Chp 2- Patient Identification & Communication

What are the two unique patient identifiers that must be verified BEFORE every blood draw

Full name & Date of Birth

What is the most common and most dangerous preanalytical errors in the laboratory?

Patient misidentification

List of potential laboratory preanalytical errors.

• Patient preparation

• Identification

• Collection Technique

• Labeling/Admin

• Specimen Handling

List of potential laboratory post-analytical errors.

• Communication

• Documentation

Preanalytical refers to

Before Testing

Analytical refers to

During Testing

Postanalytical refers to

After testing

Definition of Informed Consent

• Detailed information about procedure in native language

Definition of Expressed Consent

• Consent that is given explicitly, either verbally or in writing

Definition of Implied Consent

• When a patient’s actions indicate agreement

What is the most common type of consent in phlebotomy

Implied Consent

What type of consent is used for emergencies involving an unconscious person

Implied consent

Definition of Consent for Minors

Patients 17 and younger generally requiring parent, caregiver, or legal guardian to provide consent on their behalf

Definition of Refusal of Consent

A patient’s right to decline a procedure at any time. Document the refusal and notify the nurse.

Performing venipuncture without obtaining proper consent is legally considered

Battery

When communicating with pediatric patients, using ___ - ______ _____ and involving the parent or guardian is reccommended

age-appropriate language

Non-negotiable skills in phlebotomy

Proper identification and clear communication

Two-Patient Identifier is required by

The Joint Commission (TJC)

Acceptable Patient Identifiers

• Full legal name

• DOB

• Medical Record Number (ptnt'. wristband in inpatient settings)

• SSN (last 4)

• Address (Verify against requisition)

What type of questioning is preferred?

Open-ended questions

How to verify patients that are unconscious or unresponsive?

Check the wristband and verify with nursing staff who can confirm the patient’s identity

How to verify pediatric patient identity?

Wristband and parent/guardian

Patient privacy is protected under

Health Insurance Portability and Accountability Act (HIPAA)

Blood draws during a code are ___ priority

STAT (typically during Code Blue/ Cardiac Arrest)

When actions should take place when drawing blood from combative or agitated patients?

• Stop draw and remove needle if becoming combative

• Restrain with proper authorization and assistance

• Report situation to nursing staff