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Blood Bank, Santokba Durlabhji Memorial Hospital

A brief history
 
From 1973 to 2002, from a basic, blood bank facility to a state-of-the art multi - component blood bank and transfusion service, from 8% voluntary donations to 86% voluntary donations, from 10 units/day to 175 components/day, it has been a long journey, driven by zeal, compassion and a never-ending desire to be the best. Initially designed to meet the needs of in-house SDMH patients, the Blood Bank has, today, emerged as a multi-disciplinary speciality, catering to the entire state of Rajasthan. It has been a colossal team effort, inspired by the late Shri Rashmikant Durlabhji, who always dreamt of making this Blood Bank, a not-for-profit organisation, the best in the country.
 
Past, present and future
 
The Blood Bank was established in 1973, and since its inception, it was destined to reach great heights. Even in the initial days, we were testing for Hepatitis Band C which, only years later, became mandatory by law! The guiding principle has always been to provide quality care.
 
It was Rashmiji's dream to make this Blood Bank a benchmark for all blood banks across the length and breadth of the country. In 2002, it became a public Blood Bank, which functioned round-the-clock to provide transfusion services to all the hospitals in the vicinity of Jaipur. At the same time, the Blood Bank also acquired the ultimate advancement in transfusion-'the component system'. This provides the specific component of blood to the patient which he requires, thereby maximising the utilization of a single, whole blood unit.
 
From the start, we have kept abreast of all advancements in the functioning of blood banks. We were amongst the first ones to use gel technology to avoid delayed complications of blood transfusion. The Blood Bank is, today, equipped with fully automated, electronic cross-matching equipment which provides complete traceability, blood grouping, cross-matching and antibody screening.
 
In 2002, the Blood Bank was shifted to its new premises in the Avedna Ashram. Besides improvements in techniques, efforts have also been made to enthuse and excite the people working there. 
 
Earlier, a meagre 8% of all blood donations were voluntary. To improve this situation, a committee was formed.
 
The Avedna Ashram also undertook the project of voluntary blood donations. This project was inaugurated by Dr. RA Mashelkar in February 2003. With more than 345 voluntary drives a year, now 91.5% of all blood donated is voluntary. An air-conditioned bus, which can accommodate four donors simultaneously, reaches donors at their doorsteps.
 
In keeping with the National Blood Policy of the government, and with the help of the National AIDS Control Organization, a curriculum was prepared to train technical supervisors in the Blood Bank. This has proved to be a huge success. Most blood banks in the state employ supervisors trained by our Blood Bank.
 
It is no surprise that the Government of Rajasthan has entrusted the SDM Blood Bank with the task of providing training to the blood bank in-charges of all 32 districts of the state. We have started Plasmapheresis / Apheresis / Plateletpheresis. 
 
The Blood Bank has worked untiringly to scale enviable heights; this has been rendered possible by a dedicated team of like-minded individuals.
 
 
Other specific points:

Blood- The life line project (Voluntary donation)
 
Santokba Durlabhji Memorial Hospital cum Medical Research Institute Trust  has got an advisory core committee, which runs a project “Blood the lifeline” under Khail Shankar Durlabhji Avedna Ashram to achieve a target of 100 % voluntary blood donation and Thalassemia screening of healthy population.
 
Till date we have achieved 86% voluntary donation regularly from outside camps.
 
The blood bank has a separate social welfare department, which is looking after the voluntary donation and camp to achieve a target of 100% voluntary blood donation in the state.
 
Pratyana (Thalassemia screening project)
 
Thalassemia screening project for free screening and counseling. Thalassemia screening done free of cost, so far screened more than 2.6 Lakhs individuals from Jaipur and nearby cities in Rajasthan.
 
Regional Blood Center
 
The blood bank provides leadership in component preparation and supply to the region. We are supporting more than 400 hospital and nursing home in Jaipur District and nearby areas for their need of blood components.
 
For safe blood
 
First Installation in India of Cobas s201 fully automated NAT Testing Machine for to screen donated blood which is open for all the Blood Banks.
Blood Storage Center.
 
The blood bank has 13 Blood Storage Centers in Jaipur and nearby Jaipur. 
 
Regional Testing Center
 
The blood bank often receive request for blood of patients from other blood bank labeled as “Problem cross-match”. The blood bank officer is often called upon to solve such problems as well as to advise clinicians on various aspects of transfusion such as management of adverse reactions, indications for blood components etc. Regular interaction with clinician is maintained. In the view to resolve the problem the Regional Testing Centre developed, collaboration with ORTHO CLINICAL DIAGNOSTICS in year 2014. This RTC will provide the facility to resolve the discrepancy of blood grouping, identifying antibodies by using extended cell panels, work up on DAT positive samples, complex antibodies by elution /adsorption and enzyme treatment methodology. Till date 350 cases are resolved.

 
Academic activities of Blood Bank 
 
NACO supported training Centre for all Districts Blood Banks in Rajasthan for:
 
A. Train the BCSU and Non BCSU Medical Officers, Staff Nurses and Blood Bank Technicians of the Blood Bank in basic technique of Blood Banking in the field of Blood Transfusion.
B. Train Medical Officers and Blood Bank Technician for strengthening Quality Management Systems in Blood Banks.
C. 3 Stage training of trainers (TOT) for Blood Storage Centre of all 32 districts of Rajasthan to start, train & operate Blood Storage Centres. We develop curriculum for 3 days for doctors & 6 days for technicians.
 
Blood Storage centre training of Medical Officer and laboratory technician under National Rural Health Missions (NRHM), Ministry of health sponsorship.
Training programmes for lab technicians and for HIV and STD counselors in collaboration with the state transfusion council. 
Various training conducted for ICHAP, a Canadian -funded project for HIV testing and counselling, and for IHAT
Training for Malaria Diagnosis for EKAT.
Training for STI Diagnostic for female reproductive health for Govt of Rajasthan.
Quality Certification Support Services (QCSS) programme for Blood Bank and Laboratory
One year experience course for Blood Component Preparation, the curriculum was prepared with help of NACO 
Conducting 2 years diploma course for lab technicians (DMLT) approved by Rajasthan Paramedical Council.
 
 
Accreditation
 
Rajasthan first NABH accredited Blood Bank since 2010
NACO supported Blood Bank since 2014
Rajasthan first NABL accredited Pathology Laboratory since 2008
Audit of ISO: 17043 for PT Providers by NACO and CMAI
 
 
Publications
 
Right Blood to the right patient and transfused in the right manner - Guidelines for transfusion. It dealt with the all such issues including the details of the components, appropriate use of blood and standard operative procedure for transfusion  
Hospital transfusion committee   Both SDMH and other hospital
Global Journal of Transfusion Medicine (GJTM) with Asian Association of Transfusion Medicine (AATM)
 
 
CME’s and Workshops
 
Conducted RAPCON in 2004 and integrated the Blood Bank, Rajasthan Chapter to this conference
CME on Importance and Utility of NAT Blood in increasing Blood Safety, year 2009
TRANSMEDCON 2012 First Annual Conference of Indian Society of Transfusion Medicine
Workshop on How to Write a Scientific Paper by Dr. Sanjay Pai (Columbia Asia Referral Hospital, Bangalore), year 2011
Wet workshop on Basic Immunohematology by SDMH with OCD, year 2014
CME and Wet workshop on Advanced Immunohematology by SDMH with OCD, year 2015
CME for  Syphilis test on chemiluminescence, year 2015
Workshop on Quality Control in TTI Testing, year 2016
Workshop on Modern Blood Banking: A to Z of Plasmapheresis by SDMH (HAEMATCON 2016)
 
 
Awards
 
The blood bank has received an Institutional Award in 2005 from the ISBTI (Indian Society of Blood Transfusion and Immunohematology) for its vital contribution in the field of transfusion medicine. 
The blood bank has also received an award from the Rajasthan State AIDS Control Society for outstanding contribution in the field of prevention of spread of HIV/AIDS. 
Pratyana (Thalassemia Screening Project) got FICCI award for outstanding contribution under corporate social responsibility

 


 

 

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