We also just had a Joint Commission and inspection and there was no mention about dispensing out of blood bank. Blood is a drug and it is dispensed from blood bank. Don't you think its a patient safety issue that it is dispensed from blood bank making sure the right dose and if the patient actually qualifies? My fight is that even though the OB floor has the process for ordering; blood bank is the czar. We had 3 occasions where it was an inappropriate order: the wrong dose was ordered, patient was 16 weeks and a physician wanted to give a mini dose (we don't stock anything but the full dose), ordered on a RH positive patient, ordered on a patient that developed an anti D previously - we had been titering throughout the pregnancy. The last 2 scenerios who not have hurt the patient but there was an added expense and the last patient was already confused as to why they couldn't get their Rhogam shot - because they had gotten it at 28 weeks in the doctors office. There's so much hoop-la in all the standards (AABB,CAP and Joint Commission) about making sure patients get the right dose, we type them correctly and we identify patients who need it why would someone make us move it out of the best control?