PowerPoint-præsentation

Treviso, 21 October
Karin Magnussen
Donors outside the
Blood Bank /Centre
Donors in the
Blood Bank /Centre
Blood products
Blood Group
serology
Quality Control
The Patients
Hemovigilance
Blood management
Ethics etc.


Recruitment
Donor interests
◦ Insurance in case of donor injury
◦ Complaints
◦ Legal and other advice


Information
Ethics



Booking of the donation
Evaluation of the donor
The donation
◦ Whole blood
◦ Apheresis
◦ Stem Cells



Information
Deferral rules
Testing
◦ Haemoglobin, and possibly more tests

Testing
◦ Blood group, Infectious disease screening and more





Fractionation
Storage
Distribution
Quality control
Issuing the blood for the patients

Blood grouping
◦ Donors and patients

Antibody screen
◦ Donors and patients

Antibody identification
◦ Mainly patients

X-match
◦ Electronic
◦ Serological





Decision to prescribe a transfusion
Giving the transfusion
Monitor the transfusion
Treat and report adverse events
Develop guidelines for transfusion
Donors outside
the blood Bank
/Centre
Donors in the
Blood Bank
/Centre
Blood products
Blood Group
serology
Quality Control
The Patients
Hemovigilance
Blood management
Ethics etc.




Blood centres are separate from hospitals and
patients
Separate economies
A problem that donation centres may
implement expensive procedures and
increase the cost, regardless of hospital end
patient best interests
Communication is a challenge
Donors outside
the Blood Bank
/Centre
Donors in the
Blood Bank
/Centre
Blood products
Blood Group
serology
Quality Control
The Patients
Hemovigilance
Blood management
Ethics etc.




Blood centres separate from hospital where
serology laboratory and patient departments
are separate
Separate economies
Communication challenge
These Blood Centres are not the most
interesting place to work for most physicians
Donors outside
the blood Bank
/Centre
Donors in the
Blood Bank
/Centre
Blood products
Blood Group
serology
Quality Control
The Patients
Hemovigilance
Blood management
Ethics etc.



The blood centre is within the department of
haematology and the physicians are
specialists in haematology
The more experienced physicians tend to care
mainly about advanced patient related
analysis and treatment of patients
Less prestige is given to care of donors and
blood products
Donors outside
the blood Bank
/Centre
Donors in the
Blood Bank
/Centre
Blood products
Blood Group
Serology
Quality Control
The Patients
Hemovigilance
Blood management
Ethics etc.



A blood donor organization recruits donors
and take care of donor interests
The hospital based department of blood
donation and transfusion covers all from
blood donation to issuing blood for the
patients. Also has advisory capacity regarding
blood transfusion to patients
This works very well, provided close contact
and communication between the Blood bank
and both the donor organization and the
clinical departments



The organization of blood donation and
transfusion differs throughout Europe and the
world.
Regardless of organization, what is important
is cooperation, communication, care and
safety for donors and patients
The organization has an impact on
recruitment of medical doctors, recruitment
of voluntary non-remunerate donors and the
ethics regarding donor and patient safety