New Guidelines in Patient Identification
December 3, 2010
One of the most important components among the many procedures that must be followed in every blood draw is patient identification. No matter how meticulous a phlebotomy technician is or how terrific his/her communications skills are when dealing with clients, if a patient’s name is attached to the wrong specimens, disastrous and even fatal results can occur. Although all phlebotomy training includes the importance of this step, errors still occasionally happen. In order to lessen these occurrences, the CLSI has issued new guidelines dealing with patient identification.
Patients that are able to provide their own personal information certainly ease this process. For those that are not capable of doing so due to a language barrier, age, cognitive impairment, etc. must be asked for proof of identification such as official ID cards, driver’s license, etc. or can have their identity verified by a family member or qualified caregiver. The fact that someone has responded to a name that has been called out does not qualify as patient identification. People of any age can be hard of hearing and many names may sound the same or can be misinterpreted due to mispronunciation. Once a patient has come forward to their name being called they should be asked to repeat their name as additional verification that you are in fact speaking to the right person. This will further ensure that no mistake has been made.
Additional new guidelines have also been recommended in the correct labeling of samples such as including the patient in the process if at all possible or at least performing the labeling process while the patient is present. Appropriate training sessions as well as assessing competency have also been recommended.
Advancements and improved techniques in both procedure as well as administration that cover all aspects of phlebotomy are put forth on a regular basis in order to protect technicians and increase the safety of patients. Successful completion of phlebotomy programs and subsequent phlebotomy certification should never be considered as the end of a technician’s training. It is imperative for all phlebotomist to engage in continual learning and retraining of their skills.
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