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Risk Reduction Strategies via Wristbands

1. Use wristbands that are pre-printed with text that clearly identifies the alert. This can reinforce the color coding system for new clinicians, help caregivers
interpret the meaning of the band in dim light, and also help those who may
be color blind. This eliminates the chance of confusing colors with alert messages.



2. Remove any “social cause” (such as Live Strong, cancer, etc.) colored wristbands. Ensure that hospital policy is amended to reflect this recommendation.
If a patient refuses to remove “social cause” or other potentially conflicting
wristbands, cover the band with a bandage or medical tape. If a patient refuses to remove “social cause” or other potentially conflicting wristbands, explain potential risks to the patient and have the patient sign the refusal form.



Risk reduction Wristbands

3. Remove wristbands that have been applied from another facility. This should be done at the time of admission to your healthcare facility. Wristband standardization and implementation is voluntary in Colorado. Therefore, some hospitals may not have adopted the recommendations for wristband standardization. Ensure that hospital policy is amended to reflect this recommendation.



4. Initiate banding upon admission, when medical condition(s) change, or when additional information is updated/received during the course of the hospital stay.



5. Educate patients and family members regarding purpose and meaning of the wristbands. Including the family in this process is a safeguard for you and the patient. Remind patients and family members that color coding provides another
opportunity to prevent errors. Use the Patient/Family Education brochure located in the tool kit.



6. Coordinate chart/white board/care plan/stickers/placards with same color coding.



7. Educate staff to verify patient color-coded alert wristbands upon assessment, hand-off of care during shift change and facility transfers.



8. Remember, the wristband is a tool to communicate an alert status. Educate staff to always utilize the patient’s medical record for verification of allergies, fall risk and advance directives.



9. If your facility uses pediatric wristbands that correspond to the Broselow color coding system for pediatric resuscitation, take steps to reduce any confusion between these Broselow colors and the colors of the alert wristbands.



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