To those who do not send any paperwork with blood when dispensing to a nursing unit:  How do you capture the physician's signature when issuing blood that is serologically incompatible?

We have an emergency release form just for that situation that we send to the physician.

We do as well.

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We require them to send us a signed waiver form for emergency release.

Where I used to work we were paperless.  When they ordered unxm blood in the computer the release form would print in the ED for them.  This was on Meditech.

To those who do not send any paperwork with blood when dispensing to a nursing unit:  How do you capture the physician's signature when issuing blood that is serologically incompatible?

 

We have 2 ways that are not paperless.  1)  We have an emergency release when the testing is not done.  2) For those units that are least incomparable we have a exception form that the doctor needs to sign.  Otherwise everything is paperless.

For those of you who are totally paperless, what does the nursing staff document in the EMR? Do you have an electonic system that automatically enters the unit information by barcode scanning? Is this information also documented in the EMR when transfusions are given intraoperatively?

Oops. I see I answered the wrong question before.  Sorry.

Still a manual paper process and the form has to come to the BB before blood is dispensed to the pt.  

 

Signed form is scanned into the EMR and we have a QA process to verify that the scan is truly attached to the correct pt.