NCTTRAC HAS PARTNERED WITH OTHER RACS to develop A STATEWIDE WRISTBAND PROGRAM TO inexpensively address two long-standing challenges:
  1.    To track patients during mass casualty incidents (MCI), evacuations, and disasters
  2.    To link pre-hospital and hospital records across disparate electronic medical record systems and throughout the continuum of care

To help address these issues, the NCTTRAC EMS Committee has voted to purchase additional wristbands using a portion of the funds from the Local Projects Grant (LPG) awarded by Texas Department of State Health Services for TSA-E. Each EMS agency will receive wristbands on a FIRST COME, FIRST SERVED BASIS equal to the amount of One Half of the recorded EMS runs reported to DSHS in 2019. 

NOTE: Participating EMS Agencies must be willing to place a wristband on EVERY patient transported to a hospital-based Emergency department AND must be willing to record the unique identifier into a pre-identified query-able, NEMSIS compliant field within their agency’s electronic patient care report (ePCR). 

ALSO, participating EMS Agencies should verify with their receiving hospitals that the unique identifier is being entered into a pre-identified query-able field within the hospital electronic medical record (EMR) to link the records together.   


WRISTBANDS are free and only to be distributed to dshs-licensed ems agencies.






Texas EMS Wristband Training Materials: CLICK HERE



Implementation Guidelines can be found below





A. Purchase and distribute Texas EMS wristbands to pre-hospital providers.

B. Provide a unique identifier that will be used to link records or patient data delivered from EMS during MCI, evacuations, disasters and throughout the continuum of care.

II. Description / Distribution of Assets

A.  Each box contains 500 aqua blue colored plastic wristbands with individual patient identification numbers and barcodes that are capable of being secured to the patient via plastic clasp.

B.  Wristbands will be distributed to DSHS licensed EMS agencies in TSA-E.

C.  Each EMS Agency will receive wristbands equal to the amount of one half of the recorded EMS runs to DSHS from the previous year on a first come, first served basis.

D.  EMS agencies may request initial or replacement wristbands by sending point of contact information to NCTTRAC_EHS@ncttrac.org  (organization/agency, DSHS license number, requestor name, email, phone).

E.  Each receiving agency shall complete and sign a NCTTRAC Property Transfer Form prior to receipt

F.  NCTTRAC logistics staff will contact the agency to schedule a pickup time.

G.  Should a hospital facility need wristbands, contact your local EMS agency enrolled in the wristband project.

H.  Training materials are available at https://ncttrac.sharefile.com/share/view/s3308e6988afa4965930bbb3d04964090


A.  Place a wristband on every patient transported to a hospital-based emergency department.

B.  Manually enter or scan the wristband’s unique identifier into a pre-identified NEMSIS compliant, query-able field within the electronic patient care report (ePCR)


A.  Leave the wristband on the patient until discharged home – do not cut or remove

B.  Manually enter or scan the wristband’s unique identifier into a pre-identified query-able field within the electronic medical record (EMR)

C.  If the wristband is inadvertently removed:

1.  Place a new wristband on the patient,

2.  Cover or cross out the new barcode and identification number, and

3.  Write the previous identification number on the new wristband with a permanent marker

V. Limitations to Possession of Asset

NCTTRAC EMS Wristbands are primarily intended for use by EMS provider agencies in TSA-E.  Nothing in this guideline guarantees continued availability of assets; however, it is the intent of NCTTRAC to continue to support this project contingent upon funding availability.

III.  Asset Disposition

If wristbands are no longer needed, the receiving agency shall request asset disposition approval and instructions in writing from NCTTRAC.