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Patient ID Bracelets in LTC?



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Mar 15, 2009 09:39 PM

Patient ID Bracelets in LTC?

by KdubRN

I am an RN and just started a job at an LTC center this past week as an ADON. My former job was in critical care.

QUICK QUESTION: I was extremely surprised to find that not a single patient had any type of ID bracelet or name badge. I was hanging an IV for an LPN and was looking for a bracelet. I did not know the patient, the patient was confused, and I had no way to identify the patient other than the name on the door. My immediate thought is that this is extremely dangerous. Or, am I out of line and this is a common thing in LTC?


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24 Comments
No. 1
from AZMOMO2
Old Mar 15, 2009, 10:32 PM

Default Re: Patient ID Bracelets in LTC?
Its very common, rarely have I worked in an LTC that had ID bracelets except on the rehab sides.
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No. 2
from LPN&momof3
Old Mar 15, 2009, 11:37 PM

Default Re: Patient ID Bracelets in LTC?
I have worked in 3 LTC facilities and all of them have had ID bracelets. Where I am currently working we also have a picture of them in the MAR. I don't know what state you are in but I am in MI and when state is in the facility we have to have two proof of ID when passing meds with them. Well any time we have to prove we used two types of ID.
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No. 3
from Atheos
Old Mar 15, 2009, 11:40 PM

Default Re: Patient ID Bracelets in LTC?
We don't have ID bracelets but we include a photo (new one every 2 months) in the MAR,TAR and in the Room where most residents can't get to it.
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No. 4
Old Mar 16, 2009, 12:01 AM

Default Re: Patient ID Bracelets in LTC?
We have ID bracelets for the short-stay patients. LTC residents at our facility have bracelets that are put on if they are sent out to the hospital or go to an appt, etc.
All patients (short stay and LTC) are identified by a digital picture in the computer MAR/TAR that pops up next to their med/treatment pass.
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No. 5
from OregonGal
Old Mar 16, 2009, 12:27 AM

Default Re: Patient ID Bracelets in LTC?
This is 1/2 of the reason I lasted only 3 days as a CNA in LTC. I didn't know anybody, they were identified by what room they were in (double bed rooms). At meal time in the dining room, they were placed 4 per table, no diagram--It was driving me crazy that I might accidently give someone milk if they were lactose intolerant, or regular juice if they were diabetic, etc. etc. After my first day, I wanted to put masking tape with their name and room number on their back--but was instead told that I would "get to know their names" as time went on. We're talking older adults that frequently didn't even know their own name or room number!!! I thought I was crazy!! How dangerous to not have pts labeled--what do they do for the 5 rights with med pass??? Seriously...

Hindsight, I'm glad I didn't stay. I'm currently a nursing student, and soon to be RN. I still learned something from the very brief LTC experience. (what not to do!).

Everyone should be labeled!!! I don't care how, just get it done!
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No. 6
from Atheos
Old Mar 16, 2009, 12:33 AM

Default Re: Patient ID Bracelets in LTC?
Originally Posted by OregonGal View Post
This is 1/2 of the reason I lasted only 3 days as a CNA in LTC. I didn't know anybody, they were identified by what room they were in (double bed rooms). At meal time in the dining room, they were placed 4 per table, no diagram--It was driving me crazy that I might accidently give someone milk if they were lactose intolerant, or regular juice if they were diabetic, etc. etc. After my first day, I wanted to put masking tape with their name and room number on their back--but was instead told that I would "get to know their names" as time went on. We're talking older adults that frequently didn't even know their own name or room number!!! I thought I was crazy!! How dangerous to not have pts labeled--what do they do for the 5 rights with med pass??? Seriously...

Hindsight, I'm glad I didn't stay. I'm currently a nursing student, and soon to be RN. I still learned something from the very brief LTC experience. (what not to do!).

Everyone should be labeled!!! I don't care how, just get it done!
Nothing like putting everyone to bed, being 5 minutes from leaving and finding out 4 of your people are in the wrong bed because they look similar.

That's the joy of LTC. You only have good times like that at the beginning though. Heh.
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No. 7
from lpnflorida
Old Mar 16, 2009, 05:14 AM

Default Re: Patient ID Bracelets in LTC?
The inability to identify patients was one of the very reasons two days in LTC were enough for me. It scared me to death. Bless you all who work in LTC.
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No. 8
from LHH1996
Old Mar 16, 2009, 07:08 AM

Default Re: Patient ID Bracelets in LTC?
i do understand what most of you are saying about being nervous because you don't know the residents. Most places do have systems in place so you can identify them and yes you do eventually get to know them. i don't appreciate the "label them" comment. The residents aren't dogs or animals. They are people. it is supposed to be THEIR home! Do you wear an ID bracelet at home???? If i am not sure of someone who is new, i check the door, the picture, and as someone else.
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No. 9
Old Mar 16, 2009, 09:37 AM

Default Re: Patient ID Bracelets in LTC?
At my past 2 facilities, they didn't have ID bracelets UNTIL the time for state came around.. then magically, everyone had nice armbands. The residents who had been there awhile had outdated pics in the chart and the new ones didn't even have a picture. I had to ask the CNA's in the beginning until I recognized them.
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