Date : Saturday, 15 Dec., 2018
Logo Department of Transfusion Medicine
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Achievements Of The Department  
a) Nucleic Acid Testing (NAT)  
NAT (Nucleic acid amplification) is the latest technology available in the world for testing for transfusion transmitted infection in donor blood units. It aims in making the blood safer for the patients. Department of Transfusion Medicine has become the first blood bank in Uttar Pradesh to start NAT facility. A machine of Cobas 2011fully automated has been installedin the Department and NAT testing is underway since two years. Results have been surprising and accompanies a big sense of responsibility as we have moved towards our commitment of "Safer blood to the patients". NAT has been upgraded to latest version of MPX 2. Til date we have tested approx 1,01,365 units out of which we have been able to save 530 patients from becoming HBsAg reactive, 135 patients from becoming HCV reactive and 20 patients from becoming HIV reactive because of NAT facility during this period. Marked change has been observed in the clinical side specially pediatrics where no new cases of HCV have appeared in frequently transfused patients. This has benefited the patients and stopped the menace of Hepatitis C through blood transfusion.  
b) Automation in Blood Grouping  
Automation is the latest technology which helps in checking on the manual errors in blood grouping by automated techniques. It upgrades the blood bank technology and helps in screening of rare blood groups and problematic blood groups hence preventing wrong transfusions. Its starting in the department has made it comparable with blood supplied at the international standards. We have been able to detect many rare blood groups and discrepancies of blood by this technique. Work was done for cross matching procedures on Ortho machine and routine blood grouping and antibody screening by DIagast machine.  
c) Automation with Antibody Screening  
Donors with antibodies in their blood form a potential threat of severe reactions in the patients. Antibody screening of the donor's blood units has made the fresh frozen plasma safer for transfusion. This has also helped in reducing the incidence of transfusion reactions and improved the quality of supply. We could detect 7 Kpa positive donors, 2 donors were D antibody positive, 5 donors were positive for E and K antibodies. We could also detect c, C, k, Lua, Lub,Cw, Kpb,Fya, Fyb, Jka,Jkb, Lea,Leb, M,N,S P1antibody in blood donors and hence prevented antibody plasma supply in many patients.  
d) Honouring of blood donor organizations  
A function to honour voluntary blood donor organizations was held on14thjune 2014 at Selby Hall in KGMU. The function was graced by Honourable Vice Chancellor Prof. Ravi Kant who honoured the organizations which had helped the department in organizing blood donation camps. The dignitaries who also graced this function were Dr Beena Ravi, Mr Dinesh Yadav, Mr Avinash Agarwal, Mr Rajanshukla, Mrs Usha Sharma, Mrs Shubra Mittal and other eminent personalities.  
Blood donation awareness rally & camp  
Blood donor awareness rally and camps were held on 1st October 2014in order to motivate our blood donors as well as encourage our donor organizations. Our MBBs 2014 students participated in large umber along with trainee nurses. Dressed in white aprons with red balloons, white caps and slogans all the nurses and students participated in the rally on blood donation awareness. The rally was flagged off by the honourable Vice Chancellor, KGMU. The students also donated their blood in large numbers. Dr Jagdish Narain helped us to encourage and motivate our students.  
e) 100 % Component Preparation and Supply  
Supply of whole blood was stopped. The Department has started issuing only blood components i.e. PRBC, Platelet, Fresh Frozen Plasma, Cryoprecipitate, Cryo poor plasma. Whole blood is being issued only in special circumstances such as exchange transfusion.  
f) Leucoreduction  
Universal leucoreduction was started in April 2011. This was a very big step as it markedly improved the quality of components and minimized the transfusion reaction in patients. It allowed all patients irrespective of their status to get the benefit of leucoreduced blood components. This is a landmark achievement as it improved the quality of blood supply markedly. Year 2014 saw the continuance of supplying leucoreduced blood units to the patients.  
g) Development of Departmental website for State  
The Department launched a website www.transfusionmed.info on 28th April 2011 through which the department reached out to clinicians, camp organizations and public. It is a bilingual website which has details regarding myths related to Transfusion Medicine. It gives complete information regarding various activities which the Department is organizing. The department has also helped the state government in developing a website for theStateBlood Transfusion Council in an effort to connect the State blood transfusion services. It has been started by the website name of www.sbtc.org and connects the whole state online giving information and managing the data.
h) Availability of blood components  
The Department has also issued a directive that FFP may be supplied without donation to KGMU patients on request of the consultants. This was a major step to improve the availability of blood and help the needy patients. The department is now to supplying 100% blood component as well as is trying to makethe departmentsaware of their uses.On occasion of blood donation day the department has started a programme for month in which O positive PRBC was supplied without donation to needy patients  
i) Therapeutic phlebotomy  
This procedure has been started and continuing as a routine. A number of patients have benefited by this procedure and facility has relieved the symptoms of many patients.  
j) EQUAS (External Quality Assurance Programme) and BEQUAS  
External quality Assurance is regularly carried out in the Department of Transfusion Medicine. The results have been concordant and encouraging. The department has also got enrolled in BEQUAS programme and has been carrying out this orogramme successfully.  
k) Counseling  
Regular counseling of follow up donors is being carried out. Donors are referred to ICTC for follow up and helped in whatever their needs may be. Since the implementation of NAT, counseling procedures have been more informative and beneficial for the donors.  
l) Apheresis  
The Procedure was started in October 2010. Both single needle and double needle procedure is being carried out. A number of apheresis procedures were being carried out but still the requisitions by the clinicianswere less as compared to the expected demand. Regular training of clinicians and physicians was done to make them aware of the advantages of single donor platelets.
Presently there has been a marked improvement in the clinicians regarding awareness ofapheresis. More than 100 plateletpheresis have been performed in the past 2 months only.
 
m) Discontinuation of use of Syringes  
Our continuous efforts finally helped us in achieving the goal of receiving blood samples from the wards only in vials and not in syringes. Use of syringes for blood sample as a storage method has been completely stopped. The department has motivated all the clinical users to send the blood samples only in vials. This has greatly reduced the hazard in handling of these samples in respect to the patient's attendants as well as the staff of our department.  
n) Distribution of new donor cards  
  • In order to give necessary benefit to the blood donors,the department has started giving individual donors cards to all our voluntary donors. They are honoured by blood bank if our voluntary blood donor himself needs blood for his near and dear ones within a period of one year.
  • In order to encourage our blood donor organizations who work selflessly department started giving appreciation of their endeavors in the form of blood supply cards (10% of the blood donations organized by them) through which they can help the needy.
  • In order to establish an efficient system in which the emergency and the needy can receive blood, blood supply cards have been issued to the emergency departments and trauma centre of KGMU to be used when necessary. This has helped to bridge the gaps present between the patients and the treating physicians.
  • As a result of this gesture the department has been able to supply O positive PRBC without replacement to patients for almost a month.This procedure has helped us to move forward in the field of voluntary blood donations and help the really needy and destitute patients.
 
o) CCTV Facility  
The whole department has been upgraded with installation of CCTV facility to keep vigil both inside and outside the department.  
p) Construction  
New construction work was done in the department in order to meet its increasingworkload. Honourable Vice Chancellor has agreed to provide the seventh floor of second phase of Centenary hospital to the Department of Transfusion Medicine in order to solve the problem of space. The workload and facilities of the department has increased ten fold and expansion in terms of space is now a necessity. This will be solved by relocating the department to a newer area with more space.  
q) Public awareness  
The faculty of department held many motivational lectures in various organizations to cause public awareness and spread education. These lectures taken were as follows  
  • Delivered a lecture on rational use of blood on 21st March, 2014 at RML Hospital , Lko
  • Delivered a lecture on Rational use of bloo0d in GSVM Medical College on 27th March, 2014 , Kanpur
  • Delivered a lecture on "Pretransfusion testing: Back to basics. Quality control and its significance" in wet workshop on "Immunohematology with automation at KGMU on 25th April, 2014
  • Delivered a lecture on "Rational use of blood components" in Bhopal Hospital and Memorial Research Centre in Bhopal in 2014
  • Delivered a lecture on "Universal and Selective leucoreduction" on 18th September, 2014 at X th International conference of Asian Association of Transfusion Medicine at Kathmandu, Nepal
  • Delivered a lecture on "Prevalence of transfusion transmitted diseases in India" on 18th September, 2014 at X th International conference of Asian Association of Transfusion Medicine at Kathmandu , Nepal
  • Delivered a lecture on "Improving quality of blood through leucoreduction and NAT testing" on 25th October, 2014 in Clinical Combined Round in KGMU, LKo
  • Delivered a talk on "NAT; A practicalexperienc" in Rinum 2014 on 20 -21st Sep 2014 in Mumbai.
 
Public lecture was taken in order to motivate one and all.  
   
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