Treviso, 21 October Karin Magnussen

Donors outside the Blood Bank /Centre Donors in the Blood Bank /Centre Blood products Blood Group serology The Patients Quality Control Hemovigilance Blood management Ethics etc.

 Recruitment  Donor interests ◦ Insurance in case of donor injury ◦ Complaints ◦ Legal and other advice  Information  Ethics

 Booking of the donation  Evaluation of the donor  The donation ◦ Whole blood ◦ Apheresis ◦ Stem Cells  Information  Deferral rules  Testing ◦ Haemoglobin, and possibly more tests

 Testing ◦ Blood group, Infectious disease screening and more  Fractionation  Storage  Distribution  Quality control  Issuing the blood for the patients

 Blood grouping ◦ Donors and patients  Antibody screen ◦ Donors and patients  Antibody identification ◦ Mainly patients  X-match ◦ Electronic ◦ Serological

 Decision to prescribe a transfusion  Giving the transfusion  Monitor the transfusion  Treat and report adverse events  Develop guidelines for transfusion

Donors outside the blood Bank /Centre Donors in the Blood Bank /Centre Blood products Blood Group serology The Patients Quality Control Hemovigilance Blood management Ethics etc.

 Blood centres are separate from hospitals and patients  Separate economies  A problem that donation centres may implement expensive procedures and increase the cost, regardless of hospital end patient best interests  Communication is a challenge

Donors outside the Blood Bank /Centre Donors in the Blood Bank /Centre Blood products Blood Group serology The Patients Quality Control Hemovigilance Blood management Ethics etc.

 Blood centres separate from hospital where serology laboratory and patient departments are separate  Separate economies  Communication challenge  These Blood Centres are not the most interesting place to work for most physicians

Donors outside the blood Bank /Centre Donors in the Blood Bank /Centre Blood products Blood Group serology The Patients Quality Control Hemovigilance Blood management Ethics etc.

 The blood centre is within the department of haematology and the physicians are specialists in haematology  The more experienced physicians tend to care mainly about advanced patient related analysis and treatment of patients  Less prestige is given to care of donors and blood products

Donors outside the blood Bank /Centre Donors in the Blood Bank /Centre Blood products Blood Group Serology The Patients Quality Control Hemovigilance Blood management Ethics etc.

 A blood donor organization recruits donors and take care of donor interests  The hospital based department of blood donation and transfusion covers all from blood donation to issuing blood for the patients. Also has advisory capacity regarding blood transfusion to patients  This works very well, provided close contact and communication between the Blood bank and both the donor organization and the clinical departments

 The organization of blood donation and transfusion differs throughout Europe and the world.  Regardless of organization, what is important is cooperation, communication, care and safety for donors and patients  The organization has an impact on recruitment of medical doctors, recruitment of voluntary non-remunerate donors and the ethics regarding donor and patient safety