Blood Centres in South-East Asia : A status report -2002 - Questionnaire For Blood Banks Inventory In SEARO-2001

Blood Centres in South-East Asia : A status report -2002

Questionnaire For Blood Banks Inventory In SEARO-2001

ORGANIZATION & MANAGEMENT

Status

Govt/Red Cross/Private with hospital/Private Commercial

Population covered

Number of hospitals usually catered to

Number of beds in these hospitals

Number of blood banks serving the same population

Distance from the nearest blood bank

DONOR PROFILE

Has a national strategy on blood screening been defined?

Yes/No

Are local work instructions (standard operating procedures) in use?

Yes/No

Is confidentiality of blood donors assured in the laboratory?

Yes/No

Are there criteria for selection and deferral of donors?

Yes/No

Is there a system of blood donor counselling?

Yes/No

Has blood ever been issued without being tested due to non-availability of test kits/reagents?

Yes/No

What is the percentage of donations from:

Voluntary non-remunerated donors

Yes/No

Paid donors

Yes/No

How many units of blood are collected annually ? ( Volume per Units)

Is there a system of blood donor records?

Yes/No

Is there a register/database of donors?

Yes/No

Computerized

Yes/No

BLOOD SCREENING

What percentage of donations are tested for :

HIV

HIV HBV(HbsAg)

HCV

Syphilis

Malaria

What percentage of HIV tests are performed by:

ELISA

Simple/rapid methods

What is the prevalence in donations of :

HIV

HBV

HCV

Syphilis

Are the following tests performed on donated blood:

RBC ABO grouping

Yes/No

RhD Antigen

Yes/No

Serum ABO grouping

Yes/No

Compatibility testing

Yes/No

STORAGE & TRANSPORTATION OF BLOOD PRODUCTS & REAGENTS

Are blood cold chain procedures in place for

Blood and blood products

Yes/No

Reagents/kits

Yes/No

TRAINING

Qualified

in-service training

Medical officers

Donor recruitment staff

Laboratory technical staff

Which category of staff requires immediate training?

EQUIPMENT

Do you have adequate number of equipment?

Yes/No

Are important equipment on annual maintenance contract?

Yes/No

Do you frequently face problems in maintaining your equipment?

Yes/No

CLINICAL USE OF BLOOD

Do you have national/hospital guidelines for clinical use of blood?

Yes/No

Are crystalloids/colloids available as alternatives to blood?

Yes/No

What percentage of blood is transfused as whole blood?

What percentage of blood is converted to components

Are the following components produced:

Red cell preparations

Yes/No

Platelet concentrates

Yes/No

Fresh frozen plasma

Yes/No

Cryoprecipitates

Yes/No

Are post-transfusion reactions/or infections monitored and reported?

Yes/No

MAJOR PROBLEMS

Blood BankIncharge

Name:

Designation:

Stamp