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 – 350 KB]
- NHSN Pneumonia (PNEU) Checklist [PDF – 500 KB]
- NHSN Surgical Site Infection (SSI) Checklist [PDF – 300 KB]
- NHSN Urinary Tract Infection (UTI) Checklist [PDF – 350 KB]
- NHSN Ventilator Associated Event (VAE) Checklist [PDF – 400 KB]
- NHSN Pediatric Ventilator Associated Event (PedVAE) Checklist [PDF – 350 KB]
- NHSN Bone and Joint Infection (BJI) Checklist [PDF – 300 KB]
- NHSN Cardiovascular (CVS) System Infection Checklist [PDF – 400 KB]
- NHSN Central Nervous System (CNS) Checklist [PDF – 300 KB]
- NHSN Eye, Ear, Nose Throat, or Mouth (EENT) Infection Checklist [PDF – 300 KB]
- NHSN Gastrointestinal System Infection (GI) Checklist [PDF – 350 KB]
- NHSN Lower Respiratory Infection (LRI) Checklist [PDF – 200 KB]
- NHSN Reproductive Tract Infection (REPR) Checklist [PDF – 250 KB]
- NHSN Skin and Soft Tissue (SST) Infection Checklist [PDF – 300 KB]
- NHSN Urinary System Infection (USI) Checklist [PDF – 250 KB]
The 2022 NHSN HAI Checklists are intended for use with the 2022 Patient Safety Component (PSC) Manual. Please follow the links below when using the 2022 checklists.
- NHSN Laboratory Confirmed Bloodstream Infection (LCBI) Checklist [PDF – 340 KB]
- NHSN Pneumonia (PNEU) Checklist [PDF – 500 KB]
- NHSN Surgical Site Infection (SSI) Checklist [PDF – 300 KB]
- NHSN Urinary Tract Infection (UTI) Checklist [PDF – 350 KB]
- NHSN Ventilator Associated Event (VAE) Checklist [PDF – 400 KB]
- NHSN Pediatric Ventilator Associated Event (PedVAE) Checklist [PDF – 350 KB]
- NHSN Bone and Joint Infection (BJI) Checklist [PDF – 300 KB]
- NHSN Cardiovascular (CVS) System Infection Checklist [PDF – 400 KB]
- NHSN Central Nervous System (CNS) Checklist [PDF – 300 KB]
- NHSN Eye, Ear, Nose Throat, or Mouth (EENT) Infection Checklist [PDF – 300 KB]
- NHSN Gastrointestinal System Infection (GI) Checklist [PDF – 350 KB]
- NHSN Lower Respiratory Infection (LRI) Checklist [PDF – 200 KB]
- NHSN Reproductive Tract Infection (REPR) Checklist [PDF – 250 KB]
- NHSN Skin and Soft Tissue (SST) Infection Checklist [PDF – 300 KB]
- NHSN Urinary System Infection (USI) Checklist [PDF – 250 KB]
The 2021 NHSN HAI Checklists are intended for use with the 2021 Patient Safety Component (PSC) Manual. Please follow the links below when using the 2021 checklists.
- NHSN Laboratory Confirmed Bloodstream Infection (LCBI) Checklist [PDF – 350 KB]
- NHSN Pneumonia (PNEU) Checklist [PDF – 500 KB]
- NHSN Surgical Site Infection (SSI) Checklist [PDF – 300 KB]
- NHSN Urinary Tract Infection (UTI) Checklist [PDF – 350 KB]
- NHSN Ventilator Associated Event (VAE) Checklist [PDF – 400 KB]
- NHSN Pediatric Ventilator Associated Event (PedVAE) Checklist [PDF – 350 KB]
- NHSN Bone and Joint Infection (BJI) Checklist [PDF – 300 KB]
- NHSN Cardiovascular (CVS) System Infection Checklist [PDF – 400 KB]
- NHSN Central Nervous System (CNS) Checklist [PDF – 300 KB]
- NHSN Eye, Ear, Nose Throat, or Mouth (EENT) Infection Checklist [PDF – 300 KB]
- NHSN Gastrointestinal System Infection (GI) Checklist [PDF – 350 KB]
- NHSN Lower Respiratory Infection (LRI) Checklist [PDF – 200 KB]
- NHSN Reproductive Tract Infection (REPR) Checklist [PDF – 250 KB]
- NHSN Skin and Soft Tissue (SST) Infection Checklist [PDF – 300 KB]
- NHSN Urinary System Infection (USI) Checklist [PDF – 250 KB]
