Medical institutions should use the blood provided by the blood stations designated by the administrative department of health.
Medical institutions research blood by the local provincial health administrative department is responsible for approval.
Medical institutions should cooperate with the blood station to establish a blood inventory dynamic early warning mechanism to protect clinical blood demand and normal medical order. Medical institutions to receive blood sent by the blood station, the blood bag labeling should be verified. The blood that meets the relevant national standards and requirements is put into storage and registered; and according to different varieties, blood types and dates of blood collection (or expiration date), they are stored in special storage facilities in an orderly manner.
The main contents of the blood bag label checking are:
(a) the name of the blood station;
(b) the blood donation number or bar code, blood type;
(c) the blood varieties;
(d) the date and time of the blood collection or the preparation date and time;
(e) validity date and time;
(f) storage conditions.
It is prohibited to store blood with unqualified blood bag labels. Medical institutions shall establish a clinical blood application management system.
If the same patient applies for blood preparation of less than 800 milliliters in a day, the application shall be made by the physician with the qualification of intermediate or above professional and technical positions, and the blood shall be prepared only after the approval and issuance by the superior physician.
If the same patient applies for blood preparation of 800 ml to 1600 ml in one day, the physician with the qualification of intermediate or above professional and technical positions shall make the application, and the blood preparation shall be made only after the examination by the superior physician and the approval and issuance by the head of the department.
If the amount of blood for the same patient reaches or exceeds 1,600 ml in one day, it shall be applied by the physician with the qualification of intermediate or above professional and technical position, and then approved and issued by the head of the department, and reported to the medical department for approval before the blood can be prepared.
The provisions of the second, third and fourth paragraphs above do not apply to emergency blood. Prior to blood transfusion treatment, physicians shall explain to the patient or his/her close relatives the purpose, mode and risks of blood transfusion and sign the informed consent for clinical blood transfusion treatment.
The need for emergency blood transfusion for the rescue of patients with life-threatening injuries, and can not obtain the patient or his close relatives, approved by the head of the medical institution or authorized by the person in charge of blood transfusion can be carried out immediately after the treatment. Medical institutions should actively implement new medical technology to save blood.
Tertiary hospitals, second-tier hospitals and maternal and child health centers should carry out autologous blood transfusion technology, establish and improve the management system and technical specifications, improve the rational use of blood to ensure the quality and safety of medical care.
Medical institutions should mobilize eligible patients to accept autologous blood transfusion technology, and improve the effectiveness and safety of blood transfusion therapy. Medical institutions should strengthen the publicity and education work on the knowledge of gratuitous blood donation, and standardize the work of mutual blood donation.
Blood stations are responsible for the collection and testing of blood for mutual blood donation, as well as the allocation of blood for use. The health administrative departments of the people's governments of provinces, autonomous regions and municipalities directly under the central government shall formulate clinical blood safeguard measures and emergency plans to ensure the supply and safety of emergency blood for a large number of casualties and special cases such as natural disasters and emergencies, as well as for scarce blood types.
Due to emergency blood or to avoid the waste of blood, under the premise of ensuring the safety of blood, approved by the health administrative department of the people's government of the provinces, autonomous regions and municipalities directly under the central government, blood can be transferred between medical institutions. Specific programs developed by the provincial health administrative department. Provinces, autonomous regions, municipalities directly under the Central People's Government health administrative department shall strengthen the remote areas of medical institutions to ensure clinical blood, scientific planning and construction of central blood bank and blood storage points.
Medical institutions should develop emergency blood work plan. In order to ensure emergency blood, medical institutions can temporarily collect blood, but must also meet the following conditions:
(a) endangering the lives of patients, in urgent need of blood transfusion;
(b) the local blood station can not provide blood in a timely manner, and can not be timely transfer of blood from other health care institutions, and other medical measures can not be replaced by transfusion of blood treatment;
(c) have the ability to carry out cross-matching and Hepatitis B virus blood transfusions, the blood transfusion of patients in remote areas, and the blood transfusion of patients in remote areas. (C) have the ability to carry out cross-matching and testing of surface antigen of hepatitis B virus, antibody to hepatitis C virus, antibody to HIV and antibody to syphilis spirochete;
(D) comply with the operating procedures and technical standards related to blood collection and supply.
Medical institutions shall report the situation to the health administrative department of the people's government at or above the county level within 10 days after the temporary collection of blood. Medical institutions should establish departments and physicians clinical blood evaluation and publicity system. Clinical use of blood into the department and medical personnel work assessment index system.
Prohibit the use of blood and economic income as the blood transfusion department or blood bank work assessment indicators.