blood banker Mish

There was a FAQ on the CAP site a few years ago that basically said BB did not have to do lot to lot testing, that our regular QC was sufficient. I know the exception was fetal kits or other kits that had positive and negative controls as part of the kit.  I was concerned about this standard regarding our regular reagents after it was revised so I wrote to CAP so I could get an understanding if things had changed so we did have to start doing lot to lot. This was my answer for my question about COM.30450

The way I read this we do not have to do lot to lot except for something like a fetal kit. You can perform QC on the day of use. Part of our QC is to check the shipment upon arrival, is the appearance normal, did it arrive at the proper temp, was the shipping container damaged, etc. 
I like having an answer in writing with the CAP logo if an inspector seems like they are going to site me. I can whip the email out and show them. Might help, also might make them mad.

We do provide the units to the air ambulance.  Patients transfused with those units can either get transferred to our facility, or another trauma center in the area.  We keep segments aside of the units we give out and if they come to us we crossmatch but there is talk of removing that from the SOP.  We feel uncomfortable with that because we cant find much information other than the FDA wants traceability and trackability of the unit.   I feel like this situation is a black hole for units, not much information in the regulations/standards.