When a label goes on the wrong tube, who catches it? Two real patient ID case studies show what happens when the protocol fails — and what CLSI requires.
I have run across pre labeled tubes as volunteer lab support, just lying on the nurses station counter waiting for trouble. 👀I have had the experience of TWO ICU nurses check out a unit of blood only to administer to the wrong patient. The lab initially panicked but thankfully we did everything right... unfortunately the patient experienced the micro clotting that can happen, he was in his 80s 😔, and thank you lab gods for the label printer as hand writing on round tubes is a super skill.
By the way manufacturers, a flat side on a vacutainer tube would help prevent those tubes rolling off a flat surface... just sayin'.
I have run across pre labeled tubes as volunteer lab support, just lying on the nurses station counter waiting for trouble. 👀I have had the experience of TWO ICU nurses check out a unit of blood only to administer to the wrong patient. The lab initially panicked but thankfully we did everything right... unfortunately the patient experienced the micro clotting that can happen, he was in his 80s 😔, and thank you lab gods for the label printer as hand writing on round tubes is a super skill.
By the way manufacturers, a flat side on a vacutainer tube would help prevent those tubes rolling off a flat surface... just sayin'.