Hi John, thanks for your advice! You are correct and I'm sure we are 100% in agreement... we must choose our battles wisely. One bummer is; in NYS we have bi-annual inspections for CLIA compliance and if they find something in transfusion administration that is not meeting a regulatory standard.... the Lab is documented with a deficiency not nursing. So we must be on top of our game and work as a team with nursing to ensure everything is A+. It has been working well so far, JCA and NYS have liked what we have done to improve quality in this area.