HAI Checklists
The NHSN Healthcare Associated Infections (HAI) checklists were developed by the National Healthcare Network (NHSN) subject matter experts (SMEs) as a tool to aid Infection Preventionists and other users when making a determination about a healthcare-associated infection.
The HAI checklists should not be used in isolation, but in conjunction with the Patient Safety Manual. Please note all NHSN HAI criteria for each respective module is listed in a single document. Use the scroll bar to locate the criterion of interest. It is our hope that the checklists will assist with your surveillance efforts.
- NHSN Laboratory Confirmed Bloodstream Infection (LCBI) Checklist pdf icon[PDF – 350 KB]
- NHSN Pneumonia (PNEU) Checklist pdf icon[PDF – 500 KB]
- NHSN Surgical Site Infection (SSI) Checklist pdf icon[PDF – 300 KB]
- NHSN Urinary Tract Infection (UTI) Checklist pdf icon[PDF – 350 KB]
- NHSN Ventilator Associated Event (VAE) Checklist pdf icon[PDF – 400 KB]
- NHSN Pediatric Ventilator Associated Event (PedVAE) Checklist pdf icon[PDF – 350 KB]
- NHSN Bone and Joint Infection (BJI) Checklist pdf icon[PDF – 300 KB]
- NHSN Cardiovascular (CVS) System Infection Checklist pdf icon[PDF – 400 KB]
- NHSN Central Nervous System (CNS) Checklist pdf icon[PDF – 300 KB]
- NHSN Eye, Ear, Nose Throat, or Mouth (EENT) Infection Checklist pdf icon[PDF – 300 KB]
- NHSN Gastrointestinal System Infection (GI) Checklist pdf icon[PDF – 350 KB]
- NHSN Lower Respiratory Infection (LRI) Checklist pdf icon[PDF – 200 KB]
- NHSN Reproductive Tract Infection (REPR) Checklist pdf icon[PDF – 250 KB]
- NHSN Skin and Soft Tissue (SST) Infection Checklist pdf icon[PDF – 300 KB]
- NHSN Urinary System Infection (USI) Checklist pdf icon[PDF – 250 KB]
The 2020 NHSN HAI Checklists are intended for use with the 2020 Patient Safety Component (PSC) Manual. Please follow the links below when using the 2019 checklists.
- NHSN Laboratory Confirmed Bloodstream Infection (LCBI) Checklist pdf icon[PDF – 350 KB]
- NHSN Pneumonia (PNEU) Checklist pdf icon[PDF – 500 KB]
- NHSN Surgical Site Infection (SSI) Checklist pdf icon[PDF – 300 KB]
- NHSN Urinary Tract Infection (UTI) Checklist pdf icon[PDF – 350 KB]
- NHSN Ventilator Associated Event (VAE) Checklist pdf icon[PDF – 400 KB]
- NHSN Pediatric Ventilator Associated Event (PedVAE) Checklist pdf icon[PDF – 350 KB]
- NHSN Bone and Joint Infection (BJI) Checklist pdf icon[PDF – 300 KB]
- NHSN Cardiovascular (CVS) System Infection Checklist pdf icon[PDF – 400 KB]
- NHSN Central Nervous System (CNS) Checklist pdf icon[PDF – 300 KB]
- NHSN Eye, Ear, Nose Throat, or Mouth (EENT) Infection Checklist pdf icon[PDF – 300 KB]
- NHSN Gastrointestinal System Infection (GI) Checklist pdf icon[PDF – 350 KB]
- NHSN Lower Respiratory Infection (LRI) Checklist pdf icon[PDF – 200 KB]
- NHSN Reproductive Tract Infection (REPR) Checklist pdf icon[PDF – 250 KB]
- NHSN Skin and Soft Tissue (SST) Infection Checklist pdf icon[PDF – 300 KB]
- NHSN Urinary System Infection (USI) Checklist pdf icon[PDF – 250 KB]
The 2019 NHSN HAI Checklists are intended for use with the 2019 Patient Safety Component (PSC) Manual. Please follow the links below when using the 2019 checklists.
- NHSN Laboratory Confirmed Bloodstream Infection (LCBI) Checklist pdf icon[PDF – 350 KB]
- NHSN Pneumonia (PNEU) Checklist pdf icon[PDF – 400 KB]
- NHSN Surgical Site Infection (SSI) Checklist pdf icon[PDF – 300 KB]
- NHSN Urinary Tract Infection (UTI) Checklist pdf icon[PDF – 350 KB]
- NHSN Ventilator Associated Event (VAE) Checklist pdf icon[PDF – 350 KB]
- NHSN Bone and Joint Infection (BJI) Checklist pdf icon[PDF – 250 KB]
- NHSN Cardiovascular (CVS) System Infection Checklist pdf icon[PDF – 350 KB]
- NHSN Central Nervous System (CNS) Checklist pdf icon[PDF – 300 KB]
- NHSN Eye, Ear, Nose Throat, or Mouth (EENT) Infection Checklist pdf icon[PDF – 250 KB]
- NHSN Gastrointestinal System Infection (GI) Checklist pdf icon[PDF – 350 KB]
- NHSN Lower Respiratory Infection (LRI) Checklist pdf icon[PDF – 200 KB]
- NHSN Reproductive Tract Infection (REPR) Checklist pdf icon[PDF – 250 KB]
- NHSN Skin and Soft Tissue (SST) Infection Checklist pdf icon[PDF – 300 KB]
- NHSN Urinary System Infection (USI) Checklist pdf icon[PDF – 200 KB]