Get Patient Identification Checklist

Filling out the Patient Identification Checklist is a crucial step in ensuring patient safety and accuracy before a medical procedure. This guide will assist you in completing the checklist efficiently and correctly online.

Follow the steps to complete the Patient Identification Checklist online.

1. Press the ‘Get Form’ button to access the Patient Identification Checklist and open it in your preferred editor.
2. Begin by filling out the fields labeled 'Patient Name', 'Date of Birth', and 'Procedure'. Ensure that the information is accurate and filled in completely.
3. Sign in the 'Patient Signature' section to confirm that you have verified the information provided.
4. Please note that users are not required to fill out the section labeled 'Patients do not write below this line' as it is designated for the receptionist and nursing staff.
5. If you are the receptionist, check the corresponding box indicating that the patient has been identified by name and date of birth, and that the procedure has been confirmed with the patient. Initial next to your confirmation.
6. As a pre-operative nurse, ensure to check off that the patient has verbally confirmed their name and date of birth, and that the procedure and site have been verified as per policies and procedures. You will also need to confirm that the health and physical information reflects accurately.
7. An intra-operative nurse should follow similar steps by verifying and checking off that the patient has confirmed their identity, the procedure/site aligns with policies, and the time out process has been observed. Ensure you fill in the time noted.
8. Lastly, review all entered information for accuracy and completeness. After making sure everything is correct, you can save your changes, download, print, or share the completed form.

Ensure patient safety by completing the Patient Identification Checklist online today.