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I haven't heard it called Flying squad blood for Donkeys years, srichar3 are you from the UK?

Not sure what flying squad is but we have something similar at our hospital We call them Emergency Uncrossmatched RBC and have it located in the ED Trauma Bay and a few Surgical area. These units are stored in a constant temperature monitor system CimScan and also have a door alarm function that alert Blood Bank whenever it is open. RN are require to notified Blood Bank of any product usage and what blood type (O+ vs O=) based on gender. Like O= for female of child bearing age. If we do not receive any call within a few minute, we are require to call the charge RN to check in on the situation. Each of these prepared units have an Emergency Uncrossmatch allocation label along with a transfusion report form to chart the vital and and 2 FDA ply sheet that require the Physician signature acknowledging the risk/need for transfuse outweigh the risk of waiting for a type&screen completion. 1 sheet for patient chart and other sheet send back to Blood Bank for crossmatch later when T&S receive before sending it to medical director review.

From the management side; involve the tech. Meet with them and have a conversation about how/why the think the error occurred.. Make them feel involved in QA and PI by asking if they have any suggestions that may prevent a recurrence. Front line staff often have great PI ideas, but won't speak up. During the conversation you will also be able to get a good feel for whether the tech knows the procedure and is committed to following processes as written, needs some re-training or whether they purposely deviated because the had "a better way".