When a patient cannot identify themselves, what is the proper labeling and handling protocol?

When a patient cannot identify themselves, what is the proper labeling and handling protocol?

• A. Do not collect; verify identity through records or a caregiver if possible; if identity cannot be confirmed, contact the ordering clinician before proceeding.
• B. Collect and label with unknown; proceed.
• C. Collect with last known patient details if available.
• D. Ask a random bystander to identify the patient.

Answer: (A)

Accurate patient identification before specimen collection and labeling is essential for patient safety. If a patient cannot identify themselves, pause collection and try to verify identity through available records or with a caregiver, using at least two identifiers (such as name and date of birth). If identity still cannot be confirmed, do not proceed with collection; contact the ordering clinician to confirm the patient and the order before proceeding. Do not label or collect as unknown, rely on last known details, or ask bystanders to identify the patient. Proceed only once identity is confirmed and the specimen can be correctly matched to the patient and requisition.

Accurate patient identification before specimen collection and labeling is essential for patient safety. If a patient cannot identify themselves, pause collection and try to verify identity through available records or with a caregiver, using at least two identifiers (such as name and date of birth). If identity still cannot be confirmed, do not proceed with collection; contact the ordering clinician to confirm the patient and the order before proceeding. Do not label or collect as unknown, rely on last known details, or ask bystanders to identify the patient. Proceed only once identity is confirmed and the specimen can be correctly matched to the patient and requisition.