our or occasionally needs to remove the armband, our policy is the one that cut it off needs to put it back on the patient promptly. if this does not get done we start over again with a new sample. more often we get calls from floor nurses that say the band is getting tight etc and we send them a new outer sleeve and then put the insert in that and reattach. we had for a while nurses cutting armbands off and attaching them to the beds. this practice has stopped with education