{"id":10500,"date":"2024-12-11T11:30:13","date_gmt":"2024-12-11T10:30:13","guid":{"rendered":"https:\/\/extali.eu\/docs\/3-krankenhausleitung\/3-6-dienste\/medizinische-dienste\/3-6-04-bluttransfusionsdienst-haemotherapie\/"},"modified":"2025-08-07T11:43:15","modified_gmt":"2025-08-07T09:43:15","slug":"3-6-04-haemotherapy-blood-transfusion-service","status":"publish","type":"docs","link":"https:\/\/gutehospitalpraxis.de\/en\/handbuch\/3-krankenhausleitung\/3-6-dienste\/medizinische-dienste\/3-6-04-bluttransfusionsdienst-haemotherapie\/","title":{"rendered":"3.6.04 Blood transfusion service, haemotherapy"},"content":{"rendered":"

1 Introduction<\/strong>
1.1 Title page
1.2 Purpose, user instructions
1.1 Table of contents
1.2 Telephone directory
1.3 Quality policy
2 Organisational structure<\/strong><\/p>\n\n\n\n

2.1 Organisation (organisational charts)<\/a>Download<\/a><\/div>\n\n\n\n
2.2 Management, blood depot management<\/a>Download<\/a><\/div>\n\n\n\n
2.3 Transfusion Commission<\/a>Download<\/a><\/div>\n\n\n\n
2.4 Haemotherapy working group<\/a>Download<\/a><\/div>\n\n\n\n
2.5 Information, consent<\/a>Download<\/a><\/div>\n\n\n\n
2.5.1 Sample meeting minutes<\/a>Download<\/a><\/div>\n\n\n\n
2.5.2 Sample consent for autologous blood donation<\/a>Download<\/a><\/div>\n\n\n\n
2.5.3 Information on autologous blood donation<\/a>Download<\/a><\/div>\n\n\n\n
2.5.4 HIV test consent<\/a>Download<\/a><\/div>\n\n\n\n
2.6 Quality assurance, self-inspection<\/a>Download<\/a><\/div>\n\n\n\n
\n
2.6.1 Self-inspection checklist<\/a>Download<\/a><\/div>\n\n\n\n

<\/p>\n<\/div>\n\n\n\n

2.6.2 Self-inspection of autologous blood<\/a>Download<\/a><\/div>\n\n\n\n
2.6.3 Annual report<\/a>Download<\/a><\/div>\n\n\n\n
2.7 Premises and equipment<\/a>Download<\/a><\/div>\n\n\n\n
2.7.1 Satellite depot checklist<\/a>Download<\/a><\/div>\n\n\n\n
2.8 Hygiene measures<\/a>Download<\/a><\/div>\n\n\n\n
2.8.1 Hygiene plan, personnel<\/a>Download<\/a><\/div>\n\n\n\n
2.8.2 Patient hygiene plan<\/a>Download<\/a><\/div>\n\n\n\n
2.8.3 Hygiene plan for areas<\/a>Download<\/a><\/div>\n\n\n\n
2.8.4 Disposal hygiene plan<\/a>Download<\/a><\/div>\n\n\n\n
2.8.5 General hygiene rules<\/a>Download<\/a><\/div>\n\n\n\n
2.9 Introduction of a procedural instruction<\/a>Download<\/a><\/div>\n\n\n\n
2.10 List of blood products<\/a>Download<\/a><\/div>\n\n\n\n

3 Employees: training, further education<\/strong><\/p>\n\n\n\n

3.1 Transfusion officer<\/a>Download<\/a><\/div>\n\n\n\n
3.2 Transfusion officer<\/a>Download<\/a><\/div>\n\n\n\n
3.2.1 List of transfusion officers in the clinics<\/a>Download<\/a><\/div>\n\n\n\n
3.3 Head of the blood depot<\/a>Download<\/a><\/div>\n\n\n\n
3.4 Head of immunohaematology\/haemostaseology laboratory<\/a>Download<\/a><\/div>\n\n\n\n

3.5 Other functions in the transfusion system<\/p>\n\n\n\n

3.6 Determining training requirements, training<\/a>Download<\/a><\/div>\n\n\n\n
3.7 Familiarisation<\/a>Download<\/a><\/div>\n\n\n\n
3.7.1 Proof of familiarisation<\/a>Download<\/a><\/div>\n\n\n\n
3.7.2 Instruction in the laboratory<\/a>Download<\/a><\/div>\n\n\n\n
3.7.3 Instruction of assistant personnel<\/a>Download<\/a><\/div>\n\n\n\n
3.8 Literature<\/a>Download<\/a><\/div>\n\n\n\n

4 Procurement and handling of blood products<\/strong><\/p>\n\n\n\n

4.1 Determination of requirements, stockpiling<\/a>Download<\/a><\/div>\n\n\n\n
4.2 Acceptance of blood products<\/a>Download<\/a><\/div>\n\n\n\n
4.2.1 Tinned food acceptance protocol<\/a>Download<\/a><\/div>\n\n\n\n
4.2.2 Plasma acceptance protocol<\/a>Download<\/a><\/div>\n\n\n\n
4.3 Storage<\/a>Download<\/a><\/div>\n\n\n\n
4.3.1 Control list<\/a>Download<\/a><\/div>\n\n\n\n
4.4 Delivery within the organisation<\/a>Download<\/a><\/div>\n\n\n\n
4.5.-1 Transport of blood products<\/a>Download<\/a><\/div>\n\n\n\n
4.5.-2 Transport and satellite depot<\/a>Download<\/a><\/div>\n\n\n\n
4.6 Short-term storage of blood products in defined satellite depots<\/a>Download<\/a><\/div>\n\n\n\n
4.7 Return of blood components to the blood depot<\/a>Download<\/a><\/div>\n\n\n\n
4.7.1 Release take-back<\/a>Download<\/a><\/div>\n\n\n\n

5 Immunohaematology\/haemostaseology laboratory<\/strong><\/p>\n\n\n\n

5.1 Responsibilities<\/a>Download<\/a><\/div>\n\n\n\n
5.2 Premises and equipment<\/a>Download<\/a><\/div>\n\n\n\n
5.3 Range of services<\/a>Download<\/a><\/div>\n\n\n\n
5.4 Pre-analysis, sample transport\/acceptance<\/a>Download<\/a><\/div>\n\n\n\n

5.5 Diagnostic programme in the event of a transfusion incident
6 Transfusion of blood components<\/strong><\/p>\n\n\n\n

6.1 Indication and performance of transfusions<\/a>Download<\/a><\/div>\n\n\n\n
6.2 Request for blood and blood components<\/a>Download<\/a><\/div>\n\n\n\n
6.3 Blood group determination, AK screening test, compatibility test<\/a>Download<\/a><\/div>\n\n\n\n
6.4 Preparatory checks<\/a>Download<\/a><\/div>\n\n\n\n
6.5 Application (access, transfusion equipment, warming technique)<\/a>Download<\/a><\/div>\n\n\n\n
6.6 Initiation, monitoring, aftercare<\/a>Download<\/a><\/div>\n\n\n\n
6.7 Emergency transfusions<\/a>Download<\/a><\/div>\n\n\n\n
6.7.1 Waiver<\/a>Download<\/a><\/div>\n\n\n\n
6.8 Massive transfusions<\/a>Download<\/a><\/div>\n\n\n\n
6.9 Autologous haemotherapy<\/a>Download<\/a><\/div>\n\n\n\n
6.9.1 Autologous haemotherapy procedure<\/a>Download<\/a><\/div>\n\n\n\n
6.9.2 Provision of blood reserves<\/a>Download<\/a><\/div>\n\n\n\n
6.9.3 Collection protocol<\/a>Download<\/a><\/div>\n\n\n\n
6.10 Treatment of undesirable effects<\/a>Download<\/a><\/div>\n\n\n\n

7 Reporting obligations<\/strong><\/p>\n\n\n\n

7.1 Reporting undesirable effects<\/a>Download<\/a><\/div>\n\n\n\n

7.1.1 Notification form for serious transfusion incidents at the PEI<\/a>
7.1.2 Notification of serious transfusion incident Medicines Commission<\/a><\/p>\n\n\n\n

7.1.3 Internal serious adverse event report form Transfusion<\/a>Download<\/a><\/div>\n\n\n\n
7.1.4 Proof of whereabouts of blood reserves<\/a>Download<\/a><\/div>\n\n\n\n
7.1.5 Proof of registration in the patient file<\/a>Download<\/a><\/div>\n\n\n\n

7.2 Duty to inform according to \u00a7 19 TFG \/ tracing
8 Documentation and archiving<\/strong><\/p>\n\n\n\n

8.1 Documentation<\/a>Download<\/a><\/div>\n\n\n\n
8.2 Product-related batch documentation<\/a>Download<\/a><\/div>\n\n\n\n
8.2.1 Blood components<\/a>Download<\/a><\/div>\n\n\n\n
8.2.2 Plasma derivatives<\/a>Download<\/a><\/div>\n\n\n\n
8.3 Documentation in the blood depot<\/a>Download<\/a><\/div>\n\n\n\n

8.4 Documentation materials
8.5 Glossary
8.6 Catalogue of recognised rules
8.7 Quality records
Edit<\/p>\n\n\n\n

Attachments<\/h3>\n\n\n\n

<\/p>","protected":false},"excerpt":{"rendered":"

1 Einleitung1.1 Titelblatt1.2 Zweck, Nutzerhinweise1.1 Inhaltsverzeichnis1.2 Telefonverzeichnis1.3 Qualit\u00e4tspolitik2 Aufbauorganisation 3 Mitarbeiter: Schulung, Fortbildung 3.5 Weitere Funktionen im Transfusionswesen 4 Beschaffung und Umgang mit Blutprodukten 5 Immunh\u00e4matologisches\/H\u00e4mostaseologisches Labor 5.5 Diagnostik-Programm bei Transfusionszwischenfall6 Transfusion von Blutkomponenten 7 Meldepflichten 7.1.1\u00a0Meldeformular schwerwiegender Transfusionszwischenfall beim PEI7.1.2\u00a0Meldung schwerwiegender Transfusionszwischenfall Arzneimittelkommission 7.2 Unterrichtungspflichten nach \u00a7 19 TFG \/ R\u00fcckverfolgung8 Dokumentation und Archivierung […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":10492,"menu_order":4,"comment_status":"open","ping_status":"closed","template":"","doc_tag":[],"doc_badge":[],"class_list":["post-10500","docs","type-docs","status-publish","hentry","no-post-thumbnail"],"acf":[],"author_avatar":"https:\/\/secure.gravatar.com\/avatar\/c6b2616140d9fcd6a1c5d6d2ebbf43422308c9322c032ef03f88ec3235855dcf?s=96&d=mm&r=g","author_name":"admin","_links":{"self":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10500","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs"}],"about":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/types\/docs"}],"author":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/comments?post=10500"}],"version-history":[{"count":2,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10500\/revisions"}],"predecessor-version":[{"id":14914,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10500\/revisions\/14914"}],"up":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10492"}],"wp:attachment":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/media?parent=10500"}],"wp:term":[{"taxonomy":"doc_tag","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_tag?post=10500"},{"taxonomy":"doc_badge","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_badge?post=10500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}