AMEN, Brenda!!! One of the first things I did after taking over as the BB supervisor 14 years go was to implement a coversheet for all antibody workups or testing 'problems' (+ DAT, etc) (we are a large university medical center with a regional trauma center, active OB, Oncology and Open Heart programs to name a few). I find myself constantly reminding my younger techs (and some seasoned ones too!) of the invaluable nature of obtaining an accurate and complete history on a patient. I've modified my form many times over the years to include prompts for the techs so they don't forget to ask more than the basic "has your patient ever been transfused?". I take evey 'learning opportunity' presented to educate all of my BB techs how important this information is, whether we have issued uncrossmatched blood to a trauma or are just starting a workup on a Pre-op patient. It never ceases to amaze me how difficult it is to obtain this information from a direct patient caregiver (MD or RN). Thank you for your comments....I concur!