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We keep the signed form regardless of transfusion.

I get what you are saying John, BUT, repetitive testing on high-dose RhIg doses in cases of, for example, ITP, have shown that this does not lead to high titres of cell-free anti-D, and so I'm sorry, but I still think titrations are worth doing for a while. Think about it. If the TRUE titre was 4, a titre of 2 and a titre of 8 is only one tube either side of 4. Yes, IF the true titre had gone from 2 to 4 to 8, it is a clinically significant rise, but, it could still, at this stage, be experimental error, for the reasons I gave above.

if I sign out emergency release, I am keeping the request regardless if rbcs are used or not.