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Guidelines and Principles for Safe Blood Transfusion Practice

SafeBloodandBloodProductsGuidelines andPrinciples forSafe BloodTransfusionPracticeIntroductory ModuleSafeBloodandBloodProductsGuideline s andPrinciples forSafe BloodTransfusionPracticeIntroductory ModuleConversion of electronic files for the website edition was supported by Cooperative Agreement Number PS001426 from the Centers for Disease Control and Prevention (CDC), Atlanta, United States of America. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.

handbook which provide comprehensive guidance on transfusion and alternatives to transfusion in the areas of general medicine, obstetrics, paediatrics and neonatology, surgery and anaesthesia, trauma and acute surgery, and burns. They are designed to promote a reduction in unnecessary transfusions through the wider use of plasma substitutes

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Transcription of Guidelines and Principles for Safe Blood Transfusion Practice

1 SafeBloodandBloodProductsGuidelines andPrinciples forSafe BloodTransfusionPracticeIntroductory ModuleSafeBloodandBloodProductsGuideline s andPrinciples forSafe BloodTransfusionPracticeIntroductory ModuleConversion of electronic files for the website edition was supported by Cooperative Agreement Number PS001426 from the Centers for Disease Control and Prevention (CDC), Atlanta, United States of America. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.

2 World Health Organization, reprinted 2009 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: Requests for permission to reproduce or translate WHO publications whether for sale or for noncommercial distribution should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.))

3 Dotted lines on maps represent approximate border lines for which there may not yet be full mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication.

4 However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its TO THE MODULE Learning in Blood Role of Your Role of Your Module: Guidelines and Principles forSafe Blood Transfusion Your Role of Nursing Staff at Blood Donor Role of Technical Staff in Pathology Laboratories of Behaviour and Organizations223 SAFETY for Potential Safety Clothing and Donated Blood from Mobile DonorSessions to the Blood Safe Disposal of Laboratory Procedures344 QUALITY AND QUALITY Need for and Assurance and Quality Operating and for Quality515 SAFE STORAGE AND

5 TRANSPORTATION OF Blood ANDBLOOD Blood Cold of Blood and Blood Blood Storage of Blood and Blood Components666 PREPARING BASIC Sulfate Solutions807 STOCK Check898 ACTION Your Your Action Your Action Plan94 Activity Checklists and Answers99 Answers to Self-Assessment Questions115 Appendix: Examples of Standard Operating Procedures121 AcknowledgementsThe World Health Organization would like to thank many Blood Transfusion medicine specialists for their part inthe development of these ReadersMs Mairi ThorntonMs Mairi ThorntonMs Mairi ThorntonMs Mairi ThorntonMs Mairi Thornton National Donor ProgrammeManager, Scottish National Blood TransfusionService, UKDr John BarbaraDr John BarbaraDr John BarbaraDr John BarbaraDr John Barbara Head of Microbiology.

6 North London Blood Centre, UKMr Robin KnightMr Robin KnightMr Robin KnightMr Robin KnightMr Robin Knight Head of Immunohaematology,North London Blood Centre, UKRegional ReadersDr J. K. AcquayeDr J. K. AcquayeDr J. K. AcquayeDr J. K. AcquayeDr J. K. Acquaye Director, National BloodTransfusion Service, GhanaDr G. DuraisamyDr G. DuraisamyDr G. DuraisamyDr G. DuraisamyDr G. Duraisamy Director, Blood TransfusionService, Kuala Lumpur, MalaysiaDr J. Chaivej NuchprayoonDr J.

7 Chaivej NuchprayoonDr J. Chaivej NuchprayoonDr J. Chaivej NuchprayoonDr J. Chaivej Nuchprayoon Director, NationalBlood Centre, Thai Red Cross Society, Bangkok,ThailandDr Maria de los Angeles RodriguezDr Maria de los Angeles RodriguezDr Maria de los Angeles RodriguezDr Maria de los Angeles RodriguezDr Maria de los Angeles Rodriguez Head of theBlood Bank, Hospital Naval, Vi a del Mar, ChileProfessor A. S. SagoeProfessor A. S. SagoeProfessor A. S. SagoeProfessor A. S. SagoeProfessor A.

8 S. Sagoe Secretary to the StateGovernment, Consultant in Haematology andBlood Transfusion , Lagos State Government,NigeriaDr Elizabeth VinelliDr Elizabeth VinelliDr Elizabeth VinelliDr Elizabeth VinelliDr Elizabeth Vinelli Medical Director, NationalBlood Program, Honduran Red Cross, HondurasDr J. M. YousefDr J. M. YousefDr J. M. YousefDr J. M. YousefDr J. M. Yousef Director, National Blood Bank,Amman, JordanProject DirectorDr Jean C. EmmanuelDr Jean C. EmmanuelDr Jean C. EmmanuelDr Jean C.

9 EmmanuelDr Jean C. Emmanuel Director, Blood Safety andClinical Technology, WHOP roject ManagerMs Jan FordhamMs Jan FordhamMs Jan FordhamMs Jan FordhamMs Jan Fordham Director, Open LearningAssociates, UKProduction ManagerMs Tess Gonet Ms Tess Gonet Ms Tess Gonet Ms Tess Gonet Ms Tess Gonet Production Manager, OpenLearning Associates, UKAuthorsIntroductory ModuleDr Alan KitchenDr Alan KitchenDr Alan KitchenDr Alan KitchenDr Alan Kitchen Head of Microbiology, North-East Thames Regional Blood Transfusion Centre,UKMs Pat CorcoranMs Pat CorcoranMs Pat CorcoranMs Pat CorcoranMs Pat Corcoran Short-term Consultant, WHOMr David A.

10 MvereMr David A. MvereMr David A. MvereMr David A. MvereMr David A. Mvere Chief Executive Officer,National Blood Transfusion Service, ZimbabweModule 1Mr David A. MvereMr David A. MvereMr David A. MvereMr David A. MvereMr David A. Mvere Chief Executive Officer,National Blood Transfusion Service, ZimbabweModule 2Dr Alan KitchenDr Alan KitchenDr Alan KitchenDr Alan KitchenDr Alan Kitchen Head of Microbiology, North-East Thames Regional Blood Transfusion Centre,UKModule 3Dr W.


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