We also allow for verbal orders in exceptional cases (i.e. massive transfusion, patient bleeding in the OR). We document the call on the Verbal Order Log Sheet - includes the physician requesting, hospital number of patient, first/last name of patient, person phoning, type/number of products. it also includes a check box for the MLT to document the issue checks before either handing off a crate of blood components or shooting the component off in the pneumatic tube system.