unit 3: republic act 7719

national voluntary blood services act

National Voluntary Blood Services Act

Republic Act 7719

Philippine National Red Cross

* now **Philippine Red Cross** (RA 10072)

PNRC

Philippine Blood Coordinating Council

PBCC

Philippine Blood Center

PBC

blood could be preserved and stored in Blood Banks

advent of **anticoagulants**

National Blood Program

launched on July 17, 1948

President E. Quirino

**PNRC National Blood Program:**

first Blood Donor

To maintain a **constant and ready supply** of whole blood or plasma at least for emergency cases.

**PNRC National Blood Program:**

The original objective of the NBP

Blood Bank Law

Republic Act 1517

inability of the PNRC National Blood Program (NBP) and hospital blood banks to cope with the growing demand

**Blood Bank Law:**

Why were commercial blood banks established

second week of July

**Blood Bank Law:**

Blood Donor’s Week

June 16, 1956

**Blood Bank Law:**

Approval date

**Safeguarding and promoting public health and welfare** by preventing improper collection, processing and sale of human blood or its product to the public.

**Blood Bank Law:**

Purpose

May 5, 1994

**Blood Bank Law:**

RA 1517 was repealed by RA 7719 on ___

Rules and Regulations **Implementing Republic Act No. 7719**

**Blood Bank Law:** *Implementing Guidelines*

AO No. **9**, Series of **1995**

Requirements and Procedure for a License to **Operate a Blood Bank/Blood Center** in the Philippines

**Blood Bank Law:** *Implementing Guidelines*

AO No. **17-A**, Series of **1998**

RULES AND REGULATIONS FOR THE ESTABLISHMENT OF THE PHILIPPINE NATIONAL BLOOD SERVICES **AMENDING** AO. NO. 9s of 1995

**Blood Bank Law:** *Implementing Guidelines*

AO No. **2005-0002**

Rules and Regulations **Governing the Regulation of Blood Service Facilities** dated May 2, 2008

**Blood Bank Law:** *Implementing Guidelines*

AO No. **2008-0008**

* To promote **voluntary** blood donation
* To provide **safe, adequate, affordable and equitable** blood products
* To inform the public
* To require all blood banks/centers to operate on a **non-profit basis**

**National Blood Services Act:**

Purpose

Committee on NBSP

**National Blood Services Act:**

initiated the bill

Sen. R. Saguisag

**National Blood Services Act:**

filed in **1989** by ___

National Blood Services Act of 1994

**Section 1**. *Title*

humanitarian act

**Section 2**. *Declaration of Policy*

* to **promote and encourage voluntary blood donation** by the citizenry and to instill public consciousness of the principle that blood donation is a ___

professional medical service

**Section 2**. *Declaration of Policy*

* to lay down the legal principle that the provision of blood for transfusion is a ___ and **not a sale of a commodity**

curb the hazards

**Section 2**. *Declaration of Policy*

* to inform the public of the **need** for voluntary blood donation to ___ __caused by the commercial sale of blood__

benefits and rationale

**Section 2**. *Declaration of Policy*

* to teach the ___ of voluntary blood donation in the existing health subjects of the formal **education system**

National Blood Transfusion Service Network

**Section 2**. *Declaration of Policy*

* to mandate the **Department of Health** to establish and organize a ___ in order to rationalize and improve the provision of adequate and safe supply of blood

reimbursement

**Section 2**. *Declaration of Policy*

* to provide for **adequate assistance** to institutions promoting voluntary blood donation and providing **nonprofit** blood services, either through a system of ___ for costs from patients who can afford to pay, or donations from governmental and nongovernmental entities

non-profit basis

**Section 2**. *Declaration of Policy*

* to require all blood collection units and blood banks/centers to operate on a ___

scientific and professional

**Section 2**. *Declaration of Policy*

* to establish ___ **standards** for the operation of blood collection units and blood banks/centers in the Philippines

upgrading

**Section 2**. *Declaration of Policy*

* to require ___ of blood banks/centers to include preventive services and education to control spread of blood transfusion transmissible diseases

Blood/Blood Product

**Section 3**. *Definitions*

* Refers to **human blood**, processed or unprocessed and includes __blood components, its products and derivatives__

Blood Bank (BB)/Blood Center

**Section 3**. *Definitions*

* A laboratory or institution with the capability to **recruit and screen blood donors, collect, process, store, transport and issue blood** for transfusion and provide information and/or education on blood transfusion transmissible diseases

Commercial Blood Bank

**Section 3**. *Definitions*

* A blood bank that **exists for profit, money or any material gain** earned out of sale of, or exchange for, blood or blood products which profit, money or any material **gain are not used solely for the operation and maintenance** of the blood bank service

Hospital-Based Blood Bank

**Section 3**. *Definitions*

* A blood bank which is **located within the premises of a hospital** and which can perform **compatibility testing** of blood

Blood Collection Unit (BCU)

**Section 3**. *Definitions*

* An institution or facility duly authorized by the Department of Health to **recruit and screen donors and collect blood**

**Voluntary** blood donor

**Section 3**. *Definitions -* __*Blood Donors*__

* one who donates blood on **one's own volition or initiative and without monetary compensation.**

**Paid** donor

**Section 3**. *Definitions -* __*Blood Donors*__

* those who are paid to donate blood

**18-19 gauge** needle

**Section 3**. *Definitions -* __*Blood Donors*__

* used in blood donation to **avoid the hemolysis of blood**

**Replacement** donor

**Section 3**. *Definitions -* __*Blood Donors*__

* one who gives blood when it is **required by a member of his/her family or community**

the Department of Health

**Section 3**. *Definitions*

* Department

**Blood transfusion transmissible diseases**

* AIDS
* Hepatitis-**B**
* Malaria
* Syphilis

**Section 3**. *Definitions*

* **diseases** which may be transmitted **as a result of blood transfusion**

* **Antibody to HIV**, subtypes 1 & 2
* Hepatitis B **Surface Antigen**
* Antibody to Hepatitis **C**
* **Serologic Test** for Syphilis (RPR/VDRL)
* Malaria

**Section 3**. *Definitions*

* 5 Core Test (WHO)

Secretary of Health

**Section 3**. *Definitions*

* responsibility of **carrying out the provisions** of this Act

**Walking** Blood Donor

**Section 3**. *Definitions*

* Section 4, paragraph (e), who is **ready to donate blood when needed** in his/her community.

21 days

**Section 3**. *Definitions -* __*Anti-coagulant*__

* Acid-citrate-dextrose
* Citrate-phosphate- dextrose

35 days

**Section 3**. *Definitions -* __*Anti-coagulant*__

* CP2D
* CPDA1

42 days

**Section 3**. *Definitions -* __*Anti-coagulant*__

* CPDA2

2 days

**Section 3**. *Definitions -* __*Anti-coagulant*__

* Heparin

Blood Service Facility

**Section 3**. *Definitions*

* Any unit, office, institution **providing any of the blood transfusion services**, which can be a Blood Bank, Blood Center, a Blood Collection Unit or a Blood Station

Policies and Guidelines for the Philippine National Blood Services and Blood Services Networks

**Section 3**. *Definitions -* __*Blood Service Facility*__

* Administrative Order No. **2010-0001**

Blood Station (BS)

**Section 3**. *Definitions*

* A government or private hospital or PNRC chapter which has **not been licensed** as a blood center but **has been authorize by the DOH to store and issue blood and blood product, and perform compatibility testing, when necessary**

Apheresis Facility

**Section 3**. *Definitions*

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

End-User Hospital (EU)

**Section 3**. *Definitions*

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

End-User Non-Hospital Health Facility

**Section 3**. *Definitions*

* A licensed/accredited **non-hospital health facility** without a licensed clinical laboratory but which **administers blood transfusion**

* Public Education
* Promotion in Schools
* Professional Education
* Establishment of Blood Services Network
* Walking Blood Donors

**Section 4**. *Promotion of Voluntary Blood Donation*

National Voluntary Blood Services Program (NVBSP)

**Section 5**.

The DOH, in cooperation with the **PNRC and PBCC**, to meet in an evolutionary manner, the **needs for blood transfusion** in all regions of the country.

budgetary allocation of the DOH

**Section 5**. *National Voluntary Blood Services Program (NVBSP) -* __*Funds*__

* Government

P25,000,000

**Section 5**. *National Voluntary Blood Services Program (NVBSP) -* __*Funds*__

* Philippine Charity Sweepstakes Office (PCSO) 
* Philippine Amusement and Gaming Corporation (PAGCOR)

P20,000,000

**Section 5**. *National Voluntary Blood Services Program (NVBSP) -* __*Funds*__

* Duty Free Philippines

Blood Services Network

**Section 5**. *National Voluntary Blood Services Program (NVBSP)*

* 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**

preventive health services

**Section 6**. *Upgrading of Services & Facilities*

* All blood banks/ centers shall provide ___ such as education and counselling on blood transfusion transmissible diseases.

establish voluntary blood donation programs

**Section 6**. *Upgrading of Services & Facilities*

* All government hospitals, including those that have been devolved, and private hospitals shall be encouraged to ___

* rational use of blood and blood products

**Section 6**. *Upgrading of Services & Facilities*

* **The Department, in consultation with the PSHBT and the PSP**, shall also establish guidelines for the ___

Philippine Society of Hematology and Blood Transfusion

PSHBT

Philippine Society of Pathologists

PSP

two (2) years

**Section 7**. *Phase-Out of Commercial BB*

* All commercial blood banks shall be phased-out over a period of ___ after the effectivity of this Act, extendable to a maximum period of two (2) years by the Secretary

collect **service fees** not greater than the maximum prescribed

**Section 8**. *Non-Profit Operation*

* All blood banks/centers shall operate on a nonprofit basis: Provided, That they may ___ by the DOH which shall be **limited to the necessary expenses** entailed in collecting and processing of blood.

it is registered and issued a license to operate by the Department

**Section 9**. *Non-Profit Operation*

* It shall be **unlawful for any person to establish and operate a blood bank/center** unless ___

under the **responsibility of the attending physician** shall be **allowed** in hospitals __without such license__

**Section 9**. *Non-Profit Operation*

* in case of emergencies

unless it **complies with the standards** prescribed by the Department

**Section 9**. *Non-Profit Operation*

* **No license shall be granted or renewed** by the Department for the establishment and operation of a blood bank/ center ___

licensed and qualified **physician**

**Section 9**. *Non-Profit Operation*

* Such blood bank/center shall be under the management of a *___* duly authorized by the Department

Importation of BB Equipment, Blood Bags, & Reagents

**Section 10**

sixty (60) days

**Section 11.** *Rules & Regulations*

* The implementation of the provisions of this Act shall be in accordance with the rules and regulations to be promulgated by the Secretary, within ___ from the approval hereof.

maximum ceiling for fees

**Section 11.** *Rules & Regulations*

* The rules and regulations shall prescribe from time to time the ___ for the provision of blood

reasonable allowance

**Section 11.** *Rules & Regulations*

* spoilage

Upon complaint of any person and after due notice and hearing, any blood bank/center which shall collect charges and fees greater than the maximum prescribed by the Department shall have its license suspended or revoked by the Secretar

**Section 12.** *Penalties*

* imprisonment of not less than one **(1) month nor more than six (6) months**, or
* fine of not less than **Five thousand pesos (P5,000) nor more than Fifty thousand pesos (P50,000)**

**Section 12.** *Penalties*

* Any person or persons who shall be responsible for the above violation

* imprisonment of not less than **twelve (12) years and one (1) day nor more than twenty (20) years**
* fine of not less than **Fifty thousand pesos (P50,000) nor more than Five hundred thousand pesos (P500,000)**

**Section 12.** *Penalties*

* Any person who shall establish and operate a blood bank **without securing any license** to operate from the Department or who **fails to comply with the standards**

The Secretary

**Section 12.** *Penalties*

* may impose **administrative sanctions**

imprisoned for **ten (10) years**

**Section 12.** *Penalties*

* The head of the blood bank and the necessary trained personnel under the head’s direct supervision found responsible for dispensing, transfusing and failing to dispose, within forty-eight (48) hours, blood which have been proven **contaminated with blood transfusion transmissible diseases**

Separability Clause

**Section 13.**

If any provision of this Act is declared **invalid**, the other provisions hereof not affected thereby shall remain in force and effect

Repealing Clause

**Section 14.**

This Act **shall supersede Republic Act No. 1517** entitled “Blood Bank Act.” The provisions of any law, executive order, presidential decree or other issuances **inconsistent** with this Act are hereby repealed or modified accordingly.

fifteen (15) days

**Section 15.** Effectivity Clause

This Act shall take effect after ___ following its publication in the Official Gazette or in two (2) national newspapers of general circulation.

Edgardo J. Angara

President of Senate

Jose de Venecia Jr.

Speaker of the House of Representatives

Edgardo E. Tumangan

Secretary of the Senate

Camilo L. Sabio

Secretary General House of Representatives

Fidel V. Ramos

President of the Philippines

Government

**Classification of BSF:** *Ownership*

operated and maintained partially or wholly by a national, provincial, city or municipal government or other political unit by any department, division, board or agency thereof or by a government owned or controlled operation

Private (hospital-based)

**Classification of BSF:** *Ownership*

privately owned, established and operated with funds through donation, capital or other means by an individual, corporation, association or organization

Hospital-based

**Classification of BSF:** *Institutional Character*

located **within** the premises of a hospita

Non-hospital-based

**Classification of BSF:** *Institutional Character*

a government-owned or PNRC-owned BSF located **outside** the premises of a hospital consistent with the NVBSP strategic plan

Blood Station (BS)

**Classification of BSF:** *Service Capability*

* **Advocacy and promotion** of voluntary blood donation and healthy lifestyle
* Provision of **whole blood and packed red cells**
* **Storage, issuance, transport and distribution** of whole blood and packed red cells

Blood Collection Unit (BCU)

**Classification of BSF:** *Service Capability*

* **Recruitment, retention and care** of voluntary blood **donors**
* **Screening and selection** of voluntary blood donors
* Conduct of **health education and counselling services**
* Collection of blood (mobile or facility-based) from **qualified blood donors**
* **Transport of blood to BC** for testing and processing

Blood Bank (BB)

**Classification of BSF:** *Service Capability*

**Storage and issuance** of whole blood and blood components obtained from a BC

Blood Center (BC)

**Classification of BSF:** *Service Capability*

* all of the services from the previous faciliyies

suitably qualified, skilled and trained

**Standards & Technical Requirements:**

* The BSF appoints and allocates **personnel** who are ___ to assume the responsibilities, authority, accountability and functions of the position.

All equipment and instruments

**Standards & Technical Requirements:**

* available and are properly maintained

All reagents and glasswares

**Standards & Technical Requirements:**

* based on the minimum requirement for **sensitivity and specificity of testing reagents as the testing procedures**