The doctor orders hctz 25mg po to be given to Mrs Mary Smith. The nurse check patient identification bracelet.
In addition to checking the identification bracelet the nurse should also verify her identity by?.
A.By asking patient roommate her name.
B.Read the sign on the board.
C.Ask Mrs Smith her name.
D.Check the medication chart.
Correct answer is C.
Rationale: Verification of patient identification bracelet and asking the patient her name is a “patient safety goal. “.Name on the board might not be updated. Checking medication chart is not adequate patient safety goal in medication administration
On patient identification bracelet patient’s name and date of birth are on it.Check your patient identification bracelet at work. Thank you.
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I am glad that you use the word” if the patient is conscious “Patient name is on the identification bracelet if patient confirms her name exactly as it is on the identification bracelet that makes it safe.If identification bracelet is misprinted,fade or wrong then you go and get the accurate identification bracelet before the administration of the medication. This is part of patient safety goals. I worked in reputable hospitals with high standard, evidence based.All these things that you stated above is a substandard hospital.And such facilities need to be thoroughly inspected.You must not give medication with wrong identification bracelet or fake or misprinted.
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Good for you. I’m not disagreeing with you. I’m just saying these things happen š not everybody will be working on a high standard hospital or ideal setting. Some have handwritten name bands even. I suppose the NCLEX questions are all in the “ideal” setting, but I think students and newly qualified nurses need to know that sometimes in the real world, ideal things do not happen and this prompts them to be more aware and vigilant. My opinion, of course š
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You could repeat the dob eve though is no the ID but misprinted, fade or wrong identification bracelet is totally unacceptable. My stomach keep turning with this wrong, fade or misprinted identification bracelet.
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I meant I would not rely on it lol
I know right? I always check the bracelet and ask them anyway to confirm the name and date of birth.
ID bracelets here are meant to be replaced every so often because they fade, so it is one way of checking. Unfortunately, some people just let things fade (yes, they need a good telling off) and could not be bothered to replace them. I always check. I think this is the message I wish to convey. Just always check, that’s all.
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For any procedure such as administration of medication using fade ,wrong, or misprinted identification bracelet should not be accepted. Please change the improper way of delivery care system to a better way and be known for that.You will be highly respected and trusted.
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I think my point was misunderstood. I apologise. I wasn’t referring to practices where I currently work.
I am not disputing that at all. And yes, things like these need changing.
I’ve never made any drug errors in my entire career (approximately 18 years) because I always double check. I even question an order (e.g. why is a person who is less than 50kg given 1g of paracetamol quid? Or why is this oramorph prescribed regularly when it is meant to be prn? In a nice way of course). And yes, I rectify things as and when I encounter them, and inform relevant people, call a person’s attention etc.
I worked in hospitals in developing places that do not have these printing facilities for ID bracelets. I have also worked in places that do (fortunately, where I work now, they DO print their ID band, red with allergies, white without). Everything is checked at three points: on admission, prior to going into the procedure room, and prior to the procedure itself.
I am no longer involved in drug administration because I now work in a different setting (research); however, the practice of confirming name and date of birth against the identity band and documentation for consistency and accuracy has stayed with me as a habit.
There is no harm in confirming someone’s ID by asking them to confirm their name and date of birth against their ID bands. This is all that I was saying, my learned friend.
I have supported students in practice and always tell them to be switched on, especially when giving meds.
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