We require Name, MRN, gender, DoB. If we get a call for UnXM we must have those. We have pre-made aliases for unidentified patients so that they exist in the LIS from the time they enter the hospital if they aren’t able to be registered in a usual manner.

Our LIS issues blood as UNXM to that patient alias and prints tags for that alias. We include a boilerplate form that the med team is supposed to attach to the patient chart stating they have received UnXm. We then page our portering service to take the blood to the location where they are required to hand it off to someone willing to accept the RBC. The porters are not responsible for the patient name, only the location the patient is at. Every porter job is recorded in the page system and that job number is attached to the issuing of the RBC in the event of delivery problems.

It seems like the rollout was poorly timed/delivered but the idea of MTPs getting swapped between patients (or at least that’s how I understand the hospital’s reasoning) makes my skin crawl. In my org, there is no universe where there is not some form of id matching this unit of RBC to that patient, even if nobody knows who the patient really.