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Steps to Investigate a Wrong Blood in Tube (WBIT) Incident The ...

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4. Take specimens<br />

5. Label at bedside<br />

6. Pr<strong>in</strong>t username, date/time on label (and<br />

sign – BTL specimens only)<br />

7. Send specimen <strong>to</strong> BTL<br />

d. How frequently would you be <strong>in</strong>terrupted either when<br />

<strong>in</strong>putt<strong>in</strong>g the order or <strong>in</strong> the process of draw<strong>in</strong>g the blood<br />

and label<strong>in</strong>g it?<br />

e Do you have any recommendations as <strong>to</strong> how this could<br />

be avoided?<br />

a. Is it generally the patient’s RN who takes blood<br />

specimens?<br />

b. Where are the phlebo<strong>to</strong>my supplies located?<br />

c. Is a cart, tray or basket used that can be brought <strong>to</strong> the<br />

patient’s side?<br />

d. How do you dispose of sharps, if a sharps conta<strong>in</strong>er is<br />

not brought <strong>in</strong><strong>to</strong> the room?<br />

e Do you rout<strong>in</strong>ely take extra tubes of blood <strong>in</strong> anticipation<br />

of future orders? If yes, where do you s<strong>to</strong>re them and<br />

how are they labeled?<br />

a. What work surface is used <strong>to</strong> place tubes and labels<br />

when draw<strong>in</strong>g specimens?<br />

b. Are there any reasons why a specimen could not be<br />

labeled at the bedside?<br />

a. Can the completion of the label be done at the bedside?<br />

b. If no, why?<br />

a. Who packages up the specimens <strong>to</strong> be sent <strong>to</strong> BTL?<br />

b. Are specimens sent by pneumatic tube or by porter?<br />

Coord<strong>in</strong>a<strong>to</strong>r: Participants:<br />

Additional Notes:<br />

1.<br />

Posted March 2011

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