We have a 16-point checklist that the Med Techs use - it has been a good thing to involve the bench techs as it 1) helps develop them as future leaders and 2) helps build a bridge between the blood bank staff and the nursing staff. We transfuse roughly 10,000 products per year in a 400-bed hospital. We audit about 30 transfusions a month; we do so many per floor/unit based on the average number of transfusions each unit does per year. In fact, one of our AABB inspectors was so pleased with the tool they didn't even wish to see a transfuion while they were here. I would be happy to share our checklist.