The blood bank in JPNA Trauma Centre was initially started in 2006 as a blood storage centre and became a full-fledged blood bank in 2008. Since then, it has been functioning as a blood bank that performs 100% component preparation. It obtains blood and components through both replacement and voluntary blood donations. In 2011, it collected 9,135 total donations, of which 7,848 were replacement donors and 1,339 were voluntary donors. It performs various tests on donated blood, prepares blood components, issues blood units based on demand, and conducts other activities required of a blood bank.

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

3. 10000 89679135
9000
79227848
8000 6994
7000 6643
6000
5000
4000
3000
2000 10451339
1000 351
0
Replacement
Voluntary donors Total donors
Donors
2009 6643 351 6994
2010 7922 1045 8967
2011 7848 1339 9135

4. Replacement donors
3000
2500
2000
1500
1000
500
0
Casu
OPD TC1 TC2 TC3 TC4 TC 5 TC 6 TC 7
alty
Replacement donors 205 189 106 1550 2623 842 719 1047 1234

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

6. Component preparation in 2011
10000
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
PRBC FFP Platelets Cryo
Components prepared 9135 8604 8152 399

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

21. THANK YOU