hygiene performed before the procedure?
- Were maximal sterile barrier precautions used (cap, mask, gown, gloves, drape)?
- Was chlorhexidine skin antisepsis applied and allowed to dry before insertion?
- Insertion bundle notes
Site Selection & Maintenance
Verify optimal site selection and ongoing maintenance.
- Was the subclavian or non-femoral site selected when clinically appropriate?
- Is daily assessment of line necessity performed with prompt removal when no longer needed?
- Is the dressing intact, clean, dry, and changed per protocol (CHG-impregnated if available)?
- Site and maintenance notes
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Related Infection Control Checklists
- ICU Infection Control and Patient Safety Daily Inspection Checklist - FREE Download
- Surgical Instrument Processing & Sterilization Checklist [FREE PDF] - FREE Download
- Endoscope Reprocessing & High-Level Disinfection Checklist [FREE PDF] - FREE Download
- Surgical Site Infection (SSI) Prevention Bundle Checklist [FREE PDF] - FREE Download
Why Use This Central Line Insertion (CLABSI Prevention) Checklist [FREE PDF]?
This central line insertion (clabsi prevention) checklist [free pdf] helps healthcare / critical care teams maintain compliance and operational excellence. Designed for icu nurse / physician professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: per procedure.
Ensures compliance with CDC CLABSI Prevention Bundle, Joint Commission NPSG. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Central Line Insertion (CLABSI Prevention) Checklist [FREE PDF] cover?
This checklist covers 8 inspection items across 2 sections: Insertion Bundle Compliance, Site Selection & Maintenance. It is designed for healthcare / critical care operations and compliance.
How often should this checklist be completed?
This checklist should be completed per procedure. Each completion takes approximately 5-10 minutes.
Who should use this Central Line Insertion (CLABSI Prevention) Checklist [FREE PDF]?
This checklist is designed for ICU Nurse / Physician professionals in the healthcare / critical care industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.