I should clarify that all transfusions were with phenotypically matched red cells.

Thank you for all your responses.  I have convinced my pathologists that we need physician signatures for "out of the ordinary" blood products.  Now I have to revise our emergency request form.  Does anyone have a release form that they would be willing to share?

here is the one I use

incompat release.doc

Check out the attached; this is why we don't use the term least incompatible anymore. It gives a physician a false sense of security, and studies have not shown a correlation for the strength of the incompatibility in vitro compared to potential risk in vivo. It's an outdated term that we should all start moving away from.

Least incompatible.pdf