Good Morning, In every transfusion service I have worked in, we have always filled out an emergency release form for the doctor to sign and manually completed transfusion report forms for the documentation of vitals, times, etc. As I am looking at my current emergency release procedure, it does not specify the manual complete of transfusion report forms. So, of course then I started investigating what others do. Standards only states a doctor's signature is required. Others, rely on the flow charts, and some manually complete transfusion report forms. So - I put the question to you folks: what is your practice? it seems unreasonable to make the RN's document the vitals in the patient's chart and then again on our form in an emergency, but then it seems these should be part of the patient's history in the blood bank. Thanks in advance for your thoughts - it's so nice to have somewhere to bounce these questions around. Melissa