If we are giving out blood tagged for a specific patient they are expected to do 2 person ID and they do it without complaint. It's very quick, but it's done. Anesthesia is very good about participating in the process if they are present. We do skip the FinalCheck locks for mass transfusion protocol, so there is one step in our normal process that is skipped. If at all possible we are hand delivering the blood to the patient location. (3 techs on during the evenings and 2 techs on at night to cover the entire lab, but they will call in help if they think they need it.) If we are sending blood to ER for more than one patient, we will post someone in the ER, outside the door to the treatment room, to ensure that blood is going to the correct patient. On evenings and nights that will be someone who has been called in to help. It might be our medical director - he's very good about coming in to make sure that everything is going well. He even answers the phone. (Yes, I do know how lucky we are to have that kind of support!)