Hospital Bracelets: Helpful or Hazardous?

Amanda Schlager
Amanda Schlager
Contributor
Posted by Amanda SchlagerSeptember 26, 2008 2:53 PM
Tags: None

Although the plastic bracelets hospitals adorn their patients with may be colorful, they are designed to indicate special patient conditions, rather than make a fashion statement.

The national movement to standardize the color-coded bracelet system used in hospitals started in New York. After an infamous Pennsylvania case in 2005 in which a nurse mistook a yellow wrist band for meaning “restricted extremity”, its meaning at another hospital at which she worked part-time, with what it meant at that hospital, D.N.R. or “Do Not Resuscitate.”. The potential for dangerous mix-ups such as this have pushed hospitals to standardize coding systems.

Over 20 states have embraced the color-coding system, which is also endorsed by the American Hospital Association.

Although this system sounds logical, some agencies have expressed concerns about the bracelets and patients’ privacy rights. The Joint Commission has referred to this practice as “branding patients by their end-of-life choices”. The Executive Vice President of the Continuing Care Leadership Coalition, Roxanne Tena-Nelson, suggests “strik[ing] a balance between the need for patient safety and accuracy and the whole privacy concern and sensitivity and compassion for the patient.”

Hospitals are also running into problems with bracelets patients bring from home, like the yellow Lance Armstrong “Livestrong” bracelet. While some hospitals request patients cut these bands off, a bracelet left on a patient’s wrist could create a confusing hazard.


If you are a diabetic, have allergies to certain medications, or have unique issues that would be vital at a time when you are unable to communicate to a health professional, you should consider purchasing an alert bracelet. Medic Alert is one company that makes such bracelets but you can order from many providers online.

A custom bracelet, usually made out of aluminum or silver (a material that can be engraved with personal information), is not likely to be confused at the hospital and can provide valuable, life-saving information in the event that you cannot communicate with healthcare providers. Furthermore, wearing an alert bracelet with the universal medic sign (large, red plus sign) can put a doctor on notice as to special conditions you may have. Should the doctor ignore the bracelet, and you are injured as a result, that could be evidence in a medical malpractice case.

1 Comment

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Larry Kupeli
Posted by Larry Kupeli
September 29, 2008 12:31 PM

The article accurately highlights the importance of wearing a medical identification bracelet. Unfortunately, almost all jewelry suppliers will simply engrave jewelry for resale. This has the potential to compromise patient health and safety, and does a tremendous disservice to the medical community.

The MedicAlert Foundation is a not-for-profit organization that developed the concept of medical identification and emergency medical information services over 50 years ago. Only MedicAlert offers medical identification products with the universally recognized and registered "MEDIC ALERT" identifier. Only MedicAlert medically verifies patient information prior to engraving to ensure maximum accuracy. When an individual joins MedicAlert, they have exclusive access to products with the "MEDIC ALERT" identifier and its suite of services. MedicAlert provides 24 hr emergency support via a toll-free number engraved on the jewelry. When emergency responders see authentic "MEDIC ALERT" jewelry, they know to call the emergency number and obtain additional information to better treat the individual. Furthermore, as the individual is being treated, MedicAlert will reach out and contact the individual's family members, letting them know what's happened. If the individual is transported to the hospital, their medical records are forwarded to give the hospital all the information they need to treat the individual.

Jewelry without "MEDIC ALERT" simply does not meet the high standard of care and support patients need, and the medical community has come to accept over the years. Jewelry merely engraved with a condition is not enough to fully protect people with medical conditions. Individuals considering medical identification products need to be aware of such risks.

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