Agree blood in coolers is considered storage, whose responsibility would it be to ensure proper chain of custody is maintained especially when units are issued in cooler to one nursing unit i.e. Operating room, the nursing unit wants to take the cooler to the 2nd nursing unit (ICU).
Let's say they ordered 4 RBC to be available for a case in a room, now they take the cooler with them to ICU. We will not know how much was given in OR and how much was given at 2nd location. The orders from OR may get reconciled and I am guessing new orders (for regulatory purpose) should be placed if they are going to transfuse, however we will not issue to them they will just take what they need at this new location.
Is there a process in place that could manage this scenario better?