Patient identification policy Hospital TITLE Patient Identification SCOPE All Departments by compliancedoctor


How you identify a patient prior to the patient receiving care is critical to reduce the risk of the patient receiving the wrong medication, treatment, surgery, etc. This policy helps to align the staff in a uniform way to ensure that all members of the care team identify the patient the same way using acceptable and unacceptable means to truly consider the patient as Identified.

More Info
TITLE: Patient Identification
SCOPE: All Departments and Patient Care Personnel

EFFECTIVE DATE:                            Approved By:
Originator:                                Page 1 of 3

To ensure proper identification of patients receiving care, treatment, or services
at ______________Hospital.

All patients are identified at the point of initial contact upon registration or
admission using at least two patient identifiers (neither to be the patient’s room
number or physical location). Two patient identifiers will be used whenever
administering medications or blood products, collecting blood samples and other
specimens for clinical testing, or providing other treatments or procedures. A
defined process and procedure will be followed in the management of patient
identification. Containers used for blood and other specimens are to be labeled
in the presence of the patient.

Initial Identification
All inpatients, outpatients, and emergency department patients are asked to
provide identification upon presentation to the hospital. The following approved
identifiers and sources may be used for positive identification: patient name, date
of birth, medical record number, government issued photo identification, last four
digits of the social security number. A combination of two identifiers from those
listed is used to confirm the patient’s identify. Sources of patient identifiers may
include: the patient, relative, guardian, domestic partner, or a health care
provider who has previously identified the patient. An identification band will be
placed on all inpatients, emergency department patients, and outpatients
undergoing operative or invasive procedures or receiving a blood transf
To top