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Standard Patient Identification

Definition

Patient Identification is the act of identifying an individual as the person for whom the service or
treatment is intended.

Goal

The success of many treatments and activities within the hospital depends on ensuring the
intended, correct patient identity has been established. This policy has been developed to provide
direction as to how this should be performed. Correct patient identification and application of
Individual Patient Identification Bands (namebands) is an essential stage in the care process as
there could be significant consequences if an error is made.

Objectives:

 To ensure patient safety at all times.


 To provide assured mechanisms to verify correct patient identification.
 To ensure a corporate and standardized approach to patient identification and the use and
contents of the name bands.
 To ensure the policy is adhered to in all clinical areas for the purpose of correct patient
identification.

Procedure

 Infant Identification – Footprint

1. Cleanse and dry bottom of feet with towel.


2. Press ink pad firmly to bottom of one foot.
3. Remove ink pad and press foot firmly to appropriate box on footprint sheet.
4. Repeat 2 and 3 with other foot.
5. Cleanse feet with alcohol pads.

If unable to obtain footprints, write on footprint sheet "Unable to obtain footprints due to critical
condition of infant."
 Maternal Fingerprint

1. Press inkpad to end of mother's right index finger.


2. Remove ink pad and press index finger to appropriate box on sheet.
3. Cleanse finger with alcohol pad.

 Identification Bracelets

All newborns have 2 name bands in place. Prior to delivery the Midwife undertaking or assisting
the delivery shall complete the first name band. Follow these steps:

1. Fill out inserts with the following information: Maternal race, gender of infant, mother's
name, mother's unit number, date and time of birth and physician's name.
2. Confirm that the printed numbers on the bracelets match.
3. Place inserts completely into bracelet and tear at perforation.
4. Place the short bands on the infant, on opposite wrist and ankle. The band should be
secure, but loose enough to move easily around the circumference of the limb without
slipping off. For the wristband, pull the band tight across the wrist with your finger,
clamp with finger in place under the band. For the ankle, leave 1 1/2 cm or 1 finger width
between the band and the ankle.
5. The entire insert should be legible when clamp is secured. It's acceptable on infants of
less than 34 weeks gestation for band to fit more loosely.
6. Place long band on mother's wrist.

The mother or birth partner shall be asked to confirm the patient identification with the Midwife.
Following delivery the name band, see example 2, shall be applied to the infant's ankle as soon
as is clinically practicable.

The mother or birth partner shall then confirm the details with the Midwife. Following delivery
the name band shall be applied to the infant's ankle as soon as is practicable. Infants requiring
admission to the Neonatal Intensive Care Unit (NICU) shall have the 1st name band as a
minimum transfer requirement. On arrival to the postnatal ward, the receiving Midwife/HCP
shall check the details and apply the 2nd name band, checking the details with the transferring
Midwife/HCP this action shall be documented in the nursing care plan. If the baby is receiving
any kind of investigation/treatment then a name band with the baby's unique hospital number
should be applied and the previous one removed and destroyed. If a baby has not yet been
named, the name band, specimen/sample and request card shall read Baby boy/girl.
 Choice of Limb

The name band shall be sited as follows:

 1st Dominant wrist e.g. right wrist if right handed


 2nd Non dominant wrist e.g. left wrist if right handed
 3rd Ankles, left or right e.g. if wrist / arm is swollen / injured

For the NICU admissions where it is not clinically practicable for a name band to be applied, the
name band shall be applied to the inside of the incubator that is visible. The name band shall be
applied to be comfortable but ensure that it cannot be self-removed.

If more than one infant, the band inserts and all paperwork are marked Baby A, B, C, etc. in
order of birth. Babies born outside the hospital or in the Emergency Room of UAMS will be
banded in the same manner as babies born in the hospital. The name band shall only be removed
when the discharge procedure is complete.

 Steps for Banding Infants Readmitted

1. Fill out three (3) inserts with infant's name, date of birth, mother's name, readmission
date, and baby's medical record number.
2. Confirm that the printed numbers on the bracelets match.
3. Place inserts completely into bracelet and tear at perforation.
4. Place the short bands on the infant, on opposite wrist and ankle. The band should be
secure, but loose enough to move easily around the circumference of the limb without
slipping off. For the wristband, pull the band tight across the wrist with your finger,
clamp with finger in place under the band. For the ankle, leave 1 1/2 cm or 1 finger width
between the band and the ankle.
5. The entire insert should be legible when clamp is secured. It's acceptable on infants of
less than 34 weeks gestation for band to fit more loosely
6. Place mother's band on infant's bed to be given to mother at her next visit.

EQUIPMENT

(All band materials are obtained from L & D.)

1. 3 Identification bracelets (1 long for Mother, 2 short for infant)

2. 3 Identification card inserts

3. Newborn Identification sheet


4. Ink pad

5. Coded Kelly and cord clamps for twin identification.

REFERENCES

1. Hollister Incorporated, Newborn Identification Products: Protecting infants from delivery


to discharge, Hollister, Ontario, 1994.
2. Nichols, Francine and Zwelling, Elaine, Maternal Newborn Nursing: Theory and
Practice, W.B. .Saunders Co., Philadelphia, 1997, pp. 784-785
3. The Whittington Hospital NHS Trust Patient Identification Policy 2004
4. Wrightington, Wigan & Leigh NHS Trust Patient Identification Policy 2003 – 2006
5. South Manchester University Hospitals Trust Identification Band Policy 2004 – 2006
6. South Glasgow University Hospitals NHS Division Patient Identification Policy 2005 –
2006
7. The National Patient Safety Agency National Conference on Patient Identification 2005
8. www.cbahi.gov.sa
Prepared by:

Ms. Wella Joy G. Panopio

NICU/Nursery Staff Nurse

Reviewed and Approved by:

Ms. Virginia M. Lorda

Nursing Education Coordinator

Approved by:

Madame Faten Taha

Director of Nursing
Standard Patient Identification in NICU

Ms. Wella Joy G. Panopio

NICU/Nursery Staff Nurse

May 2015

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