Audit Arm Band Safety

Safe Patient Identification

Complete the following 5 minute audit. Report the audit findings for the start of your shift today.

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1. Enter your Employee ID (Required.)

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2. Enter bedside of patient (e.g., 3A, 4B) (Required.)

	Bay	Bedside
Room Number	Room Number Bay menu	Room Number Bedside menu

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3. Which shift are you working? (Required.)

Day shift

Night shift

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4. Did the patient have an arm band on their wrist or ankle at the start of your shift? (Required.)

Yes, one arm band

No arm band on wrist or ankle

More than one arm band on wrist or ankle

Comment

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5. Did the armband on the patient's wrist or ankle have the correct name and PIN? (Required.)

Yes

Comment

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6. Was there an armband on the Nurse Server? (Required.)

Yes, armband on Nurse Server with correct patient name and PIN

Yes, armband on Nurse Server with INCORRECT patient name and PIN

No armband on Nurse Server

Comment

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7. Was there an armband on the WOW? (Required.)

Yes, armband on WOW with correct patient name and PIN

Yes, armband on WOW with INCORRECT patient name and PIN

No armband on WOW

Comment

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* 1. Enter your Employee ID (Required.)

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* 2. Enter bedside of patient (e.g., 3A, 4B) (Required.)

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* 3. Which shift are you working? (Required.)

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* 4. Did the patient have an arm band on their wrist or ankle at the start of your shift? (Required.)

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* 5. Did the armband on the patient's wrist or ankle have the correct name and PIN? (Required.)

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* 6. Was there an armband on the Nurse Server? (Required.)

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* 7. Was there an armband on the WOW? (Required.)

1. Enter your Employee ID (Required.)

2. Enter bedside of patient (e.g., 3A, 4B) (Required.)

3. Which shift are you working? (Required.)

4. Did the patient have an arm band on their wrist or ankle at the start of your shift? (Required.)

5. Did the armband on the patient's wrist or ankle have the correct name and PIN? (Required.)

6. Was there an armband on the Nurse Server? (Required.)

7. Was there an armband on the WOW? (Required.)