1. AUDIT OF BLOOD BANK, JPNATC JANUARY
2013 – DECEMBER 2013
Dr S Arulselvi, Dr Sulekha Karjee, Dr Vedanand Arya

2. DONATIONS
Replacement
Donors
Voluntary donors Total donors
2010 7922 1045 8967
2011 7848 1339 9135
2012 7834 2079 9913
2013 7038 1768 8810
0
2000
4000
6000
8000
10000
12000

3. REPLACEMENT DONATION
OPD
Cas
ualty
TC1 TC2 TC3 TC4 TC 5 TC 6 TC 7
Auto
log.
Ther
ap.
2011 205 189 106 1550 2623 842 710 1047 1234 0 0
2012 140 97 468 1527 2714 1003 496 1224 1277 5 2
2013 48 97 481 1777 2322 819 482 991 1165 1 0
0
500
1000
1500
2000
2500
3000

4. COMPONENTS
PRBC FFP Platelets Cryo
2011 9135 8604 8152 399
2012 9912 9391 7892 463
2013 8810 7678 6925 865
0
2000
4000
6000
8000
10000
12000
Component preparation since 2011 to 2013

5. TTI LAB
HIV HBsAg HCV Syphilis Malaria
No of tests done 9103 9189 9106 9364 8842
Positive donors 19 172 66 26 3
9103 9189 9106 9364
8842
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000

6. DONOR COUNSELING
 Counseling of blood donors tested positive for the
TTI was started in June 2009
 296 blood donors who had donated in JPNATC
blood bank in 2013, were called for counseling out
of which 63 donors reported and were counseled
for their respective infectious state
 After a repeat test of these donors they are referred
to the
 ICTC (Integrated Counselling and Testing
Centre)
 Gastroenterology
 Skin and VD

7. CROSS-MATCH TRANSFUSION RATIO
1685
1864
2250
2048
2184
2013
2262
2663 2607 2562
2330
2209
647 686 765 715 749
629 696
818 855 868 819
656
0
500
1000
1500
2000
2500
3000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
RBC units cross-matched - units issued

8. CROSS-MATCH:TRANSFUSION (C:T) RATIO
 ratio of the number of blood units that are cross-matched for
patients to the number of blood units that are actually issued.
For the year 2011 the C:T ratio was 1:2.5 which increased to
1:2.6 in 2012 and 1:2.9 in 2013
 Any blood unit cross-matched for a patient is kept reserved for
that particular patient for 24 hrs or till the time information is
not given to the blood bank that the blood unit is no more
required for the patient
 A high C:T ratio indicates that more blood units are
unnecessarily being blocked and lesser free blood units would
be available for use
01:02.2
01:02.6
01:03.1
2011 2012 2013
C:T RATIO
C:T RATIO

9. SALINE CROSSMATCH (TOTAL=3640)
3162
340
93 43
0
500
1000
1500
2000
2500
3000
3500
<15 min 15-20 min 20-30min 30-60 min

10. FULL CROSS MATCH (TOTAL=22738)
1465 1689
19584
0
5000
10000
15000
20000
25000
<45 min 45-60 min >60 min

11. REASONS FOR DELAY
 Delay/ non receipt of requesting cross-matched
component
 Wrong sample, labelling errors, incorrectly filled
requisition forms
 Delay in obtaining consent for saline cross-match,
alternate blood group
 Forward-reverse blood group discrepancies in
sample

12. ALTERNATE BLOOD GROUP ISSUED
MONTH NO. OF PATIENTS NO. OF PRBC ISSUED BLOOD GROUP
JAN 1 1 A pos --- A neg
FEB 8 24 O neg --- O pos
AB pos --- B pos
AB neg --- B neg
B pos --- B neg
MAR 2 3 (2 RB) A pos --- O pos (RB)
A pos --- A neg
MAY 1 4 O neg --- O pos
JUN 4 14 AB pos --- A pos
AB pos --- B pos
JUL 2 6 A neg --- O neg
B neg --- B pos
AUG 2 4 AB neg --- B neg
SEP 7 17 B neg --- O neg
AB neg --- A neg
B neg --- B pos
OCT 2 5 B neg --- B pos
B neg --- O neg
NOV 3 5 B neg --- O neg
A pos --- A neg
DEC 1 4 A neg --- O neg
TOTAL 33 87 (2 RB) Mostly Rh Neg patients

13. MASSIVE BLOOD TRANSFUSIONS
MONTH NO, OF PATIENTS TOTAL NO. OF PRBC ISSUED
JAN 2 46
FEB 3 71
MAR 7 119
APR 8 132
MAY 3 95
JUN 4 60
JUL 6 90
AUG 8 150
SEP 7 112
OCT 7 91
NOV 6 126
DEC 1 22
T0TAL 62 1114

14. PLATELETS AND FFP ISSUED
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Platelets issued 181 416 542 493 599 417 440 451 544 657 549 320
FFP issued 459 544 538 399 455 401 403 523 480 668 593 401
0
100
200
300
400
500
600
700
800

15. BLOOD BANK MANUAL
 Indications, dosage and
adequate use of blood
components
 How to send samples and
requisition forms to blood bank
 What to do in case of
transfusion reactions
 Choices of alternate blood
groups
 Maximum blood ordering
schedule
 TEG use

16. BLOOD ORDERING SCHEDULE : NEUROSURGERY
TYPE OF SURGERY NO OF RED CELLS
UNITS REQUIRED
Surgical Blood
Ordering
schedule
Decompressive craniectomy 9.68 10
Trephine & EDH evacuation 9.6 10
Burr hole 0.07 1
Cervical corpectomy & plating 3.98 4
cervical discetomy & plating 0.46 1
Laminoplasty 1.85 2
Thoracolumbar corpectomy & instrumentation 7.97 8
Percutaneous instrumentation 0.37 1
Cranioplasty 1.23 1
VP shunt 0.38 1
Brachial plexus repair 1.16 1

17. BLOOD ORDERING SCHEDULE :SURGERY
TYPE OF SURGERY NO OF RED CELLS UNITS
REQUIRED
Surgical Blood Ordering
schedule
Laprotomy 9.91 10
Plastic Surgery 2.95 3
Vascular Injuries 3.11 3
Amputations 5.87 6
Extremity Soft tissue Injuries 5.36 5
Thorocotomy 5.94 6
Miscellaneous 6.68 7

18. BLOOD ORDERING SCHEDULE :ORTHOPEDICS
TYPE OF SURGERY NO OF RED CELLS UNITS REQUIRED
Plating 0.72
Interlocking nailing 0.197
DCS (plating) 1.31
DHS (plating) 0.89
External fixation 0.2
Prosthesis 1.12
Decompression and plating 1.1-1.5
K wire fixation 0
Tension band wiring 0.55-0.75
Enders nail 0.41
Amputation 0.28
Total hip replacement 0.9
Disc removal 0.6

19. THANK YOU

20. BLOOD COMPONENTS ISSUED TO OTHER HOSPITAL
BLOOD BANKS IN 2013
0
10
20
30
40
50
60
70
80
90
100
Jan Feb Mar Apr Ma
y
Jun Jul Au
g
Se
p
Oct No
v
De
c
PRBC 18 11 1 2 39 0 7 13 4 7 0 1
FFP 0 0 0 0 0 0 35 100 100 20 0 100
Platelets 10 0 0 0 0 0 8 0 38 62 10 0
AxisTitle
Issued to other hospital blood banks

21. BLOOD AND COMPONENTS ISSUED TO OTHER
HOSPITAL BLOOD BANKS
 Since we are a 100% component separation unit,
sometimes stock of few components are more than
adequate
 To avoid the wastage of these blood components,
these are issued to the other government hospital
blood banks so that they can be used for the needy
patients admitted in those hospitals
 250 units of PRBCs, 375 units of FFPs and 584
units of platelets issued to other blood banks.

22. THANK YOU