Ppg-Gdch-Nur-42 Policy On Patient Identification

GULF DIAGNOSTIC CENTER HOSPITAL
NURSING POLICY

Policy No: MED-NUR-P0042/12 Issue Date : October 2012 Revision No.: Original 01 Revision Date : Next Revision : October 2014 Page 1 of 6
TITLE: POLICY ON PATIENT IDENTIFICATION

Department Section Distribution : Nursing : Nursing Care : Hospital Wide
POLICY ON PATIENT IDENTIFICATION

APPROVAL SHEET Prepared by: Name Ms. Jennelyn Paderan Acting Charge Nurse, In-patient Ward Reviewed by: Name Ms. Nemesio Abuso Acting Head of Nursing Mr. Zuher Arawi Quality Manager Approved by: Name Dr Emad Yassin Al Rahmani Medical Director Mrs. Jamal Kaddoura Hospital Director and Co-Founder Signature Date Signature Date Signature Date
DOCUMENT AMENDMENT RECORD SHEET
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Appendix: Yes [ ]
No [ ]

NURSING POLICY

Policy No: MED-NUR-P0042/12 Issue Date : October 2012 Revision No.: Original 01 Revision Date : Next Revision : October 2014 Page 2 of 6 Page Effected Revision Number

Department Section Distribution Date : Nursing : Nursing Care : Hospital Wide Description of Change
TABLE OF CONTENTS:
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NURSING POLICY

Policy No: MED-NUR-P0042/12 Issue Date : October 2012 Revision No.: Original 01 Revision Date : Next Revision : October 2014 Page 3 of 6 PAGE NO. 4

Department Section Distribution SUBJECTS 1. 2. 3. 4. 5. 4 6. 7. 6 8. RELATED DOCUMENTS PROCEDURE 4 REFERENCE PURPOSE DEFINITION 4 POLICY 4 SCOPE 4 RESPONSIBILITY : Nursing : Nursing Care : Hospital Wide
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NURSING POLICY


Department Section Distribution 1. PURPOSE : Nursing : Nursing Care : Hospital Wide
1.1 The purpose of this policy and procedure is to ensure that all Gulf Diagnostic Center Hospital personnel reliably identify the individual as the person for whom the service or treatment is rendered and is able to match the service or treatment to that individual. 2. DEFINITION 2.1 Patient I.D Number is a numerical mark or symbol being used to identify the patient which is specifically assigned during the initial stage of consultation or confinement. 3. POLICY 3.1 A patient is properly identified before administration of medications, food, blood, or blood products, before blood and other specimens for clinical testing are taken and before treatments and procedures are provided. 3.2 A patient is appropriately identified by two identifiers such a s full name, birth date or patient I.D number. 3.3 The adult patient identify is established and verified by a current valid photo I.D 3.4 Room/Bed number is not n acceptable patient identifier. 3.5 A patient chart is created for in-patients that indicates patient identifiers that will be used during the care process. 4. SCOPE 4.1 Identifying a patient within in Gulf Diagnostic Center Hospital. 5. RESPONSIBILITY 5.1 All Hospital Staff 6. PROCEDURE 6.1 A patient who will undergo any invasive diagnostic or treatment procedure, or will receive medication or admitted in the hospital, has a unique patient record that contains his/her demographic data, history and physical examination, informed consent, diagnostic test results and medication orders as applicable.
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NURSING POLICY


6.2 All GDCH staff who administers medications, blood and blood products, takes blood and other specimens for clinical testing, performs diagnostic testing or provides treatment and procedure, verifies the physician order and ask the full name and date of birth from the patient. If in case the patient is sedated, disoriented, not fully alert or unconscious the GDCH staff checks the ID band of the patient.. 6.3 Each I.D band contains the following information: 6.3.1 Patient I.D number 6.3.2 Complete Name; Middle initial is not acceptable 6.3.3 Date of Birth 6.3.4 Sex 6.4 I.D bands are provided to patients of GDCH with the following color code: 6.4.1 Blue I.D bands are provided to all adult in-patients; pink for pediatric patients. 6.4.2 Red I.D bands indicate allergy (Drugs/Medication/Food etc( to be attached on same arm as blue I.D band. 6.4.3 For a n outpatient who does not require an I.D band, appropriate verbal identification using the two patient identifiers is sufficient base on the diagnostic/treatment request forms or patients prescription. 6.5 The I.D band remains on the patient at all times during confinement, treatment or procedure. When an I.D band is removed or indeed detached from a patient for any reason before the patient is due for discharge it is immediately replaced by the same GDCH staff or personnel and is placed to another extremity if necessary, prior to any procedure, medication, specimen collection, treatment, diagnostic test. 6.6 Any error found with the patient I.D band (i.e incorrect spelling of first name, last name, hospital number, birth date etc) is immediately resolved on the respective unit as applicable. 6.7 Any employee who discovers a patient with more than one patient I.D number must notify the head of Medical records or her designate for appropriate and immediate action. 6.8 All patient related documents show the two point identifiers in each page. 6.9 A patient who transfers to GDCH from another facility is re-banded immediately with a GDCH ID band and all other bands are removed. 6.10 GDCH staff ensures patients confidentiality. 6.11 Verification of Patient Identification 6.11.1 A patient with I.D band is identified by comparing the I.D band to the requisition, Inpatient Medication Profile, order, chart or specimen label, etc. 6.12 A patient who requires emergency life saving therapy is treated upon immediate appropriate verbal identification and prior to placing an I.D band. However, the I.D band is placed on the patient immediately or at the earliest practical opportunity. 6.13 In instances when health caf is urgent or emergent and a patient/guardian does not possess/present a current valid I.D, kindly indicate beside their name that patients identity was not validated (for record and future inquiry purposes at the earliest possible opportunity).
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NURSING POLICY


6.14 For pediatric patient and patients who are incompetent, identification of a legal guardian is obtained upon admission and discharge. The nurse documents the parent/legal guardians name and phone number on the admission notes. 6.15 In a situation when an infant/child is released to someone other than the parent/legal guardian and the staff has concerns about the identification presented, the infant/child is not released until proper identification or further verification from the parent or legal guardian is obtained. 6.16 A patient who cannot identify himself or herself and has no relative or guardian to provide identity is identified as Mr. X/Mrs. X and the Hospital Number. Once true identity I known, the I.D band is immediately change to the patients correct information. The Medical records department and all service concerned are notified to communicate the change on status. Registration will be completed, generate a new I.D band and the nurse places the new band. 6.17 when a patient request a name change, the patient and/or guardian provides documentation to verify the name change. The new record and I.D band are completed at the soonest possible time. The Medical records Department and all concerned services are contacted to communicate the change in status.
7. REFERENCES 7.1 JCIA Standard 8. RELATED DOCUMENTS 8.1 Patient Registration Form
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NURSING POLICY


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Ppg-Gdch-Nur-42 Policy On Patient Identification

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GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: POLICY ON PATIENT IDENTIFICATION

POLICY ON PATIENT IDENTIFICATION

DOCUMENT AMENDMENT RECORD SHEET

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: POLICY ON PATIENT IDENTIFICATION

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: POLICY ON PATIENT IDENTIFICATION

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: POLICY ON PATIENT IDENTIFICATION

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: POLICY ON PATIENT IDENTIFICATION

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: POLICY ON PATIENT IDENTIFICATION

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: POLICY ON PATIENT IDENTIFICATION

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