We call the pre-op area and make collect the sample, not the actual surgical team unless it is an emergency situation. They have learned we mean what we say and they do it. Most of the time when the patient comes in for pre-op testing, if it too far ahead of time for the type and cross to be drawn the nurses order and draw an ABORH confirmation. If we don't need it (history already on file) we can cancel it. Then the TXG will be drawn in the pre-op area. If the sample was drawn ahead of time for the TXG the pre-op area will draw the confirmation. In the Children's Hospital the 2nd sample, whether confirmation or TXG, will actually be drawn in the OR because they want to wait until the child is asleep before sticking them again if it is a young kid. It take education, education and more education and a willingness to get yelled at for a while. You absolutely must your Medical Director on board and willing to back you up. You know of course, that every time you request a sample it is going to be a difficult patient from whom they can't possibly obtain another sample.