42.0 Patient Identification


Title of Manual: Specimen Collection

Version No: 1.0

Title: Patient Identification

Effective Date: 12/20/10
Revised Date: 06/23/14

Document #: GPA.SPC.42.0


I. PURPOSE

It is of a paramount importance for the healthcare professional to ensure that the specimen being obtained is from the intended patient. Failure to properly identify a patient can lead to serious medical errors. The purpose of this procedure is to provide guidelines to ensure that specimens are collected from the patient designated on the request form.

This is to be performed by all personnel who are authorized and trained to perform phlebotomy.

Unique Identifiers: Information such as Name, Date of Birth, SSN#, Medical Record Number, Chart Number, or Address are examples of unique patient identifiers.

II. MATERIALS

Reagents

Supplies

Equipment

● Requisition
● Physician’s written orders


III. PROCEDURE

1. Patient Identification
    a. Ask the patient for their insurance card and a copy of Drivers License if available.
    b. Ask the patient to state their full name.
    c. Ask the patient to state their Date of Birth.
    d. Ask the patient to state their Address.
    e. Compare the information given by the patient to the information on the requisition or written order.
    f. Verify ordering physician.
2. Patients Unable to Verbally Confirm Identification
    a. An alternate form of verification is required for patients who are mentally incompetent, unable
       to speak/hear, pediatric patient, or do not speak the language f the phlebotomist.
    b. Patients:
        1. Patients presenting for services should be identified by picture id whenever possible.
        2. Patients who cannot identify themselves must have a family member, friend, caregiver, or
            interpreter identify them by name and unique identifier.
        3. Document the identity of the person providing the information to you.
    c. Pediatric Patients:
        1. The responsible adult will identify the identification of the patient
        2. The responsible adult should be identified by picture ID whenever possible

IV. QUALITY CONTROL

N/A

V. CALCULATIONS/CALIBRATION

N/A

VI. INTERPRETATIONS

N/A

VII. METHOD PERFORMANCE SPECIFICATIONS

N/A

VIII. REFERENCES

Procedures for the collection of Diagnostic Blood Specimens by Venipuncture;
Approved Standard – 5th Edition NCCLS, Wayne, PA, 2003 Vol. 23, H3-A5.

IX. RELATED DOCUMENTS

N/A

X. DOCUMENT HISTORY

X - MINOR REVISION
(Laboratory Director’s Signature on Original Subsequent Document Attached)

MAJOR REVISION
(Requires Laboratory Director & Department Director Signature - where applicable)

Reason for Change

2/10/14 New Document Control Format

6/23/14 Moved procedure to
Specimen Collection Manual



Laboratory Director

(Signature)

Date

Natalie Depcik-Smith, MD
(Print)



Department Director

(Signature)

Date

Robert M. Gay, M.D.
(Print)



Designee

Date

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)



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