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Nancy Withers

I was providing care for a patient who had just been transferred into ICU after a rapid response. I saw what appeared to be a purple band on the patient. At my hospital, like at many hospitals across the country, a purple band designates a DNR (Do Not Resuscitate) code status. There was no indication of a DNR order for this patient, so I asked the patient about the purple band. The patient told me she was wearing it because she'd had an implantable port placed, and the band was part of the kit provided by the vendor. Staff at the surgical center suggested that the patient wear the band to remind health care providers of her port. When I looked at the band closely, I noticed it was actually a gradation of colors, purple fading to gray. I clarified the patient's code status with her and removed the band for patient safety.

I also completed an unusual occurrence, which brought the situation to the attention of our risk manager. The risk manager reported the event to the FDA through a MedSun report as a near miss. MedSun told us later that they worked with the manufacturing company to change their practices. The company was not aware of the national efforts underway to standardize arm band colors and has now stopped including the purple band in their port kits.

Nancy Withers, BSN, RN

Former Clinical Leader, ICU, Edward HospitalCurrent Educator, Clinical Educator, Novasyte Health representing Hill‐Rom.