Patient Identification Two-Identifier Audit

Audit template for verifying consistent use of two patient identifiers during medication administration, blood transfusion, specimen collection, and procedures.

Audit Details

• Audit date and time recorded
• Location / unit identified
• Auditor name and role recorded
• Observed staff member(s) identified

Two-Identifier Verification

• Two patient identifiers are used before care is delivered
• Identifiers are obtained from the patient or verified source, not the room number or bed location
• Patient wristband is present, legible, and matches the record
• Identifiers match the order, label, or procedure documentation
• Staff verbalizes identifiers before proceeding

Medication Administration Verification

• Two identifiers checked immediately before medication administration
• Medication label and MAR match the identified patient
• Patient involvement in identity confirmation is appropriate to condition and age
• Any discrepancy stops administration and is escalated

Blood Transfusion Verification

• Two identifiers verified at bedside before transfusion
• Blood product label matches patient identifiers and transfusion order
• Second verifier or required dual-check completed per policy
• Transfusion is held when identifiers or product details do not match

Specimen Collection Verification

• Two identifiers verified before specimen collection
• Specimen labels are applied in the presence of the patient or at point of collection
• Specimen label matches the patient and order information
• Unlabeled or mismatched specimens are rejected and escalated

Procedure Verification and Escalation

• Two identifiers verified before procedure start
• Procedure consent, order, and patient identity are consistent
• Procedure is paused or stopped when identity cannot be confirmed
• Escalation to charge nurse, supervisor, or provider documented