Department of Blood Bank Audit 2013

554 views
328 views

Published on

Published in: Health & Medicine, Business
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
554
On SlideShare
0
From Embeds
0
Number of Embeds
8
Actions
Shares
0
Downloads
21
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Department of Blood Bank Audit 2013

  1. 1. AUDIT OF BLOOD BANK, JPNATC JANUARY 2013 – DECEMBER 2013 Dr S Arulselvi, Dr Sulekha Karjee, Dr Vedanand Arya
  2. 2. DONATIONS Replacement Donors Voluntary donors Total donors 2010 7922 1045 8967 2011 7848 1339 9135 2012 7834 2079 9913 2013 7038 1768 8810 0 2000 4000 6000 8000 10000 12000
  3. 3. REPLACEMENT DONATION OPD Cas ualty TC1 TC2 TC3 TC4 TC 5 TC 6 TC 7 Auto log. Ther ap. 2011 205 189 106 1550 2623 842 710 1047 1234 0 0 2012 140 97 468 1527 2714 1003 496 1224 1277 5 2 2013 48 97 481 1777 2322 819 482 991 1165 1 0 0 500 1000 1500 2000 2500 3000
  4. 4. COMPONENTS PRBC FFP Platelets Cryo 2011 9135 8604 8152 399 2012 9912 9391 7892 463 2013 8810 7678 6925 865 0 2000 4000 6000 8000 10000 12000 Component preparation since 2011 to 2013
  5. 5. TTI LAB HIV HBsAg HCV Syphilis Malaria No of tests done 9103 9189 9106 9364 8842 Positive donors 19 172 66 26 3 9103 9189 9106 9364 8842 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000
  6. 6. DONOR COUNSELING  Counseling of blood donors tested positive for the TTI was started in June 2009  296 blood donors who had donated in JPNATC blood bank in 2013, were called for counseling out of which 63 donors reported and were counseled for their respective infectious state  After a repeat test of these donors they are referred to the  ICTC (Integrated Counselling and Testing Centre)  Gastroenterology  Skin and VD
  7. 7. CROSS-MATCH TRANSFUSION RATIO 1685 1864 2250 2048 2184 2013 2262 2663 2607 2562 2330 2209 647 686 765 715 749 629 696 818 855 868 819 656 0 500 1000 1500 2000 2500 3000 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec RBC units cross-matched - units issued
  8. 8. CROSS-MATCH:TRANSFUSION (C:T) RATIO  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 1:2.5 which increased to 1:2.6 in 2012 and 1:2.9 in 2013  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 01:02.2 01:02.6 01:03.1 2011 2012 2013 C:T RATIO C:T RATIO
  9. 9. SALINE CROSSMATCH (TOTAL=3640) 3162 340 93 43 0 500 1000 1500 2000 2500 3000 3500 <15 min 15-20 min 20-30min 30-60 min
  10. 10. FULL CROSS MATCH (TOTAL=22738) 1465 1689 19584 0 5000 10000 15000 20000 25000 <45 min 45-60 min >60 min
  11. 11. REASONS FOR DELAY  Delay/ non receipt of requesting cross-matched component  Wrong sample, labelling errors, incorrectly filled requisition forms  Delay in obtaining consent for saline cross-match, alternate blood group  Forward-reverse blood group discrepancies in sample
  12. 12. ALTERNATE BLOOD GROUP ISSUED MONTH NO. OF PATIENTS NO. OF PRBC ISSUED BLOOD GROUP JAN 1 1 A pos --- A neg FEB 8 24 O neg --- O pos AB pos --- B pos AB neg --- B neg B pos --- B neg MAR 2 3 (2 RB) A pos --- O pos (RB) A pos --- A neg MAY 1 4 O neg --- O pos JUN 4 14 AB pos --- A pos AB pos --- B pos JUL 2 6 A neg --- O neg B neg --- B pos AUG 2 4 AB neg --- B neg SEP 7 17 B neg --- O neg AB neg --- A neg B neg --- B pos OCT 2 5 B neg --- B pos B neg --- O neg NOV 3 5 B neg --- O neg A pos --- A neg DEC 1 4 A neg --- O neg TOTAL 33 87 (2 RB) Mostly Rh Neg patients
  13. 13. MASSIVE BLOOD TRANSFUSIONS MONTH NO, OF PATIENTS TOTAL NO. OF PRBC ISSUED JAN 2 46 FEB 3 71 MAR 7 119 APR 8 132 MAY 3 95 JUN 4 60 JUL 6 90 AUG 8 150 SEP 7 112 OCT 7 91 NOV 6 126 DEC 1 22 T0TAL 62 1114
  14. 14. PLATELETS AND FFP ISSUED Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Platelets issued 181 416 542 493 599 417 440 451 544 657 549 320 FFP issued 459 544 538 399 455 401 403 523 480 668 593 401 0 100 200 300 400 500 600 700 800
  15. 15. BLOOD BANK MANUAL  Indications, dosage and adequate use of blood components  How to send samples and requisition forms to blood bank  What to do in case of transfusion reactions  Choices of alternate blood groups  Maximum blood ordering schedule  TEG use
  16. 16. BLOOD ORDERING SCHEDULE : NEUROSURGERY TYPE OF SURGERY NO OF RED CELLS UNITS REQUIRED Surgical Blood Ordering schedule Decompressive craniectomy 9.68 10 Trephine & EDH evacuation 9.6 10 Burr hole 0.07 1 Cervical corpectomy & plating 3.98 4 cervical discetomy & plating 0.46 1 Laminoplasty 1.85 2 Thoracolumbar corpectomy & instrumentation 7.97 8 Percutaneous instrumentation 0.37 1 Cranioplasty 1.23 1 VP shunt 0.38 1 Brachial plexus repair 1.16 1
  17. 17. BLOOD ORDERING SCHEDULE :SURGERY TYPE OF SURGERY NO OF RED CELLS UNITS REQUIRED Surgical Blood Ordering schedule Laprotomy 9.91 10 Plastic Surgery 2.95 3 Vascular Injuries 3.11 3 Amputations 5.87 6 Extremity Soft tissue Injuries 5.36 5 Thorocotomy 5.94 6 Miscellaneous 6.68 7
  18. 18. BLOOD ORDERING SCHEDULE :ORTHOPEDICS TYPE OF SURGERY NO OF RED CELLS UNITS REQUIRED Plating 0.72 Interlocking nailing 0.197 DCS (plating) 1.31 DHS (plating) 0.89 External fixation 0.2 Prosthesis 1.12 Decompression and plating 1.1-1.5 K wire fixation 0 Tension band wiring 0.55-0.75 Enders nail 0.41 Amputation 0.28 Total hip replacement 0.9 Disc removal 0.6
  19. 19. THANK YOU
  20. 20. BLOOD COMPONENTS ISSUED TO OTHER HOSPITAL BLOOD BANKS IN 2013 0 10 20 30 40 50 60 70 80 90 100 Jan Feb Mar Apr Ma y Jun Jul Au g Se p Oct No v De c PRBC 18 11 1 2 39 0 7 13 4 7 0 1 FFP 0 0 0 0 0 0 35 100 100 20 0 100 Platelets 10 0 0 0 0 0 8 0 38 62 10 0 AxisTitle Issued to other hospital blood banks
  21. 21. BLOOD AND COMPONENTS ISSUED TO OTHER HOSPITAL BLOOD BANKS  Since we are a 100% component separation unit, sometimes stock of few 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  250 units of PRBCs, 375 units of FFPs and 584 units of platelets issued to other blood banks.
  22. 22. THANK YOU

×