The OR Room temperature is not monitored in real time (by the blood bank), yet, that is a future refinement we can look at once we upgrade our centralized alarm system to v6.0 However, we rarely see the temp drift below 20 Degrees C, oddly enough, so if they actually use the rotator we have a lot less medical waste. It is still worlds better than a paper chart and permits us to remotely store platelets for big cases. As for overkill? Absolutely not. Coolers may be cheaper but we would need a lot of them, they do not readily lend themselves to q4 hour documentation of temperature, they are easily lost or misdirected and if the lid is left open they do not alarm (and your validation is rendered moot by someone that forgets to close the lid). We originally used coolers and came up with this solution over a decade ago and there is just no comparison. It certainly costs more 'up front' but long term it is so much more cost effective and efficient that there is just no comparison. We transfuse over 60,000 products a year and provide support for some really bloody surgeries. Providing an increased level of comfort to anesthesia and the surgeons is just good customer service and our wastage numbers are incredibly low for an institution of our size and volume. For example we have transfused nearly 8,000 units of plasma so far this fiscal year with total wastage at 0.7% and apheresis wastage at 1% (we cannot return products to our vendor, so that number better be low). We just never anticipated the rotators would be so popular so we didn't budget for more than 3. We will add some additional units in the future. Remember, the rotators we purchased, in part, to give the surgical staff a clearly designated spot to put platelets and cryo other than tossing it into the refrigerator. If you save a couple of apheresis units from refrigeration, you have paid for the rotator! My co-worker, Ricardo, and I are leading a round table discussion at ASCLS this summer to talk about the blood banks role in solid organ transplant and we will be discussion our portables as part of that.