Some Hospital's 'Do Not Resuscitate' Wristbands Look Like Lance Armstrong 'Livestrong' Bracelets

[n2doc]

ScienceDaily (Jan. 2, 2008) — Methods to identify a patient with a Do Not Resuscitate (DNR) order are incredibly varied across hospitals, ranging from written documentation practices to the use of color-coded wristbands. According to a new study in the Journal of Hospital Medicine, a national effort to standardize color-coded wristbands, likely around a few specific indications (e.g., DNR status, allergy, fall risk, etc.), would remove current practice variations and the associated potential for errors.


There are currently no standards of color choice for hospitals using color-coded wristbands, and each hospital has a different set of colors for different indications. This lack of standardization creates the potential for errors. For example, some hospitals have used yellow to signify “Do Not Resuscitate,” leading to several near-misses with patients wearing yellow Lance Armstrong “Livestrong” bracelets. If a standard color choice existed for DNR orders, the potential for errors with either personal patient wristbands or those used by hospitals would be averted.

“Patients spend tremendous energy and effort in making decisions about the care they wish to receive, often through the completion of advanced directives. We hope our study findings generate a national effort to standardize the choice of colors for a defined set of indications when using patient wristbands to communicate critical information to front-line healthcare providers, where the information is needed most,” say Drs. Niraj L. Sehgal and Robert M. Wachter, co-authors of the study.

The authors note that, while several states have implemented statewide efforts to standardize color-coded wristbands, their color choices are not standardized with each other. A national effort is currently needed to look at the potential for errors involved under current practices and to designate standard colors for patient wristbands around a defined set of indications.

Journal reference: Niraj L. Sehgal, MD, MPH, Robert M. Wachter, MD. Identification of inpatient DNR status: A safety hazard begging for standardization. Journal of Hospital Medicine doi: 10.1002/jhm.283

http://www.sciencedaily.com/releases/2007/12/071218122409.htm

[LiberalFighter]

1. Navy Blue or Gray should be the color used.

Black might be considered offensive.

Why the hell would hospitals mistake a foam like bracelet with a hospital wrist band?

[Warpy]

2. Code situations are panic situations

especially since they occasionally happen in tandem. A team rolling the crash cart into a room and seeing yellow on a patient's wrist will then go on to the next patient. It shouldn't happen but given how short staffed hospitals are and how a code can throw everybody off, I can see how it could happen, especially if that patient's primary nurse is off the floor running a specimen to the lab, picking up blood, or getting something from central supply or the pharmacy.

My advice is to leave all specialty bracelets at home.

[LiberalFighter]

3. What happens when they receive patients on an emergency basis?