IH 1ST LE REVIEWER pt.2

(DOH->BRL-NFSR)

department of health through the bureau of research and laboratories in the office for health facilities standards and regulations

regulating agency

administrative order no.9 section 26

the operation and maintenance of all blood service facilities shall be non-profit

DOH philippine blood center, philippine national red cross

leads the Philippine blood services program at the national level

luzon, visayas, mindanao, national council for blood services

leads the Philippine blood services program at the regional/subnational level

national blood services act of 1994

RA 7719

RA 7719

national blood services act of 1994

(SARE)

blood safety

blood adequacy

rational blood use

efficiency of blood services

mission of RA 7719

(VN MUF)

fully voluntary blood donation system

nationally coordinated network of blood service facilities

quality management system

maximize utilization of blood

sustainable management and funding

goals of RA 7719

(DT HI NQ)

donor recruitment and screening

blood processing test and procedures

handling and disposal of blood

inventory and recording

networking and distribution

QA/QC

AO 9 s. 1995 section 38 created a set of standards governing the following

AO 2005-002

administrative order establishing the philippine national blood services

AO 2008-008

administrative order governing the regulation of blood service facilities

blood services facility

a unit, agency or institution providing blood products

blood station

a blood service facility duly authorized by the DOH, CHD pursuant to AO 101-A s. 2003

blood collection unit

a blood service facility duly authorized by the DOH, CHD pursuant to AO 101-A s. 2003 with the service capabilities of recruitment and retention of voluntary blood donors and others

aphresis facility

a blood service facility where blood collection procedure is on in which whole blood is removed, a selected component separated and the remainder returned to the donor

end-user hospital

a hospital with licensed clinical laboratory capable of red cell typing and cross-matching which does not have any blood service facility but only receives blood and blood components for blood transfusion as needed

red cell typing

cross-matching

service capability of end-user hospitals

blood services network

an informal organization composed of the designated blood centers and hospital blood banks, blood stations and end user hospitals established to provide for the blood needs of a specific geographical area

(CBSE)

blood centers

hospital blood banks

blood stations

end user hospital

organizations composing the blood services network

blood bank center

may either be hospital-based or non-hospital based and may be licensed as category a or b when it meets the minimum required service capabilities

(RES CP PIS)

recruitment of voluntary donors

education and counseling

donor screening and collection

blood collection

processing and testing

provision of whole blood and packed RBC

issuance, transport and distribution

storage of blood/blood products

non-hospital based-A (NHB-A) blood bank center service capabilities

(RES CP PI SP)

recruitment of voluntary donors

education and counseling

donor screening and collection

blood collection

processing and testing

provision of whole blood and packed RBC

issuance, transport and distribution

storage of blood/blood products

provision of blood products and components

non-hospital based-B (NHB-B) blood bank center service capabilities

(RES CP PI SC)

recruitment of voluntary donors

education and counseling

donor screening and collection

blood collection

processing and testing

provision of whole blood and packed RBC

issuance, transport and distribution

storage of blood/blood products

compatibility testing

hospital based-A (HB-A) blood bank center service capabilities

(RES CP PI SP TC)

recruitment of voluntary donors

education and counseling

donor screening and collection

blood collection

processing and testing

provision of whole blood and packed RBC

issuance, transport and distribution

storage of blood/blood products

provision of blood products and components

investigation of transfusion reactions

resolution of incompatible cross-matching results

hospital based-B (HB-B) blood bank center service capabilities

(RSEC)

recruitment of voluntary blood

screening of blood donors

education and counseling

collection and transport of blood

blood collection unit service capabilities

blood station

all other hospitals and Philippine national red cross (PNRC) chapters not classified as BB/C or blood collection unit may be allowed to store blood and blood products subject to regulation by the BRL

store blood and blood products

service capabilities of blood stations

AO 9 s.1995 section 28

RA 7719 IRR

Professional regulation commission

guidelines for personnel and minimum number requirements are established by

physician

head of blood bank center

-PRC registered

-6 months BB training in a BRL recognized institution

personnel requirements for head physician of NHB-A

-PRC registered

-6 months BB training in a BRL recognized institution

-BB certificate from philippine board of hematology and blood transfusion

personnel requirements for head physician of NHB-B

-PRC registered

-6 months BB training in a BRL recognized institution

personnel requirements for head physician of HB-A

-PRC registered

-clin/ana pathology license

-6 months BB training in a BRL recognized institution

-BB certificate from philippine board of hematology and blood transfusion

personnel requirements for head physicians of HB-B

NHB-B

laboratory and processing section is found only in what category of blood bank centers?

pathologist

-6 months BB training in a BRL and/or PBHBT recognized institution (not necessary if overall supervisor is BB-trained pathologist/hematologist)

NHB-B laboratory and processing section should be supervised by

-at least 1

-PRC registered

-1 year experience in a BRL-recognized BB institution

personnel requirements for RMT (for all blood bank center categories)

1 addtional medical technologist/laboratory technician

-PRC licensed

personnel requirements for RMT (for category A)

1 additional medical technologist/laboratory technician

personnel requirements for RMT (for category B)

quality management

activities of management function which determine quality policy

quality system

refers to the organizational structure, procedures, processes and resources to implement quality management

apheresis

procedures in which one blood component is taken out and the others are returned back to the patient

-prime the system top open the line and veins

-maintain fluid volume

purpose of NSS in component transfusion therapy

15-16G

needle gauge used in component transfusion therapy

1-6C (blood bank refrigerator)

packed RBC and whole blood are stored at what temperature

cryoprecipitate and fresh frozen plasma are stored at what temperature

-65C

RBC frozen in 40% glycerol should be stored at what temperature

-no discrepancies in ABO-RH typing

-absence of detectable antibodies in plasm

-non-reactive serological test for syphilis

-ALT value within established limits

importance of product labelling in blood banking

donor processing

testing required to determine suitability of blood product for transfusion

-ABO-RH typing

-antibody screen

-serological test syphilis

-ALT

-transfusion transmitted viruses (hepatitis and HIV)

donor investigation for donor processing consists of the following tests

-ABO-RH

-antibody screen

-crossmatching

-directly antiglobulin test (DAT)

-prenatal evaluation

in the main laboratory, the patient's sample is tested for

-patient sample testing

-issuance of blood products

-Rh issues prevention and treatment

-postpartum evaluation

-cord blood supplies

services provided by the main laboratory

patient care

primary mission of the main laboratory

-paternity exclusion testing

-discrepancy resolution

services provided by special/reference laboratories

ABO-Rh

antibody identification

positive direct antiglobulin test (DAT)

warm/cold autoantibodies

transfusion reaction

issues resolved by special/reference laboratories

2-10C

temperature of blood bank refrigerators

pull-out shelves

non-cylindrical blood bank refrigerator make use of what type of shelf

rotating shelves

cylindrical blood bank refrigerator make use of what type of shelf

-automatic closing door

-8 day temperature recording

-fan

-lamp

-alarm

blood bank refrigerators are equipped with the following features

household ref and freezer

to store reagents and blood units; for large quantities of serum samples

microscope

to visualize weakly (+) agglutination

37C

water bath temperature that mimics in vivo conditions

56C

water bath temperature for the inactivation of complements or other substances

Rh viewing box

for the visualization of reaction/agglutination during Rh typing

37C

optimal temp of Rh viewing box

rotator/agitator/mixer

facilitates mixing of serum-cell mixture

pasteur pipet

separates serum clots from blood

10x75

ideal test tube size

standard bench type

constant speed (sero-fuge)

microhematocrit centrifuge

refrigerated centrifuge

types of centrifuge

standard bench type

IDENTIFY THE CENTRIFUGE: separates serum, with adjustable speeds

constant speed (sero-fuge)

IDENTIFY THE CENTRIFUGE: serum-cell mixture

microhematocrit centrifuge

IDENTIFY THE CENTRIFUGE: centrifugation of capillary tubes

microhematocrit centrifuge

IDENTIFY THE CENTRIFUGE: for hematocrit determination

refrigerated centrifuge

IDENTIFY THE CENTRIFUGE: for fractonation, separation of preparation of blood components

bottle

IDENTIFY BLOOD CONTAINER: gravity method is used

bottle

IDENTIFY BLOOD CONTAINER: fragile and difficult to dispose