At my hospital we keep track with an attached sheet of paper stabled to a patient record card. We haven't gotten rid of patient record cards yet. I have found in the literature that only type O platelets have caused hemolytic transfusion reactions. There have been 25 documented cases in 30 years of HTR from O plts transfused to non-O patients and 6 deaths reported to the FDA in the past 10 yrs. according to Mark Fung, MD in the Arch Path Lab Med, Vol. 131, June 2007. It is not frequently reported, but there may be a lot of under-reporting. It is a concern & I certainly do not want it to happen where I work and I want to be compliant with the regs. Unfortunately you need a policy for incompatible plasma and I want a reasonable policy--but none of the regulating agencies tell you what the standard of care is??