Currently we have a very manual process for our Emergency Release and MTP processes. We are a 1250 bed, level 1 trauma center. We currently tag each unit ahead of time with a Emergency release tag with the attestation that requires the MD signature. The MD, currently, has to sign each tag which is labeled with the unit number, PC, type and patient information. There is no electronic charting for this until after the event. We are looking to have the MDs sign off in the computer on an order. The order wouldn't contain the product numbers or how many products were given until after the event was over. The point is to eliminate the tags on every unit and having the doctor sign each of these tags which can be 30 tags in a single case. (We still have a "Uncrossmatched Blood" sticker on all the units even if this tag is removed) The question is, if we are not able to build this in the computer and we have to continue doing a manual process, do we have to present the MD signing with the product numbers when he signs? The director would like to present the MD after the fact with a list of all the units that were transfused and then get their signature. IMO, the doctor knows that he transfused units and a ballpark figure of how many units. The actually WBNs will be recorded in the blood bank for lookback, but the MD doesn't know, nor does he care, what the unit numbers are. If he really wanted to know, we could produce that information. My peer believes that the standard 5.25.5 says that the doctor needs to know what units he is signing for. Ideas? What is your all's interpretation? What do you do? Thanks, Jen