If two opponents are instructed to leave for blood/injury, the official is to get confirmation of time-outs for both teams or, if only one wants a time-out, he is to get a substitute before the opponent's time-out is administered.
But you are right; if not properly administered, I can see exactly what you have stated occurring regularly, "my guy is ready to go!"
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"There are no superstar calls. We don't root for certain teams. We don't cheat. But sometimes we just miss calls." - Joe Crawford
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