Hospital Patient Identification

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Questions and Answers

What is the purpose of verifying the expiration date and time of the unit of blood during a blood transfusion?

To ensure that the blood is not expired and safe for transfusion.

Who are the licensed personnel involved in the blood transfusion process at the patient's bedside?

Registered Nurse, Physician, Physician Assistant, Certified Registered Nurse Practitioner, Certified Registered Nurse Anesthetist, and Licensed Practical Nurse.

What information must be obtained ONLY from the patient's armband during the blood transfusion process?

Patient's date of birth, 'R' number, and unit number and ABO/Rh type.

What is the exception to the rule of verifying patient identification at the bedside during a blood transfusion?

In the surgical suite and Cardiothoracic Intensive Care Unit when a patient's chest is opened and arms and legs are not accessible. Signup and view all the answers

What is the purpose of examining the blood bag and transfusion form during a blood transfusion?

To verify the unit number and ABO/Rh type of the blood product. Signup and view all the answers

What is the purpose of validating blood product orders and consent during a blood transfusion?

To ensure that the correct blood product is administered to the patient with their informed consent. Signup and view all the answers

What is the importance of verifying IV NSS administration during a blood transfusion?

To ensure that the IV NSS is properly hung and ready for administration. Signup and view all the answers

What is the purpose of performing compatibility testing during a blood transfusion?

To ensure that the blood product is compatible with the patient's blood type. Signup and view all the answers

What information must be verified by examining the blood bag and transfusion form attached to it?

Unit number and ABO/Rh type Signup and view all the answers

What is the purpose of checking the expiration date and time of the blood unit?

To ensure the blood unit is safe for transfusion Signup and view all the answers

Who are the licensed personnel authorized to participate in patient/blood product identification at the bedside?

Registered Nurse, Physician, Physician Assistant, Certified Registered Nurse Practitioner, Certified Registered Nurse Anesthetist, Licensed Practice Nurse Signup and view all the answers

What is the procedure for resolving discrepancies detected during the sign-out process?

The discrepancy must be resolved prior to the release of the blood component for transfusion Signup and view all the answers

What is the purpose of verifying the patient's name with their armbands?

To ensure accurate patient identification Signup and view all the answers

Why is it essential to have two licensed personnel present during patient/blood product identification?

To ensure accuracy and prevent errors Signup and view all the answers

What should be done with the blood component if a discrepancy is detected during the comparison process?

The discrepancy must be resolved prior to the infusion of the blood component Signup and view all the answers

What is the purpose of using a sealed biohazard bag for blood component transportation?

To ensure blood component safety and prevent contamination Signup and view all the answers

What is the expiration period for blue banded blood products?

Three days after surgery date or first transfusion, whichever comes first. Signup and view all the answers

What is the second unique identifier used in trauma cases if the patient's date of birth is not available?

Patient medical record number obtained from the patient's arm band. Signup and view all the answers

What is the timeframe for initiating blood infusion after the unit is issued from the Blood Bank?

Within 30 minutes of the time unit was issued from the Blood Bank. Signup and view all the answers

Where should the patient's identification information be obtained from prior to transfusion?

Directly from the patient's armband(s). Signup and view all the answers

Why is it essential to verify the patient's identification information for each blood component transfused?

To ensure patient safety and unique identification for each transfusion. Signup and view all the answers

What is the purpose of retaining the 3x5 card used for identification by the Blood Bank?

For patient safety and unique identification for each transfusion. Signup and view all the answers

What is the significance of not obtaining multiple cards at one time during blood transfusion?

To ensure patient safety and unique identification for each transfusion. Signup and view all the answers

Why is it essential to record patient identification information directly from the armband and not from the patient's chart?

To ensure accuracy and reduce the risk of errors. Signup and view all the answers

Study Notes

Patient Identification

The patient's armband may have the original assigned name identifier, which is acceptable as long as it can be traced to the patient's actual name.
The patient's date of birth and "R" number are used as unique identifiers.

Blood Product Verification

The unit number and ABO/Rh type must be verified by examining the blood bag and transfusion form.
The expiration date and time of the unit of blood must be verified by reading the expiration date attached to the unit of blood.
Compatibility testing, special product type, and special instructions must be interpreted and validated.

Blood Product Release

Blood products can be released for a patient if the proper name and "R" number are matched.
The "R" number must be taken from the patient's armband, not from the patient's chart or room number.
Infusion must begin within 30 minutes of the time the unit was issued from the Blood Bank.

Identification Process

The identification process must take place at the patient's bedside and cannot be interrupted.
The process involves two licensed personnel (e.g., Registered Nurse, Physician, Physician Assistant) verifying the patient's identity using the armband.
Exceptions to this process include the surgical suite and the Cardiothoracic Intensive Care Unit.

Blood Bank Procedures

Blood Bank personnel must record the patient's information directly from the armband, not from the patient's chart.
The card used for identification will be retained by the Blood Bank for each component.
If a discrepancy is detected during the sign-out process, it must be resolved prior to the release of the blood component for transfusion.

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Description

This quiz is about patient identification protocols in hospitals, including the use of name identifiers and blood bank armbands.