STANDARD OPERATION PROCEDURES FOR BLOOD BANKING

JOB DESCRIPTION OF BLOOD BANK STAFF

BTO

 To supervise & manage the activities of staff

 To maintain the quality & accuracy of blood bank service
 To check the medical fitness of donor
 To take consent for blood donation from the donor after briefing the donation procedure.
 To hold periodic training sessions of staff
 Member of hospital transfusion committee.

CHARGE NURSE

 To maintain stock and expense register

 To assist BTO in donor management (Consent , vitals, weight , age & medical fitness)

LAB TECHNICIAN

 Blood grouping, screening, cross-matching, bleeding of donor, blood collection and storage and
issue of blood after putting all required entries on the blood bag and cross matching report
 Maintenance of grouping, donor / recipient, blood stock, donor enrollment registers
 To ensure that all the lab equipments are in working condition and report to BTO if any repair of
equipment is required.
 Authorized to sign the cross matching reports

LAB ATTENDANT

 To clean and maintain the Lab

 To assist the Lab. Technicians

CLERK

 To do official correspondence and maintenance of staff record under BTO’ s supervision.

BEARERS

 To keep clean the office of BTO

  To assist the clerks

NAIB QASID

 To hold the keys of the office

 To disburse the DAK

RECORD MAINTENANCE

 Grouping register
 Donor / Recipient Register
 Blood Stock Register
 Donor Enrollment Register
 Expense Register
 Stock Register

PROCEDURE

Fitness criteria for blood donor are as under.

 Age b/w 18-45 year.
 Weight not less than 50 Kg
 HB not less than 11 mg / dl
 Donor ‘s consent
 Grouping
 Screening ( HIV, HBS, HCV, Malaria Syphilis)
 Cross-matching with Recipient
 Bleeding of donor should be completed within (8) minutes after vain-puncture
 Only one blood bag can be taken at a time from one donor.
 Putting all the entries in cross-matching report and blood bag
 Storage of blood in blood storage cabinet.
 Temperature of blood storage cabinet must be maintained at 2 to 6 degree centigrade.
 No un-authorized person is allowed to operate the cabinet except Lab. The lock and keys of
storage cabinet will be held in the custody of Lab. Tech.
 A blood bank provides services round the clock, 7 days a week.
  Used blood bags and risky waste will be disposed in red basket labeled for risky waste.
 CMOs on evening and night duties will check the attendance of blood bank staff on their
respective duties and will inform BTO in case of any irregularity.
 In case of any demand for purchase or repair of logistics for blood bank BTO will report to
Senior BTO , copy thereof to EDO (H) & MS, Civil Hospital, Multan
 The BTO & all his allied supporting staff will strictly follow the medical ethics and will call or
name the patient with respect without hurting the ego of the patient.

GUIDELINES FOR INDOOR/WARD STAFF

 For elective cases, sample should be sent before (24) hours for transfusion
 Sample should be labeled with name & Reg. number of recipient
 Sample volume should not be less than (3) ml
 Blood requisition slip must be filled In properly (Two in number) signed and stamped by the duty
Medical Officer
 It should be mentioned on requisition slip whether the blood is to be deposited or issued.
 Deposited blood cannot be claimed after (7) days
 The indoor staff member collecting the blood from blood bank should check and match the
entries on blood bag and C/M report.
 Only one unit of blood should be removed from bank at a time.
 A unit of blood should not be left out of refrigerator or blood box for more than 30 min.
 Platelet concentrates should be kept at room temp.all the time
 FFP. Should be transfused as soon as possible after thawing by blood lab.(with in 4 hours)
 If there is no blood refrigerator, blood can be stored in a blood box with cool packs only for
max.4 hours.
 If not transfused..Blood should be returned to blood bank with in 30 min. and should never be
stored in domestic type refrigerator.
 No transfusion without .informed concent,confirming recipient identity, matching entries on
chart, blood bag and C/M report..
 Check the followings before blood transfusion

 * Integrity of blood bag
 * Haemolysis
 * Large clots
 * Turbidity Or discoloration
  No medications should be added to blood bag or administered through same cannula .
 Attach C/M report to chat.
 Put transfusion notes at start, 15 min later then hourly till completion of transfusion.
 Transfusion should be completed within 4 hours.
 Empty bags must be returned back to blood bank staff.
 Any transfusion reaction must be reported to blood bank.
 In case of any untoward event. THE HOSPITAL TRANSFUSION COMETEE will take necessary
corrective and preventive actions.

HOPITAL TRANSFUSION COMMITTEE

 HTC is a multi disciplinary team created to over-see and promote best transfusion practices
within the hospital.
 Objectives are to improve the safety, enhancing education, developing and monitoring polices
regarding safe blood transfusion
 HTC meeting will be held after 2 months.

STRUCTURE OF HTC

 Representative of hospital management (M.S / DMS)

 Blood Transfusion Officer
 Representative of medical and surgical staff
 Representative of Nursing Staff
 Representative of Blood Donors Association