MIDTERMS: 7719 Flashcards
RA 7719
National Blood Services Act of 1994
7719
(Approved on______)
May 5, 1994
RA 7719
• Repealed
RA 1517
RA 1517
(approved on_____)
June 16, 1956
‘An Act Regulating the Collection, Processing and Sale of Human Blood, and the Establishment and Operation of Blood Banks and Blood Processing Laboratories’
Repealed RA 1517
Repealed RA 1517
‘An Act Regulating the…
and the Establishment and Operation of…
Collection
Processing
Sale of Human Blood
Blood Banks
Blood Processing Laboratories’
DECLARATION OF POLICY
promote and encourage…
voluntary blood donation
DOP
provision of blood for transfusion is…
NOT FOR SALE
DOP
adequate, safe, affordable, and equitable supply of….
blood and blood products
DOP
inform the public of the need for…
voluntary blood donation
DOP
teach the ___________ of voluntary blood donation
benefits and rationale
DOP
mobilize all sectors of the community for________ blood collection
voluntary and non-profit
DOP
•establish the…
National Blood Transfusion Service Network
NBTSN
DOP
•establish __________ of_______
standards for the operation
blood service facilities
DOP
•regulate_____ activities
blood banking
DOP
•require upgrading of…
blood banks/centers
The potential of HUMAN BLOOD
WFRCC
Whole blood
Red blood cells
Fresh frozen plasm
Concentrate of platelets
Cryoprecipitate
To increase the amount of ____ after trauma or surgery or to treat severe anemia.
Red Blood Cells
To correct a deficiency in coagulation faciors or to treat shock due to____ loss from burns or massive bleeding.
Fresh Frozen Plasma
To treat or prevent bleeding due to low ______ levels.
To correct functional _____ problems
Concentrate of Piatelet
To treat fibrinogen deficiency
Cryoprecipitate
storage of RBC
42 days in the refrigerator or
10 years in the freezer
Storage of plasma
1 year in the freezer
Storage of platelets
5 days at room temperature
Storage of cryoprecipitate
1 year in the freezer
BLOOD SERVICE FACILITIES (4)
BLOOD STATION (BS)
BLOOD COLLECTION UNIT (BCU)
BLOOD CENTER (BC)
HOSPITAL-BASED BLOOD BANK (HB-BB)
• May be hospital-based or not
• provision of whole blood and PRBC
• storage, issuance, transport, and distribution of WB/PRBC
• compatibility testing (hospital-based)
BLOOD STATION (BS)
• May be hospital-based or not
• collection of blood from qualified voluntary blood donors
• transport of blood to BC for testing/processing
• compatibility testing of red cell units (hospital-based)
BLOOD COLLECTION UNIT (BCU)
• collection of blood from qualified blood donors
•testing of units for TTls
• storage, issuance, transport, and distribution of units to health facilities
BLOOD CENTER (BC)
BC in dvo
Davao Blood Center
(Sagot kita kabayan)
Philippine Red Cross
•storage and issuance of whole blood/blood components obtained from a BC
•testing of blood units; investigation and surveillance of transfusion reactions
HOSPITAL-BASED BLOOD BANK (HB-BB)
Flow of blood facilities
BCU
BC
BS or HB-BB
An informal organization established to provide for the blood needs of specific geographical areas or catchment population
Composed of the various BSFs
BLOOD SERVICES NETWORK
Hospital with licensed clinical lab capable of red cell typing and cross-matching and which does not have any *BSF but
ONLY RECEIVES blood and blood components for blood transfusion as needed
END-USER HOSPITAL
A licensed/accredited non-hospital health facility WITHOUT a licensed clinical lab but administers blood transfusion such as dialysis clinics and birthing homes under the supervision of licensed physician
END-USER NON-HOSPITAL HEALTH FACILITY
Primarily responsible for the formulation of Blood Bank and Transfusion policies and guidelines for monitoring and audit of the use of blood and blood components within a BSF
Pre-requisite for the licensing of hospital by DOH and accreditation by PHIC
HOSPITAL BLOOD TRANSFUSION COMMITTEE
HOSPITAL BLOOD TRANSFUSION COMMITTEE
Pre-requisite for the licensing of hospital by____ and
accreditation by____
DOH
PHIC (Philippine Health Insurance Corporation)
- Blood is drawn.
- Blood is separated into components by a centrifuge.
- Needed components are collected into sterile bags.
- Unused components are returned to the donor.
Apheresis
Health facilities that perform apheresis
APHERESIS FACILITIES
(removal of whole blood, separation of selected component, return the remainder)
apheresis
Blood components from apheresis are sent to _______ for testing and processing
BC (Blood Center)
Apheresis of blood donor shall be encouraged when_______ are needed and the demand for units of_______ is high
rare blood types
platelet concentrate
demand for units of platelet concentrate is high such as during an outbreak of
dengue hemorrhagic fever, and in diseases like leukemia, aplastic anemia and similar conditions
an individual who donates blood on one’s own volition or initiative and not induced, directly or indirectly, in any manner whatsoever, by any monetary compensation
VOLUNTARY BLOOD DONOR
diseases which may be transmitted through blood transfusion
BLOOD TRANSFUSION TRANSMISSIBLE DISEASES
BLOOD TRANSFUSION TRANSMISSIBLE DISEASES
Acquired Immune Deficiency Syndrome (AIDS)
Hepatitis B
Hepatitis C
malaria
syphilis
Human T-lymphotropic virus 1
(HTLV-1)
: expenses incurred in collecting and processing blood
Direct cost
Cost
donor recruitment
Direct cost
Cost
blood collection
Direct cost
Cost
blood screening
Direct cost
Cost
component preparation
Direct cost
Cost
storage and distribution
Direct cost
Cost
with allowance for spoilage
Direct cost
Cost
professional services
Direct cost
Cost
Food for donors
Direct cost
Cost
Bond papers
Direct cost
Cost
Maintain
Indirect cost
Cost
Upgrade services
Indirect cost
Cost
Salary of staff
Indirect cost
Cost
Repair of equipment
Indirect cost
an individual who has been screened by history and physical examination, found to be fit to donate blood (qualified voluntary donor), who is ready to donate blood when needed in his or her community
WALKING BLOOD DONOR
WALKING BLOOD DONOR
an individual who has been screened by______ and ______, found to be fit to donate blood (qualified voluntary donor), who is ready to donate blood when needed in his or her community
history and physical examination
Promotion of Voluntary Blood Donation
Public education
Promotion in schools
Professional education
Establishment of Blood Services Network
created to meet the needs for blood transfusion in all regions
NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM
NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM
created to meet the needs for_______ in all regions
blood transfusion
aims to create public consciousness on the importance of blood donation
NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM
NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM
aims to create public consciousness on the importance of______
blood donation
NVBSP
funds:
Budgetary allocation of the_____
(25 million pesos)
(25 million pesos)
(20 million pesos)
Contributions of other____&_____
DOH
Philippine Charity Sweepstakes Office (PCSO)
Philippine Amusement and Gaming Corporation (PAGCOR)
Duty Free shops
civic and charitable organizations
PHILIPPINE NATIONAL BLOOD SERVICES
Composed of:
The Philippine Blood Center
Subnational and Regional Blood Centers for Luzon, Visayas, and Mindanao
Authorized BCUs and apheresis facilities
Hospitals (blood bank, blood station, end-user hospital)
End-user non-hospital health facilities
NRL for Immunology and Immunohematology
NRL
Immunology for blood donors
RITM
NRL
Immunohematology:
NKTI
NRL for HIV reactive blood bags
RITM
NRL for HIV reactive patients
San Lazaro
NRL for blood bank
NKTI
PNBS
Chairman:
DOH Secretary
PNBS
Members:
Heads or representatives of the
-Philippine National Red Cross
-Philippine Blood Coordinating Council
-Philippine Society of Pathologists
-Philippine Society of Hematology and Blood Transfusion
Director or the CEO of the Philippine Blood Center
Policies and Guidelines (AO 2010-0001)
Process:
pre-donation counseling, blood typing, collection, testing
AO 2010-0001
encourage donors to donate every
three months
AO 2010-0001
only (3) may collect blood
BCUs, BCs, and mass blood donations (MBD)
AO 2010-0001
Testing:
Hepatitis B
Syphilis
Malaria
HIV 1 and 2
Hepatitis C
AO 2012-0001
recipients of blood:
requesting hospitals and end-user facilities
AO 2012-0001
blood: available for____
24 hours
AO 2012-0001
re-testing of units for____ in health facilities is optional
TTs
AO 2012-0001
hospitals should use blood products from licensed____ only
BCs - Blood Centers
AO 2010-0001
______: not liable for any transfusion-associated infections
BSFs - Blood Service Facilities
Penalties
collection of fees greater than what’s provided
1-6 months imprisonment
Php 5,000-50,000 fines
Penalties
unlicensed blood banks
12-20 years imprisonment
Php 50,000-500,000 fines
Penalties
dispensing unscreened/untested and contaminated blood
10 years imprisonment
(rule: dispose contaminated blood within 48 hours after confirmation)
Approved by
Fidel V. Ramos
Public Education. — Through an organized and sustained nationwide public education campaign by the Department, the _______ AND _______ as the lead agencies, other government agencies, local government units (particularly the barangays), non-governmental organizations, all medical organizations, all public and private hospitals, all health and health-related institutions, print and broadcast media as well as other sectors
Philippine National Red Cross (PNRC) and the Philippine Blood Coordinating Council (PBCC),
Promotion in Schools. — The benefits and rationale of voluntary blood donation shall be included and given emphasis in health subjects of schools, both public and private, at the elementary, high school and college levels.
The _____________ shall also require such inclusion in its non-formal education curricula.
Department of Education, Culture and Sports
Professional Education. — The (6) are encouraged to conduct for their respective members and as part of the continuing medical education, trainings on the rational use of blood and blood products including the merits of voluntary blood donation.
Department, the PBCC,
the Philippine Society of Hematology and Blood Transfusion (PSHBT),
the Philippine Society of Pathologists (PSP),
the Philippine Medical Association (PMA),
the Philippine Association of Medical Technologists (PAMET) and
the Philippine Nursing Association (PNA)
Establishment of Blood Services Network. — __________shall be strategically established in every province and city nationwide within the framework of a National Blood Transfusion Service Network spearheaded by the Department, in coordination with the PNRC.
The collection of blood in various areas in the community, such as schools, business enterprises, barangays, and military camps shall be promoted.
Blood centers
