quality control in blood

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    QUALITY CONTROL

    IN BLOOD BANK

    BY SAFIA

    SENIOR TECHNOLOGIST

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    Quality control is a part of a quality assuranceprogram. It checks whether the qualityassurance program is effective in ensuring the

    safety of blood and the recipient. Qualitycontrol is therefore an inspection system usedto ensure that specifications are met and thatmistakes have not occured. Quality control

    consists of two programs.1.Internal quality control.2.External quality control.

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    Internal quality control programprimarily checks the precision of thework. It is based on monitoring various

    aspects of the tests performed in thelaboratory. It includes testing of controlsera , repeated testing of routinesamples. Internal quality control is

    intended to ensure that there iscontinual evaluation of the reliabilityof the work of the laboratory andcontrol is exercised over the release oftest result.

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    External quality control is the

    objective evaluation by anoutside agency and primarilychecks the accuracy of the

    work.

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    is the series of procedure thatensures that a correct result is

    achieved in a standardreproducible and traceablemanner.

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    Quality Assurance Programensures:1.Avoidance of mistakes.2.Consistency of performance.

    3.Customer satisfaction.4.Data integrity

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    Ensuring safe blood component requires

    applying the principles of quality

    assurance to all aspect of componentcollection , preparations , testing , storage

    and transport.

    Staff must be trained and their

    competency evaluated. The contents of

    final product should be periodically

    assessed to make sure that they meet

    expectations.

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    Aseptic technique.

    Seal closed method.

    storage at 1-6C.

    Components preparation has to bedone within 6 hours after collection.

    Labels/records : ABO and Rh

    grouping.Screening, expiratory date and volumeof the blood.

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    COMPONENT PREPARATION:a)Packed cell.

    b)Platelets.c)Fresh Frozen Plasma.d)Cryoprecipitate.

    a)Packed cells:

    Storage = 1-6 C.

    Anticoagulant= (CPDA-1) Shelf life = 35days.Hematocrit = < 80%.Volume = 250mL.

    Sterility : no growth.

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    b) Platelets:Storage = 20-24 C.Shelf life = 5 days (continuous , gentle agitation)Volume = 50-70mL. Sterility : no growth

    c)Fresh Frozen Plasma:Storage = -18 C/-80 C.

    Shelf life = 1 year/7 years.Liquid Plasma = 5 days.Volume = 150mL. Sterility : no growth

    d) Cryoprecipitate: is also called AHF.Storage = -80 C.shelf life = 1 year.Volume = 15mL.Thawed = use within 6 hours (1-6 C). Sterility : no

    growth

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    Refrigerators, freezers, and chambers have

    built-in temperature monitoring sensors.< When recording charts or tapes are changed,they should be dated.< A chart with a perfect circle tracing may

    indicate that the recorder is not functioningproperly.< Alarm signals will activate at a temperaturethat allows personnel to take proper action

    before blood reaches desirable temperature.

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    Visual thermometers in blood storageequipment provide ongoing verificationof temperature accuracy.

    Thermometer calibration is done by

    bio-medical department on quarterlybases.

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    THANKYOU.