Patient identification

Lecture By:
RAHIMA M. SALENDAB, BSN,RN
NQMC

1. Patient identification RAHIMA M. SALENDAB, BSN,RN NQMC

2. IDENTIFY PATIENT CORRECTLY IMPROVE EFFECTIVE COMMUNICATION IMPROVE THE SAFETY OF HIGH ALERT MEDICATION ENSURE CORRECT – SITE, CORRECT – PROCEDURE, CORRECT – PATIENT SURGERY REDUCE THE RISK OF HEALTH CARE ASSOSIATED INFECTION REDUCE THE RISK OF PATIENT HARM RESULTING FROM FALLS INTERNATIONAL PATIENT SAFETY GOALS :

3. PRINCIPLE To ensure the correct identity of the patient at all times and before undergoing procedures to provide accurate identification of patients thereby minimizing related clinical error and patient harm.

4. NAME ( GIVEN NAME,FATHER’S NAME, GRAND FATHER’S NAME, & FAMILY NAME) ASSIGNED IDENTIFICATION NUMBER TELEPHONE NUMBER DATE OF BIRTH ADDRESS MEDICAL RECORD NUMBER / CHARD NUMBER *(PATIENT’S ROOM CANNOT BE USED AS AN IDENTIFIER)

5. Patient identification must be confirmed prior to conducting the following procedures: Administration of medicines Transfusion of blood and blood products Obtaining blood and other specimens Performing a diagnostic test Prior to transferring/discharging a patient Prior to carrying out any invasive procedures such as urethral catheterization, inserting a nasogastric tube, etc. Giving results of diagnostic tests.

6. Do identify the patient correctly on admission. Do ensure that you have the full forename of the patient. Do check again with the patient that all the details are correct, when you place an identity bracelet on. Do regularly check the legibility of ID wristbands. Replace any ID wristbands which become illegible . Do always check the details of patients even if you think you know them well. Someone may just have placed the wrong medication chart at the foot of the bed. Do double check verbally and physically that the details of a patient matches the details on a fully completed request form, especially if another member of the healthcare team has completed the form. Do label samples taken from the patient straight away. The safest way is to label the bottles after the sample has been taken and before leaving the patient’s bedside. DO’S ON PATIENT IDENTIFICATION

7. DO NOT’S ON PATIENT IDENTIFICATION • Do not read the patients details to them and allow them to passively agree with you. Ask the patient to give you their full detail • Do not accept a patient’s pointing to the name board above their bed as a signal that it is correct for that patient. Speak to the patient and check. • Do not take bloods from a patient without checking the patients details against a fully completed request form. • Do not label a sample bottle before you take blood. You may get distracted before you have completed the task. • Do not perform two tasks at the same time e.g. taking bloods from several patients and labeling them afterwards or filling out requests forms for several patients at the same time • Do not perform tasks remotely from the patient if at all possible. Try to fill out request forms and complete tasks at the patients’ bedside

8. Staff responsibilities It is the responsibility of every registered nurse, support worker, or other member of staff who has been given responsibility to admit a patient, to check and ensure that: Patient is wearing correct patient identification bands a bracelet stating patient’s name, date of birth, hospital number/chart No. and ward is attached to an appropriate limb The information on the patient’s wristband must correspond with the information in the patient’s chart.

9. FAILURES TO CORRECTLY IDENTIFY THE PATIENTS LEAD TO: MEDICATION ERROR TRANSFUSION ERROR TESTING ERROR WRONG PERSON PROCEDURE