In our hospital Blood Bank, we expect completed transfusion unit tags. If they are not completed, it is up to blood bank to follow up with the information from the transfusionist. Our SOPs note complete compliance for documentation of the transfusion. We have some non-compliance with filling out the unit tag to be returned from a few areas (ER and OR) in the hospital, since we usually know where the transfusion takes place we send the nurse educator or director for that area a copy of the tag and a note to the problem. Our Nursing council has been helpful in backing up the completion of the unit tags. Nurses who have not filled out the unit tags properly are reeducated about what is expected & needed. The copy I have sent them, usually comes back to blood bank for filing. At this time we have paper trails until our Wyndgate Blood Bank system goes live (Jan 05)...then we will find our paper trail, computerized and more efficient in our tracking of tags. Since we have aggressively taken a stand that documentation is essential, we have had a decrease in lack of documentation being noted. We also can track how long till they hang the blood and how long they transfused.