BY:

Mr. Keyur Vaishnav

Dr. Asma Qureshi
 PREVIEW
 Blood is the very life line for every human being, was used as a tonic
by Indian doctors for weak.
 Globally, blood transfusion contributes to saving millions of lives
every year, improves life expectancy and the quality of life of patients
suffering from life-threatening conditions
 WHO developed a global strategy on blood safety to reduce the
burden of diseases due to unsafe blood transfusion
 National Blood Policy came in existence on the directives of
Supreme Court of India - 1996.
 National Blood Transfusion Council (NBTC) as policy formulating
apex body in BT with SBTC,NACO in support of National Blood
programme
 BLOOD BANK
(SPO MODEL)

Structure Donor/ Recipient

Of Blood bank Outcomes

Processes
In Blood bank
QUALITY OF STRUCTURE
 Location:
 Ideally should be located on the ground floor.
 Direct access from the Main Entrance.
 Easy Visibility.
 In close proximity with Emergency Department, O.T
Complex, Hospital’s clinical service departments.
 Levels Of Blood bank:

Category I Category II Category III

3-7 units of 8-15 units of 16 units of blood/

blood/ Hospital blood/ Hospital Hospital bed /
bed / Year. bed / Year. Year.

Ex: District Ex: Medical Ex:

Hospital blood college Hospital Superspecialty
banks blood banks Hospitals
PHYSICAL FACILITIES & SPACE

Donor
Bleeding
Recruitment
Complex
Office

Therapeutic
Laboratories
Area

Administratio Teaching
n &Training
Area Facilities
PHYSICAL FACILITIES & SPACE

Bleeding
Therapeutic Area:
Complex consists of facilities required for
Reception Room transfusion of Blood & Blood
Examination Room Components ..
Bleeding Room
Aphaeresis Room
Laboratories:
Rest Room Two types:
Kitchen/ Pantry For processing donor’s blood
Daycare Room Blood component laboratory
BLOOD COMPONENT LABS:
Blood
√Fresh grouping
Frozen Antibody
Plasma Screening
√Cryoprecipi Freeze Labelling
tate dried and Storing
√Platelets heated
√Packed coagulation
RBCs factors
HIV
√Leucocytes
Plasma Malaria
√Relevant
Fraction Syphilis
coagulation
HBV
work
Hepatitis C
OTHER FACILITIES:
 Water Supply
 Electricity Suppy

 Sewage Disposal System

 Storage System

 Steam

 Supply of Distilled Water

 High Pressure Air Vacuum

 Intercom System

 Mobile Van
SPACE REQUIREMENTS:
 Category I:
 About 248 sq.meter

 Category II:
 About 460 sq.meter

 Category III:
 About 895 sq.meter
 Staff Blood Bank Categories
I II III
Bleeding Complex
Jr. Doctor 1 1-2 2
Nurses 2 3 4
Social Worker 1 2 3
Lab Attendent 1 1 2
Laboratory
Technical Supervisor - 1-2 4
Technical Assistant 2 4 8
Laboratory Technician 4 11 13
Laboratory Assistant 1 2 4
Lab Attendents 2 4 5

Service Staff
Clerks/ typist Part time 1 2
Store Keeper Part time 1 2
Safaiwala Part time 1 2

Service Staff
Medical Director - 1 1
 Medical Director

Dy. Medical Director

HOD

Chief BTO & In-charge

BTO Tech .Supervisor Quality Manager

Technician Clerks Nurses PRO

Asst.
Attendants MPW
Technician
  Additional
EQUIPMENTS:
 For Routine Work:
 Refrigerator
 Centrifugal machine
 Water Bath
 Incubators
 Hot Air Oven
 Microscope
 BP Appratus
 Screening
 PH Meter
 VDRL Agitator
 Weighing Machine
 Distillation Plant
Equipments:
 Dielectric Sealer
 Plasma Separation
Stand
 Magnetic Stirrer
 Laminer Flow
 Vortex Mixer
Equipments:
 ELISA System with
washer, incubator &
reader kits for HIV/
HBV/ HCV/ VDRL
Tests
 Apheresis system
 COMPONENTS OF QUALITY
QUALITY IN
PROCREMENT
(Donor ,Matrl
Reagent)

QUALITY
IN SUPPLY QUALITY QUALITY
PREPARATION
(Storage, MANAGEMENT (COMPONENETS)
Transport)

QUALITY IN
DESIGN & DEVP
(Improved
Techniques,
procedures)
 BENEFITS

Benefits of Quality
„Reduces variation in processes
Reduces rework
Prevents problems from occurring
Reduces costs due to mistakes and errors
Improves what is done through the use of various
measuring tools „
Provides consistent and effective products
 QUALITY IMPROVEMENT:3PS

PRODUCT PEOPLE PROCESS

IMPROVEMENT IMPROVEMENT IMPROVMENT

• Quality of • Leadership & • Improve

Blood bags Motivation collection
• Sterile • Training technique
procedures for • Awards & • Donor Comfort
collection Recognition • Donor
• Component • CME Refreshment
separation • Staff • Internal &
• Record Empowerment External QC
keeping,
documents
 BLOOD BANK

Structure Process Outcome

• Risk assessment
• Size • Implementation of TTI • Reduced morbidity
•Infrastructure facilities prevention protocols and mortality of
• Payer mix • Donor screening patients
•HoD/Quality manager •Donor recruitment •Transfusion
• Practice environment •Retention transmissible infection
(e.g., autonomy) management rate
• Staff mix •Donor Counseling • Occupational safety
• Education • Communication, • License renewal
• Specialty Certification teamwork, decision • Patient Satisfaction
• Other credentials making
• Turnover •Harvesting process
•Donation camps control
•Biomedical waste mgt •Storage and cold
chain maintenance
•Documentation
 STRUCTURE
•Size
•Infrastructure facilities
• Payer mix
• HoD/Quality manager
• Practice environment (e.g., autonomy)
• Staff mix
• Education
• Specialty Certification
• Other credentials
• Turnover
•Donation camps
•Biomedical waste mg
 PROCESS
•Risk assessment
• Implementation of TTI prevention
protocols(NAT,ELISA)
• Donor screening
•Donor recruitment
•Retention management
•Donor Counseling
• Communication, teamwork, decision making
•Harvesting process control
•Storage and cold chain maintenance
•Documentation
 OUTCOMES

•Reduced morbidity and mortality of

patients
•Transfusion transmissible infection
rate(TTI)
• Occupational safety
• License renewal
• Patient Satisfaction
 QUALITY
Quality is about consistently producing products that are fit for
their purpose „
Safe
 Free from infection risk
 Free from other contamination
 Correctly labeled
 “In date”
„Effective
 Contain required bioactive substances
Give clinical benefit
QUALITY = FITNESS FOR PURPOSE

 Right product

Right strength

Free of contamination

Not deteriorated

 In the right container

Correctly labeled

Properly sealed

 Consistent
REFERENCES:
 Hospital Administration by DC Joshi & Mamta
Joshi
 http://nacoonline.org/Quick_links/Publications/B
lood Safety Lab Services/Operational Technical
Guidelines & Policies/ Standards for Blood
bank.
 http://www.who.int/bloodsafety/tranfusion_servi
ces/en.
 http://en.wikipedia.org/wiki/Bloodbank
 Current concept of blood bank organisation and
planning:A Review Int. J. Curr. Res. Biol. Med.
(2016). 1(7): 19-26 ISSN: 2455-944X