Our hospital recently implemented CPOM for physician order entry (which includes Blood Bank ordering). At present we are accustomed to getting orders to transfuse that specifically state, as an example, to "Transfuse 2 units of RBC". We now have an ED physician who would like have the Blood Bank staff automatically send blood components to ED for transfusion based upon written parameters within the order set. In this situation the responsibility would fall upon the Blood Bank to monitor Hgb, Hct, Plt Ct, INR, etc to decide whether an ED patient needed to be transfused. I feel uncomfortable with this arrangement because then it becomes Blood Bank's responsibility to make sure that the patient gets transfused. An example of what such an order would look like is: Transfuse 2 units of pheresis platelets if platelet count is <50,000/uL (this would be for a bleeding patient in ED) Is anyone else facing this issue in your hospitals? Opinions are welcome!