Supporting Policy to CPQ Standard 10
Policy for Patient Identification
Doc. Controlled no: 5/SP
New Document and CPQ Standard no: 5n
Effective Date: 08/05/2021
Policy/Procedure
Title
1. Purpose & Scope
2. Definitions
3. Responsibility
4. Applicability
5. Policy
6. Procedures
ARC-New Policy-Section 10
Issue No.1 Revision Date:07/05/2021
Pages: 2
Controlled Document
Update done: 08/05/2021
Review cycle: 4 Review due on: 07/05/2023
Pages: 2
Policy for Patient Identification
1.1. Staff working in AMSA RENAL CARE (ARC) must follow correct patient
identification at all times in all treatment and procedures that will be
done in ARC.
1.2. This policy applies to all patients on Heamodialysis, Iron infusion
therapy and or having Diagnostic Exam on AMSA RENAL CARE.
1.3. All patients must be correctly identified at the time of registration in
the reception.
2.1. This policy applies to all staff involved with patient contact and care
in AMSA Renal Care.
2.2. Correct Patient identification begins at first patient contact with
service and is the responsibility of staff to ensure that the patient is
identified correctly..
All staff who have DHCC licenced and supportive staff working in AMSA Renal
Care.
Applies to all DHCC Licensed Nephrology Consultants, Nurses and Technicians
and other supportive working in the Dialysis Unit in AMSA Renal Care
It is the policy of the AMSA Renal Care to ensure all patients are identified
correctly.
6.1. Patient Identification:
6.1.1 All the patients must be identified correctly before carrying
any procedure, investigations
6.1.2 The patient’s ID sticker will include 3 details which are
mandatory
a) The patient’s forename and Surname
b) Date of Birth
c) Medical Record Number
6.1.3. Name must not abbreviated and name must match the
medical record
6.1.4. Do not over write on the sticker
6.1.5. Hand written ID sticker must only be used when electronically
Title: Patient’s identification Effective Date: 08/05/2021
Revision No. 4 Prepared by: Roji jsoe
Source: ARC Nx Station PC Authorized by: Dr. Iyad Abuward -Medical Director
2
Supporting Policy to CPQ Standard 10 Controlled Document
not available.
6.1.6. Explain the procedure of patient ID of the patient.
6.1.7. When asking the patient questions regarding identity, always
ask open ended questions, not “yes” or “no” questions.
6.1.8. If the patient is unable to answer, verify the information by
asking the legal guardian or next of kin.
6.1.9. The patient admitted to or transfer from this facility must be
correctly identified and have ID band applied in accordance
with policy.

6.2. Applying the patient ID sticker:

6.2.1. The patient ID sticker must be applied on to all documents
regarding the patient.
6.2.2. When a patient transferring to other facility, it is
responsibility of a member of the nursing staff of the receiving
center to ask the patient to identify him or herself and confirm
his/her identity against the patient ID sticker on the medical
report.

Reviewed by ____________________

Signature ______________________ Date _____________________

Approved by____________________

Signature _____________________ Date _____________________

ARC-New Policy-Section 10 Title: Patient’s identification Effective Date: 08/05/2021

Issue No.1 Revision Date:07/05/2021 Revision No. 4 Prepared by: Roji jsoe
Pages: 2 Source: ARC Nx Station PC Authorized by: Dr. Iyad Abuward -Medical Director
2