In Cerner there are two Computer Crossmatch options. One requires you 'order' a crossmatch, then 'result' as a computer crossmatch which updates the rbc status to crossmatched and generates a crossmatch tag. We don't use this option, except for scheduled downtimes. Our preferred process is, as described previously by pbaker to computer crossmatch dispense in one process, capturing the all required information in real time (but we don't have the tools to scan employee badges, so we type). We now have a customized Transfusion Tag, on which we record the date & time dispensed, and sign. The transporter signs the tag when they handoff the blood to the transfusionist.