We have had the policy for quite some time, have an agreement with the center including par levels, and have policy for switching Rh neg to Rh pos. We are a trauma center, perinatal center, even the designated disaster hospital in this region. This is not anything new with our supplier. They have always done an audit, but are getting more and more pickier on what they want (though nothing has changed). Anything that has to do with quality and purity of the product I understand. I even called the FDA and they agree our MTP does not qualify as something that is needed. We have passed our last three AABB and CAP without any deficiencies. I have gone through the CFR and there are somethings I can see, but they do NOT perform these tasks for us and therefor I do not believe they require this. This is not a new game to us, we are not a smaller hospital, and we are all know were to find what AABB, CAP, TJC, and FDA require. Sorry had to vent.....