To gather the most relevant and timely feedback, the team collected surveys from nurses and other users of the new barcoded wristband products and processes. The survey metrics asked the following questions:
- Ability to scan the barcoded wristband on an infant
- Legibility of the wristbands
- Ease of application of the wristbands
- Comfort of the wristband against the baby's skin
- Ability of the wristband to become small enough for premature infants
Survey results indicated that the nine-digit CODE 128 bar code needed to be changed from a horizontal to vertical layout to provide a flatter surface for scanning. Results also showed that the wrist-wrap baby wristband construction stood out as the preferred assembly option.
With the initial testing and survey results complete, the hospital moved forward with standardising the change and packaging the process for facility-wide deployment. According to Paul Borgsmiller, Order Management Product Specialist for the SSM Health Care Information Centre, "Once the project was identified, the team knew they wanted to standardize the new identification system so that it could be used throughout the rest of SSM Health Care."
A critical step was to educate the staff to use the new barcoded wristband process. Beth Moore, RN, MSN, Clinical Educator-NICU, and Pat Birk, RNC, BSN, Clinical Educator-Mother Baby Unit, agree that education was the key to success on this project. Along with process flow charts, printed guides were posted at each unit station and included step-by-step instructions on generating the LaserBand 2 forms in the software programme including printing and loading the product into the printer. Additionally, every nurse was given a one-on-one assembly and application demonstration, and was required to do a return demonstration to the educator.