LEC 2

• Conditions for transfusion that require the service of a blood bank or blood service facility:

  • Anemia: requires packed red blood cells
  • Hemorrhage: requires whole blood
  • Dengue fever: requires platelets
  • Hemophilia: requires plasma
• The Department of Health (DOH) in the Philippines is the regulating agency for blood service facilities through the Bureau of Research and Laboratories (BRL) in the office for Health Facilities Standards and Regulations
• Administrative Order No. 9 series 1995 implements Republic Act No. 7719, also known as the "National Blood Services Act of 1994"
• According to A.O. no. 9, Chapter VII, Sec. 25, the operation and maintenance of all blood service facilities in the Philippines must be non-profit
• National blood service facilities in the Philippines include:

  • DOH Philippine Blood Center
  • Philippine Red Cross (PRC) which operates as a blood collection unit
• The Philippine Red Cross (PRC) is an independent and autonomous non-government organization that assists the Philippine government in humanitarian efforts and adheres to the obligations of the Philippines to the Geneva Conventions and International Red Cross and Red Crescent Movements
• Republic Act 10072, also known as the Philippine Red Cross Act of 2009, serves as the current charter for the Philippine Red Cross after the original charter and amending laws were repealed in 2010
• Subnational/regional blood service facilities in the Philippines include:

  • South Luzon Subnational Reference Laboratory, also known as Bicol Regional Blood Center (BRBC) in Daraga, Albay
  • Subnational Blood Center for Visayas in SRP, Cebu
  • Subnational Blood Center for Mindanao in Davao City
• National Blood Services Act of 1994 (RA 7719) promotes voluntary blood donation, ensures an adequate supply of safe blood, regulates blood banks, and imposes penalties for violations
• Mission of the Act:

  • Promote blood safety
  • Ensure blood adequacy
  • Encourage rational blood use
  • Enhance efficiency of blood services
  • Inculcate public awareness that blood donation is a humanitarian act
• Promote voluntary blood donation to provide sufficient supply of safe blood and regulate blood banks
• Benefits and rationale of voluntary blood donation to be emphasized in health subjects at all school levels
• NVBSP Goals:

  • Develop a fully voluntary blood donation system
  • Strengthen a nationally coordinated network of Blood Service Facility (BSF) for centralized testing and processing of blood
  • Implement a quality management system including Good Manufacturing Practice (GMP) and Management Information System (MIS)
  • Attain maximum utilization of blood through rational use of blood products and component therapy
  • Develop sustainable management and funding for the nationally coordinated blood network
• R.A. NO. 7719 - A.O.# 9 S 1995 SEC. 38 created standards for:

  • Donor recruitment and screening
  • Laboratory and blood processing tests and procedures
  • Handling and disposal of blood and biosafety procedures
  • Inventory and recording procedures
  • Networking blood collection and distribution
  • Quality assurance and quality control measures following international guidelines by WHO and the International Society of Blood Transfusion
• Definition of Terms:

  • Blood service facility: facility that provides blood-related services
  • Apheresis facility: facility that performs apheresis, a medical procedure to collect specific blood components
  • End-user Hospital: hospital that receives and uses blood products
  • Blood Station: station for collecting and storing blood
  • Blood collection unit: unit for collecting blood donations
  • Hospital Blood bank: blood bank located within a hospital
  • Blood center: center for processing and distributing blood products
• Pursuant to Section 5 of the National Voluntary Blood Services Program (NVBSP) of RA 7719, the Department of Health, PNRC, PBCC, and other agencies have planned and implemented a NVBSP to meet the needs for blood transfusion in all regions of the country
• Ownership:

  • Government
  • Private (Hosp)
• Institutional Character:

  • Hospital-based
  • Non-hospital-based
• Service Capability:

  • Blood station
  • Blood collection unit
  • Blood bank
• Blood service facility (BSF) is defined as a unit, agency, or institution providing blood products
• Apheresis Facility is a blood service facility where blood collection procedure is done, whole blood is removed, a selected component separated, and the remainder returned to the donor
• End-User Hospital (EU) is a hospital with a licensed clinical laboratory capable of red cell typing and crossmatching, which only receives blood and blood components for blood transfusion as needed
• Blood Station (BS) is a blood service facility authorized by the DOH Center for Health Development (CHD) under A.O. 101-A s. 2003
• BS provides whole blood and packed red cells
• BS stores and issues whole blood and packed red cells
• BS conducts compatibility testing of red cell units if hospital-based
• Blood Collection Unit (BCU) is a blood service facility authorized by the DOH CHD under A.O. 101-A s. 2003
• BCU screens and selects qualified voluntary blood donors
• BCU conducts health education and counseling services
• BCU collects blood from qualified voluntary blood donors
• BCU recruits and retains voluntary blood donors
• Hospital Blood Bank is a blood service facility in a hospital licensed by the DOH Bureau of Health Facilities and Services (BHFS)
• Hospital Blood Bank stores whole blood and blood components obtained from a blood center or another hospital
• BCU transports blood units collected to blood center for testing, processing, and distribution to hospitals and other health facilities
• Hospital Blood Bank conducts compatibility testing of red cell units
• Hospital Blood Bank performs Direct Coombs Test
• Hospital Blood Bank screens for red cell antibodies
• Hospital Blood Bank investigates transfusion reactions
• Hospital Blood Bank assists the Hospital Blood Transfusion Committee (HBTC) in post-transfusion surveillance (hemovigilance)
• Blood Center is a blood service facility licensed by the DOH BHFS