We are having difficulty handling directed units. Donor Services, processing and distribution are on the LifeTrak system. Transfusion is on Cerner Millenium. When we transfer a directed unit to our transfusion service and the ABO/Rh is not compatible with the intended recipient the unit is rejected. The problem lies with the inability of the unit to go back to distribution (LifeTrak) and be relabeled as a regular allogeneic product. LifeTrak has no efficient way of relabelling these products. ISBT 128 directed product codes contain a "D". This indicates that the unit is directed. Cerner will not bring the unit in as a regular allogeneic product unless it is relabeled. Is anyone else encountering this issue? How are you dealing with it? If you're on another system and are ISBT 128 compliant, are you experiencing this problem? Thanks for any input.

I would have thought it would be the responsibility of LifeTrak to sort this problem out.