We are a level II trauma center that averages 4-5 MTP's per month. We have an order set built in our hospital information system that includes baseline labs, hourly labs, TXA bolus/infusion, and eight rounds of blood components (48 packed cells, 48 plasma, 8 plateletpheresis, and 70 units cryo). The components cross to our BB LIS (SoftBank). We issue rounds until told to stop by patient care staff. We either select/issue or emergency issue based on how much of our compatibility testing is completed. Although we use the Epic blood product administration module (BPAM) for most transfusions, it's currently too clunky for MTP. We issue paper transfusion records generated by SoftBank for the RN's to document on. These are returned to the Blood Bank so that we know what was given & when. Any missing documentation is included in the comprehensive review that takes place after each event.