Loading...

Run: Central Line Bundle Audit

Central Line Bundle Audit template for checking hand hygiene, insertion practices, dressing integrity, and daily line necessity review. Use it to document CL...

Fill this out, get a PDF emailed to you. No account required. Want to run it with your team and track results? Sign up free →

Audit Details

Identify whether this is an insertion audit, maintenance audit, or chart review.
Record the patient care unit, room, or procedure area where the audit was performed.
Document the catheter type being observed or reviewed.
Enter a non-sensitive identifier per facility policy; do not enter full patient identifiers if not required.
Name or role of the person completing the audit.

Hand Hygiene and Aseptic Technique

Verify hand hygiene was completed before any catheter manipulation, dressing change, or insertion step.
Confirm the method used was appropriate for the task and local policy.
Verify sterile or clean critical parts were not contaminated during access, dressing change, or insertion support.
Verify the access port was disinfected before each access per facility policy.
Rate overall hand hygiene compliance observed during the audit.

Insertion Bundle Compliance

Verify skin preparation was performed with chlorhexidine-based antiseptic unless contraindicated by policy or patient factors.
Verify the antiseptic contact time and drying time were observed before insertion or dressing application.
Select all barrier precautions observed during insertion.
Verify the insertion field remained sterile and was not contaminated during the procedure.
Confirm the insertion checklist or time-out documentation was completed per facility policy.

Maintenance Bundle and Dressing Integrity

Inspect the dressing for moisture, looseness, soilage, lifting edges, or visible contamination.
Verify the dressing label is present and the change interval is within policy.
Confirm use of CHG-impregnated dressing or sponge when required by policy or patient risk criteria.
Verify the line is secured to reduce movement and accidental dislodgement.
Assess for signs of local infection or phlebitis at the insertion site.

Line Necessity and Ongoing Review

Verify the chart includes a daily assessment of whether the central line remains clinically necessary.
Confirm there is evidence the team reviewed prompt removal when the line was no longer needed.
Verify an alternative plan exists if the central line is no longer required or if complications are present.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Generated with MangoApps Templates — browse 250+ free
Ask AI Product Advisor

Hi! I'm the MangoApps Product Advisor. I can help you with:

  • Understanding our 40+ workplace apps
  • Finding the right solution for your needs
  • Answering questions about pricing and features
  • Pointing you to free tools you can try right now

What would you like to know?