I. Emergency Patient Identification:
Note: The Mercy Emergency Department has developed a system of numbered armbands and corresponding requisitions called the Trauma Packet. This system may be used to identify patients for crossmatching as long as the nursing personnel are informed of the time requirements for the identification band and the phlebotomist uses the expected identification precautions as outlined for Emergency Room/Trauma Patients in the “Patient Identification” protocol.
In the event that nursing personnel are unable to identify a patient, or time does not permit proper identification, the phlebotomist must use the TYPENEX system of patient identification. These bands are designed for use in correlating positive identification of blood recipient, blood sample, laboratory requisition, and crossmatched units of blood. This system of patient identification is also be used for emergencies that don't require compatibility testing.
1. Write the date, time and initials of the person drawing the blood, and any information known about the patient (i.e. patient name, room #, sex) on the self-sticking red label from the identification band.
3. Firmly close the clip. The band becomes tamper-proof when the clip is closed.
4. Separate the 14 numbered labels from patient's band; hold the clip firmly and tear the band to one side.
5. Perform the venipuncture. Refer to the “Venipuncture” procedure.
6. Peel one of the self-sticking red labels from the identification band and press it onto the tube to be used for crossmatch.
7. Complete the laboratory requisition using the TYPENEX number and letter series (i.e. BVW 8687) as the patient identification number. Place one of the numbered labels on the request form. Complete the phlebotomist section with the phlebotomist's name, patient ID (TYPENEX NUMBER), and date and time of specimen collection.
8. Remove protective white backing from the end of the band of numbers to expose the adhesive surface.
9. Extra red numbered stickers can be used to identify all other blood specimens obtained from the patient. This number can be written on the other requisitions.
10. Double check to make sure that the patient I.D. letter and number sequence is the same on the patient band, the specimen tube, and the laboratory requisition. Send the blood specimen and the requisitions to the Blood Bank.
Note: If the information on the requisitions does not match the tube(s) exactly, the specimen must be rejected for compatibility testing.
11. The phlebotomist identifying the patient is responsible for informing the nursing personnel that the TYPENEX band must remain on the patient for at least 3 days.
II. Outpatient Identification:
This system is used for all Tri-State Dialysis patients and any other outpatient services that transfuse blood or blood products. It can also be used as a way to identify Pre-Admission patients who will be admitted for transfusions at a later time.
1. Verify patient identification by asking patient to state their full name. Record the patient’s name, social security number, date & time drawn, and the initials of the phlebotomist on the self-sticking red label on the TYPENEX band (an addressograph card may be used to stamp patient information on the ID band).
2. Refer to I.2-11. above.
Warning: Do not remove TYPENEX band. It will remain on patient until the end of the transfusions initiated by this request.
1. Fenwal TYPENEX package instructions. (Code 4R4600) 4/81.
i. 3-27-87 S. Anderson, M. Burger
ii. April 1991 J. Schroeder
Interim Review: February 2011 R. Shireman (no changes)