AUDIT OF BLOOD BANK, JPNATC FROM JANUARY 2011 – DECEMBER 2011

BLOOD STORAGE CENTRE TO BLOOD BANK

The blood bank in JPNA Trauma Centre was initially started as a blood storage centre in 2006

After attaining the license for a full fledged blood bank, the blood donation complex, the component lab and the Infectious marker lab was started in March 2008

Since then we have been functioning as a blood bank with 100% component preparation unit

The blood and component stock is obtained by both Replacement and voluntary blood donation

DONATION COMPLEX

Replacement Donors

Voluntary donors Total donors

2009 6643 351 6994

2010 7922 1045 8967

2011 7848 1339 9135

500150025003500450055006500750085009500

6643

351

69947922

1045

89677848

1339

9135

REPLACEMENT DONATION 2011 WARD WISE

OPD Casu-alty

TC1 TC2 TC3 TC4 TC 5 TC 6 TC 7

Replace-ment donors

205 189 106 1550 2623 842 719 1047 1234

250750

1250175022502750

Replacement donors

CONSULTATION FORMS RECEIVED FROM DEPARTMENTS IN 2011

Consultation forms are requests sent by the treating surgeon for issue of blood units to patients without replacement donation

More number of Consultation forms means lesser number of replacement donations. This then directly effects the blood stock in the blood bank.

Surg

ery

Neuro

surg

ery

Ortho

A

Ortho

B0

10203040506070

33

6

59

4135 31

25

40

20102011

PRBC FFP Platelets Cryo

Components prepared 9135 8604 8152 399

500

1500

2500

3500

4500

5500

6500

7500

8500

9500

Component preparation in 2011

TRANSFUSION TRANSMITTED INFECTIONS MARKER LAB

It is mandatory for each and every unit of blood collected to be tested for five Transfusion Transmitted infections as per rule

These are HIV HBsAg HCV Syphilis and MalariaWe have 2 fully automated ELISA processors

in the TTI lab for these test

NUMBER OF SAMPLES TESTED IN TTI LAB

HIV HBsAg HCV Syphilis Malaria

No of tests done

11059 11002 10947 9643 9135

Positive donors 32 146 63 58 0

1000

3000

5000

7000

9000

11000

WORKLOAD OF DONOR COUNSELING

Counseling of blood donors tested positive for the TTI was started in June 2009

285 blood donors who had donated in JPNATC blood bank in 2010, were called for counseling out of which 82 donors reported and were counseled for their respective infectious state

After a repeat test of these donors they are referred to the respective departments in Main AIIMS for further treatment. 6 donors were referred to the ICTC in main AIIMS

ISSUE COUNTER IN THE BLOOD BANK

The issue counter in the blood bank functions round the clock to receive blood requisition forms from the casualty and the wards

Blood and components are issued according to the demand of the treating surgeon

The Pneumatic Shute counter is also installed in this counter. Presently blood demands are received through this system from the casualty

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

RBC request

1931 1777 2059 1894 2011 1861 1842 1858 2145 2188 2095 1929

RBC is-sued

763 717 768 672 796 800 672 717 853 881 865 686

250

750

1250

1750

2250

RBC units demand received- units issued

CROSS-MATCH- TRANSFUSION (C:T) RATIO C:T Ratio is the 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 2.5:1

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

Chart Title

23590

9370

cross-matchtransfused

TIME FRAME WISE DATA OF BLOOD UNITS ISSUED TO EMERGENCY WARD IN YEAR 2011

Within 15

mins

15-20 mins

20-30 mins

60 mins

<45 mins

45-60 mins

>60 mins

0

500

1000

1500

2000

2500

3000

1051

114 25 9 054308

2652

Saline cross-match Coombs cross-match

TIME FRAME WISE DATA OF BLOOD UNITS ISSUED TO WARDS AND OT DURING YEAR 2011

Within 15 mins

15-20 mins

45-60 mins

>60 mins

0

500

1000

1500

2000

2500

3000

3500

4000

4500

1919

361

4093

Saline cross-matchCoombs cross-match

PLATELETS AND FFP ISSUED DURING 2011

Jan Feb Mar Apr May

Jun Jul Aug Sep Oct Nov Dec

Platelets issued

583 588 654 543 669 551 445 552 705 603 753 644

FFP issued

633 381 601 441 510 425 590 721 630 720 755 946

50250450650850

BLOOD AND COMPONENTS ISSUED TO OTHER HOSPITAL BLOOD BANKS

Since we are a 100% component separation unit, stock of some blood 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

Similarly a shortage of blood component in our blood bank is fulfilled by getting blood units from these government hospital blood banks

BLOOD AND COMPONENTS ISSUED TO OTHER HOSPITAL BLOOD BANKS

PRBC FFP Platelets

No. of unitsissued 509 1570 2411

250

750

1250

1750

2250

Axi

s Tit

le

ONGOING ACADEMIC WORKS IN BLOOD BANK 2011

A prospective study on massive transfusion in trauma patients

A prospective study on transfusion scores to assess blood consumption among trauma patients

Prospective Study on the response of Head injury patients receiving platelet transfusion using Thromoboelastography

NEW DEVELOPMENTS OF BLOOD BANK IN 2011

The blood bank in JPNATC has been designated as a ‘District level blood bank’ by NACO and will be supported by the same

DSCAS and NACO have been supporting the blood bank by providing some consumables and also by posting 1 technician and a counselor in the department

DSACS also helps in organizing various blood donation camps

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