Clerical error is the most common cause of fatal hemolytic transfusion reactions. A major cause
of clerical error is the mislabeling of the patient's blood specimen. The phlebotomist will not
draw blood until an armband properly identifies the patient. When an unidentified patient is
admitted to the Emergency Room and laboratory work is ordered, packet containing
an armband with a medical record number should be used. If there are delays in this process
the phlebotomist may place a temporary green armband, (Typenex) with a unique number, on
the patient to facilitate swift identification. It is ESSENTIAL that this temporary armband remain
on, even after the regular band has been put on.
The individual who draws a specimen to be used for Transfusion Service
testing MUST label the tube with their initials, the patient's first and last name, the
medical record number, and the date and time drawn. Labeling must occur at the
patient's bedside.
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