Just wanting some information that is somewhat related to this topic...we are moving towards a policy where all signs/symptoms of suspected transfusion reactions are reported to the physician and the Blood Bank, the transfusion is discontinued, and the reaction investigation is ordered. It will no longer be up to the physician to decide whether or not to "call" the reaction. We have provided a well-defined list of the signs/symptoms in our SOP for Nursing to follow, but they are thinking that they will never finish a transfusion based on these criteria, mostly related to acute drops in BP, and increase of pulse rate, especially in the critical care patients, who already are unstable. Could others please share how they take the clinical status of the patient into consideration, when determining if the signs/symptoms are truly related to the transfusion?