We've been going from bad to worse with the number of mislabelled lab specimens in my ER lately. Does anyone have things they have done to
stop this problem? We had been giving verbal warnings for 1st occurence, then if a 2nd, nurse had to give an inservice to 10 staff members and have specimen reqs cosigned for 1-3 months, and if a 3rd time, written counseling that goes in their file and possible reassignment.
Well, over the past several months our numbers have increased!
Most staff have never had any, but we don't know what to do. We have upped the ante by skipping verbal warning, and now have held back some RNs from advancing into our acute/trauma area. But its a big patient safety issue, we're tearing our hair out trying to stop it. We are a busy ED/trauma center undergoing construction and constantly closing rooms/ areas, etc. so a pretty stressful environment even physically. Our policy is to label specs in the room at the bedside, but we keep having problems
anyway, often with unlabelled specs being sent.
RN's draw all labs when IV is started, ( phlebotomy is only for AM labs for admit pts holding in the ED. ) Any suggestions?
(Besides assigning the evil=doers the next dozen 'toxic sock' patients?)