1.2 BLOOD BANKING LAWS (RA 7719)

Subject of RA 7719

An Act promoting voluntary blood donation, providing for an adequate supply of safe blood, regulating blood banks, and providing penalties for violation thereof.

National Blood Services Act of 1994

RA 7719 Title?

Promote and encourage voluntary blood donation

_________________ by the citizenry and to instill public consciousness of the principle that blood donation is a humanitarian act.

sale of a commodity

Lay down the legal principle that the provision of blood for transfusion is a professional medical service and not a ______________.

adequate, safe, affordable and equitable

Provide for ______, ________, ________ , _________ distribution of supply of blood and blood products

need for voluntary blood donation

Inform the public of the _______________________ to curb the hazards caused by the commercial sale of blood.

all public and private schools, in the elementary, high school and college levels

teach the benefits and rationale of voluntary blood donation in the existing health subjects of the formal education system in _______________ as well as the non-formal education system;

mobilize all sectors of the community

_______________________ to participate in mechanisms for voluntary and non-profit collection of blood;

DOH to establish and organize a National Blood Transfusion Service Network

mandate _____________________________ in order to rationalize and improve the provision of adequate and safe supply of blood;

Provide for adequate assistance to institutions promoting voluntary blood donation and providing non-profit blood services

___________________________________________, either through a system of reimbursement for costs from patients who can afford to pay, or donations from governmental and non-governmental entities

• blood collection units

• blood banks/centers

require all ______________ and _____________ to operate on a non-profit basis;

establish scientific and professional standards

_____________________ for the operation of blood collection units and blood banks/centers in the Philippines.

regulate and ensure the safety of all activities

________________ related to the collection, storage and banking of blood; and

require upgrading of blood banks/centers

____________________ to include preventive services and education to control spread of blood transfusion transmissible diseases.

Blood/blood product

refers to human blood, processed or unprocessed and includes blood components, its products and derivatives

Blood bank/center

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

a blood bank that exists for profit

Hospital-based blood bank

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

Blood collection unit

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

Voluntary blood donor

one who donates blood on one’s own volition or initiative and without monetary compensation

Department

the Department of Health

Blood transfusion transmissible diseases

diseases which may be transmitted as a result of blood transfusion, including AIDS, Hepatitis-B, Malaria and Syphilis

Secretary of Health

the __________________ or any other person to whom the Secretary delegates the responsibility of carrying out the provisions of this Act

Walking blood donor

an individual included in the list of qualified voluntary blood donors who is ready to donate blood when needed in his/her community.

PROMOTION OF VOLUNTARY BLOOD DONATION (Public education)

• Philippine National Red Cross (PNRC)

• Philippine Blood Coordinating Council (PBCC)

DOH

The __________ is hereby authorized to set aside funds and generate financial support for all sectors involved in the collection and processing of blood from voluntary blood donors through a system of reimbursement for costs for patients who can afford to pay or from donations from government and private institutions.

Voluntary donors

_______________________ shall likewise be provided non-monetary incentives as may be determined by the Department.

Department of Education, Culture and Sports (DECS)

For the Promotion in schools, ______________________ require the inclusion in its non-formal education curricula (benefits and rationale of donating blood).

Professional education

• Department of Health

• Philippine Blood Coordination Council

• Philippine Society of Hematology and Blood Transfusion

• Philippine Society of Pathologists

• Philippine Medical Association

• PAMET

• Philippine Nursing Association

trainings on the rational use of blood and blood products

Professional education: They are encouraged to conduct for their respective members and as part of the continuing medical education, ____________________ including the merits of voluntary blood donation

• Blood centers

• DOH

• PNRC

_____________ shall be strategically established in every province and city nationwide within the framework of a National Blood Transfusion Service Network spearheaded by the _______, in coordination with the ___________.

collection of blood by Blood centers

Establishment of blood services network: __________ in various areas in the community, such as schools, business enterprises, barangays, and military camps shall be promoted

Secretary

________________- set the standards for the scientific and professional establishment and operation of blood banks/centers and collection units

Department of Health

_________________- provide training programs and technical assistance to enable communities, schools, industrial and business sites, barangays, military camps and local government units to implement their own voluntary blood donation programs

Walking blood donor

In areas where there may be inadequate blood banking facilities, the ________________ concept shall be encouraged and all government hospitals, rural-health units, health centers and barangays in these areas shall be required to keep at all times a list of qualified voluntary blood donors with their specified blood typing.

• P25,000,000

• at least P25,000,000

• at least P20,000,000

Budgetary Allocations:

• Philippine Charity Sweepstakes Office (PCSO)- ________

• Philippine Amusement and Gaming Corporation (PAGCOR)- _______

• Duty Free Shop (Duty Free Philippines)- ________

• contributions of other agencies such as civic organizations- ________

preventive health services

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

required to establish voluntary blood donation programs

All government hospitals, including those that have been devolved, shall be ___________________.

private hospitals

All ______________ shall be encouraged to establish voluntary blood donation programs.

• The DOH

• PSHBT

• PSP

The ________, in consultation with the _________ and the ________, shall also establish guidelines for the rational use of blood and blood products.

• 2 years

• 2 years

• by the Secretary

PHASE-OUT OF COMMERCIAL BLOOD BANKS

• Commercial blood banks shall be phased-out over a period of ___________ after the effectivity of this Act, extendable to a maximum period of __________ by the _________.

• non-profit basis

• healthy voluntary donors only

• •All blood banks/centers shall operate on a ____________.

• Blood shall be collected from ______________________.

Refer to Section 3 of RA No. 1517

Regulation of Blood Sciences

tax and duty-free by the PNRC

Importation of Blood Bank Equipment, Blood Bags and Reagents

Equipment, blood bags and reagents used for the screening and testing of donors, collection and processing and storage of blood shall be imported ____________________________, blood banks and hospitals participating actively in the National Voluntary Blood Services Program.

• not less than 1 month nor more than 6 months

• not less than P5,000 nor more than P50,000

Penalties (RA 7719)

• imprisonment __________________________________; or

• fine ___________________________________________; or

• both imprisonment and fine 

• not less than 12 years and 1 day nor more than 20 years

• not less than P50,000 nor P500,000;

Any person who shall establish and operate a blood bank without securing any license to operate:

• imprisonment of not less than ___________________ nor more than 20 years; or

• fine of not less than _______________ nor ______________________; or

• both imprisonment and fine 

• within 48 hours

• 10 years

NOTE: 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 ___________, blood which have been proven contaminated with blood transfusion transmissible diseases shall be imprisoned for _______________.

4 TYPES OF BLOOD DONATION

• Directed

• Allogenic

• Autologous

• Apheresis

DIRECTED

• • blood is intended for the use of specific patient

• a donation in which the recipient chooses the donor

• blood from directed donors is no safer than blood from the volunteer blood supply

ALLOGENIC

• commonly referred to as whole blood donation

• blood donated is intended for the use of general patient population

• example: mass blood donation

AUTOLOGOUS

• blood donated by the owner for future use

APHERESIS

• blood donation in which a specific component of the blood is only extracted and the remaining components are returned back to the donor

• the process takes about 2-3 hours

• 1 donor can harvest a maximum of 4 bags

3 TYPES OF BLOOD DONOR

• Voluntary non-remunerated

• Professional/Commercial

• Family/Replacement

VOLUNTARY NON-RENUMERATED

• donates blood on his own free will without receiving any payment

PROFESSIONAL / COMMERCIAL

• donates blood for the sake of money

FAMILY / REPLACEMENT

• donates blood for somebody in the community

• allows family and friends to make donations to replace blood that was utilized by you

STEPS IN BLOOD DONATION

• donor recruitment and registration

• medical history

• physical examination

DONOR RECRUITMENT AND REGISTRATION

• name

• date and time of donation

• address

• gender

• age

• DOB

MEDICAL HISTORY

• essential to ensure the benefit of both donor and recipient

• in a form of questionnaires

• questions about: previous donations, drug intake, previous health records

• no age requirement

• 17-65 years old

PHYSICAL EXAMINATION (Age)

• autologous: _______________

• allogeneic: ________________

• parent’s consent

• physician’s consent

• NOTE: 18 below must secure _________ 65 above must secure ____________.

• no weight requirement

• 110 lbs/50 kg. = 450 ml of blood: 63 ml anticoagulant

PHYSICAL EXAMINATION (Weight)

• autologous: _____________

• allogeneic: ______________

• 37.5 oC/99.5 F

• 50-100 beats per minute

PHYSICAL EXAMINATION

• temperature: __________________

• pulse rate: ____________________

• 90-160 mmhg

• 60-100 mmhg

PHYSICAL EXAMINATION (blood pressure)

• systolic: ____________

• diastolic: ____________

• 11 g/dl

• 12.5 g/dl

PHYSICAL EXAMINATION

• Hemoglobin

  • autologous: ___________

  • allogeneic: ____________

• 33%

• 38%

PHYSICAL EXAMINATION

• Hematocrit

  • autologous: ___________

  • allogeneic: ____________

SEROLOGIC TESTS

• ABO/Rh

• Antibody screen

• HBsAG

• Anti-HBc

• Anti-HCV

• Anti-HIV ½

• Anti-HTLV

• Syphilis

• Malaria

COMMON DONOR REACTIONS

• mild

• moderate

• severe

MILD

• palor

• sweating

• nausea

• anxiety

• nervousness

• hyperventilation

• palpitations

MODERATE

• reactions seen under the mild category

• decreased pulse rate

• loss of consciousness/fainting/syncope

SEVERE

• convulsions

• seizures

TWO TYPES OF DEFERRAL

• Permanent

• Temporary

PERMANENT

• high risk history for AIDS, which includes:

  • men who have had sex with another man any time since 1977

  • hemophiliacs

  • IV drug abusers, either past or present

  • persons who have engaged in sex for money or drugs anytime since 1977

  • confirmed positive laboratory test for AIDS

  • viral hepatitis

  • jaundice of unknown origin

  • severe liver, cardiac, lung disease

  • those with autoimmune disorders (past or present)

TEMPORARY (for three years)

an immigrant or refugee coming from an area considered endemic for malaria, three years after departure , or those who have had a diagnosis of malaria , three years after becoming asymptomatic

TEMPORARY (for one year)

• after hepatitis b immune globulin administration

• after therapeutic rabies vaccination

• rape victims

• tattoo

• incarceration in a jail for more than 72 consecutive hours

• transfusion of blood components

• travel to areas endemic for malaria

• history of syphilis and gonorrhea

recent blood donation

TEMPORARY (for two months)

TEMPORARY (for one month)

• German measles (rubella) vaccination

• after cessation of the drug isotretinoin (accutane) for acne treatment

• after cessation of the drug finasteride (proscar) for treatment of benign prostatic hyperplasia

TEMPORARY (for six weeks)

following delivery of baby (AABB) in phil.: 9 months after child birth

TEMPORARY (for two weeks)

after vaccination with oral polio, measles (rubeola), mumps or yellow fever, or for two weeks after the immune reaction to smallpox vaccination

TEMPORARY (for 48 hours)

whole blood donation deferred after hemapheresis