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We're a pretty big place. We have an active labor unit, 50 or so ORs, level 1 trauma center, and support a huge cancer clinic.

Well you carry on doing just that then klsmith, seeing as you had ONE example where it came up with something that would have otherwise been missed, and you clearly think that that justifies it. Actually why not put up enzyme IATs routinely as well. But please do not complain when you have to put up panels on 90% of your samples and get inconclusive results on all of them I am not complaining, nor am I the tech who discovered the antibody by the means which you say are incorrect! I am just telling you what I have witnessed by a reputable tech. BTW, how do you know that this situation doesn't happen more frequently than you are aware of?? Sometimes you really do need to think outside of the box, perhaps not everything is as cut and dry as we would like for it to be....

They are very busy you know..................guess we're not.

It does not say that the mechanism has to be in blood bank. There are other checklist items in CAP that are just managed by nursing, and that is how we interpret it. Never had a deficiency about it. One item I did take up with nursing was TM.41025, regarding transfusionist training. Nursing had nothing in place, so I worked with the educators to create a testing module that is administered by nursing.