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Blood Bank: Structure, Process & Outcome

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Blood Bank: Structure, Process & Outcome

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This presentation will provide you about the detailed structure, process and outcome of bloodbank in atertiary care hospital in terms of Quality management.

This presentation will provide you about the detailed structure, process and outcome of bloodbank in atertiary care hospital in terms of Quality management.

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Blood Bank: Structure, Process & Outcome

  1. 1. BY: Mr. Keyur Vaishnav Dr. Asma Qureshi
  2. 2. 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
  3. 3. BLOOD BANK (SPO MODEL) Structure Of Blood bank Processes In Blood bank Donor/ Recipient Outcomes
  4. 4. 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.
  5. 5.  Levels Of Blood bank: Category I Category II Category III 3-7 units of blood/ Hospital bed / Year. Ex: District Hospital blood banks 8-15 units of blood/ Hospital bed / Year. Ex: Medical college Hospital blood banks 16 units of blood/ Hospital bed / Year. Ex: Superspecialty Hospitals
  6. 6. PHYSICAL FACILITIES & SPACE Donor Recruitment Office Bleeding Complex Therapeutic Area Laboratories Administratio n Area Teaching &Training Facilities
  7. 7. PHYSICAL FACILITIES & SPACE Bleeding Complex Reception Room Examination Room Bleeding Room Aphaeresis Room Rest Room Kitchen/ Pantry Daycare Room Therapeutic Area: consists of facilities required for transfusion of Blood & Blood Components .. Laboratories: Two types: For processing donor’s blood Blood component laboratory
  8. 8. HIV Malaria Syphilis HBV Hepatitis C BLOOD COMPONENT LABS: √Fresh Frozen Plasma √Cryoprecipi tate √Platelets √Packed RBCs √Leucocytes √Relevant coagulation work Freeze dried and heated coagulation factors Plasma Fraction Blood grouping Antibody Screening Labelling Storing
  9. 9. OTHER FACILITIES:  Water Supply  Electricity Suppy  Sewage Disposal System  Storage System  Steam  Supply of Distilled Water  High Pressure Air Vacuum  Intercom System  Mobile Van
  10. 10. SPACE REQUIREMENTS:  Category I:  About 248 sq.meter  Category II:  About 460 sq.meter  Category III:  About 895 sq.meter
  11. 11. Staff Blood Bank Categories I II III Bleeding Complex Jr. Doctor Nurses SocialWorker Lab Attendent 1 1-2 2 2 3 4 1 2 3 1 1 2 Laboratory Technical Supervisor Technical Assistant LaboratoryTechnician Laboratory Assistant Lab Attendents - 1-2 4 2 4 8 4 11 13 1 2 4 2 4 5 Service Staff Clerks/ typist Store Keeper Safaiwala Part time 1 2 Part time 1 2 Part time 1 2 Service Staff Medical Director - 1 1
  12. 12. Medical Director Dy. Medical Director Chief BTO & In-charge HOD BTO Tech .Supervisor Quality Manager Clerks PRONursesTechnician Asst. Technician Attendants MPW
  13. 13. EQUIPMENTS:  For Routine Work:  Refrigerator  Centrifugal machine  Water Bath  Incubators  Hot Air Oven  Microscope  BP Appratus  PH Meter  VDRL Agitator  Weighing Machine  Distillation Plant  Additional Equipments:  Dielectric Sealer  Plasma Separation Stand  Magnetic Stirrer  Laminer Flow  Vortex Mixer  Screening Equipments:  ELISA System with washer, incubator & reader kits for HIV/ HBV/ HCV/ VDRL Tests  Apheresis system
  14. 14. QUALITY MANAGEMENT QUALITY IN PROCREMENT (Donor ,Matrl Reagent) QUALITY PREPARATION (COMPONENETS) QUALITY IN DESIGN & DEVP (Improved Techniques, procedures) QUALITY IN SUPPLY (Storage, Transport) COMPONENTS OF QUALITY
  15. 15. 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
  16. 16. QUALITY IMPROVEMENT:3PS PRODUCT IMPROVEMENT • Quality of Blood bags • Sterile procedures for collection • Component separation • Record keeping, documents PEOPLE IMPROVEMENT • Leadership & Motivation • Training • Awards & Recognition • CME • Staff Empowerment PROCESS IMPROVMENT • Improve collection technique • Donor Comfort • Donor Refreshment • Internal & External QC
  17. 17. BLOOD BANK Structure Process Outcome • 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 mgt • Risk assessment • Implementation of TTI prevention protocols • Donor screening •Donor recruitment •Retention management •Donor Counseling • Communication, teamwork, decision making •Harvesting process control •Storage and cold chain maintenance •Documentation • Reduced morbidity and mortality of patients •Transfusion transmissible infection rate • Occupational safety • License renewal • Patient Satisfaction
  18. 18. 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
  19. 19. 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
  20. 20. OUTCOMES •Reduced morbidity and mortality of patients •Transfusion transmissible infection rate(TTI) • Occupational safety • License renewal • Patient Satisfaction
  21. 21. 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
  22. 22.  Right product Right strength Free of contamination Not deteriorated  In the right container Correctly labeled Properly sealed  Consistent QUALITY = FITNESS FOR PURPOSE
  23. 23. 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

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