Table 2.

Process changes in blood sampling for grouping.

Before BCTMa	After BCTM
HISb terminal prints out order for blood typing at the station Ward clerk notifies nurse providing care Nurse confirms the order from medical chart and puts the standing orders into a box for blood sampling the next morning Evening shift nurse prepares tubes for blood typing and labels the tube with the preprinted IDc sticker at the station	HIS terminal prints out order for blood typing at the station Ward clerk notifies nurse providing care Nurse confirms the order from a mobile unit
Early morning shift nurse brings the prelabeled tubes and paper requisition forms to bedside Talks to the patient of the upcoming procedures Performs two-person verification of patient identification and order by reading out and repeating the necessary information on the patient’s ID and requisition forms Draws blood for typing and fills into the prelabeled tube Two nurses double sign the requisition form Wraps the filled prelabeled tube with the requisition form Returns wrapped tubes to station The ward clerk writes down the requisition number of all tubes on a list for sample tracking The porter signs the list and sends the samples to the blood bank	Early morning shift nurse moves to bedside with a phlebotomy cart Talks to the patient of the upcoming procedures Scans patient’s wristband for patient ID and verifies orders through the BCTM system Draws blood for typing and fills into the selected tube After the second staff verifies data through BCTM, a sticker containing necessary information and barcodes is printed out for on-site labeling Wraps the labeled tube with paper requisition form (discontinued after June 2013) Returns the labeled tube to the station The porter scans each sample’s barcode and sends the samples to the blood bank

^aBCTM: Bar Code based Transfusion Management.

^bHIS: hospital information system.

^cID: identification.