SSI Prevention Bundle - FREE PDF
Document SSI prevention bundle compliance for surgical procedures.
- Industry: Healthcare
- Frequency: Each surgery
- Estimated Time: 15-30 minutes total
- Role: OR Nurse / Surgeon / Anesthesia
- Total Items: 30
- Compliance: CDC SSI Guidelines, AORN, Joint Commission NPSG, SCIP
Documentation Review
Review required documentation and policies.
- Policies and procedures current?
- Staff training documented?
- Required records complete?
Practice Observation
Observe clinical practices for compliance with CDC SSI Guidelines.
- Staff practices comply with standards?
- Required equipment/supplies available?
- Care environment appropriate?
Patient/Resident Safety
Evaluate safety measures and outcomes.
- Safety interventions in place?
- Quality outcomes monitored?
- Quality improvement actions taken?
Regulatory Compliance
Verify compliance with CDC SSI Guidelines, AORN, Joint Commission NPSG, SCIP.
- Regulatory requirements met?
- Any deficiencies identified?
- Deficiency Description
Corrective Actions
Document required corrective actions.
- Immediate Actions Needed
- Follow-up Actions Required
- Follow-up Audit Date
- Auditor Signature
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
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Why Use This SSI Prevention Bundle?
This ssi prevention bundle helps healthcare teams maintain compliance and operational excellence. Designed for or nurse / surgeon / anesthesia professionals, this checklist covers 30 critical inspection points across 8 sections. Recommended frequency: each surgery.
Ensures compliance with CDC SSI Guidelines, AORN, Joint Commission NPSG, SCIP. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the SSI Prevention Bundle cover?
This checklist covers 30 inspection items across 8 sections: Documentation Review, Practice Observation, Patient/Resident Safety, Regulatory Compliance, Corrective Actions, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed each surgery. Each completion takes approximately 15-30 minutes total.
Who should use this SSI Prevention Bundle?
This checklist is designed for OR Nurse / Surgeon / Anesthesia professionals in the healthcare 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.