Our facility uses a form. Anyone can pick up blood from the blood bank. Two RN's or RN and physician must sign after checking information off the blood bank band and ID band on the patient at the bedside. Vitals just prior to pickup, vitals 15mins after start and every 30 mins. thereafter; 3hr. max transfustion time. Evaluations on the side column next to each set of vitals, necessary only if unusual occurrence. The form eliminates guess work when a nurse from an agency might be called on to transfuse. Our policy is no transfusion for Hgb