A Blood-Labeling System to Prevent Cross-Contamination and Misadministration

Abstract

Objective: To avoid misadministrations involving radio-labeled blood products, strict attention must be given to patient identification when blood is drawn or administered and continuous identification of blood samples during radiolabeling. We report on a blood labeling system which we believe safeguards patients.

Methods: The dose for a syringe is entered into a computer. A unique color is assigned to each patient and is not reused that day. Labels are printed which designate the patient and procedure and are affixed to syringes, the blood labeling log, all supplies which will contact the blood and a patient ID bracelet. The syringe, ID bracelet and request are verified by two people. When the blood is drawn, the ID bracelet is placed on the patient. Color-coded racks are used to contain all components. Prior to reinjection, the rack contents and final product are verified by two people. Upon reinjection, the ID bracelet is verified then removed.

Results: By utilizing this color-coded system, we have virtually eliminated the risk of cross-contamination or misadministration in our nuclear medicine department.

Conclusion: This system has been used on 429 patients and neither disrupts nor lengthens the labeling procedure.