General oversite within our facility is now the Transfusion Service Department (TSD) as a response to JCAHO inspection. All frozen (autologous and allogeneic) tissue products are inventoried, dispensed, and monitored by the TSD. All refrigerated and ambient tissue are inventoried, dispensed, and monitored by the surgery dpt. FTEs for tissue management...good idea...i will work on that one. The TSD will be responsible for LOOKBACKS, Adverse Reactions, and Product recalls. Facility is about 400 beds. We are just beginning to implement these practices and have applied for a Tissue Licence...Policies and Procedures are now in place and I am beginning training for my staff and the OR. The surgery dpt will still do all the ordering. I have not even begun to deal with the breast milk....however i see it in the near future. As per the track record of the surgery dpt i think all tissue will eventually be stored, issued, etc in the TSD. There are so many AATB, AABB, fed regs, and of course I am in California...California regs to incorporate. I can let you know how it goes. Geri