I always thought blood followed patient. If the patient was in the GI lab, the primary nurse should have told 2 RN's transporting patient that the blood would come to them in the GI lab, and notified blood bank of same. I also thought that the blood bank needed to verify cross/match with bracelet, 2 RN's needed to verify (which the 2 RN's in GI lab could have done and hung). If the blood came to the floor, and the RN swiped for it, the RN is then responsible for it. And it needs to be hung in a timely manner once you get it, and the immediate need would suggest it going directly to where the patient is. Since the tubing is new to the facility, now is the perfect time to get an updated blood policy in place. And anyone who says to me "you do it this way and I will take the heat" will NOT be the one who holds any credibility in a court situation or when I lose my license to a poor outcome--pure hear-say. I don't like to take responsibility for a critical patient's blood, which could be a matter of life and death, when I can't see it through to the patient myself, no matter if my NM gets pis** about it or not. I would present it to your CNO as a potential loophole that needs a policy revision, more in line with JHACO standards.