ABSTRACT
【Objective】 To analyze the impact of sporadic cases of COVID-19 on the work of Transfusion Department, so as to explore the countermeasures. 【Methods】 The admission of inpatient departments, the reception of outpatient(including emergency) departments, the workload of transfusion department(including blood typing, unexpected antibody screening and cross matching), and the consumption of blood components in the Xijing Hospital between October and November in 2021, during COVID-19 outbreak, were collected. All the above data was statistically compared to the data in same period in 2018, before the COVID-19 outbreak. 【Results】 Due to the COVID-19 epidemic, there was a significant decrease in number of inpatients(280±157.1 vs 340.4±110.2), outpatient(including emergency)(8 359±3 615 vs 10 151±3 225), the workload of blood typing(272.0±132.4 vs 341.6±110.4), unexpected antibody screening(78.26±42.22 vs 98.51±43.53) and crossmatch(237.2±99 vs 475.7±155.6), as well as the consumption(U) of all blood components(457.9±50.32 vs 579.4±62.51) in the Xijing Hospital(P<0.05). In detail, the epidemic had the most direct impact on the number of inpatients and outpatients, which shrank continuously on the 2nd day after official announcement of the new COVID-1 cases. While the workload of blood typing, unexpected antibody screening and crossmatch decreased slightly, with a lag, usually on the 2nd, 3rd and 5th day after official announcement. The decrease of the usage of red blood cells and plasma began from the 7th day after the new epidemic to the 6th day after the end of the epidemic. However, the usage platelets and cryoprecipitate coagulation factors decreased from the 8th and 10th day after the new epidemic to the 2nd and 6th day after the end of the epidemic, respectively. 【Conclusion】 The daily work of Blood Transfusion Department has been seriously affected by sporadic COVID-19 epidemic. The working mode, staff structure and inventory ratio of blood components should be adjusted and optimized instantly to maintain the normal conduct of medical treatments in hospitals and ensure the safety of patients.
ABSTRACT
【Objective】 To explore biosafety countermeasures and optimize the sample detection procedures for the COVID-19 in tertiary hospitals in Wuhan, so as to provide effective protection for blood transfusion laboratory. 【Methods】 Referring to General Requirements for Laboratory Biosafety, Novel Coronavirus Pneumonia Prevention and Control Program (Fourth Edition), Technical Guide for Laboratory Testing of the Novel Coronavirus Pneumonia (Fourth Edition), the Novel Coronavirus Laboratory Biology Safety Guidelines (Second Edition) and other technical guidelines and expert consensus, relevant biosafety protection measures and testing procedures were formulated in combination of the layout and conditions of our laboratory. 【Results】 The biosafety zoning of blood transfusion laboratory, procedures for sample receiving, testing, and sterilizing, as well as the protection procedures for workers entering and exiting the laboratory were formulated, with good adherence with the relevant laws, regulations and technical specifications concerning COVID-19. During the prevention and treatment of the COVID-19, the work of blood transfusion department was carried out orderly, without any medical staff infection. 【Conclusion】 The biosafety protection measures and sample detection procedures in compliance with relevant laws, regulations and technical specifications, taking the actual condition of our laboratory into consideration, can effectively prevent and control the infection of COVID-19 and protect the health of medical staff.
ABSTRACT
【Objective】 To investigate and analyze the clinical blood use and full-time professional technical personnel of Blood Transfusion Departments in tertiary hospitals in the Yangtze River Delta, in order to provide basis for health administration and medical institutions to make decisions on clinical blood transfusion management and standardize the construction of Blood Transfusion Departments. 【Methods】 According to the Clinical Blood Quality Control Index (2019 Edition), 435 tertiary hospitals in the Yangtze River Delta were selected for statistical analysis. 【Results】 Among the 435 tertiary hospitals, 316 (72.64%, 316/435) set up independent Blood Transfusion Departments, but 119 (27.36%, 119/435) did not. 295 (67.82%, 295/435) met the national standards for Blood Transfusion Department, and 263 (60.46%, 263/435) met the local standards. Only 5 of the top 10 tertiary hospitals with the most consumption of blood in the Yangtze River Delta met the national standards for the allocation of blood transfusion professional and technical personnel, and 17 hospitals met the local standards. Nine of the top 10 tertiary hospitals with the most beds met the national standards for blood transfusion professional and technical personnel, and 19 met the local standards. Among the full-time professional technicians in Blood Transfusion Department, medical technicians, physicians and nurses accounted for 91.03%, 6.46% and 2.52%; doctor, master, bachelor and below accounted for 1.74%, 12.4% and 85.86%; senior, intermediate, junior and below titles accounted for 18.82%, 38.61% and 42.58%, respectively. 【Conclusion】 Standardized construction of Blood Transfusion Department of tertiary hospitals in the Yangtze River Delta, including organization and talent team construction, needs to be strengthened to improve scientific and rational use of clinical blood.
ABSTRACT
The medical order number of a blood transfusion is used as the matching number in the full range of clinical blood use. A cycle is built ranging from the application for to the implementation of a medical order for blood transfusion. Such measures as repeated blood types verification by two departments, dual-database management of blood type files, and bar coding are called into play to ensure information correctness. These measures can make sure that the correct blood type is transfused to the correct patient and rule out accidents in blood transfusion. Indications for blood products are set up under real-time surveillance, which makes available limited blood products supply to those in need and minimizes waste and abuse of such products. The full-range and real-time management of clinical blood use will confine blood transfusion indications and ensure patients' safety with 100% match ratio.
ABSTRACT
OBJECTIVE To formulate the effective measurement to prevent and control nosocomial infection in blood transfusion department.METHODS The hidden danger of nosocomial infection in our hospital was investigated to formulate the practicable strategy of precaution and control.RESULTS Management status in blood transfusion department occurred several administration shortages such as unreasonable overall arrangement,flaw regulatory regime,weak precaution consciousness,nonstandardized contamination zonation,deficient management of medical garbage disposal,etc.CONCLUSIONS Executing strictly laws and regulations,establishing relevant rules and carrying on standardized administration are essential for prevention and control of nosocomial infections in blood transfusion department and for assurance of biosafety.