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Standard Operating Procedures in Blood Banking2. Standard Operating Procedures in Blood BankingPrinciplesBlood transfusion services face plenty of challenges. With the increasing demand for quality and safe blood and blood components due to advances in surgical practices and newer indications for requirement of blood, the blood bank assumes a special position in health care. At the same time the occurence of Transfusion transmittable diseases has given greater responsibility to the blood banks in delivering quality and safe blood and blood components. In the course of two decades, the field of Transfusion Medicine assumed greater autonomy and status to prepare and supply safe and potent blood and blood components in adequate quantity. To achieve our goal of making the availability of safe blood at all times without shortage, a Uniform and updated national blood policy should be introduced all over the country. This will definitely give confidence in introducing good quality control, quality assurance and accreditation at all levels of transfusion practices. To make it run the practice effectively and sustain, We must produce a "Standard Operating Procedures" (SOP) for the blood banks. For the current Good Manufacturing Practices of blood bank component preparations, the manual of S.O.P. should be comprehensive, prospective and system based Model. It is very difficult to produce an exhaustive presentation here, but we attempt to give the basic approach to be followed. The Work study should include :
The elements needed and basic philosophy required in the organization of blood bank and staff requirement can only be dealt on the appropriate status of the blood bank. A. Blood donation The basic requirements are
B. Procedure followed in blood group serology laboratory :
C. Maintenance of all cold chain and mechanical equipments All the cold chain equipment should be regularly inspected, recorded of the performance including the alarms. Calibrate, if required and temperature to be recorded at periodic intervals. The important equipment are
D. requirement and maintenance of records - record keeping The Following Registers should be maintained
All the Records should be retained The Presentation on SOP is not fully analysed, but this will help interested Blood Bank Workers to make their own Manual of operation. If the reader needs any clarification on my Presentation or if there is any doubt, the Participant is welcome. Laboratory Record Documentation and Maintenance Blood transfusion service should develop and maintain documents that demonstrate the achievement of specified quality standards. Documentation provides’ability to trace prospectivety and retrospectively all the steps in all procedures which are necessary far monitoring the techniques, component preparation, laboratory testing, etc. Quality Monitoring A regular quality monitoring is essential to ensure that a full quality assurance system has been implemented and is effective. The purpose of a quality monitoring is to check the integrity of the QA programme. For example, during screening for viral markers, data other than just the final screening results must be recorded:
A sequence of events can be followed from collection of a unit, passing through all the processes till it is issued, by checking all the necessary documentation. Quality monitoring
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