Our facility allows any licensed staff member to pick up blood from the lab but two RNs or an MD and an RN must verify at the bedside. We check B/P temp, pulse, resp rate prior to infusion, q5min during the first 15 mins and the RN must remain at the bedside during this time (15 mins)then q 15 mins for the remaining hour (45 mins)then q 30 for the remaining infusion time. The most severe reactions will normally occur during the first 10 mins of a transfusion.