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Blood bank audit 2011
1.
2. 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
5. 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.
70
59
60
50 41 40
40 33 35 31
30 25
20 2010
10 6
2011
0
7. Itis 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
Malaria
We have 2 fully automated ELISA processors in
the TTI lab for these test
8. 12000
10000
8000
6000
4000
2000
0
HIV HBsAg HCV Syphilis Malaria
No of tests done 11059 11002 10947 9643 9135
Positive donors 32 146 63 58 0
9. 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
10. 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
11. RBC units demand received- units issued
2500
2000
1500
1000
500
0
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 issued 763 717 768 672 796 800 672 717 853 881 865 686
12. 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
9370
cross-match
transfused
23590
13. Saline cross-match Coombs cross-match
3000
2652
2500
2000
1500
1051
1000
500 308
114 54
25 9 0
0
Within 15-20 20-30 60 mins <45 45-60 >60
15 mins mins mins mins mins mins
14. 4500
4093
4000
3500
3000
2500
2000 Saline cross-match
Coombs cross-match
1500
1000
500 361
191
9
0
Within 15-20 45-60 >60 mins
15 mins mins mins
15. 1000
900
800
700
600
500
400
300
200
100
0
Ja Fe Ma Ma Ju Au Se Oc No De
Apr Jul
n b r y n g p t v c
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
16. 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
17. 2500
2000
Axis Title
1500
1000
500
0
PRBC FFP Platelets
No. of unitsissued 509 1570 2411
18. 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
19. 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