Nurses perform the majority of the draws for our hospital so they are the ones responsible for labeling the armband with the bloodloc code. We have very strong administrative support that backs us up if the nurses don't comply with the entire process. Any occurrence reported to Risk due to bloodloc errors is referred to the Nurse Manager of the floor involved and appropriate disciplinary action is taken, usually reeducation for the first offense. One floor now requires 2 RNs to verify the bloodloc at the time of draw because of one nurse's failure to follow protocol. It seems cumbersome, but at the same time, the nurses do really like the added safety feature. Also, the contracted dialysis tech that tore the bag has been asked not to return to our facility. As far as the SOP, I followed the manufacturer's guidelines, then added our own requirements such as, if it the specimen is missing any of the main identifiers (name, date of birth and Bloodloc code) the specimen will be redrawn, no exceptions. If they can't wait, then it will have to be issued uncrossmatched.