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It was not an easy sale but eventually we implemented the TAR in surgery with the option of a downtime slip in life-threatening situations in which there is no time to use the TAR. For our anesthesiologists to use TAR, the surgery RN initiates everything in the TAR reviews the blood bag with the anesthesiologist and then ends it in TAR. Vitals are not captured in TAR but recorded in a separate anesthesia record. 


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